TY - JOUR AB - With the recent publication of The Engagement Cycle (DH, 2009a), exploring the issues surrounding patient and public involvement (PPI) in World Class Commissioning, it seems timely to look at how this type of involvement/engagement has developed in recent years. Set against official rhetoric that emphasises the importance of PPI in the NHS, this paper is informed by evidence emerging from a three‐year research project into the development of practice‐based commissioning conducted at Manchester University. It is suggested that commissioners (primary care trusts and practice‐based commissioners) need to think deeply about the meaning of public involvement in their context, while at national level strategies should be flexible enough to allow a diversity of approaches which may ultimately allow PPI to flourish. VL - 17 IS - 6 SN - 1476-9018 DO - 10.1108/14769018200900043 UR - https://doi.org/10.1108/14769018200900043 AU - Coleman Anna AU - Checkland Kath AU - Harrison Stephen PY - 2009 Y1 - 2009/01/01 TI - Still Puzzling: Patient and Public Involvement in Commissioning T2 - Journal of Integrated Care PB - Emerald Group Publishing Limited SP - 23 EP - 30 Y2 - 2024/09/21 ER -