Monday, 3 June 2019

“that’s not us…”

WordPress once again limits as it promises to expand. I can’t just reblog this post, despite adding their privacy-smashing plugin, Jetpack.

Never mind. Please click on the link above to read a beautiful short post about the soon-to-be closed experiment in joined-up care services that has been running in Soham, Cambridgeshire. It was a pilot scheme based on the Burrtzorg model of nursing, in which self-managed, multi-disciplinary teams are located in the communities they serve, to increase access to services and to simplify processes.

In my public service job, three front-line staff are accountable to a management team of five with a support team of three. I’m not saying it’s a total disaster -you work in the structures that are willing to employ you and I have had a lot of kindness and support from all levels of colleagues – but it can’t be efficient.

Self-management of professional services has to be the way to go for a more efficient model of local government. Small is beautiful because it refines service delivery to the personal level. In Soham, the social workers, community nurses and other professionals know their clients before they are clients, reducing the likelihood of many of them becoming clients. It is a community being given the power to influence its service delivery.

The Neighbourhood Cares blog isn’t large, probably because they are busy and don’t have much time for blogging, but they do seem to have a message to spread. It doesn’t hurt that they seem to have a few rather good writers among them.