A People to Partners Approach – Opportunities and Challenges
Northern Ireland is facing a period of unprecedented financial constraint, an aging population and a health and social care system which still needs to progress many necessary identified reforms. This is within the context of a society facing real health inequalities[1], a housing crisis[2] and some of the worst waiting lists in the UK[3]. As a result, there is a growing gap between people’s expectations of public services; what is deliverable; and what is being delivered.
In collaboration with NICON, the PCC, in fulfilling our independent statutory remit, has been thinking purposefully about the challenge posed by this emerging gap. We believe the answer lies in a fundamental shift in the nature of the relationship between the public sector and the public, with a particular focus on health. This is the case for change ‘People to Partners’ sets out.
What do we mean by this?
At present public services largely do things to individuals, families and communities. But there is growing evidence that moving towards a system that does things with people and communities is the key to a successful and sustainable health and social care system and people living flourishing lives.
The potential benefits to the public, civil society and public services from adopting this new relationship with the public include:
- Improved public agency and civic engagement
- Policies and services that are effective in meeting public need
- Increased trust in public institutions and representative democracy
PCC recognises that the voluntary and community sector often operates on ‘do with’ principles, encapsulated by deep understanding of the people they engage with, versatile responses, and collaborative delivery. It is often a key bridge between the public sector and communities.
A key recommendation from the People to Partner Report is to develop a strategic framework for Northern Ireland that establishes principles to adopt a ‘do with’, asset-based, partnership approach to guide HSC and cross-government change. This framework should focus on shifting mindsets and system/organisational culture, rather than replicating existing models.
As a critical partner in this work, we look forward to engaging with NI Health Collective members to explore the opportunities and challenges and how we can build meaningful partnerships for change.
[1] Health Inequalities Dashboard
[2] New statistics show continuing housing crisis, CIH Northern Ireland warns | Chartered Institute of Housing (CIH)
[3] Hospital waiting times remain high | Northern Ireland Statistics and Research Agency
