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Joined-up or Joining-up the work of joining-up?: Thinking differently about intervening in Multi-Agency Partnership working in Health and Social Care

Lookup NU author(s): Professor Rob WilsonORCiD

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Abstract

Since 1997 all of the nations of the UK have prioritised ‘joining-up’ and the integration of services for patients or clients of public services. This has been particularly apparent in health and care service policy. After many years of policy making and organisational and practitioner effort joined-up health and social care remains patchy and unscalable. What is the explanation for this continued failure? This paper will present reflections based on our experiences of over ten years work working for, with and in partnerships in the fields of childrens and adults care. We propose that although the proposed outcomes of partnership working are laudable the the ways and means of achieving the ends (for example service and systems integration) render partner organisations incapable of meeting them. We propose a new way of seperating these issues drawing upon the work of Karl Wieck, Alain Badiou and Pierre Bourdieu amongst others in terms of the need to understand the different orders of activity to move between: the practices of joining-up; the practices of the cultivation of environments for joining-up; practice of interventions that support the creation of such joining-up environments. Re-conceptualising the problem of partnership working in these ways allows us to be clearer about the allocation of roles, resources and relationships in these areas of 'wicked' problems


Publication metadata

Author(s): Wilson R; Martin M

Publication type: Conference Proceedings (inc. Abstract)

Publication status: Published

Conference Name: Annual Conference on Multi-Organisational Partnerships, Alliances and Networks (MOPAN)

Year of Conference: 2011


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