An action research study of Patient and Public Involvement (PPI) in the NHS: How can PPI influence healthcare planning and decision making?

Turner, Patricia (2010) An action research study of Patient and Public Involvement (PPI) in the NHS: How can PPI influence healthcare planning and decision making? Doctoral thesis, University of East Anglia.

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Abstract

ABSTRACT
Background: Patient and Public Involvement (PPI) has been in health policy
for the NHS for the last 30 years and yet there is little evidence of their
involvement influencing healthcare planning and decision making. PPI is a
legislative duty for NHS bodies and yet there remains what is perceived as a
‘brick wall’ between the outputs of PPI and the outcomes in terms of
influencing change (Commission for Health Improvement (CHI), 2004) .
Aims: To explore how PPI can influence healthcare planning and decisionmaking
in the NHS. The objective was to explore, interpret and obtain a deeper
understanding of the views and perceptions of staff within an NHS organisation
and identify the attributes and enablers that facilitate PPI to influence planning
and decision-making.
Method: This is an action research (AR) study, using semi-structured
interviews and a critical document review as a pre-step, followed by the
formation of an AR team following the cycle of steps.
Results: The yardstick of success against which PCTs were measured
nationally and against which my colleagues and I measured our own practice,
was one that celebrated outputs not outcomes and policy did little to persuade
that PPI should influence planning and decision making. Staff and
organisational rhetoric placed high importance on PPI, but change as a result
was peripheral; however, robust project management through the AR process is
a critical enabler.
Conclusions: New contributions to knowledge are provided by my proposal
for an approach to enabling PPI in healthcare planning and decision-making
using an AR project management methodology to ensure that measures of
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success are set and repeatedly reassessed, and that follow through to change in
healthcare service as a result takes place and the use of an AR methodology for
this issue. The study has already directly contributed to national policy as
findings were continually shared with the Department of Health.

Item Type:	Thesis (Doctoral)
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Nursing and Midwifery (former - to 2011)
Depositing User:	Stacey Armes
Date Deposited:	17 Feb 2014 15:14
Last Modified:	17 Feb 2014 15:14
URI:	https://ueaeprints.uea.ac.uk/id/eprint/47607
DOI:

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