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A lecture given to the Audit Commission - Is Public Service Reform Delivering? by Sir Michael Bichard

A transcript from 13 July 2005 by Sir Michael Bichard of the University of the Arts London.

Polls taken during the recent election campaign suggested that the public trusted the Government with the public services more than they trusted the Opposition. And that is hardly surprising given the poor perception of services in 1997 and the very considerable investment made since 1998/9.

From that time the annual real terms growth in total managed services has ranged between 3 and 6%. That has translated into, for example, 77k more nurses and 29k more teachers. And that in turn has translated into 27% fewer deaths from heart disease; reduced waiting lists and improved standards of literacy and numeracy. As significantly, perhaps, in doing this the Government has shifted the political debate from one dominated by promised levels of tax cuts to one primarily concerned with the promised levels of public service investment. No mean achievement in itself.

So my starting point is that investment has increased, improvements have been delivered and the political debate has been redefined. But the question is whether this demonstrates that public service reform is delivering and the answer to that rather depends upon how ambitious were the original aspirations. For me the challenge was - and still is - not merely to improve public services but to transform them. To provide services that consistently deliver high quality and good value for money and which are genuinely shaped by the clients and prospective clients; to change the culture of those providing services for the public good so that it is preoccupied with outcomes; and to offer the rest of the world a model of how services delivered for the public good can provide a cornerstone for a fair and just society. And, of course, these were not just my ambitions. As recently as June last year the Prime Minister said in a speech at St Thomas's Hospital "Now is the time to recast the 1945 welfare state, to end entirely the era of 'one size fits all' services... now is the time to put an entirely different dynamic in place to drive all public services; one where the service will be driven not by the manager but by the user - the patient, the parent, the pupil, the law-abiding citizen."

Expressed in these terms this is not an agenda concerned primarily with reducing costs - impressive and necessary though Peter Gershon's work has been - nor is it an agenda which is satisfied by managerial enhancements. In fact it is not an agenda at all but rather a vision, capable of providing the focus and the coherence which all change programmes need if a sense of purpose and direction, is to be established. And it is judged against these, admittedly, high aspirations that the reform programme is in my judgement currently falling short. Falling short generally but falling short especially for the most disadvantaged in our society for whom in some important respects things have not improved at all (look for example at the achievements of looked after children and children excluded from school; look at the achievements of the lowest achieving children in schools).

I want to explore why transformational reform is not yet in prospect. And I want to argue that it will not come inevitably with the passing of time but will, instead, need some radical shifts and actions beyond just further investment if it is to be realised.

But let me make clear at the outset that my contribution is not an attack on public service staff. The vast majority of these staff joined the public service to make a positive difference to people's lives; the tragedy is that too many of them have struggled to do that as a result of bad systems and poor leadership. Last year the Serco Institute produced a rather good little piece of research entitled 'Good people, good systems' which focuses on former public servants speaking about delivering the same services but in the private sector. What they have to say is perhaps surprisingly best captured in a quote from Al Gore - you remember him! - 'The problem is not lazy or incompetent people: it is red tape and regulations so suffocating that they stifle every source of creativity. The Federal Government is filled with good people trapped in bad systems: budget systems, personnel systems, procurement systems, financial management systems, and information systems. When we blame the people and impose more controls we make the systems worse!'

So if the commitment is for transformation rather than improvement what needs to change? Where do we begin? You will not be surprised if I say that it must be with the Civil Service itself. Many seem now to accept the 'Yes Minister' representation of the Service. It is populated with rather lovable, clever, slightly mischievous mandarins who do no great harm or indeed any significant good - and probably deserve to be made a protected species. The reality is rather different. In reality the Civil Service is hugely powerful. It legislates; it regulates; it sets targets; it intervenes (or not); it controls much that happens in the private as well as the public sector; it facilitates, on occasions, and obstructs more frequently; it devises and designs policies and procedures systems and processes. It could be a source of creativity and energy to the benefit of the nation. It could be the powerhouse of reform. But it is not.

There is much about it that should be protected or even celebrated. In addition to the talented people it has shown itself to be honest and apolitical: It has commitment: It is at its best when faced with procedural crises and has strong intellectual and analytical skills. Its people can deal with extraordinary levels of complexity and often work unbelievably hard. But it is in need of major reform without which the transformation of public services will not happen.

Of course my erstwhile mandarin colleagues argue persuasively that reform is underway - as they have for many years. They also argue persuasively that to stray beyond the authorised reform programme (ie their own) will inevitably undermine all that is good about the Service to the great detriment of the national interest. Neither, of course, is fully justified. There have been some changes. An increase in the number of external recruits as well as Lyons, Gershon and the reform programmes sponsored by successive Cabinet Secretaries. The problem is that little real change is evident because the real weaknesses have not yet been addressed. What are these weaknesses? Well, for me they include:

But the problems do not stop there. There is, I think, a failure at the most senior levels to behave in any way corporately, focusing on the Government's key business priorities. Of course, things may have changed but the Wednesday morning meetings of Permanent Secretaries contrasted sharply with the corporate management boards I chaired in local authorities twenty years ago where there was a shared responsibility for Council objectives.

There is also an insufficient connection between the Service and its clients and communities a connection which is essential for successful policy development and effective implementation; there is a growing disconnection between policy and delivery which can diminish both and which the decision to establish separate professionals streams could make worse; and sadly there is a falling level of public trust - notwithstanding the general apathy - which has been exacerbated by an apparent reluctance within the Service to make information available - unless required to do so.

All these weaknesses seriously impact on the ability of the Service to meet the challenges of the 21st Century and to progress the public services reform agenda. The future demands a Service which is radically different.

We need a Service which is:

Achieving this is no easy task but perhaps the greatest danger is that it will just be left to a further internal reform programme. I would suggest instead that:

1. We enhance external accountability by (a) reforming the NAO so that it focuses better and systematically on the quality of performance management and policy development and so that it is more independent of departments (no longer, for example, having to negotiate the terms of its reports with departments; (b) introduce a system of Comprehensive Performance Assessments of Departments undertaken by a thoroughly independent body such as the Audit Commission coupled with the transparent independent measurement of performance against targets (to include Gershon savings). These reforms would of course have implications for Ministers perhaps holding them more publicly accountable for policy and delivery. I believe, however, that the process could be designed and managed in a way that did not unreasonably expose Ministers - and if it did to some extent increase their accountability then maybe given the public's current mood that would be no bad thing.

2. Establish a Public rather than a Civil Service so that all those who are employed to provide public services form part of one system - from which pool staff can be routinely recruited, promoted, transferred and for which pool integrated training and development can be provided.

3. Enhance the personal accountability of senior civil servants extending the definition of accounting officers beyond the Permanent Secretary.

4. Introduce more formal outsourcing of policy development and analysis so that the monopoly currently enjoyed by the Service is broken. Many excellent policy initiatives have already been conceived outside of the Service in recent years - so let's look at how we could further develop and involve alternative policy providers.

5. Review and revitalise Select Committees to enhance their role in holding officials to account by, for example, increasing the support available to them; and giving them the power to use NAO/PAC reports to examine civil servant witnesses.

6. Insist on all civil (public) servants serving some time in operation/management posts before even being considered for senior jobs.

Most important of all is the introduction of some degree of external accountability to provide the stimulus for change as it has in other parts of the public service. In truth the debate should be focused around these issues of reform rather than the need for some kind of Civil Service Act to protect the Civil Service in its current form. The current threat to the Civil Service is not in my judgement a threat to its integrity and impartiality posed by Ministers and special advisers - it is the threat to its relevance and reputation for competence.

But what should be the priorities of this reformed Civil Service in respect of public service reform? Well, primarily to help Ministers articulate a coherent vision of reform which is consistently applied across the public service. At the moment we have a potpourri of strategies applied without any obvious rationale which have - and I put it no higher - some apparent scope for policy conflict.

On the one hand we have choice. According to the Cabinet Office publication 'Putting people at the heart of public services' choice is not being offered as an alternative to 'a good local service' but as a means of helping to secure it. 'It means offering people' a real say over the type of services (they) want, as well as where, when, how and from whom they receive them. "To achieve that 'real alternatives need to be in place' allowing new providers from the public, private, voluntary and community sectors to put forward new ideas and challenge the existing way of doing things."

Few could argue with the concept of choice. It is, after all, one of the cornerstones of our democratic society. But here it is being proposed as a primary strategy for improving public services. The term may have been used more 'flexibly' of late but if it does involve offering 'real alternatives' it must require that you build capacity so that users can choose one delivery option rather than another. And if you build capacity you must to some extent be in conflict with another key public service reform strategy - achieving the Gershon efficiencies.

As the report from the Public Administration Select Committee observed correctly, whereas efficiencies derive from targeting slack or unnecessary (not just undesirable) capacity, choice (of provider) requires some slack for its very existence. Leaving aside the question of whether it is 'choice' of provider or control of provision that users most want, and leaving aside even the conflict between choice and efficiency, there must be serious questions about whether inevitably limited resources are best used to produce slack rather than improve first the quality of existing provision. In some sectors there are even questions about whether it is possible to build capacity - take the potential shortages of medical staff. The Government's response to date has been that the margin of extra capacity needed to permit contestability is likely to be small - and that - if there are efficiency losses that arise from these causes they may have to be accepted in order to reap the gains in efficiency. I am not sure what research underpins that assertion. I agree with the Public Administration Committee that there is the potential for conflict between these two central planks of government policy and that some much clearer articulation of choice is needed if we are to avoid a myriad of initiatives many of which will do little to improve the quality of service.

Others have spotted potential conflicts between plans for the future of local governance and the efficiency agenda. The ODPM five-year plan and its key policy papers 'Citizen Engagement and Public Services' and 'Vibrant Local Leadership' contain commitments to devolve power to communities and to small very local neighbourhoods (including, for example, delegating budgets to Ward councillors and giving communities ownership of local assets). The problem is that in order to achieve the level of savings recommended in Gershon you actually need to aggregate procurement not disaggregate it further. And whilst on the subject of local government there is the danger of further confusion arising from the different definitions of new localism in different government departments - so we have local area agreements but we also have civic pioneers and we have neighbourhood management. None of which reassures local authorities that the Government has a single vision for the future.

The issues of contestability and choice have also to some extent become confused. Contestability - or the greater involvement of the commercial, not for profit or voluntary sector to provide services for the public good - is a pre-requisite for greater choice at least in the foreseeable future. But contestability can also be justified as a more direct route to increased efficiency simply by exposing public services to competition. Here again, the Government's current position leaves room for confusion. It is true that the private sector now provides very significant levels of what, in the past, would have been defined as public services. Some companies, such as Capita, Serco and VT, have made a success of this; others including Jarvis and W S Atkins have encountered serious problems. But the majority of their work has been in providing support services of one kind or another. There has been relatively little front line service provision opened up for competition. Two of the most significant spenders and suppliers are, of course, the Department of Work and Pensions and the Department for Education and Skills. The former is responsible for tens of billions of pounds of services provided by Jobseekers Plus which alone has an administrative budget of £ 4bn. Of this very little is currently the responsibility of the private sector. And whereas there has been much talk of the private sector creaming off the easier cases it is the more difficult client areas here which have been outsourced (employment zones, lone parents and Action Area Teams). I am aware that I have an interest here in that I was - but am not now - a non-executive director of one of the companies involved in providing services under the contract - Reeds. But I have to say that in that role I was not entirely convinced that the Government did want to introduce genuine competition given the very slow pace at which the private sector share was allowed to grow and given the apparent resistance to offering mainstream Job Centre Plus business on a contract basis. The private sector can easily find itself competing for at best an unchanged market share confined to the more difficult segments of the market and managed on a contract basis by people with little experience of contract management or procurement. It is not a very attractive option.

Equally in education although there has been a great deal of press and, of course, Union interest in Academy Schools and Specialist Colleges but the provision of teaching in the classroom by private providers has been minimal. I chair a small company called Artis which is doing just this for performing arts and the response from schools and head teachers has been very positive. If the vision of the policy is really about services driven by the user with more choice and diversity of delivery then we need to see more encouragement for these kinds of initiatives. We certainly need a clearer exposition of the strategy and how it relates to the main service areas of health, education, local government and work and pensions. In each case what do we mean by choice and contestability. What is the future place for inspection assessment and targets, what is the role of providers from outside of the public sector? Are we really committed to using competition as a way of driving up the standards of services provided for the public good.

At this point let me turn for a moment to the role of the Voluntary and Community Sector in public service delivery and reform. As some of you will know I was until recently Chairman of the Compact which seeks to provide a framework for the relationship between the statutory and non-statutory sectors. I also chair a National Training Charity and as David Milliband said in his first speech as an ODPM Minister "I (too) believe in the power of collective action. I am convinced that voluntary and community organisations must be active partners of central and local government. The third sector reaches parts that we (Government) simply cannot reach."

I believe that the Government has done much to create opportunities for a new relationship between the statutory and not for profit sectors not least as a result of the Treasury Cross cutting review and the establishment of the Future Builders fund. As the NCVO said in its excellent recent report 'The Reform of Public Services: the role of the Voluntary Sector' - "the current relationship with Government is the most favourable the sector has experienced".

However, this is a sector which can as the recent NAO report "Working with the Third Sector," remarked "connect with clients who are difficult to reach or distrustful of the state; has great expertise in specialist areas and can develop and pilot innovative solutions". So it is surprising that it still accounts for only 0.5% of all central government expenditure. The NAO concludes that this is in part because departments tend to underrate the sector's professionalism and its ability to deliver and need to develop their capacity to work with the sector. I would agree with that. I would also agree that the four Gershon principles of long term funding; an appropriate balance of risk between Government and the Sector; full cost recovery and proportionate monitoring have not yet been achieved. So whilst progress has been made in involving the Sector in delivering a great deal more could be done to the benefit of public services. The same NAO report makes a number of worthwhile recommendations but I am convinced that they will not succeed unless Ministers and the most senior civil servants take a greater interest in and show greater trust in the Sector. Too many of the current Departmental Champions lack real top-level support and consequently lack 'clout'.

But there is another opportunity which is currently being missed and that is the genuine involvement of VCOs not just in the delivery of service for public good but in the design and development of those services. Most now accept that VCOs are often closer to citizens than any part of government local or central. They are often most trusted and therefore privy to people's real feelings. They can and, to the best of their abilities, do provide communities with a voice. They play a crucial role in advocacy, campaigning, advice and information. They offer a genuine way of putting the voice of the user or the citizen at the heart of the public service and as the NCVO report concludes the issue of voice is at least as important as the issue of choice because, and I quote "The voice agenda recognises that many service users, or communities do not want the choice of services or providers, they do not want the option of exit, they simply want to know that their opinions and concerns are taken into account from the outset, when designing a service and not just through a complaints procedure if it goes wrong."

But at the moment this role seems to be too little understood across Government, certainly at official level. And even politically we have not yet reached a level of maturity such that VCOs campaigning role is welcomed as a contribution to the policy process - even or especially when it involves opposing current or proposed Government policy. The regular involvement of senior Government officials in meetings with those VCOs relevant to their Department's responsibilities to discuss policy design and development as well as delivery would help. So will the stronger emphasis on the strength of the relationship between local government and the sector locally now being proposed by the Audit Commission. Of course, the sector is conscious of the dangers which a closer policy relationship can pose for its independence but the future should not be defined by defending this independence through maintaining distance. It should be about both parties developing new kinds of relationships which benefit the clients through better policy. I am convinced that a more imaginative engagement of Government and local government with the VCO is key to better public services.

But UK public services have other challenges. The UK is 40% less productive than its major competitors and is falling behind the US, France and Germany. The service sector which makes up three quarters of the UK economy is a third less productive than manufacturing (according to data produced by the ESRC in September last year) and public sector productivity is worse than the private sector. McKinsey's recently estimated that the public sector's productivity remained almost flat from 1987-1994 and the recent increase in investment has perversely reduced productivity still further. McKinsey's suggest that if the public sector could halve the estimated gap with the private sector government productivity would be 5-15% higher with no additional investment.

The question is again whether the current reform agenda with its emphasis on investment, accountability, targets, skills and behaviour, will effectively address this issue of productivity. And again the answer is probably 'only in part' because investing more in poorly designed services will ultimately fail however many targets you set. We need at the same time to develop the capacity to design and redesign services. Service design starts with a true understanding of the real market needs - the requirements of the consumer - and it recognises information technology not as a tool for increasing process efficiency but as the new infrastructure for a service society. It uses tools to articulate needs, to generate fresh solutions and to analyse the alternative options - and it has been shown to work in practical settings.

The problem is that although the Government and the Prime Minister have rightly identified the importance of meeting citizen aspirations via the provision of personalised services no one seems to be taking seriously the need to develop a body of skills capable of turning this laudable objective into a reality. Even business education still concentrates more on the design manufacture and distribution of widgets - alongside the rational allocation of capital and resources and shows little interest in how to design and deliver services. One practical, far sighted step which the Government could take to help transform our public services is to establish a School of Public Service Design with the objective of creating a cadre of senior managers with an understanding of the subject, a cadre of practitioners capable of applying the methodology and a framework within which the issues could be addressed.

The fact that the success of service design depends upon the integration of IT as a business tool reinforces the key part which technology has to play in public service reform. In one sense the Government's public service reform programme has the great advantage of coinciding with the availability of technology capable of facilitating huge improvements. And there are some encouraging signs not least the appointment of a head of e.government in Ian Whatmore and most recently the announcement of an academy to oversee the development of IT skills in government. But in spite of some notable successes the contribution of IT to improving public service delivery has been disappointing to date. That is often blamed on the poor project management of specific initiatives and there has been some of that. There has also been a strong tendency to over specify systems seeking to achieve perfection when fit for purpose would have sufficed - and been deliverable. But for me the major reason for under achievement has been this failure to integrate IT; to combine it with the business process and to ensure that major IT projects were business led. Not only is that the way to achieve cost effective IT development but it is also the way to achieve the ownership of staff which is essential if the potential of the system is to be realised. I am not an expert in the detail of NPFIT but I am struck at the moment not just by its complexity but also by the apparent lack of ownership by those on whom its success depends - and the way in which it seems that business needs are being belatedly attached to the technology. This is the largest of the current IT projects but at the moment NPFIT, IMPACT (the Police National Intelligence System I recommended following the Soham Inquiry) and the National Children's Databases are all in development. Together they could produce huge improvements to our key services in the next 3-5 years but only if well managed and rooted in business needs. And only if there is close working between them.

Let me conclude. In preparing this speech I was often conscious that to accept an invitation to speak on such a massive subject was little short of arrogant. None of us here tonight has the breadth of knowledge at any one time to talk about the full canvas of public service reform. All we can do - and I have done - is to give our personal perspective and to develop some personal thoughts. My conclusion is that progress has been made on the back of genuine commitment from many officials, officers, politicians, the voluntary sector and the private. But we have not yet achieved the transformation our various client groups need. If that is to happen it will I think need us to:

You will want to add to this list. You will almost certainly want to argue with some of it. As I say this has just been one perspective!

University of the Arts

Audit Commission