Showing posts with label Your Healthcare. Show all posts
Showing posts with label Your Healthcare. Show all posts

Friday, 25 November 2011

Why Social Value Ethos and its doers matter

Introducing Sir Stephen Bubb and Nick Hurd. Photos Max Miansarow

Published by the Transition Institute
This week the Transition Institute (TI), which I have the privilege to chair, launched its first research document, Social value ethos. This piece comes firmly from the TI philosophy that it is possible to increase social value in the implementation of new forms of public service.

Working in partnership with Nesta, the champion of innovation, and many other leading organisations active in the space of public service outsourcing or spin-outs, the TI is providing the framework to debate and produce evidence such as we see in Social value ethos. Key players in the TI are those that share the view that social value can be optimised in public service through such means as employee ownership, social entrepreneurialism and mutualism. They are Co-ops UK, the Employee Ownership Association, Local Partnerships, Social Enterprise UK, 2020 Public Service Hub the Office for Public Management, our old friends, ACEVO, and many, many more.

This well-organised event (thanks to the wonderful TI team member Jillian Oxenham), was held in the successful spin-out GLL, in fact, ironically in one of their spinning rooms, where we had some stunning contributions from our expert panel, ably orchestrated by TI interim Director, Dominic Potter. Our panel all featured in the case studies in Social value ethos; they are Siobhan Clarke  of Your Healthcare, Andrew Burnell, City Health Care Partnership CIC and Brendan O'Keefe from the Royal Borough of Kensington and Chelsea Youth Services, supported by Sabina Khan, Director of Policy and Research at SEL and the lead author of the research. The panel described the way in which they tackled the challenge of change, the importance of staff engagement, the added social value they had achieved and why that was important, and the need they all had for more support and information at the time of transformation. The report has been well received with some great comments from, among other social commentators, Cause4, read here.

Another successful public sector spin-out, NAViGO led by Kevin Bond, was also featured as a case study in the research and I am delighted to say subsequently won the Guardian Public Service overall award later on in the week at the Gala dinner held at the InterContinental and which I attended.

Andrew and Brendan tell it like it is
At the launch we heard from Sir Stephen Bubb of ACEVO, and the famous Bubb Blog, who made some really interesting points about the current imperative for new forms of public sector delivery. One thing he remarked on which really struck me was the contrast between the approaches of Blair and Cameron. Blair really liked the idea of independent service delivery, to the point of introducing well funded programmes like the Social Enterprise Investment Fund to support their growth, for him it remained all about improving standards of management. While for Cameron, it is all about community engagement and making a more meaningful connection between service providers and consumers. This really rang true for me and made me wonder what we could achieve if that second vision was underpinned by the kind of investment that systemic change received from the last government.

Then Minister Nick Hurd arrived to swing the proverbial champagne bottle at Social value ethos and in launching it he declared his support for the TI and all who sailed in her. He said some very nice things about me, which modesty dictates I may not repeat, but I liked the bit about being a doer.

When I was a little girl I agreed with my Mum to clear out a corner cabinet in our playroom. Coming home and finding I had done no such thing she wasn't cross, just aghast. She explained her reaction by saying, "But you always do what you say you're going to!" And so it has always been, a doer like our valiant public sector trailblazers, nice of Nick to notice.

Social value ethos delegates including the fantastic Siobhan Clarke (centre)

Wednesday, 9 March 2011

Big society is here to stay and it's time to get used to it: Guardian Public 09.03.11

Photo: Murdo Macleod
Despite opposition from both the left and right on the political spectrum, and a wealth of criticism from civil society leaders, there are reasons why the "big society" is here to stay.

Friday, 19 November 2010

If money is too tight to mention, what can we talk about?


Necessity, as we know, is the mother of invention. Talking in recent weeks to London's local authority chief executives about their challenge to slash costs and mitigate the impact on service users and staff, I ask, can you do that and improve services?
It is unfortunate but perhaps inevitable that the greatest opportunity to innovate public services since their inception, comes when money's too tight to mention. As one local authority chief recently told me: "It's like trying to surf a tsunami, if we can hold on we might make it, but if we lose control, we'll go under." So is this really a good time to talk about social enterprise? Or would that make me the air stewardess trying to flog perfume during the emergency landing?
To put my view in context, I believe that inefficiencies are created when the government acts as buyer, seller and quality controller of services. It invariably gives the thumbs up to its own standards, errs on the side of generosity in setting prices and ends up paying more than it should. Into this Trinitarian formula we need at least one or two independent players. This does not devolve responsibility for provision from government, but it does allow them to design, purchase and assess services very differently.
Everywhere government is looking to save money by cutting and outsourcing, but before we scramble for the exits, can I offer the attractive alternative to privatisation? Social enterprise. Prioritising employee led services clearly run for the 'profit' of service users, not shareholders, reduces cost. These companies can put a value on staff by-in through such things as absenteeism, which is lower in social enterprise than the private and certainly public sectors. Greater efficiency de facto drives down cost and can improve quality.
Existing social entrepreneurs, like veterans, represent a real asset in these trying times. Mark Sesnan, managing director of GLL, and recent Government Pathfinder appointee, told me: "It feels like the 1980s when councils had to make big cuts, closing services everywhere, but we know now what we didn't know then, that there is an alternative in social enterprise."
It makes sense to work with and build on models like GLL which could collaborate on other forms of service delivery. After all, if leisure services can be successfully delivered the social enterprise way, why not libraries, or schools or children's services?
Social Enterprise London's recent publication Transitions, distributed across the public sector, and mentioned on Stephen Bubb's blogg this week, illustrates how services delivered by social enterprises have saved money, improved standards and achieved additional social impact. For example 'profit' in GLL, the UK's largest leisure social enterprise has been used to provide training for hundreds of long term unemployed young people. HCT bus services has similarly created local jobs and even a harm reduction bus that supports drug user rehabilitation. Ironically by making this about people not money, costs can be cut.
Conversely when private companies deliver state sponsored services they might or might not do a good job but they will always maximise profit, shareholders will be prioritised over service improvement or staff working conditions, and risk alongside responsibility will be upwards managed back to the state, a process reflected in the cost.
But what really matters is not the governance model but social impact and sustainability of the new provider. They will need governance that enables them to structure their finances so that they can deliver services that are paid for by results or have come through personal budgets, because these will be the new forms of payment. They will need to attract and retain the best staff and borrow because, even with a three or five year contract, they will have to expand to compete and survive. But it is possible to do all that and offer staff a stake in the business as Sunderland Homecare Associates does, or involve users in service design like Your Healthcare in Kingston, in effect, be social enterprises.
There are difficulties, however. The central message of big society, that people can do things for themselves, seems to have left public service providers to work out, on their own, what it means for them. Investment in sharing best practice has been cut alongside everything else, leading to reactive decision-making and lost opportunity.
So how can we shape the amorphous message of big society into a step-by-step transition where social enterprise emerges as the new service provider of choice? As Annie Francis of Independent Midwives UK says: "Government must introduce smarter, faster and more effective business support and encourage public services to genuinely engage with the [social enterprise] sector".
I urge the widespread distribution of Transitions and take up of its recommendation to work with local social entrepreneurs to establish champions and spread the word. With leadership that encourages people to chase savings alongside social impact I believe we can have a happy landing, even if it's been a bloody bumpy ride.
Published article in this weeks Guardian Public online