In a recent blog, I highlighted the need to shift thinking in government from efficiency to productivity. I used the example of education and highlighted innovations that might increase productivity through digitisation of teaching services and communication. I now want to extend the debate by looking at social care.
Social care services cover a range of home support services provided for the young and the elderly and people with disabilities, to assist people to remain in their own homes and communities. In England, social care is predominantly the responsibility of local authorities. They are facing unprecedented pressure due to rising demand and an increase in customer expectations. Growing numbers of older people often have increasingly complex needs.
At the same time future spending on social care is very uncertain. According to the Institute for Fiscal Studies, demographic pressures will cause per-capita spending to fall in the absence of additional funding. And local authority revenues are expected to fall by 7.4% between 2015 and 2020.
Social care providers are adopting new models for delivering care
Where is this happening? Connecting Care is a partnership across the Bristol, North Somerset and South Gloucestershire area. The partnership comprises 17 different organisations (including the three councils, hospital trusts, ambulance trusts, GPs and community health providers) with 14 individual client record systems interacting between them. Client data is gathered from each participating organisation and carefully matched to display an integrated data set for each person.
This is one example of service integration through voluntary cooperation between the public, private and community sectors. Where there is a cultural shift, with services integrated through digitisation, there are substantial benefits for:
- Administration: Supporting integrated case management systems, with a broader overview of needs and options to inform individualised planning and cross-sector coordination, using tablets for care plans, risk assessments, health assessments, safeguarding and medication (documented on the system in real time).
- In home care and support: A combination of digital records and web-based access to information for staff and enhanced communication tools for service users and their family and friends, ultimately allowing service users to organise leisure activities and plan their own care and support.
- Financial support: Increasing digitisation of the payment of financial support, including determining and verifying eligibility, and calculating and making benefits payments, ultimately leading to greater choice between different care options.
The major limitations of the digital social care market are not the shortage of technology
Innovation uptake is slow compared to other parts of the public sector. It is important to recognise that there are a number of complex challenges to successful digital transformation . Most of these challenges relate to the human dimension – the readiness for change amongst citizen’s and service users to an increasingly digital environment, and concerns about the privacy and security of personal data.
The practical reality is that the speed of advancement in technologies undoubtedly exceeds the speed with which the potential benefits can be realised in the delivery of social care. So, what are the practical steps that the public sector can take to speed up the deployment of innovations in social care and protection?
- Step 1 – Greater transparency of processes and operations and encouraging participation of public, private and community stakeholders in policy making and service design.
- Step 2 – Promote engagement and co-operation across different levels of government through adequate incentives, quickly moving to the pooling of resources and shared agreements and targets.
- Step 3 – Develop clear business cases to sustain the funding and focused implementation of digital technologies projects.
- Step 4 – Build institutional capacities to manage and monitor project implementation, with a significant emphasis on procurement and contracting practices.
- Step 5 – Integrated data and better usage to measure productivity and efficiency in all parts of the value chain of public service delivery.
These practical steps do not just apply to social protection – they are equally relevant to other public services, including, health, education and other welfare services.
I’ve been really enthused by the examples of productivity enhancing innovations provided by public servants since my last blog. I would like to hear from more public servants about how they are using technology to enhance how they work and deliver services to the public – please get in touch by leaving a message or sending an email.