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Governance, commissioning and public health$
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Linda Marks

Print publication date: 2014

Print ISBN-13: 9781447304944

Published to Policy Press Scholarship Online: January 2015

DOI: 10.1332/policypress/9781447304944.001.0001

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public involvement in commissioning

public involvement in commissioning

(p.189) Chapter Seven public involvement in commissioning
Governance, commissioning and public health

Linda Marks

Policy Press

Participation by the public and accountability to the public are principles of governance. This chapter discusses participatory governance and considers policies for patient and public involvement in health. Drawing on the study, it illustrates views on public involvement in commissioning and scrutiny, describing a range of initiatives and how they worked in practice. Involvement in commissioning preventive services proved difficult to achieve and the capacity of the Voluntary and Community Sector to influence partnerships was limited. The chapter reviews changes arising from the creation of Healthwatch England and local Healthwatch, following the 2012 Health and Social Care Act. While growing professionalisation of the third sector and the appointment of local Healthwatch as core members of Health and Wellbeing Boards will increase influence, there may be implications for wider engagement and accountability. With reductions in public spending, effective ways of involving the public in commissioning decisions is increasingly important.

Keywords:   participatory governance, public involvement, commissioning, accountability

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