In favour of the mundane: citizenship testing and participation

30/01/2013 / inlogov / Leave a comment

Katherine Tonkiss

This weekend saw the announcement that the Government has completed its revisions to the ‘Life in the UK’ citizenship test, refocusing the questions on British culture, history and sport. According to the Government, there will be no more ‘mundane’ questions about water meters, job interviews, the internet and public transport. Rather, as immigration minister Nick Harper described, ‘the new book rightly focuses on the values and principles at the heart of being British. Instead of telling people how to claim benefits, it encourages participation in British life’.

This is just the latest in a series of announcements which have reinforced some notion of a British way of life as a criterion of both immigration and integration, as I have described elsewhere. Nick Harper’s words draw us again into the vastly questionable argument that migrants are ‘benefits scroungers’, and so rather than telling them how to access those benefits we should instead be expecting them to assimilate to the British way of life. It is this, we are being told, that holds the key to participation in community life.

The use of the word ‘participation’ is itself more than a little problematic. Is participation really what is at stake in this debate? Harper is also quoted as saying that the new citizenship test is ‘just part of our work to help ensure migrants are ready and able to integrate into British society’. Integrate into. This claim seems to denote the idea that integration is something that migrants ‘do’ when they come into a country in order to take on the national culture and history, rather than something that a society experiences collectively in order to build social inclusion and cohesion.

None of this sounds much like participation to me. Casting an eye over the ten sample questions from the new test is similarly illuminating. Does my knowing which admiral died in 1805 and has a monument in Trafalgar Square help to participate in my local community? Does my knowing the name of the prehistoric landmark still standing in Wiltshire really help me to play an active role in society?

Actually, what it might do is to further define me as an outsider, whether or not I know the answers. Much in the same way that Communities and Local Government Secretary Eric Pickles has suggested that Councils only publish documents in English because ‘translation undermines community cohesion’, the new citizenship test underpins the idea that it is up to migrants to integrate into ‘our’ culture, and that if migrants are unable to do that then they have no right to live in our country, to make use of our services or to participate in the lives of our communities. It presents an ideal of Britishness which is unattainable beyond a simplistic test, when migrants bring with them their own rich cultural heritages – heritages which have, previously, been celebrated as central to the life of our communities.

And the very notion of ‘our culture’ is itself deeply problematic. This suggests a one-size-fits-all notion of Britishness that will evade people who were themselves born in Britain. Arguing that Britishness involves ‘the national love of gardening, the novels of Jane Austen and the musicals of Andrew Lloyd Webber’ is ignorant not just of diverse ethnicities and cultural heritages, but also of the diversity of genders, class backgrounds and life experiences present within Britain today.

I want to make an argument in favour of the mundane. If we have to have a citizenship test, then surely in a liberal society our citizenship test should be about helping people to access public services and to actually participate in their community through contact with their elected representatives and other important organisations in their area. We live in a liberal democratic society – citizenship testing should not be about reinforcing a sense of Britishness that is alien even to the most ‘British’ amongst us. Rather, it should be about making sure that everyone has equal access to services and the equal chance to participate, and that everyone is deserving of equal respect.

Katherine Tonkiss is a Research Fellow in INLOGOV. She is currently working on a three year, ESRC funded project titled Shrinking the State, and is converting her PhD thesis, on the subject of migration and identity, into a book to be published later this year with Palgrave Macmillan. Her research interests are focused on the changing nature of citizenship and democracy in a globalising world, and the local experience of global transformations. Follow her Twitter feed here.

The forgotten last chapters of localism

29/01/2013 / inlogov / 1 Comment

Ian Briggs

“Beware of false knowledge; it is more dangerous than ignorance”, George Bernard Shaw once wrote – it seems to sum up some extraordinary lessons that the recent winter weather is offering us. What really gets people off their backsides and make representations to local councils are things that affect them immediately. Go for a peaceful evening walk and stand in some dog mess and suddenly you are aware of the all inconsiderate dog owners in your neighbourhood – it snows and you become aware that the grit bin at the end of your road is empty – hit a pot hole in your car and you are immediately aware of poor road surfaces. You are so wound up you e mail and write letters of complaint, but it is not enough, you actually go and berate your local Town or Parish Council at the next meeting because it is closest to you.

This immediacy of awareness can be the cause of backlashes and sweeping generalisations of public service performance. Whether the gap between public expectation and the reality of delivery can ever be reconciled is a matter of useless speculation, but when faced with the anger of a citizen for what they see as public service failure an incremental level of dissatisfaction can be the result. This seems to be the case in a number of what may appear to be small incidents but taken in the round add up to what is a serious problem. This is often most evident in the thousands of Town and Parish Councils that make up so much of the English democratic infrastructure.

This problem can be illustrated by a story told to me as part of a Masters programme some years ago, it centred around the new CEO of an airline who sought to better understand the customer experience by booking himself on a number of the airlines services in a kind of mystery shopper experience. On one flight he fell into conversation with a regular passenger (in economy) who was concerned that aircraft maintenance was being undertaken in a shoddy and potentially dangerous manner. Somewhat surprised, he enquired as to whether the passenger had professional experience in this matter only to find out he was a furniture salesperson. He had made his striking and knowledgeable conclusion from the fact that this was the third time he had recently flown on an aircraft where there were sticky messy rings left from leaky coffee cups on previous flights. If the airline could not do something as simple as clean up a coffee cup ring on a fold down table then how on earth could they effectively maintain a complex system like a jet aircraft properly?

This came to mind the other night when out doing my bit as a Parish Councillor – I had a reflective vest on (bought by myself) used a spade (my own) and was spreading some grit over a road junction that is regularly the scene of multiple minor bumps and scrapes when there is snow and ice around. A motorist – not young – hurtled up the lane at a speed that suggests he was not taking account of the conditions and braked suddenly close to where I was doing my bit. The driver’s window opened and a veritable torrent of abuse was directed towards me – assuming that I was a council employee I was accused of wrecking the national economy, luxuriating in a huge public funded pension, ruining his children’s education and future prospects and robbing him blind of his wages through his council tax.

It is not about the factual correctness here – it is about the underpinning belief systems that pervade society. It is the drama around false knowledge – seeing me looking like a council employee, doing what he assumes a council employee does was enough to trigger connections that confirm and reinforce the underlying belief system. It is also about the dangerous level of ignorance we have allowed to accumulate in civil society. Most reasonable and rational people can see what goes wrong locally, and on top of this they often know stuff about putting it right but the disconnect between the two remains. If localism is about reversing the top down, parent always knows better in public service delivery do we not have to offer some seed corn to enable the person in the street to engage better with our attempts and actions to make living here better?

The sting in the tail here is that anger at perceived failure is only one aspect of the danger of false knowledge – the phenomenon of the dangers of success is out there too. Although anecdotal, we are capturing the awkward issue of what some are calling ‘need acceleration’ – this occurred to one councillor who recently was pleased to find that after some door knocking and street level engagement a number of residents were saddened by the state that some Victorian iron railings were in around an amenity area. They were rusting and in poor repair. This became the target for spending his small discretionary ward grant – within days the railings were restored to their former glory – rust removed, gleaming black paint and looking very much as they did in the days of the childhood of local residents. However, as much as a few were clearly delighted with the result more residents came forward pressurising the councillor that if they could do something as simple as put right the railings around the small park then why on earth could they not do something about the ghastly, unsightly ‘bomb site’ at the end of the street? A fine example of need acceleration and perhaps a good example of false knowledge.

High expectation coupled with innocent ignorance of the reality of how we link civil society and the state is perhaps a problem that localism will never satisfactorily resolve – the last chapter will perhaps be written on Parish and Town Council letter headed notepaper! Increasingly it seems that is where the buck stops.

Ian Briggs is a Senior Fellow at the Institute of Local Government Studies. He has research interests in the development and assessment of leadership, performance coaching, organisational development and change, and the establishment of shared service provision.

Councillors: Engage more and engage differently, but not at the expense of the basics

28/01/201301/02/2013 / inlogov / Leave a comment

Karin Bottom, Catherine Mangan and Thom Oliver

This month saw the ‘Communities and Local Government Committee’ release its report on the role of the modern councillor. Focusing on the impact of the Localism Act (and associated developments in recent years), Clive Betts MP, Chair of the Committee, suggested that local representatives are now spending less time in council and more in the community. As a result, they now shoulder the majority of responsibility for ensuring that that their local communities have the tools to make the most of the localities in which they live. While the Report’s findings held few surprises, it did suggest that those we elect to be the local democratic voice of our communities must embrace this challenge and meet it head on. This position resonates with early findings from an INLOGOV project concerned with local engagement and the role of the local representative.

Firmly grounded in the belief that councillors’ responsibilities and remits vary, the current climate suggests they require a more nuanced and responsive skill set than ever. In this sense, elected representatives must be outward looking, open to new ideas and welcoming of new approaches, but they must take care not to throw out the baby with the bath water. Instead, our research suggests that what councillors need to do is integrate new learning into their existing repertoire of behaviours, while at the same time being more dynamic and responsive in their increasingly frontline role.[i]

For respondents, one of the main challenges they felt they faced was engagement. Whereas it is natural for all councillors to ‘do engagement’, a variety of approaches were evident in our research and for those who had moved into executive positions, the role shift was accompanied by community activities having to be curtailed. Respondents were very clear that the Localism Act was beginning to have an impact, for example in the mediating role that has now been allocated to councillors: this meant developing skills as a community organiser and ultimately being on top of a great volume of information while managing a number of resources and contacts. This form of community engagement, though hard, was thought to have clear rewards: a number saw the benefits of having shared aims and a deeper understanding of the people they represented, which in turn provided greater insight into the experience of being on the receiving end of council services; in contrast others thought wider community engagement created opportunities to lead opinion and ultimately change behaviour, for example one councillor worked with environmental groups to shape the ward’s attitude towards refuse collections and recycling.

Our interviews also surfaced information suggesting that that the majority of traditional communication methods continue alongside a slow evolution to greater online engagement and use of social media. While one councillor referred to sending regular email shots and creating a web page to articulate local information, activities and updates, another described how Facebook had enabled him to engage with people – often young people – who generally chose not to participate in politics and local policy conversations. Finally, a number of councillors explained that twitter enabled them to aggregate opinions en mass, engage in debates and learn information they would otherwise be unaware of, while some with cabinet responsibilities stated that this particular medium was unique in that it enabled them to keep on top of their portfolio while also providing opportunities to build and consolidate relationships they would otherwise not have had time to address..

One factor that was evident in almost every interview was that councillors always needed to be aware of the bigger picture: different methods worked in different situations and knowing a ward’s story or the history behind a particular community group could make the difference between successful and unsuccessful engagement. Just because a particular approach might work in one instance, there is no assurance it will work in another, despite apparent similarities. So, while councillors may see their responsibilities increasing and their community role broadening, it is vital that they maintain depth in their representative activities: if they don’t, potentially successful initiatives run the risk of failing.

The authors are grateful to the School of Government and Society, University of Birmingham, for providing funds to assist in this research. With thanks also to NLGN for their contribution to this work. For further information about the research project, contact Karin A. Bottom: [email protected]

Karin Bottom is Lecturer in British Politics and Research Methods at INLOGOV, University of Birmingham. Her core research areas comprise parties (particularly small and the BNP), party systems and party theory. She is particularly interested in concepts of relevance and how national level theories can be utilised at the sub-national level.

Catherine Mangan is a Senior Fellow at INLOGOV. Her interests include public sector re-design, outcomes based commissioning and behaviour change. Prior to joining INLOGOV she managed the organisational development and change work for a not-for-profit consultancy, specialising in supporting local government; and has also worked for the Local Government Association, and as Deputy Director of the County Councils Network. She specialises in adult social care, children’s services and partnerships.

Thom Oliver is a Postdoctoral Research Fellow at Oxford Brookes Business School. He completed his PhD, exploring the representative role of councillors on appointed bodies, at INLOGOV in 2011. He currently lives in Bristol and has recently rejoined INLOGOV as an Associate. Follow his Twitter account here, and read his own blog here.

[i] Research to date provides initial findings from interviews in three councils (one London Borough and two Metropolitan). Interviews comprised a broad mix of age, seniority, roles and experience. Approximately equivalent numbers of men and women were interviewed.

The bonfire of the quangos has thus far only smouldered

25/01/201325/01/2013 / inlogov / Leave a comment

Katherine Tonkiss and Katharine Dommett

Quangos, non-departmental public bodies, or arm’s length bodies (ALBs), as they are variably termed, are a category of public organisations that operate with a degree of independence from ministers. These bodies have become an established feature of government, created to deliver policy, offer expertise and regulation (among other functions). Yet despite their proliferation they have been widely condemned by the political class and are subject to frequent reviews and culls. In reality few attempts to address the number and significance of bodies have, thus far, yielded much success. Indeed, hitherto the bonfires of quangos have smouldered rather than raged.

In this light David Cameron’s call in 2009 for the existence of ‘each and every quango’ to be justified in accordance with three tests appeared little more than a restatement of established political rhetoric. However, building on the Conservative manifesto commitment, the Coalition Government moved quickly to ‘reduce the number and cost of quangos’, conducting a review in the summer of 2010. After just five months in government 902 quangos had been surveyed and 200 bodies scheduled for abolition, 120 for merger and 176 for substantial reform. This early pace signalled a clear determination on the part of the Government to shrink the size of the state, informed by their desire to reduce ‘the cost of bureaucracy and the number of public bodies’, ‘to increase accountability’ and to achieve ‘efficiency, effectiveness and economy in the exercise of public functions’.

Two years on, the recently published Public Bodies 2012 report provides an overview of this reformed quango landscape. But what level of success has been attained? Each of the Government’s objectives is assessed in turn below, evaluating progress thus far and identifying future challenges to the reform agenda.

Are There Fewer Quangos?

The implementation of the reform programme was rapid, despite occurring in a period of relative instability (given budget and staffing reductions, as well as widespread civil service reform). Public Bodies 2012 states that since 2010 the number of NDPBs has been reduced by 220. While this denotes substantial progress on this objective, most bodies abolished thus far have been smaller advisory bodies and many functions have survived, being transferred into departments, executive agencies or merged into the remit of other bodies. Accordingly, while the numbers of arm’s length bodies is reducing, the scope of government is not necessarily shrinking.

In addition, a number of new bodies have been created by the coalition. Public Bodies 2012 notes that nine new bodies have been created since 2010 – six independent monitoring boards, the National Employment Savings Trust, the Office for Budgetary Responsibility and the Independent Commission for Aid Impact. However, the scope of Public Bodies 2012 is limited to NDPBs only, and this prevents a wider appreciation of changes in arm’s length bodies more generally. For example, some new executive agencies – such as the four created in the Department for Education, the Legal Aid Agency, the proposed National Crime Agency – and also other organisational forms such as the Office of Tax Simplification (an ‘independent office of the Treasury’) are NDPBs in a new form. The overt focus on numbers of NDPBs therefore misses the wider question of where functions of government are located – and many are remaining at arm’s length.

Have They Saved Money?

The belief that inefficiency and poor governance was rife within public bodies provided a key motivation to not only abolish but also reform ALB governance. In embarking on the reform programme, the Cabinet Office publicised anticipated savings of £2.6 billion by 2015 and ongoing savings of between £800 and £900 million a year after the Spending Review. A third of the initial saving (£0.9billion) was predicted to come from the abolition of two bodies, the Regional Development Agencies and Becta, yet the rest was based on imprecise and often incomparable data from departments. For example, some estimated reductions were based on spending review requirements, whilst others focused exclusively on savings from ALB reform.

This lack of consistency led an NAO report to argue that the Cabinet Office did ‘not yet have the means to confirm the removal of £2.6 billion from administrative budgets’ or to check that this money was the result of savings rather than cuts. In its response, the Government highlighted that this figure incorporates wider efficiency savings from bodies that will continue to exist, but acknowledged that the cost of reform was still unclear. Indeed, the projected savings stemming from reform have recently been reviewed, and Public Bodies 2012 puts administrative savings at £401 million in the year 2011/12.

Furthermore, in calculating the money saved, little attention has been directed to the costs of transition, failing to consider the difficulties of, for example, disposing of assets and addressing redundancy costs. While the NAO has estimated transition to potentially cost £830 million, Public Bodies 2012 estimates the cost of reform to be between £650 million and £800 million. This wide variation in estimates again highlights the challenges faced by the Cabinet Office in demonstrating that efficiencies are a direct result of the public bodies reform agenda.

Are They More Accountable?

Government has sought to increase the accountability of ALBs by bringing them closer to departments and Ministers. In addition to the newly created executive agencies, the functions of 9 bodies have been transferred to executive agencies (which are said to enjoy far less autonomy from Government compared to other forms of ALB); and 16 have been transferred into departments. For the bodies that remain, a process of triennial review is being implemented whereby each body is subject to independent review every three years – serving to provide departments and Ministers with more awareness of their ALBs and thus improve the accountability (and efficiency) of these bodies.

However, the idea that moving bodies closer to the centre will increase accountability is not as clear cut as it seems. There is a risk that functions in, for example, executive agencies, will not be scrutinised to the same extent as those in NDPBs where triennial reviews occur. In reducing the length of the arm at which key functions are exercised, there is therefore a risk that formal structures of accountability, enhanced as a part of the reform programme, are bypassed.

Conclusion

The public bodies reform programme has represented a radical attempt to streamline arm’s length governance in the UK. The speed at which reform has been implemented and the numerous bodies abolished or otherwise reformed denotes considerable success over these first two years of reform. However, it remains unclear as to whether the reform programme will deliver on the government’s objectives to improve the efficiency and accountability of the arm’s length governance landscape.

The Government has committed to implementing a ‘benefits realisation framework’ which will enable departments to ‘better define, measure and optimise all forms of value created in consistent and credible way’, with a greater emphasis on improving the efficiency and accountability of the bodies that survived the cull. With these new developments, there is a possibility that the initial momentum of reform will be maintained, allowing the government to deliver greater efficiency and accountability across the public bodies landscape.

There remains, however, a broader challenge in terms of how public bodies reform is reconciled with wider civil service reforms. Public bodies reform was, in part, a centripetal process involving the transfer of functions back into departments. In contrast, the Civil Service Reform Plan clearly has a centrifugal logic that is based around pushing functions away from Whitehall and traditional bureaucratic structures, through emerging models of service delivery such as outsourcing and mutualisation. The next phase of public bodies reform will need to reconcile these contrasting logics in a way that delivers efficiency while still serving the accountability goal of public bodies reform.

This post was originally featured on the LSE British Policy and Politics Blog on 17th January.

Katherine Tonkiss (INLOGOV) and Katharine Dommett (University of Sheffield) are Research Fellows on Shrinking the State, a research project exploring public bodies reform in the UK, and drawing on historical and international comparisons. The project is led by Professor Chris Skelcher (Birmingham) and Professor Matthew Flinders (Sheffield). The authors acknowledge the financial support of the ESRC (Grant Ref. ES/J010553/1). The views expressed are those of the authors.

Local politics: An essential part of local government

24/01/2013 / inlogov / Leave a comment

Philip Lloyd-Williams

I always struggle when local Councillors say to me that they are ‘not political’. For me politics is part of everyday life as well as life in local government. To some extent I cannot see that we can operate without it and perhaps it’s like the cod liver oil mother used to give me – it’s not very tasty but good for you.

Without decision makers who are motivated, steeped or just inclined to make choices about how we ration public goods based upon political values or beliefs, it would be impossible to make the tough decisions. So, as far as I am co concerned, local politics (and I include in that party politics as much as the power used by local action groups and activists to persuade and nudge for a decision that accords with their world view) helps us even if we don’t always like it. Perhaps of greater curiosity is why local Councillors and even some officials so readily dismiss the place of politics.

From my own experience it is often an unwillingness to accept that managing public services and budgets is difficult and calls for conviction, confidence and a willingness to take a risk. Having a belief in something or a conviction about how a place and its people should be governed is now less valued than data or empirical studies which are purported to have all the answers. There is possibly a link between extolling beliefs of a political nature with the fear some have of acknowledging the place of religious faith that individuals often hold true but keep to themselves for fear of rejection.

This unwillingness to accept or acknowledge the place of politics prompts me to think that we need to do more to teach, educate and celebrate the importance of the political and differences with our communities and public servants. Commonly, when politics is discussed it is perceived as a negative or worthless experience. We should strive to change this – through education at schools, induction and training programmes at the work place and with our elected officials on a daily basis. Not everyone is interested in politics, but we all need to surely acknowledge that it has an important place in how we govern communities and make decisions about the places people inhabit and the things that they experience.

I realise we can often feel let down by what appear as foolish or poorly motivated decisions by our politicians, but I am advocating that without the politics, our society, communities and culture are poorer and weaker. So, if you work as a teacher, manage a public service or are yourself an elected representative – make it your business to champion the good of local politics and what benefits it can bring to making the best of what we have.

Philip’s doctorate from the University of Aston was on the role of local authority officials as ‘makers of democracy’. His career has given him extensive experience of working with elected representatives in local government as a Solicitor. He is an INLOGOV Associate Member and contributes to its Management Development programmes.

On silos and why we thought joint commissioning was a good idea

23/01/201323/01/2013 / inlogov / 1 Comment

Stephen Jeffares

I heard it again – in a discussion on last Tuesday’s BBC Radio 4 Today programme, Nick Herbert’s piece about the civil service – the problem is that silos remain .

Most of us have never seen a silo in real life, although those who have spent time on farms know that it is a really big tank or pit for storing grain or animal feed. But we learn on our MBA courses and from our management textbooks about the curse of the silo mentality. They say we need to drive silo working out – we need to work across boundaries, we need to collaborate, work in partnership. So much of what is wrong with how we do public policy is blamed on working in silos.

Couple this with the popularity of separating those that steer from those that row and we find an increased importance placed on commissioning. For several years consultants have dined out on their ability to tell us that commissioning is not the same as procurement, for procurement is just one important aspect of the complex but vital process of commissioning. But, they tell us, the worst thing you can do is commission in a silo. No no. We need to commission jointly, with others. Why? Well, two reasons. First, because the world is complex and cannot be solved by the efforts of one department or organisation alone. Second, all the reform and hollowing out of the last decades has meant our public services are fragmented in terms of budgets and decision making capacity. So joining up how we commission is a no-brainer.

Is it any wonder, then, that we ended up with the marriage of the concepts of joint and commissioning. But as a compound: ‘Joint commissioning’. It is rather an ugly and unwieldy pairing. But both concepts are viewed as desirable and essential, therefore joint commissioning is the solution. Nowhere was joint commissioning seen as more desirable or essential as in health and social care.

People’s needs for support or treatment do not neatly divide across how we organise health services and care services. While not everybody requiring acute health treatment requires social care, many with long term chronic illnesses require both. Nowhere is this more apparent in what happens when older or vulnerable adults are discharged from hospitals. So, often, it makes sense that within localities decisions and priorities should be commissioned jointly, and over the last decade, structures and practices have been aligned in the name of joint commissioning. However, such reforms can be expensive, destabilising and reveal profound professional tensions.

Various changes occurred over the last 10 years in the name of joint commissioning, with localities introducing social care partnerships, pooled budgets and, in some, full blown care trusts. The structures imposed depended on the discretion of local authorities, the PCTs and the Council. Some chose to share chief executives. Service users and carers might have seen no difference, or perhaps were confused by the change in logos and livery. The staff involved in the change, with their strong professional identities as occupational therapists, district nurses, social workers, care home managers, were told that this was an opportunity to work differently. In some cases, the changes were symbolised by lifting and shifting to a single site, to new purpose built office locations – no more NHS or Council badges – there’s a new ID card in town, swinging from a fresh corporate lanyard.

But to what avail? The shift to joint commissioning means that we also have to be interested in evaluating. Not just the processes, but the outcomes. With further integration on the horizon, the question on everybody’s lips is what good this has brought. Was it worth the effort? The answer to the question has to go further than populist or political expediency: did it save money or did more people get seen sooner?

To answer the question we need to start by asking – what do you want from this joint commissioning? When you explore the ambitions for these joint arrangements in literature and in conversation with professionals, not one but a whole range of competing aspirations arise. In a project funded by the SDO and led by colleagues at HSMC, I had the opportunity to do just this – to capture the range of aspirations for joint commissioning. A full report of the research and the findings, published earlier this month, can be found here.

In terms of what joint commissioning meant to different people, four broad points of view emerged. Yes, predictably, there were timely aspirations about productivity, saving money, efficiencies. In contrast, though, there were those who focused on implications for people, service user and carer involvement, personalisation, choice. A third set of aspirations focused on what comes from partnership – the development of synergies, the benefits of closer working, joint location; and a fourth set revolved around aspirations and implications for professions – developing professional empathy of the challenges faced, but also concerns for maintaining professional identity and autonomy.

And it’s here that we get to the problem of motherhood and apple pie – so often an issue in public policy. Read off a list of 40 aspirations for joint commissioning – synergy, empathy, cost saving, choice, user involvement, and we’ll say yes to all, all of the above please. But spend some time in conversation with people working in joint commissioning arrangements and it soon becomes apparent that there are different priorities that can easily conflict, either implicitly or explicitly.

Joint commissioning, like so many policy ideas, is what Cornwall and Eades call a ‘buzzword that has become a fuzzword’, one that clouds rather than clarifies understanding. The turning point for our research was when we asked our respondents, those working in joint commissioning across England, to prioritise differing (competing?) outcomes. They rank ordered them using a tool called POETQ. We found two things. First, that everybody is unique, that everybody had a different take on what was more important. But second, and perhaps most importantly, there were patterns. Taken as a whole we found five distinct viewpoints (page 87 of the report) on what they thought joint commissioning would achieve. The technique allowed us to cut through the nebulous language that collects around policy ideas. It also challenged our assumptions that people think according to their professional group or position in the hierarchy. These insights then guided the remainder of the project and our visits to our five case study localities.

The current reforms that focus on integrated working and the creation of Clinical Commissioning Groups are in some part a shift in emphasis and in some part a renewal of language. If there is one thing I have learnt from spending time thinking about joint commissioning, it is that we need to accept that public policy labels activity and coins and fosters policy ideas. Some of these ideas are old wine in new bottles, or existing bodies in new raincoats. But not everybody involved has the same memory or associations. For some these approaches are genuinely new. Therefore whatever approach we take, we need to ensure that it allows us to unpick and clarify these policy ideas and their associated meanings: this should be our first priority. While we cannot easily predict what will be the next big idea, what we can be sure of is that analogies like ‘silo mentality’ run deep and will shape new policy ideas yet to be coined and fostered. But when the next big idea appears on the horizon we needn’t shy away from nebulous language or accept notions without question. Assisted with tools like POETQ, next time we’ll be ready.

This article gives the views of the author, and not the position of the INLOGOV blog, the University of Birmingham or National Institute for Health Research (NIHR).

This research is discussed at greater length in the article Beyond the Berlin Wall?, by Helen Dickinson, Stephen Jeffares, Alison Nicholds, and Jon Glasby, published in Public Management Review. The article can be viewed here.

Stephen Jeffares is a Roberts Fellow in the College of Social Sciences based in INLOGOV, Institute for Local Government Studies. His fellowship focuses on the role of ideas in the policy process and implications for methods. He is a specialist in Q methodology and other innovative methods to inform policy analysis.

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Month: January 2013