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Enabling ‘citizen voice’ in the English health and social care system: A national survey of the organizational structures, relationships and impacts of local Healthwatch in England

Health expectations : an international journal of public participation in health care and health policy, 2020-10, Vol.23 (5), p.1108-1117 [Peer Reviewed Journal]

2020 The Authors published by John Wiley & Sons Ltd. ;2020 The Authors Health Expectations published by John Wiley & Sons Ltd. ;COPYRIGHT 2020 John Wiley & Sons, Inc. ;2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 1369-6513 ;EISSN: 1369-7625 ;DOI: 10.1111/hex.13086 ;PMID: 33045115

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  • Title:
    Enabling ‘citizen voice’ in the English health and social care system: A national survey of the organizational structures, relationships and impacts of local Healthwatch in England
  • Author: Zoccatelli, Giulia ; Desai, Amit ; Martin, Graham ; Brearley, Sally ; Murrels, Trevor ; Robert, Glenn
  • Subjects: Accountability ; Associations, institutions, etc ; citizen participation ; Citizens ; Community ; Community health ; community organizations ; England ; Funding ; health and social care ; Health care ; Healthwatch ; Local government ; Mental health ; NHS ; Organizational structure ; Organizations ; Original Research Paper ; Original Research Papers ; patient and public involvement ; Patients ; Polls & surveys ; PPI ; Public health ; Public opinion ; public participation ; Questions ; Response rate ; Social care ; Surveys
  • Is Part Of: Health expectations : an international journal of public participation in health care and health policy, 2020-10, Vol.23 (5), p.1108-1117
  • Description: Background Local Healthwatch have been operating since 2013 as ‘consumer champions’ in health and social care in England. There is little evidence about how they operate and the daily practices through which they seek to represent citizen views and influence others. Objective To explore (a) the current organizational arrangements, relationships and impact of local Healthwatch in England, and (b) to what extent do these vary across local Healthwatch organizations. Design An online survey of all 150 local Healthwatch in England between December 2018 and January 2019. The survey comprised 47 questions and used a combination of closed‐ and open‐response questions. Results We received responses from 96 local Healthwatch (68% response rate). Most local Healthwatch reported that they are ‘independent’ organizations that only do Healthwatch‐related work (58.3%) and are funded through a contract (79.2%). Budget cuts have affected four‐fifths of local Healthwatch (79.3%) since 2013. Three‐quarters (74%) of local Healthwatch currently receive funding external to that provided by their local authority for their Healthwatch functions. Most Healthwatch engage with only one CCG (56.3%), one mental health trust (82.3%) and one community health trust (62.5%), though 59.4% engage with more than one hospital trust. Healthwatch respondents overwhelmingly reported impacts that were local in nature. Conclusions Geographical and historical factors, the quality and quantity of their relationships with stakeholders, and different funding arrangements all contribute to high variability in the structure and activities of local Healthwatch and to shaping the nature of their work and impact across England.
  • Publisher: England: John Wiley & Sons, Inc
  • Language: English
  • Identifier: ISSN: 1369-6513
    EISSN: 1369-7625
    DOI: 10.1111/hex.13086
    PMID: 33045115
  • Source: Journals@Ovid Open Access Journal Collection Rolling
    PubMed Central
    Wiley Blackwell Titles (Open access)
    ProQuest Central
    DOAJ Directory of Open Access Journals
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