Tales of Policy Estrangement: Non-governmental Policy Work and Capacity in Three Canadian Provinces

Recently, there have been a number of Canadian-based studies of federal and provincial government policy workers. One key theme across all of these studies is the importance of well-established networks outside of government. However, these studies have demonstrated that government policy workers interact very infrequently outside the comfort of their own department cubicles. This stands in contrast to the considerable literature on new public governance theory, which suggests that non-governmental organizations (NGOs), including nonprofit groups, should, and do, play an important role in shaping public policy. This article provides some insights into this question and identifies where NGO–government interaction does exist. The descriptive results from a survey of non-governmental organization policy workers across four fields (environment, health, labour, and immigration) in three Canadian provinces (British Columbia, Saskatchewan, and Ontario) clearly illustrate the limitations, at all levels, on interaction between NGO groups and government officials. The article argues that this does not disprove the basic tenet of new governance theory—that non-state actors are engaged, to some degree, in the policy process. The article examines the results of an ordinary least squares (OLS) regression model to determine what factors shape and drive NGO interaction with government. RÉSUMÉ Depuis peu, bon nombre d’études canadiennes sont apparues sur les stratèges des gouvernements fédéral et provinciaux. Un thème clé dans ces études est l’importance de maintenir des réseaux viables au-delà du gouvernement. Pourtant, selon diverses études, les stratèges gouvernementaux interagissent très peu au-delà de leurs bureaux à cloisons. Cette situation ne reflète pas l’approche recommandée dans les nombreux écrits recourant à la théorie de la nouvelle gouvernance publique. Celle-ci recommande aux organisations non-gouvernementales (ONG), y compris aux groupes sans but lucratif, de jouer un rôle plus important dans la formulation des politiques publiques. Cet article explore cette question et identifie les domaines où existent des interactions entre ONG et gouvernements. Les résultats d’un sondage de stratèges d’ONG dans quatre domaines (environnement, santé, travail et immigration) dans trois provinces canadiennes (Colombie-Britannique, Saskatchewan et Ontario) illustrent clairement les contraintes, à tous les niveaux, sur les interactions entre ONG et gouvernements. L’article soutient que cette situation ne contredit pas le principe fondamental de la théorie de la nouvelle gouvernance publique, à savoir que des acteurs non gouvernementaux s’engagent effectivement, jusqu’à un certain point, dans la formulation de politiques. Cet article examine en outre les résultats de l’application d’une méthode des moindres carrés pour déterminer quels sont les facteurs qui influencent et motivent les interactions entre ONG et gouvernement

The Role of Climate Change Policy Work in Canada

An ongoing concern with many Canada’s governments is avoiding climate change related policy failure, including that associated with climate change. In response, there has been a spate of government-led climate change vulnerability and risk assessments, studies, and strategies. With a growing attention on developing the ‘right’ policies and program to address climate change needs to be examined as an important factor in ‘adaptive capacity’. As governments turn their attention from broad strategizing to policy-making, we argue that a consideration of the often overlooked micro-level and seemingly routine government based capacity—especially the advice needed to formulate and implement policy changes—is required. A high level of policy capacity is an important factor in avoiding policy failures. The questionnaire was delivered through a webbased survey of 1469 Canadian provincial and territorial government policy analysts working in nine provinces and three territorial jurisdictions in the climate change, environmental, financial, forestry, natural resource, infrastructure, transportation, and water sectors. A comparison of mean scores across key indicators of policy work was conducted. A number of policy implications were raised. First, those in financial sector do very little climate change policy work. Second, the fracturing of roles in those departments responsible for forestry reflects the complexity of the climate change issue and a developed division of labour. Those who identified with forestry sector, under performed despite their concern about climate change, in terms of key policy tasks, the level of complexity that the issues were addressed and a low level engagement with stakeholders with those outside of government. Policy capacity was also undermined with a view that departments were committed vis a vis their mission statements but that this commitment was not reflected in their daily operations

Effect of Groundwater Pumping on Seawater Intrusion in Coastal Aquifers

Many aquifers around the globe are located in coastal areas and are thus subjected to the seawater intrusion phenomenon. The growth of population in coastal areas and the conjugate increase in human, agricultural, and industrial activities have imposed an increasing demand for freshwater. This increase in water demand is often covered by extensive pumping of fresh groundwater, causing subsequent lowering of the water table (or piezometric head) and upsetting the dynamic balance between freshwater and saline water bodies. The classical result of such a development is seawater intrusion. This paper presents a review for the seawater intrusion phenomenon in coastal aquifers. The effect of pumping activities on the seawater intrusion in the Nile Delta aquifer of Egypt is investigated. It was concluded that any additional pumping should be located in the middle Delta and avoided in the eastern and western sides of the Delta

Re-visiting Meltsner: Policy Advice Systems and the Multi-Dimensional Nature of Professional Policy Analysis

10.2139/ssrn.15462511-2

Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial

Background: Many patients with COVID-19 have been treated with plasma containing anti-SARS-CoV-2 antibodies. We aimed to evaluate the safety and efficacy of convalescent plasma therapy in patients admitted to hospital with COVID-19. Methods: This randomised, controlled, open-label, platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]) is assessing several possible treatments in patients hospitalised with COVID-19 in the UK. The trial is underway at 177 NHS hospitals from across the UK. Eligible and consenting patients were randomly assigned (1:1) to receive either usual care alone (usual care group) or usual care plus high-titre convalescent plasma (convalescent plasma group). The primary outcome was 28-day mortality, analysed on an intention-to-treat basis. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936. Findings: Between May 28, 2020, and Jan 15, 2021, 11558 (71%) of 16287 patients enrolled in RECOVERY were eligible to receive convalescent plasma and were assigned to either the convalescent plasma group or the usual care group. There was no significant difference in 28-day mortality between the two groups: 1399 (24%) of 5795 patients in the convalescent plasma group and 1408 (24%) of 5763 patients in the usual care group died within 28 days (rate ratio 1·00, 95% CI 0·93–1·07; p=0·95). The 28-day mortality rate ratio was similar in all prespecified subgroups of patients, including in those patients without detectable SARS-CoV-2 antibodies at randomisation. Allocation to convalescent plasma had no significant effect on the proportion of patients discharged from hospital within 28 days (3832 [66%] patients in the convalescent plasma group vs 3822 [66%] patients in the usual care group; rate ratio 0·99, 95% CI 0·94–1·03; p=0·57). Among those not on invasive mechanical ventilation at randomisation, there was no significant difference in the proportion of patients meeting the composite endpoint of progression to invasive mechanical ventilation or death (1568 [29%] of 5493 patients in the convalescent plasma group vs 1568 [29%] of 5448 patients in the usual care group; rate ratio 0·99, 95% CI 0·93–1·05; p=0·79). Interpretation: In patients hospitalised with COVID-19, high-titre convalescent plasma did not improve survival or other prespecified clinical outcomes. Funding: UK Research and Innovation (Medical Research Council) and National Institute of Health Research

Tocilizumab in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Background: In this study, we aimed to evaluate the effects of tocilizumab in adult patients admitted to hospital with COVID-19 with both hypoxia and systemic inflammation. Methods: This randomised, controlled, open-label, platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing several possible treatments in patients hospitalised with COVID-19 in the UK. Those trial participants with hypoxia (oxygen saturation <92% on air or requiring oxygen therapy) and evidence of systemic inflammation (C-reactive protein ≥75 mg/L) were eligible for random assignment in a 1:1 ratio to usual standard of care alone versus usual standard of care plus tocilizumab at a dose of 400 mg–800 mg (depending on weight) given intravenously. A second dose could be given 12–24 h later if the patient's condition had not improved. The primary outcome was 28-day mortality, assessed in the intention-to-treat population. The trial is registered with ISRCTN (50189673) and ClinicalTrials.gov (NCT04381936). Findings: Between April 23, 2020, and Jan 24, 2021, 4116 adults of 21 550 patients enrolled into the RECOVERY trial were included in the assessment of tocilizumab, including 3385 (82%) patients receiving systemic corticosteroids. Overall, 621 (31%) of the 2022 patients allocated tocilizumab and 729 (35%) of the 2094 patients allocated to usual care died within 28 days (rate ratio 0·85; 95% CI 0·76–0·94; p=0·0028). Consistent results were seen in all prespecified subgroups of patients, including those receiving systemic corticosteroids. Patients allocated to tocilizumab were more likely to be discharged from hospital within 28 days (57% vs 50%; rate ratio 1·22; 1·12–1·33; p<0·0001). Among those not receiving invasive mechanical ventilation at baseline, patients allocated tocilizumab were less likely to reach the composite endpoint of invasive mechanical ventilation or death (35% vs 42%; risk ratio 0·84; 95% CI 0·77–0·92; p<0·0001). Interpretation: In hospitalised COVID-19 patients with hypoxia and systemic inflammation, tocilizumab improved survival and other clinical outcomes. These benefits were seen regardless of the amount of respiratory support and were additional to the benefits of systemic corticosteroids. Funding: UK Research and Innovation (Medical Research Council) and National Institute of Health Research

(Re)Thinking think tanks in the age of policy labs: The rise of knowledge-based policy influence organisations

The idea of ‘think tanks’ is one of the oldest in the policy sciences. Although the topic has been studied for decades, recent works dealing with advocacy groups, policy and behavioural insight labs and into the activities of think tanks themselves have led to discontent with the definitions used in the field, and especially with the way the term may obfuscate rather than clarify important distinctions between the different kinds of knowledge-based policy influence organisations (KBPIO) operating in the contemporary policy landscape. In this paper, we examine the traditional and current definitions of think tanks utilised in the discipline and point out their weaknesses. We then develop a new framework to better capture the variation in the kinds of knowledge-based organisations which operate in many sectors

The Neglect of Governance in Forest Sector Vulnerability Assessments: Structural-Functionalism and "Black Box" Problems in Climate Change Adaptation Planning

Efforts to develop extensive forest-based climate change vulnerability assessments have informed proposed management and policy options intended to promote improved on-the-ground policy outcomes. These assessments are derived from a rich vulnerability literature and are helpful in modeling complex ecosystem interactions, yet their policy relevance and impact has been limited. We argue this is due to structural-functional logic underpinning these assessments in which governance is treated as a procedural "black box" and policy-making as an undifferentiated and unproblematic output of a political system responding to input changes and/or system prerequisites. Like an earlier generation of systems or cybernetic thinking about political processes, the focus in these assessments on macro system-level variables and relationships fails to account for the multi-level or polycentric nature of governance and the possibility of policy processes resulting in the nonperformance of critical tasks