Citizens at the centre : deliberative participation in healthcare decisions / [electronic resource]
Davies, Celia,author.
Wetherell, Margaret Susan,author.
Barnett, Elizabeth,author.
Involving citizens in policy decision-making processes - deliberative democracy - has been a central goal of the Labour government since it came to power in 1997. But what happens when members of the public are drawn into unfamiliar debate, with unfamiliar others, in the unfamiliar world of policy making at national level? This book sets out to understand the contribution that citizens can realistically be expected to make. Drawing on the lessons from an ethnographic study of a public involvement initiative in the health service - the Citizens Council of NICE (National Institute for Clinical Excellence) - the book explores the practical realities behind the much-quoted faith in 'deliberation' that underpins so many models of public involvement and presents the analysis of sixty four hours of video and audiotape capturing a warts-and-all picture of deliberation in action. It sets deliberative participatory initiatives within a broad inter-disciplinary context and challenges politicians, policy-makers and academics to develop more realistic approaches to democratic innovation. Citizens at the centre will be of interest to academics and students in social policy, sociology, politics, health, social care, economics, and public administration and management. It will also be valuable to anyone involved in the policy making process, not only in the UK, but also in Europe, the USA and other countries where deliberative democracy is being implemented or discussed.
Cover; CITIZENS AT THE CENTRE - Deliberative participation in healthcare decisions; Contents; List of figures and boxes; Acknowledgements; A note on terminology; Introduction; Outline of the book; Part I - Context; ONE - The rise and rise of participation; TWO - Deliberation: towards an understanding of practice; Part II - A Citizens Council in action; THREE - Setting up a Citizens Council; FOUR - Doing deliberation: the first Citizens Council meeting; FIVE - Better by design? Subsequent Citizens Councils; SIX - Power, discursive styles and identities
SEVEN - Reactions, reflections and reworkingsPart III - Implications; EIGHT - Reframing citizen deliberation; NINE - New directions for policy and practice; References; APPENDIX 1 - Study design and methods; Ethnographic study; Studying the organisational context; Studying the perceptions of Citizens Council members; APPENDIX 2 - Members of the Citizens Council, 2002-05; Citizens Council members for meetings one, two and three; Citizens Council members for meeting four; APPENDIX 3 - Detailed agenda for the four Citizens Council meetings; Meeting one (clinical need)
Meeting one (clinical need) contd.../Meeting two (age); Meeting two (age) contd.../; Meeting three (age); Meeting four (confidential enquiries); Meeting four (confidential enquiries) contd.../; Meeting four (confidential enquiries) contd.../; APPENDIX 4 - National Institute for Clinical Excellence: background and developments; At the time of our research; At the time of writing; APPENDIX 5 - Key data sources; NICE; Vision 21; Index
Includes bibliographical references and index.
Title from publisher's bibliographic system (viewed on 19 Jan 2022).
Involving citizens in policy decision-making processes - deliberative democracy - has been a central goal of the Labour government since it came to power in 1997. But what happens when members of the public are drawn into unfamiliar debate, with unfamiliar others, in the unfamiliar world of policy making at national level? This book sets out to understand the contribution that citizens can realistically be expected to make. Drawing on the lessons from an ethnographic study of a public involvement initiative in the health service - the Citizens Council of NICE (National Institute for Clinical Excellence) - the book explores the practical realities behind the much-quoted faith in 'deliberation' that underpins so many models of public involvement and presents the analysis of sixty four hours of video and audiotape capturing a warts-and-all picture of deliberation in action. It sets deliberative participatory initiatives within a broad inter-disciplinary context and challenges politicians, policy-makers and academics to develop more realistic approaches to democratic innovation. Citizens at the centre will be of interest to academics and students in social policy, sociology, politics, health, social care, economics, and public administration and management. It will also be valuable to anyone involved in the policy making process, not only in the UK, but also in Europe, the USA and other countries where deliberative democracy is being implemented or discussed.
Health planning
Medical policy