The decision to abolish the Commission for Patient and Public Involvement in Health (CPPIH) was part of the arm's length bodies (ALB) review about reducing bureaucracy and getting more funds to the frontline. Therefore, no assessment was made on existing patient and public participation at that point.
The Department undertook a major review of patient and public involvement (PPI) during 2005-06. The PPI review was prompted by “Commissioning a Patient-led NHS” and the White Paper “Our health, our care, our say” consultation. The review indicated that the current arrangements were no longer fit for purpose in view of the major structural changes accruing across health and social care.