Managing public involvement in healthcare purchasing
Public involvement is a key theme within the post-reform NHS, with a growing emphasis on involving people in healthcare decision-making, improving accountability to the public and developing a stronger focus on the consumer or user of services. This challenging book establishes a framework for public involvement in healthcare. With a focus on purchasing, the authors draw on recent research findings and their practical experience to describe the central factors 'driving' involvement, and the organizational structures and processes by which it is underpinned. Recommendations are made for the development of effective strategies for public involvement in healthcare purchasing. The discussion of current issues and debates is set within a wider theoretical and historical examination of the concepts of 'citizenship' and 'accountability', detailing the role of the 'consumer' in the context of the major changes in the organization and delivery of public services that have taken place in Britain in the last two decades.
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Restructuring public services
Politics markets and accountability
Understanding public involvement
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accountability activities agencies agenda approaches to public argued Audit Commission Brian Mawhinney broader central Chapter CHCs citizen Citizen's Charter commissioning Community Health Councils concern consultation consumer consumerism consumerist approach context contracting debate decisions democratic approach DHSS effective emphasis ensure example focus forms framework funding groups Health and Social health authorities healthcare purchasing healthcare services identified important individual initiatives interest issues King's Fund Klein London managerial mechanisms ment moreover National Health Service needs assessment NHSE NHSME Open University operational organizational particular patient Patient's Charter Peckham planning Plowden Report political Pollitt practice primary care purchasers priorities private sector professionals public health public involvement public sector public services reforms representation representatives responsibility role seen self-advocacy service users specific strategic Taylor and Lupton tensions tion underpinned views voice voluntary sector welfare wider public Wistow