St Christophers
Malcolm Payne

Social care and social work are important in end-of-life care.

Malcolm Payne's blog focuses on developments in social care and social work that affect palliative and end-of-life care. It is part of the information work of St Christopher's Hospice, London.

Misys Charitable Foundation

Archive for the ‘voluntary sector’ Category

Social enterprise info

Wednesday, February 10th, 2010


A useful accumulation of stuff at NHS evidence on social enterprise (what a nicely broad definition of evidence that is – useful information). It seems to me that social enterprise is not much different from social work, at least the community end of it, a generation ago. I wonder why government and others seem to need to see social enterprise as better or more important than social caring or social involvement; is it just because they hope it will make money?

http://ow.ly/15QWI

Cameron ignores limitations on voluntary action

Tuesday, November 17th, 2009


David Cameron the Conservative opposition party leader, made a speech last week on the ‘Big society’, which put forward his thinking on poverty and social intervention generally. As always, they’re against the state doing it, and many people can accept that there is a considerable degree of state failure in social provision. The problem for the Conservatives is that there’s a high degree of market failure in social provision as well. Often everyone accepts that the market is not the place for social interventions, or they have to set up some convoluted quasi-market system that is not really a market, and institutionalises complex state controls over voluntary action.

Voluntary organisations may be wonderful, but to rely on voluntary organisations to deliver wide-scale state services is inappropriate; it twists voluntary action by making it involuntary.

You can see this in the hospice movement. Hospices in the UK are mainly in the voluntary sector because St Christopher’s was originally a demonstration of what was possible in care for the dying and their families at a time when not a lot was done. Now Conservatives routinely say how wonderful voluntary hospices are as an example of how lots of other services should be run. But proper care for dying people and their families is a responsibility of society where government should take a lead and make sure that a high standard of care is widely available. They should not be pleased that they can offload that responsibility because enough sentimental and well-off people will make donations to support it,

Cameron’s speech on the web: http://www.conservatives.com/News/Speeches/2009/10/David_Cameron_The_Big_Society.aspx

The Touchstone blog by Richard Exell has a useful discussion of the speech, with references to many of the past Conservative documents on the topic that many people will not be aware of and rehearses the arguments against it; however, be aware that Touchstone is a TUC (ie trade union) blog:

http://www.touchstoneblog.org.uk/2009/11/david-cameron%E2%80%99s-big-society-speech/

‘Compulsory’ volunteering for minority ethnic groups

Wednesday, October 28th, 2009


The latest attempt to keep minority ethnic groups out of the country makes volunteering one of the ways in which you can demonstrate your suitability for the fast-track citizenship process. Expect a whole load of extra applications from people from minority ethnic groups for volunteering in your hospice. This would be nice and add to the range of people who are part of a hospice service, but hidden compulsion is a worry. Nobody wants their dying relative to be cared for by someone who feels pressured to be there. The government just does not seem to get the idea that ‘volunteering’ means you do it because you want to; it is not volunteering if some Act of Parliament or government procedure makes you feel forced.

Information on the web about concerns: http://www.thirdsector.co.uk/News/DailyBulletin/946193/New-concerns-fast-track-citizenship-plans/09FA067C4027ADF896FC1BC0981A902F/?DCMP=EMC-DailyBulletin

Direct budgets, personalisation and the voluntary sector

Wednesday, August 19th, 2009


And on the Guardian Public website, an interesting (well, sort-of, actually he’s advertising a conference) article from Ralph Mitchell of Acevo (the voluntary organisations’ bosses’ body) about personalisation and the third sector (third sector: the latest unnecessary American jargon word referring to the voluntary sector, which implies that it’s less important than the public and private sectors).

He says that the main reason people argue for individual budgets is that service users get more control of their lives and services, but that they might also enhance voluntary organisations’ work, because public sector commissioners ‘dislike and distrust’ volungtary organisations, and set up commissioning arrangements in ways that assume that public sector levels of bureaucracy are the sine qua non of effectiveness. However, with individual budgets, the voluntary sector’s relationship with service users means that the service users pick the provider, and gives voluntary sector providers a chance.

I’m a bit doubtful about this. The main problem with service users purchasing individual arrangements is that you have to act like a business, marketing yourself to service users and getting paid (if the local authority is paying veeeeery sloooooowly) for each individual item. Acevo likes this of course, because it’s set up by people who think voluntary organisations should behave like businesses, and it can promote its business-type services.

At least with a grant or a service commission, you often get some money up front (although you get late decision-making and periodic funding crises because every public authority cuts back on grants and external commissions first when it runs into financial problems). And marketing to service users will involve marketing to the social workers who are ‘helping’ people make their decisions about services, all of whom will be told by their bosses that they cannot make recommendations on behalf of their public sector employer that choose between different (commercial) providers.

No there’s no way round it, relying through whatever system on the public sector for finance will always be problematic for voluntary organisations, and so also will be trying to look and behave like businesses when the whole point about voluntary organisations is that they are humanitarian organisations. They should be efficient, but not business-like.

The article at: http://www.guardianpublic.co.uk/individual-budgets-third-sector

Another view of the new Anniversary Centre at St Christopher’s, looking out towards the more formal of St C’s two gardens (would a business-like organisation worry about having two nice gardens for patients? – No, not very business-like, unless you see yourself as an organisation whose main job is caring for people).Social space general

Voluntary organisations and business: palliative care prizes

Wednesday, August 19th, 2009


The Third Sector magazine published its shortlist of prize-winners in its annual awards. This is also a business-oriented thing because they believe that the most important thing about being a voluntary organisation (sorry ‘third sector’) is things like ‘brand development’ instead of what you’re doing. ‘Well it’s our job to help you while your husband is dying and I’m sure you appreciate that our brand development is second to none’.

And a lot of prize schemes like this cannot afford to assess the quality of the work that an organisation does, so they can only look at efficiency according to some business view. Business does not do caring, it does making money. It is not the same thing and being efficient at it is not what you should be looking for in a voluntary organisation.

But never mind, they’ve got one category of ‘at work’ with a few minor awards, and they’ve got a psychotherapist as one of the assessors for this – it looks from her organisation and the fact that she majors on being a ‘coach’ as if she psychotheraps in the city, alongside many of the other judges, most of whom are policy wonks and businessmen (and I say men advisedly), although some of them have escaped to the voluntary sector (which they probably like to call the third sector). In case you care, I can identify one social worker among the judges, the soon-to-retire Robin Currrie of PSS (you might not know this from the information, PSS stands for Personal Service Society and is a famous old Liverpool charitable institution, now expanding across the country on the back of NHS and social services contracts).

Of course, most of the shortlist are fundraising teams or ‘corporate partnership’ jobs. Organisations related to palliative care and even one hospice are competing strongly in corporate partnership (i.e. extracting money from big businesses by trying to look as much as possible like big business), you’ll be pleased to know they are: Macmillan Cancer Support; Marie Curie Cancer Care; Teenage Cancer Trust; Treetops Hospice. And Julia’s House, a children’s hospice in Dorset, is in the running for best employer.

That’s all right then, no need to worry about whether any of these organizations are actually doing a good job with people who need care because they’re partnering corporately and employing well. Not that I mind that they’re doing so well at this, but I’d like to see an award that put doing a proper caring job at the top of the list and spent time and money assessing that.

Look at the shortlist here: http://www.thirdsectorexcellenceawards.com/sites/default/files/shortlist_pdf.pdf

No hope for a better voluntary sector compact

Wednesday, May 20th, 2009


In among all the fuss about MPs’ expenses, an MP involved in the creation of the voluntary sector compact presented one of those Bills to Parliament yesterday that is designed to raise an issue, rather than actually have something enacted.

The Compact is supposed to be an agreement between central and local government that they will behave sensibly when they fund or relate to voluntary organisations, such as short-notive changes of direction. In reality the thing is entirely pointless, because many officials, central or local, don’t think they have any responsibility for the voluntary sector even though it’s providing a bunch of their services for them, or behaving reasonably (not surprisingly in view of the way their political masters behave in relation to their expenses).

Care minister Phil (I have been calling him FullaHope, because of his naively optimistic announcements, but now I’ll have to call him MoreHope in view of the amount of zany expenses he seems to have copped for). Anyway, care minister Phil, is mentioned here as the guy who ran the consultation that decided the Compact’s ‘voluntary nature and values’ was inconsistent with actually making governments do what they say they’re going to do, so here is a more sensible soul having another go.

Tom Levitt (High Peak) (Lab) …At the national level, the picture has been less clear-cut. There is a perception in the sector that commitment to, and compliance with, the compact in some—but by no means all—areas of government is somewhat patchy…

Looking at the national level, many in the third sector are frustrated that the undoubted political commitment to the compact may not have been translated consistently into Government practice. As a result of that analysis, Sir Bert Massie, as Commissioner for the Compact, was asked by my hon. Friend the Member for Corby (Phil Hope), then Minister for the Third Sector, to launch a debate on the future of the compact and the commission. The consultation concluded that the compact agreement should retain its voluntary nature and its values, rather than being replaced with a statutory version, so the Bill does not alter the status or the content of the compact.

However, a majority also recognised that significantly more needs to be done to ensure proper implementation of the compact. There was strong consensus that the most effective way to do that would be to establish the Commission for the Compact as a permanent, independent statutory body, and to give it a mandate and a limited range of legal powers to secure better implementation…

With this Bill I propose to place the Commission for the Compact on a statutory basis and confer a very limited range of legal powers to enable it to promote better implementation of the compact. Having the commission established by Parliament, with a constitution…

The new commission would have a number of functions, mainly to promote and strengthen understanding and use of the compact across all tiers of government and within the voluntary and community sector. Its limited number of new powers and duties will constrain it to act in particular ways. Those would include powers of investigation where there have been inconsistencies with compact principles, access to relevant information, and the ability to impose a duty on others to co-operate with its investigations…

Given that the compact is about better partnerships, it is fair and reasonable for the commission’s powers to apply to both sides. There are no sanctions included in the Bill, as I believe that those would be outside the spirit of the compact, other than the power of naming and shaming those who are found not to be acting in that spirit.

Well of course this is a no-hoper. For one thing, if we get a Conservative government, nice ideas for yet another quango are going to go the way of all flesh. And even if we don’t, setting up a body with no powers except to name and shame politicians and officials for not bothering about anything but their own interests is going to be completely ineffective, because nobody is going to be allowed to spend anything on anything soon, so priority for spending money to support bodies external to government is not going to happen.

However, at least Mr Levitt is aware that there is still an issue about how government treats voluntary organisations, even if he’s phrased it so tactfully, that you could use this speech as a wonderful example of not actually calling a shovel anything but an artfully decorated trowel. Did you like: ‘the picture is less clear-cut’ ‘compliance is somewhat patchy’‘undoubted political commitment may not have been translated consistently into Government practice’?

The Hansard report of the presentation of the Bill: http://www.publications.parliament.uk/pa/cm200809/cmhansrd/cm090519/debtext/90519-0004.htm#09051970000001

Voluntary but not amateur

Wednesday, March 25th, 2009


A commentator tells me that a new edition of the ace guide to the law for voluntary organisations has come out ‘Voluntary but not amateur’, that I was bemoaning needs renewal has now appeared. New readers might not see the comment, so here is the information again:

I hope you’ll be pleased to know that a new – completely updated – edition (the eighth) of Voluntary but not amateur has just been published.

The new edition is published by the Directory of Social Change and is available from www.dsc.org.uk/Publications/Law/@2911 or 08450 77 77 07/ 020 7391 4800, price £35 + postage.

Commissioning creativity in the voluntary sector

Tuesday, January 6th, 2009


A column in Guardian Public the freebie mag for people who buy things for the public sector (you thought The Guardian was publishing this out of public duty – naïve old you; it hopes to get through to people who spend money on advertising) contains a puff by a Futurebuilders man for their work. This is the organisation that provides up-front funding to help voluntary organisations bid for public contracts.

True to the principle of making the readership of a magazine (in this case commissioners of public services) feel good, the author writes encouragingly that it seems that the distinctiveness of the voluntary sector is going to come from intelligent commissioning. This means cleverness from all those people who set up contracts with voluntary bodies.

No Jonathan, the whole point about the voluntary sector is that it decides what it wants to do and how to do it, and people go and work in it because they have freedom to be creative about things (or, to be brutally accurate, also to get stuck in the past and do things like people did them a hundred years ago provided there’s an endowment). The results are distinctive because they don’t have to fit into any pattern, while on the other hand most commissioning is about complying with government guidelines. E.g, the St Christopher’s contract with its local PCTs, which is an excellent piece of professional work on their part and produced through an exemplary process of communication and collaboration, but actually requires the Hospice to comply with the NICE Guidelines on palliative care.

Let’s stick with the idea that intelligent commissioners, like the people who commission St Christopher’s, look for something good and interesting and then commission it; they don’t create soimething distinctive themselves and then go out and get some cheap organisation to do it their way.

Lewis, J. (2008) The future is bright for the third sector. Public October: 42-3.

Funding for projects in London

Monday, January 5th, 2009


A website that lists funders of projects operating in the London area; people looking for funds might find this useful. Your local council for voluntary service,…for voluntary action…for voluntary organisations might also have useful information.

http://www.londonfunders.org.uk/Default.aspx?base

Pics of the St Christopher’s building works, in solidarity with colleagues who are working in difficult conditions, so that things can be better in the future.

Another tarmacing pic:

Tarmacing 5

The Darzi review and the voluntary sector

Friday, December 12th, 2008


The next steps review (the Darzi Report to you and me) was the Department of Health’s plans for the future, and they’ve just published a document about what it means for the third (voluntary) sector.

See it at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_091821

One of the things that’s notable about this is the intention to put ‘frontline staff in control’. This means making it possible to set up local community trusts and other mechanisms for NHS staff to opt out from the NHS and run their services with the same freedoms in the community as foundation trusts have for hospitals (ie no responsibility for anything but their own financial interests).

There’s a great deal of emphasis on social enterprise; an important aim seems to be to encourage NHS staff to set up social enterprises to run NHS services, and they can keep NHS pensions and conditions of service (at whose expense? – their social enterprise? In which case it’s not going to happen). They can only do this, it seems, if they work entirely for the NHS.

This is similar to the idea that was mooted to allow social workers to set up general practices and take on child protection responsibilities from local authorities – I think they might have gone a bit cold on that one since Baby P.

The document says very little, though, about voluntary organisations such as hospices. Do they have to convert themselves to social enterprises and take on NHS staff, doing only NHS work in order to gain from the next steps review? The main aim seems to be to get people to set up new organisations to provide preventive and wellbeing services. This preventive approach is an important priority; the NHS has for too long been an illness service. What about the voluntary organisations that are already there, though? It’s not really much of a plan for them, and it’s very much a plan for advancing the government’s policy by shifting provision outside the inflexibilities of the NHS. But the whole priniple of having a voluntary sector is that it makes its own decisions about what to provide and how to do it; that’s why it’s voluntary.