Using the example of a project in Sheffield intended to promote user-involvement and participation in planning healthcare services, the author criticises the failure of the project to actually provide any forum for user-participation. The structures used to set up these partnerships are often too prescriptive, he argues, setting out a framework in which consultation may take place, and leaving no room for legitimate local interests which may not fit this framework. This article also appears in the Development in Practice Reader Development and Management.
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