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	<title>The Euston Manifesto &#187; public service reform</title>
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	<description>for a renewal of progressive politics</description>
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		<title>Time and Service</title>
		<link>http://eustonmanifesto.org/2007/06/28/time-and-service/</link>
		<comments>http://eustonmanifesto.org/2007/06/28/time-and-service/#comments</comments>
		<pubDate>Thu, 28 Jun 2007 16:00:45 +0000</pubDate>
		<dc:creator>Pat McFadden</dc:creator>
				<category><![CDATA[debate]]></category>
		<category><![CDATA[Social Democratic Futures]]></category>
		<category><![CDATA[Headway]]></category>
		<category><![CDATA[NHS]]></category>
		<category><![CDATA[Pat McFadden MP]]></category>
		<category><![CDATA[pensions]]></category>
		<category><![CDATA[public service reform]]></category>
		<category><![CDATA[twenty-four-hour living]]></category>

		<guid isPermaLink="false">http://eustonmanifesto.org/?p=303</guid>
		<description><![CDATA[Time is not free, yet too often, the way service is organised suggests that it is. Time is precious and limited. There is so much to do, see and experience in this world. And the more that we can spend our time positively, the&#160;better. Why then do we sometimes treat the public as though they [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Time is not free, yet too often, the way service is organised suggests that it is.</strong><br />
<span id="more-303"></span><br />
Time is precious and limited. There is so much to do, see and experience in this world.  And the more that we can spend our time positively, the&nbsp;better.</p>
<p>Why then do we sometimes treat the public as though they have unlimited supplies of this precious and limited&nbsp;resource?</p>
<p>This is not just an issue for the public sector.  There are examples of good and bad service in both public and private sectors.  My point today is that a consideration of time&thinsp;&#8212;&thinsp;the customer&#8217;s and the citizen&#8217;s time&thinsp;&#8212;&thinsp;should be at the forefront of thinking about how services are&nbsp;delivered.</p>
<p>Sometimes, when we call a government department or agency, perhaps not knowing if we&#8217;re starting at the right place, we can get passed along, or have to make the call all over again because the process went wrong in the first place.  It takes time and when it does not go well it can be frustrating and&nbsp;debilitating.</p>
<p>Then there is waiting at home for a delivery or an engineer to call when we have been told it is an all day appointment and the company cannot be any more&nbsp;precise.  </p>
<p>Something that may take just a few minutes in terms of the delivery or the job needing done can end up taking the whole day, with people having to go through the inconvenience of taking time off work or time not being able to be spent on something more positive in order to wait all day for the person to arrive.  It&#8217;s even worse of course if the person doesn&#8217;t turn&nbsp;up.</p>
<p>Service like this is time&nbsp;stealing.</p>
<p>The all day appointment, with no call to say the service is coming or no window within the day to say when it will arrive, is in a sense the hallmark of poor service.  The terms of such a transaction are clear.  The company will deliver in a manner geared to its convenience and the customer&#8217;s&nbsp;inconvenience.</p>
<p>And this demonstrates that this is not just about time.  It is about power.  It gets to the heart of the question, who is working for whom?  Who is important in this situation? Making people wait like this is a transfer of part of the burden of delivering the service from the provider to the&nbsp;user.</p>
<p>If the customer&#8217;s time or the citizen&#8217;s time is treated as precious, if every effort is made to ensure they don&#8217;t waste time, then this says a lot about how the organisers of the service feel about their customers and their&nbsp;importance.</p>
<p>If it is thought this doesn&#8217;t matter, that the citizen or customer can wait, then it is clear that those organising the service think that they, not the customer, have the&nbsp;power.</p>
<p>Of course some companies offer a fantastic service and do much better than the all day calling slot.  They give a one or two hour slot and in doing so they are making clear that they understand the customer&#8217;s time is not&nbsp;free.  </p>
<p>They know people are busy and have a lot of demands on their time, and they are making an effort to do things at the convenience of the customer, even if that means inconvenience to&nbsp;them.</p>
<p>I recently noticed ads taken out by a major electrical goods supplier advertising narrow delivery slots, a call to let you know they were on their way and removal of the packaging after the products were&nbsp;delivered.  </p>
<p>None of this was about the price of the goods.  It was a realisation that their customers&#8217; time was precious and by taking out the ads, they are letting their customers know that they know this is the case and that they have, at least in part, organised the business around&nbsp;it.</p>
<p>Service like this is time&nbsp;giving.  </p>
<p>And it&#8217;s also an explicit acknowledgement that it is the customer who is in charge and that the service will be organised around them, not the other way&nbsp;round.</p>
<p>This issue of time and service is not just about deliveries and engineers calling but is also critical to public service&nbsp;reform.</p>
<p>And the reason it goes to the heart of public service reform is because it recognises that the essence of this is about changing the power relationship to one that empowers the public, the service&nbsp;user.</p>
<p>Now some public services do a great job of time giving, and some major changes have been made in this direction in recent&nbsp;years.</p>
<p>But before coming on to specifics let&#8217;s just pause for a moment on the question of who benefits from a public service reform which seeks to save people&nbsp;time.</p>
<p>There is a stereotype that this is just an issue for the cash rich time poor section of the population, for blackberry man and woman.  It certainly is an issue for them, and it is important that public services help to make life easier for hard pressed tax paying busy people. They have a right to expect that service will respond to the way they live their&nbsp;lives.</p>
<p>However it is also profoundly important for poorer income groups.  It is often those with the least income and other resources who may be more likely to have to deal with a number of different government agencies and departments, who may be passed from office to office or call centre to call centre, trying to sort out the business they have to do with&nbsp;government.</p>
<p>For people in this position, it is not just a matter of being busy.  It&#8217;s often a matter of battling through the day to get the help they need and are entitled&nbsp;to.</p>
<p>A wasted trip to a public service office for a single mother could involve the expenditure of considerable social capital as well as very limited funds. She may have to ask a neighbour or a relative to baby sit. She may have to pay for this and to spend money on public transport. And if, through no fault of her own, all of that is wasted the cost to her can be very&nbsp;large.  </p>
<p>Or the person who doesn&#8217;t have a job where access to a phone or the internet is easy, who has to use their lunch hour to deal with a government office. They need the transaction to go well and the problem to be dealt&nbsp;with.</p>
<p>The Dutch Government recently measured some public service transactions in terms of their time cost to the&nbsp;public.</p>
<p>They found for example that the parents of a disabled child spent 124 hours organising the care, benefits and education for their child.  This was just the parents&#8217; time dealing with the authorities, not the time spent actually educating their&nbsp;son.</p>
<p>A woman trying to organise care for her mother with Alzheimer&#8217;s disease spent 31 hours dealing with government&nbsp;agencies.</p>
<p>A man who lost his job spent 81 hours sorting out his benefits and jobsearch&nbsp;help.</p>
<p>I recently met with representatives of a charity called Headway which helps people with acquired brain injuries.  One of the issues they raised was the time it takes for carers to chart their way through the system of getting the information and help their relatives&nbsp;need.</p>
<p>So time matters, and it matters for everyone, though the hardest pressed sections of the population are often more likely to have to have more contact with more government agencies and less likely to be able to buy time back by hiring domestic help, having a car to get from A to B quicker or spending money in other ways to free up&nbsp;time.</p>
<p>There is then, I believe, a link between time giving and enabling people to have more opportunities.   If Britain needs to use the talents of all the people to prosper in a competitive global world as I believe we do, then we need to waste less of our people&#8217;s time to enable them to spend it more&nbsp;productively.</p>
<p>In the past, labour saving devices like the washing machine liberated people enormously from some of the drudgery of day to day life, allowing more time to be spent positively, be that in work, with family, on leisure or whatever else we are&nbsp;doing.</p>
<p>But for today and the future a critical question is not just new inventions but how we organise things, how we ensure that the services we provide free up people&#8217;s time. Because to do so is profoundly empowering for those who can&nbsp;benefit.</p>
<p>In the public services, there are already major timing giving reforms under&nbsp;way.</p>
<p>Let&#8217;s take the example of the NHS.  This is a system which has been close to the hearts of the British people ever since it began.  Our health care is based on need not ability to pay.  This is seen as fair and offering vital security to people.  Whatever else goes wrong in our lives, the NHS is there for us and our families if we need&nbsp;it.  </p>
<p>The advantages of the system are familiar and huge.  But there has always been one problem with a system provided free at the point of use yet with limited capacity and that is that in the past, people had to wait, often for long periods, for non emergency&nbsp;treatment.</p>
<p>Before 1997, this problem had gotten so bad that people were routinely waiting 18 months or two years for operations like knee and hip&nbsp;replacements.  </p>
<p>This was time stealing on a grand scale.  It was also security and peace of mind stealing as the months went by and people waited, and waited, in&nbsp;pain.</p>
<p>The centrepiece of government health reforms has not been to do away with the good parts of the NHS like the free treatment or the treatment based on&nbsp;need. </p>
<p>Instead, when it came to reform we chose to tackle this issue of waiting.  The aim was a fundamentally progressive one&thinsp;&#8212;&thinsp;a system of health care free at the point of use but also one with vastly reduced waiting times.  And of course it was those who could not opt out who had most to gain from the reduction in&nbsp;waiting.</p>
<p>And this desire to reduce waiting times drove a lot of other changes&nbsp;too.  </p>
<p>It meant a bigger system all round, with more doctors, more nurses and more modern&nbsp;hospitals.</p>
<p>It meant sometimes controversial reforms like bringing in extra capacity from outside the NHS&thinsp;&#8212;&thinsp;though the patients&#8217; treatment continues to be&nbsp;free.</p>
<p>It meant offering choice so that if there were long waiting times at one hospital, the patient could go to another where they would have to wait&nbsp;less.</p>
<p>And it is working.  As waiting times have fallen, first to 12 months, then  9, then 6 months people have been given time back.  And the hidden time issue is also being tackled.  The government&#8217;s target for this parliament of treatment within 18 weeks is 18 weeks from referral by your GP to the surgery itself taking place.  It measures the whole journey, not just a part of&nbsp;it.</p>
<p>This change is a huge exercise in giving time back to thousands of patients who in the past would have been waiting in&nbsp;pain.</p>
<p>There are other examples of public sector time saving&nbsp;too.  </p>
<p>For example, the government gave people a choice of continuing to renew the tax disc for their car in the traditional way during office hours or doing it online whenever they wanted.  Nine million people have chosen to do it online.  The ability to offer the service meant matching up databases from both public and private sectors for the convenience of the car owner.  It not only saves the public time on the actual transaction but like all online services it means it can be done at a time of people&#8217;s own choosing not just during normal office&nbsp;hours.</p>
<p>This aspect of online services is crucial to time giving.  Online transactions have rendered obsolete the concept of opening hours for those transactions.   Twenty four hour availability means transactions can be carried out a time of the customer&#8217;s choosing, not hours of service defined by the&nbsp;provider.</p>
<p>Another good example of public sector time giving is the reformed pension&nbsp;service.  </p>
<p>In the past, when people approached retirement in this country they had to fill out a number of forms and the whole process took significant time.  Recently, that process was reorganised and is now done mostly on the phone, with home visits for the minority who need them.  It usually takes about 20&nbsp;minutes.  </p>
<p>Moreover, as extra time saving help, if someone is entitled to pension credit, the pension service now offers to talk to the local authority to make sure the person also gets the council tax benefit which is based on the same&nbsp;information.</p>
<p>Here, time giving has been taken an extra step, not only to ensure that the particular service you are dealing with operates well, but also to talk to another part of government&thinsp;&#8212;&thinsp;in this case your local council&thinsp;&#8212;&thinsp;to save you time on another&nbsp;transaction.</p>
<p>This aspect of time giving - the sharing of information between different parts of government - has huge potential because one of the frustrations of dealing with government is giving the same information over and over again. This was explicitly cited by the couple in the Dutch study with the disabled&nbsp;son.</p>
<p>So the task for public service if we are interested in time giving is not only to make sure our own processes are more efficient but that where it can make life better for the citizen we make sure different parts of government co-operate with one another to save that person&nbsp;time.</p>
<p>Most people expect that to happen now but too often it does&nbsp;not.</p>
<p>This issue of information sharing can be controversial. Some campaigners believe information sharing endangers privacy.   Whether you believe that, or whether you believe it is just good service improvement is a matter of opinion.  Certainly, few pensioners have complained about the idea when offered the council tax benefit service by the pension service.  I acknowledge concerns over privacy but I also believe that time should be a factor in the information sharing&nbsp;debate.</p>
<p>And some of this issue around information is about seeing the benefits and knowing what it is used for.  People who take out supermarket clubcards do not normally object to the supermarket knowing their buying habits.  And the vast majority of the population with mobile phones tend not to object to the fact that the technology allows the mobile phone companies to know where we are most of the time if they needed to find&nbsp;out.</p>
<p>It is easy to conjure up an image of a big brother state but it should not be a principle of liberty that different parts of government never talk to one another when to do so could save citizens valuable&nbsp;time.  </p>
<p>I have cited some examples of good public sector time saving today. But I know there are also poor ones.  Inefficiencies in call centres, with a large volume of calls being about problems which should have been dealt with elsewhere.  Too many boundaries still in place between different agencies and departments. We have definitely made progress but there is much more to&nbsp;do.</p>
<p>One area government is working on is over critical moments in any family&#8217;s life such as bereavement or childbirth or moving&nbsp;house.  </p>
<p>At the moment, apart from the pain and personal loss of bereavement, it can also mean contact with many parts of government, local and national, for the family of the person who has died.  More could be done to make this process&nbsp;easier.</p>
<p>The other day I visited the pioneering Bereavement Centre run by my own local authority in Wolverhampton. Staff there have developed a service which helps families in these most painful of circumstances.  The Bereavement Centre undertakes to contact a number of government agencies for the family, not just giving them the numbers or the forms but taking care of the bureaucracy for them. In fact the philosophy of those who work there is &#8220;we&#8217;ll do that for you&#8221;&thinsp;&#8212;&thinsp;a very good principle in time saving public service&nbsp;reform.</p>
<p>The government also wants to do more on this issue at a national level so my colleagues at the Department of Work and Pensions are following through the process families have to go through when something like bereavement or childbirth happens to see if we can make this easier for people by reducing the need to give the same information over and over&nbsp;again.  </p>
<p>Over the next few years, I believe this issue of service organisation and time will become far more important. As options open up for people, and in some respects, lives become faster, people will expect service both public and private to&nbsp;respond.</p>
<p>How important in all of this is choice?  When different delivery companies offer an all day slot or on the other hand one hour slots, choice can play an important role by allowing us to choose the company which is going to go the extra mile to save time for&nbsp;us.</p>
<p>In a similar way, choice has been important in driving down waiting times because hospitals know that patients can choose to go where waiting times may be less than at the local hospital.  In a different way, choice has played a crucial role in allowing people buying a car tax to do it in their own time.  In this case the provider did not differ&thinsp;&#8212;&thinsp;the choice came in the means of accessing the&nbsp;service.</p>
<p>In some cases though, choice is not so easily available as a means of change.  For example, we only get our state pension from the state.  However here too big time saving improvements have been made thanks to good leadership and a willingness to reform how the service is delivered.  Choice certainly can be a driver of time saving but we also need to ensure that time saving changes are made in areas not readily geared to choice driven reforms.  Good leadership and thinking about service delivery from the point of view of the public can save time in these areas&nbsp;too.</p>
<p>Why for example, should processing applications for free school meals take up to six weeks when a pilot study has shown it is possible this could be done in a&nbsp;day?  </p>
<p>All of this is important not only for good service but also for the national interest. Often, when we talk about efficiency the image conjured up is one of the financial balance sheet.  But consideration of the public&#8217;s time is also an important dimension in efficiency.  And not wasting time is crucial to Britain&#8217;s efficiency as a country. There is, if you like, only so much time in our national time bank. And using it well can benefit us&nbsp;all.</p>
<p>For all the detail of changes made to public services in recent years, at the heart of it has been a single issue&thinsp;&#8212;&thinsp;that change had to happen because we were moving from a world where the provider of the service had often seemed in charge to one where the customer and the citizen are in charge.<br />
This is not a process that can be stopped or reversed.  Wider change in the world means that the days of the provider being in charge are not coming back.  In many spheres of life people are more empowered than they were before. In public services the process has to be taken forward, to further empower citizens and ensure that services revolve around their needs and the pressures upon&nbsp;them.</p>
<p>We are already doing this through shorter waiting times, through putting services online and through reorganising&nbsp;others.</p>
<p>But there is much more to be done.  The process of empowerment must go&nbsp;on.</p>
<p>Time is at the core of&nbsp;this.</p>
<p>We only live once.  There are many more things we&#8217;d all rather do than wait in a boring&nbsp;queue.</p>
<p>Let those of us who care about public service see the freeing up of time as a liberating empowering good in itself, and let&#8217;s change things so that we give people more of their own precious and limited&nbsp;time.</p>
<p><span class="note"><a href="http://www.wolverhampton.gov.uk/government_democracy/central/mp/mcfaddenpb.htm">Pat McFadden MP</a> is Parliamentary Secretary to <a href="http://www.cabinetoffice.gov.uk/">the Cabinet Office</a>. To respond to this article <a   rel="nofollow" id="sto_emailShroud1" href="http://www.somethinkodd.com/emailshroud/emailaddress.php?domainName=aol.com&amp;userName=alandemocratiya&amp;ver=2.2.0" >contact Alan Johnson</a>, Editor of Social Democratic&nbsp;Futures</span></p>
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		<title>Bill Cooke replies to Tony Blair</title>
		<link>http://eustonmanifesto.org/2006/11/05/bill-cooke-replies-to-tony-blair/</link>
		<comments>http://eustonmanifesto.org/2006/11/05/bill-cooke-replies-to-tony-blair/#comments</comments>
		<pubDate>Sun, 05 Nov 2006 04:31:16 +0000</pubDate>
		<dc:creator>Bill Cooke</dc:creator>
				<category><![CDATA[debate]]></category>
		<category><![CDATA[Social Democratic Futures]]></category>
		<category><![CDATA[Bill Cooke]]></category>
		<category><![CDATA[managerialism]]></category>
		<category><![CDATA[markets]]></category>
		<category><![CDATA[New Public Management]]></category>
		<category><![CDATA[public service reform]]></category>

		<guid isPermaLink="false">http://eustonmanifesto.org/?p=311</guid>
		<description><![CDATA[Responding to the Prime Minister, Bill Cooke argues that we need to engage the progressive people engaged in delivery to work out how public sector reform can be successful. Dear Prime&#160;Minister, You make a very important point that there is a progressive case for public sector reform. You should know that I am one of [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Responding to <a href="http://eustonmanifesto.org/2006/10/29/the-progressive-case-for-public-service-reform/">the Prime Minister</a>, Bill Cooke argues that we need to engage the progressive people engaged in delivery to work out how public sector reform can be successful.</strong><br />
<span id="more-311"></span><br />
Dear Prime&nbsp;Minister,</p>
<p>You make a very important point that there is a progressive case for public sector reform. You should know that I am one of those business school academics who nonetheless is critical of the unchallenged spread of managerialism in the public&nbsp;sector.</p>
<p>Yet we should recognize that in the drive for what is called New Public Management there was often a progressive agenda. It was as much late 1980s demands for fair employment for ethnic minorities and women as it was Thatcherism that led to the establishment of processes which are now seen as best human resource management practices. So you are hooking into a noble historic tradition, which you could argue goes back to the early&nbsp;Fabians.</p>
<p>Yet, again, there is much about the public sector which is as good as&thinsp;&#8212;&thinsp;no, better than&thinsp;&#8212;&thinsp;the private sector. An example: the notion and sense of vocation. Vocation is why, historically, nurses, teachers, and even some university lecturers did great work for little money, but with the perk of society&#8217;s respect. The latter cost the exchequer nothing, but delivered the public sector lots and&nbsp;lots.</p>
<p>In the meantime, people&#8217;s experience of the private sector is not good&thinsp;&#8212;&thinsp;and it may be that it is one of those issues which demonstrates the out-of-touchness of political life. I am one of the Google generation, and the web certainly has changed my patterns of engagement with the private sector. But read the money pages of all the quality newspapers. They are full of stories of private sector incompetence and rip-offs. I&#8217;m kind of guessing you haven&#8217;t in your life had to spend hours waiting on a 0870 number (do you know what that means?), nor had a disappearing e-ticket, nor had an internet service company help itself to cash from your account. Most people&nbsp;have.</p>
<p>So, yes, there is a progressive case for public sector reform. But what is needed, and maybe is impossible to achieve within the political setting in which you have to work, is nuance and pragmatism, rather than big change initiative one after the other (with, perhaps, the exception of IT based change). For me there is a simple rule. Look to outcomes first over&nbsp;processes.</p>
<p>Targets, fine. But assuming particular institutional frameworks (e.g. quasi-market) might be better than others, particularly when it is hard to get disinterested advice, is problematic. Of course, there must be a care for delivery. But maybe you need to engage the progressive people engaged in delivery to work out how best it might be&nbsp;done.</p>
<p>Yours,</p>
<p>Bill</p>
<p><span class="note"><a href="http://www.lums.lancs.ac.uk/profiles/bill-cooke/">Dr. Bill Cooke</a> is Senior Lecturer in Organizational Analysis at The University of Manchester, <a href="http://www.mbs.ac.uk/">Manchester Business School</a>.</span></p>
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		<title>Tony Blair blogs badly</title>
		<link>http://eustonmanifesto.org/2006/10/31/tony-blair-blogs-badly/</link>
		<comments>http://eustonmanifesto.org/2006/10/31/tony-blair-blogs-badly/#comments</comments>
		<pubDate>Tue, 31 Oct 2006 02:57:23 +0000</pubDate>
		<dc:creator>Jon Rogers</dc:creator>
				<category><![CDATA[debate]]></category>
		<category><![CDATA[Social Democratic Futures]]></category>
		<category><![CDATA[Jon Rogers]]></category>
		<category><![CDATA[privatisation]]></category>
		<category><![CDATA[public service reform]]></category>
		<category><![CDATA[Unison]]></category>

		<guid isPermaLink="false">http://eustonmanifesto.org/?p=325</guid>
		<description><![CDATA[Tony Blair can’t see the difference between changing and improving public services on the one hand and opening up opportunities for people to take profits out of them on the other, argues Unison NEC member, Jon Rogers. I note with great interest that the world of blogging has been joined by no less a personage [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Tony Blair can’t see the difference between changing and improving public services on the one hand and opening up opportunities for people to take profits out of them on the other, argues Unison NEC member, Jon Rogers.</strong><br />
<span id="more-325"></span><br />
I note with great interest that the world of blogging has been joined by no less a personage than our Prime Minister! Albeit he is posting over at the Euston Manifesto site (that&#8217;s the modern day home of &#8220;send a gunboat&#8221; liberal imperialism for those not in the&nbsp;know).</p>
<p>Tony is blogging to tell us all the case for &#8220;reform&#8221; of our public&nbsp;services.</p>
<p>If I think his views are worth noting (bearing in mind he is thankfully on the way out) I may have a proper&nbsp;look.</p>
<p>In the meantime I am amused by his introductory paragraph which states&nbsp;that:</p>
<blockquote><p>There is always a progressive case for reform. What progressive case is there for the status quo, except in&nbsp;utopia?</p>
</blockquote>
<p>This is a wonderful example of Bair&#8217;s (mis)use of language. As I have observed <a href="http://jonrogers1963.blogspot.com">here</a> previously he thinks that reform of public services means privatisation. However his actual words are a statement to which no one could possibly object. And one sure thing about statements with which no one can disagree are that they are pointless. Indeed he nowhere defines what he means by &#8220;reform&#8221; in any rigorous&nbsp;way.</p>
<p>He goes on to argue (at unnecessary length) that society has changed and therefore public services need to change. Doh! Come and do a real job for once in your life Tony and you would find that public service workers are pretty much used to constant&nbsp;change.</p>
<p>The next paragraph of Tony&#8217;s irritating dross that is probably worth picking out is this&nbsp;one:</p>
<blockquote><p>&#8220;The driving idea behind reform is to transfer power from providers to citizens. To give power to the people&thinsp;&#8212;&thinsp;it is as traditional a left-of-centre slogan as there&nbsp;is.&#8221;</p>
</blockquote>
<p>Again he manages to utilise a platitude you would have to agree with in order to advance policies with which most people disagree. Because he goes on to&nbsp;say:</p>
<blockquote><p>&#8220;If the citizen has a choice they have a power. The service is likely to be more responsive to their needs. Their voice is a lot more likely to be heard and acted on. The service has a stimulus to&nbsp;improve.&#8221;</p>
</blockquote>
<p>This begs so many questions. Can we have an informed choice about every public service. Should I, as an individual, choose whether to have my tonsils out or instead to have a vasectomy? Should my children choose whether to study literacy or&nbsp;numeracy?</p>
<p>There is an alternative stimulus to improve public services in the public service ethos to which so many public servants are committed&thinsp;&#8212;&thinsp;an ethos which Tony will never&nbsp;understand.</p>
<p>This ethos is continually undermined by a &#8220;choice&#8221; agenda which is invariably about &#8220;choosing&#8221; between providers but almost never on a level playing field for the public&nbsp;sector.</p>
<p>Tony then claims that &#8220;reform works&#8221; and quotes some of those interminable New Labour statistics that so fail to persuade the electorate just&nbsp;now.</p>
<p>All in all, a disappointing little essay from someone who has been running the country for nearly a decade. He can&#8217;t see the difference between changing and improving public services on the one hand and opening up opportunities for people to take profits out of them on the&nbsp;other.</p>
<p>Few blog posts I have read so well make the case for a change of policies as well as personalities as soon as&nbsp;possible.</p>
<p>Perhaps it is all a spoof and the Euston Manifesto people are just having a laugh at Tony&nbsp;Blair?</p>
<p><em>Jon Rogers is a member of the National Executive Council (NEC) of <a href="http://www.unison.org.uk/">UNISON</a>, the public service union. UNISON is not responsible for the contents of <a href="http://jonrogers1963.blogspot.com">his blog</a> from which this article is&nbsp;taken.</em></p>
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		<title>The progressive case for public service reform</title>
		<link>http://eustonmanifesto.org/2006/10/29/the-progressive-case-for-public-service-reform/</link>
		<comments>http://eustonmanifesto.org/2006/10/29/the-progressive-case-for-public-service-reform/#comments</comments>
		<pubDate>Sat, 28 Oct 2006 23:00:39 +0000</pubDate>
		<dc:creator>Tony Blair</dc:creator>
				<category><![CDATA[debate]]></category>
		<category><![CDATA[Social Democratic Futures]]></category>
		<category><![CDATA[Prime Minister Tony Blair]]></category>
		<category><![CDATA[public service reform]]></category>

		<guid isPermaLink="false">http://eustonmanifesto.org/?p=306</guid>
		<description><![CDATA[In the summer, a number of Labour ministers posted articles setting out the progressive case for the next stage of public service reform. With the first meeting of the cabinet&#8217;s policy review taking place on Monday&#8201;&#8212;&#8201;on public services&#8201;&#8212;&#8201;this article outlines the Prime Minister&#8217;s thinking on this crucial issue. As usual, we are inviting longer responses [...]]]></description>
			<content:encoded><![CDATA[<p><span class="note">In the summer, a number of Labour ministers posted articles setting out the progressive case for the next stage of public service reform. With the first meeting of the cabinet&#8217;s policy review taking place on Monday&thinsp;&#8212;&thinsp;on public services&thinsp;&#8212;&thinsp;this article outlines the Prime Minister&#8217;s thinking on this crucial issue.</span><br />
<span id="more-306"></span><br />
<span class="note">As usual, we are inviting longer responses to SDF Editor Alan Johnson at <a   rel="nofollow" id="sto_emailShroud3" href="http://www.somethinkodd.com/emailshroud/emailaddress.php?domainName=aol.com&amp;userName=alanjohnsonsdf&amp;ver=2.2.0" >alanjohnsonsdf</a>, responses to which the PM will respond in due&nbsp;course.</span></p>
<p><strong>There is always a progressive case for reform. What progressive case is there for the status quo, except in utopia?</strong><br />
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One of the original aspirations for universal public services was that they would help to equalise British society. Education would make for fair life chances. The NHS would equalise life expectancy. We still have a long way to&nbsp;travel.</p>
<p>It is not just that the results are unfair. Access to services is not yet fair either. There is a wealth of evidence that lower-income, less educated and unemployed people do not use health services as much relative to need as their richer, better educated&nbsp;peers.</p>
<p>And remember: there has been a progressive dividend in the very fact that public services today are so healthy. A decade ago it was seriously being debated whether or not tax-funded public services could survive. The long period of under-investment had taken its toll. People had become fatalistic about the mortality of their services. Now, the argument is no longer about whether there should be public services provided publicly at all. It is about how they might best be&nbsp;managed.</p>
<p>Society has changed and its demands along with it. Universal public services were established in something like their current form in the 1940s. They offered a service to a society that was ethnically homogeneous, socially patriarchal, economically industrial and recovering from the experience of large-scale unemployment and rationing at a time of&nbsp;war.</p>
<p>We are a much older people than we were. Our lifestyles have changed. The tides of global markets wash up on our shores. Migration is now more extensive than ever before. The competition from other nations is more intense. The ways in which we deliver services are changing all the time, powered by new&nbsp;technologies.</p>
<p>Perhaps more important than anything else, the expectations of the public have risen. In the early days of universal services the standard of service provision, in all aspects of our lives, was poor. This is not any longer true. The standard of goods is vastly superior to what it once was. It would be naïve to suppose that these rising expectations have not been extended to public services. They have. People are now accustomed to a level of service and convenience that is&nbsp;new.</p>
<p>All of these changes have meant that services have to change&nbsp;too.</p>
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