A recent paper written with Prof Catherine Farrell of The University of South Wales, investigated changing models of governance within four public services in England and Wales : Fire; health; policing and education.
The paper, which was given a the Policy and Politics Conference in Bristol (Sept 14-15 2015) investigated the theories underpinning public service governance models and how far each could be said to be ‘democratic’.
What came through very strongly in the research was that Wales, in contrast to England, still focused largely on democratic modes of governance in services that were devolved : education and health. Whereas in England the marketised approach , particularly in education and health has led to adoption of very different modes of governance . For example-
The Health and Social Care Act 2012 introduced more changes in the way that the NHS is organised in England. These reforms, implemented on in April 2013 included a move to clinically led commissioning groups, (CCGs), responsible for planning and purchasing health care services for local populations and now responsible for 60% of the NHS budget. There are 121 of these groups and they have replaced the 152 Primary Care Trusts (PCTs). The CCGs operate under ‘NHS England’ which is an independent organisation which in common with many networked governance structures, operates at ‘arm’s length’ from the government (see for example Burnham, 2001; Clarke and Newman, 1997). NHS England’s role is to provide national leadership in health, to oversee and allocate resources to the CCGs, and to commission specialist services.
In Wales , the original model of stakeholder representation is still operational, remaining relatively unchanged since the 1940s- this is also the case for education. Compared with the highly complex systems of governance in education and health in England, the stakeholder model appears relatively straightforward. Models of educational governance in England have been radically changed since the inception of the academies programme- a move that gave schools financial and curricular independence and removed many from LEA control. These schools have necessitated a very different approach to governance – an approach that largely reflects the weighty financial and other responsibilities that are now shouldered by governors.
The Trojan Horse affair in 2014 revealed just how far England had moved from the system of local accountability, based on Local Education Authority control. It also highlighted the gaping vacuum left by their demise, a factor that prompted the advent of a new innovation in local control. School commissioners , supported( and possibly but by no means probably) held to account by head teacher boards. There are to date just 8 Regional School Commissioners, whose mandate is to provide a local focus of accountability for academies in their region , unfortunately these individuals are also held to performance criteria, one of which is the opening of new academies on ‘their patch’.
The government have been slow to recognise this fundamental conflict of interest, only recently announcing their intention to look again at the role of RSCs: a forthcoming inquiry into their role and function, will no doubt reveal to what extent the system is functioning.
Investing power in a single person seems to be an increasingly common facet of public service accountability in England. Police and Crime Commissioners elected in 2012 have radically changed the whole area of police governance. Purportedly held to account by Police and Crime Panels, the system has suffered from considerably more than ‘teething problems’, as the Stevens report reflected.New proposals by the government that would enable PCCs to encompass fire and rescue services within their remit , will no doubt provoke considerable opposition by those who feel that the PCCs already wield too much power and are not in effect held to account by their PCPs due to the ‘toothless’ legislative powers that bind them.
Prompted by an interest in exploring cross service learning, this is our first foray in looking across the public sector at governance and accountability. We will be following this up with a paper that examines the role of public service inspection in England and Wales. We hope that this work will yield practical and theoretical insights to the complex and changing world of public service governance and democratic accountability.
You can find a full copy of the paper here