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ESRC/TSRC/ACEVO
                      Policy Seminar

             Third Sector Service Delivery: Marrying
                   Scale and Responsiveness?

                   Tony Bovaird, March 2012
                              Funded by:
Hosted by:
Topics
• Conventional wisdom on public services?
• A new model of local governance?
• Self-organising and self-help
• Co-production
• So, what does ‘scale’ mean?
• Importance of ‘economies of scope’ and
  ‘economies of learning’
• Evidence of potential for third sector
  contributions: neighbourhood and community
  level public services
Conventional wisdom for some years (e.g.
 Beecham, Christie) has suggested that:
   •   Transactional services have big economies of scale, so should be centralised at
       county, regional or even national level, but subject to competition and
       regulation (applies to TSOs as well)
   •   Personal services have few, if any, economies of scale, should be
       ‘commissioned’ (often procured externally) and increasingly co-produced with
       users and communities (usually through TSOs)
   •   Infrastructure-heavy services should seek flexible solutions, which can be
       delivered with other services and partners to ‘sweat the assets’ in service hubs
       (at different spatial scales) (so other assets can be ‘left to the
       community’, through TSOs)
   •   Regulatory services should be determined by ‘economies of scope’ – at what
       scale can ALL specialisms be hired necessary for a function?
   •   BUT THE ANALYTICAL GOALPOSTS HAVE MOVED:
         – ‘transactions’ are now seen to be holistic, with ‘social component’
         – ‘personal’ and ‘infrastructure’ services are seen to have multiple outcomes
            and therefore ‘commissioning’ is multi-stakeholder
         – regulatory services can now be partly externalised
         – economies of scale can be reaped by partnerships, not by mergers
Organisational differentiation and
           integration
  • Adam Smith: greater efficiency through specialisation (‘division of
    labour’)
  • Greater specialisation allows more expertise to be developed in each
    aspect of provision and to organisational differentiation
  • These specialised providers can either set up different organisations
    (each producing their specialist products) or differentiated units within
    an the organisation (or a partnership)
  • Differentiation can also lead to economies of scale (as can many other
    factors, e.g. technical, financial strength, procurement discounts, etc.)
  • Within an organisation or partnership , there is a need to integrate
    these differentiated units in some ways – e.g. through reporting to the
    same manager, having some joint staff, having joint meetings, having
    shared targets, etc.
  • The trajectory of management in organisations (and in sectors) is often
    a series of waves of differentiation and integration (Lawrence and
    Lorsch, 1967)
So what does ‘scale’ now mean?
•   Economies of scale: where an increase in
    inputs brings a larger increase in returns ...
    (e.g. handling all customer contacts in one
    system?)
•   ... but an increase in WHICH inputs?
•   Up to now, there has been major attention to
    inputs made by or paid for by public agencies
•   This is misleading in terms of the ratio of
    outcomes to costs in the community ... (e.g.
    the extra time taken by housing clients to get
    their repairs done through a multi-purpose
    joint venture call centre)
•   ... but we would need to measure user and
    community inputs in the future if we wanted
    to take account of this
•   Warning: many empirical studies suggest
    constant returns to scale, others also find
    diseconomies of scale
What’s
    going on
    ‘out
    there’?




                                 Private and
                                 third sector
                                    market
                                   outputs



                                 Public sector
                                   outputs

Value-adding
outputs in                   Informal economy outputs

market, public
                             Formal volunteering
and third sectors
and in civil
society – how        Informal social value-adding outputs
                         Informal social value-adding
                                   outputs
big are these
different circles?
Economic, Social, Political &
     Environmental Value Added




REAL Value for Money is about the
OVERALL supply chain for outcomes
Source: Modelling Birmingham – the
conceptual brief
Importance of ‘economies of scope’ and
       ‘economies of learning’
  • Only in 1980s did importance of economies of
    scope become widely appreciated – savings
    which occur when the RANGE of activities
    undertaken by an organisation (or partnership)
    increases (because they have joint costs) – e.g.
    where the ‘meals on wheels’ staff check and
    report back on wellbeing of meals recipients
  • ... and importance of economies of learning –
    where savings occur over time as staff AND users
    learn how to co-produce the service better – e.g.
    getting inquirers to have details with them when
    they call the call centre, getting ‘meals on
    wheels’ deliverers to respect agreed time of
    delivery and users to wash yesterday’s reusable
    tray and dishes
      – means we should avoid disruption - ‘churn’, ‘initiativitis’
Implications of economies
          of scope
• Activities which gain from being done
  together SHOULD BE done together – either in
  a single multi-purpose organisation or in a
  ‘seamless service’ in a partnership
• Transactions costs of SEPARATING activities
  which naturally have ‘joint outputs’ may
  override economies of scale – e.g. joint needs
  assessment rather than single needs
  asssessment
Some potential market types
                   Economies of        Economies of scope         Both
                   scale




Differentiated     Large-scale         Niche providers with        Large-scale multi-service
demand – niche     providers of        client-specific packages   packages for specific
markets            single services     (going as far as           client groups
                   to specific         ‘personalisation’)         (‘Mass customisation’ -
                   client groups                                  Toyota – financial
                                                                  services)

                                                                  Multi-service consortia
                                                                  for specific client groups

Undifferentiated   Mass                Multi-purpose            ‘Tescoisation’ (Capita,
demand - mass      production          conglomerates (ACEVO?) SERCO?)
markets            (‘Macdonald-        or partnerships (HWBBs)
                   isation’ – ‘easy-   for wide range of client
                   Barnet’)            groups
Partnership Forms


               Contracts




   Consortia


                       Umbrella
                           Groups
Diversity of Forms in Case Studies
• Welfare to work supply chains- private primes
• Joint bidding consortia
• Shared services organisations –trading
• Umbrella groups – UK-wide federations
• Mergers and Group structures – continuum
• With charities – support for small and local
• With public sector agencies & users – place
  based commissioning and service redesign
• With private sector – more transactional?
Partnerships Continuum

   AUTONOMY                  Independence decreases
      ‘LOOSE’ PARTNERSHIPS     Integration increases

         CONTRACTS
            ALLIANCES
                JOINT VENTURES
                GROUP STRUCTURES
                »    MERGERS/AMALGAMATIONS
                »        INTEGRATED UNITARY ORGANISATIONS
                »                  DEPENDENCE
Transaction Costs increase,
 Scale Economies decrease
TSRC Findings on Impacts and Outcomes
        of Partnership Working
 • Rare to consult users on outcomes, except through Place Survey
 • Impacts of partnerships on services and users: often too early to
   say, or not monitored
 • Concern about how to measure impact on services, especially in
   downturn
 • Hard to find evidence for cost savings, especially where it wasn’t
   the object of partnership
 • Better evidencing of savings from mergers in Housing
 • It’s hard to compile evidence about benefits or otherwise of
   partnership – because of ‘warm glow’ and attribution issues
 • Nevertheless, partnerships strongest where there is external
   funding to be pursued AND partners have ownership, AND clear
   (shared) purpose AND potential synergy – conversely externally
   mandated & steered partnerships the LEAST SUCCESSFUL
Building blocks: Identifying which public services can be
       devolved to TSOs at neighbourhood level?

     • Identifying outcomes desired – e.g. Children’s Act
       (healthy, safe, enjoy & achieve, positive contribution, economic
       wellbeing)

     • Unbundling the activities contributing to outcomes – i.e. ‘service
       value chain’
       (governance, commissioning, prioritisation, planning, design, financin
       g, management, delivery, assessment)

     • Identifying cost-effective configurations of organisations in providing
       these activities to achieve these outcomes – and roles of
       citizens, councillors and other stakeholders in these organisations

     • Identifying resilient service systems, given the risks of failure

     • POTENTIAL LESSON: Almost ALL services are able to be devolved to
       neighbourhood level, AT LEAST IN PART, in future – it’s not
Example: Potential neighbourhood level
   input to adult social care services
•   Outcomes: Quality of Life through Control (‘independence’), Personal care
    (‘satisfaction’), Food and Nutrition, Accommodation, Safety, Social
    participation, Occupation (Employment), Dignity (NB: not all have
    indicators, ignores research on ‘friends, confidantes, company)
•   Activities: governance, micro-
    commissioning, prioritisation, planning, design, financing, management, delivery,
    assessment
•   Cost-effective configurations of organisations: Mix of public, private and third
    sector suppliers
•   Roles of users, citizens and other stakeholders: Contact with citizens critically
    important to priority outcomes of users – needs to be built into
    commissioning, design, delivery and assessment
•   Resilient systems: Failure is common, likely to increase – need for public sector
    ‘emergency intervention’ role, probably 3rd sector delivered
•   Lesson for TS working at neighbourhood level: Important to include
    neighbourhood representatives (e.g. users) in governance and assessment of
    both local commissioning process and providing organisations – also important to
    build their capabilities into delivery – LIMITS ECONOMIES OF SCALE, PROMOTES
    ECONOMIES OF SCOPE
Bottom-up analysis
•   Average London Borough has 245,000 population and spends 50% of its
    budget on fewer than 10,000 people (Barry Quirk) – 4% of population
•   120,000 problem families said to cost nearly £8bn to national public purse
    (Eric Pickles, 17.10.2011) – by spending £14,000 per family on a more co-
    ordinated service, the state could save £70,000 per household (actually
    £52,000!). Should we let contracts one at a time to support these families?
•   OR what about forming a FamilyRing network for every 10 families, taking
    the families out of most public services - £520,000 p.a. per FamilyRing? How
    much would a TSO be prepared to bid for such a contract?
•   OR what about 30 different services in 8 different public sector
    organisations?
•   OR one public sector organisation with all functions for families with multiple
    functions?
•   OR one public sector organisation with ALL functions for ALL citizens?

•   THEN – what kind of organisation should deliver to the REMAINING 96% of
    population?
Scaling up provision (including third sector) from
neighbourhood to council-wide, regional or national levels

    • In absence of clear a priori arguments for relative strengths of
      economies of scale and scope, we should remain market-structure-
      neutral and launch experimentation ...
    • ... ‘fail early, fail fast, fail cheap’ – LEARN SMART
    • This needs to be based more on analysis of potential risks to citizens
      and service users and less on risks to the decision makers and their
      organisations
    • There needs to be proper planning for dealing with (increasingly
      inevitable) failures in provision (and commissioning)
    • Part of this ‘failure planning’ is designing resilience into
      communities, public services and partnership arrangements
Conclusions
   All change … with huge risks
   … but risks from both change and ‘non-change’
   Huge latent willingness of citizens to become more involved …
   … but only if they feel they can play a worthwhile role
   If this happens, all previous public service models which have
    privileged ‘economies of scale are suspect
   Needs experimentation – none of the emerging new service
    configurations are well understood, none can be regarded as
    ‘reliable’ – this experimentation needs to be across sectors
   Experimentation needs resilient systems, ‘last resort’ intervention
    plans, slack resources – primarily public sector role
   Must be ready for scary world of ‘trusting’ –users, citizens, trusting
    partners, voters – surfacing likely outcomes, risks and impacts
   All radical change will cost resources – ‘neighbourhood’ and
    ‘community’ interventions, even when based on ‘co-production’
    and ‘community assets’, are not ‘free’ – TSOs cannot facilitate and
    enable this ‘brave new world’ on goodwill and fresh air alone
Contacts

David Mullins d.w.mullins@bham.ac.uk
James Rees j.e.rees@bham.ac.uk
Tony Bovaird t.bovaird@bham.ac.uk
OPTIONAL SLIDE: Why ‘user and
     community co-production’?
•   After 10 years of Best Value and ‘Transformation’, we’re MUCH LESS CERTAIN
    that we are doing things the best way – but still uncertain about what ‘better’
    looks like (the outbreak of ‘humility’)

•   We now realise that service users and their communities know things that many
    professionals don’t know … (‘users as thinking people, communities as
    knowledge bases’)
     – E.g. co-design of services, co-authors of user manuals

•   ... and can make a service more effective by the extent to which they go along
    with its requirements (‘users and communities as critical success factors’)
      – E.g. self-medication, self-management of long-term conditions

•   ... and have time and energy that they are willing to put into helping themselves
    and others (‘users and communities as resource-banks and asset-holders’)
      – E.g. peer support (Knapp et al, 2010); expert patients programme

•   TS organisations are a key mediator of these relationships
OPTIONAL SLIDE: Different types of co-
            production
• Co-governance of area, service system or service agencies – e.g.
  neighbourhood forums, LEPs, HWBs, school governors
• Co-commissioning services – e.g. personal budgets, participatory
  budges, devolved grant systems
• Co-planning of policy – e.g. deliberative participation, Planning for
  Real, Open Space
• Co-design of services – e.g. user consultation, user-designed
  websites, Innovation Labs
• Co-financing services – fundraising, charges, agreement to tax
  increases, BIDs
• Co-managing services – leisure centre trusts, community management
  of public assets
• Co-delivery of services – peer support groups, expert
  patients, Neighbourhood Watch
• Co-monitoring and co-evaluation of services –user on-line
  ratings, tenant inspectors

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Third Sector Service Delivery: Marrying Scale and Responsiveness

  • 1. ESRC/TSRC/ACEVO Policy Seminar Third Sector Service Delivery: Marrying Scale and Responsiveness? Tony Bovaird, March 2012 Funded by: Hosted by:
  • 2. Topics • Conventional wisdom on public services? • A new model of local governance? • Self-organising and self-help • Co-production • So, what does ‘scale’ mean? • Importance of ‘economies of scope’ and ‘economies of learning’ • Evidence of potential for third sector contributions: neighbourhood and community level public services
  • 3. Conventional wisdom for some years (e.g. Beecham, Christie) has suggested that: • Transactional services have big economies of scale, so should be centralised at county, regional or even national level, but subject to competition and regulation (applies to TSOs as well) • Personal services have few, if any, economies of scale, should be ‘commissioned’ (often procured externally) and increasingly co-produced with users and communities (usually through TSOs) • Infrastructure-heavy services should seek flexible solutions, which can be delivered with other services and partners to ‘sweat the assets’ in service hubs (at different spatial scales) (so other assets can be ‘left to the community’, through TSOs) • Regulatory services should be determined by ‘economies of scope’ – at what scale can ALL specialisms be hired necessary for a function? • BUT THE ANALYTICAL GOALPOSTS HAVE MOVED: – ‘transactions’ are now seen to be holistic, with ‘social component’ – ‘personal’ and ‘infrastructure’ services are seen to have multiple outcomes and therefore ‘commissioning’ is multi-stakeholder – regulatory services can now be partly externalised – economies of scale can be reaped by partnerships, not by mergers
  • 4. Organisational differentiation and integration • Adam Smith: greater efficiency through specialisation (‘division of labour’) • Greater specialisation allows more expertise to be developed in each aspect of provision and to organisational differentiation • These specialised providers can either set up different organisations (each producing their specialist products) or differentiated units within an the organisation (or a partnership) • Differentiation can also lead to economies of scale (as can many other factors, e.g. technical, financial strength, procurement discounts, etc.) • Within an organisation or partnership , there is a need to integrate these differentiated units in some ways – e.g. through reporting to the same manager, having some joint staff, having joint meetings, having shared targets, etc. • The trajectory of management in organisations (and in sectors) is often a series of waves of differentiation and integration (Lawrence and Lorsch, 1967)
  • 5. So what does ‘scale’ now mean? • Economies of scale: where an increase in inputs brings a larger increase in returns ... (e.g. handling all customer contacts in one system?) • ... but an increase in WHICH inputs? • Up to now, there has been major attention to inputs made by or paid for by public agencies • This is misleading in terms of the ratio of outcomes to costs in the community ... (e.g. the extra time taken by housing clients to get their repairs done through a multi-purpose joint venture call centre) • ... but we would need to measure user and community inputs in the future if we wanted to take account of this • Warning: many empirical studies suggest constant returns to scale, others also find diseconomies of scale
  • 6. What’s going on ‘out there’? Private and third sector market outputs Public sector outputs Value-adding outputs in Informal economy outputs market, public Formal volunteering and third sectors and in civil society – how Informal social value-adding outputs Informal social value-adding outputs big are these different circles?
  • 7. Economic, Social, Political & Environmental Value Added REAL Value for Money is about the OVERALL supply chain for outcomes Source: Modelling Birmingham – the conceptual brief
  • 8. Importance of ‘economies of scope’ and ‘economies of learning’ • Only in 1980s did importance of economies of scope become widely appreciated – savings which occur when the RANGE of activities undertaken by an organisation (or partnership) increases (because they have joint costs) – e.g. where the ‘meals on wheels’ staff check and report back on wellbeing of meals recipients • ... and importance of economies of learning – where savings occur over time as staff AND users learn how to co-produce the service better – e.g. getting inquirers to have details with them when they call the call centre, getting ‘meals on wheels’ deliverers to respect agreed time of delivery and users to wash yesterday’s reusable tray and dishes – means we should avoid disruption - ‘churn’, ‘initiativitis’
  • 9. Implications of economies of scope • Activities which gain from being done together SHOULD BE done together – either in a single multi-purpose organisation or in a ‘seamless service’ in a partnership • Transactions costs of SEPARATING activities which naturally have ‘joint outputs’ may override economies of scale – e.g. joint needs assessment rather than single needs asssessment
  • 10. Some potential market types Economies of Economies of scope Both scale Differentiated Large-scale Niche providers with Large-scale multi-service demand – niche providers of client-specific packages packages for specific markets single services (going as far as client groups to specific ‘personalisation’) (‘Mass customisation’ - client groups Toyota – financial services) Multi-service consortia for specific client groups Undifferentiated Mass Multi-purpose ‘Tescoisation’ (Capita, demand - mass production conglomerates (ACEVO?) SERCO?) markets (‘Macdonald- or partnerships (HWBBs) isation’ – ‘easy- for wide range of client Barnet’) groups
  • 11. Partnership Forms Contracts Consortia Umbrella Groups
  • 12. Diversity of Forms in Case Studies • Welfare to work supply chains- private primes • Joint bidding consortia • Shared services organisations –trading • Umbrella groups – UK-wide federations • Mergers and Group structures – continuum • With charities – support for small and local • With public sector agencies & users – place based commissioning and service redesign • With private sector – more transactional?
  • 13. Partnerships Continuum AUTONOMY Independence decreases ‘LOOSE’ PARTNERSHIPS Integration increases CONTRACTS ALLIANCES JOINT VENTURES GROUP STRUCTURES » MERGERS/AMALGAMATIONS » INTEGRATED UNITARY ORGANISATIONS » DEPENDENCE Transaction Costs increase, Scale Economies decrease
  • 14. TSRC Findings on Impacts and Outcomes of Partnership Working • Rare to consult users on outcomes, except through Place Survey • Impacts of partnerships on services and users: often too early to say, or not monitored • Concern about how to measure impact on services, especially in downturn • Hard to find evidence for cost savings, especially where it wasn’t the object of partnership • Better evidencing of savings from mergers in Housing • It’s hard to compile evidence about benefits or otherwise of partnership – because of ‘warm glow’ and attribution issues • Nevertheless, partnerships strongest where there is external funding to be pursued AND partners have ownership, AND clear (shared) purpose AND potential synergy – conversely externally mandated & steered partnerships the LEAST SUCCESSFUL
  • 15. Building blocks: Identifying which public services can be devolved to TSOs at neighbourhood level? • Identifying outcomes desired – e.g. Children’s Act (healthy, safe, enjoy & achieve, positive contribution, economic wellbeing) • Unbundling the activities contributing to outcomes – i.e. ‘service value chain’ (governance, commissioning, prioritisation, planning, design, financin g, management, delivery, assessment) • Identifying cost-effective configurations of organisations in providing these activities to achieve these outcomes – and roles of citizens, councillors and other stakeholders in these organisations • Identifying resilient service systems, given the risks of failure • POTENTIAL LESSON: Almost ALL services are able to be devolved to neighbourhood level, AT LEAST IN PART, in future – it’s not
  • 16. Example: Potential neighbourhood level input to adult social care services • Outcomes: Quality of Life through Control (‘independence’), Personal care (‘satisfaction’), Food and Nutrition, Accommodation, Safety, Social participation, Occupation (Employment), Dignity (NB: not all have indicators, ignores research on ‘friends, confidantes, company) • Activities: governance, micro- commissioning, prioritisation, planning, design, financing, management, delivery, assessment • Cost-effective configurations of organisations: Mix of public, private and third sector suppliers • Roles of users, citizens and other stakeholders: Contact with citizens critically important to priority outcomes of users – needs to be built into commissioning, design, delivery and assessment • Resilient systems: Failure is common, likely to increase – need for public sector ‘emergency intervention’ role, probably 3rd sector delivered • Lesson for TS working at neighbourhood level: Important to include neighbourhood representatives (e.g. users) in governance and assessment of both local commissioning process and providing organisations – also important to build their capabilities into delivery – LIMITS ECONOMIES OF SCALE, PROMOTES ECONOMIES OF SCOPE
  • 17. Bottom-up analysis • Average London Borough has 245,000 population and spends 50% of its budget on fewer than 10,000 people (Barry Quirk) – 4% of population • 120,000 problem families said to cost nearly £8bn to national public purse (Eric Pickles, 17.10.2011) – by spending £14,000 per family on a more co- ordinated service, the state could save £70,000 per household (actually £52,000!). Should we let contracts one at a time to support these families? • OR what about forming a FamilyRing network for every 10 families, taking the families out of most public services - £520,000 p.a. per FamilyRing? How much would a TSO be prepared to bid for such a contract? • OR what about 30 different services in 8 different public sector organisations? • OR one public sector organisation with all functions for families with multiple functions? • OR one public sector organisation with ALL functions for ALL citizens? • THEN – what kind of organisation should deliver to the REMAINING 96% of population?
  • 18. Scaling up provision (including third sector) from neighbourhood to council-wide, regional or national levels • In absence of clear a priori arguments for relative strengths of economies of scale and scope, we should remain market-structure- neutral and launch experimentation ... • ... ‘fail early, fail fast, fail cheap’ – LEARN SMART • This needs to be based more on analysis of potential risks to citizens and service users and less on risks to the decision makers and their organisations • There needs to be proper planning for dealing with (increasingly inevitable) failures in provision (and commissioning) • Part of this ‘failure planning’ is designing resilience into communities, public services and partnership arrangements
  • 19. Conclusions  All change … with huge risks  … but risks from both change and ‘non-change’  Huge latent willingness of citizens to become more involved …  … but only if they feel they can play a worthwhile role  If this happens, all previous public service models which have privileged ‘economies of scale are suspect  Needs experimentation – none of the emerging new service configurations are well understood, none can be regarded as ‘reliable’ – this experimentation needs to be across sectors  Experimentation needs resilient systems, ‘last resort’ intervention plans, slack resources – primarily public sector role  Must be ready for scary world of ‘trusting’ –users, citizens, trusting partners, voters – surfacing likely outcomes, risks and impacts  All radical change will cost resources – ‘neighbourhood’ and ‘community’ interventions, even when based on ‘co-production’ and ‘community assets’, are not ‘free’ – TSOs cannot facilitate and enable this ‘brave new world’ on goodwill and fresh air alone
  • 20. Contacts David Mullins d.w.mullins@bham.ac.uk James Rees j.e.rees@bham.ac.uk Tony Bovaird t.bovaird@bham.ac.uk
  • 21. OPTIONAL SLIDE: Why ‘user and community co-production’? • After 10 years of Best Value and ‘Transformation’, we’re MUCH LESS CERTAIN that we are doing things the best way – but still uncertain about what ‘better’ looks like (the outbreak of ‘humility’) • We now realise that service users and their communities know things that many professionals don’t know … (‘users as thinking people, communities as knowledge bases’) – E.g. co-design of services, co-authors of user manuals • ... and can make a service more effective by the extent to which they go along with its requirements (‘users and communities as critical success factors’) – E.g. self-medication, self-management of long-term conditions • ... and have time and energy that they are willing to put into helping themselves and others (‘users and communities as resource-banks and asset-holders’) – E.g. peer support (Knapp et al, 2010); expert patients programme • TS organisations are a key mediator of these relationships
  • 22. OPTIONAL SLIDE: Different types of co- production • Co-governance of area, service system or service agencies – e.g. neighbourhood forums, LEPs, HWBs, school governors • Co-commissioning services – e.g. personal budgets, participatory budges, devolved grant systems • Co-planning of policy – e.g. deliberative participation, Planning for Real, Open Space • Co-design of services – e.g. user consultation, user-designed websites, Innovation Labs • Co-financing services – fundraising, charges, agreement to tax increases, BIDs • Co-managing services – leisure centre trusts, community management of public assets • Co-delivery of services – peer support groups, expert patients, Neighbourhood Watch • Co-monitoring and co-evaluation of services –user on-line ratings, tenant inspectors