Document that is based on a report prepared for ADSW at the time of the Public Bodies (Joint Working) (Scotland) Bill (Petch, 2013) and seeks to distill key evidence to assist health and social care partnerships in Scotland in their delivery of integrated care and support. It works from the premise that structural change by itself does not deliver the improved outcomes sought for service users and communities, unless equal or greater attention is paid to a range of other key factors.
Key points are as follows:
Paper that comes in two parts. First Lesley Sutton shares her experience in looking at (some) data on local authority spend and performance in a few sectors. This is undertaken on the basis of published data, and the annex describes the key data sets that are available and touches upon the significant gaps. Her work does point to a major variation in performance but also emphasises that this is a data and policy minefield; great care should be taken before drawing any conclusions as to relative efficiencies, etc.
Evidence review that focuses on the topic of organisational culture change in the public sector. It examines definitions and approaches to organisational culture and how they relate to the public sector; the type of change that identifies as cultural; what the enablers are to culture change; and describes some of the challenges to changing cultures in the public sector.
Report that explores the views of chief executives and HR directors in a range of local service organisations to gauge how public service leaders are striving to re-engineer the way public services are delivered.
What is clear is that this cannot be achieved without significant behaviour change on the part of managers at all levels and employees on the front line.