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  1. Gareth Johnstone permalink
    July 28, 2014 09:38

    Hi Mark,
    Meg Wheatley says that “if you want to change the conversation, then change who’s in it”. All too often it’s the usual suspects. I’ve just seen an NHS survey that asks about services I’ve never used, yet I bet hundreds/thousands of people in that position will be invited to respond, and many more who could give an informed comment won’t even be aware of this consultation. It’s not just the NHS of course; this applies to the whole of the public sector.

  2. Wendy Lowder permalink
    July 28, 2014 20:29

    It feels as though there needs to be a greater appreciation within the NHS of the contributions that communities can make to service redesign – I hear the language of PPE but it still feels in practice as more akin to consultation and an imbalance between professional contributions v communities which seeks to reaffirm a ‘professional gift model’ and misses some of the very important individual family and community challenges that drives decision making. It would be interesting to see how much of the investment in engagement within the nhs is actually invested within the communities it serves v tied up In nhs / ccg / csu organisational infrastructures – we need to see a shift in this.

  3. Euan Macleod permalink
    August 4, 2014 11:19

    Hello Mark
    I think you are correct and that the dialogue needs to shift to a wider context of what people need and what their expectations are so that how these are provided is set in the right frame of reference

  4. Gillian Coward permalink
    September 23, 2017 16:42

    Very good analysis – which absolutely nails the agenda already being set rather than a chance for open discussion about improving systems of delivery.

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