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Posted: 31 January 2002 | Subscribe Online


Performance ratings for social services departments are set to be more transparent than ever thanks to Alan Milburn's proposals for star-ratings, and could see epartments being pitted against each other in the battle for resources. Frances Rickford reports.

Remember dunces? Teachers made them stand in the corner with a tall hat marked with a D for getting their sums or spellings wrong - at least, according to the picture books I used to read. Now we don't do that to children. Humiliating or punishing people because their performance doesn't reach our expectations has gone out of fashion. It's thought to be demoralising and demotivating - counter-productive, in fact. But doing it to organisations - particularly public sector organisations - is all the rage. Not only do league tables of schools, education authorities, hospitals and now social services departments reveal to the world who is top and bottom of the class, but the government is now proposing to heap more rewards on the glorified and more penalties on the shamed.

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A new star ratings system will award zero, one, two or three stars to social services departments depending on a formula bringing together their performance indicator scores with data from Best Value, joint reviews and Social Services Inspectorate reports. Social services departments which score highly will have extra freedoms and extra money - their share of a £50m "performance fund" - and those deemed poor performers face a battery of possible interventions including the indignity of being taken over by a neighbouring authority. Not surprisingly social service managers are frantically asking themselves, in the words of the gospel song, "Who will wear the starry crown? Oh Lord, show me the way."

Thirty departments got a foretaste last autumn at the social services conference when Alan Milburn jumped the star ratings gun by naming and praising or shaming departments on the basis of performance indicators alone. This drew protests from the Association of Directors of Social Services who pointed out that the Department of Health has itself said that "the indicators can only paint part of the picture and must be considered as part of a broader set of performance information about social services" and that "indicators only indicate; assessing the performance of a council is complicated..."1

The rationale for performance assessment, according to Milburn, is that "the publicÉ have a right to know how well those services are doing in comparison with others."

But his argument begs a string of questions. First, and most obvious, who decides what a good service is?

Second, can something as complex as a social service really be quantified, or even graded by external inspection teams?

Third, if services can be measured by indicators, are the current performance indicators the right ones?

Fourth, are they robust enough to resist manipulation, and are social services departments' data collection systems thorough and consistent enough to ensure like is being compared with like?

Fifth, is the assessment framework measuring things which social services managers can control, because if not it is both unfair and unlikely to improve anything.

And sixth, can a regime as top-down as the performance assessment framework invigorate and improve services which rely fundamentally on the skill, energy and goodwill of front-line staff?

Tony Hunter is director of social services in the East Riding of Yorkshire and chairperson of the ADSS's standards and performance committee. Although furious about Milburn's own performance at Harrogate, he has no argument with the principle of performance assessment. "We do support the development of systems which enable the public to have an overall perception of how a council is performing. That system should measure what really matters to users and carers most, but you've got to start somewhere. And a system which is useful overall is less likely to be in place if social services directors are not involved in developing it."

But Hunter is acutely aware that the current indicators are flawed, and is also conscious that front-line staff in many departments need a lot of convincing that the system is really about improving services for users. Front-line scepticism about the usefulness of many of the indicators is endorsed by the detailed work undertaken by the Social Services Research Group (SSRG) which has published a 120-page, two-volume study of the personal social services performance assessment framework and Audit Commission performance indicators for social services. The SSRG is an independent organisation with members from within local government, health, and academia. It was actively involved in developing the original PAF indicators four years ago, and still works closely with the Department of Health. Last November, SSRG chairperson David Allen wrote to social services chief inspector Denise Platt to express the group's concern about the current direction and development of performance management of social services. It warns that a number of the PAF indicators are seen by the professional community as "weak or very questionable" and expresses fears that things are set to get worse rather than better. "Effort and resource in the performance management arena is becoming increasingly fragmented and dispersed, and decisions about future performance indicators are being made that are not being informed by good practices on the ground."

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The question of who decides what is to be measured is also highlighted by Peter Beresford, professor of social policy at Brunel University and chairperson of the user organisation network Shaping Our Lives. "On whose views are you setting the criteria? What things are seen as important, what weights get attached to different things, and who rates them? We already know that there are significant differences between the perceptions of managers and practitioners on the one hand and of service users on the other about what works and what constitutes good practice."

Beresford points out that service-user organisations are most concerned about the nature of interactions between themselves and practitioners, the culture and values of an organisation, and the issue of continuing cuts to services.

"You need to have safeguards, but the evaluation has to be right. Doing it this way invites organisations to cover their backs - to look for ways to subvert or manipulate these bureaucratic standards and measures because if they don't they will be penalised."

Ian Sinclair heads the social work research and development unit at the University of York. He argues that the performance assessment framework could have a positive influence in acting as a counterbalance to social work's inevitable focus on individuals. "Performance indicators measure the general so they could spread people's focus more widely, which would be a good thing. But there are many dangers including the risk that that they will be allowed to interfere with professional judgment." So for example a child could be left in a placement in which they are unhappy because the department is trying to improve its score on placement changes.

Sinclair points out that the indicators are not risk-adjusted, so for example the larger number of difficult children your department is working with the worse your score is likely to be. And he also suggests that many of the indicators measure things which are largely outside of the control of the directors whose heads will be on the block.

"For example, the indicator on long-term foster placements depends on the quality of your foster carers, and it is extremely difficult to influence that. They are supposed to train foster carers but there is little or no evidence that training does in fact improve the quality of foster carers."

Even the quality of directly employed staff, such as the heads of children's homes, is very difficult for senior managers to influence especially when, as now, there is a labour shortage across the social care sector.

Other indicators measure factors which are even further outside the influence of social service managers. "They depend on things like the supply of educational psychologists or the actions of the courts, or the performance of the health service or local schools for example.

"The danger is that the star ratings system will punish organisations for things beyond their control and because they get a bad smell from their poor rating the situation will be exacerbated. If this is combined with giving more resources to the successful, it will be an extremely dangerous policy prescription."

1 Department of Health, Introduction to Social Services Performance Assessment Framework Indicators, DoH, 2001

 



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