title: Exploring the influence of service user involvement on health and social care services for cancer.
abstract: BACKGROUND
  Service user involvement in health and social care is a key policy driver in the UK. In cancer care it is central to developing services which are effective, responsive and accessible to patients. Cancer network partnership groups are set up to enable joint working between service users and health care professionals and to drive service improvements.
  
  
  OBJECTIVE
  The aim of this study was to explore the influence of the cancer network partnership groups' service user involvement activities on cancer care.
  
  
  METHODS
  This was a qualitative study involving documentary analysis and in-depth case studies of a sample of partnership groups.
  
  
  METHODS
  Five partnership groups were purposively selected as case studies from Macmillan regions across the UK; documents were collated from a further five groups. Forty people, including core group members and key stakeholders in cancer services, were interviewed.
  
  
  CONCLUSIONS
  The evidence from this study suggests that cancer network partnership groups are at their most influential at 'grass roots' level - contributing to patient information resources, enhancing access to services, and improving care environments. While such improvements are undoubtedly important to patients, the groups' aim is to influence strategic changes, for example in cancer care commissioning or macro-level policy decision-making. The evolution of open, participatory relationships between service users and professionals, and recognition of the value of experiential knowledge are seen as key factors in influencing cancer care. The provision of dedicated resources to strengthen service user involvement activities is also vital.
authors.affiliation: School of Health and Medicine, Division of Health Research, Lancaster University, Lancashire, UK. p.attree@lancaster.ac.uk
authors.forename: Pamela
authors.initials: P
authors.lastname: Attree
authors.forename: Sara
authors.initials: S
authors.lastname: Morris
authors.forename: Sheila
authors.initials: S
authors.lastname: Payne
authors.forename: Suzanne
authors.initials: S
authors.lastname: Vaughan
authors.forename: Susan
authors.initials: S
authors.lastname: Hinder
mesh_terms: D000328:Adult; D000368:Aged; D003299:Cooperative Behavior; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration; D006298:Health Services Administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D010353:Patient Education as Topic / Q000458:organization & administration; D017060:Patient Satisfaction; D010361:Patients; D036301:Qualitative Research; D011787:Quality of Health Care / Q000458:organization & administration*; D012947:Social Work / Q000379:methods*; D006113:United Kingdom