Within public administration, coproduction is a ubiquitous policy discourse, and increasingly an analytic lens through which public relationships with public services are viewed. This article reports an interpretive qualitative study of community practices around three changing hospitals in the Scottish NHS, comprising semi-structured qualitative interviews with citizens, NHS staff, politicians and journalists, as well as non-participant observation of community and NHS events. Initially focused on community opposition to top-down hospital change, the study identified a surprising range of supportive community actions for their local hospitals, including volunteering, fundraising and innovative co-delivered service models. Building on these examples, the paper presents a model of ‘fugitive coproduction,’ where individuals and groups within communities collaborate with local staff in ways which significantly shape the provision of local services, without permission or authorisation from relevant authorities, and in modes that are centrally concerned with immediate perceived need not strategic change. I argue that these forms of public action can make valuable contributions to public services, and that they hold lessons for the wider reform of public administration.

中文翻译：

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逃亡联合生产：将苏格兰医院的非正式社区实践概念化

在公共行政中，共同生产是一种无处不在的政策话语，并且越来越成为观察公共服务与公共关系的分析镜头。本文报告了对苏格兰 NHS 中三个不断变化的医院的社区实践的解释性定性研究，包括对公民、NHS 工作人员、政治家和记者的半结构化定性访谈，以及对社区和 NHS 事件的非参与观察。该研究最初侧重于社区反对自上而下的医院变革，后来为当地医院确定了一系列令人惊讶的支持性社区行动，包括志愿服务、筹款和创新的联合提供服务模式。在这些例子的基础上，本文提出了一个“逃亡联合生产”的模型，' 社区内的个人和团体与当地工作人员合作，以显着影响当地服务提供的方式，未经有关当局许可或授权，并以集中关注即时感知需求的模式，而不是战略变革。我认为，这些形式的公共行动可以为公共服务做出宝贵贡献，并且它们为更广泛的公共行政改革提供了经验教训。