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Review of the Centre Integrated Service Delivery: Regional Co-ordination - Final Workstream Report
State Services Commission and the Ministry of Social Development, July 2003. Related publications: Mosaics - Whakaahua Papariki: Key Findings and Good Practice Guide for Regional Co-ordination and Integrated Service Delivery, and Integrated Service Delivery and Regional Co-ordination: A Literature Review. |
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Executive SummaryContext1 In November 2001, the Report of the Advisory Group on the Review of the Centre highlighted the need to achieve better integrated service delivery to address complex social problems which involve multiple agencies, and to achieve better citizen-focused service delivery. The Integrated Service Delivery: Regional Co-ordination workstream set out to examine existing successful models of local collaboration and suggest how government agencies could work better together and with local stakeholders. 2 The Integrated Service Delivery: Regional Co-ordination workstream undertook a review of the New Zealand and international literature on collaboration, carried out fieldwork in three regions in New Zealand, and drew on a range of relevant government reports. The findings of the work have been used to develop both the Final Workstream Report and Mosaics:Whakaahua Papariki: Key Findings and Good Practice Guide for Regional Co-ordination and Integrated Service Delivery (available at www.msd.govt.nz). 3 A key purpose of this Final Workstream Report is to provide an account of the regional co-ordination project. Like Mosaics it also describes the key good practice principles and actions required to develop and improve collaboration. Some key case studies of successful collaboration in action are also identified. 4 The report also highlights the key issues that may require a policy response from Ministers and central government including the need to:
5 There is evidence that collaboration can improve services and offer benefits for organisations, including better processes, improved relationships, greater capacity to respond to local needs and more efficient use of resources. However, there is currently little clear evidence, either in New Zealand or internationally, that collaboration improves outcomes. This is largely due to the lack of effective evaluation of collaborative initiatives. 6 Collaboration is time- and resource-intensive, and there are limitations to what it can achieve. Organisations need to make decisions about when collaboration is appropriate and consider the necessary trade-offs in devoting time and resource to joint working. Moreover there is no single approach to developing collaboration that will work in all cases. Different models will be needed to achieve specific objectives, and different approaches will be needed at various stages of the collaborative process. 7 Nonetheless, where the decision has been made that collaboration is appropriate, the fieldwork and literature provide some guidance about what makes collaborative mechanisms function effectively. Definitions8 The workstream identifies two levels of collaboration regional co-ordination and integrated service delivery. 9 Regional co-ordination is multi-agency collaboration at a strategic level. Its purpose is to provide an overview of needs and activities in an area, and engage in forward planning and alignment of resources across a whole region, population group or cross-cutting issue. The principal regional co-ordination mechanisms are: Networks, which are relatively informal groups which focus on relationship-building and information-sharing; and Partnerships, which are more formal arrangements with a focused objective around the production of strategies, systems or services. 10 Integrated service delivery involves organisations working together at an operational level. Its purpose is to develop the delivery of services requiring the input of more than one agency, focused on specific local areas, client groups, communities, families or individuals. Three models of integrated service delivery are identified. These are case management approaches, "one-stop-shop" single access points for service delivery, and joint-funded contract service provision. 11 Findings show that the key principles for developing effective regional co-ordination and integrated service delivery include:
Role of central government12 Government organisations, both at the centre and at local level, have a key role to play in supporting effective regional co-ordination and integrated service delivery. Systemic change will be required to embed collaboration into all activities of organisations. While some government actions to support collaboration require barriers to be removed at national policy level, participants in the field work observed that many of the necessary changes may be developed and implemented by government agencies at the local level within existing structural arrangements. 13 To support collaboration, government at the centre will need to:
Working with Stakeholders14 Government organisations also need to work effectively with local stakeholders such as iwi/Maori, local government, community and voluntary sectors and Pacific groups. It is important to involve stakeholders in collaboration both as representatives of local communities and as service providers in their own right. 15 To work effectively with local stakeholders government agencies will need to:
Further policy work required16 Most of the good practice principles for developing collaboration can be applied by government agencies at the centre and in the regions within existing structural arrangements. However findings indicate that policy work will be required within government departments and by central agencies over the medium to long term to reduce some of the more systemic barriers to collaboration which currently exist at a number of levels. 17 Key issues for further policy work include:
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