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      Developing a ‘critical’ approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?

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          Abstract

          There has been considerable momentum within the NHS over the last 10 years to develop greater patient and public involvement (PPI). This commitment has been reflected in numerous policy initiatives. In patient safety, the drive to increase involvement has increasingly been seen as an important way of building a safety culture. Evidence suggests, however, that progress has been slow and even more variable than in health care generally. Given this context, the paper analyses some of the key underlying drivers for involvement in the wider context of health and social care and makes some suggestions on what lessons can be learned for developing the PPI agenda in patient safety. To develop PPI further, it is argued that a greater understanding is needed of the contested nature of involvement in patient safety and how this has similarities to the emergence of user involvement in other parts of the public services. This understanding has led to the development of a range of critical theories to guide involvement that also make more explicit the underlying factors that support and hinder involvement processes, often related to power inequities and control. Achieving greater PPI in patient safety is therefore seen to require a more critical framework for understanding processes of involvement that can also help guide and evaluate involvement practices.

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          Author and article information

          Journal
          Health Expect
          Health Expect
          10.1111/(ISSN)1369-7625
          HEX
          Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
          Blackwell Publishing Ltd (Oxford, UK )
          1369-6513
          1369-7625
          29 June 2011
          December 2012
          : 15
          : 4 ( doiID: 10.1111/hex.2012.15.issue-4 )
          : 424-432
          Affiliations
          [ 1 ]NIHR King’s Patient Safety and Service Quality Research Centre, King’s College London, Strand, London, UK
          Author notes
          [*]Josephine Ocloo 
NIHR King’s Patient Safety and Service Quality Research Centre 
King’s College London 
2 Basement 
Strand Bridge House 
138‐142 Strand 
London WC2R 1HH 
UK 
E‐mail: josephine.ocloo@ 123456kcl.ac.uk
          Article
          PMC5060634 PMC5060634 5060634 HEX695
          10.1111/j.1369-7625.2011.00695.x
          5060634
          21711471
          aa6ed37d-5983-48f1-93ba-6a7e165762a1
          © 2011 Blackwell Publishing Ltd
          History
          Page count
          Figures: 0, Tables: 1, Pages: 8
          Categories
          Review Article
          Custom metadata
          2.0
          December 2012
          Converter:WILEY_ML3GV2_TO_NLMPMC version:4.9.4 mode:remove_FC converted:06.10.2016

          patient safety,public sector,power and conflict,patient and public involvement

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