[...]... describe the deliberative turn’ in democratic theory (Dryzek 2000: v), setting out the nature of the starting questions in a little more detail I then discuss the empirical work, outlining the cases, and give an overview of the argument before setting out the theoretical issues in more detail in Chapter 2 1.1 Deliberative democracy and its account of legitimacy Like most political concepts, deliberative democracy. .. numerous others 1.4.4 The NHS Plan The next case is the development of The NHS Plan (Secretary of State for Health 2000b), a white paper’setting out institutional and regulatory reforms for the NHS for the following decade It is interesting for two reasons: its emphasis on putting public and patient involvement at the heart of the NHS, drawing explicitly on deliberative principles in the design of the institutions... deliberative democracy 2 Legitimacy reconsidered: theoretical solutions The exploration of legitimacy issues in deliberative democracy starts by looking for theoretical solutions to the scale and motivations problems The first task is to re-examine the concept of legitimacy itself, and in so doing we come across some interesting tensions between the demands of deliberation on the one hand, and democracy on the. .. Deliberative democracy and legitimacy 13 The NHS deliberative poll was the last of five run in Britain, the first being held in 1994 Like the others, it was organized by Fishkin and Robert Luskin of the Center for Deliberative Polling at the University of Texas, with their UK partners Social & Community Planning Research (SCPR),11 a London-based not-for-profit social research organization, and their broadcast... that deliberative democracy faces significant legitimacy challenges of its own, both in theory and in practice Two problems arise in the classic formulations of deliberative theory: they offer no account of why outsiders should confer legitimacy on the agreements reached inside a deliberative forum, and they seem to be so procedurally demanding that not many people would choose to be inside anyway These... at the time of the Belfast citizens' jury and the NHS poll was Frank Dobson 16 Deliberative democracy and legitimacy improved facilities All three of these public elements were then used as inputs into the fourth, a series of working groups made up of stakeholders from the various medical and nursing colleges, branches of the NHS, and patient advocacy groups These groups worked on the detail of the. .. including the creation of the Disability Discrimination Act in 1995, the Disability Rights Commission in 1999, and new employment controls in 2004, although the detail of each of these remains the subject of controversy within the movement I do not spend as much time on the disability movement as I do on the other cases, partly because the movement prefers to support the work of disabled academics Nonetheless,... legitimacy contain elements which buttress some aspects of legitimacy while undermining others Having established a new set of ideals, I then examine how three key features of my theoretical solution play out in real deliberations, using the cases These chapters address the questions posed above: have the theoretical problems been solved, or at least managed, in practice; and what new problems arise in practice... I will discuss the details of how the different models are affected by the legitimacy problems in Chapter 2, and as the book progresses 1.3 Approach and methods My aim is to find out if there is such a thing as a democracy that embodies deliberative principles, yet solves the legitimacy problems I start by reconsidering the nature of legitimacy and deliberative democracy in Chapter 2, then use some empirical... micro -deliberative forums towards a more discursive, macro conception of democracy in which a variety of institutions at various points of the public sphere are connected together in a deliberative system Along the way I consider how other authors have dealt with the problems, drawing on them where that is fruitful Neither solution is perfect, however: they both 18 Deliberative democracy and legitimacy . alt="" Deliberating in the Real World Problems of Legitimacy in Deliberative Democracy JOHN PARKINSON Great Clarendon Street, Oxford OX2 6 DP Oxford University Press is a department of the University. that deliberative democracy faces significant legitimacy challenges of its own, both in theory and in practice. Two problems arise in the classic formulations of deliberative theory: they offer. more. Deliberative democracy is a way of thinking about politics which emphasizes the give and take of public reasoning between citizens rather than the counting of votes or the authority of representatives.