Abstract
The study was initiated to explore the difficulties that frequently appear to plague the relationship between the NHS and the Voluntary Sector as regards mental health service delivery. It was found that the performance of the mental healthcare delivery system is subject to a number of criticisms. The latter could be attributed to low levels of collaboration and communication between social actors involved. Based on interviews, focus group discussions and results from the literature a number of possible ways to improve the system were identified. The results of the study are expected to contribute to the improved designed of health care systems and of performance management concerning the mental health services. Various attempts to improve performance in the past were explored and criticised. One important obstacle to success was identified as a lack of understanding in the NHS and in the Voluntary Sector - of the implications of the use of externally generated performance criteria versus the use of internally generated self-organised criteria. A conceptual model was developed to help clarify these notions as management tool. It includes the idea of a spiral development and of ‘complete collective satisfaction'.
Highlights
With the embedded class system and the formation of the modern state, it became inevitable that some form of state (Government) authority and legitimacy as well as state responsibility to the citizens was necessary
This paper focuses on moving the ‘gear’ to higher level of service users controlled and emancipatory approach to service delivery but to the level of dialogism where all stakeholders are involved in collaboration
The best possible solution to the research problem will be through a dialogism process to improve performance of service delivery through increase in the interaction among the actors, between the Lincolnshire Partnership Foundation Trust (LPFT) and the Third Sector organisations
Summary
With the embedded class system and the formation of the modern state, it became inevitable that some form of state (Government) authority and legitimacy as well as state responsibility to the citizens was necessary. The working class and their families, and the social democratic parties like the British Labour Party led by Clement Attlee attempted to implement the socialist idea of redistribution of wealth to bring an end to the class division of the society. This was in line with Karl Marx’s idea of socialism, where redistribution of wealth and power is achieved through class struggle and a proletarian revolution (ibid). Some socialists advocated complete nationalisation of the means of production and distribution; others advocated total state control of capital within the market economies [8; 54]
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