Participatory Budgeting and the Big Society. Patient and public involvement post PCTs. Professor Jonathan Tritter Tuesday 9th November 2010 Westminster. What am I going to talk about?. What is involvement? Thinking about types of Patient and Public Involvement
Patient and public involvement post PCTs
Ways in which residents can draw on their experience and members of the public can apply their priorities to the evaluation, development and organisation of health and social services
“To make these reforms work, we need to give new and existing social enterprises, charities and voluntary groups the long-term incentives they need to develop and deliver innovative and high quality public services.” (Conservative Party March 2010: 1)
“So government has a crucial role to play in bridging the gap – and indeed, more widely, in connecting private capital to investment in social projects.” (David Cameron, 19 July 2010)
“people who have least will benefit least from the transfer of power and responsibility, while those with higher stocks of social and economic resources will be better placed to seize the new opportunities.”
“The Big Society idea is strong on empowerment and weak on equality.” (New Economics Foundation 2010:3;5)
A local voice?
A national voice?
Local Government and Public Involvement in Health Act (2007)
“promoting, and supporting, the involvement of people in the commissioning, provision and scrutiny of local care services;
(b) enabling people to monitor … and to review … the commissioning and provision of local care services;
(c) obtaining the views of people about their needs for, and their experiences of, local care services; and
(d) making views …known, and reports and recommendations about how local care services could or ought to be improved,
to persons responsible for commissioning, providing, managing or scrutinising local care services.” (Part 14 Section 221 subsection 2)
“will take on the function of joining up the commissioning of local NHS services, social care and health improvement “ (DH 2010:30)
“GP consortia will have a duty of public and patient involvement, and will need to engage patients and the public in their neighbourhoods in the commissioning process. Through its local infrastructure, HealthWatch will provide evidence about local communities and their needs and aspirations.” (DH 2010:29-30)
Replacing LINks but retaining a local voice?
Action by businesses or third sector organisations can supplement but not replace functions of the state, not least because they usually serve specialised interests, rather than the nation as a whole.