Category Archives: POLU9SP

Up to 80% of suicide victims weren’t seen for a year before they died

My undergraduate module POLU9SP has four coursework requirements: (1) a policy paper, to raise a problem and feasible solution in 1000 words; (2) a blog post to summarise the issues to a lay audience; (3) an oral presentation/ Q&A based on the post; and (4) an essay to explain the policymaking context. I recommend this format, since it gives students the chance to be creative and research an issue that interests them. Our discussions then help them work out how feasible are their plans, and a round of presentations should show us the competing demands on policymaker attention and resources.

I have reproduced, below, a blog post from 4th year student Christopher Gilday, as an example of an excellent attempt to fulfil this task:

“A Study by the ISD suggests that up to 80% of suicide victims in Scotland did not have a psychiatric outpatient appointment for up to 12 months before their death. The study showed that suicide is now a major contributor of death for 15-34 year olds and highlighted a significant correlation between suicide and deprivation in Scotland. It also confirmed that the suicide rate for men is three times that of women, a point that Jane Powell, of the Campaign Against Living Miserably (CALM), has been making vehemently recently.

The ScotSID, which is observed and calculated annually, has consistently found a reoccurring number of deaths by suicide in recent years (around 790) which is concerning as there have been incremental increases in funding for mental health by the Scottish Government. Most concerning was a clear pattern which related the number of suicides to the time that patients had waited for a psychiatric appointment. 184 suicide victims were seen in 30 days of their death whereas 604 suicide victims weren’t seen for twelve months before their deaths. The study also claimed that as many as 80% of suicide victims weren’t seen by therapist in a year before they died.

The current target waiting time for psychiatric waiting times for outpatients, which was set in December 2014, is 18 weeks. This is in contrast to the policy for general outpatient times across the NHS which is set at 12 weeks.

Mental health is a distressing concern for Scotland above other parts of the UK with more people being affected by mental health and the Scottish Government has already acknowledged this by upgrading the legal status of mental health to that of physical health.

For this reason it seems the government should follow through this change in status by setting the outpatient target time of 18 weeks so it is at least akin to the general level of outpatient waiting times of 12 weeks.

However with the pledged £85 million for mental health in the next five years this should be bettered, as 50% of referred patients are already being seen in 8 weeks. The target however stipulates that 90% of referred outpatients must be seen in the target period and only 4 NHS branches actually have met this standard.Suicide in Scotland is an unresolved problem which needs to properly be addressed through mental health support. Too many suicide victims are not seen in time nor at all, and there is clear evidence showing that reducing waiting times reduces the number of suicides.

Using additional funding to employ additional staff, through telephone inquiries or ushers, or spending on alert systems that prevent excessive waiting is essential in reducing waiting times which must now be urgently addressed. Reducing waiting times for psychiatric outpatient appointments will reduce the annual number of suicides”.

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Looking ahead: will policy and policymaking change with constitutional change? #POLU9SP

This is the final lecture, and it should take us full circle to the first lecture which began with this statement: ‘A key part of this course is to examine critically the idea that political practices in Scotland are distinctively Scottish’. I provide a brief summary below, but most of the information is in this podcast, which you can download (right click on mp3 or mp4a) or stream here:

Devolution represents a major change in Scottish politics, but it did not produce major change in all aspects of Scottish politics. Instead, some expectations came to fruition while others remain unfulfilled.

Similarly, further devolution or Scottish independence may produce a similar sense of major change in politics and society, but we should not assume that it would produce major change in policy and policymaking.

In that context, let’s revisit the key themes/ questions of the course, ask what has changed in Scottish politics, and use our answer to think about any likely changes in the future:

  1. What aspects of Scottish politics and policymaking are ‘territorial’ and ‘universal’?
  2. Did devolution produce major political reforms and new forms of democracy?
  3. What aspects of the ‘Scottish policy style’ and ‘Scottish approach to policymaking’ are clearly distinctive?
  4. Can you meaningfully describe ‘Scottish politics’ when so much policymaking is multi-level?
  5. Did devolution prompt major policy change and/ or policy divergence between the Scottish and UK governments?

It is in this context that we can produce an informed discussion of the likely effects of major constitutional change in the future. For example, would Scottish independence:

  1. Change the way we study Scottish policymaking?
  2. Produce further political reform and democratic practices?
  3. Change the Scottish policy style?
  4. Have an effect on the multi-level nature of policymaking?
  5. Produce further policy change and/ or divergence?

In many, if not most cases, I think the answer is ‘no’.

 

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Case studies: early years, compulsory, further, and higher education #POLU9SP

This is the third of three posts which use case studies of cross-cutting and specific policy areas to add more depth to our discussion of Scottish politics and policymaking.

One of the SNP Government’s main aims is to abolish inequalities in education attainment. First Minister Nicola Sturgeon put it in this stark way in a speech in Wester Hailes in August:

‘My aim – to put it bluntly – is to close the attainment gap completely. It will not be done overnight – I accept that. But it must be done. After all, its existence is more than just an economic and social challenge for us all. It is a moral challenge. Indeed, I would argue that it goes to the very heart of who we are and how we see ourselves as a nation’.

This specific aim raises important questions about the likely success of such policies when governments (a) seek to reduce the impact, not existence, of socioeconomic inequalities, (b) recognise the limits of their powers, and (c) make choices which seem to undermine their aims. In other words, we need to compare these high expectations with other statements, expectations, and policies pursued in other parts of education and government.

Sturgeon’s uncompromising language is important for three reasons

First, it implies that governments can have this profound level of influence on socio-economic outcomes. It reminds me of two former ambitions of the post-war UK governments: to maintain ‘full employment’, an aim long abandoned by both UK political parties; and to reduce health inequalities by setting up a National Health Service, an ambition exposed as unfulfilled by almost every major publication since the Black Report in 1980 (see also the previous lecture on health). These days, ministers don’t tend to make such bold statements of their likely success (for good reason).

Second, we should remember the point that normally remains unsaid: the SNP-led Scottish Government, like the UK Government, has no stated ambition to go to the ‘root cause’ of the problem to reduce the socio-economic inequalities through a far more redistributive tax and benefits system. It is not yet possible for the Scottish Government to take an approach, often linked to the idea of ‘Nordic’ social democracy, to combine (a) spending decisions based on an appeal to universal service provision, and (b) redistribution through fiscal policy. Instead, there is great potential for inconsistent UK/ Scottish strategies: the Scottish Government to oversee a spending regime that favours the wealthy and middle classes (on universal free services with no means testing) while the UK Government maintains a tax and benefits policy that many people will perceive to be insufficiently redistributive. Nor has the SNP made a firm commitment to redistribution in the event of Scottish independence in the future.

Instead, in almost all cases, we are talking instead about the use of public service delivery to mitigate their effects: a strategy that relies largely on the idea of ‘prevention’ policies to intervene as early as possible in people’s lives – through interventions such as parenting programmes – to improve their life chances.

Policymakers’ language is normally more realistic

Third, it is a language that stands out from most other Scottish Government discussions of education attainment, which reflect a more careful, or less ambitious, focus on realistic progress and change at the margins (as well as the continuous reminder of the Scottish Government’s limited policymaking powers while it remains part of the UK Government system).

One aspect of the more careful language relates to the limitations of government, and Scottish Government in particular. In February 2015, Sturgeon stated: ‘We must do all we can within the powers and resources we have to narrow the gap and drive up standards at all levels’.

This statement accompanied Sturgeon’s announcement of a £25m per year (over 4 years) scheme to encourage new initiatives and learn from success stories such as the London Challenge, a project driven by a similar ‘moral imperative’, and combining a focus on leadership/ collaboration and the relative performance in schools situated in areas with similar socio-economic backgrounds.

Sturgeon followed up this announcement with a focus on the partial return of testing pupils at key stages in schools. This plan forms part of a National Improvement Framework for Scottish education, which ‘will ensure that we are making progress in closing the gap in attainment between those in our most and least deprived areas’.

These decisions will take time to play out, and will involve some Scotland-specific debates about more uniform testing. Testing in this way is a strategy that was previously rejected in Scotland, and opposed by teaching groups, largely because of its association with a system in England built increasingly on league tables of performance, increased school autonomy (from local authorities), competition, and parent/ consumer choice. In other words, note the symbolic as well as substantive importance of testing. However, it may be necessary to have some kind of testing regime to gather data to allow the Scottish Government to demonstrate progress in attainment at key stages.

Is this new aim consistent with older Scottish Government choices?

Education policy sums up the political limitations to broad strategies such as ‘prevention’. The broad idea of ‘early intervention’, to make an impact on people’s lives as early as possible, to help reduce inequalities and the costs of public services, enjoys magnificent levels of cross-party support. Yet, it competes badly with more specific political commitments with the potential to undermine these broad aims.

In Scotland, the best example is current policy on free tuition fees in Universities which, in the absence of redistributive fiscal policy, and the presence of an attainment gap, reinforces inequalities in education three-fold. The first relates to the reduced likelihood of University attendance in school leavers from a deprived background. Lower educational attainment is linked strongly to poverty, and Scotland exhibits a significant gap in attainment in key areas.

Second, as Riddell et al argue, funding inequalities are often masked by a ‘universal’ approach in which higher education is free to eligible Scottish students. Yet, the absence of tuition fees benefits the middle classes disproportionately, while the debt burden is higher on poorer students. The maintenance of University funding also seems to come at the expense of the college places more likely to be filled by students from lower income backgrounds.

Third, there is a famous description of education spending by James Heckman, who argues that spending on early intervention and pre-school education is far more effective in reducing inequalities than spending on schools and universities (an argument that seems to be accepted by the Scottish Government). So, although the Scottish Government has made a commitment to extend funding on pre-school provision and early intervention programmes, these efforts at ‘transformational’ change compete with resources to maintain University funding.

Is there much money available for attainment and early intervention?

The new agenda on abolishing the attainment gap in schools has the potential to address only one of these issues, and it is potentially undermined by the high financial costs of the commitment to maintain other policies such as free tuition fees. Further, most of the real rise in education spending since devolution – e.g. 46% from 2000-11 – relates primarily to a combination of a new teacher contract and a commitment to a target of 53000 teachers, in part to further related targets such as on reduced primary school class sizes (Cairney and McGarvey, 2013: 229). In the past, when challenged on the value for money of such initiatives (in the early to mid-2000s), the then First Minister Jack McConnell defended the policy as a way to aid industrial relations and overall education attainment without identifying progress on inequalities in attainment (Cairney, 2011: 194). These policies continue (and take up most education resources) at the same time as new initiatives on inequalities.

Overall, I expect that we will look back on this one speech – on the ‘moral challenge’ to ‘close the attainment gap completely’ – as an outlier. It is an aim that sounds impressive as a rhetorical device, but it is not backed up by a coherent set of public policies designed to fulfil that end (at least in my lifetime).

 

 

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Case studies: healthcare, public health, mental health #POLU9SP

This is the second of three posts which use case studies of cross-cutting and specific policy areas to add more depth to our discussion of Scottish politics and policymaking.

Most aspects of health policy have been devolved since 1999, and many were devolved before 1999, so we can generate a relatively long term picture of policy change/ divergence in three key areas: healthcare, mental health, and public health. We can then revisit the idea of prevention and inequalities raised in the first lecture.

Healthcare

The NHS has always been a little bit different in Scotland, which enjoyed administrative devolution – through the Scottish Office (a UK Government Department) – before 1999 and maintained its own links with professional groups.

Scotland has traditionally trained a disproportionate number of UK doctors and maintained an unusually high presence of Royal Colleges. This greater medical presence boosted the Scottish Office’s policymaking image as ‘professionalised’, or more likely to pursue policies favoured by the medical profession than the UK’s Department of Health. For example, it appeared to be less supportive of reforms based on the ‘marketisation’ of the NHS.

Devolution turbo boosted this sense of Scottish policy difference (see the Greer and Jarman discussion).

For example, while the UK Labour Government furthered the ‘internal market’ established by its Conservative predecessors, the Labour-led Scottish Government seemed to dismantle it (for example, there are no Foundation hospitals). It also bought (and effectively renationalised) a private hospital, which had a symbolic importance way above its practical effect.

Since 2007, the SNP-led Scottish Government – often supported publicly by UK-wide groups such as the British Medical Association (and nursing and allied health professions) – has gone big on this difference between Scottish and UK Government policies, criticising the marketization of the NHS in England and expressing, at every opportunity, the desire to maintain the sort of NHS portrayed by Danny Boyle at the Olympics opening ceremony.

This broad approach is generally supported, at least implicitly, by the important political parties in Scotland (the SNP is competing with a centre-left Labour Party and the Conservatives are less important). It is also supported by a medical profession and a public that, in practice, tends to be more committed to the NHS (in other words, opinion polls may not always show a stark difference in attitudes, but there is not the same fear in Scotland, as in the South-East of England, that doctors and patients might defect to the private sector if the NHS is not up to scratch).

Public health

Scotland won the race to ban smoking in public places and is currently trying to introduce a minimum unit price for alcohol. It has also placed particular emphasis on the wider determinants of health and made the right noises about the balance between public health and acute care. However, there are also major similarities in Scottish and UK Government approaches. For example, the UK tops the European league table on comprehensive tobacco control (and England/ Wales beat Scotland to ban smoking in cars with children).

Mental health

To some extent, early Scottish Governments developed an international reputation for innovation in some areas relating to wellbeing. It also reformed mental health and capacity legislation in a relatively quick and smooth way – at least compared to the UK Labour Government, which had a major stand-off with virtually all mental health advocacy groups on psychiatric-based reforms. Part of the difference relates to the size of Scotland and its government’s responsibilities which can produce a distinctive policy style; it often has the ability to coordinate cross-cutting policy, in consultation with stakeholders, in a more personal way. However, this is a field in which there tend to be often-similar policies beyond the Sun-style headlines.

The bigger picture of continuity: a tax funded service

These Scottish-UK differences should be seen in the context of a shared history and some major similarities. Both NHS systems are primarily tax-funded and free at the point of use, with the exception of some charges in England (which should not be exaggerated – for example, 89% of prescriptions in England are tax-funded). Both governments have sought to assure the public in similar ways by, for example, maintaining high profile targets on waiting times. Both systems face similar organisational pressures, such as the balance between a public demand for local hospitals and medical demand for centralised services. Both governments face similar demographic changes which put pressure on services. Both have similarly healthy (or unhealthy) populations.

The bigger picture of prevention and health inequality

Although the Scottish Government pursues an agenda on prevention to reduce service demand and health inequalities, many other policies based on the idea of universal provision have the potential to exacerbate inequalities.

For example, a real rise in spending (cash spending adjusted with the GDP deflator) on health policy of 68% from 2000-11 did not have a major effect on health inequalities (Cairney and McGarvey, 2013: 229). Instead, Scottish Governments tended to use the money in areas such as acute care to, for example, maintain high profile waiting list (non-emergency operations) and waiting times (A&E) targets which did not have a health inequalities component (Cairney, 2011: 177-9). It has also phased out several charges, such on prescriptions and eye tests, which increase spending without decreasing inequalities (particularly since the lowest paid already qualified for exemptions for charges).

It has pursued strongly a public health strategy geared, in part, towards reducing health inequalities, but with the same tendency as in the UK for healthcare to come first. This process includes interesting overlaps in aims and outcomes, such as in tobacco control where smoking is addressed strongly partly because it represents the single biggest element of health inequalities, but most initiatives do not necessarily reduce inequalities in smoking.

Further Reading

I discuss these issues in more depth in Scottish Politics and The Scottish Political System Since Devolution. See also this draft chapter on prevention and health policy by the Scottish and UK Governments

 

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Case studies: prevention and early intervention to address austerity and inequality #POLU9SP

This is the first of three posts which use case studies of cross-cutting and specific policy areas to add more depth to our discussion of Scottish politics and policymaking.

We begin with a broad focus on ‘prevention’ policy for 4 reasons:

  1. It is a major Scottish Government priority, to use ‘prevention’ and ‘early intervention’ to reduce socioeconomic inequalities and/ or public service costs.
  2. It is an integral part of the ‘Scottish approach to policymaking’, with a strong emphasis on the changes to joined-up national government and partnerships in local government.
  3. It highlights multi-level policymaking and key overlaps in Scottish and UK Government responsibilities.
  4. We can compare the Scottish Government’s initial statement – committing itself to a ‘decisive shit to prevention’ – to actual outcomes.

But what is prevention policy?

Broadly, prevention and ‘preventative spending’ describe a range of policies designed to intervene as early as possible in people’s lives to improve their wellbeing and reduce demand for acute or reactive public services. The argument is that too much government spending is devoted to services to address severe social problems at a late stage. The aim is for governments to address a wide range of longstanding problems – including crime and anti-social behaviour, ill health and unhealthy behaviour, low educational attainment, and unemployment – by addressing them at source, before they become too severe and relatively expensive.

Prevention policy is described periodically as the solution to three major crises in politics.

  1. If we don’t make fundamental changes to the way we fund and deliver services they will go bust.

Prevention symbolises the desire to shift from expensive demand-led reactive services – such as acute care hospitals, jails, and police and social work interventions for ‘troubled families’ – towards intervening as early as possible in people’s lives to improve their life chances and reduce their reliance on the state. The classic intervention may be a public health policy to encourage healthy behaviour, or an early intervention programme to improve the life chances of teenage mothers and their children, but prevention is broad enough to include a campaign to reduce falls among older people, aimed at keeping people out of NHS beds.

  1. Prevention policies can reduce major inequalities within society.

The broad aim is to address the ‘root causes’ of social problems – such as poverty, social exclusion, and poor accommodation – while specific projects focus on early interventions, such as pre-school provision and parenting programmes, to address major gaps in key indicators, such as education attainment, that can be identified from a young age.

  1. Prevention is a solution to modern crises of government.

A prevention philosophy goes hand in hand with a governance philosophy which identifies the failures of top-down centralist government. The general rhetoric is about policy failure when governments try to do things to you, in favour of making policy with you. It comes with a commitment to: ‘holistic’ government in which we foster cooperation between, and secure a common aim for, departments, public bodies and stakeholders; ‘localism’, or fostering the capacity of local communities to tailor national policies to their areas;  tailoring public services to their users, encouraging a focus on the ‘assets’ of individuals, and inviting users to participate and ‘co-produce’ their services; a shift from simplistic short term targets and performance management towards meaningful long term outcomes-based measures of policy success and population wellbeing; as well as some reliance on ‘evidence based policy making’ to identify which interventions produce the most benefit and deserve investment.

How does prevention relate to the ‘Scottish approach’?

In other words, prevention policies generally combine specific ‘interventions’ with the broad governance principles, including ‘localism’ and the inclusion of users in the design of public services, that we discussed in relation to the ‘Scottish approach’ (but which is also pursued, in different ways, by the UK government). For example, the Scottish Government pursues prevention policies primarily via Community Planning Partnerships and the Single Outcome Agreements produced largely by local authorities.

Have a look again at the descriptions of the Scottish approach by Elvidge and Housden (including Elvidge’s belief that ‘traditional policy and operational solutions’ based on a ‘target driven approach’ would not produce the major changes in policy and policymaking required to address major problems such as inequalities).

What aspects of ‘prevention’ does the Scottish Government control?

The UK government controls monetary and fiscal policies, largely determining the budget used by the Scottish Government to spend and invest, and limiting its ability to redistribute income to address economic inequalities. It controls most aspects of social security, including the ability to address inequalities through direct payments, and determine the rules relating to benefits and unemployment.

Therefore, although the Scottish Government has primary responsibility for most areas of delivery relevant to prevention – such as health, education, housing, local government, and criminal justice – as well as some aspects of economic regeneration and employability, it does not have the responsibility to ‘join up’ taxation, social security, and the delivery of public services. For example, its ability to address health and education inequalities by using taxation policies to address income inequalities is very limited (even after proposed changes in the Scotland Acts of 2012 and 2016). It could not reform the benefits system to supplement its powers to influence ‘employability’ policy, or emulate the UK Government’s attempts to pass on social security savings to the local authorities implementing its ‘troubled families’ programme.

How does it fit in with the bigger picture of policy change since devolution?

Although the Scottish Government referred rarely to ‘prevention’ before 2010, it identified several ways to address inequalities. From 1999, it began to address ‘social inclusion’, which ‘become a shorthand label to refer to individuals alienated from economic, political, and social processes due to circumstances such as unemployment, poor skills, low incomes, poor neighbourhoods, bad health and lack of access to childcare’ (McGarvey and Cairney, 2008: 211). The most direct responses, to encourage employability or provide social security benefits, were UK responsibilities, and the Scottish Government relied on UK Government’s policies such as ‘welfare to work, the minimum wage and the Working Families Tax Credit’ (2008: 211).

The Scottish Government’s main response was to address disadvantages by focusing on economic regeneration in specific geographical areas, and reducing ‘unequal access to services such as education, health and housing’ (2008: 210). Its approach to governance reflected a developing ‘Scottish approach’, with an emphasis on social inclusion as a cross-departmental theme and the development of ‘Social Inclusion Partnerships’ (SIPs) which resembled CPPs (2008: 211).

Yet, overall, Scottish social inclusion policy did not differ markedly from the UK Government’s ‘social exclusion’ initiatives, and both governments have continued to promote concepts such as community and individual resilience rather than push for redistributive policies to address exclusion.

Further, the Scottish Government shared with the UK Government a tendency to focus on high profile issues or policies designed to improve outcomes overall without necessarily reducing inequalities of outcome (see the next two lectures/ posts on health and education).

Is there an implementation gap? Or, how do outcomes relate to initial expectations?

Until policymakers make sense of prevention, and turn it into a series of specific policies, it remains little more than an idiom – ‘prevention is better than cure’ – with little effect on government policy.

Although it is probably too early to detect an implementation gap associated with the ‘decisive shift’ in 2011, we can identify the great potential for unfulfilled expectations  based on the lack of progress associated with previous efforts. For example, the Christie Commission, which set the Scottish Government’s new prevention agenda in 2011, stated that:

on most key measures social and economic inequalities have remained unchanged or become more pronounced … This country is a paradoxical tapestry of rich resources, inventive humanity, gross inequalities, and persistent levels of poor health and deprivation … In education, the gap between the bottom 20 per cent and the average in learning outcomes has not changed at all since devolution. At the same time, the gap in healthy life expectancy between the 20 per cent most deprived and the 20 per cent least deprived areas has increased from 8 to 13.5 years and the percentage of life lived with poor health has increased from 12 to 15 per cent since devolution. The link between deprivation and the likelihood of being a victim of crime has also become stronger.

However, note the ‘bottom up’ element to this new agenda: does it make sense to identify the top-down idea of an implementation gap, when the Scottish Government is so keen to set a broad strategy and delegate policymaking responsibility? For me, this is a fascinating dilemma for governments: how to they ‘let go’ of policymaking and make sure that their broad aims are met in a meaningful way?

We can explore these issues in more depth in the next two posts which focus on two of the most devolved policy areas: health and education.

See also: Can the Scottish Government pursue ‘prevention policy’ without independence?

 

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The implementation of policy in Scotland #POLU9SP

There are two classic ways to describe and try to explain policy implementation: top-down and bottom-up (see also the policy cycle).

top down bottom up

We can focus on these descriptions of policy implementation to make two points relevant to our discussion so far:

  1. You might think that the ‘Scottish policy style’ and ‘Scottish approach’ produce fewer problems of implementation, but they produce different problems.
  2. An ‘implementation gap’ reinforces our sense (in the previous lecture) that there hasn’t been that much policy divergence in Scotland since devolution.

Implementation and the Scottish policy style

Based on our discussions so far, you might think that the Scottish Government would suffer fewer problems of implementation than the UK government because:

  1. Its public sector landscape often appears to be less fragmented.
  2. It is less likely to oversee a ‘top-down’ policy style with unintended consequences (note the potential confusion over the meaning of top-down).
  3. Its greater willingness to consult helps it gather information and secure ‘ownership’.

Yet, I found that it (generally) had different, not fewer, problems. For example, you do not guarantee implementation success by relying on local authorities rather than private or third sector bodies. Further, the Scottish Government may have more ‘external conditions’ to take into account, since its policies often overlap with those of the UK government and it often does not control the success of its own policies.

Or, high levels of consultation can help produce unrealistic strategies and inflated expectations when a government gives the impression that: a policy choice represents radical change; it is the key actor (rather than one of many players in a multi-level system); and, it plans to enforce not delegate and negotiate policy delivery.

The Scottish Approach and bottom-up implementation

Indeed, isn’t the newest incarnation of the ‘Scottish approach’ more of a bottom-up than top-down strategy? In other words, it sets a broad framework based on policy outcomes and asks local authorities and community planning partnerships to produce their own strategies to achieve those outcomes.

Consequently, it may not make sense to try to explain an ‘implementation gap’ because some of the top-down conditions for success do not seem to apply, including: there are no clear/ consistent objectives (at least according to my interpretation of that condition), and there is no requirement for compliant officials.

Policy divergence and the implementation gap

Yet, many Scottish Government policies can be analysed usefully through the lens of an ‘implementation gap’, including:

  • ‘Free personal care’ for older people. This is an important one, because FPC used to symbolise policy divergence after devolution. Yet, it translated into a less-than-expected reduction in care home costs and, for many people (it is hard to know the number) a replacement of one way of securing free care with another (you should make sure you understand how this happened – see Scottish Politics for more detail). There have also been problems with waiting lists for care, and debate about what counts/ doesn’t count as personal care.
  • Housing and homelessness. Over the years, the Scottish Government has promised higher housing standards and lower levels of homelessness but struggled to translate ambitious aims into outcomes (and, it has produced essentially the same strategy on homelessness twice since devolution).
  • Fox hunting. You can still hunt foxes if you want (anyway, would there be many people there to stop you if you tried?) and the unintended consequence of policy is that you might now catch the wrong ones.

If we have the time, we might also discuss modern examples such as the Curriculum for Excellence. We might also wonder why some policies seem to have been implemented successfully (can you think of examples?).

In many of these cases, the promise of policy divergence mixes with implementation problems to produce less divergence than we might have expected if we focused simply on the initial choices. This conclusion reinforces the idea that constitutional change in Scotland does not tend to produce radical policy change or major divergence from UK government policy.

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Policy change, convergence and divergence since Scottish devolution #POLU9SP

divergence difference

Policy change is already difficult to measure and explain, but in Scottish politics there is an added dimension. It is common to gauge policy change according to the extent to which Scottish Government policy diverges from UK Government policy. This comparison can only take us so far, so I will begin with a discussion of divergence then take us back to Scottish policy change in its own right.

What might cause convergence and divergence?

Here is a list of possible causes, which we can discuss at more depth in the lecture (and can you think of others?):

Reasons for policy divergence (or difference):

  • Different social attitudes
  • Different parties in government
  • Ministers trying to make a difference
  • The larger role of public sector professionals in Scotland
  • Different policy conditions
  • A different policy process or style

Reasons for convergence (or similarity):

  • Public expenditure and borrowing limits
  • Overlaps between reserved and devolved policies
  • A ‘single market’ in the UK and the need to avoid unintended consequences
  • The same party of government
  • A similar role for key professions
  • Incrementalism, inertia, wicked problems and other reasons to limit policy change
  • Similar problems and ways of thinking (and learning)

box 9.2

Policy divergence: ‘Scottish solutions to Scottish problems’

We sometimes describe policy divergence in Scotland as ‘evolution, not revolution’ (although evolution is not the opposite of revolution). In other words, devolution did not produce a radical departure from the past, in the way that we might associate with former Soviet countries. Rather, there is a mix of high profile ‘flagship’ policies mixed with a lot of fairly innocuous updating of the statute book. The big ones from 1999-2007 include:

  • ‘free’ personal care for older people
  • the reduction of higher education tuition fees
  • the abolition of the healthcare internal market
  • mental health legislative reforms
  • the introduction of the single transferable vote in local elections
  • the ‘smoking ban’ (does this example count?)

Then the big SNP government polices included:

  • the abolition of higher education tuition fees (and prescription charges)
  • the minimum unit price on alcohol
  • the reform of criminal justice sentencing
  • the pursuit of renewable energy projects and rejection of new nuclear energy stations
  • the pursuit of new ways to fund capital projects (e.g. schools and hospitals)

So, we have three images of the much-talked-about-before-devolution phrase ‘Scottish solutions to Scottish problems’

The first relates to the idea that Westminster had insufficient time for Scottish legislation, and so devolution would present a new opportunity for policy innovation and new ideas. Yet, perhaps after a honeymoon period, public policy did not appear to change dramatically or mark dramatic policy divergence from the past or the rest of the UK.

The second relates to devolution as a way to avoid policy innovation: to step off the train associated with the constant top-down reform agenda of the UK government. This second image is often a better guide, and we can link it to (a) the idea that devolution in 1979 represented a missed opportunity to cushion the blow of Thatcherism, and (b) current debates on the extent to which devolution can actually protect Scotland from the worst excesses of UK policy (I am paraphrasing the arguments of other people here).

The third relates more to policymaking than policy: ‘Scottish solutions to Scottish problems’ may relate to how Scottish institutions process policy than the actual policy outputs and outcomes (the ‘Scottish policy style’ or ‘Scottish approach’). As we have discussed in several lectures, this is not necessarily a small difference (particularly if you focus on Greer/ Jarman’s account of the differences in the use of ‘policy tools’).

Don’t forget existing differences

We miss a lot if we just focus on divergence, because much Scottish policy reinforces or maintains existing policy differences, such as when the Scottish Government reformed its curriculum and addressed teacher-local authority relations. Can you think of other examples?

Don’t forget policy change

We miss a lot of policy change if we only focus on divergence from UK government policy. For example, maybe the governments innovate and emulate each other (they don’t though – see box 9.2).

Or, they do very similar things or don’t quite manage to do different things:

  • Housing stock transfer and (until recently) the ‘right to buy’
  • Policies to address so called ‘anti-social behaviour’
  • Attempts by the Scottish and UK Governments (often in vain) to address ‘wicked problems’ such as social inclusion/ exclusion and socio-economic inequalities
  • Public health reforms such as tobacco control
  • Agricultural and fisheries policies (although can you identify key differences?)
  • Land taxation
  • Policies in development, such as an expansion of pre-school care and the very long gestation of local income tax

box 9.4

In the next lecture, we can also go into more depth on the idea of policy change, to identify a difference between (for example) policy divergence as a set of policy choices and their actual effect.

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