Abstract
Discussion and developments relating to ‘the public service consumer’ have been constants of growing significance since the late 1970s. This chapter focuses on this issue from the perspectives of people as long-term users of health and social care services. This large group–which includes older and disabled people, mental health service users, people with learning difficulties, and others–is one for whom the discourse about the consumer in public services has major ramifications. Yet this discourse is not one in which they can be said to have played a central part. The chapter aims to explore both this group's responses to public service consumerism and the frameworks that they have employed in developing both their own individual and collective identities and actions in relation to public policy and services.
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