title: Moving from rational to normative ideologies of control over public involvement: A case of continued managerial dominance.
abstract: Public Involvement (PI) is a strategic priority in global healthcare settings, yet can be seen as peripheral during decision making processes. Whilst extant research acknowledges variations in how policy is translated into practice, the majority attribute it to the limiting influence of professional hierarchies on the perceived 'legitimacy' of PI. Drawing on examples of three commissioning organisations within the English NHS, we outline how the variance in policy implementation for PI can be attributed to influence from the managers rather than professionals. In doing so we explore how rational ideologies of managerial control negatively impact PI. However, we also illustrate how PI alluded to in policy can be more successfully realised when organisational managers enact normative ideologies of control. Notwithstanding this assertion, we argue managerial domination exists even in the case of normative ideologies of control, to the detriment of more radical PI in service development.
authors.affiliation: Warwick Business School, Coventry, CV4 7AL, UK. Electronic address: charlotte.croft@wbs.ac.uk.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Croft
authors.affiliation: Warwick Business School, UK.
authors.forename: Graeme
authors.initials: G
authors.lastname: Currie
authors.affiliation: Warwick Medical School, UK.
authors.forename: Sophie
authors.initials: S
authors.lastname: Staniszewska
mesh_terms: D003256:Community Participation / Q000706:statistics & numerical data*; D003657:Decision Making; D003661:Decision Support Techniques; D014943:Global Health; D006291:Health Policy / Q000639:trends; D006740:Hospital Administrators / Q000523:psychology / Q000639:trends*; D006801:Humans; D010359:Patient Readmission; D010465:Perception; D011155:Population Control / Q000379:methods; D036301:Qualitative Research; D013222:State Medicine / Q000458:organization & administration / Q000639:trends
keywords: Commissioning; England NHS; Managers; Policy implementation; Public involvement