Academic Papers
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Please allow some time for this paper to download ...
'COCK UP' OR 'CONSPIRACY'
Peter Walsh, Director, ACHCEW - February 2002 ... 96 pages  (downloads slowly)
Dissertation - University of Hull
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This dissertation uses the experience of CHCS as a case study of policy development and change management with the National Health Service (NHS).  Policy development and theory concerning patient and public involvement and scrutiny of the NHS is reviewed with particular reference to CHCs.

Content:
Introduction  .  Literature Review  .  Methodology  .  Results  .  Discussions  .  Conclusion  .  Tables  .  References and Bibliography

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HANDBOOK FOR COMMUNITY HEALTH COUNCIL MEMBERS
School of Advanced Urban Studies ... University of Bristol
Christopher Ham - July 1986 -   53 pages
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This Handbook is based on material originally prepared in 1978.  The material was developed in work with new CHC members and was modified in the light of their comments.  The Handbook, now in its 4th Edition, is intended to provide an introduction to the NHS and the work of CHCs for new members.  Suggestions for further reading and where to obtain further information, are included at the end of the Handbook.

Content:
Introduction  .  Acknowledgements  .  Glossary of Abbreviations  .  How the NHS Works  .  How CHCs Work  .  CHCs in Action  .  Policy Guide  .  Further Information  .  Further Reading
HANDBOOK FOR COMMUNITY HEALTH COUNCIL MEMBERS
School of Advanced Urban Studies ... University of Bristol
July 1982 - 67 pages
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This paper covers a variety of information to help CHC members.  The material has been developed in work with other new members and modified in the light of their comments.  It is intended to be interesting and easy to use, and to provide basic factual information which all members need to know.  

Content:
Introduction  .  Glossary of Abbreviations  .  How the NHS Works  .  How CHCs Work  . CHCs - The Story So Far  .  Policy Guide  .  Further Information
Further Reading

'PATIENTS FIRST'
A Personal View by R. K. Griffiths ...  The Medical School, The University of Birmingham, Birmingham, B15 2TJ
18 pages                                                                                                                                                    
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This paper is a personal comment on paragraph 26 of the consultative paper 'Patients First'.  It is based upon my experience of CHC at local and national level - See Appendix 1 below).  The paper deals with limited aspects of the questions raised, particularly the value of independent representation, the size of administrative units, possible changes in the future and some sources of confusion about alternative proposals.
APPENDIX 1 - CHCs AND PUBLIC INVOLVEMENT IN THE NHS
                                A LONG SLOG - The Annual Report of Central Birmingham CHC - 01 June 1978 - 31 May 1979                                                                                                                                                     
Content:
Introduction . Is independent representation necessary? . Size of Administrative Units  .  Community Health Councils in Future . Local versus National Issues . Alternatives to Community Health Councils . The Success of Community Health Councils . Recommendations - References and Appendices

CONSUMER INVOLVEMENT IN HEALTH CARE PURCHASING:
The Role and Influence of the Community Health Councils 
1995 - 13 pages
  • Carol Lupton, BSc, PhD
  • Sarah Buckland, BSc
  • Graham Moon, BA, PhD
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Social Services Research and Information Unit, University of Portsmouth
Help for Health Trust, Wessex 
School of Social and Historical Studies, University of Portsmouth
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Recent reforms in the NHS place great emphasis on the importance of the 'voice of the consumer' in the provision of health care.  Health purchasers are now required to adopt the role of 'champ of the people', traditionally that of the Community Health Councils.
Content:
Abstract . Introduction . Public Involvement in the NHS . The Role of the CHCs . CHCs and Purchasing . Confrontation and Collaboration . Involvement and Influence  . Conclusion . Acknowledgement and References 


WITHIN ACCEPTABLE LIMITS:  HEALTH CARE PROVIDER PERSPECTIVES O COMMUNITY HEALTH COUNCILS IN THE REFORMED BRITISH NATIONAL HEALTH SERVICE
1995 - 12 pages
*   Carol Lupton, BSc, PhD
*   Graham Mood, BA, PhD
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This paper focuses on the perspectives of health care providers regarding the emerging role of CHCs in the post-reform era. It draws upon detailed cast-study research to provide an assessment of the impact of the reforms on CHC-provider relations and on examination of the pattern and nature of current, post-reform provider activity with reference to CHCs.
Content:
Introduction . CHCs and Health Care Providers . Research Strategy . Provider Perspectives on CHCs . Acknowledgements and References

DEMOCRATIC CONTROL AND PUBLIC REPRESENTATION IN THE NHS
September 1979 -  23 pages
Chris Ham - University of Bristol 
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A paper given to the BSA Medical Sociology Group Conference at York - September 1979

Content:
Introduction  .  Parliamentary Control  .  Health Authority Members  .   Community Health Councils  .  Conclusions and Speculations  .  The Conservative Government's Plans  .  References

ESTABLISHING COMMUNITY HEALTH COUNCILS:  AN ANALYSIS OF THE CREATION AND IMPLEMENTATION OF AN INNOVATION IN SOCIAL POLICY  (to download, see below)
May 1978 - 163 pages
David Richard Phillips
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A dissertation submitted for the degree of Master of Philosophy, University of York, Department of Social Administration and Social Work.  The dissertation deals with the creation of Community Health Councils by the 1970-1974 Conservative Government and their establishment by Regional Health Authorities under the guidance of the 1974 Labour Government.  A detailed account is given of the establishment process in one region.

Content:  
Abstract . Introduction . The Development of the Idea . The Background to CHCs . CHCs Invented (Conservative Government 1970-1974) . A Change in Emphasis (Labour Government 1974) . The Establishment of the Institution . The Establishment Process . The Northern RHAs (A Case Study) . Summary and Conclusions . Health Authorities in the Tripartite NHS . Membership of Northern Region CHCs . Establishing CHCs (The Northern Region's Approach) List of References . Bibliography.

To ease downloading, the paper has been broken down into the following divisions:
Abstract and Introduction   ......................................................................................................................... pages 1-10  (2MB)
Part I: The Development of the Idea   ....................................................................................................... pages 11-27 (3MB)
Chapter 2:  CHCs Invented:  The Conservative Government 1970-1974  ........................................... pages 28-62 (7MB) 
Part II:  The Establishment of the Institution  ........................................................................................... pages 63-74 (3MB)
Chapter 5:  The Northern RHA - A Case Study  ....................................................................................... pages 75-106 (8MB)
Table 5.4: Appointments Sub-Committee: 
                 Distribution of Members by Appointing Bodies - Northern Region ................................... pages 107-139 (5MB) 
List of References - Bibliography ................................................................................................................ pages 140-163 (4MB)


COMMUNITY HEALTH COUNCILS:  'IS THE WATCHDOG BARKING UP THE WRONG TREE?'  
October / November 1977 - 26 pages
Graduate Management Course - 6 National Administrative Trainees
  • Roger French and Lesley Grimshaw (North Western Regional Health Authority)
  • Margaret Mawhinney and Ian Pilkington (Mersey Regional Health Authority)
  • Janet Kells (Northern Ireland Staffs Council for the Health and Social Services)
  • Simon Yates (Welsh Office)
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This paper examine the effectiveness of four CHCs in the North West of England in:
  • Representing the public's views to the Health Authority
  • Informing the public of the present and future policies of the Health Authority
Content:
Acknowledgements . Project Team . Terms of Reference . Background . Methodology . Summary of the Interviews with CHC Secretaries . Summary of the Interviews with Area Administrators  .  Analysis of Public Survey . Conclusions . Appendices

PATIENTS:  RECEIVERS OR PARTICIPANTS?
1977 ...  43 pages
Malcolm L. Johnson, Lecturer in Sociology
Nuffield Centre for Health Services Studies and Department of Sociology, University of Leeds
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Sociological Change  .  Illness and People  .  The Consultation Process  .  Consumerism, Deference and the Professions  .  Power to the Patient?  .  References and Notes
A LADDER OF CITIZEN PARTICIPATION
1969 ...   9 pages
Sherry R. Arnstein  - AIP Journal
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Empty Ritual Versus Benefit  . Limitations of the Typology   .   Manipulation   .   Therapy   .   Informing   .   Consultation      Placation   .  Partnership   .   Delegated Power   .   Citizen Control   
PUBLIC PARTICIPATION IN HEALTH - Towards a Clearer View
Edited by:       Robert Maxwell and Nigel Weaver
Contributors:  Rudolf Klein - Sir Patrick Nairne - Sir Douglas Black - Jo Wood - John Bettinson - Ruth Levitt - Stephen Hatch
King Edward's Hospital Fund for London  ...  Undated  -  16 pages
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Introduction   .   The Politics of Participation (Rudolf Klein)   .   Parliamentary control and accountability (Sir Patrick Nairne)