This report presents the findings from a literature review exploring evidence on methods to enhance public representation on Health Boards. The report examines experiences from other countries who have introduced direct elections to health bodies, for example some Canadian Regional Health Authorities (RHAs), New Zealand District Health Boards (DHBs), and Foundation Trusts in England. It also explores evidence around alternative approaches to elections, for example recruitment as well as the role of advisory groups. The report concludes that neither elected nor advisory bodies can resolve all of the challenges of patient and public involvement; problems of low or intermittent engagement, questions about representativeness, and the cost-effectiveness of any given strategy are common and do not seem to have any one solution.
The associated report: Health Board Elections and Alternative Pilots: Final Report of the Statutory Evaluation is available here: LINK