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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.
Sixty miles west of Portland, carved into the northern coastline of Oregon, lies Tillamook Bay. It is fed by five main tributary streams that drain from a watershed basin of approximately 540 square miles, and linked to the open ocean via one channel on its northernmost extremity. It is a smallish estuary, with an average depth of only 6 feet and a total span of about 13 square miles, yet it supports a diverse abundance of fish and wildlife.