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Deliberating in the Real WorldProblems of Legitimacy in Deliberative Democracy$
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John Parkinson

Print publication date: 2006

Print ISBN-13: 9780199291113

Published to Oxford Scholarship Online: September 2006

DOI: 10.1093/019929111X.001.0001

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Health politics and deliberative techniques

Health politics and deliberative techniques

(p.44) 3 Health politics and deliberative techniques
Deliberating in the Real World

John Parkinson

Oxford University Press

This chapter explores the context of the cases, setting out the history of patient involvement initiatives and deliberative experiments in the UK. It highlights the antipathy to interest groups and the ‘research orientation’ of those experiments, and the effects that orientation has had on limiting the scope and agenda of deliberation. It argues that whether deliberation occurs at the local level or at the centre matters a great deal, but that deliberative experiments tend to be at least as much about resource battles between the centre and the periphery as responding to citizens’ needs.

Keywords:   deliberative democracy, deliberation, National Health Service, new public management, public involvement, patient involvement, interest groups, agenda-setting, centre-periphery relations, localism

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