Télescope: Revue d’analyse comparée en administration publique, 2013
Cet article étudie l’importante question des risques engendrés par les processus d’innovation dan... more Cet article étudie l’importante question des risques engendrés par les processus d’innovation dans les services publics. On y propose l’idée que les politiques publiques actuelles offrent peu d’orientation aux gestionnaires de services sur la façon de prendre en compte de tels risques, se résumant à mentionner que « c’est important ». Lorsqu’elles existent, les approches de prise en charge des risques et de l’innovation dans les services publics sont invariablement focalisées sur des optiques actuarielles ou concernées par les questions de santé et de sécurité, et ont pour objectif de minimiser ou d’éliminer les risques. Or les risques sont inhérents aux processus d’innovation et il est essentiel d’adopter une nouvelle approche qui reconnaît la nécessité des risques dans les innovations efficaces et qui s’engage de manière plus globale avec les intervenants afin de déterminer les niveaux de risque acceptables comparativement aux bienfaits potentiels pour les services publics d’une i...
Australia. The rationale for this research is a desire to 'promote the uptake of innovations... more Australia. The rationale for this research is a desire to 'promote the uptake of innovations that have been shown to be effective, to delay the spread of those that have not yet been shown to be effective, and to prevent the uptake of ineffective innovations' (Haines & Jones 1994:1488). The paper begins by locating the project broadly within the child and family welfare arena before providing a brief outline of diffusion of innovation theory and the rationale for using it in the research design. It concludes with a discussion about some of the challenges faced. Australian child and family welfare Since settlement Australia has had a mixed model of welfare provision with government and non- government agencies being both providers and funders of social services. More recently the operational relationships between funders and providers have diversified, and membership of these categories has broadened to include business and quasi-government bodies. The provision and deliver...
ABSTRACT Since 1997, Local Authorities have had the discretionary power to pay cash directly to d... more ABSTRACT Since 1997, Local Authorities have had the discretionary power to pay cash directly to disabled adults up to the age of 65 and assessed as needing social service support. More recently, the scope of Direct Payments has been widened to include people aged over 65 ...
... Journal of Interprofessional Care , 15(4): 319–27. ... View all notes. as cost advantages ste... more ... Journal of Interprofessional Care , 15(4): 319–27. ... View all notes. as cost advantages stemming from 'learning by doing' or accumulated experience (see Besanko & Braeutigam, 20054. Besanko, D. and Braeutigam, RR 2005 ... Microeconomics , Second Edition, Hoboken, NJ: Wiley ...
Abstract Risk is a central component of innovation and innovation is seen as essential to the imp... more Abstract Risk is a central component of innovation and innovation is seen as essential to the improvement of public services. The UK government clearly believe that unless public sector services engage with the innovation agenda and find ways to incorporate innovation into ...
The last decade has witnessed a growing interest in the promotion and use of innovation as a mean... more The last decade has witnessed a growing interest in the promotion and use of innovation as a means of improving public services. Rafts of central government initiatives exist to promote, support and learn from innovative activity. This paper examines the adoption of a ...
A decade has passed since family group conferences were initially introduced into the UK by Famil... more A decade has passed since family group conferences were initially introduced into the UK by Family Rights Group. Ten years on, this paper examines the extent to which family group conferences have developed and become embedded into current social work practice. Despite the initial interest by social work practitioners and the picture often painted of a growing radical movement, the degree to which family group conferencing has become part of mainstream practice has until now remained fairly anecdotal. A number of difficulties have been identified with implementing the model, including fitting it into an existing system and the challenge it poses to professionals to hand over power. Two surveys, the first undertaken in 1999 and the second in 2001, describe the current use of the model in the UK by Councils with Social Services Responsibilities (Councils). The surveys reveal the areas of practice within which family group conferences are being used, the size and capacity of projects and why some Councils have adopted the model whilst others remain hesitant. It concludes by considering why family group conferences remain on the margins of practice.
Although it is perceived wisdom that joint working must be beneficial, there is, even at this sta... more Although it is perceived wisdom that joint working must be beneficial, there is, even at this stage, little evidence to support that notion. The present study is an evaluation of two integrated co-located health and social care teams which were established in a rural county to meet the needs of older people and their carers. This study does identify that patients from the ‘integrated teams’ may self-refer more and are assessed more quickly. This might indicate that the ‘one-stop shop’ approach is having an impact on the process of service delivery. The findings also suggest that, in the integrated teams, the initial stages of the process of seeking help and being assessed for a service may have improved through better communication, understanding and exchange of information amongst different professional groups. However, the degree of ‘integration’ seen within these co-located health and social care teams does not appear to be sufficiently well developed to have had an impact upon the clinical outcomes for the patients/service users. It appears unlikely from the available evidence that measures such as co-location go far enough to produce changes in outcomes for older people. If the Department of Health wishes to see benefits in process progress to benefits to service users, then more major structural changes will be required. The process of changing organisational structures can be enhanced where there is evidence that such changes will produce better outcomes. At present, this evidence does not exist, although the present study does suggest that benefits might be forthcoming if greater integration can be achieved. Nevertheless, until the social services and National Health Service trusts develop more efficient and compatible information systems, it will be impossible to evaluate what impact any further steps towards integration might have on older people without significant external resources.
Although it is perceived wisdom that joint working must be beneficial, there is, even at this sta... more Although it is perceived wisdom that joint working must be beneficial, there is, even at this stage, little evidence to support that notion. The present study is an evaluation of two integrated co-located health and social care teams which were established in a rural county to meet the needs of older people and their carers. This study does identify that patients from the ‘integrated teams’ may self-refer more and are assessed more quickly. This might indicate that the ‘one-stop shop’ approach is having an impact on the process of service delivery. The findings also suggest that, in the integrated teams, the initial stages of the process of seeking help and being assessed for a service may have improved through better communication, understanding and exchange of information amongst different professional groups. However, the degree of ‘integration’ seen within these co-located health and social care teams does not appear to be sufficiently well developed to have had an impact upon the clinical outcomes for the patients/service users. It appears unlikely from the available evidence that measures such as co-location go far enough to produce changes in outcomes for older people. If the Department of Health wishes to see benefits in process progress to benefits to service users, then more major structural changes will be required. The process of changing organisational structures can be enhanced where there is evidence that such changes will produce better outcomes. At present, this evidence does not exist, although the present study does suggest that benefits might be forthcoming if greater integration can be achieved. Nevertheless, until the social services and National Health Service trusts develop more efficient and compatible information systems, it will be impossible to evaluate what impact any further steps towards integration might have on older people without significant external resources.
ABSTRACT Since 1997, Local Authorities have had the discretionary power to pay cash directly to d... more ABSTRACT Since 1997, Local Authorities have had the discretionary power to pay cash directly to disabled adults up to the age of 65 and assessed as needing social service support. More recently, the scope of Direct Payments has been widened to include people aged over 65 ...
Télescope: Revue d’analyse comparée en administration publique, 2013
Cet article étudie l’importante question des risques engendrés par les processus d’innovation dan... more Cet article étudie l’importante question des risques engendrés par les processus d’innovation dans les services publics. On y propose l’idée que les politiques publiques actuelles offrent peu d’orientation aux gestionnaires de services sur la façon de prendre en compte de tels risques, se résumant à mentionner que « c’est important ». Lorsqu’elles existent, les approches de prise en charge des risques et de l’innovation dans les services publics sont invariablement focalisées sur des optiques actuarielles ou concernées par les questions de santé et de sécurité, et ont pour objectif de minimiser ou d’éliminer les risques. Or les risques sont inhérents aux processus d’innovation et il est essentiel d’adopter une nouvelle approche qui reconnaît la nécessité des risques dans les innovations efficaces et qui s’engage de manière plus globale avec les intervenants afin de déterminer les niveaux de risque acceptables comparativement aux bienfaits potentiels pour les services publics d’une i...
Australia. The rationale for this research is a desire to 'promote the uptake of innovations... more Australia. The rationale for this research is a desire to 'promote the uptake of innovations that have been shown to be effective, to delay the spread of those that have not yet been shown to be effective, and to prevent the uptake of ineffective innovations' (Haines & Jones 1994:1488). The paper begins by locating the project broadly within the child and family welfare arena before providing a brief outline of diffusion of innovation theory and the rationale for using it in the research design. It concludes with a discussion about some of the challenges faced. Australian child and family welfare Since settlement Australia has had a mixed model of welfare provision with government and non- government agencies being both providers and funders of social services. More recently the operational relationships between funders and providers have diversified, and membership of these categories has broadened to include business and quasi-government bodies. The provision and deliver...
ABSTRACT Since 1997, Local Authorities have had the discretionary power to pay cash directly to d... more ABSTRACT Since 1997, Local Authorities have had the discretionary power to pay cash directly to disabled adults up to the age of 65 and assessed as needing social service support. More recently, the scope of Direct Payments has been widened to include people aged over 65 ...
... Journal of Interprofessional Care , 15(4): 319–27. ... View all notes. as cost advantages ste... more ... Journal of Interprofessional Care , 15(4): 319–27. ... View all notes. as cost advantages stemming from 'learning by doing' or accumulated experience (see Besanko & Braeutigam, 20054. Besanko, D. and Braeutigam, RR 2005 ... Microeconomics , Second Edition, Hoboken, NJ: Wiley ...
Abstract Risk is a central component of innovation and innovation is seen as essential to the imp... more Abstract Risk is a central component of innovation and innovation is seen as essential to the improvement of public services. The UK government clearly believe that unless public sector services engage with the innovation agenda and find ways to incorporate innovation into ...
The last decade has witnessed a growing interest in the promotion and use of innovation as a mean... more The last decade has witnessed a growing interest in the promotion and use of innovation as a means of improving public services. Rafts of central government initiatives exist to promote, support and learn from innovative activity. This paper examines the adoption of a ...
A decade has passed since family group conferences were initially introduced into the UK by Famil... more A decade has passed since family group conferences were initially introduced into the UK by Family Rights Group. Ten years on, this paper examines the extent to which family group conferences have developed and become embedded into current social work practice. Despite the initial interest by social work practitioners and the picture often painted of a growing radical movement, the degree to which family group conferencing has become part of mainstream practice has until now remained fairly anecdotal. A number of difficulties have been identified with implementing the model, including fitting it into an existing system and the challenge it poses to professionals to hand over power. Two surveys, the first undertaken in 1999 and the second in 2001, describe the current use of the model in the UK by Councils with Social Services Responsibilities (Councils). The surveys reveal the areas of practice within which family group conferences are being used, the size and capacity of projects and why some Councils have adopted the model whilst others remain hesitant. It concludes by considering why family group conferences remain on the margins of practice.
Although it is perceived wisdom that joint working must be beneficial, there is, even at this sta... more Although it is perceived wisdom that joint working must be beneficial, there is, even at this stage, little evidence to support that notion. The present study is an evaluation of two integrated co-located health and social care teams which were established in a rural county to meet the needs of older people and their carers. This study does identify that patients from the ‘integrated teams’ may self-refer more and are assessed more quickly. This might indicate that the ‘one-stop shop’ approach is having an impact on the process of service delivery. The findings also suggest that, in the integrated teams, the initial stages of the process of seeking help and being assessed for a service may have improved through better communication, understanding and exchange of information amongst different professional groups. However, the degree of ‘integration’ seen within these co-located health and social care teams does not appear to be sufficiently well developed to have had an impact upon the clinical outcomes for the patients/service users. It appears unlikely from the available evidence that measures such as co-location go far enough to produce changes in outcomes for older people. If the Department of Health wishes to see benefits in process progress to benefits to service users, then more major structural changes will be required. The process of changing organisational structures can be enhanced where there is evidence that such changes will produce better outcomes. At present, this evidence does not exist, although the present study does suggest that benefits might be forthcoming if greater integration can be achieved. Nevertheless, until the social services and National Health Service trusts develop more efficient and compatible information systems, it will be impossible to evaluate what impact any further steps towards integration might have on older people without significant external resources.
Although it is perceived wisdom that joint working must be beneficial, there is, even at this sta... more Although it is perceived wisdom that joint working must be beneficial, there is, even at this stage, little evidence to support that notion. The present study is an evaluation of two integrated co-located health and social care teams which were established in a rural county to meet the needs of older people and their carers. This study does identify that patients from the ‘integrated teams’ may self-refer more and are assessed more quickly. This might indicate that the ‘one-stop shop’ approach is having an impact on the process of service delivery. The findings also suggest that, in the integrated teams, the initial stages of the process of seeking help and being assessed for a service may have improved through better communication, understanding and exchange of information amongst different professional groups. However, the degree of ‘integration’ seen within these co-located health and social care teams does not appear to be sufficiently well developed to have had an impact upon the clinical outcomes for the patients/service users. It appears unlikely from the available evidence that measures such as co-location go far enough to produce changes in outcomes for older people. If the Department of Health wishes to see benefits in process progress to benefits to service users, then more major structural changes will be required. The process of changing organisational structures can be enhanced where there is evidence that such changes will produce better outcomes. At present, this evidence does not exist, although the present study does suggest that benefits might be forthcoming if greater integration can be achieved. Nevertheless, until the social services and National Health Service trusts develop more efficient and compatible information systems, it will be impossible to evaluate what impact any further steps towards integration might have on older people without significant external resources.
ABSTRACT Since 1997, Local Authorities have had the discretionary power to pay cash directly to d... more ABSTRACT Since 1997, Local Authorities have had the discretionary power to pay cash directly to disabled adults up to the age of 65 and assessed as needing social service support. More recently, the scope of Direct Payments has been widened to include people aged over 65 ...
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