Citizens’ assemblies, health, and health policy

The UK’s Labour government inherited a health service with waiting list times at a record high and public satisfaction at a record low.1 With markers such as life expectancy, child and infant mortality, and avoidable mortality going in the wrong direction, it is unsurprising that voters identified health as a key issue in July’s election.2 Health is more than healthcare—clinical interventions account for only around 20% of health outcomes3—and improving the nation’s health will require work both within and outside the NHS.4

Beyond the NHS, the social, commercial, political, and environmental determinants of health all require urgent attention. There is no shortage of evidence to inform policy options, but practical implementation and prioritisation are too often dictated by short term political interests and perceived public priorities, and governments fail to take the necessary action.5 So, where should the government begin?

A series of citizens’ assemblies on health could provide those in power with the backing for bold and progressive action. Assemblies convene between 50 and 250 participants, selected to represent the broader population with respect to age, …