Damaged reputations (and how to repair them)

Ian Briggs

During a recent conversation with a senior product development engineer who works for a high end vehicle manufacturer, the importance of ‘halo products’ opened up an interesting conversation. Investment in such ‘halo’ products is a given in a highly competitive marketplace and the known impact they have on consumer behaviour is a strong justification for the high levels of investment needed in them.

The conversation turned to the near universally low esteem that this talented, hard working professional engineer held local public services in. To him, they were poorly managed, overly costly and rarely related to the wants and needs of the local people. Perhaps I should not have been surprised that he held this view but I did ask him if there was anything he really valued about local public services.

There was very little, but one service emerged as something that he did value – the local Fire and Rescue Service. He could find little to criticise about them. He cited a number of times that he was called upon to work professionally with them, and he saw them as having a very high level of professionalism when exploring vehicle safety issues. Any cut backs in this service he felt was poor political judgement. He was continually impressed by them and appreciated that in many cases the conditions within which they worked were challenging, dangerous and above all professionally demanding.

So why, if within the case he was putting forward that in the commercial sector investment in halo products and services is seen as a key way of leading and managing the overall brand, did the public sector not think and behave in the same way?

This contrasts with two papers that have crossed my desk recently. In both cases a strong argument is put forward for increasing the importation of private sector talent into the public service. However, in both cases the argument centres around the skills that commercial managers and leaders have in controlling inputs whilst at the same time improving the outcome quality of products and services. No mention is made of strategic investment in halo products and understanding of how careful promotion of those products and services that are known to be valued, even by those who consume products lower down the range, have a positive impact on overall consumer behaviour.

We did go on to discuss how the reverse could be true; could poor product perception have a negative impact upon products and services across the brand? The answer was a clear yes but the means by which this was countered was revealing. He cited cases of increasing management and leadership attention on those products and services that are valued. Clearly this has to be done simultaneously with rectifying where possible poor product and service across the portfolio, but it makes me reflect upon the tactics we apply in public service management. Are we missing a trick? The media is full of challenging stories of very serious public sector failure and the reputational damage that the NHS is suffering is potentially immense, as are sections of local government and other governmental agencies. But within this there seem to be few issues that lead to reputational harm to the Fire and Rescue Services – although I do not wish to tempt fate here!

So, should we explore this transferability of positive product and service a little more closely? My product engineer friend said that lessons could be learned in how these high value products are developed – in certain cases the positive impact of the product was achieved through a ‘less is more’ approach. Consumer behaviour can be positively impacted on by taking out unnecessary or unappreciated elements of a product or service; this is perhaps counterintuitive but is now an established mechanism for commercial organisations. The giving of more or adding more leads to a rapid acceleration of wants and needs but positively promoting the efficiency of a product that closely matches the expectation of the consumer adds value.

It would appear that within the highly tuned commercial mindset the notion of meeting the needs of the consumer is not always about the surprise and delight extras that are offered, but rather exists within the precise tailoring of need to product – even if somewhat perversely it may cost the provider more to take things out than to put additional things in.

What seems to be key here is the amount of attention that is paid to understanding what you do well whilst at the same time seeking address what you may not do so well. This is a principle that is commonly adopted in commerce – it is drawn from the theoretical perspective of ‘appreciative enquiry’ – seeking to understand what is positive and then taking active steps to deploy the factors that lead to success. There is an extensive literature on the subject that rarely seems to have an airing in public management circles, but perhaps this is something that we could learn from other sectors.

The key point here seems to be the accepted dimension of the transferability of reputations, both positive and negative, and the need for commercially savvy organisations to pay close attention to the ‘halo’ product and service. If that positive transferability is a reality then we should perhaps pay more attention to where we are succeeding and achieving high reputational advantage, even if the media still wants to pay rightful attention only to those areas where we may deserve a poor reputation. Maybe it could be a case of not seeking to import private and commercial sector savvy to wider public services, but to recruit more fire-fighters into wider public sector jobs.

briggs

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.

What do MMR and personal budgets have in common?

Catherine Needham

The recent spike in measles cases in Swansea and elsewhere has a particular salience for local government, occurring just as authorities took on new responsibilities for public health. Events in Swansea brought back into public attention the decline in uptake of the MMR (Measles, Mumps, Rubella) vaccine that followed a spate of media stories several years ago reporting an apparent link to autism. Despite the thorough discrediting of the link, MMR take-up rates have not recovered.

Declining rates of vaccination are not a UK-phenomenon and cannot wholly be laid at the door of a single rogue study. Research that I have been doing with Anat Gofen from Hebrew University in Jerusalem has highlighted that vaccination rates are dropping across western democracies. Often, in each country, the decline will be associated with a particular vaccine and a set of commonly circulating myths surrounding it. In the US, for example, it has been a rise in cases of whooping cough that has provoked most concern.

Whilst vaccine take-up rates have always been low within some disadvantaged communities, what has grown is the prevalence of parents practicing a form of so-called ‘scientific citizenship’, in which they research issues for themselves, make use of official and oppositional websites, and weigh the perceived risks. They may opt to delay the jabs until a child is older or to split combined vaccines into separate shots rather than not vaccinate at all. If they decide not to proceed with vaccination, they will find an online community of fellow resistors with whom to share stories and provide support.

What has this got to do with personal budgets in social care services? In both cases, citizens are challenging conventional notions of professional expertise and authority, and making a claim to know what is best for them and their families.

The two cases have many dissimilarities: accepting that older people and people with disabilities know best about their immediate care needs and should have choice and control about how they spend their time is clearly very different from accepting that parents know best about a medical intervention like vaccination. Personal budgets have been the culmination of many years of campaigning by disability organisations for recognition that the person using services is an “expert on their own life” and has widespread support in government and civil society. Vaccine refusal is a widely criticised activity with dangerous consequences for public health.

However for health and social care professionals on the frontlines, navigating the boundaries of citizen expertise is a growing challenge. With personal budgets expanding into the NHS as personal health budgets, it is no longer assumed that health interventions should always be determined on the basis of a traditional clinical evidence base. Like ‘expert patient’ programs, health budgets have been principally targeted at people with chronic conditions which require self-management and enable them to develop knowledge over the long-term. Other areas of health, such as vaccination, remain off limits.

However, citizens themselves may not accept this demarcation. Declining vaccination rates highlight the difficulties that officials face in attempting to ‘hold the line’, encouraging citizen expertise in some sectors of health and care whilst denying it in others. There are challenges for practitioners in explaining why you can be an expert patient but not an expert parent.

needham

Catherine Needham is a Senior Lecturer at the Health Services Management Centre, University of Birmingham, and is developing research around public service reform and policy innovation. Her recent work has focused on co-production and personalization, examining how those approaches are interpreted and applied in frontline practice. Her most recent book, public by the Policy Press in 2011, is entitled, Personalising Public Services: Understanding the Personalisation Narrative.