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Eleven forces that will shape health consultations in the UK, 2026 to 2029

Public bodies are currently navigating the most challenging consultation environment they have faced in the past decade. Over the coming four years, how patient and public involvement is handled will be assessed based on increasing legal, ethical, and practical standards. The positive side is that it is feasible to be both more confident and more […]

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Evidence-led Stakeholder Strategies for Better Outcomes

Public consultations succeed or fail based on who attends and who does not. As consultation efforts grow more complex and span multiple sectors, effectively identifying your stakeholders becomes your key guide for engagement. tCI treats stakeholder mapping and identification as essential, and says no serious consultation should proceed without such an analysis. Nevertheless, the tools

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AI in Public Consultation: Wider Reach, New Risks

At the tCI, we are witnessing a subtle shift in who holds authority during public consultations. Large language models have not mechanised participation; rather, they have shortened the time it takes for a motivated resident to gain technical understanding. This single change is already affecting the tone of submissions, the expectations placed on decision makers,

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Commentary | Local Government Reorganisation: Practical Engagement that builds Confidence

Successful reorganisation begins with clarity about the statutory process. Outlining the consultation, approvals, and order-making stages in a public roadmap, with named owners and deadlines, helps partners and residents understand what happens when. Early transparency reduces uncertainty and keeps the process on track. In democratic methods, consultation is a better tool than a referendum for

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Predetermination in Public Consultations: Lessons since 2020

Introduction – Why revisiting predetermination matters An article from January 2020 on tCI’s News & Insight page discussed two judicial review claims filed by the Fews Lane Consortium against South Cambridgeshire District Council (SCDC). The first claim alleged that SCDC announced a public consultation on a planning application and then approved it before the consultation period concluded. The second claim challenged SCDC’s practice

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Equality Impact Assessment: The Key to Inclusive and Defensible Public Consultations

Trust is low. One-off consultations don’t fix it. This article sets out how to run continuous engagement: clear owners and data, regular feedback loops, and public reporting of fixes. It draws on UK practice (New Conversations 2.0, Active Travel guidance), open-government standards, and Bangkok’s Traffy Fondue case to show how steady dialogue improves decisions and confidence.

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Moving towards a continuous form of engagement

Trust is low. One-off consultations don’t fix it. This article sets out how to run continuous engagement: clear owners and data, regular feedback loops, and public reporting of fixes. It draws on UK practice (New Conversations 2.0, Active Travel guidance), open-government standards, and Bangkok’s Traffy Fondue case to show how steady dialogue improves decisions and confidence.

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Calls for evidence | A matter of terminology, or not a consultation?

One of the things we’ve seen a lot of recently is ‘calls for evidence’. There is a continuing focus upon a ‘call for evidence’ on a housing supply strategy. The UK Government has responded to a ‘call for evidence’ on the future of the railways in Britain, and the government’s policy on Covid-status certification (vaccine

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Decommissioning Health Services

The NHS is facing an inevitable period of change. Backlogs accumulated during COVID persist, and ministers are under growing pressure to improve elective waiting times, diagnostics, and emergency care. Expectations around service delivery and transparency are rising. In this context, how services are decommissioned or merged will influence public trust for future changes.   This insight article

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Peter Edwards appointed as Chair of tCI

tCI is pleased to announce the appointment of Peter Edwards, Partner at Capsticks, as the organisation’s new Chair. Peter has built his career advising NHS organisations, local authorities, and public bodies on governance, consultation, and service change. His work has often focused on supporting senior leaders and boards through complex and high-profile decisions where fairness, accountability,

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