Who Should Run The Public Sector in the UK? - Page 2
It all sounds very cuddly and comfortable when you announce it as a John Lewis type of approach. People in the UK associate John Lewis with quality goods and the co-operative culture they foster has been widely trumpeted by all and sundry. Workers at John Lewis are not employees. They are partners who take part in a wide variety of committees which determine how the company is run.
But the motivation and ways of measuring success of a private company are very different to that of a public sector service. Business is driven by the bottom line. The health service is driven more by medical outcomes, including preventive ones, which are the hardest to calculate.
It all feels like we are venturing into very experimental territory without any idea of where we are going. The suspicion is also that in an age of austerity, many of the radical changes that are being pushed through are, like the community care policy of the Thatcher era where the mental hospitals were closed and patients let out into the community, unlikely to be properly funded and to end up being ultimately more to do with cost-cutting than with providing quality services to the public.
Photo credit: Renjith Krishnan and www.freedigitalphotos.net