Association of Community Health Councils for England and Wales
  • ACHCEW
    • THE GOLDEN AGE OF PPI IN THE NHS
    • ABOUT ACHCEW
    • History of the NHS >
      • Historical Publications
      • NHS Consultants' Association
      • The Peckham Experiment
    • How ACHCEW Worked
    • Who's Who >
      • Toby Harris
      • A celebration - Michael English
      • In Memory of Mike Gerrard >
        • A Stifled Voice - Book Launch
      • In Memory of Murray Benham
      • In Memory of Bill Marks
      • In Memory of Tony Smythe
    • ACHCEW - Bless you!
    • The Legal Position >
      • THE ORIGIN
      • THE OBJECTIVES
      • Constitution - Standing Orders
      • Communications
      • Legal Advice and Procedures
      • Parliament - Acts-Bills-Briefings >
        • ACHCEW Briefing Papers re. NHS Community Care Bill ...
        • CHCs (Access to Information) Act 1988
      • Statutory Instruments - Regulations
    • ACHCEW Training Pack
    • Official Papers >
      • Abolition of CHCs and ACHCEW - 2003
      • Creation of CPPIH
      • DH + Social Security - Appendices
      • Forum Support Organisations + Patients' Forums
      • Guidance - Governance Documents
      • Termination Documents
      • Transition from CHCs to Patients' Forums >
        • CVS
        • Private Eye
      • The National Plan
    • The Commission - ACHCEW >
      • Correspondence - Interim Report
      • Publication
    • CASUALTY WATCH - History >
      • Casualty Watch - STEERING GROUP
      • Casualty Watch - PAPERS
      • Casualty Watch - MONTHLY RESULT
      • Casualty Watch - CHC REPORTS
      • Press Cuttings
  • COMMITTEES
    • Annual Reports
    • AGM / Conferences - Correspondence, Papers, Minutes
    • Officers' Meetings
    • Standing Committee >
      • Standing Committee Members
      • Standing Committee News
    • Transition Advisory Board - TAB
    • FINAL Meeting - 08 July 2003
  • CHCs
    • Introduction to CHCs
    • CHC Regulations
    • How CHCs Worked
    • Code of Conduct for CHC Members
    • Code of Practice on Consultation
    • Public Activities Material
    • CHCs in Action - (Publication)
    • The Politics of Consumer Representation - A Study of CHCs
    • The Legal History of CHCs
    • Legal - re. Closures
    • Directory of CHCs + LINks >
      • Brighton and District CHC
      • Brent CHC
      • Bristol CHC
      • Central + South Birmingham CHC
      • City and Hackney CHC
      • Croydon CHC
      • Greater London Association of CHCs - GLACHC
      • Haringey CHC
      • Islington CHC
      • Mid-Staffs CHC
      • SW Hertfordshire CHC
      • Southwark CHC
      • Wakefield CHC
    • Training and Skills for Members >
      • Skills for New CHC Members
      • Understanding the NHS and the Role of the CHC
      • Developing Skills as a CHC Member
      • Links to CHCs and Charities Database
      • Skills for CHC Chairs
      • Other Training Documents
      • PPI Short Courses >
        • Introduction and Surveys
        • Core 1 - User Involvement in Health and Social Care
        • Core 2 - What does User Involvement Mean?
        • Core 3 - Feeling Empowered in User Involvement
        • Theme 1 - Involvement in Service Planning and Improvement
        • Theme 2 - Involvement in Research and Activity
        • General Units
        • Link Person Handbook
  • Papers
    • IN-HOUSE Staff Publications - Introduction >
      • IN-HOUSE Publications - Listing
    • CHC Listings
    • CHC News >
      • CHC News - 1-94 (1975-1984)
      • CHC News - 1-112 (1986-1996)
      • CHC News - 1-37 (1996-2000)
    • CHC Public Activities Materials
    • NHS Dispute - Complaint
    • Presentations >
      • Presentations - PowerPoint
      • Presentations - Video
    • Foundation Trust Hospitals
    • GMC
    • Healthwatch England
    • Health Scrutiny
    • House of Commons Health Committee
    • ICAS
    • King's Fund
    • Normanton Hospital Inquiry
    • PALS
    • Local Involvement Networks - LINKs
    • PPI + LINks >
      • PPI Academic
      • PPI in the NHS >
        • The Effective PPI Forum - Guide
      • Patient Empowerment >
        • Power to the People in South East Thames
      • Public Representation of Health Bodies
      • Women's Health Publications >
        • Pennell Report on Women's Health (Publication)
        • Women's Health - Engaging Women
      • Enter and View
      • LINks Foundation Trusts
      • Kingston Hospital + Kingston PCT LINk
      • Public Involvement in the Private Finance Initiative
      • Response to the Health Committee Report
      • Private Hospitals
  • PUBLICATIONS
    • Publications - A
    • Publications - B
    • Publications - C
    • Publications - D-E-F-G
    • Publications - H-I-K-L-M
    • Publications - N-O-P-Q
    • Publications - R-S-T
    • Publications - U-V-W-Y
  • PRESS
    • ACHCEW's Press Releases
    • A&E + CASUALTYWATCH Press Cuttings
  • Cartoons
  • Gallery
    • Mass Lobby of Parliament
    • PHOTOS - Cafe Royal 08July2003
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Academic Papers
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
____________________________________________________________________________________________________________________________________
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
_____________________________________________________________________________________________________________________
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
____________________________________________________________________________________________________________________________________
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                                                                                                                                                    
____________________________________________________________________________________________________________________________________
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
_____________________________________________________________________________________________________
Social Services Research and Information Unit, University of Portsmouth
Help for Health Trust, Wessex 
School of Social and Historical Studies, University of Portsmouth
_____________________________________________________________________________________________________
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
_____________________________________________________________________________________________________
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 
_____________________________________________________________________________________________________
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
___________________________________________________________________________________________________________
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)
_____________________________________________________________________________________________________
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
_____________________________________________________________________________________________________
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
___________________________________________________________________________________________________________
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
____________________________________________________________________________________________________________________________________
Introduction   .   The Politics of Participation (Rudolf Klein)   .   Parliamentary control and accountability (Sir Patrick Nairne) 
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ASSOCIATION OF COMMUNITY HEALTH COUNCILS
1974 - 2003


This site is being maintained on a voluntary basis by Polly Healy ..._________________________________________________________
Please make contact if you have any contributions or suggestions for this site.  
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The ACHCEW Memorial Badge
  • ACHCEW
    • THE GOLDEN AGE OF PPI IN THE NHS
    • ABOUT ACHCEW
    • History of the NHS >
      • Historical Publications
      • NHS Consultants' Association
      • The Peckham Experiment
    • How ACHCEW Worked
    • Who's Who >
      • Toby Harris
      • A celebration - Michael English
      • In Memory of Mike Gerrard >
        • A Stifled Voice - Book Launch
      • In Memory of Murray Benham
      • In Memory of Bill Marks
      • In Memory of Tony Smythe
    • ACHCEW - Bless you!
    • The Legal Position >
      • THE ORIGIN
      • THE OBJECTIVES
      • Constitution - Standing Orders
      • Communications
      • Legal Advice and Procedures
      • Parliament - Acts-Bills-Briefings >
        • ACHCEW Briefing Papers re. NHS Community Care Bill ...
        • CHCs (Access to Information) Act 1988
      • Statutory Instruments - Regulations
    • ACHCEW Training Pack
    • Official Papers >
      • Abolition of CHCs and ACHCEW - 2003
      • Creation of CPPIH
      • DH + Social Security - Appendices
      • Forum Support Organisations + Patients' Forums
      • Guidance - Governance Documents
      • Termination Documents
      • Transition from CHCs to Patients' Forums >
        • CVS
        • Private Eye
      • The National Plan
    • The Commission - ACHCEW >
      • Correspondence - Interim Report
      • Publication
    • CASUALTY WATCH - History >
      • Casualty Watch - STEERING GROUP
      • Casualty Watch - PAPERS
      • Casualty Watch - MONTHLY RESULT
      • Casualty Watch - CHC REPORTS
      • Press Cuttings
  • COMMITTEES
    • Annual Reports
    • AGM / Conferences - Correspondence, Papers, Minutes
    • Officers' Meetings
    • Standing Committee >
      • Standing Committee Members
      • Standing Committee News
    • Transition Advisory Board - TAB
    • FINAL Meeting - 08 July 2003
  • CHCs
    • Introduction to CHCs
    • CHC Regulations
    • How CHCs Worked
    • Code of Conduct for CHC Members
    • Code of Practice on Consultation
    • Public Activities Material
    • CHCs in Action - (Publication)
    • The Politics of Consumer Representation - A Study of CHCs
    • The Legal History of CHCs
    • Legal - re. Closures
    • Directory of CHCs + LINks >
      • Brighton and District CHC
      • Brent CHC
      • Bristol CHC
      • Central + South Birmingham CHC
      • City and Hackney CHC
      • Croydon CHC
      • Greater London Association of CHCs - GLACHC
      • Haringey CHC
      • Islington CHC
      • Mid-Staffs CHC
      • SW Hertfordshire CHC
      • Southwark CHC
      • Wakefield CHC
    • Training and Skills for Members >
      • Skills for New CHC Members
      • Understanding the NHS and the Role of the CHC
      • Developing Skills as a CHC Member
      • Links to CHCs and Charities Database
      • Skills for CHC Chairs
      • Other Training Documents
      • PPI Short Courses >
        • Introduction and Surveys
        • Core 1 - User Involvement in Health and Social Care
        • Core 2 - What does User Involvement Mean?
        • Core 3 - Feeling Empowered in User Involvement
        • Theme 1 - Involvement in Service Planning and Improvement
        • Theme 2 - Involvement in Research and Activity
        • General Units
        • Link Person Handbook
  • Papers
    • IN-HOUSE Staff Publications - Introduction >
      • IN-HOUSE Publications - Listing
    • CHC Listings
    • CHC News >
      • CHC News - 1-94 (1975-1984)
      • CHC News - 1-112 (1986-1996)
      • CHC News - 1-37 (1996-2000)
    • CHC Public Activities Materials
    • NHS Dispute - Complaint
    • Presentations >
      • Presentations - PowerPoint
      • Presentations - Video
    • Foundation Trust Hospitals
    • GMC
    • Healthwatch England
    • Health Scrutiny
    • House of Commons Health Committee
    • ICAS
    • King's Fund
    • Normanton Hospital Inquiry
    • PALS
    • Local Involvement Networks - LINKs
    • PPI + LINks >
      • PPI Academic
      • PPI in the NHS >
        • The Effective PPI Forum - Guide
      • Patient Empowerment >
        • Power to the People in South East Thames
      • Public Representation of Health Bodies
      • Women's Health Publications >
        • Pennell Report on Women's Health (Publication)
        • Women's Health - Engaging Women
      • Enter and View
      • LINks Foundation Trusts
      • Kingston Hospital + Kingston PCT LINk
      • Public Involvement in the Private Finance Initiative
      • Response to the Health Committee Report
      • Private Hospitals
  • PUBLICATIONS
    • Publications - A
    • Publications - B
    • Publications - C
    • Publications - D-E-F-G
    • Publications - H-I-K-L-M
    • Publications - N-O-P-Q
    • Publications - R-S-T
    • Publications - U-V-W-Y
  • PRESS
    • ACHCEW's Press Releases
    • A&E + CASUALTYWATCH Press Cuttings
  • Cartoons
  • Gallery
    • Mass Lobby of Parliament
    • PHOTOS - Cafe Royal 08July2003