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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
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 cu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696119/ https://www.ncbi.nlm.nih.gov/pubmed/33045115 http://dx.doi.org/10.1111/hex.13086 |
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author | Zoccatelli, Giulia Desai, Amit Martin, Graham Brearley, Sally Murrels, Trevor Robert, Glenn |
author_facet | Zoccatelli, Giulia Desai, Amit Martin, Graham Brearley, Sally Murrels, Trevor Robert, Glenn |
author_sort | Zoccatelli, Giulia |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-7696119 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-76961192020-12-10 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 Zoccatelli, Giulia Desai, Amit Martin, Graham Brearley, Sally Murrels, Trevor Robert, Glenn Health Expect Original Research Papers 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. John Wiley and Sons Inc. 2020-07-07 2020-10 /pmc/articles/PMC7696119/ /pubmed/33045115 http://dx.doi.org/10.1111/hex.13086 Text en © 2020 The Authors Health Expectations published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Papers Zoccatelli, Giulia Desai, Amit Martin, Graham Brearley, Sally Murrels, Trevor Robert, Glenn 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 |
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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Original Research Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696119/ https://www.ncbi.nlm.nih.gov/pubmed/33045115 http://dx.doi.org/10.1111/hex.13086 |
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