Does strategic involvement of mental health service users and carers in the planning, design and commissioning of mental health services lead to better outcomes?

Horrocks, J.; Lyons, Christina; Hopley, Paul

doi:10.1111/j.1470-6431.2010.00912.x

Cited by 15 publications

(12 citation statements)

References 9 publications

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“…It has also been suggested that the benefits of service user involvement may be limited to the specific service users who are involved. Results of a thematic analysis of documents from minutes of meetings of a board partnership with the involvement of service users suggested that while there were positive outcomes for the service users involved, their presence may have been largely symbolic …”

Section: Findings and Discussionmentioning

confidence: 99%

“…A person-centred approach Valued characteristics of person-centred care found in the sample of literature were empathy and respectful listening, 7,23-30 treating service users with dignity and/or respect, 25,[31][32][33][34] being respected as an individual 7,25,31,33,35 and trust. 36 Building a therapeutic relationship was considered important by Greaves 24 and Borg et al 5 who suggested that this required interest in and awareness of the service user's daily life and difficulties.…”

Section: Key Attributes Of the Concept Of Service User Involvementmentioning

confidence: 99%

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Service user involvement in mental health care: an evolutionary concept analysis

Millar

Chambers

Giles

2015

Health Expectations

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Section: Findings and Discussionmentioning

confidence: 99%

Section: Key Attributes Of the Concept Of Service User Involvementmentioning

confidence: 99%

Service user involvement in mental health care: an evolutionary concept analysis

Millar

Chambers

Giles

2015

Health Expectations

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“…203,204 There is evidence of the political nature of some commissioning and procurement decisions and the impact of power on the resolution of conflicts between the preferences of different actors. 198,[206][207][208]484 There is also evidence of the use of sense-making behaviours, persuasion rather than power, to influence commissioning decisions. 199 l Evidence on selection and contracting in the NHS explicitly acknowledges the relevance of the economics of contracting literature.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence of the political character of decision-making processes in NHS commissioning and procurement has been provided by a number of authors. Horrocks et al 206 and Martin 207 look at the involvement of patient groups and members of the public in commissioning decisions. They conclude that the power of these actors to have a meaningful influence on decisions is highly contingent on factors such as decision scope and the coherence of a group's 'voice' on the matter under consideration.…”

Section: Round-upmentioning

confidence: 99%

Towards a framework for enhancing procurement and supply chain management practice in the NHS: lessons for managers and clinicians from a synthesis of the theoretical and empirical literature

Sanderson

Lonsdale

Mannion

et al. 2015

Health Services and Delivery Research

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BackgroundThis review provides intelligence to NHS managers and clinicians involved in commissioning and procurement of non-pay goods and services. It does this in the light of ongoing pressure for the NHS to save money through a combination of cost cutting, productivity improvements and innovation in service delivery, and in the context of new commissioning structures developing as a result of the Health and Social Care Act 2012 (Great Britain.Health and Social Care Act 2012. Chapter 7. London: The Stationery Office; 2012).ObjectivesWe explore the main strands of the literature about procurement and supply chain management (P&SCM); consider the extent to which existing evidence on the experiences of NHS managers and clinicians involved in commissioning and procurement matches these theories; assess how the empirical evidence about different P&SCM practices and techniques in different countries and sectors might contribute to better commissioning and procurement; and map and evaluate different approaches to improving P&SCM practice.Review methodWe use a realist review method, which emphasises the contingent nature of evidence and addresses questions about what works in which settings, for whom, in what circumstances and why. Adopting realist review principles, the research questions and emerging findings were sense-checked and refined with an advisory group of 16 people. An initial key term search was conducted in October 2013 across relevant electronic bibliographic databases. To ensure quality, the bulk of the search focused on peer-reviewed journals, though this criterion was relaxed where appropriate to capture NHS-related evidence. After a number of stages of sifting, quality checking and updating, 879 texts were identified for full review.ResultsFour literatures were identified: organisational buying behaviour; economics of contracting; networks and interorganisational relationships; and integrated supply chain management (SCM). Theories were clustered by their primary explanatory focus on a particular phase in the P&SCM process. Evidence on NHS commissioning and procurement practice was found in terms of each of these phases, although there were also knowledge gaps relating to decision-making roles, processes and criteria at work in commissioning organisations; the impact of power on collaborative interorganisational relationships over time; and the scope to apply integrated SCM thinking and techniques to supply chains delivering physical goods to the NHS. Evidence on P&SCM practices and techniques beyond the NHS was found to be highly fragmented and at times contradictory but, overall, demonstrated that matching management practice appropriately with context is crucial.ConclusionsWe found that the P&SCM process involves multiple contexts, phases and actors. There are also a wide variety of practices that can be used in each phase of the P&SCM process. Thinking about how practice might be improved in the NHS requires an approach that enables the simplification of the complex interplay of factors in the P&SCM process. Portfolio-based approaches, which provide a contingent approach to considering these factors, are recommended. Future work should focus on conflicting preferences in NHS commissioning and procurement and the role of power and politics in conflict resolution; the impact of power on the scope for collaboration in health-care networks; and the scope to apply integrated SCM practices in NHS procurement organisations.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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“…Our findings resonate with those of Horrocks et al . 's in that the majority of time in meetings is taken by presentations from managers with limited opportunities for questions and debate. This practice is familiar to managers and some governors.…”

Section: Discussionmentioning

confidence: 99%

Service user governors in mental health foundation trusts: accountability or business as usual?

MacDonald

Barnes

Crawford

et al. 2014

Health Expectations

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Context National Health Foundation Trusts present opportunities for individual mental health service users to be active in the governance of trusts. This is one of a range of mechanisms for patient and public involvement and one which promotes an individual rather than collective approach to involvement.Objective Within the context of a broader study of the impact of service user involvement in mental health services, the objective of this article was to explore the experience of service user governors in foundation trusts and their capacity to hold boards to account.Design, setting and participants The Council of Governors in three foundation trusts were observed for a year. Focus groups with service user governors were undertaken in each trust.Results Service users had different expectations and understandings of the role and approached it in different ways. Key themes that emerged concerned: the role of a governor, conduct and content of meetings, agenda setting, relationships and representation.Discussion and conclusions The experiences of mental health service user governors need to be understood within the complex environment of patient and public involvement in general and of mental health service user involvement in particular. The dislocation of the service user governor role from other forms of service user activity and involvement result in confusion about how notions of holding a trust to account and representation of other service users can be addressed within a boundaried institutional environment.

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Does strategic involvement of mental health service users and carers in the planning, design and commissioning of mental health services lead to better outcomes?

Cited by 15 publications

References 9 publications

Service user involvement in mental health care: an evolutionary concept analysis

Service user involvement in mental health care: an evolutionary concept analysis

Towards a framework for enhancing procurement and supply chain management practice in the NHS: lessons for managers and clinicians from a synthesis of the theoretical and empirical literature

Service user governors in mental health foundation trusts: accountability or business as usual?

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