| Mick James says the consulting industry has made far too much money in the past helping clients swing from one extreme to another and this time around it can afford to suggest a little restraint. |
| The centre cannot hold |
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| | By Mick James
Every now and then one catches a whiff of what might be called the zeitgeist. I last got it a few years ago, when an urge I couldn’t explain caused me to put my name down for an allotment. Now people are signing up in the hope that they might be able to pass then on to the kids.
Recently my nostrils started twitching at the news that David Cameron is planning to hand key areas of health and education service delivery over to workers’ cooperatives—but the nice, John Lewis kind, not the occupying-the-motorbike-fa ctory kind.
This chimes in with a lot of rhetoric that’s been flying around recently: “distant bureaucrats,” “over-centralisation,” “control freakery”. Could we be in for a decisive swing of the pendulum towards decentralisation and devolution?
The news that we could all be setting off on a massive journey to new organisational forms is obviously good news for those of us that specialise in getting clients wherever they’ve decided to go.
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But haven’t we been here before? We’ve all heard a lot about the demise of command-and-control but you don’t have to spend too much time hanging around with the C-suite set to know that rumours of its death have been greatly exaggerated. And empowerment? Who remembers that?
There’s no greater fan of John Lewis than me, and a lot of the joy of shopping there does come from the empowerment of the staff. But that empowerment is based on deep and valuable knowledge—knowledge is power in this case.
The John Lewis experience is somewhat difficult to replicate. Will it work in health and education? It’s hard to say. Cynically, one might argue that the problem with much of the public sector is that it’s run by and for the workers already.
Less cynically, one might wish to kick back a bit about the “Sister knows best” mentality. It’s very similar to the “experts—what do they know?” mentality that so often turns on consultants.
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If the recent economic crisis has taught us anything, it’s that “local” covers a pretty wide area. There may have been a lot of fuss about few remaining local building societies that escaped the global meltdown, but few purely local financial institutions can survive the collapse of local employment, for example. In all too any cases being purely local and totally devolved means being completely disempowered.
One doesn’t have to be an outright fan of the obsession of the Blair/Brown centralism to note some of the positives of “joined-up” thinking on the few occasions when it has managed to work. The (admittedly limited) progress that had been made in shared services in local and central government shows that we have all at least achieved proof-of-concept.
Technology, too, offers ways of gaining the knowledge and communications benefits once only available to those that could afford massive infrastructure investments. You may be | |
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| | wary of “The Cloud” but it’s there if you need it.
Far be it from me to stand in the way of the zeitgeist, but the consultancy industry has made far too much money in the past from helping clients swing from one end of the pendulum to the other not to be able to afford to suggest a little restraint this time. Before, so to speak, we rip out all our period features and get the avocado bath suites in again.
Every time an organisational structure—such as co-operativism—is held up as the magic wand that will achieve desirable outputs we should hear the warning bells. What makes you think this structure will create those results? Have you thought of what you might lose if you abandoned the old way completely? And what is it you are trying to achieve anyway? After all, if you really believe in a zeitgeist, you have to believe that we can create some kind of a synthesis and make progress rather than merely going from one extreme to another. | |
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I’m sure Sister knows a lot of things, but there’s also much that doesn’t get taught in the Hattie Jacques school of nursing. I pick on health because it’s a great example of where the centralisation versus localism argument gets bogged down. Procurement in the NHS, for example, illustrates it well: localism demands that every surgeon gets to pick his favourite drug, and every GP prescribes her favourite drugs. Good procurement practice suggests rigid category management and single vendor tenders based on combined buying power.
As a country we are hopelessly confused in this area. We will defend a “national” health service to the death, yet the politics of devolution means we must embrace localism in Scotland and Wales. They can’t both be right. We want, and need, national standards—otherwise we end up (and this happens now) researching the quality of A&E in every corner of the country before we commit to a | |
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