Public involvement in health care

doi:10.1136/bmj.328.7437.462-a

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Public involvement is needed at highest level

Peter M Lapsley, chief executive (peter.lapsley@btopenworld.com)

Skin Care Campaign, London N19 5NA

EDITOR—Florin and Dixon bring coherence and clarity to what has hitherto been a muddled debate.1 Two things are worth adding.

Firstly, the more devolved and local public involvement in health policy development becomes the more the government's national strategy and targets become givens. The public was not involved in the British government's decision to focus on mortality and cure (which are …