Third Sector and the General Election
February 10th 2010
The decks are clearing for the general election. As politicians seek to rush through new legislation or register new ideas in the minds of the electorate, the civil service seems determined to make pre-emptive strikes to prepare for the incoming administration.
Two weeks ago panic struck the world of Primary Care Trusts (PCTs) as they sought to give a favourable 'gloss' to the year end figures. Their 'provider arms' which have been prepared for independence, and possible trust status were told by the Department of Health to merge with either an acute Hospital Trust or a Mental Health Trust. What will happen to the Community Services Foundation Trust, heaven only knows!
What difference does this make to Third Sector organisations? Is it not a mere bureaucratic change that is to be expected at least every four years in the NHS? Well, yes and no! Yes, because PCTs need to sharpen their commissioning functions and this is merely an evolutionary process that was foreseen by NHS sages, but 'No' as well because Community Trusts offered the hope of joint working with the local government adult and childrens' services and Third Sector provider organisations.
The savings programme in the NHS will be in larger more impersonal provider units. Let us hope that these new organisations can combine economies of scale and a more 'local' approach to service provision.
The Third Sector stands ready to work with the incoming administration. It provides energetic, imaginative and cost effective services. But it cannot be taken for granted; there has to be a relationship of (almost) equals. Stupid local procurement practices have to be withdrawn. Providers have to be included in the commissioning process - particularly if it aspires to being 'world class'. And finally, there is plenty of talent outside London. It is hoped that national commissioners will come and see projects in action in the regions.
Every challenge provides opportunities. From Summer 2010, local government and the NHS will
Brian L. Strevens (10/02/10)
Contributers Brian Strevens (Director of the Institute) and Francis Davis (Director of Policy) will endeavour to update this blog on a weekly basis and plan to submit their blogs on alternate weeks where possible.