Primary care-led commissioning and public involvement in the English National Health Service. Lessons from the past

摘要: Background Patient and Public involvement (PPI) in health care occupies a central place Western democracies. In England, this theme has been continuously prominent since the introduction of market reforms early 1990s. The implemented by current Coalition Government are making primary practitioners main commissioners services National Health Service, duty is placed on them to involve public commissioning decisions strategies. Since implementation PPI initiatives not new, we asked how likely it that new will make difference. We scanned literature related care-led found little evidence effective thus far. suggest unless scope intended objectives clarified appropriate resources devoted it, continue remain empty rhetoric box ticking. Aim To examine effect previous draw lessons for future development. Method reporting internal 1991. particular, looked specific contexts, methods outcomes such initiatives. Findings 1. constantly encouraged policy makers England. 2. Research shows limited so 3. Constant reconfiguration structures had negative impact PPI. 4. look hardly better poised bring about patient involvement.