A Stronger Voice? The role of patient and public involvement in the commissioning and provision of evidence-informed health and social care in the East Midlands


Timeframe: 2014-2017

Funder: National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) East Midlands


Research project

The 2012 Health and Social Care Act made major changes to the NHS and social care, including processes for involving patients and the public in decisions and planning, but to date, there has been little study of the effects of these changes on the influence of patients and the public on commissioning and provision. This study investigates how well the new system delivers patient and public involvement in health and social care in the East Midlands, and how far it secures influence for PPI in major decision making around the translation of evidence into practice.


Research team

Dr Graham MartinPam Carter
Prof Graham Martin Dr Pam Carter



Carter P., and Martin G. (2016) Challenges facing Healthwatch, a new consumer champion in England. International Journal of Health Policy and Management 2016 April;5(4):259-263

Martin, G. and Carter, P. (2017) Patient and public involvement in the new NHS: Choice, voice, and the pursuit of legitimacy. In Bevir, M. and Waring, J. (eds) De-centred Health Policy: Learning from the British Experiences in Healthcare Governance. London: Routledge.


Impact and Outreach

Dr Pam Carter and Prof Graham Martin discussed research from the project in the video below, published on the IJHPM Youtube page:

Research from the project was cited extensively in a House of Lords briefing on service user representation in health and social care and Healthwatch and was quoted by Baroness Walmsley during the House of Lords debate held on the 15th December.

University of Leicester research highlighted in Parliament – press release

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