Abstract:The United Kingdom, as an exemplar liberal welfare state, has been characterized as in the vanguard of "work-first" activationdeploying high levels of compulsion and standardized employability services that seek to move people from welfare to work as quickly as possible. However, despite the extension of welfare conditionality to excluded groups such as lone parents, government-led, work-first employability programmes have often proved ineffective at assisting the most vulnerable to escape poverty or even just… Show more
“…Academic reviews of coproduction highlight—with some exceptions32—little critical engagement with issues of power, power relations and representation and whether typical patterns of participation serves to make services more or less inclusive (or do they simply reinforce existing social inequalities?) 9 18.…”
IntroductionCocreation, coproduction and codesign are advocated as effective ways of involving citizens in the design, management, provision and evaluation of health and social care services. Although numerous case studies describe the nature and level of coproduction in individual projects, there remain three significant gaps in the evidence base: (1) measures of coproduction processes and their outcomes, (2) mechanisms that enable inclusivity and reciprocity and (3) management systems and styles. By focusing on these issues, we aim to explore, enhance and measure the value of coproduction for improving the health and well-being of citizens.Methods and analysisNine ongoing coproduction projects form the core of an interactive research programme (‘Samskapa’) during a 6-year period (2019–2024). Six of these will take place in Sweden and three will be undertaken in England to enable knowledge exchange and cross-cultural comparison. The programme has a longitudinal case study design using both qualitative and quantitative methods. Cross-case analysis and a sensemaking process will generate relevant lessons both for those participating in the projects and researchers. Based on the findings, we will develop explanatory models and other outputs to increase the sustained value (and values) of future coproduction initiatives in these sectors.Ethics and disseminationAll necessary ethical approvals will be obtained from the regional Ethical Board in Sweden and from relevant authorities in England. All data and personal data will be handled in accordance with General Data Protection Regulations. Given the interactive nature of the research programme, knowledge dissemination to participants and stakeholders in the nine projects will be ongoing throughout the 6 years. External workshops—facilitated in collaboration with participating case studies and citizens—both during and at the end of the programme will provide an additional dissemination mechanism and involve health and social care practitioners, policymakers and third-sector organisations.
“…Academic reviews of coproduction highlight—with some exceptions32—little critical engagement with issues of power, power relations and representation and whether typical patterns of participation serves to make services more or less inclusive (or do they simply reinforce existing social inequalities?) 9 18.…”
IntroductionCocreation, coproduction and codesign are advocated as effective ways of involving citizens in the design, management, provision and evaluation of health and social care services. Although numerous case studies describe the nature and level of coproduction in individual projects, there remain three significant gaps in the evidence base: (1) measures of coproduction processes and their outcomes, (2) mechanisms that enable inclusivity and reciprocity and (3) management systems and styles. By focusing on these issues, we aim to explore, enhance and measure the value of coproduction for improving the health and well-being of citizens.Methods and analysisNine ongoing coproduction projects form the core of an interactive research programme (‘Samskapa’) during a 6-year period (2019–2024). Six of these will take place in Sweden and three will be undertaken in England to enable knowledge exchange and cross-cultural comparison. The programme has a longitudinal case study design using both qualitative and quantitative methods. Cross-case analysis and a sensemaking process will generate relevant lessons both for those participating in the projects and researchers. Based on the findings, we will develop explanatory models and other outputs to increase the sustained value (and values) of future coproduction initiatives in these sectors.Ethics and disseminationAll necessary ethical approvals will be obtained from the regional Ethical Board in Sweden and from relevant authorities in England. All data and personal data will be handled in accordance with General Data Protection Regulations. Given the interactive nature of the research programme, knowledge dissemination to participants and stakeholders in the nine projects will be ongoing throughout the 6 years. External workshops—facilitated in collaboration with participating case studies and citizens—both during and at the end of the programme will provide an additional dissemination mechanism and involve health and social care practitioners, policymakers and third-sector organisations.
“…In Scotland, the geographical focus for our research, previous studies identified a strong culture of partnership-working between local government and the third sector that has provided an alternative to contracted-out, work-first activation (Lindsay et al, 2018a). And grant funding provided by charities and nondepartmental public bodies has allowed for innovative local experiments in coproducing high quality employability services (Lindsay et al, 2018c). It is one such innovative initiativeco-producing services with LPsthat provided the context for our research.…”
Section: Co-production As a Route To Personalised Employability Servicesmentioning
confidence: 99%
“…So, co-production promises tailored, personalised services, but crucially sees users as equal partners in shaping those services. There are clear potential benefits for public services and their usersservices may be more tailored to users' needs (Burns, 2013) and more generally better-informed (and therefore potentially of higher quality) because of users' feedback and insights (Pestoff, 2012); users may feel empowered by having a clear influence over the services that they engage with (Verschuere et al, 2012), and may commit more of their 'assets' (in the form of commitment and energy) to making services work (Lindsay et al, 2018b); and their collective engagement and support for services and peer service users may have positive impacts on social capital within targeted communities and groups (Lindsay et al, 2018c). (For further discussion of the concept of co-production, see for example: Burns, 2013;Crompton, 2018;Löffler and Bovaird, 2018).…”
Section: Co-production a S A Route To Personalised Employability Servmentioning
Policymakers in the UK have promised to deliver personalised employability services for vulnerable jobseekers. However, unemployed people often describe their engagement with state-funded services as defined by: the offer of low cost, standardised job search services; and pressure to accept any job, irrespective of quality or appropriateness. This article argues that more progressive, co-produced alternatives are possible. We draw on an evaluation of local, third sector-led services targeting lone parents (LPs) in five local government areas in Scotland. Our research involved more than 100 in-depth interviews with both service providers and LPs. We find that partnership-oriented co-governance mechanisms facilitated collaborative approaches to the management of services and processes of co-production. LPs expressed positive views of the personalised services that were co-produced. We conclude that a commitment to collaboration and co-production may be more effective in promoting personalised services that are responsive to the needs of vulnerable groups.
“…In an Australian study, Considine et al (2011) showed that quasi‐markets did not meet the expectations of more flexible and personalized service provision, arguing that this is the result of both purchaser and provider behaviour in a market context. In the same vein, Lindsay, Pearson, Batty, Cullen, and Eadson () argue that service provision models built on coproduction rather than contractualization and marketization may provide more opportunities and better conditions for the provision of tailor‐made services and for a more active involvement and participation of jobseekers.…”
Section: Making Welfare Conditional: a Street‐level Perspectivementioning
This article looks at how welfare conditionality is delivered at the street level. It argues that the street‐level delivery of welfare conditionality is structured by policies, the governance context in which workers deliver welfare conditionality, the organization in which they work, and the occupation they are part of. Characteristics of these contexts present street‐level workers with a variety of signals and incentives that direct their decision making. The article elaborates on this proposition on the basis of a review of academic studies analysing the street‐level delivery of various aspects of welfare conditionality: the use of sanctions, service personalization, and the treatment of vulnerable clients. The review shows that context characteristics together have a significant impact on the street‐level transformation of welfare conditionality policies into practices. Street‐level decision making concerning the use of sanctions is far more complex than can be captured by a perspective on street‐level workers as merely policy implementers. Sanctioning practices are sometimes harsher, sometimes more lenient than policies lead us to expect. The “soft” side of welfare conditionality—represented by service personalization—is often under pressure at the street level, potentially strengthening welfare conditionality's tough side. This affects vulnerable jobseekers most: Street‐level studies show that the balance between disciplining and enabling aspects of welfare‐to‐work is most at risk for more vulnerable groups. The article concludes that the contextual pressures street‐level workers have to deal with in their daily work hardly reflect the “delicate equilibrium” that they need to deliver welfare conditionality in a professional, responsive, and responsible way.
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