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Client needs for coherent information, advice and guidance services ...

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420 In terms of patterns of referral:-<br />

• specialist IAG providers tend not to refer clients to each other, other than where<br />

specific <strong>services</strong> (e.g. psychometric testing) are not offered by the first provider;<br />

• IAG providers are very likely to refer clients to providers of education <strong>and</strong><br />

training. The reverse happens less frequently, presumably because several<br />

education <strong>and</strong> training providers have IAG <strong>services</strong> in-house;<br />

• referrals are made in both directions between IAG providers <strong>and</strong> other types of<br />

support agency (e.g. <strong>for</strong> housing, health or financial queries);<br />

• Jobcentre Plus clients are referred to contracted providers, in most instances;<br />

• referral patterns are often influenced by familiarity with, <strong>and</strong> trust in, other<br />

providers.<br />

421 There is a variety of practice in terms of the <strong>for</strong>mality of the referral process. <strong>Client</strong>s<br />

had differing views as to whether they preferred appointments to be made on their<br />

behalf or whether they were happy to access the other service in their own time.<br />

Some advisers accompanied clients personally, especially when the latter lacked<br />

confidence.<br />

422 In general, client records were not transferred between agencies. From time to time,<br />

summaries of <strong>guidance</strong> given were sent on, but only with the express approval of the<br />

client. Jobcentre Plus <strong>and</strong> Connexions follow up referrals to ascertain whether<br />

appointments had been kept <strong>and</strong> what progress has been made, but this does not<br />

involve transfer of records, other than where clients are moving to another area (but<br />

this is a different context <strong>for</strong> referral).<br />

423 One IAGP was exploring an area-wide system <strong>for</strong> client referral <strong>and</strong> tracking. This<br />

had several attractions but ran the risk of appearing intrusive, from a client<br />

perspective, <strong>and</strong> of making additional dem<strong>and</strong>s on providers’ administrative<br />

systems.<br />

LINKS BETWEEN PROVIDERS<br />

424 In general, links between providers were positive. IAGPs were widely regarded as<br />

having a beneficial impact on inter-agency relationships.<br />

425 Advisers had a pragmatic view towards maintaining <strong>and</strong> developing links with other<br />

providers. They recognised it was time consuming, if done effectively. In practice,<br />

there<strong>for</strong>e, they tended to maintain closest links with organisations in a similar field<br />

(mutually beneficial exchanges on professional development aspects) or offering<br />

complementary portfolios of <strong>services</strong> (potential <strong>for</strong> referrals in both directions). The<br />

development of directories <strong>and</strong> databases by IAGPs made it straight<strong>for</strong>ward to<br />

contact providers outside the immediate circle, if need be.<br />

BARRIERS AND GAPS<br />

426 We noted earlier that clients found it easier to describe examples of a lack of<br />

coherence, than to discuss coherence as a concept or a principle. By extension, their<br />

examples of a lack of coherence were often difficult to disentangle from examples of<br />

straight<strong>for</strong>ward bad practice that few would seek to defend - but which may or may<br />

not be construed as evidence of a lack of coherence.<br />

427 Chapters V <strong>and</strong> VI contain a wealth of material on client <strong>and</strong> front-line perceptions<br />

of ‘problems with the system’. An inclusive approach to definitions of coherence is<br />

adopted throughout. The following bullet points provide a brief overview.<br />

26

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