Health Care Analysis

, Volume 21, Issue 2, pp 71–84 | Cite as

Mutuality, Empowerment and the Health-Wealth Model: The Scottish Context

  • Brian HowiesonEmail author
Original Article


This paper will offer an alternative paradigm to healthcare delivery by introducing the concept of mutuality and empowerment into the existing health-wealth model. The backdrop is provided by Better Health, Better Care (Scottish Government 2007), Section 1 of which is entitled ‘Towards a Mutual NHS’. In detail, the paper will: revisit what is meant by mutuality; advance the meaning of the `public interest’; explore empowerment and community empowerment and its relationship to health; and introduce a model, which tries to link these concepts and terms together. It is hoped that this analysis will help researchers and practitioners alike further appreciate the important concept of mutuality and empowerment into the existing health-wealth model.


Mutuality Empowerment NHS Scotland Health Leadership 


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Senior Foundation for Management Education/ESRC Fellow, Institute for People-Centred Healthcare Management, Stirling Management SchoolThe University of StirlingStirlingUK

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