“I was never trained to do any of that” – personalisation and the impact of the “customer” on employment relations in voluntary sector social care

2020 ◽  
Vol 42 (5) ◽  
pp. 1117-1133
Author(s):  
Doug Young

PurposeThe purpose of this paper is to examine the extent and impact of customer-oriented norms on employment relations in voluntary sector social care, within the context of personalisation. Self-Directed Support (SDS) is premised on the notion that customer-led care enhances autonomy among service users and therefore improves quality of life, and additionally, gives employees more discretion in their work. However, by attempting to improve quality of service without additional funding – and in many instances, with funding cuts – it can be argued that SDS is in practice effectively attempts to achieve “more-for-less.” This paper examines the effect of this dynamic on employment relations, using the organisation as the unit of analysis.Design/methodology/approachThis paper examines the existing literature on personalisation and SDS, and positions it alongside the sociology of service work. Particular focus is given to Korczynski's notion of Customer-Oriented Bureaucracies (COB). Data collection took place in four comprehensive case studies, comprised of fifty-five semi-structured interviews overall and a benchmarking survey of each.FindingsFindings demonstrate that the influence of customer-oriented norms only affected certain features of the employment relationship, and tended to result from pressures other than service users, such as organisational strategy or funding constraints. In consequence, none of the individual case studies fit the description of COB in its absolute form. Instead, what can be observed is a strong pattern of influence across specific dimensions of the employment relationship. In relation to policies and procedures, the impact of customer-oriented norms was experienced in 70% of instances, 83.3% of incidences pertaining to terms and conditions, and 85.7% of incidences pertaining to work organisation.Research limitations/implicationsThe data itself is limited to fifty-five interviews across four case studies, and so only gives a “snapshot” of employee relations within the sector. Further research would be advantageous to address these issues geographically and temporally.Practical implicationsFirstly, it contributes academically to existing bodies of literature on both voluntary sector social care and the sociology of service work. Secondly, it provides practitioners with analysis of the issues that accompany personalisation, and how adopting customer-oriented norms impacts the employment relationship. Thirdly, it demonstrates to legislators and commissioners that existing shortfalls in funding are compensated for by the above-and-beyond efforts of those who work in the sector, and that this is an increasingly untenable situation.Social implicationsThis paper sheds much needed light onto employment relations in the doubly under-researched areas of voluntary sector social care in Scotland. It attempts to aid employee relations pertaining to the often low paid social care workforce, and the care of service users who include the most vulnerable in society. By identifying potential issues pertaining to employee relations, it seeks to avoid future disruptions to service provision which could have adverse effects on organisations, employees, and service users.Originality/valueThis paper makes a theoretical and conceptual contribution by utilising the sociology of service work as a means of better understanding employment relations in voluntary sector social care. It compares the impact of customer-oriented norms across four distinctly different service provision types Furthermore, the segmenting of findings across three key areas of employment relations allows for a systematic analysis which pinpoints the presence and extent of customer-oriented norms and their influence on the employment relationship.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Karen Louise Bester ◽  
Anne McGlade ◽  
Eithne Darragh

Purpose “Co-production” is a process in health and social care wherein service users and practitioners work in partnership. Recovery colleges (RCs) are educational establishments offering mental health education; a cornerstone feature is that courses are designed and delivered in parity by both mental health practitioners and “peers” – people with lived experience of mental illness. This paper aims to consider, through the identification of key themes, whether co-production within RCs is operating successfully. Design/methodology/approach The paper is a systematic review of qualitative literature. Relevant concept groups were systematically searched using three bibliographic databases: Medline, Social Care Online and Scopus. Articles were quality appraised and then synthesised through inductive thematic analysis and emergent trends identified. Findings Synthesis identified three key themes relating to the impact of co-production in RCs: practitioner attitudes, power dynamics between practitioners and service users, and RCs’ relationships with their host organisations. As a result of RC engagement, traditional practitioner/patient hierarchies were found to be eroding. Practitioners felt they were more person-centred. RCs can model good co-productive practices to their host organisations. The review concluded, with some caveats, that RC co-production was of high fidelity. Originality/value RC research is growing, but the body of evidence remains relatively small. Most of what exists examine the impact of RCs on individuals’ overall recovery and mental health; there is a limited empirical investigation into whether their flagship feature of parity between peers and practitioners is genuine.


2014 ◽  
Vol 11 (2) ◽  
pp. 111-128 ◽  
Author(s):  
Enrico Bracci

Purpose – The aim of the paper is to illustrate the changing structure of accountability under a new public governance agenda introduced in England to deliver social care through personal budgets. Design/methodology/approach – The paper draws on accountability and public governance literature, in particular, the accountability framework proposed by Hupe and Hill. The evidence was gathered from exploratory case studies conducted in two English County Councils. Findings – The introduction of personal budgets has modified the roles of the different actors involved in the co-production of social services. The case studies evidence changes in the accountability and governance process, particularly with respect to the personal budget regime that has devolved responsibility and accountability to the customer. Specifically, the customer's role has shifted and expanded in the accountability chain and thus developed into a partnership. Originality/value – This study is one of the first to analyse the relationship between the personalisation agenda in English social services and the relevant accountability mechanisms involved. Moreover, the paper refines the theoretical framework proposed by Hupe and Hill according to the different role the public now plays.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Oli Preston ◽  
Rebecca Godar ◽  
Michelle Lefevre ◽  
Janet Boddy ◽  
Carlene Firmin

Purpose This paper aims to explore the possibilities in using such national, statutory data sets for evaluating change and the challenges of understanding service patterns and outcomes in complex cases when only a limited view can be gained using existing data. The discussion also explores how methodologies can adapt to an evaluation in these circumstances. Design/methodology/approach This paper examines the use of data routinely collected by local authorities (LAs) as part of the evaluation of innovation. Issues entailed are discussed and illustrated through two case studies of evaluations conducted by the research team within the context of children’s social care in England. Findings The quantitative analysis of LA data can play an important role in evaluating innovation but researchers will need to address challenges related to: selection of a suitable methodology; identifying appropriate comparator data; accessing data and assessing its quality; and sustaining and increasing the value of analytic work beyond the end of the research. Examples are provided of how the two case studies experienced and addressed these challenges. Research limitations/implications • Quasi-experimental methods can be beneficial tools for understanding the impact of innovation in children’s services, but researchers should also consider the complexity of children’s social care and the use of mixed and appropriate methods. • Those funding innovative practice should consider the additional burden on those working with data and the related data infrastructure if wishing to document and analyse innovation in a robust way. • Data, which may be assumed to be uniform may in fact not be when considered at a multi-area or national level, and further study of the data recording practice of social care professionals is required. Originality/value The paper discusses some common issues experienced in quasi-experimental approaches to the quantitative evaluation of children’s services, which have, until recently, been rarely used in the sector. There are important considerations, which are of relevance to researchers, service leads in children’s social care, data and performance leads and funders of innovation.


2019 ◽  
Vol 16 (1-2) ◽  
pp. 96-109
Author(s):  
Ruth Mary Strudwick ◽  
Jane Marie Harvey-Lloyd ◽  
Hollie C Hadwen

Interprofessional learning (IPL) is an integral part of all health and social care undergraduate education programmes at our university.  It is widely considered that IPL encourages health and social care students to learn from and about one another and that this process underpins a better understanding not only of their own professional roles but also those of others.  This in turn promotes more effective teamwork, enhances integrated service user pathways and therefore provides improved care for service users.  IPL is transformative as it enables students to consider their role in the interprofessional team rather than focussing on themselves (Schmitt et al., 2011). The purpose of this paper is to discuss the experience of delivering IPL at our university by using examples from our modules in order to highlight and debate the importance of IPL in preparing health and social care students for their professional roles.  The article will describe two IPL modules where students work in interprofessional groups exploring and discussing practice-based case studies.  All of the staff and students involved completed a feedback questionnaire which evaluated their experiences of undertaking the case study exercise.  The impact of these experiences will be discussed in terms of professional development for the students involved and the impact that these learning experiences have on their future roles.  We will argue that these IPL experiences allow students to develop their own professional roles and identity, understand the roles of others and are enabled to provide more holistic care for service users. We believe that working together in interprofessional groups to look at practice-based service user case studies is transformative in that it enables the students to learn from and about other professionals, it equips them with knowledge about one another’s roles and enables them to work together more effectively with other members of the interprofessional team (CAIPE, 2008).  This in turn enables the students to work together for the good of their service users and thereby becoming more compassionate and person-centred professionals.


2015 ◽  
Vol 37 (6) ◽  
pp. 670-682 ◽  
Author(s):  
Gill Dix ◽  
Sir Brendan Barber

Purpose – The purpose of this paper is to provide an overview of the evolving role of the Advisory, Conciliation and Arbitration Service (Acas) across a 40-year period against a backdrop of changing workplaces and institutional frameworks. Design/methodology/approach – The paper draws on the statistical and evaluation evidence together with policy commentary and employment relations literature to provide a commentary on the changing world of employment relations. Findings – Two areas have dominated policy concerns over the period: patterns of employment disputes and the question of employment regulation. The paper argues that such a focus has stimulated some dramatic changes in the way disputes manifest in Britain, and at the same time left something of a policy vacuum in relation to the wide challenges and opportunities for improving conflict handling and the employment relationship. Through the prism of Acas’ work the paper identifies some of the enduring features that are common to improving both collective and individual relationship at work. Originality/value – The paper brings together evidence from different sources combined with the unique perspectives of Acas and its service users to draw and provide explanations for aspects of the changing face of the work.


2014 ◽  
Vol 28 (4) ◽  
pp. 495-510 ◽  
Author(s):  
Mei Hu

Purpose – The purpose of this paper is to examine the effects of an integration programme on service users from users’ own perspective. Design/methodology/approach – Multi-method approach was used. Both quantitative and qualitative data collection and analysis were employed to uncover and examine service users’ views of the impact of the integration programme. Findings – An improvement in the physical functioning of one in three occupational equipment users; a rise in the level of satisfaction of 85 per cent of occupational health and 82 per cent of physiotherapy users; older people with complex problems and high-level needs were able to be helped to live at home; and waiting times for both assessment and for services within two weeks and four weeks were below the national achievement and ministerial targets. The impact of the integration programme on users was complex. Positive outcomes were achieved for some user groups and individuals but not for others. A lack of change outcomes in social care, and service users’ low level of satisfaction with social care services appears to be associated with the impact of agency work and the predominant aim in social work of achieving maintenance and prevention outcomes. Originality/value – This paper contributes to knowledge on what and how the total integration in Cambridgeshire has benefited users.


2015 ◽  
Vol 27 (6) ◽  
pp. 593-616 ◽  
Author(s):  
Fayçal Boukamcha

Purpose – This paper aims to clarify the impact of the entrepreneurial training on a Tunisian trainee’s entrepreneurial cognitions and intention. An interactive cognitive perspective was adopted to test the interaction effect between the entrepreneurial cognitions: the perceived entrepreneurial self-efficacy, the perceived entrepreneurial feasibility and entrepreneurial desirability. A research model was built showing several relationships between entrepreneurial training, cognitions and intention. Design/methodology/approach – A survey was conducted on a convenience sample of 240 participants in four business incubators. The maximum-likelihood test was used as a structural equation modeling method to test the model. Findings – The results show the importance of the entrepreneurial training in the development of entrepreneurial cognitions. Further, the findings, to some extent, validate the interaction between the entrepreneurial cognitive patterns. However, entrepreneurial intention was only predicted through the entrepreneurial desirability. Several implications are discussed at the end of this paper. Practical implications – The findings seem interesting insofar, as they show the importance of entrepreneurial trainings in the entrepreneurial intention development through the enhancement of desirability. This process can be triggered by a training program that contains case studies, success stories and conferences to make the youth enthusiastic about self-employment. Originality/value – The significant impact of the entrepreneurial training on trainees’ cognitions should encourage governments and incubators to promote entrepreneurial training programs to enhance the youths’ willingness to create their own businesses. The findings in this paper seem interesting insofar as they show the importance of entrepreneurial trainings in the entrepreneurial intention development through the enhancement of desirability. This process can be triggered by a training program that contains case studies, success stories and conferences to make the youth enthusiastic about self-employment.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Francisco Rincon-Roldan ◽  
Alvaro Lopez-Cabrales

PurposeThe aim of this study was to analyse the influence of different employment relationships (ERs) on the sustainability results of cooperatives. The authors approached the type of ER comparing the inducements offered by the firm with the contributions that the manager expects from employees. In this way, the authors study how the orientation toward the employment relationship influences the economic, social and environmental sustainability of the firm.Design/methodology/approachThis article presents a theoretical and empirical research model about the relationship between ERs and sustainability. The necessary information was obtained through a questionnaire that was completed by the human resource (HR) managers and chief executive officers (CEOs) of 124 cooperative companies, and structural equation modelling was applied to evaluate the relationships between the proposed constructs, using the partial least squares technique (PLS-SEM).FindingsThe obtained results suggest that mutual investment and overinvestment ERs favour economic, social and environmental sustainability, whereas quasi spot contract and underinvestment ERs have a negative influence on all three types of sustainability. Therefore, it is confirmed that the type of ER adopted can condition the sustainability of the company, either favouring or worsening it.Originality/valueThis work contributes to covering the lack of studies about which ERs impact the sustainability of organisations, and it provides information on the role of ERs in the search for a more sustainable organisation, demonstrating that the type of employment relationship developed by the firm has a relevant impact on its sustainability.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Daryl Mahon

Purpose Practitioners, organisations and policy makers in health and social care settings are increasingly recognising the need for trauma-informed approaches in organisational settings, with morbidity and financial burdens a growing concern over the past few years. Servant leadership has a unique focus on emotional healing, service to others as the first priority, in addition to the growth, well-being and personal and professional development of key stakeholders. This paper aims to discuss Trauma Informed Servant Leadership (TISL). Design/methodology/approach A targeted review of the servant leadership and trauma-informed care literature was conducted. Relevant studies, including systematic review and meta-analysis, were sourced, with the resulting interpretation informing the conceptual model. Findings Although there are general guidelines regarding how to go about instituting trauma-informed approaches, with calls for organisational leadership to adapt the often cited six trauma-informed principles, to date there has not been a leadership approach elucidated which takes as its starting point and core feature to be trauma informed. At the same time, there is a paucity of research elucidating trauma outcomes for service users or employees in the literature when a trauma-informed approach is used. However, there is a large body of evidence indicating that servant leadership has many of the outcomes at the employee level that trauma-informed approaches are attempting to attain. Thus, the author builds on a previous conceptual paper in which a model of servant leadership and servant leadership supervision are proposed to mitigate against compassion fatigue and secondary trauma in the health and social care sector. The author extends that research to this paper by recasting servant leadership as a trauma-informed model of leadership that naturally operationalises trauma-informed principles. Research limitations/implications A lack of primary data limits the extent to which conclusions can be drawn on the effectiveness of this conceptual model. However, the model is based on robust research across the differential components used; therefore, it can act as a framework for future empirical research designs to be studies at the organisational level. Both the servant leadership and trauma-informed literatures have been extended with the addition of this model. Practical implications TISL can complement the trauma-informed approach and may also be viable as an alternative to trauma-informed approaches. This paper offers guidelines to practitioners and organisations in health and social care on how to operationalise important trauma-informed principles through leadership. Social implications This conceptual model may help reduce the burden of trauma and re-traumatisation encountered by practitioners and service users in health and social care settings, impacting on morbidity. Originality/value To the best of the author’s knowledge, this is a novel approach, the first of its kind.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  

Purpose This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings The study takes empirical data from three case studies of projects that have faced setbacks to explore the impact of project manager signature strengths on team resilience and finds that four signature strengths, leadership, open-mindedness, persistence and hope, were present in project managers across all three case studies. Originality The briefing saves busy executives and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.


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