1. Can the Public Sector understand the concept of Productivity? How to achieve productivity without the private sector bottom line? Responsibility Accountability Quality Reward Hywel Lloyd – Public Service Innovation

2. What is our concept of Productivity? Activist Having an experience Testing Reflecting Planning the next Reviewing the experience experience Theorist Concluding, revising your models Mental models – What’s yours?

3. The concept of Productivity... Productivity, efficiency, effectiveness, efficacy Productivity = efficiency (output/input) Effectiveness = producing the desired outcome Efficacy = producing a desired effect And of course whose productivity....

4. What is the context for Public Sector Productivity? State organisations, private organisations The public, citizens, recipients, beneficiaries, The nature of Co-Production – e.g. the healthy child And the nature of dynamic systems Questions of flow And the Diffusion of Innovation..

5. Diffusion of Innovation – Rogers, E

6. Can the Public Sector understand the concept of Productivity? Case studies Stoke-on-Trent energy self-sufficiency Budget Holding Lead Professional NHS Coronary Care Collaborative Place based ‘efficiency’ – evolutions from Total Place The Vanguard method

7. Develop an effective and confident council

8. Stoke-on-Trent Energy self-sufficiency Whole place energy equation – 600Mw of demand inc. 124Mw industry, heat, electricity and transport What resources and approaches could be applied locally... Reducing demand Securing local supply

9. Budget Holding Lead Professionals Holistic view of the needs of a family A ‘lead’ professional With some resources Scope to act within a team and a wider framework, e.g. CAF

10. NHS Coronary Care Collaborative Systemic, whole process view of the intervention A shared view of the flow of work A coordinating hub Deliberate testing, learning and sharing

11. Place based ‘productivity’ Salford High Street! Total Place Community Budgets REAL Total Place – Resources, Energy, Assets rather than Liabilities

12. The Vanguard ‘method’ Take a customer/user perspective Follow the nature of the work Understand the nature of the system Design with the user in mind, work is in the flow Integrate decision making within the work Management function to act on the system

13. Accountability – Quality - Reward What can the case studies tell us?

14. Accountability – Quality - Reward A Strategic approach – taking a Systemic and often Place based approach Taking a customer /user view Measures of performance developed in the system – From the work – Understand the supply chain Transparency of information to users and partners Acknowledge and value the contributions made – citizens, staff, partners Scope for autonomy and judgement Clarity of who is accountable

15. Looking forward... Placed based budgets... Greater integration at the city/place level – Between services and organisations, seamless.. Greater application of Systems Thinking based methods in service improvement and design And perhaps changing the ONS methodology