Designing democratic innovations as deliberative systems : the ambitious case of NHS Citizen

  • What does it mean to design democratic innovation from a deliberative systems perspective? The demand of the deliberative systems approach that we turn from the single forum towards the broader system has largely been embraced by those interested in designing institutions for citizen participation. Nevertheless, there has been no analysis of the practical implications for democratic innovation. Is it possible to design differentiated but interconnected participatory and deliberative settings? Does this better connect democratic innovations to mass politics? Does it promote greater legitimacy? This article analyses one such attempt to design a systems-oriented democratic innovation: the ambitious NHS Citizen initiative. Our analysis demonstrates, while NHS Citizen pioneered some cutting-edge participatory design, it ultimately failed to resolve (and in some cases exacerbated) well-known obstacles to institutionalisation as well as generating new challenges. To effectively realise democratic renewal and reform, systems-oriented democratic innovation must evolve strategies to meet these challenges.
Author:Rikki John Dean, John Boswell, Graham Smith
Parent Title (English):Political studies : the journal of the Political Studies Association of the United Kingdom
Place of publication:London [u.a.]
Document Type:Article
Date of Publication (online):2019/07/31
Date of first Publication:2019/07/31
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2021/02/17
Tag:deliberative democracy; deliberative systems; democratic innovations; participatory governance; patient and public involvement
Page Number:21
First Page:689
Last Page:709
Postprint von:
Dean, R., Boswell, J., & Smith, G. (2020). Designing Democratic Innovations as Deliberative Systems: The Ambitious Case of NHS Citizen. Political Studies, 68(3), 689–709.
Dewey Decimal Classification:3 Sozialwissenschaften / 32 Politikwissenschaft / 320 Politikwissenschaft
Licence (German):License LogoDeutsches Urheberrecht