Scottish Government public services reforms

Scots regimen common portions reformsThe Scottish Government together with local anaesthetic authorities, partners and stakeholders have initiated reforms in the way in which universal services should be provided to achieve a sustainable, person-centred system, achieving outcomes for every(prenominal) citizen and every community. (Scottish Government 2011a)It is believed that everyone has to make a component part. The Government set the nominates to the services that should be person-centred, seamless and pro behaveive. Services that would allow everybody to have best quality of life and give the full potential of contribution to the communities people live in. The key aspects involved in the world service supply focus on equality, respect and dignity, shop in overcoming inclusion barriers and prevalent positive outcomes and well being. The accentuated determine relate also to the individualised needs such as religion, culture or ethnic.Problems such as growth in pub lic spending, social inequalities, poverty, lack of clarity in what lies behind organizations etc. have their origins in the way different services are funded, planned and managed. However, the aim of the Scottish Government remains unchanged and is to reduce the frustration resulting on long standing problems such as inefficiency of the public services, and the gaps that frequently exist in spite of appearance care systems. (Scottish Government domainations 2000). Researchers investigate what people value most to archive real-life improvements in the social and economic wellbeing of the people and communities. Half of the public envisions that the Governments foreground for service provision should be what is good for everyone in society as a whole (Ipsos MORI, 2010). This show that a progress in the development of an combine public service has already occurred but requires continuation to success.Reaching an understandingIt needs to be understood that public services and supp ort systems exist for the society that use them. Evidence such as Christie Commission report (Christie, 2011), demonstrate that the needs have non always been central to the be after of services.The people that use the services often perceive themselves to be not sufficiently informed and not fully able to take part in the growth process of the services.Some changes in the service provision in relation to shifting the philosophy have already taken place. This makes the service provision more user centred and allows the user to participate actively in the changes and benefit the majority. (Rose, 2003)Client centredness became the watchword for the twenty-first century besides the progress in the execution of person-centred planning in practice appears slow.Since devolution, there has been development, changes and new policies for health care, with reorganisations taking place, that are generally called reforms. These refer mainly to long-sufferings choice system efficiency qual ity of care and accountability acquired through transparency.In Scotland, for example, the separation of purchasing from provision of health care was abolished (National Health Service and Community Care exemplify 1990) it is not recommended for the providers to compete The National Health Service (Free Prescriptions and Charges for Drugs and Appliances) (Scotland) Regulations (2011) implemented free drugs prescriptions as well as personal social care for the over-65s (Community Care and Health (Scotland) Act 2002).Recent changes relate to the abolition of primary care trusts (PCTs) and strategic health authorities (SHAs), new commissioning of clinical groups (CCGs) andHealthwatch England.Other examples of success relate to alter the quality of services that include smoking ban legislation lower mortality levels or decrease in heart disease and stroke through a number of governmental initiatives. These changes led Scotland to become a leader in public service reforms and made vis ible improvements for the Scottish society.The systems integration with social services discourages provider competition and encourages patient choice and strong performance management. The Scottish Governments 2020 Vision (Scottish Government (a) 2013) aims to enable everyone to live a life that is longer, healthier possibly at home or in a homely setting. To achieved that the healthcare system that focuses on prevention and anticipation and on the integration with social care.Positive changes improving peoples lives do take place at matter and local levels. However, studies show that the public are overall more negative about services nationally and show positive stance about local services. This tolerate be reasoned by the affirmative actions in which the public can have a bigger impact on how local services operate and the on the finishing making. national Service Trust states that more than a half (58% ) of the public would like to be actively involved in shaping public se rvices. Although this is more than a half of the public it proves that there is the need for more community and local activity an engagement in relation to the public services in found to reduce and minimise the substantial barriers.(Ipsos MORI 2010)These are only a few examples of the improvement that has occurred due to the governmental actions focused at partnetships between service providers and enthronement in people. (Scottish Government (c ) (2013)New legislation was introduced ( The Scottish Government (c)2013) to improve the integration of health and social care provision to make care for the citizens better. This affects oddly older people free personal care for them and acknowledging the facts highlighted in the Christie report (Christie, C. 2011) that by 2033, the number of people aged over 75 will summation by 84%.The report ( Christie, 2011) estimates however that additional demands on social care and justice services will be costly (Although there is march demon strating progress especially in implementing diverse and innovative approaches that appeal to healthcare and social care professionals, practitioners and policymakers there are also many challenges of implementing the client-centerness.Achieving outcomes for every citizen and every communityWhile many professionals espouse the principles of client-centred practice it seems much more difficult to implement these into every daytime practice.Health care providers, staff and clients must bat together to facilitate changes and ensure that each client receives respectful, supportive, coordinated, flexible and individualized service where standards affirm basic ethical principles, beneficence and social justice. This is however a real change, due to many factors including changes in funding, culture and power relations, as well as in approaches to service management and staff supervision.This is why wariness is paid to more openly and transparent performance of the services .This however according to Dr Barry ( Barry, M. 2007) requires comprehensive strategies to ensure fair, good quality but foremost integrate services for people with the knowledge and well structured priorities in relation to their professional and social roles.Across researchers (Ipsos MORI, 2010), it is to see that not all the issues policymakers happen heavy for reforming public services resonate with the general public at the uniform levels. The fairness, good quality standards of customer service, local control, accountability, personalisation and choice are seen as publics key priorities, however the first two aspects seem to be more important to the public. 63% think that standards of public services should be the same for everyone and everywhere in UK and over 47% would prefer greater local decision-making. This could be a consequence of declining trust in politicians. The findings of Ipsos MORI (2008/9) suggest that the citizens would like to chance more welcomed to take a part in a n honest debate about the options ahead for public services because information about the scale of the draw close challenges has not reached citizens in a form they understand.This demonstrates the need of more control and choice in the consumer, and facilitates individualised rather than universal services.Roles, relationships and responsibilities of partners within an integrated public service.Many of current public services continue to operate on the basis of the traditional model of service provision. To allow the changes in how resources are managed and allocated to slip by there is a growing need for appropriately trained staff and management. However to support the reforming public services change for a well integrated multi-agency working not just at managerial level is needed but a change to the whole culture that governs services.Collaborative working, partnership and community involvementCo-operation that would replace competition is required as well as focus on profes sional responsibility on meeting the increasing complexity. ( munificent College of Nursing, 2004). The collaborative work, in practice should involve joint planning between health authorities both local and national as well as the clandestine and voluntary sectors and education.Working together includes the whole process of researching, assessing, planning, implementing and evaluation. Balancing power relations in partnership across cultures, ethical, political or religious differences summercater an important role in promoting appropriate services for the service users. Teamwork and partnership often do not operate in an integrated way where the patient or service user would be seen as the central figure. The users involvement is vital. Working together, joining trade unions, expanding knowledge and engaging with local authorities helps find ways to reach excluded and marginalised groups of a society.( department of Health 2000 a).This is already notable in the programs of most of the political parties. The citizens empowerment is seen as a social manner that can influence and shape the public services to suit better the users need. Giving people a say in the design and delivery of public services.This is however a social challenge as the public opinion research show a decrease from 58% to 47% in disposition to the interests in decision-making related to the local champaigns. ( Ipsos MORI 2010).This is why people should be motivated to get involved in collaboration and partnerships within the public services, they should be offered the chance to office experiences and discuss actions and widen the pool of resources and skills. The impetus for integration and collaboration has been pointed out in legislations and government policies such as The Vital Connection (Department of Health, 2000a), NHS plan (Department of Health, 2000b) or in the Governments Equality Framework (Department of Health, 2012)This demonstrates clearly that seamless health and social services provision has been a concern of policy makers for many years and that the UK governments underline the need for collaboration. However when the public was asked about getting personally involved in local decision-making, the commitment to involvement in decisions affecting their local area has dropped to 47% from 56%. (Ipsos MORI (2010). This could be one of the explanations why problems continue to exist.Service planning, empowerment and engagementThe notion of empowerment is central. This however requires peoples engagement. Research shows that people find that vast majority are more interested in having a say (24%) or in knowing more (47%) than actually getting engaged. The service planning should therefore include informative element how the services are delivered and by whom for the users in order to engage them to recreate services they need.According to the annual Audit of Political Engagement only 11% of adults can be classified as political activists and over hal f the public (51%) have no interests. (Ipsos MORI 2010). It seems that co-making decisions is less important than having the influence to make them.Managers and frontline workersPoor image, desinformation and low pay contribute to general feelings of helplessness among many frontline workers that should be involved decision-making and planning processes (Eborall,2003).managerial styles need to be empathetic in order for frontline staff to adopt person-centred approaches to their work ( Sherad, D. 2004)A good style helps demonstrate and articulate the values of the organisation, values personal commitment and relationships with the people it supports. Look for ways to use staff interests and strengths in directly supporting people.The style shall rather review itself in decision making and in having a clear vision and direction. This encourages new ideas as well as personal involvement and helps to achieve the purpose as a team..The Government support management and frontline staff i n public services by implementing programmes that lead to integration of health and social care. One of the examples is The public Bodies (Joint Working) (Scotland) Bill. The act underlines the importance of the integrated work for health and social care provision across Scotland.They both have a key role to play reforming the public services, therefore the reform should involve more educational, council, employer and training bodies to help improve the workforce awareness and leadership development.Also thethird sector organisations should have access to appropriate skills development opportunities, including leadership development .(The Scottish Government ( 2011 b)Summarising it needs to be believed that people learn from the past experiences and improve partnership at local and national levels to build a well functioning system that could seamlessly provide care for the whole community, including people with complex care needs because at the end of the day we do it for us.( wor ds 2641)ReferencesBarry, M. (2007) Effective Approaches to Risk Assessment in neighborly Work An International Literature Review Social Work Research focalise University of Stirling Scottish Executive Social Research online unattached http//scotland.gov.uk/ pick/Doc/194419/0052192.pdf accessed 11.11.13Christie, C. (2011) Commission on the future delivery of public services online available http//www.scotland.gov.uk/Resource/Doc/352649/0118638.pdf accessed 01.12.13Department of Health (2000 a ) The Vital Connection an equalities framework for the NHS online available http//webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4007652 accessed 11.12.13Department of Health (2000 b) The NHS Plan Principles online available http//webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/publicationsandstatistics/publications/publicationspolicyandguidance/browsable/DH_4901318 accessed 11.12.13Department of Health (20 12) NHS Outcomes Framework 2013 to 2014 online available https//www.gov.uk/government/publications/nhs-outcomes-framework-2013-to-2014 accessed 02.12.13Eborall, C. (2003) The State of the Social Care Workforce in England. First annual report of the TOPSS England Workforce Intelligence unit of measurement online available www.topssengland.net accessed 10.11.13Hall, S. (2009) Spending priorities in the benefits system Deliberative research with the public DWP Research Report No 559.Ipsos MORI (2008/9) Real Trends Slide Pack online available http//www.ipsos-mori.com/researchpublications/publications/1191/Real-Trends-Flyer.aspx accessed 11.12.13Ipsos MORI (2009) Public Services and Public Spending, RSA Slide Pack Leaders, Parties and spending cuts online available http//www.ipsos-mori.com/Assets/Docs/News/news-ipsos-mori-conferences-2009-briefing-pack.pdf accessed 18.12.13 Ipsos MORI (2010) What do people want, need and expect from public services online available http//www.ipsos-mo ri.com/researchpublications/publications/1345/What-do-people-want-need-and-expect-from-public-services.aspx accessed 12.12.13Public Bodies (Joint Working) (Scotland) Bill (2013) online available http//www.scottish.parliament.uk/S4_HealthandSportCommittee/Public%20Bodies%20Joint%20Working%20Scotland%20Bill/PBJW0073_-_Scottish_Social_Services_Council.pdf accessed 01.12.13Rose, D. (2003) Partnership, co-ordination of care and the place of user involvement Journal of Mental Health, Vol. 12, No. 1, pp. 5970 online available http//informahealthcare.com/doi/abs/10.1080/09638230021000058300 accessed 01.12.13Royal College of Nursing (2004) Collaborative working, partnership and community involvement online available http//www.rcn.org.uk/development/learning/transcultural_health/multiagency/sectiontwo accessed 11.11.13Sheard, D. (2004) Person-centred care the emperors new clothes? Journal of madness Care, March/April, Vol. 12, Issue 2, pp. 224The Scottish Government ( 2011 a) Commission on the Future Delivery of Public Services online available http//www.scotland.gov.uk/Publications/2011/06/27154527/10 last accessed 09.01.14The Scottish Government ( 2011 b) 7 million for third sector online available http//www.scotland.gov.uk/News/Releases/2011/07/18120453 accessed 10.11.13The Scottish Government (2013 b) Route Map to the 2020 Vision for Health and Social Care (no author) Topicsonline available http//www.scotland.gov.uk/Topics/Health/Policy/Quality-Strategy/routemap2020vision (last accessed 04.10.13)The Scottish Government (2013 c) Scotland leads the way on public service reform (no author) News online available http//www.scotland.gov.uk/News/Releases/2013/06/PSR19062013 accessed 01.12.13The Scottish Government (a) (2000) Our National Health A plan for action, a plan for change ( Deacon, S) Publications online available http//www.scotland.gov.uk/Resource/Doc/158732/0043081.pdf (last accessed 05.12.13)The Scottish Government 2013 a) 2020 Vision (no author) Topi cs online available http//www.scotland.gov.uk/Topics/Health/Policy/2020-Vision (last accessed 04.10.13)ReadingSocial Research (2004) Health and Community Care Research Programme Public Attitudes to the National Health Service in Scotland http//www.scotland.gov.uk/Resource/Doc/26800/0025702.pdf 2004 Survey Research st accessed 04.10.13)Commission on the Future Delivery of Public Services