Designing Democratic Innovations as Deliberative Systems: The Ambitious Case of NHS Citizen

Dean, R., Boswell, J. and Smith, G. 2020. Designing Democratic Innovations as Deliberative Systems: The Ambitious Case of NHS Citizen . Political Studies. 68 (3), pp. 689-709. https://doi.org/10.1177/0032321719866002

TitleDesigning Democratic Innovations as Deliberative Systems: The Ambitious Case of NHS Citizen
TypeJournal article
AuthorsDean, R.
Boswell, J.
Smith, G.
Abstract

What does it mean to design democratic innovation from a 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 deliberative system in the real world: 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 institutionalization, and generated new challenges. To effectively inform democratic renewal and reform, a systems approach must evolve strategies to ameliorate these challenges.

JournalPolitical Studies
Journal citation68 (3), pp. 689-709
ISSN0032-3217
Year2020
PublisherSage
Accepted author manuscript
Digital Object Identifier (DOI)https://doi.org/10.1177/0032321719866002
Publication dates
Published online31 Jul 2019
Published in print01 Aug 2020

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