A citizens’ assembly will put people at the heart of everything the NHS does

Tim Kelsey, NHS England’s National Director for Patients and Information, explains the next step towards empowering people Since being established NHS England has been seeking and developing ways to put patient participation at the heart of its decision-making. Over the last few months we have been working with colleagues throughout the health and care sectors, […]

NHS democracy: some ideas

This post was written with Simon Burall from Involve. Budget pressure on the NHS, and in particular the need to save money and increase quality by closing and merging hospital services, makes the need for better democratic accountability in the NHS even more pressing. Sir David Nicholson said today that unless services from primary to […]

NHS democracy: some ideas

This post was written with Simon Burall from Involve. Budget pressure on the NHS, and in particular the need to save money and increase quality by closing and merging hospital services, makes the need for better democratic accountability in the NHS even more pressing. Sir David Nicholson said today that unless services from primary to secondary care were […]

Whatever happened to open policy?

The Government’s civil service reform plan published last year promised to “make open policymaking the default”, recognising that Whitehall itself does not have a monopoly on expertise. The commitments set out in the plan included: – commissioning policy development from outside organisations such as think tanks; – crowdsourcing questions to shape the definition of the problem (not just […]

Should there be a ‘duty to involve’ for national policy?

As Edward Andersson from Involve noted in his recent blog reviewing the new consultation principles issued by government: ”Today consultation has, for many citizens, become a byword for formalistic, tick box exercises, done to mask a decision which is already a ‘done deal’.” Edward rightly suggested that the new principles, while important, fall short of […]

Twenty-four relatively contented people

Via Involve, I’ve come across two case studies of citizens’ juries being used in the NHS – one in Oldham which looked at fairness in commissioning, and one in Buckinghamshire which looked at setting the priorities for dementia care. Both are reasonable examples of what citizens’ juries can achieve, but they raise a couple of […]

This has been a Demsoc/reader co-production

Back in October, on day-job duties, I attended a roundtable on co-production in public services, organised by the University of Birmingham. The report of that session is now available. It’s quite a technicians’ publication, making frequent use of phrases like “institutionalising and systematising co-production”. Since I can speak fluent policy jargon, I thought I would […]