Tritter, Jonathan Q., 1965-. (2011) Public and patient participation in health care and health policy in the United Kingdom. Health Expectations, Volume 14 (Number 2). pp. 220-223. ISSN 1369-6513

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Abstract

Since 1948, the United Kingdom (UK) has operated a National Health Service funded primarily through public taxation where health services are available based on need and free at the point of delivery with limited out-of-pocket copayment. Other European predominantly public taxation funded systems operate, for example, in Sweden, Denmark, Finland and Italy. Domestic policy decisions have been devolved from London and England to Wales, Scotland and Northern Ireland since 1999, although for the latter full devolution did not really occur until 2007. One consequence of devolution has been the growing divergence in policy and practice across the four countries within the United Kingdom. This digest summarizes the evolution of key policies across the United Kingdom and then identifies some of the distinctions between the four different administrations.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Social Sciences > Warwick Business School > International Centre for Governance & Public Management Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH):	Great Britain. National Health Service, Medical policy -- Great Britain, Patient participation -- Great Britain, Medical care -- Great Britain
Journal or Publication Title:	Health Expectations
Publisher:	Blackwell
ISSN:	1369-6513
Date:	2011
Volume:	Volume 14
Number:	Number 2
Page Range:	pp. 220-223
Identification Number:	10.1111/j.1369-7625.2011.00697.x
Status:	Peer Reviewed
Publication Status:	Published
Description:	Policy digest
References:	1 Hogg C. Citizens, Consumers and the NHS: Capturing Voices. London: Palgrave Macmillan, 2008. 2 House of Commons Health Committee. Foundation Trusts and Monitor. London: House of Commons, 2008. 3 Irvine D. The Doctors Tale: Professionalism and Public Trust. Oxford: Radcliffe Publishing, 2003. 4 Tritter J. Conceptualizing patient and public involvement. Health Expectations, 2009; 12: 275–287. 5 NHS Wales. Signposts – A Practical Guide to Public and Patient Involvement in Wales. London: OPM⁄Cardiff: National Assembly for Wales, 2001. 6 NHS Wales. Signposts Two: Putting Public and Patient Involvement into Practice in Wales. London: OPM⁄Cardiff: National Assembly for Wales, 2003. 7 Hughes D, Mullen C, Vincent-Jones P. Choice vs. voice: PPI policies and the re-positioning of the state in England and Wales. Health Expectations, 2009; 12: 237–250. 8 Department of Health, Social Services and Public Safety. Guidance on Strengthening Personal and Public Involvement in Health and Social Care. Belfast: DHSSPS, 2007. 9 Secretary of State for Health�s speech – �My ambition for patient-centred care�. Available at: (http:// www.dh.gov.uk/en/MediaCentre/Speeches/ DH_116643), accessed 8 June 2010.
URI:	http://wrap.warwick.ac.uk/id/eprint/41344

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