Evidence map›Paper›PMID 31410967›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

Patient and public involvement in priority-setting decisions in England's Transforming NHS: An interview study with Clinical Commissioning Groups in South London sustainability transformation partnerships.

Clare Coultas, Katharina Kieslich, Peter Littlejohns

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Commissioning and co-production in health and care services in the United Kingdom and Ireland: An exploratory literature review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Review
  3. Article
  4. Review
  5. If I was minister of health: democratising healthcare.Journal of the Royal Society of Medicine · 2021
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Clare CoultasSchool of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.ORCID 0000-0002-8506-8287
Katharina KieslichDepartment of Political Science, Universitat Wien, Vienna, Austria.ORCID 0000-0002-0126-6949
Peter LittlejohnsSchool of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.ORCID 0000-0003-2503-9692

Funding

Applied Health Research and Care (CLAHRC) South London at King's College Hospital NHS Foundation TrustNational Institute for Health Research (NIHR)
6 · The paper itself

Abstract

backgroundPatient and public involvement (PPI) in health-care commissioning decisions has always been a contentious issue. However, the current moves towards Sustainability and Transformation Partnerships (STPs) in England's NHS are viewed as posing the risk of reducing the impact of current structures for PPI.

objectiveTo understand how different members in clinical commissioning groups (CCGs) understand PPI as currently functioning in their decision-making practices, and the implications of the STPs for it.

designThematic analysis of 18 semi-structured interviews with CCG governing body voting members (e.g. clinicians and lay members), non-voting governing body members (e.g. Healthwatch representatives) and CCG staff with roles focussed on PPI, recruited from CCGs in South London STPs.

resultsThere are contestations amongst CCG members regarding not only what PPI is, but also the role that it currently plays and could play in commissioning decision making in the context of STPs. Three main themes were identified: PPI is 'going out' into the community; PPI as a disruptive power; and PPI as co-production, a 'utopian dream'?

conclusionsLong-standing issues distinctive to PPI in NHS prioritization decisions are resurfacing with the moves towards STPs, particularly in relation to contradictions between the rhetoric of 'partnership' and reorganizations that foster more top-down control. The interviews reveal pervasive distrusts across a number of levels that are counterproductive to the collaborations upon which STPs rely. And it is argued that such distrust and contestations will continue until a formalized space for PPI in STP priority-setting is created.

Indexed as

Community ParticipationDecision Making, OrganizationalHealth PrioritiesPatient ParticipationHumansInterviews as TopicLondonOrganizational InnovationProgram EvaluationState MedicineUnited Kingdomactivismclinical commissioning groupsco-productionEngland's National Health Serviceintegrated care systemspatient and public involvementpriority-settingSustainability and Transformation Partnershipstrust

Identifiers

PMID31410967
PMCPMC6882255

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.