TY - JOUR A1 - Dean, Rikki John A1 - Boswell, John A1 - Smith, Graham T1 - Designing democratic innovations as deliberative systems : the ambitious case of NHS Citizen T2 - Political studies : the journal of the Political Studies Association of the United Kingdom N2 - 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. KW - deliberative democracy KW - deliberative systems KW - democratic innovations KW - participatory governance KW - patient and public involvement Y1 - 2019 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/58322 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-583222 SN - 1467-9248 N1 - 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. https://doi.org/10.1177/0032321719866002 VL - 68 IS - 3 SP - 689 EP - 709 PB - Sage CY - London [u.a.] ER -