Partnership or insanity: why do health partnerships do the same thing over and over again and expect a different result?

Perkins, Neil, Hunter, David J, Visram, Shelina, Finn, Rachael, Gosling, Jennifer, Adams, Lee and Forrest, Amanda (2020) Partnership or insanity: why do health partnerships do the same thing over and over again and expect a different result? Journal of Health Services Research & Policy, 25 (1). pp. 41-48. ISSN 1355-8196

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Official URL: https://doi.org/10.1177/1355819619858374

Abstract

Objectives
The paper reports on an empirical study of Health and Wellbeing Boards (HWBs) in England. Established by the Health and Social Care Act 2012, HWBs act as place-based hubs for leaders in health, social care, local government and other sectors to come together to address health improvement and the wider determinants of health.

Methods
We conducted a three-year study of HWBs (2015–2017) in five localities across England. This involved collecting qualitative data from semi-structured interviews with key actors in the HWBs at strategic and operational levels, and focus group sessions with voluntary-sector participants at each HWB.

Results
HWBs have largely followed the path of previous partnerships in terms of a lack of clear aims and objectives, lack of ownership and accountability by partners, and an absence of any significant impact on health outcomes.

Conclusions
Many of the features of unsuccessful partnership working were largely displayed by HWBs. Boards require more executive power and ownership from the bottom up if they are to have any real impact.

Item Type: Article
Additional Information: Research funded by Department of Health and Social Care Policy Research Programme (PR-X03-1113-11007)
Uncontrolled Keywords: health partnerships, England, Health and Wellbeing Boards
Subjects: A900 Others in Medicine and Dentistry
B900 Others in Subjects allied to Medicine
L500 Social Work
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Rachel Branson
Date Deposited: 27 Apr 2021 09:11
Last Modified: 31 Jul 2021 16:01
URI: http://nrl.northumbria.ac.uk/id/eprint/46018

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