The role of the third sector working with the hard and soft structures of public–private partnerships to promote individual health and reinvigorated, healthier communities

This chapter discusses the role of the third sector working with the hard and soft structures of public–private partnerships to promote healthier individuals and communities. It considers how a recommitment to the 'local authority' of citizens and beneficiaries offers the possibility of revitalised and healthier individuals and reinvigorated and healthier communities, which are unachievable through the hard and soft structures of the commissioner/provider statutory approach. The chapter then identifies the pivotal dynamic of one-to-one relationships in these processes and their association with health outcomes (emotional, physical, and spiritual) alongside the opportunities and challenges in agencies engaging/re-engaging with the agency of citizens and beneficiaries. It explores the tension between the 'agency' of citizens and beneficiaries that constitutes bottom-up power and 'agencies' with top-down power. The chapter also looks at the benefits of embracing the expertise and investment of individuals and their communities in their personal and shared lives, how this can be supported and how it can be undermined.