Rhetoric and Reality: User Engagement and Health Care Reform in England

David Horton; Gary Lynch-Wood

doi:10.1093/medlaw/fwx036

Rhetoric and Reality: User Engagement and Health Care Reform in England

David Horton, Gary Lynch-Wood

Manchester Centre for Regulation and Governance and Public Law

University of Liverpool

Research output: Contribution to journal › Article › peer-review

Abstract

Policy discourse and rhetoric that preceded the Health and Social Care Act (HSCA) 2012 suggests the Act was intended to further embed issues relating to accountability, transparency, and engagement with service-users. Close analysis suggests economic imperatives and independent expert authority are promoted to a greater extent than previous reforms, while stakeholder engagement and accountability appear weakened in crucial areas. To show this, the article considers two important and underexplored activities under the HSCA: reporting and other types of stakeholder engagement measures. These two activities are important because they support the way crucial NHS functions are carried out. The article contends that the policy discourse and rhetoric underpinning these activities does not reflect the statutory reality.

Original language	English
Pages (from-to)	27-50
Journal	Medical Law Review
Volume	26
Issue number	1
DOIs	https://doi.org/10.1093/medlaw/fwx036
Publication status	Published - 14 Aug 2017

Keywords

NHS, Regulation, Stakeholder Engagement, Accountability, Transparency

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1093/medlaw/fwx036

https://livrepository.liverpool.ac.uk/3008896/

Cite this

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title = "Rhetoric and Reality: User Engagement and Health Care Reform in England",

abstract = "Policy discourse and rhetoric that preceded the Health and Social Care Act (HSCA) 2012 suggests the Act was intended to further embed issues relating to accountability, transparency, and engagement with service-users. Close analysis suggests economic imperatives and independent expert authority are promoted to a greater extent than previous reforms, while stakeholder engagement and accountability appear weakened in crucial areas. To show this, the article considers two important and underexplored activities under the HSCA: reporting and other types of stakeholder engagement measures. These two activities are important because they support the way crucial NHS functions are carried out. The article contends that the policy discourse and rhetoric underpinning these activities does not reflect the statutory reality.",

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N2 - Policy discourse and rhetoric that preceded the Health and Social Care Act (HSCA) 2012 suggests the Act was intended to further embed issues relating to accountability, transparency, and engagement with service-users. Close analysis suggests economic imperatives and independent expert authority are promoted to a greater extent than previous reforms, while stakeholder engagement and accountability appear weakened in crucial areas. To show this, the article considers two important and underexplored activities under the HSCA: reporting and other types of stakeholder engagement measures. These two activities are important because they support the way crucial NHS functions are carried out. The article contends that the policy discourse and rhetoric underpinning these activities does not reflect the statutory reality.

AB - Policy discourse and rhetoric that preceded the Health and Social Care Act (HSCA) 2012 suggests the Act was intended to further embed issues relating to accountability, transparency, and engagement with service-users. Close analysis suggests economic imperatives and independent expert authority are promoted to a greater extent than previous reforms, while stakeholder engagement and accountability appear weakened in crucial areas. To show this, the article considers two important and underexplored activities under the HSCA: reporting and other types of stakeholder engagement measures. These two activities are important because they support the way crucial NHS functions are carried out. The article contends that the policy discourse and rhetoric underpinning these activities does not reflect the statutory reality.

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ER -

Rhetoric and Reality: User Engagement and Health Care Reform in England

Abstract

Keywords

UN SDGs

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