Stakeholder Engagement And Critically Service Users

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There are a number of government policies and reports that highlight the importance stakeholder engagement and critically service users. (DoH xxx). More significantly the Health and Social Care Act 2012 strengthens the voice of patients by placing a statutory duty on NHS organisations to engage service users. The NHS Constitution (2015), provides patients with the right to be involved in decisions about their care and in the planning of services.

Carmen et al (2013), refers to 3 different levels of patient engagement:
• Direct Care – this level of engagement could be considered the micro level. Patients become active partners in their care, are involved in shared decision making, individual preferences are heard and incorporated into personalised care plans and patients are supported to self management their health needs.
• Organisational – this level of engagement could be considered the meso level. Patients are involved in the co-design of services and quality improvement initiatives.
• Policy Making – at the macro level, this could be involvement in local committees or national policy groups.
A wide range of studies have demonstrated that one of the benefits of patient engagement is better health outcomes (Weingarten, 2002; Deakin, 2005; Epstein & Street, 2008; Ng et al, 2012; Hibbard and Green, 2013). There is also evidence that patient engagement can lead to improvements in quality and patient safety but on the whole this is more limited (Coulter and Ellins,
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