Posted by: rickwilsontg | July 23, 2009

Choice is back in fashion.

I am meeting with Geoff Thomas of Timebanking Wales to look at a co-productive approach to Locality Building that we could explore explore in Swansea. As part of our preparations he sent me this and I thought it was great, so I am including it as a post.

Timebanking Wales

Timebanking Wales

The old word choice is back in fashion. But what are its new followers failing to say? The answer is obvious. “Don’t mention competition” is the unspoken imperative. The promise to give citizens choice carries with it the promise that services are likely to improve as a result. Many politicians believe this. Their reasoning is thus. Choice for citizens means insecurity for providers. Insecurity keeps providers on their toes.  When providers must compete with rival providers and face closure if they fail, then they will work harder and strive more assiduously to find out what citizens want. The citizen’s “choice” thus becomes a means to an end; a state of competition whose inherent insecurity will push service providers into raising their game.

But when people say they “want choice” what they usually mean is they want to see improvements in services. “Give me a choice” is often a polite way of saying “listen to my voice”.  The prospect that social care agencies should battle with rivals for survival not only alarms people, it is a nonsense. Collaborative working where agencies and citizens pool resources for strategic ends will yield much better results.

We simply need to remind ourselves of Bevan’s maxim that

  • “for us (people and agencies working together) empowerment meant the use of collective action to transform society and so lift all of us together”.

The key words are “collective action” not “competitive action”. Competition not only carries with it fragmentation of supply, it ultimately blinds providers to what should be their primary goal : the public good. It can also distort the citizen’s view that being ‘IN CONTROL’ simply means being empowered as a consumer in the market place.

In the past service delivery has frequently been AGENCY DIRECTED and rightly has been criticised for wielding this unequal weight of power within a relationship. Clearly there needs to be a new conversation that has mutual benefit; primarily harnessing and nurturing the growth and development of people in communities.

The BIG post war mistake was to airbrush mutuality from the operating structure of public services, replacing it with a state model of “AGENCIES IN CONTROL” that came to provide goods and services ‘for’ or ‘to’ people. By disengaging citizens as active agents of change, the agencies as designers and deliverers failed to engage the creative input of service receivers. The citizen was relegated to consumer, a watchdog barking at the heels of the service provider.  So how should this issue be addressed?

As stated previously, one political answer is to risk turning down another cul-de-sac by introducing choice and competition into public services, assuming that competition between drivers will improve service delivery.  But a change of driver is not a fundamental change of direction. If we are heading in the wrong direction then changing drivers will not get us very far, apart from bitter arguments about who is best qualified to drive the rickety train. A better answer entails creating in the 21st century a modern version of mutualism in a renewed civil society, This means multilateral co-operative methods of working and the re-introduction of co-production into the operating structure of third and public sector agencies: citizens and agencies in MUTUAL CONTROL actively working together to collectively CO-PRODUCE mutually agreed outcomes.

Co-production goes well beyond the idea of ‘citizen engagement, or ‘service user involvement’ to foster the principle of equal partnership. Co-production dissolves the distinction between providers and consumers of services. It offers to transform the dynamic between citizens and public service workers, putting an end to ‘them and us’. Instead people pool different kinds of resources, knowledge and talents, capabilities ideas and relationships to co-produce well being for all.  Co-production is about making the best use of all resources – building locality by helping the core economy to grow; moving from a welfare state to a civic state of well being.

Professor Michael Sandel in the recent Reith lectures reminds us that agencies must prioritise working with citizens to rebuild the architecture of civic life, suggesting that the virtues of democratic life – community, solidarity, trust, civic friendship – are not like commodities that are depleted with use. They are rather like muscles that develop and grow stronger with exercise.

As William Beveridge said more than 60 years ago, now is ‘a time for revolution, not for patching’.



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