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This case study features the Patient and Client Council (PCC), a publicly funded organization run by a 16-member management board under the Health and Socila Care (Reform) Act passed in Northern Ireland in 2009. The PCC aims to improve the involvement of health and social care services in public policy-making processes.
In the late 2000s Northumberland Hills Hospital experienced repeated budget deficits. The hospital's board needed to cut the hospital's services in order to balance the budget. Ontario's Local Health System Integration Act, 2006, required the hospital to seek public input before changing services. Accordingly, the hospital's board developed a plan, called a collaborative budget strategy -- formally entitled "Shared Challenge, Shared Solution" -- to elicit this public input.