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Related Experiment Videos

A 'Third Way' for lay involvement: what evidence so far?

S Pickard1, K Smith

  • 1University of Manchester, National Primary Care Research and Development Centre, Manchester M13 9PL, UK. susan.pickard@man.ac.uk

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|August 9, 2001
PubMed
Summary

Lay members had minimal influence in primary care groups (PCGs) during their initial 6 months. Their role in decision-making was peripheral, with limited public consultation beyond board-level interactions.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Patient Engagement Studies

Background:

  • The UK White Paper emphasized public confidence and accountability in the National Health Service (NHS).
  • Primary Care Groups (PCGs) were established to increase public involvement and patient-centered care.
  • Historical context of lay involvement in the NHS prior to 1997 is reviewed.

Purpose of the Study:

  • To assess lay involvement in NHS Primary Care Groups (PCGs).
  • To examine lay board member participation in PCG decision-making.
  • To evaluate PCG engagement with the wider public.

Main Methods:

  • Analysis of data from the first annual Tracker Survey of PCGs in England (1999).
  • Utilized postal questionnaires completed by lay members.

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  • Included a review of the history of lay involvement in the NHS.

    • Main Results:

    • Lay members reported minimal influence in PCG decision-making.
    • Involvement in key decision-making aspects was rated low by the majority of lay members.
    • Public engagement primarily involved informing, rather than consulting, lay individuals.

    Conclusions:

    • The lay voice had a limited impact in PCGs during their initial operational phase.
    • Lay board members' roles were peripheral to core decision-making processes.
    • Early survey timing and lack of precedent for lay involvement in primary care were mitigating factors.