Can we commission for outcomes?

Anniina Tirronen

‘Outcomes-based commissioning’ has become the dominant approach to commissioning services in the United Kingdom, with similar concepts such as value-based purchasing and payment by results being explored in the United States and Australia.  Instead of determining the volume or exact nature of services, outcomes-based commissioning focuses on desired ‘outcomes’, such as changes, healing or other effects that take place as a result of services, allowing producers and clients to shape the way targets are reached.  But what effect does commissioning for outcomes have, and is it a better way to commission services?

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Can High Speed Two Bridge the North-South Divide? Weighing the Evidence

Rebecca O’Neill

The Government recently announced its preferred route for Phase 2 of HS2 from Crewe to Manchester and the West Midlands to Leeds. This news will be welcomed by many in the North of England who believe that the new high speed rail line will bridge the ‘North-South divide’, referring to the cultural and economic differences between the South of England, in particular the South East, and the North. Currently, the gap between the two geographical areas in terms of life expectancy and economic trends has grown to the extent that they are almost separate countries.

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‘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.

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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?

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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.

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Can smart maps improve local government?

Walter T. de Vries

Local governments are increasingly making use of internet-based applications and social media to provide services and to interact with citizens. As these applications can operate on smart phones, it is possible for any citizen to upload their wishes and complaints directly. Some of these applications use digital maps, such as google maps, which makes it possible for citizens to upload a report on a specific location and to see if their contribution has been dealt with. In addition, the reports allow local governments to visualize and analyze spatial patterns of citizens’ contributions. This can be used by governments to verify where problems occur regularly, and by citizens to follow up on where a local government is actively addressing their problems.

Are these applications however really helping local governments? At first one would say: yes, they are. Ideally the uptake of mapping applications and the cheap acquisition of data would make local government more efficient in cost and time and more effective in acting on reported problems . Our recent article in Local Government studies, The Contradictory Effects in Efficiency and Citizens Participation when Employing Geo-ICT Apps within Local Government , evaluates to which extent this is true. Do citizens really voluntarily contribute to such systems, and is it really useful for local governments?

The study relies on the usage of the mobile application called the “verbeterdebuurt” (http://www.verbeterdebuurt.nl ) (a Dutch term and application which translates as “improve my neighborhood”), in Enschede (a city of nearly 160,000 inhabitants in the east of the Netherlands).   The application which relies on ‘voluntary’ contributions of citizens compliments a centralized internal system used at the municipality to handle reports on public space, such as complaints about maintenance of city roads, greenery, street and traffic lights, waste and sewerage, amongst others. By law, the Enschede local government has a responsibility to act on the reported problems within a defined deadline. In order to act appropriately, it is however crucial to obtain relevant information about the type and location of the problem.

Statistics of the past year reveal that in Enschede many people discovered the website and are increasingly uploading reports through the mobile app. One could conclude that this provides clear evidence that such mapping applications can help local governments in locating and addressing problems. However, the mapping facility is not decreasing the number of problems nor is it increasing the quality of the reports. On the contrary, numbers have increased rapidly and the quality varies considerably. The key question is why. When evaluating the reports more closely, there is a greater portion of trivial complaints, such as litter which could be easily picked up by the one who reported the problem. Furthermore, the facility also created opportunities for a kind of opportunistic behavior. A number of private construction companies started to frequently report problems that only they themselves could solve. The intentions of the technical design were thus overshadowed by unexpected consequences.

In sum, there is more work to do for developers of mapping applications, before local governments can increase their efficiency and effectiveness in the management of public space. Countering unintended behavior requires further attention before achieving more transparency and accountability of local governments.

de vriesWalter Timo de Vries ([email protected]) is Assistant Professor, land information governance and organization; and course coordinator, land administration, at the Faculty of Geo-Information Science  and Earth Observation of the University of Twente in Enschede, the Netherlands. Walter researches how, why and when agencies cooperate and coordinate to align (geo-)ICT and (geo-)information services within the public sector.