Making the Connections

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    Making the Connections citizens mapping the big picture

    Greg Parstonand Ilona Cowe

    Public Management Foundation

    July 1998

    third in the annual series:

    The Public Value of Public Services

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    Published in the UK in 1998 by

    he Public Management Foundation

    52B Grays Inn Road

    London WC1X 8JT

    el: 0171 278 1712

    fax: 0171 837 6581

    mail: [email protected]

    This is the third report in the series, The Public Value of Public Services,

    following The Glue that Binds(1996) and Hitting Local Targets(1997)

    1998, Public Management Foundation

    ISBN: 1 898531 47 1

    Photographs: Jim Batty

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    Contents

    Foreword by the Prime Minister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

    Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    The public value of public services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

    Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

    The maps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

    The way forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

    Building new connections

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    1

    Foreword

    Public services make a big contribution to our quality of life. But if people are passed from

    pillar to post, are dealt with discourteously or feel their needs are ignored, then not only dothey suffer from a poor service but they also lose confidence in what councils and public

    agencies can do. So the voice of those who use services must be heard by those responsible for

    planning and delivering services.

    By actively listening to and involving local people we improve services, break down

    organisational barriers, and do things more efficiently and effectively. Government as a

    whole is stronger as a result and people feel more committed to the services the public sector

    provides. That is why the Governments Best Value and Better Government initiatives are

    focused round the needs and concerns of service users.

    I welcome the Public Management Foundations work on strengthening the links between the

    public and public services. And I welcome the contribution that this report makes to taking

    forward this crucial debate.

    by The Prime Minister, The Rt. Hon. Tony Blair MP

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    Acknowledgements

    Many people contributed to the communitydiscovery event reported here, mostimportantly the 65 members of the Lewisham

    citizens panel, who gave two days of their time

    sharing their thinking and experience with us toconstruct maps of community outcomes. Barry

    Quirk, Chief Executive, and Stella Clarke, Policy

    and Equalities Officer, of the London Borough

    of Lewisham, provided support, encouragement,

    space and every facility needed to host the event.

    Design of the community discovery process

    was the responsibility of the Office for Public

    Management, whose project team, led by Ilona

    Cowe, facilitated discussions amongst citizens,

    recorded conversations and debates, read through

    dozens of personal stories and then wrote the

    initial reports on the findings. The members of

    the project team were Anne Bennett, Kai Rudat,

    Robin Clarke, Merav Dover, Paul Lloyd, Sally Fitch,

    David Albury, Jon Harvey, Laurie McMahon andLoraine Martins. Jane Steele, Principal Research

    Fellow of the Public Management Foundation,

    also participated in the process and drew together

    much of the cross-sectoral learning.

    The opinions reported here are those of the

    authors and do not necessarily represent the views

    of Trustees of the Public Management Foundation.

    Greg Parston

    and Ilona Cowe

    July 1998

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    The public value of public services

    In 1996 the Public Management Foundationinaugurated what was intended to be annnual survey on the publics view of the public

    sector a sort of watching brief on what we

    alled the public value of public services. Thatirst national study, which was reported in The

    Glue that Binds showed that people regarded

    public services as an important part of their

    lives. And an overwhelming 82 per cent of those

    interviewed replied that they wanted a bigger

    say in how those services were run.

    Last year, inHitting Local Targets, we followed

    up and examined in more detail the three services

    which people had identified as being most

    important to their well-being education, health

    services and the police. We asked people across the

    country to identify the measures of performance

    hat were important to them. How did they know

    whether services were good or bad? Did the current

    fashion of performance indicators and league

    ables provide the information they require?

    In what we thought was a more sophisticated

    view than many public service professionals

    ive the public credit for, respondents identified

    utcome as being as important a measure of good

    service as the more standard measures of input,such as expenditure per head, or throughput, like

    waiting times. For local people, a true measure

    of public service success is how well educated,

    healthy and safe the local community is as a result

    of public service provision.

    Acknowledging the importance of the publics

    concern with outcomes, this year we chose to

    make those outcomes and not just public services the focus of our study.

    But this is not a report on another national

    survey nor a set of responses to questions crafted

    by opinion-takers. Instead, this year we worked

    with 65 residents in one urban community, in a

    process of plenary discussions and group work.

    The purpose was to enable residents to explore

    and then map the relationships, as they see them,

    between themselves, public services and wider

    community resources and to tell us how these

    combine to achieve health, learning and safety for

    hemselves as individuals and for the community

    as a whole. Our aim was to learn more about the

    onnections hat people make between their real life

    problems and experiences and the public service

    organisations and delivery mechanisms that are

    meant to be in place to serve them.

    On 5 and 6 June 1998, during Democracy Week,

    and in association with the London Borough of

    Lewisham and the Office for Public Management,

    we conducted the first ever community discoveryevent an innovative consultation technique

    which engages stakeholders in creating their

    own integrated big picture of social outcomes.

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    Over thirty hours, local people worked together

    to construct and share their collective views

    of what health, learning and safety are all

    about. By generating data and understanding of

    connected problems at the level on which they are

    experienced, local people opened up the narrow

    definitions of service delivery and began to build

    holistic and integrated pictures of public service.

    At the level of community consultation, we

    learned many things:

    Despite the cynicism of some public service

    professionals, people are able to think

    holistically across service boundaries and build

    big pictures of community outcomes. Artificial

    service boundaries are rooted largely in the

    organisation of service delivery, yet the needs

    that they meet are experienced by people in a

    seamless, connected and less demarcated way.

    The public do not have separate relationships

    with discrete service systems; rather, they have

    lives that they experience as being comprised of

    many connected parts. Through the medium of

    mapping individual experiences, they can quite

    easily trace the connections between different

    aspects of public service and identify the links

    to individuals well-being.

    Local people can help us build greater under-standing about how service failures in one area

    can have consequences in another, and thus

    about how to make more effective use of public

    resources.

    People have good ideas and can offer powerful

    new perspectives to enrich policy debates and

    the flow of communication between citizen and

    state. For these people, policy is not an abstract

    debate; its consequences directly translate into

    their everyday world and affect things that

    really matter throughout their whole lives.

    People enjoy authentic engagement around

    these issues and the opportunity to connect

    with each other, stimulate their thinking and

    feel part of an active community. By using a

    process which engages peoples real experience,

    we can involve members of the public in a form

    of active citizenship which stimulates reflexive

    knowledge and encourages serious engagement

    with important issues.

    t the level of specific transactions between

    people and services, we learned much more, and

    this report documents all of that. The maps of

    health, learning and community safety constructed

    during the community discovery event demon-

    strate a deep understanding of the connections

    between problems and of what may need to be the

    joined-up solutions.

    The pictures in peoples heads, as they placed

    and drew them on their maps, are not just about

    the quality of individual services. They include

    sharp understandings of the effects of one service

    on another. They raise important questions about

    the intentions and the sometimes unintended

    effects of policy. But they also place citizens and

    the community in the middle of their maps.

    Individual responsibility is important, but so too

    is individual self-esteem. Community knowledge is

    essential, but not at the sacrifice of equity.

    ot all the messages are easy to hear. Some

    pose hard challenges to what policy-makers and

    managers do. But neither are all of the messages

    necessarily correct. They reflect what people know

    and understand at a particular time, and some-

    times that can be improved through more and

    better information and through more prolonged

    engagement. And that is the real point.

    Simply asking people what they think at onemoment in time is not good enough. The demand

    is growing for a new, more active partnership

    between people and government at all levels one

    that fosters responsibility, opportunity and real

    democratic accountability. To build that partner-

    ship, we first need to construct new ways of having

    a mutually educative dialogue about the social

    problems that we are trying to address and about

    the social results we are trying to achieve. We

    believe that this years study clearly demonstrates

    that, given the right means, local people are more

    than ready to play their part.

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    Methodology

    The Public Management Foundation has nowconducted three annual projects aimed ateveloping an understanding of how the public

    views, values and interacts with their public

    services.Following on from previous work which used

    raditional survey methodology to focus on the

    publics evaluation of public services, this year we

    decided to engage citizens in an innovative process

    which mapped out their perceptions, views and,

    most important, direct experiences of three major

    service areas. In particular, we wanted to look at

    how relationships between people, public services

    and wider community resources combine to

    achieve health, safety and learning for individuals

    and communities.

    The main focus of this project was the

    construction of maps of issues, perceptions and

    relationships. We wanted to understand how

    citizens constructed relationships around the three

    issues of learning, health, and community safety.

    There is no shortage of engagement methods,

    ranging from small-group deliberative methods

    (such as community workshops or citizens juries)

    o large group events (such as future search confer-

    ences). The field is buzzing with terms suchas visioning, deliberation, action learning

    and community appraisals. But there is no

    established method for mapping relationships,

    and the process used here was designed by the

    Office for Public Management to meet this specific

    focus. This invention, which we have called

    ommunity discovery, borrowed from both small

    and large group methodologies. We combinedindividual inputs (through event diaries, drawings

    and individual accounts and experiences), small

    roup brainstorming, storytelling and discussion

    sessions, and work around the three maps that the

    community discovery created.

    The event was conducted in partnership with

    he London Borough of Lewisham. A representative

    cross-section of the community was recruited from

    Lewishams newly formed Citizens Panel. Sixty

    five residents, broadly representative of the social

    class, age, sex, ethnic and disability profile of the

    borough, participated in the event.

    The discovery process lasted a day and a half,

    and consisted of the following stages:

    the whole group began by identifying the main

    issues they wanted to investigate

    the participants then formed small groups to

    discuss different issues that interested them

    they wrote down their ideas from these

    discussions on individual post-it notes

    the participants mapped their ideas, exper-iences, thoughts, comments and perceptions by

    placing their post-it notes onto large sheets of

    paper (one for each of the three service areas),

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    in the process making clear the relationships

    and connections that they felt existed between

    them

    overarching themes (clusters of ideas) began to

    emerge on each map.

    to allow participants to add very personal

    reflections and experiences, we also set aside

    some time for quiet reflection, for people to

    record anything (specific events, drawings, etc.)

    in their workbooks and for story telling circles.

    the final session focused on suggestions for

    change. Participants split into four discussion

    groups, dealing with change either through

    individual action, or through community

    action, or through action by local services, or

    through government.

    These stages of the discovery process provided

    participants with a wide range of opportunities for

    expression, reflection and interaction. They gave

    us rich pictures of how citizens make connections

    around key social outcomes.

    The resulting maps are an explicit visual repres-

    entation of relationships that are often implicit

    in peoples experience and understanding. They

    uncover a citizens eye view of public service

    provision.

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    The maps

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    Mapping community outcomes

    Tof public service provision health, learningand community safety from two different

    perspectives.

    In each, the first part gives an account of howpeople built the map, identifies the issues they

    thought were important, and illustrates the con-

    nections people made both within and between

    the areas being addressed. It highlights the themes

    that emerged throughout the engagement process

    and demonstrates a comprehensive citizens view.

    The second part of each section provides an

    analysis of our findings in relation to existing

    policy and policy trends in each service sector.

    It illustrates how the connections between the

    people, organisations and policy issues which

    affect a communitys health, learning and safety

    pose real challenges for those managing and

    delivering public services. These pieces also offer

    some important pointers for managers and policy

    makers working in these fields.

    The final part draws together thinking across

    the different service boundaries and takes a look

    at the big picture. It highlights the main themes

    that emerged across boundaries, such as the desire

    for integrated communities, the importance ofcustomer care and co-production, the preference

    for choice and the need to foster community spirit.

    This builds a strong sense of what the citizens

    discovery process revealed about the direction and

    emphasis of peoples thinking.

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    The health map

    This section begins with an account of thehealth map that the participants developed.The group started by producing a long list of the

    issues which they felt were important in relation

    o health; the facilitators then helped them tosummarise these to produce the following list of

    he overriding areas of concern to people:

    Health services GPs, hospitals and

    administration

    Special health needs ageing and community

    care

    Looking after yourself personal responsibility,

    keeping fit and nutrition

    Alternative approaches prevention

    The environment

    Accountability and funding

    The participants then chose which issues they

    wanted to explore in small groups, to build up their

    health map around these themes.

    Looking at the completed health map, we were

    able to identify five interconnected themes:

    Quality

    Accountability and funding

    Care in the community

    The environment / community infrastructure

    Looking after yourself.Considered together, these themes present a

    picture that shows that health service users want

    more choice and control over their own lives and

    over the NHS. The map shows that people want

    o be involved in the planning and monitoring of

    services, and want more information on the health

    system, health treatments, health outcomes and food

    labelling. The participants felt strongly that, in ordero feel more in control, they should have the inform-

    ation necessary to make choices, and the ability to

    influence the planning and delivery of NHS services.

    Perhaps more importantly, people were able to give

    examples which demonstrated that increased choice

    and control over their own health would improve

    peoples health at no extra cost.

    1. QualityQuality of care was a recurring theme and

    dominates the health map. Most issues, as they were

    analysed and discussed and placed on the map, were

    linked closely with issues of quality, which people

    felt encompassed:

    variations in care

    holistic medicine

    continuity of care

    information,education and training

    systems and management monitoring.

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    Variations in careThe participants felt strongly that the quality of

    care that the NHS offers is variable. They thought it

    important that the quality of care should be stand-

    ardised, to the highest level. They felt that whilst

    some GPs, pharmacists and dentists were excellent,

    others even in the same catchment area were

    considerably worse. Similarly, the participants were

    struck by the wide variation in the quality of facil-

    ities within general practice, both in the buildings

    themselves and in the staff working in those

    buildings. Great variation between hospitals was

    noted, and people had views on which hospitals they

    would choose to be seen at for differing ailments.

    The perception was that people currently have

    very little choice and are often not receiving the

    best available care; several people suggested that

    they would travel further to be treated at what they

    considered to be a better hospital.

    Participants also firmly believed that care at the

    poorer end of the spectrum should be improved

    but, as long as variations in care still exist, what is

    important is good information and advice on the

    basis of which they can make their choices.

    Holistic medicineThere was clear strength of feeling about the

    importance of holistic medicine. Many people relatedaccounts of GPs taking a sticking plaster approach

    or criticised GPs for treating symptoms rather than

    causes and dishing out too many pills. Hospital

    consultants were criticised for the narrowness of

    their focus and their inability to see beyond their

    speciality. What came across strongly was the need

    for clinicians to assess a person as a whole being and

    for this assessment to take into account the persons

    environment, for instance the influence of housing

    or family circumstances.

    Several people expressed a preference for altern-

    ative therapies, including osteopathy, aromatherapy

    and homeopathy, In part, what people liked was the

    ability of these alternative therapies to look beyond

    the presenting symptom. The group wanted inform-

    ation to be made available on alternative therapies;

    they also wanted to have the choice to use these

    therapies by having them more widely available on

    the NHS.

    Continuity of careContinuity of care was felt to be an importantingredient of quality within both general practice

    and hospitals. Some participants expressed their

    concern at the frequent use of locums in general

    practice and at the effect of seeing different levels of

    doctors within a hospital setting. Some participants

    spoke of how they saw inefficient systems, such as

    the movement of patient notes, contributing to the

    lack of continuity of care.

    Information, education and trainingcommon theme on the map is education and

    training for both service users and providers.

    While they were adding issues to the map, people

    often remarked that clinicians needed more training

    such as training in the role of alternative therapies,

    in treating people with respect and on newly

    available treatments. The group was not confident

    that all clinicians kept up to date clinically or that

    they had sufficient information on the availability

    and quality of other services. The training of nurses

    and of non clinical staff such as receptionists and

    home-helps was also important to them. Some

    people were concerned that staff either went

    outside their prescribed role or had not been trained

    sufficiently for an extended role.

    common plea was for education for service

    users, in the form of information on services and

    their availability, on how to work the system,

    and on service quality. Although the map does not

    detail how this information should be conveyed, itwas clearly important to people that they can make

    choices, and information was seen to be the key.

    Systems and managementnumber of comments were made on the burden

    of paperwork and the effect this was having on the

    quality of care. The perception people had was that

    paperwork was reducing the time available for face-

    to-face clinical consultations and that it was either

    unnecessary or should be taken away from clinical

    staff.

    common source of frustration was the area

    of patient records: people felt that the system was

    inflexible and therefore worked against their interests

    as patients. Some expressed their dissatisfaction that

    notes could not be shared with the private sector,

    including alternative therapists; others had com-

    plaints about the transfer of records between GPs or

    between GPs and hospital staff.

    ppointment systems in hospitals and in

    general practice also annoyed many participants.They felt they had to wait too long for an appoint-

    ment, by which time their symptoms were likely to

    have become acute.

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    MonitoringAn apparent dilemma emerged when issues of

    service monitoring were discussed. On the one hand,

    it was felt that monitoring added to paperwork and

    ook time away from clinical work. On the other

    hand, some people wanted more monitoring in order

    o end variations in quality. In keeping with the

    desire for more choice and control, there was the

    suggestion that users should be involved in service

    monitoring.

    2. Accountability andfunding

    Accountability and the funding of the NHS were

    wo issues on the map that people connected very

    closely with quality. Many people believed that the

    NHS is underfunded but there was no consensus

    on how to raise more money, although prescription

    charges and dental charges were felt not to be the

    right way. A number of people observed that because

    hey were unable to afford prescriptions their health

    had deteriorated at a greater final cost to the

    NHS. Participants also felt that, where charges were

    imposed, the earnings of low income families ought

    o be taken into account.

    People recognised that advances in medicinewere pushing up costs in the NHS and that this

    manifested itself in longer waiting lists and shorter

    appointments.

    What also comes through in this part of the

    map is the perception that the NHS lacks openness.

    Participants complained that there was too little

    information and openness about how money is spent

    and, in this sense, wanted the NHS to be more demo-

    cratic. Accepting that priorities had to be set, they

    wanted to be involved in setting them.

    3. Care in the community

    This part of the map reveals that people were

    concerned about whether the care in the community

    services they received were appropriate and met their

    needs. They felt that, in some cases, the people who

    provided services failed to understand the needs they

    were meant to be meeting.

    People thought that carers should receive moreback-up and support and emphasised that the

    supervision of care in special needs accommod-

    ation needed to be improved. Some people felt that

    services were deteriorating, but the main theme was

    hat resources should be accurately and appropriately

    argeted. Noting that the proper targeting of

    resources was related to increased user consultation,

    especially in service design, participants felt that user

    consultation should include the design of buildings

    for people with special needs.

    4. The environment;community infrastructure

    What emerges most clearly in this section of the

    map is the connection people saw between their

    health and the environment in which they live.

    Underpinning many of the themes was the idea

    of community spirit, whether this meant sharing

    information on how the system works or about the

    best GPs, or caring for people at home who would

    otherwise need to be in hospital.

    People felt that housing and health could not

    be divorced. The need for secure tenure in safe and

    physically accessible housing, and freedom from

    damp and cold, were strong messages that they put

    on the map.

    Transport appears on the map in various ways.

    Participants felt that environmental pollution was

    contributing to ill health and that more controls onprivate transport and more accessible and affordable

    public transport would not only reduce ill health

    from pollution but would also reduce stress from

    social isolation.

    5. Looking after yourself

    The importance of looking after yourself is

    very prominent on the map. There was certainly

    a feeling that insufficient resources were being

    iven to the prevention of ill-health. There was no

    shortage of knowledge of how to prevent ill-health:

    exercising, eating well, not smoking and reducing

    stress, for example. But what came across strongly

    was the recognition that prevention requires

    resources time and money both of which are at

    a premium for many people. Strong connections

    were drawn with the theme of the environment

    and community infrastructure, and people made

    links to housing, childcare and poverty.

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    The challenge to health service management

    G nerally, the NHS is held in high regardnd with some affection: the participantsrelated many personal accounts of good

    treatment and after-care. The stories that people

    told about things going wrong all seemed tocentre on administrative cock ups. At times

    of major organisational change, managers

    are rightly concerned about leadership and

    strategy at the top of the office, but it is all too

    easy for them to lose sight of the need to get

    the bureaucratic detail right. Our community

    discovery event showed that getting this wrong

    may have the most immediate and damaging

    effect on the publics satisfaction with health

    services.

    People often mentioned their lack of confidence

    in GPs, but this usually had less to do with GPs

    technical competence as clinicians than with their

    lack of knowledge of what is available for patients

    and their families. One woman had made three

    struggles by bus to a central London hospital

    before a friend told her that she could get help

    with transport. She then asked her GP and he told

    her how to obtain this help. But why did she even

    have to ask, when the GP already knew of her

    circumstances? Likewise, people valued being ableto choose a hospital and would look to their GP for

    advice on this. Again, the information was often

    not available.

    Ministers want to see an increase in public

    confidence in the NHS: this event showed us that

    the GP is the vital first building block to raise this

    confidence. It also suggested that the public is

    ready for more information such as benchmarkingand clinical effectiveness data to help them make

    choices, and that any attempt to keep this for

    professional and managerial eyes only should be

    resisted. People wantto know and they expect their

    GPs to be able to tell them.

    earby on the health map is the issue of

    training. The most important facet of this

    concerned the quality and breadth of GP training

    and the issue of helpers doing nurses work: it was

    reported, for instance, that assistants were giving

    injections in the home. The feeling was that there

    was too much untrained monitoring of home care

    and not enough actual trained care. Re-engineering

    and altering the skill-mix are of tremendous

    importance to service providers as they pursue

    greater efficiency, but the public perception that

    services are deviating from the gold standard of

    doctors and nurses might have to be managed

    more carefully.

    What was also apparent was the depth of

    public understanding about the health educationagenda. They were big on self-reliance and on

    looking after themselves, keen on the preventive

    value of alternative therapies and concerned

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    about the quality of food and the uncontrolled

    interests of the food industry. As we have already

    seen, people are aware of the effect of the wider

    environment on their communitys health. What

    he participants really wanted was more inform-

    ation about how the system works, about who

    is responsible for what, about how decisions are

    made and about how they might influence those

    decisions. Perhaps this signals the need for a new

    ype of health education which is less about telling

    people what they already seem to know and more

    about empowering them to derive the maximum

    benefit from services. It would also be foolish to

    ignore the apparent strength of feeling about food

    and nutrition; this evidence should strengthen

    he hand of those who are trying to ensure that

    overnment departments act in concert to improve

    health and welfare.

    The issues that people raised were rather

    different to those that are currently driving the

    agenda inside the NHS. Their concerns were about

    waiting times and cancellations, about the respect

    hey received from doctors, about mentally ill

    people and community care: about the things

    hat directly affect them. But, with the notable

    exception of waiting lists, the managerial and

    professional agenda within the NHS is about things

    like PCGs and HIPs and HAZs and NICE. Noneof this is of much interest to the public its all

    underwear to them and (apart from getting rid

    of fundholding) people are mainly concerned with

    he availability and nature of the services they use

    he most.

    For health managers, then, the message would

    seem to be to get the changes over with as quickly

    and as quietly as possible, bearing in mind why

    politicians are locked into these basic concerns.

    The corresponding message for politicians is

    hat they need to provide the cover to allow the

    managers to get on and reshape the NHS so that

    a more appropriate focus on outcomes and public

    satisfaction can be maintained.

    While public service managers are struggling

    o overcome sectoral, organisational and depart-

    mental boundaries to work in partnership, the

    public seems to be one step ahead. They under-

    stand extremely well the links between housing,

    employment, traffic management and the quality

    of the built environment, and their combinedimpact on peoples health and welfare. Their ability

    o think in what managers like to call whole

    system terms was demonstrated again and again.

    The difficulty that public service organisations

    have in thinking this way to do joined-up

    planning, to generate the big pot of resources is

    a problem for them, not for the public.

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    The learning map

    Tabout which the participants developeda rich list of issues. From the outset, it was

    clear that a very wide range of definitions and

    questions were being raised, some of whichrelated to the formal education of children and

    adults within the recognised national system,

    and others which placed learning within a

    wide agenda of social, economic, community,

    individual and national issues. Building up the

    learning map involved exploring some broad

    themes and finding links and divergence within

    and between several sets of issues. The key

    clusters of issues which emerged are shown in

    the diagram.

    1. Education: who andwhat is it for?

    The participants took an holistic view of the

    purpose of education, discussing the difference

    between learning as a natural and essential part

    of living and the economic necessity of having a

    skilled and educated workforce.

    Early in the mapping process, a key proposalwas made, to which many subsequent items

    referred back: the need to review and refresh the

    whole ethos of education in the nation, that

    is, how it is viewed, its core purposes and its

    underpinning values. This was also expressed as

    a frustration with certain, narrowly defined (and

    media highlighted) issues, such as the achievement

    of formal academic qualifications, school league

    tables and competition/division within the system.

    The section of the map referring to politics and

    policies reveals a strong urge for a more rounded,

    inclusive and integrated approach to learning.People raised subjects like pre-school education,

    the family and community role, the desire of

    unemployed or older people, and individuals with

    Issues emerging in the

    1. Education:who and whatis it for?

    2. Learningfor life 3. Equal

    opportunities

    4. Schooand teachincludin

    alternatispecial n

    5. Parenand fami6.The

    government'sagenda

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    16 MAKINGTHECONNECTIONS

    specific needs and preferences, to gain access and

    contribute to learning, and their recognition of the

    non-school aspects of education. The essential

    values which emerged were those of equality of

    opportunity (and the problems of social exclusion),

    freedom of choice, and free or affordable, high

    quality learning opportunities for all.

    People also mapped the desire to gain

    qualifications and the risks of lowering standards

    o achieve a universal level of attainment

    alongside the wish to avoid a multi-tiered, socially

    divisive system, which many had experienced.

    2. Learning for life

    The group understood the phrase lifelong

    learning as referring mostly to keeping the work

    force up to date with the skills necessary for

    employment. However, they also emphasised a

    quite different meaning: learning as an essential

    part of life, ranging from opportunities at pre-

    school level to develop learning skills and a love

    of learning, through to the desire of older people

    o continue engaging in personal and social

    development.

    Learning for life can provide people with

    education, at whatever academic level, for a myriadof reasons:

    social interaction

    self development

    ones vocational needs

    changes in the workplace

    academic or intellectual challenges

    gaining qualifications.

    In the debate about the ethos behind learning

    and education it was clear that the group shared

    a set of values which included the ideas of

    inclusivity and individuality. People believed

    hat the opportunities afforded to individuals

    hroughout life should embody choice and

    be learner-centred and should build social

    connections and community capacity (which was

    interpreted as being involved, not isolated, and

    being able to manage ones own life and contribute

    o others).

    The map illustrates the various qualities that

    people believed learning for life would promote:

    initiative, an enthusiasm for learning and personalrowth and a tolerance of diversity; it would also

    develop respect, morality and socially responsible

    behaviour. Many of these were seen as the province

    of pre-school and family-sustained early learning

    which was a tool for influencing and shaping

    social-interaction skills like listening, talking and

    roup participation; all of these were seen as major

    contributors to a more cohesive and connected

    community. Some participants felt that the

    earlier children gain access to such an educational

    environment (including formal settings) the better.

    It was widely held, however, that such settings

    need not introduce the national curriculum before

    he age of five.

    Another message to emerge from the map

    is that people felt that too many options were

    closed off at later stages in life. Unemployed

    people may secure certain kinds of help, but often

    lacked fundamental skills (including the ability

    o learn and to value the effort). Some people

    perceived that the cost of gaining further and

    higher education had risen, while choices have

    been reduced. Hobby style, personal development

    (or non-vocational) classes were felt to be a key

    part of sustaining the lifelong learning ethos and

    nurturing self-esteem, sociability and community

    spirit.

    3. Equal opportunities

    The group explored the issues of education as

    a right, access and special needs and produced a

    series of statements about the importance of choice

    without elitism or the traditional mindsets which

    valued academic qualifications in isolation from

    heir social and individual relevance.

    Some participants saw the present formal

    education system as one that continues to press

    for traditional standards which may disadvantage

    some and segregate or exclude others. The ability

    of a system to provide equal opportunities

    was allied to the state of the community: its

    socioeconomic make up and its integration, or

    otherwise, of diverse groups. Whilst a rethink

    might be appropriate about how learning

    can produce a more integrated and tolerant

    community, the existence of such a community

    was also seen as being the prerequisite for an

    effective equal opportunities approach within the

    system.

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    4. Schools and teachers

    The development of the child is at the centre

    of this section of the learning map. The group

    acknowledged a number of learning objectives

    self-development, enjoyment, and self-esteem,

    for instance and believed that developing

    individuals and communities was more important

    than achieving academic standards.

    The participants reflected on the tension

    between, on the one hand, our expectation that

    teachers will provide the skills needed to achieve

    successful examinations results and, on the other,

    our desire that teachers should transfer social

    values and morals.

    Peoples goals and concerns included:

    the appropriate development of teachers,

    through positive recruitment and

    remuneration, continuous professional

    development and learning from mistakes

    a re-balancing of teachers responsibilities

    away from administrative duties (particularly

    those linked to early testing and league tables)

    towards more social engagement with children

    through things like lunch-time activities,

    clubs, arts, sports and the wider curriculum,

    and other activities which emphasise self-

    expression and enjoyable learning addressing the disadvantage (even alienation)

    that boys experience through, for example,

    the early emphasis on literacy, the lack of male

    role models who value education, and the

    suppression of other forms of learning

    achieving more dialogue and co-operation

    between teachers and parents, developing closer

    relationships with parents and involving them

    in their childrens learning, and recognising

    that parental support does not have to be

    academic

    recognising that the diversity of pupil

    populations (ethnicity, gender, health and

    disability, poverty, and so on) requires

    imaginative teaching and should not be

    straitjacketed by performance league tables

    reforming current policy priorities which tend

    to alienate pupils and parents and add to

    emotional and behavioural difficulties, leading

    to bullying and other anti-social behaviour

    recognising the damage caused by league tablesto schools which are dealing with diverse

    populations. Schools can gain undeserved

    bad reputations through the attentions of

    he media and national government. Does

    overnment policy recognise the needs of

    communities in same way as it seems to

    recognise needs of employers? The participants

    drew connections between the governments

    emphasis on developing a skilled workforce and

    an increase in courses leading to vocational

    qualifications like NVQs, and computer skills

    courses, which may limit the development of

    social skills.

    In terms of choice, alternatives and special

    needs, the map displays a strongly egalitarian

    stance (very much reflecting the diversity within

    the group). Peoples preference was for integration,

    where possible, including people with learning and

    physical disabilities as well as differing emotional

    and psychological abilities.

    This integration would, however, require

    reduced class sizes and more teaching and supportresources; the participants felt that resources could

    be redirected from some other services such as

    special schools.

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    Some people believed that, at present, the

    system does not recognise the differing needs

    of children. They approved of needs-led and

    learner-centred approaches and gave examples

    of (privately financed) alternatives such as free

    schools and Steiner schools in which a different

    ethos could be examined. They felt that these

    showed a more versatile and positive approach

    han that of the current resource-constrained,

    narrow and competitive system.

    5. Parents and families

    What emerges very clearly from this section

    of the map is that parental support for learning

    was considered very important, especially in the

    development of values and morals. Parents should

    be conscious of the need to set examples for their

    children; this includes setting boundaries of accept-

    able and unacceptable behaviour, showing respect

    for others, and conveying to children a sense of

    right and wrong.

    People felt that this needed to be supported by

    closer relationships between schools, teachers and

    parents. There was some disagreement, however,

    about the value of parenting classes; most people

    felt that this was a patronising approach. Neverthe-less it was felt that the provision of early parenting

    skills and support could greatly increase confidence

    and family readiness to engage in the lifelong

    learning and formal education agendas.

    Parents in the group felt that relations were

    easier to develop and maintain during childrens

    primary school years, because there was more

    informal contact with schools. Secondary schools

    used more formal channels such as parent-teacher

    associations and newsletters which did not create

    he same understanding or bond. Many parents

    would welcome more informal chats with

    eachers. It would also be helpful if parents were

    iven more guidance on what kind of support they

    could give or might be expected of them.

    People also saw it as part of the parental role to

    watch out for early warning signs (related to sex,

    drugs or alcohol use, and delinquency) and to liaise

    with the school to ensure that childrens learning

    careers were not diverted into antisocial or danger-

    ous activities. The group drew many connectionsbetween families and schools as partners in pro-

    viding children with a rounded development which

    would hold lasting benefits for future generations.

    6. The governmentsagenda

    From the map it is clear that the participants

    felt little sense of an existing shared vision for

    learning between communities and government.

    They thought that their discussions had developed

    he foundation of a possible community

    vision, with the emphasis on lifelong learning,

    community goals, and the development of social

    skills and self-esteem. This stood in sharp contrast

    with their perception of government policy, with

    its apparent focus on testing and league tables.

    People wanted more interaction with

    overnment, through consultation and better

    information. If the role of government policy is

    he articulation of societys goals and values, this

    needs to be underpinned by a greater engagement

    with local communities.

    Local government was seen as the main

    agent for this interaction, linking local needs

    and interests to education policy and funding.

    There were some advocates for strengthening the

    power of local management of schools, but the

    majority of participants welcomed the role and

    contribution of local education departments,

    particularly concerning the issues of equality and

    he representation of wider community needs.

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    The challenge to education management

    Transforming education so that it providesthe opportunities for all individuals andorganisations to participate fully, economically

    and socially in the learning age will require

    managers and politicians to harness the potentialand the resources of local, business, religious and

    other communities. But, as was demonstrated

    abundantly by the rich discussion and mapping

    at this event, learning, especially in the era of

    rapid development and use of communications

    and information technologies (CIT), means far

    more than the traditional forms and institutions

    schools, colleges and universities.

    The New Labour Government has made

    education a priority and a raft of policies and

    initiatives including education action zones,

    numeracy and literacy schemes, the New Deal,

    University for Industry, and National Grid for

    Learning have been put in place to raise standards,

    promote social inclusion, exploit CIT and develop

    learning for life.

    From the debate among the participants,

    whilst it is clear that much remains to be done to

    communicate and embed these, as well as the desire

    for more resources there are two major areas which

    still need considerable attention. First, althoughstandards, targets and measures of comparative

    performance may be helpful in assuring that all

    individuals acquire basic and necessary skills,

    there is a lack of clarity over the purposes and

    desired outcomes of education: what is education

    for? Second, politicians, managers, professionals,

    communities, parents and children all need to unite

    in order to achieve these purposes and outcomes.Though learning takes place in many settings,

    schools are still at the heart of the educational

    process for most communities. Childrens

    expectations of education and their enjoyment

    or dislike of learning, are formed through their

    experience of school, reinforced or lessened by family

    and friends. Yet in two important respects, over the

    last couple of decades, the focus of school activities

    has narrowed.

    One participant noted, There used to be all sorts

    of extra-curricular classes at the local school: keep-

    fit, foreign languages, music, art, English and even

    ante-natal groups. You met people from the area and

    it was a focus for the community. Now all this has

    gone, crime has increased, the school gets vandalised,

    and everyones health has suffered.

    Throughout the UK, of course, there are

    honourable exceptions, but all too often schools

    have become isolated from the communities which

    they serve. Schools (and colleges and universities)

    which could, with imagination, be the site for thedelivery of many health, social and leisure services,

    provide a wide range of educational and training

    activities for adults and children and be an engine

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    for economic and social regeneration, have, through

    he pressure of legislation, the withdrawal of services

    and a reduction in resources, become narrowly

    focused on the performance of children.

    The second narrowing is in the concept of

    performance. Many participants expressed their

    concern that there is too much emphasis on

    qualifications, standards and, for adult learning,

    accreditation and too little on the wider role of

    learning, such as building self-esteem, whole life

    skills, the development of potential and not just

    employment needs, and enhancing the capacity to

    learn and a love of learning.

    What is required is a vision for education, a

    picture of learning which embraces the current

    agenda and also addresses the wider social needs

    of individuals and communities in a learning age,

    which values emotional literacy as well as linguistic

    and IT literacy, culture as well as economy. What

    would a community be like if learning was highly

    valued and inclusive, if education was only one part

    of learning, and if learning was for life?

    Throughout public services, and perhaps

    particularly in education, two sets of fault lines

    hinder the articulation and realisation of a common

    vision and unity in purpose: the fault lines between

    politicians, managers, professionals and publics, and

    hose between national, regional, local, communityand family levels of understanding, responsibility

    and action.

    Making the Connections offers a glimpse of how

    hese fault lines might be overcome. Politicians and

    managers across the UK are striving through citizens

    panels, citizens juries, deliberative polling and other

    activities to develop the capacities and capabilities of

    individuals and communities. And good managers

    and leaders seek to do the same with professionals

    and staff in their organisations.

    As many political writers and advisers have

    commented, societies in the late 20th and 21st

    centuries are increasingly interlinked and share

    common risk. If individuals and communities are to

    participate fully in such societies and be involved

    in social and individual choice, complex decision-

    making and prioritisation (rationing), they need

    he appropriate skills and the access to relevant

    information. Individuals need these capacities and

    capabilities not just for employment but to be active

    and engaged members of communities, not just torespond but to be able to make public services work

    for them.

    This responsibility of education managers and

    politicians developing capacities and capabilities

    is shared with teachers and lecturers, with education

    professionals. And is shared with managers and

    politicians across public services. National bodies

    (DfEE, OFSTED, the Audit Commission, etc) could

    redefine their role as being to develop the capacities

    and capabilities of regional and local bodies

    (including local authorities/LEAs) and local bodies

    as being to do the same for schools and community

    organisations.

    Doing so could be the glue that would bind

    stakeholders together, and levels of learning the

    hread which could reconnect government, public

    services and individuals.

    A number of possibilities for learning and action

    by public service managers suggest themselves:

    education managers heads, principals and

    vice-chancellors could consider how to open

    up further their institutions to the communities

    which they serve

    in a knowledge society, educational institutions

    schools, colleges and universities could be

    the site for the debate over the delivery of public

    services

    learning the development of capacities and

    capabilities is the responsibility of all public

    service managers, not just those in education accountability for education (and other public

    services) needs to move from the formal,

    representative and upward to the consultative,

    engaged and outward.

    Perhaps the most important lesson, however, is

    he need for a vision for education. What is needed

    is a picture of learning appropriate to the 21st

    century, a story which holds together the various

    initiatives, plans and policies, which recognises the

    need for safeguards against failure and arbitration

    of conflict but which connects the different parts of

    he education and learning systems. A vision which

    replaces the stretch-and-discard which has often

    characterised education in this country with a notion

    of social inclusion and inclusiveness. Amongst the

    many pilots in education, such as those in Gateshead

    Learning World and West Walker Primary School, we

    may catch glimpses of this vision. The future often

    starts in small places.

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    Public Management

    The community safety map

    T Making theConnections event was one for communitysafety. The issues that participants identified

    can be clustered around the following themes:

    personal and community responsibility the environment and society

    safety

    the criminal justice system

    training and quality.

    People said that they feel remote, or even

    excluded, from the decision-making arenas where

    community safety policies are made. There was a

    strong feeling that many of the bodies involved

    in community safety, such as the police and the

    courts, are failing too often in their duties, with

    the consequences being felt by individuals and

    communities. People want to have more of a direct

    say in the direction of community safety initiatives.

    1. Personal andcommunity responsibility

    The map clearly indicates a very strong feeling

    that the responsibility for community safety does

    not lie solely on the shoulders of bodies like thepolice. Participants agreed that both the individual

    and the wider community should be striving

    towards community safety. However, people also

    commented that, in what they perceived as an

    increasingly fragmented society, the sense of

    community is weak, and the bonds between people

    becoming frayed. If individuals and the community

    are to take more responsibility for community safetythese bonds will first need to be re-established and

    community spirit re-invigorated.

    Community is an elusive concept, but one

    which nearly everyone recognised as a positive idea.

    People identified themselves as members not only

    of communities of place, but also of communities of

    interest. They felt that these individual communities

    are valuable and should be nurtured, but should also

    look outwards and seek to enrich the larger society.

    Community spirit is not something which

    can solely be rekindled from within and people

    commented that it requires an outside impetus

    and support. They thought that education was

    essential, firstly to help rebuild community spirit,

    and secondly to raise levels of understanding and

    tolerance between the different communities.

    However, the map clearly shows that people

    believe the individual is as important as the

    community and should not be subsumed by it.

    Individual space and privacy need to be respected

    and nurtured. But some people commented that self-esteem, like community spirit, is often lacking or in

    need of re-invigoration. Again, people believed that

    education had a role to play here.

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    sections of the community safety map

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    2. The environment andsociety

    Across the community safety map two themes

    appear several times: the environment and

    society. The two are closely linked and may

    often be inseparable. An individuals immediate

    environment and the wider pressures of society

    may influence that persons propensity either to

    commit crime or be a victim of crime.

    Societal pressures, often channelled through

    he media, can have an impact upon crime.

    Two examples which people placed on the map

    illustrated this. The first had to do with the

    way that the media often portrays drug use as

    lamourous (it should be noted that people did

    not just perceive drugs as meaning illicit drugs).

    The second was the medias tendency to emphasise

    he perceived importance, for young people in

    particular, to keep up with the latest trends in

    fashion. Both of these were viewed by participants

    as placing an undue pressure on young people to

    strive to keep up with their peers; not surprisingly,

    hey felt, this pressure often manifests itself

    hrough crime.

    People also pointed to unemployment as

    another problem which has an impact upon crime,

    if only through the boredom which it can bring.The map shows peoples desire to have the problem

    of unemployment addressed through innovative

    means, for example, by searching for alternatives

    o employment if getting a person into work is not

    a practical prospect.

    An individuals own immediate environment

    the built environment within which a person

    lives, but also their home situation also affects

    community safety. Marriage break-ups and child-

    abuse were just two examples that people gave of

    how a persons situation at home can affect how

    hey interact with the wider society. People drew

    close connections on the map between this area

    and that of individual and community responsib-

    ility in that having ones marriage collapse or

    having been a victim of child abuse is likely to

    affect a persons self-esteem, with possible costs for

    community safety.

    3. Safety

    Safety features very prominently on the map

    and is closely linked to the issues about the

    environment. Safety is an issue with a particular

    resonance at the local level and people made

    references to it in many different local situations.

    A major aspect of safety that the map highlights

    concerns transport and road safety. People felt that

    speeding cars were a particular danger, but parked

    cars causing an obstruction were also perceived

    as a safety problem. Participants used the map to

    draw a connection between traffic safety and drink

    driving which they viewed not only as a safety

    issue, but also a crime-related problem.

    People extended their concerns about transport

    safety to include security on public transport. They

    felt that a visible, human presence in the form of

    a conductor or guard added greatly to feelings of

    safety. And this human security presence was also

    valued in other situations, such as having wardens

    in sheltered housing or even in public spaces such

    as parks.

    Safety measures may also take other forms.

    People generally see CCTV as a necessary evil

    where concerns about individual privacy should be

    set aside in pursuit of the greater good. But they

    felt that the balance between privacy and safetybecame far more debatable when the question of

    ID cards as a possible safety measure was raised.

    4. The criminal justicesystem

    Across the map, the main elements of the

    criminal justice system are noted as failing in many

    respects. People particularly criticised the courts:

    for instance, they noted their concern about how

    long it takes, from the time of their arrest, for a

    person to come to trial. Sentences handed out by

    courts were often thought to be inappropriate and

    lacking in consistency, so that soft crimes often

    attracted too harsh a sentence, while more serious

    crimes were sometimes punished too leniently.

    Again the map makes a link to education as

    offering part of the solution to this problem.

    People felt that judges were an especially weak

    aspect of the criminal justice system, out of touchwith societys views, and thought that educational

    and training programmes could provide one means

    of bringing them up to scratch.

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    Public Management

    It was not only the individual agencies which

    were believed to be failing but also the links

    between them. For example, participants felt

    the police were remote from the courts and,

    consequently, they thought that the two may often

    be pulling in different directions. The various

    agencies of the criminal justice, particularly the

    police, were also thought to be remote fromthe communities they serve. If the community

    is to achieve the levels of responsibility and

    involvement which large areas of the map indicate

    they want, then links need to be made not only

    across bodies but also ownwards owards the

    communities they serve. One way in which the

    police could do this would be to recruit more

    members from their community, and this may

    be seen as an additional aspect to community

    policing.

    5. Training and quality

    Issues of training and quality cross-cut many

    of the issues highlighted on the map and were

    particularly closely connected to the criminal

    justice system. Quality underpins many of the

    concerns people have with agencies which have

    an input into community safety, and people felt

    that training would be one vehicle through whichquality might be improved.

    The map shows peoples concerns with the

    effects on the quality of the police and policing of

    an under investment in quality. A lack of quality

    can affect different communities in different

    ways. While for some people it may mean little

    more than a seeming lack of politeness from

    police officers, others experience it as a lack of

    respect which can have serious and far reaching

    consequences. It can lead, for example, to

    individuals and communities feeling disaffectedand angry, with a resulting breakdown in relations

    with the police.

    Even worse, a lack of quality and training may

    manifest itself in a perceived lack of accountability

    or corruption. People pointed to the Stephen

    Lawrence case as an example that had been made

    public but feared that corruption or a lack of

    accountability might be endemic, though hidden.

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    The challenge to police management

    The forthcoming Crime & Disorder legislationwill introduce a range of radical reformso policing, bolster partnerships between local

    gencies, and introduce fresh approaches to

    youth justice. The legislation is commandingwidespread support which is no mean

    chievement in the realm of criminal justice

    where many past policies often seemed to

    produce more dissent than consensus.

    The debates at this community discovery event

    illustrated that the public has a sophisticated

    understanding of the complexities of crime and

    disorder. People are quite prepared to support

    and work with the public services concerned to

    unpack that soundbite tough on crime, tough on

    he causes of crime and to help develop robust

    strategies that will lead to safer streets, homes

    and workplaces. Just as they did with health

    and learning, the participants recognised that

    individuals, communities, public services and the

    overnment all have a part to play in achieving

    improvements in the quality of life.

    Under the banner of crime and safety, many

    linked issues were discussed road safety as well

    as crime and the fear of crime and people saw a

    role for both the council and the police in takingaction on these matters. Within the Crime and

    Disorder legislation the government has, very

    deliberately, not prescribed what local community

    safety strategies should contain except in so far

    hat they must be based upon a local review

    of crime patterns (taking due account of the

    knowledge and experience of persons in the area

    Crime and Disorder Bill, Clause 6). The evidencefrom this event is that members of the public want

    and need to be involved in helping decide the

    scope of these reviews or audits to ensure that

    he resulting strategies have their support. The

    ambiguity about what crime and disorder strategies

    should contain needs to resolved with the public.

    They will need, too, to be involved in helping

    decide which issues should become priorities.

    The supervision of public places was a theme

    hat came up again and again in a variety of guises,

    such as the consequences of removing wardens

    and concierges and police officers on foot (or

    bike) patrol. A number of people made the clear

    observation it was a false economy to remove this

    visible human presence. The message is clear: if

    local agencies are serious about crime prevention

    and problem solving then they, like the public,

    must make the connections between budgetary

    policies and their consequences.

    Not surprisingly many of the points people

    made focused on the role and capability ofhe police. The pressures on the police were

    highlighted (all that form filling said one

    person) but so too were their attitudes to the

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    public (my daughters front door was kicked

    in, wrongly, and she never got even an apology,

    let alone compensation said another). The

    public wants community police officers who are

    naturally inclined and able (from hard won local

    knowledge) to work with local people. There are

    many implications here for the police in terms of

    recruitment and career management policies an

    issue recently highlighted in Misspent Youth: 98

    Many people identified the importance of

    community spirit and self esteem in reducing

    crime but there was a sense of frustration at the

    low level of tangible support given by the services

    to nurture such individual and community

    development. Perhaps in the efforts to set hard and

    specific targets, these ineffable precursors of a safer

    society are being overlooked. In the fight against

    crime, the people are saying formulate objectives

    for community spirit so that crime and disorder

    strategies are integrated and therefore effective.

    There was a generally poor view of the criminal

    justice system: the discussions touched on subjects

    like the inefficiency of the Crown Prosecution

    Service, the little attention given to victims in the

    courts, and so forth. The criminal justice system

    has, it would appear, managed to avoid the same

    degree of scrutiny and pressure to change that

    most (if not all) other public services have beensubjected to. Commonplace concepts such as

    client satisfaction and financial accountability

    do not seem to figure in the justice system,

    particularly the courts and CPS. This looks set

    to change: the CPS is about to restructured and

    questions have been raised over the sums being

    earned by QCs from the public purse. It would

    appear from what was discussed that this trend

    is none too late. People will give their support

    to forthcoming reforms if they result in swifter,

    cheaper and more effective processes that pay

    greater heed to the needs and wishes of all the

    people involved.

    Many links were made between drugs

    and alcohol and crime, and indeed health.

    The importance of preventive education was

    emphasised within a wide ranging discussion

    about the public health and safety implications of

    drugs. These comments only serve to underline the

    importance of, and support for, the governments

    strategy to drive forward an integrated approach topreventing drug abuse trying to reduce demand

    and supply. However this public support is not

    unconditional. Several of the comments made

    by participants showed a high intolerance for

    inconsistency; whatever the government may say,

    the public (particularly the young, where there

    is much ground to be won) are watching for the

    (symbolic) actions to match its words.

    Interestingly one group chose to focus their

    discussion upon unemployment and victims,

    recognising that whilst many criminals are

    unemployed so are many of their victims. The

    cycles of deprivation and distrust were well

    understood by the people in that group. Indeed

    many, many connections were made between

    community safety and the two other themes of

    the event, learning and health. One connection,

    however, particularly stands out: if education is

    to achieve anything, it must help people make

    choices in their lives and it is this which will, in

    turn, reduce social exclusion and therefore crime.

    The participants at this event would appear

    to understand and approve of the governments

    approach to tackling social exclusion. They, like

    the government, recognise the complexity and

    interrelatedness of many of the factors which

    conspire to produce people and estates where

    crime seems to be the only option. The public are

    waiting, in hope, for the results of this joined up

    thinking and action.

    The discussion and the map produced throughthis process of community discovery validate how

    vital and worthwhile it is to engage the public

    in the co-creation of and not just consultation

    about local crime and disorder strategies and in

    the co-implementation of these strategies. There is

    so much that is possible and so much to be done.

    But it is clear that the public is willing and able to

    take action to reduce crime and the fear of crime

    and build a better Britain.

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    The big picture

    People have very many different experiencesof using public services. Individuals makeonnections between these experiences in ways

    which it is difficult for public servants, working

    with their own fields or functions, to emulate.By exploring these connections, we can identify

    ways in which public services can help the

    public to achieve their aims: greater self-help

    nd a more productive partnership between

    people and services.

    People accept responsibility for their own well-

    being. They are willing and able to do more to

    improve their own health, safety and learning and

    hat of others. In this community discovery event,

    here was a preference for self help and a desire for

    he sort of support which would make this more

    possible. And there was a widespread recognition

    of the sorts of individual actions and qualities

    such as tolerance, respect, mutual support and

    neighbourliness which help to create the sorts of

    communities in which people want to live.

    Participants in this event approached public

    services much more as citizens than as customers,

    while defining public services as action that could

    and should be taken for the public good, rather

    han as specific public sector organisations. Therewas a striking emphasis on the role of public

    services in helping people to live together in a

    healthy and safe environment. The provision of

    one-to-one services was seen as only one part

    of a much bigger picture which was made up of

    a network of connections between individuals,

    roups and services.

    Integrated communitiesNot only did people want education services

    o do more to help children learn about the

    differences within a diverse community but they

    wanted public services in general to bring together

    roups of people from different backgrounds so

    hat they might understand one another better.

    For example, the inclusion of children with special

    needs in mainstream schools was seen of enormous

    benefit to both groups of children, and their

    parents, providing this was properly resourced and

    he professionals were committed to it.

    Customer care and co-productionPeoples experiences of even routine and

    relatively unimportant transactions with public

    services influence their future behaviour and

    attitudes. Peoples attempts to be active and

    responsible citizens by, for example, reporting a

    crime, are stifled when their action is ignored or

    met with rudely.Where the contact is of greater significance, to

    he user at least, it can result in a serious loss of

    confidence. Teenage boys going to the police after

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    being attacked were left feeling alienated by the

    hostility of the police and their long and fruitless

    wait for medical attention. If public services are

    to build a stronger partnership with citizens, the

    basic principles of the Citizens Charter can help to

    create the necessary trust and help to enrol citizens

    as co-producers of the desired outcomes of public

    services.

    Support and self helpPeople recognised that limited support from

    public services can often enable independence

    the almost universal preference. However, they

    were concerned that uncoordinated decisions

    by public services often blocked self-help and

    resulted in a poorer quality of life and greater

    demands on the public purse. All too often, one

    part of the public sector failed to provide the

    infrastructure which would enable another part to

    meet its objectives of helping citizens to look after

    themselves.

    Illustrations were numerous: mothers having to

    give up work because they could not find suitable,

    affordable child care; withdrawal of youth services

    contributing to higher crime rates; the closure

    of social clubs adding to the isolation and ill

    health of elderly people; and the wait for a GPs

    appointment lengthening the absence from schooland work.

    Choice and accountabilityPeople want choice. They are also willing to

    take the responsibility of being more proactive in

    meeting their needs, in partnership with public

    service providers. People felt a sense of ownership

    of public services, although this was not reflected

    in opportunities to engage in policy making

    and systems for service delivery. This sense of

    ownership was combined with a desire for more

    openness and accountability in the design and

    delivery of services. At a basic level this consisted

    of the ability of service providers to answer what

    members of the public saw as simple questions.

    They were concerned to be able to avoid the poor

    quality schools, doctors, hospitals and other public

    services. A more uniform standard of provision

    would make this less of an issue. However, in

    a wider sense, choice was connected to self

    empowerment, taking responsibility and placingthe citizen at the centre of public service provision.

    As it is, their attempts to choose are defeated

    by a lack of information and the lack of options.

    Further, they are sceptical about the role of

    performance information in actually enabling

    choice or raising standards. In the case of school

    league tables, the indicators did not reflect the real

    priorities of children and parents. Nevertheless,

    some parents felt compelled to act on the basis of

    this information, creating more pressure on the

    good schools and depriving the bad schools of

    the sort of mixed community which people said

    they preferred.

    Fostering a community spiritThe need and desire to foster more of a

    community spirit was a major theme running

    through all the discussions. There were many

    facets to this, including respect and understanding

    for others and a sense of responsibility for assisting

    other people. With a more active community

    spirit, people felt, much could be done to

    prevent and tackle crime, to provide a healthier

    environment, and to increase individuals learning

    and self esteem.

    People want public services to help them

    develop more active communities. Events like

    the one which led to this report can help, but

    only if public services take a genuine interest in

    what people have to say, and commit themselves

    to acting on what they hear. Public services canfacilitate community development by supporting

    groups, disseminating information, and providing

    events and facilities, perhaps helping schools

    to move away from an all-consuming focus on

    exam results and to become more of a base for

    community activity.

    Communicationplea for better communication was heard

    in every context. The need for more information

    and greater dialogue is pressing. The lack of

    communication between different parts of public

    services and between services and their users

    frustrates and in some cases enrages people. It

    restricts access to services and prevents people

    from contributing fully to their own well-being

    and that of the community.

    People were moved to comment on the

    differences between the views expressed by

    participants in this event, and the presentation of

    public opinion in the media. They urged publicservices at local and national level to develop

    much more direct communication with the public.

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    Central government and top management

    need to promote a visionary agenda of social

    results and a more inspiring ethos for publicservice.

    Government at all levels needs to widen the

    genda of community engagement beyond

    uality issues to include consideration

    f policy, accountability, outcome and

    responsibility.

    As the agenda of improved social results

    becomes clearer, government at all levels

    needs to explore and experiment with new

    ways of organising resources and effort

    o deliver outcomes rather than simply to

    eliver services.

    Managers responsible for local public service

    provision must articulate clearly and

    requently the social outcomes they are

    rying to produce for their communities.

    Managers, local politicians and authority

    members must engage the public regularly

    and continuously in order to view the

    changing state of social outcomes throughtheir communities eyes.

    Local politicians and authority members,

    managers and service professionals have to

    develop knowledge, skills and more open

    attitudes in order to engage in new ways of

    listening to the public, new ways of learning

    about community needs and new ways of

    sharing ideas, challenges and solutions.

    Local government should create communities

    of social outcome, bringing together

    perhaps two or three times a year all of

    the agencies and people in one locale with

    specific interests in an outcome and with

    some of the wherewithal to help achieve it.

    Public service organisations need practical

    strategies to engage citizens and to build

    active citizenship.

    The way forward

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    Building new connections

    Citizens are demanding connections.They have complicated lives that presentinterconnected problems. But those problems

    are not well-enough addressed by our too often

    unconnected public services. Citizens do wantthe joined-up solutions that Government wishes

    to promote. Joined-up services are required to

    produce them.

    Citizens also want to be connected themselves

    to those services. They want to have more say and

    a greater influence in the ways public services are

    delivered. They are concerned about the quality

    of public services and about the impacts those

    services can have on their well-being. But citizens

    are aware of their own responsibilities and their

    own roles as well, not just in making services

    better but also in building the strengths of local

    communities.

    These horizontal connections between services

    and people are not enough, however. Citizens want

    vertical connections too, between policy intent,

    service implementation and results on the ground.

    And they want to be able to see and understand

    those vertical connections. They want transparency

    and they want accountability.

    Much needs to be done to build newconnections, at all levels of government and in

    all parts of the community. To contribute to that

    process, we ha