Radical Reformers podcast Radical Reformers podcast

This episode is with Lesley Dixon. Lesley is the chief executive of PSS, a Liverpool based charity delivering adult social care services and wider support to vulnerable people in Liverpool and across the country.

Lesley is an inspiring leader who has been at the helm of PSS for nearly 15 years, which is a very long tenure in today’s age of chopping and changing jobs. We talk about how you can find a role that you really want to stick at and how it’s also important to make a quick decision if you know an organisation definitely isn’t for you.

We discuss the work of PSS and in particular the Shared Lives scheme, which facilitates community care for vulnerable people (which PSS actually invented in the late 70s!).

A large chunk of the discussion is about what makes for good commissioning and how we’d like to see a greater focus on outcomes rather than inputs and outputs and for there also to be more flexibility in the Commissioner provider relationship. Lesley would also like to see a shift in the emphasis towards preventative services and we talk about how that might happen. It is very difficult for the public sector to account for that type of early investment (something I covered with Rob Whiteman in an earlier episode).

And finally, Lesley wanted to talk about how you leave an organisation well, especially after being there for a long time. It’s a fascinating conversation and I hope you enjoy it.

This episode is with Rob Whiteman, the Chief Executive of CIPFA. Rob is a very thoughtful and influential commentator on local government and public service reform. He has had a hugely interesting and varied career including stints as Chief Executive at the London Borough of Barking and Dagenham and at the UK Border Agency (UKBA).

Rob was at Barking and Dagenham when the BNP won an unprecedented number of council seats and he describes how the council worked to reengage with local communities to push back against some of the dangerous propaganda which had led to this election outcome. The learning from this is very relevant for council leaders today as many of our communities become increasingly polarised. As the former head of UKBA, Rob also provides some historical context and contemporary commentary on the small boats crisis.

We spend most of our time talking about the state of local government and the main drivers for the financial crisis the sector finds itself facing. We discuss what the solutions could be including a return of a more radical version of Total Place, more collaboration between councils on issues like children’s social care and the potential of enhanced powers for Mayoral Combined Authorities.

I also ask a new question “What would you do it you were Prime Minister for a day?”. Rob has a pretty radical answer!

This episode is with Dr. Linda Harris, the Chief Executive and Chief Medical Officer of Spectrum Community Health a Wakefield based social enterprise, which delivers services covering a wide range of areas including prison health, sexual health and substance misuse.

Linda describes Spectrum’s services and their incredible growth journey from an organisation of just 100 people to more than 800. We talk about the challenges and opportunities of managing a large organisation of primary care professionals, many of whom are GPs, who we know can be quite independently minded! We also talk about what Linda calls jail craft, which is all of the various precautions and processes you have to follow when you're delivering health care in a secure environment.

Delivering these types of services on a day to day basis, Linda understandably has a tremendous interest in the wider social determinants of health and we get into a discussion about health neglect, and social issues and how a person's situation can deteriorate over time. We also talk about some of the measures that can be put in place to try and prevent this very damaging and cumulative harm being done.

This episode is with Sarah Thomas, the Chief Executive of the Fostering Network, the UK’s leading fostering charity and membership organisation. The network provides training, support and advice to everyone involved in the fostering journey.

This episode is part of Mutual Ventures' 2024 #PrioritisingPublicServices campaign.

Sarah has an incredible and very relevant backstory, which involved going from homeless at 16 to being a Chief Executive at 40, which is incredible. Her passion for supporting vulnerable children and parents comes across strongly, along with some completely understandable frustration at how parts of the system work.

You won't find many people with as much knowledge about the UK fostering and children's social care system so we really get into how system is performing, what's going well and what some of the challenges are.

Sarah and I also unpack why the system isn't improving outcomes for children and young people, and what she thinks needs to happen to make a difference. We then move on to talk about one of the big questions troubling leaders across all public services i.e. how do you move towards prevention and away from crisis response? Especially at a time when council services don't have a lot of money. They certainly don't have much in the way of reserves. Within this context, how do you make that flip towards prevention?

We also discuss how to tackle the stigma of seeking support as a parent, and also have a detailed discussion on children's residential care and why that market isn't working. And it certainly isn't!

This episode is with Rob Walsh, the long standing Chief Executive of Northeast Lincolnshire Council. Rob has been Chief Exec of Northeast Lincolnshire for 10 years now which, in an era of quite high turnover for top local government jobs, is quite some achievement!

Rob tells the story of how Northeast Lincolnshire is an area which has seen decline in the fishing industry - but is now embracing a new era of possibility around the decarbonisation and renewable energy market. Northeast Lincolnshire is a fantastic case study for Place Leadership: It was the first time to receive a Town Deal back in 2018; It has a long-standing section 75 agreement, which is essentially a way of pooling funding and resources between councils and the health system; and they are also part of proposal for a Greater Lincolnshire Mayoral Combined Authority.

On top of that, within Northeast Lincolnshire itself, there's quite a lot of co-terminosity between some of the key anchor institutions, the council, and some of the key health providers, who are largely social enterprises.

Rob is a very humble and quietly inspiring leader. And in my opinion, there is something quite special happening in Northeast Lincolnshire. I think they are quietly becoming a forerunner for what other areas in the country could aspire to.

This episode is with Sam Allen, the Chief Executive of the North East and North Cumbria Integrated Care System.

This system covers a huge geography with 3.6m people living in both urban and rural settings in 14(!) different council areas. As you can imagine, getting this up and running was a real challenge and Sam explains how she has led that work and engaged with partners across the region.

Sam understands really effective public services needs to be centred around the person and she has a very clear understanding of her role as a system leader focusing on the strategic things which are best done at scale while empowering places and neighbourhoods to do the really important locally focused work.

A big segment of our conversation is on children’s health. We discuss how no one part of the system (NHS, councils, third sector) can hope to improve outcomes acting on their own. Genuine collaboration must be enabled from the system level all the way down to places and neighbourhoods.

We also talk about women’s health and the importance of raising awareness and understanding particularly in the workplace.

It’s a fantastic conversation and I hope you enjoy it.