Dickinson - Evaluating Outcomes in Health and Social Care 2e

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Better partnership working

Series editors: Jon Glasby and Helen Dickinson

About the authors

Helen Dickinson is Associate Professor of Public Governance at the School of Social and Political Sciences and Melbourne School of Government, University of Melbourne, Australia. Her expertise is in public services, particularly in relation to topics such as governance, commissioning and priority setting and decision-making, and she has published widely on these topics. Helen is co-editor of the Journal of Health, Organization and Management and the Australian Journal of Public Administration . Helen has worked with a range of different levels of government, community organisations and private organisations in Australia, the UK, New Zealand and Europe on research and consultancy programmes.

Janine OFlynn is Professor of Public Management at the School of Social and Political Sciences and Melbourne School of Government, University of Melbourne, Australia. Her expertise is in public management, with a focus on reform and relationships. Janine is a co-editor of the Australian Journal of Public Administration , and she sits on the editorial boards of Public Administration Review , Public Administration , Canadian Public Administration , Teaching Public Administration and the Journal of Management & Organization. Janine has worked with a range of organisations on public management and service-related challenges. She is a Fellow of the Institute of Public Administration Australia (Victoria) and a member of the Executive Board of the International Research Society for Public Management.

First edition published in Great Britain in 2008

This edition published in Great Britain in 2016 by

Policy Press University of Bristol 1-9 Old Park Hill Bristol BS2 8BB UK Tel +44 (0)117 954 5940 e-mail

North American office: Policy Press c/o The University of Chicago Press 1427 East 60th Street Chicago, IL 60637, USA t: +1 773 702 7700 f: +1 773-702-9756 e:

Policy Press 2016

British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library

Library of Congress Cataloging-in-Publication Data
A catalog record for this book has been requested

ISBN 978-1-4473-2976-3 paperback
ISBN 978-1-4473-2978-7 ePub
ISBN 978-1-4473-2977-0 Mobi

The right of Helen Dickinson and Janine OFlynn to be identified as authors of this work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988.

All rights reserved: no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the prior permission of Policy Press.

The statements and opinions contained within this publication are solely those of the authors and not of the University of Bristol or Policy Press. The University of Bristol and Policy Press disclaim responsibility for any injury to persons or property resulting from any material published in this publication.

Policy Press works to counter discrimination on grounds of gender, race, disability, age and sexuality.

Cover design by Policy Press
Readers Guide
This book has been optimised for PDA.
Tables may have been presented to accommodate this devices limitations.
Image presentation is limited by this devices limitations.

Contents

Tables

Figures

Boxes

Helen and Janine would like to acknowledge the contribution of a number of people who have allowed them to draw on and use their work in this book. Thanks go to Jon Glasby for allowing them to draw on his work with Helen Dickinson (Box 2.4) and to Helen Sullivan for allowing them to draw on her work with Helen Dickinson in Chapter 3; Asthana and colleagues for Figure 3.2; Emma Miller for allowing them to use Table 4.1; Woodland and Hutton for Figure 4.1; Jon Glasby, Stephen Jeffares, Helen Sullivan and Alison Nicholds for allowing them to reproduce Table 4.2; and Chris Ham and colleagues for allowing them to draw on their work (Box 4.3). Finally, thanks also go to George Cox for his assistance in the final stages of the book in terms of formatting and bringing together references.

Any personal opinions (or errors) in the book are those of the authors.

Health and social care use a large number of abbreviations and acronyms, and some of the more popular terms used in this book are set out below:

AEGIS	Aid to the Elderly in Government Institutions
ASCOT	Adult Social Care Outcomes Toolkit
CAT	Collaboration Assessment Tool
CCG	clinical commissioning group
CCT	compulsory competitive tendering
DALY	disability-adjusted life year
HoNOS 65+	Health of the Nation Outcome Scale for older people
HoNOSCA	Health of the Nation Outcome Scale for children and adolescents
LSP	local strategic partnership
NHS	National Health Service
NPM	new public management
ODPM	Office of the Deputy Prime Minister
OECD	Organisation for Economic Co-operation and Development
POET	Partnership Outcomes Evaluation Toolkit
QALY	quality-adjusted life year
RCT	randomised controlled trial
RDT	resource dependency theory
RE	realistic evaluation
SCIE	Social Care Institute for Excellence
ToC	theories of change

All web references in the following text were correct at the time of printing.

Whenever you talk to people using health and social services, they often assume that the different agencies and professions talk to each other regularly, actively share information and work closely together. Indeed, most people dont distinguish between health and social care at all or between individual professions such as nursing, social work or occupational therapy. They simply have needs that they want addressing in a professional and responsive manner ideally by someone they know and trust. How the system is structured behind the scenes could not matter less.

And yet, people working in health and social care know that it does matter. None of us starts with a blank sheet of paper, and we all have to finds ways of working in a system that was not designed with integration in mind. As the books in this series explain, different parts of our health and social care services have evolved over time as largely separate entities, and policy-makers, managers and front-line practitioners trying to offer a joined-up service will typically face a series of practical, legal, financial and cultural barriers. This is often time-consuming and frustrating, and the end result for service users and their families often still does not feel very integrated (no matter how hard the professionals were working to try to produce a joint way forward). As one key commentator suggests, you cant integrate a square peg into a round hole (Leutz, 1999, p 93).

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