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Sustaining Public Service Reform

9:48am Tuesday, 1st April 2003

How can the government sustain organisational change and improvement in outcomes while public sector professionals in health and education are voting with their feet - shifting to flexible, temporary and agency work that pays more highly, carries lower responsibility, and enables workers to pick and choose exactly when and where they want to work?

BILL FOR TEMPORARY NURSES SOARS. NHS spending on temporary nurses hit a new high of '500 million last year. Further Reading:

FT, News Digest - page 6


Comments

1
By thinking out of the box and re-defining approach to public services away from provision and supply side views to holistic views on demand management and on prevention in the long run... and by developing even more clarity on role of 'government' as 'strategist' / commissioner vs provider (eg Community Interest Companies as delivery vehicles with triple bottom line requirements) Test seems to be separating out 'infinite game playing' - governance from 'finite game playing' of task and finish...eg a brilliant bin emptying service without oversight will lead to waste mountains ! Plus 'staff as asset' still not embedded in leadership / management - most services are 'mgt-by-objectives' / hierarchies / mechanistically 'operated' rather than led as 'living systems' with people at their heart and soul - you can't decree public values but they can be encouraged and nurtured... Jamie
Posted by Jamie Saunders  at 3:58pm on Wednesday, 2nd April 2003

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