‘Secret plans to close hospitals’: the perils of centralism

Catherine Staite

The Kings Fund’s warning, that there are ‘secret plans’ to close hospitals, comes as no surprise to local government. A number of local authorities, including Birmingham City Council, Sutton and Camden have decided to publish the NHS’s ‘Sustainable Transformation Plan’ (STP) for their area, against the wishes of the NHS, because of concerns about lack of transparency and particularly the lack of engagement with communities about the best outcomes.

Continue reading

Keeping it simple

Claire Baxter

Sally Philips’s recent documentary about parenting a child with Down’s Syndrome explored the ethics of antenatal testing, but I couldn’t help being drawn to the back story; the families’ experiences of public services.

Earlier this year I managed a small charity, School for Parents, on an interim basis. It provides weekly classes for children with disabilities, teaching groups the skills others take for granted such as moving, communicating and eating.  During this time Dr Anne Emerson of the University of Nottingham conducted research to understand the experiences of the parents.  This provided a valuable opportunity to explore how families we worked with encountered public policy and services, and to appreciate the role university research can play.

What did I learn?

Continue reading

Local government re-organisation: the debate that goes round in circles

Catherine Staite

I do like the unitarisation debate. It has everything going for it. We’ve heard all the arguments countless times, so there are no surprises. It’s been running for so many years that it’s become a constant in a time of great uncertainty. Quite comforting really.

In 2008/9, I was part of the team that was asked to evaluate the effectiveness of the 2009 unitaries, in terms of their financial health, service performance and effective community engagement. The aim of the ‘Form and Function’ study, commissioned by DCLG was to answer the question ‘do unitaries perform better than two tier areas?’ We were asked to compare the performance of the new councils with the four, two-tier Pathfinders. Do you remember them? They argued that they could achieve all of the benefits of re-organisation without any unpleasant side effects, like change.

Continue reading

Elected Mayors and Combined Authorities: the exchange of power and influence

Catherine Staite

The West Midlands Combined Authority is consulting on the way in which power will be distributed between the CA and the new, directly elected mayor, who’ll be in post from May 2017.

The current proposals, which are pretty much in-line with those being consulted on in Greater Manchester and the Sheffield City Region, are that the mayor will have the powers delegated by central government, that the Leaders of the councils that comprise the Combined Authority will be part of the mayor’s cabinet, thereby retaining significant control over the powers they’ve already pooled and there’ll be some joint areas of responsibility.

Continue reading

Glass ceilings and Tokyo’s new woman governor

Chris Game

Give an academic a metaphor and they’re – start as you mean to go on – like a pig in clover. They’ll squeeze it till its pips squeak. Take the glass ceiling – which, certainly when first launched, seemed an OK metaphor for the unacknowledged barrier(s) to advancement in a profession, especially affecting women and members of minorities.

But then we had glass cliffs and glass escalators, and not even glass, but solid, ledges – and I rather lost interest. So I’m back to glass ceilings, the big difficulty with which, it always seemed to me, comes when you start celebrating their shattering. Because – as any schoolboy cricket enthusiast learns early, if expensively – cracked or even smithereened glass is very easily replaceable, possibly even by something more resilient.

Continue reading

Tough Luck or Rough Justice?

John W. Raine

Why don’t more motorists who are unsuccessful in challenging Council-Imposed Penalty Charge Notices (PCNs) take their cases further to independent adjudication at the Traffic Penalty Tribunal?

Probably most readers of the paragraphs below will, at some time or other, have had the misfortune to incur a Penalty Charge Notice (PCN) for a parking or a ‘moving traffic’ contravention (e.g. driving in a bus lane); and will have experienced the feelings of frustration and self-reproach (at being caught out) and exasperation, and not a little anger, (at the seeming intransigence of the council in persisting in enforcing the penalty charge, despite the written explanations and apologies proffered in mitigation).

Continue reading