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Vol 276 No 7394 p375
1 April 2006

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Involve public in local health care development

Practice-based commissioning offers an opportunity for members of the public to influence the development of health care services in the community, says Developing Patient Partnerships.

DPP, the NHS Alliance and the National Association for Patient Participation have conducted a survey that reveals that 76 per cent of people have never been asked what they want from local NHS services.

The survey involved 1,009 members of the public, 160 health care professionals — comprising 50 pharmacists, 50 practice nurses and 60 GPs — and representatives of 299 primary care trusts. Half of the members of public interviewed thought that they had no power to influence what happens with local NHS services. However, 90 per cent of health professionals and 93 per cent of the public agreed that local people should have a say in how health services are run.

Under a third (29 per cent) of the PCTs said they have moderately or well functioning patient and public involvement in the commissioning process.

Brian Fisher, patient and public involvement lead for the NHS Alliance, said: “It is important that [practice-based commissioning] is accountable and that local people become able to influence and shape it, in conjunction with GP practices.”

Publication of the survey results marks the start of a campaign by the DPP, the NHS Alliance and NAPP to raise public awareness of the importance of being involved in local service development and to offer guidance to health providers on the benefits of involving local people. The guidance, entitled “Effective practice-based commissioning: engaging with local people”, is available at www.dpp.org.uk

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