“…Communications and engagement staff, trained in marketing, demonstrated little awareness of user-survivor movements (Barnes and Cotterell, 2010) or empowerment, as the contentious encounter with wider voluntary sector groups showed. The disparate views of members who may have either supported or campaigned against the imposition of new models of healthcare went unrecognised as consensus became a form of governmentality, reinforced through the ritual of tea, biscuits, humour and non-decision making practices (Ayres, 2017). Thus, as Alderwick et al found, "difficult decisions [were] easy to avoid" (Alderwick et al, 2016: 25).…”