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Whose turn is it for us to alienate now?



One of my latest memories of the dying Thatcher government in 1990 was how it seemed that they were in office but not in power, and how they were just picking off sectors of society to alienate one by one.

I see history repeating itself, and the challenge now for Labour is that it should be seen as vaguely representative of the general population – not of the political class. I have no direct experience of how much of a power base Ed Miliband’s SpAds have, but it’s clear that the party still has a major problem in basic communication. How on earth could a massive report recently be summarised as a soundbite of Labour tubthumping over its benefit toughness? It’s struck me and others how Ed’s “inner circle” does seem perhaps rather male dominated? According to Wikipedia, a “patriarchy is a social system in which males are the primary authority figures central to social organization, occupy roles of political leadership, moral authority and control of property, and where fathers hold authority over women and children. It implies the institutions of male rule and privilege, and entails female subordination.”

In fact, a scroll down the Labour shadow cabinet demonstrates many outstanding female politicians. But a whiff of patriarchy still embues how Ed Miliband’s inner circle go about their business, with political selebs in the form of Lord Glasman and Jon Cruddas. Despite Harriet Harman’s enormous influence, it can mean that box office events at Compass or the Fabian Society can appear somewhat imbalanced on issues of family vs. cohabitation. And, in the ever feisty debate on benefits, Labour often forgets that it could be reframing the narrative as ‘social security’. Sometimes disabled citizens appear to be airbrushed from the discussion altogether, with Labour seeming to escape the national average of physically disabled citizens. What a refreshing change it might make if Labour were to stand up for offering guidance for every disabled citizen about how to negotiate the disability benefits system for example. About five years ago, I found myself in an underground room in the old building of the Fabian Society in Westminster, London. The speaker, whose identity I think I can remember, said to our small group: “And it was if, in government, they were thinking whose turn is it for us to alienate now?”  This current government, whatever Ed Miliband MP and Rachel Reeves MP say on benefits, has alienated resoundingly citizens with disability.

Debates about the National Health Service always seem to be approached from the perspective of the hospital manager, health policy wonk, or doctor; and not an embattled nurse fed up with savage staffing cuts to his or her word. The platitude which Jeremy Hunt was able to recite at the NHS Confederation this year, that there is nothing more valuable than the people of the National Health Service, clearly pales into insignificance if staff do not receive a payrise. And are staff able to speak out safely against the management and leadership of toxic cultures where they exist in the NHS? One of the NHS’ strategic goals this year – 2014/5 – is a ‘productive’ workforce, and yet an ill workforce is an unproductive workforce. It’s even been cited in previous reports that a sick Doctor is as unproductive as a Doctor completely out of the system. Whilst the Conservative Party have clearly been milking problems in the Welsh NHS, hardly any mention is given of the Scottish NHS which has rid itself of inefficient competitive markets. Why has Ed Miliband been strikingly quiet on the devolved nature of the NHS under his construct of “One Nation”?

Clearly Jon Cruddas needs to get his bum off his seat and deliver whatever policy conclusions he has taken years in formulating. People are simply unable to campaign on the doorstep without a clear idea about a Labour government will deliver. There are piecemeal scraps, such as action on ‘zero hour contracts’, the national living wage, better regulation of the energy markets, and yet showpiece items such as ‘whole person care’ remain parked in the garage. Social care is currently on its knees, so if Labour intend to plan a big reform of the social care system, it would be useful if voters knew about it sooner rather than later. For all the talk of the Conservatives having produced a ‘top down reorganisation’ of the National Health Service, it is still rather clear how Andy Burnham will break down silos between the NHS and social care, and produce the infrastructure for coordinated care, without spending more money or a cultural upheaval? Clearly Burnham himself has been concerned about this, which is why he has signposted ‘whole person care’ wherever possible, such as at the NHS Confederation recently.

And the present Conservative-Liberal Democrat coalition have done a pretty standard demolition job on sectors of society, in behaviour usually reserved for the NHS whistleblower. First of all, they are discredited; secondly, they are outright attacked; thirdly, they are ostracised; finally, they are completely ignored. And a usual pattern emerges of the way that this Government, like previous Conservative administrations, handles people in the name of a ‘clear vision’ and ‘there is no alternative’. The teachers have experienced it from Michael Gove, and the police have got it from Theresa May. The probation service and criminal barristers have been treated with contempt by Chris Grayling. And GPs have been attacked by Jeremy Hunt for failing to diagnose two of the most important long term conditions, dementia and cancer. Of course Hunt does not want to mention the mental health services which are know on its knees due to chronic underfunding. And it’s a government which doesn’t care about lying – whether it’s its performance on universal credit, or arguing incessantly over the proven point that NHS funding has gone down not gone up. Of course, this should be rich pickings for Ed Miliband, and the criticism for lack of policies from Labour still remains alarming. There’s an argument that Labour doesn’t want to reveal its hand too soon, but people are still uncertain about Labour’s precise legislative steps on safe staffing, or its precise policy decision about the PFI financing of NHS hospitals. But it does come from an inherently advantageous position in trying to offer something constructive to those groups of society which have been alienated. There is less than one year to go, but the basic issue is that the current Government is running out of groups to alienate. You know when a Conservative led Government is coming to an end, when they run out of things to privatise.

The unlikeliest of advocates from Primrose Hill, Alan Bennett, comments beautifully as follows in an article called “Fair play, fair play: a sermon before the University, King’s College Chapel, Cambridge, 1 June.”

“Unlike today’s ideologues, whom I would call single-minded if mind came into it at all, I have no fear of the state. I was educated at the expense of the state both at school and university. My father’s life was saved by the state as on one occasion was my own. This would be the nanny state, a sneering appellation that gets short shrift with me. Without the state I would not be standing here today. I have no time for the ideology masquerading as pragmatism that would strip the state of its benevolent functions and make them occasions for profit. And why roll back the state only to be rolled over by the corporate entities that have been allowed, nay encouraged, to take its place? I am uneasy when prisons are run for profit or health services either. The rewards of probation and the alleviation of suffering are human profits and nothing to do with balance sheets. And these days no institution is immune. In my last play the Church of England is planning to sell off Winchester Cathedral. ‘Why not?’ says a character. ‘The school is private, why shouldn’t the cathedral be also?’ And it’s a joke but it’s no longer far-fetched.”

Maybe that’s their game. They are in fact alienating everyone apart from the multinational corporates: maybe ultimately that was their Big Society?

Is this where the Big Society came from?



 

 

 

 

 

 

The explanation that the Big Society was an altruistic exercise to help the disadvantaged was clearly a non-starter from the beginning.

There has historically been a lack of clear account of where the Big Society in the UK came from. Notwithstanding its precise source, it was undoubtedly a massive political mistake to attempt to launch it on numerous occasions in a background of austerity and cuts and increasing unemployment. This was bound to lead to stories in the popular press about how people had lost their job, but were being invited to apply ‘for their own job’ as an unpaid volunteer. When you consider the Coalition’s attempt to introduce workfare, you can see how the policy mix became explosive.

This Coalition doesn’t do ‘organic’. For example, in the non-top reorganisation that constitutes the NHS Act,  stakeholders were not consulted leading to the majority of the Royal Colleges, including the GPs shared by Clare Gerada, to oppose this key piece of legislation. We were introduced to the notion of the NHS Commissioning Board, and asked to learn to love the idea. In the same way, the Big Society is not about community investment where the ordinary public decides what programmes to flourish.

I believe a big mistake was for Lord Wei and his colleagues to mix and match social enterprises and venture philanthropy, and to repackage seductively as ‘The Big Society’, hoping nobody would smell a rat. The fact that this Coalition doesn’t do organic is manifest openly in the fact that the Big Society Bank will decide where to invest its money (rather, in part, our money as it comes from unclaimed account in the UK). It then decides where it wants to invest the money, and decide which metrics it wants to pursue to decide what a good outcome is. The investors will want something back for their money – doh.

It is particularly not clear where the architects of the Big Society got “their big idea” from. In the US, there has been a history of philanthropy, and indeed organisations in the US are successful are providing such services. Maybe Lord Wei got their inspiration from abroad. Housing cooperatives are well-known about, and serve as a  a legal mechanism for ownership of housing where residents either own shares (or share capital co-op) reflecting their equity in the cooperative’s real estate, or have membership and occupancy rights in a not-for-profit cooperative (non-share capital co-op), and they underwrite their housing through paying subscriptions or rent.

However, looking at the small print of how or why we differed from the U.S. has been difficult, as we have never been given adequate explanation of how or if recipients of awards would repay their money, over what time scale, and with what rate of interest. The New York Co-operative does provide ‘some flesh on the bones’ where we are able to make some conclusions about how a co-op award may compared to a mortgage (see for example this well known article in the New York Times), but we need some detail on the operation of the Big Bank here to ensure that vulnerable people are not subject to a problem they cannot easily get out of. It is also interesting to note that further criticisms from the housing sector have already begun to emerge here in the UK. According to the Financial Times today, “Phil Shanks, director of SAF Housing, a fund for the provision of housing for those in need of extra care, said the Big Society Capital concept is flawed because it does not overcome the main concern that many institutional backers of social enterprises have: the security of funding for public services”.

The implementation of the Big Society has been a huge mess thus far, but like all its non-organic projects, unless there is better detail and more substantial support from those who do give up a lot of their time in the third sector currently, the Coalition will find a substantial failure on its hands. Hopefully, their other non-organic project, the NHS restructuring, will go better.

 

(c) Legal Aware 2012

Cameron's Big Society is nearly dead.



Laura Kuenssberg tried to trip Ed Miliband with her pathetic little trick of saying that Labour had no plans about deficit reduction. Her message is simply a disgusting lie. Labour said it would not have cut the deficit as fast or as deep. Ed’s answer below couldn’t possibly be clearer. And on Laura Kuenssberg’s head be it when growth grinds to a total halt, unemployment shoots up and we still have no growth strategy (and the people in collusion with her such as George Osborne and David Cameron). The reason the public aren’t impressed because Nat Wei has left the Big Society as its Big Architect – maybe this fits in better with his work schedules with McKinsey’s, if he’s still working there, assuming of course any companies he works for do not have ongoing contracts with the Big Society. And it is a sham – as legal professionals may not be able to volunteer for community legal centres because of an annual cut to legal aid of the order of £2bn a year, in schools because of the illegal scrapping of BSF, or in SureStart centres because they’re being scrapped. A disaster – a contemptible one at that.

The illusion of choice



An ongoing onslaught by David Cameron has been that the state became too big through Labour. Yesterday, somebody remarked on Twitter, “BREAKING NEWS: Cameron to replace top-down bodies with top-down bodies”.

Three policy developments, the English Baccalaureate, NHS corporate restructuring and the Big Society, arguably provide evidence for a ‘top-down’ approach which actually encourages the state producing less rather than more choice.

The English Baccalaureate
In a less than successful interview recently on Victoria Derbyshire’s show on Radio 5, Michael Gove explained to the listener his perception of the “English bac” scheme.

Michael Gove recently promoted extensively an English baccalaureate qualification to recognise the achievements of GCSE students who complete a broad course of studies. The “English bac” apparently would not replace GCSEs, but would be a certificate to reward pupils who pass at least five of the exams, at grade C or above, including English, mathematics, one science, one foreign language and one humanity. OFQUAL has previously criticized the over-reliance of this qualification on GCSE results, but presumably will be given greater powers to oversee the diploma.

One wonders how Einstein or Bach would have coped under a system. More worrying is that it is the Government (or rather Michael Gove’s elite) who are imposing a value set on what they think is important in education on the rest of the education system including comprehensive school teachers. They are giving parents and headteachers little choice in this in fact, nor possibly OFQUAL in whether it’s a good idea or not.

Corporate restructuring in the NHS

My second example concerns a massive issue, which is indeed being sold to voters as reducing the state and increasing choice. Nothing could potentially be further from the truth.

The NHS in England is to undergo a major restructuring in one of the biggest shake-ups in its history. A huge new NHS (independent) Commissioning Board will oversee GP commissioning, sitting above as many as 500 consortiums (sic) of GPs to set standards and hold the groups to account.

Furthermore, it is proposed that this new system also will give patients more information and choice. “HealthWatch” will be set up to compile data on performance. Experts in this area have long criticized that the quality of data concerning benefits (often mixed up with outcomes) has been extremely poor, such that it could be dangerous if GPs use these data to guide their commissioning policy. This is a longstanding problem which is not addressed by the NHS corporate restructuring, which is estimated to cost £3bn in its first year.

The BMA and the King’s Fund seem to have had no choice in this, and how much choice is actually given to real patients and GPs is yet to be seen.

The Big Society

My final example concerns what possibly is the flagship policy of the Conservatives.

According to the Big Society’s own website,

The Big Society is a society in which individual citizens feel big: big in terms of being supported and enabled; having real and regular influence; being capable of creating change in their neighbourhood.

Again, the Big Society is sold as creating ‘an enabling and accountable state’. However, the Big Society as a whole might be fairly innocuous if it simply was an extension of the volunteering, pro-bono practices which are longstanding; or indeed a development of social enterprises policy.

The unique selling point of the Conservatives’ approach to the ‘improvement of society’ is in fact its focus on venture capital, which is a point hardly ever addressed.

Venture philanthropy , also known as philanthrocapitalism , takes concepts and techniques from venture capital finance and high technology business management and applies them to achieving philanthropic goals. It has a strong focus on measurable results: donors and grantees assess progress based on mutually determined benchmarks. There is also a high involvement by large corporate donors with their grantees. For example, some donors will take positions on the boards of the non-profits they fund. Critically, the venture capitalists are the ones who choose where they wish to spend the money.

Do financially-strapped worthy projects in the community get a chance to participate in this choice?

Conclusion

I feel that all these examples demonstrate a ‘top down’ approach to government picking winners, giving an illusion of choice.
This is a big painful pill for Labour to swallow as it is David Cameron’s PR team who fill the airwaves with the message that the State is too big, with the assistance of their Liberal Democrat accomplices. The Coalition is also busy spending our money implementing these ubiquitously unpopular schemes with little consultation. I am confident that they will be ultimately punished for this faulty ideological rhetoric, once the public realize they have been spun a tissue of lies, as they have been with the economy.

Nat Wei's 'Big Society' – badly received and ill conceived, but only so far



I really think, that with all the goodwill I can possibly muster for Lord Wei’s ‘Big Society’, politically it has been badly received. More crucially, academically, it is poorly conceived. The Big Society is the flagship policy idea of the 2010 Conservative Party general election manifesto and forms part of the legislative programme of the Conservative – Liberal Democrat Coalition Agreement. According to the Civil Society website,

“The Big Society is struggling to capture the imagination of the public as a poll shows that more than half of voters claim not to have heard of the idea. But while many have not heard of the Conservative policy to encourage personal responsibility and community spirit, a similar proportion of voters (54 per cent) believe it is a good idea once it is explained to them, according to the Ipsos Mori poll commissioned by the RSA and released today. “

An important aim is to create a climate that empowers local people and communities, building a big society that will ‘take power away from politicians and give it to people’. It was launched in the 2010 Conservative manifesto and described by The Times as “an impressive attempt to reframe the role of government and unleash entrepreneurial spirit”.

Lord Nat Wei, one of the founders of the Big Society Network, was appointed by David Cameron to advise the government on the Big Society programme.

The stated priorities are:

1. Give communities more powers

The arguments that this has been the focus of the work of charities, communities and the Labour Party have been exhaustively discussed elsewhere. A greater concern is that no government appears to value certain sectors of society, e.g. lollypop ladies, whilst the inequality gap has got substantially wider under Labour, while governments always safeguard bankers. Take, for example, the ode to wealth creators David Cameron is going to produce in his speech this afternoon.

2. Encourage people to take an active role in their communities

At the end of the day, you can’t force people to take an active role in their communities. In other words, a person is not voluntarily likely to do bus driving for free, when he or she feels that someone else is doing it, and being paid for it. Many unemployed people will be too terrified about their long-term benefits, and what may or may not threat them, whilst actively looking for salaried employment, to engage with their local community.

3. Transfer power from central to local government

Thatcher effectively tried to bribe local voters to vote for the Conservative Party by generating a lower poll tax in the 1980s. People know full well how shallow and unintelligent this was, and there has been much healthy interest in the Labour/Co-operative movement which has been a successful model in transferring power from central to local government.

4. Support co-operatives, mutuals, charities and social enterprises

From what I can understand, Lord Wei envisages the business part of the ‘Big Society’ as a social franchising model. The main problem from that, unless they are managed correctly, such business entities can suffer from lack of investment, recruitment, shared resources, and, ultimately, profitability. It is indeed an answerable case why functions of the private sector or public sector should be offloaded onto charities aka the third sector.

It’s all very well the? Big Society Network’s? chief? executive? Paul? Twivy? providing that,

“its? three? goals? are? to? encourage? people? to? take? action? in? their? local? area,? to? encourage? people? to? take? part? in? groups? and? to? help? community? groups? and? social? entrepreneurs? to? access? the? local? powers? that? the? government’s? Big ?Society ?legislative? programme ?will? create. ?”

however I would strongly argue that we have yet to have the academic business debate about it. The word ‘social entrepreneur’ undoubtedly has a ‘feel-good’ factor, but the merits of social franchising requiring some detailed security, if we are to invest millions into promoting it; into investing into it, through the Big Society Bank for example.

Don’t get me wrong – it could be a wonderful success?

5. Publish government data.

This is a useful function, provided that one essential assumption is met. That is, “The Big Society” is separate from government. Otherwise, this point has absolutely no credibility whatsoever.

Early days – it could be an incredible success or unmitigated disaster. A real marmite policy, if ever there were one.

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The Alzheimer's Society Conference 2010



The atmosphere here is electric, at the University of Warwick for our Society’s conference this year.


Prof Clive Ballard, Director of Research for the Alzheimer’s Society, introduced a set of superb presentations on the latest research funded by the Society. These included an antibody against plaques in a mouse model of Alzheimer’s disease, the link between head trauma and Alzheimer’s disease, and the link between spontaneous cerebral emboli and subsequent risk of dementia. The poster presentations were some of the best I’ve ever seen at an academic conference, and I interpreted the address by our new CEO as looking forward to our society playing an important role in the Big Society.

Dr Shibley Rahman

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