A new health and care system

Fox, Alex

doi:10.2307/j.ctt21216tk

Cited by 4 publications

(3 citation statements)

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“…Fox (2018) argues that the models of care that most closely align with what people want are those which can operate at ‘human scale’, and that the people most likely to design them are front-line workers and the people with whom they work. The problem is how to deliver on this when the trend is in the opposite direction towards bigger facilities provided by larger national and multinational companies.…”

Section: Commission Local and Smallmentioning

confidence: 99%

“…The Procurement Reform (Scotland) Act 2014 goes further in requiring all public bodies to have a procurement strategy in place that supports community benefits, the living wage and the economic, social and environmental wellbeing of the local area. Fox (2018) argues that the models of care that most closely align with what people want are those which can operate at 'human scale', and that the people most likely to design them are front-line workers and the people with whom they work. The problem is how to deliver on this when the trend is in the opposite direction towards bigger facilities provided by larger national and multinational companies.…”

Section: Commission Localmentioning

confidence: 99%

“…Although there is some evidence that outcomes for direct payment holders are better than for other groups (Hatton and Waters, 2014), others dispute this and claim there has been a failure to deliver either personal budgets or personalisation (Slasberg et al, 2014). Similarly, Fox (2018) points out that there has been little development of affordable, tailored new care services designed to help people stay active, social and connected. Rather, a direct payment might simply mean choosing from a list of care providers offering a pared-down version of the traditional service model that would previously have been purchased by the council.…”

Section: Commission Personallymentioning

confidence: 99%

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Commissioning for change: A new model for commissioning adult social care in England

Hudson

2018

Critical Social Policy

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Adult social care policy and provision in England has changed from a state to a market model over the past 50 years, yet its future is far from settled. Dissatisfaction with funding, the range and quality of provision, and with workforce conditions is widespread. Some major providers have collapsed or withdrawn from the market. For some the solution is to strengthen the market model, others hark after a return to state controlled provision. This article outlines a further option, a radical new model for commissioning and delivery that challenges the dominant balance of power. It identifies some of the problems associated with the current position but questions the feasibility of a simple ‘renationalisation’ of provision. The key to change is identified as a new approach to commissioning consisting of four dimensions: commissioning small and local; commissioning holistically; commissioning personally; and commissioning ethically. All of these involve significant challenge to the way decisions are currently taken.

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Section: Commission Local and Smallmentioning

confidence: 99%

Section: Commission Localmentioning

confidence: 99%

Section: Commission Personallymentioning

confidence: 99%

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Commissioning for change: A new model for commissioning adult social care in England

Hudson

2018

Critical Social Policy

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‘Good stories get lost in bureaucracy!’ Cultural biases and information for co-production

Baines

Bull

Antcliff

et al. 2021

Public Money & Management

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This paper is about evidencing the social value of co-produced public services. We use Mary Douglas's theory of cultural variation to frame conflicting assumptions about what kinds of information count as good and reliable. With its emphasis on active participation, equality and mutual decision-making, co-production fits what Douglas called an 'egalitarian' worldview. It aligns well with local, contextual, experiential forms of information such as storytelling. Yet in present-day public services, alternatives favour individual choice, hierarchical rules, or chance outcomes. It is comfortable but ineffective to share only information that meets the preferences of one worldview and fails to respond to others. IMPACTThe idea of co-production attracts passionate advocates, many of them practitioners. To further advance co-production and counter objections, information for evidence of its value is essential but there is little consensus on what counts as legitimate information. We draw practical learning from the struggles of a social enterprise prominent in co-production to improve its information gathering and presentation. Contextualised forms of information such as stories of lived experience reflect many practitioners' understanding of co-production.Stories can be mobilised with great success, but it may nevertheless be counterproductive to shun other information resources that meet the preferences of diverse stakeholders.

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Can a focus on co-created, strengths-based services facilitate early-stage innovation within social impact bonds?

Fox

Olson

Armitage

et al. 2022

International Public Management Journal

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A new health and care system

Cited by 4 publications

References 0 publications

Commissioning for change: A new model for commissioning adult social care in England

Commissioning for change: A new model for commissioning adult social care in England

‘Good stories get lost in bureaucracy!’ Cultural biases and information for co-production

Can a focus on co-created, strengths-based services facilitate early-stage innovation within social impact bonds?

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