Designing whole-systems commissioning: lessons from the English experience

The paucity of formal evidence, allied to the requirement for strategies that are sensitive to local history and context, means that a ‘blueprint’ for successful strategic commissioning is not currently available for adoption. We are therefore confined to proposing ‘design principles’ for those seeking to embark upon a transition towards a whole systems approach to strategic commissioning. People and relationships are of critical importance all the way through the chain from strategic commissioning to micro-commissioning. Most crucially, experience suggests that structural solutions alone cannot deliver effective relationships and will not be effective when relationships are neglected. The need to ensure staff, partner and political buy-in suggests that relationship management and consensus-building are an integral component of the leadership role in moving toward strategic commissioning. As with any major re-organisation, the move to strategic commissioning is essentially a change management initiative and therefore will stand or fall according to whether it adheres to good practice in the change management process. Central to this, and to achieving commissioning outcomes, is the requirement for meaningful service user and public engagement. Effective commissioning emphasizes individual capabilities as well as needs, and community assets as well as deficits and problems. Adoption of strategic commissioning approaches is still at the developmental and learning stage and arguably all structural arrangements should be regarded as transitional

Debate:Co-production of public services and outcomes

'Co-production'? Does a day go past in the public sector without us hearing about it? But what exactly does it mean? It conjures up different images in different contexts, but a frequent example in the UK is a youth service in which disadvantaged young people help to decide the priority services, help to design the activities within them, help to deliver those activities and then monitor and evaluate how well they are workin

Correlates of Co-production: Evidence From a Five-Nation Survey of Citizens

We employ data from an original survey of citizens in the UK, France, Germany, Denmark, and the Czech Republic to examine correlates of citizen co-production of public services in three key policy areas: public safety, the environment, and health. The correlates of co-production we consider include demographic factors (age, gender, education, and employment status), community characteristics (urban, non-urban), performance perceptions (how good a job government is doing), government outreach (providing information and seeking consultation), and self-efficacy (how much of a difference citizens believe they can make). We also report on results from a series of focus groups on the topic of co-production held in each country. Our results suggest that women and elderly citizens generally engage more often in co-production and that self-efficacy—the belief that citizens can make a difference—is an especially important determinant across sectors. Interestingly, good outcome performance (in the sense of a safe neighborhood, a clean environment, and good health) seems to discourage co-production somewhat. Thus citizens' co-production appears to depend in part on awareness of a shortfall in public performance on outcomes. Our results also provide some evidence that co-production is enhanced when governments provide information or engage citizens in consultation. The specific determinants vary, however, not only by sector but across national contexts

International survey evidence on user and community co-delivery of prevention activities relevant to public services and outcomes

This study compares surveys of user and community co-delivery of prevention activities internationally, exploring both the level of co-delivery, as revealed by citizens, and the characteristics of those citizens most likely to co-produce. It draws upon a baseline survey of five EU countries in 2008, more recent updates from two of these countries in 2012 and 2014, and a similar survey in Australia in 2014. Although there are many differences in detail, the results are quite consistent in relation to most key issues and provide a unique quantitative insight into the characteristics of co-delivery behaviour by citizens

Evaluation for what purpose? Findings from two stakeholder groups

A host of reasons exist for the pursuit of evidence in the public sector, including to support good governance and policy development. As the expectations for program evaluation from policymakers have evolved, so too has evaluation practice and a great deal of experimentalism has ensued. There is a risk that these developments and the complexity inherent in them, may lead to conflicting expectations about why program evaluation is done, or even a loss of purpose. This prompts the meso-level analysis of two types of stakeholders in a governance network, explored in this chapter. This chapter presents the findings of an ongoing study which explores the perceptions of program evaluators and policy implementers towards the purpose of evidence. The findings suggest that program evaluators and policy implementers have divergent expectations of why and how evaluation data might be used. The findings suggest that program evaluators aspire to support change and enhance the policy domains they serve, whereas policy implementers perceive program evaluation as serving a more governance-/management-orientated role. The chapter demonstrates the complexity of both program evaluation and policy and may have implications for the twin pillars of governance and responsibility at the heart of the book. If governance and responsibility are the twin pillars of sustainability then the complex networks of relationships, expectations, values, and outcomes may need to be considered. The findings also have implications for evaluation commissioners and practitioners, demonstrating the need for the purpose and expectations of program evaluation to be agreed early. The use of program evaluation as a symbolic, aesthetic or structural mechanism also emerges, prompting opportunity for further research, for instance, to explore legitimacy and program evaluation.N/

A reforma da Administração Pública Central no Portugal democrático: do período pós-revolucionário à intervenção da troika

Ultrapassado o período-pós revolucionário, ao longo das últimas décadas, as tendências de reforma administrativa em Portugal acompanharam aquilo que se passava no resto da Europa. Independentemente das idiossincrasias e das incoerências observadas, ao longo dos últimos 20 anos, o processo reformista foi marcado pela introdução das privatizações, da empresarialização da lógica administrativa, das tentativas de desburocratização e transparência na relação entre a administração e os cidadãos, da convergência de regimes laborais e da restruturação da Administração Pública Central. A partir de 2011, na sequência da assinatura do Memorando de Entendimento entre o governo português e a troika, a reforma restringiu-se essencialmente à aplicação de medidas avulsas que visaram sobretudo a redução dos custos da despesa pública. Não existindo para já referências teóricas científicas analíticas sobre a matéria tratada, o artigo apresenta uma abordagem descritiva e exploratória

Third sector partnerships for public service delivery: an evidence review

Partnership working has been driven by the policy of the last Labour administration, which aimed to make the third sector more efficient and aligned to the delivery of a range of public services. Since the election of a coalition government in 2010 these drivers have not lessened but have been re-asserted. Interest in externalisation has been reinforced by the drive for efficiency, made more pressing by the financial crisis, deficit reduction programme and resulting public spending cuts in 2010-2011. The current government has been in many respects radical in its approach to service delivery, with the promotion of a ‘Big Society’ involving new and expanded roles for third sector organisations (TSOs) in public service delivery, expanded roles for mutuals and co-ops (particularly in health), and the ‘community right to challenge’. These all have implications for the way in which TSOs enter into partnerships, with each other, public and private organisations. The working paper is based on a full evidence review. It considers the main forms of partnership working, governance and accountability, and looks at outcomes and evaluation. Key emerging directions are the growth of the commissioning agenda, an increasing emphasis on TSO/private sector partnerships as part of a supply chain, and greater application of outcome-based approaches linked to payment by results