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Collaborative governance for creative health: initial programme theories for collaborating across sectors and
C Dayson1, E Lockley2, S Trentham-Black2
1Centre for Charity Effectiveness, Bayes Business School, City St George's, University of London, 106 Bunhill Row, London EC1Y 8TZ, UK.
Perspectives in Public Health
|July 18, 2026
Summary
Effective collaborative governance in creative health requires prioritizing relationships, trust, and accountability. This approach supports sustainability, workforce development, and evidence-based practices within diverse health and social care systems.
Area of Science:
- Public Health
- Health Services Research
- Creative Arts Therapies
Background:
- Creative health initiatives are increasingly recognized for their potential to improve well-being.
- Implementing creative health programs within existing health and social care systems presents governance challenges.
- Understanding how to effectively govern these initiatives is crucial for their sustainability and impact.
Purpose of the Study:
- To investigate the enactment of collaborative governance for creative health across UK health and social care systems.
- To identify the reasons for implementing collaborative governance in creative health and the factors contributing to its effectiveness.
Main Methods:
- Qualitative interviews were conducted with 16 creative health stakeholders in UK health and social care systems.
- Realist-informed initial programme theories (IPTs) were developed to explore the purpose and efficacy of creative health collaborative governance.
Main Results:
- Collaborative governance involves formal, consensus-oriented decision-making between public agencies and non-state stakeholders.
- Two IPTs highlighted the need for senior stakeholder buy-in to secure resources for sustainable creative health provision.
- Six IPTs identified key mechanisms for effectiveness: building trust, workforce development, evidence dissemination, incorporating lived experience, clear accountability, and policy alignment.
Conclusions:
- Prioritizing relationships, trust-building, and accountability is fundamental for successful creative health collaborations.
- These foundational elements enable further work on sustainability, workforce development, evidence, lived experience, and policy alignment.
- Collaborative priorities must respect local contexts, recognizing that successful interventions are not universally transferable.
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