Those involved in funding health services such as mental health services do not have it so easy.
The previous post described the perspective of the world of the CEO of an NGO – what it is like to be funded by an entity that does not actually use the services you provide.
But, it’s not all beer and skittles for a contract/relationship manager in a funding organisation such as a District Health Board. Imagine you are the new contract/relationship manager in the procurement area of the DHB. You start your job and you are responsible for a range of NGOs providing services, some with as few as 2 full time equivalent staff and others with over 100 full time equivalents.
You review each contract and find that some don’t specify how many service users will be catered for. The descriptions of the services specified in the contracts don’t match what the providers tell you they provide. The NGOs explain the reasons for this, but how do you tell if they are valid or not?
Informally, you hear both positive and negative things about the service provider. (more…)

The inner-directed personality captured the central ideas of modernist humans. If people have machinelike essences, situated not too far from the surface (by contrast with the romantic self which was hidden deep and only hinted at in the real world) then these should be able to be measured. And if the essence of a person could be measured then this should lead to the ability to make predictions about people’s behaviour in the future.
Gergen is not using the term "romantic" in the way we think of romantic love. Rather he is referring to a view of the world that prevailed at its height in the late 1700s and on into the 1800s, which is known as the Romantic period. During that period, the view was that what was important about people was their personal depth – passion, soul, creativity and moral fibre.
I am currently reading
It seems that there is now an impulse to think again about how public sector quality is evaluated and reported, arising from a deep-seated concern about current approaches. This concern appears even though the practices presently favoured in most Western economies (around performance measurement, outcome evaluation, and key performance indicators) have themselves developed from an era of almost continuous public sector reform. And it is possible to understand the character of these reforms largely as a product of recent history, undertaken alongside – and heavily influenced by – that most pervasive of late twentieth-century endeavours: the management project.
As regular readers will be aware, I have been advocating that conversations are the means by which change takes place in organisations. This is because organisations can be seen as themes of consistency and novelty that emerge from the myriad conversations that take place amongst many people over periods of time. So, organisations remain the same (and sometimes stay stuck), due to recurrent themes that predominate in the conversations that take place over the course of many interactions. Each of these interactions individually holds the potential for novelty. Think of regular team meetings, project meetings, coffee conversations, board meetings, informal meetings to explore certain topics, progress meetings, and presentation of proposals. Each has the potential for something new, but also has potential to reinforce existing patterns. "It depends."
A colleague has recently drawn my attention to a comment by
Many managers have fallen for the attractive prospect of "best practice." And many consultants claim to be able to bring best practice to your organisation. What is usually meant by this term is that they bring models or processes they’ve used or developed in the past, which they can implement with new clients.
I have noticed when I have been asked to help organisations where people are in deep seated conflict, that the situations are often characterised by each party accusing the other of bullying them. When I mention to a new or potential new client these accusations of bullying in other conflict situations, I am struck by how they say "that happens here as well."