Employability through health? Partnership-based governance and the delivery of Pathways to Work condition management services

Colin Lindsay, Matthew Dutton

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

In Britain, as the government seeks to provide services to activate claimants of incapacity benefits, and help them overcome health-related barriers to work, the Pathways to Work initiative has been rolled out to 49 Jobcentre Plus districts across the nation. This development of the Pathways to Work has seen a heavy reliance on the contracting-out of services to the private sector, with Lead Providers paid according to job outcomes achieved for clients, and during the initial development of Pathways to Work, the initiative was defined by a flexible, partnership-based form of governance, with a key role for the National Health Service (NHS) in the delivery of health 'condition management' services - an approach that has been retained in a minority of Jobcentre Plus Districts. This article, based upon a review of previous evaluation evidence and more than 50 in-depth interviews with NHS staff and managers, critically assesses this partnership-based governance model and the potential added value flowing from the involvement of the NHS and its professional clinicians in the delivery of condition management services. The article concludes by outlining lessons for the development of governance and delivery mechanisms for condition management under the Pathways to Work regime and future employability and health interventions.
LanguageEnglish
Pages245-264
Number of pages20
JournalPolicy Studies
Volume31
Issue number2
DOIs
Publication statusPublished - 2010

Fingerprint

employability
governance
health
management
health service
district
value added
private sector
minority
regime
manager
staff
interview
evaluation
evidence

Keywords

  • incapacity benefit
  • unemployment
  • labour market
  • social welfare
  • NHS
  • social programmes
  • human resource management

Cite this

@article{b588722a02094e36a7e56dd5a5716fdd,
title = "Employability through health? Partnership-based governance and the delivery of Pathways to Work condition management services",
abstract = "In Britain, as the government seeks to provide services to activate claimants of incapacity benefits, and help them overcome health-related barriers to work, the Pathways to Work initiative has been rolled out to 49 Jobcentre Plus districts across the nation. This development of the Pathways to Work has seen a heavy reliance on the contracting-out of services to the private sector, with Lead Providers paid according to job outcomes achieved for clients, and during the initial development of Pathways to Work, the initiative was defined by a flexible, partnership-based form of governance, with a key role for the National Health Service (NHS) in the delivery of health 'condition management' services - an approach that has been retained in a minority of Jobcentre Plus Districts. This article, based upon a review of previous evaluation evidence and more than 50 in-depth interviews with NHS staff and managers, critically assesses this partnership-based governance model and the potential added value flowing from the involvement of the NHS and its professional clinicians in the delivery of condition management services. The article concludes by outlining lessons for the development of governance and delivery mechanisms for condition management under the Pathways to Work regime and future employability and health interventions.",
keywords = "incapacity benefit, unemployment, labour market, social welfare, NHS, social programmes, human resource management",
author = "Colin Lindsay and Matthew Dutton",
year = "2010",
doi = "10.1080/01442870903429660",
language = "English",
volume = "31",
pages = "245--264",
journal = "Policy Studies",
issn = "0144-2872",
number = "2",

}

Employability through health? Partnership-based governance and the delivery of Pathways to Work condition management services. / Lindsay, Colin; Dutton, Matthew.

In: Policy Studies, Vol. 31, No. 2, 2010, p. 245-264.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Employability through health? Partnership-based governance and the delivery of Pathways to Work condition management services

AU - Lindsay, Colin

AU - Dutton, Matthew

PY - 2010

Y1 - 2010

N2 - In Britain, as the government seeks to provide services to activate claimants of incapacity benefits, and help them overcome health-related barriers to work, the Pathways to Work initiative has been rolled out to 49 Jobcentre Plus districts across the nation. This development of the Pathways to Work has seen a heavy reliance on the contracting-out of services to the private sector, with Lead Providers paid according to job outcomes achieved for clients, and during the initial development of Pathways to Work, the initiative was defined by a flexible, partnership-based form of governance, with a key role for the National Health Service (NHS) in the delivery of health 'condition management' services - an approach that has been retained in a minority of Jobcentre Plus Districts. This article, based upon a review of previous evaluation evidence and more than 50 in-depth interviews with NHS staff and managers, critically assesses this partnership-based governance model and the potential added value flowing from the involvement of the NHS and its professional clinicians in the delivery of condition management services. The article concludes by outlining lessons for the development of governance and delivery mechanisms for condition management under the Pathways to Work regime and future employability and health interventions.

AB - In Britain, as the government seeks to provide services to activate claimants of incapacity benefits, and help them overcome health-related barriers to work, the Pathways to Work initiative has been rolled out to 49 Jobcentre Plus districts across the nation. This development of the Pathways to Work has seen a heavy reliance on the contracting-out of services to the private sector, with Lead Providers paid according to job outcomes achieved for clients, and during the initial development of Pathways to Work, the initiative was defined by a flexible, partnership-based form of governance, with a key role for the National Health Service (NHS) in the delivery of health 'condition management' services - an approach that has been retained in a minority of Jobcentre Plus Districts. This article, based upon a review of previous evaluation evidence and more than 50 in-depth interviews with NHS staff and managers, critically assesses this partnership-based governance model and the potential added value flowing from the involvement of the NHS and its professional clinicians in the delivery of condition management services. The article concludes by outlining lessons for the development of governance and delivery mechanisms for condition management under the Pathways to Work regime and future employability and health interventions.

KW - incapacity benefit

KW - unemployment

KW - labour market

KW - social welfare

KW - NHS

KW - social programmes

KW - human resource management

UR - http://www.scie-socialcareonline.org.uk/profile.asp?guid=21d1908f-1a09-4071-a787-accc9fbf7e90

U2 - 10.1080/01442870903429660

DO - 10.1080/01442870903429660

M3 - Article

VL - 31

SP - 245

EP - 264

JO - Policy Studies

T2 - Policy Studies

JF - Policy Studies

SN - 0144-2872

IS - 2

ER -