10 ‘It’s about putting on display a show, but actually all the decisions are being made backstage’: public involvement in decisions to change health services at a large-scale

study explored the social and politi-cal dynamics underpinning public involvement in two English communities facing service closures under a regional LSC pro-gramme. Document analysis, 27 interviews (with the public, campaigners, politicians, clinicians, Healthwatch, involvement practitioners and decision-makers) and over 100 observations hours were conducted to build a comprehensive model for involvement in LSC.