Radical Efficiency a Practical Guide - Nesta

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INTRODUCTION 2INTRODUCTIONYou have picked up this booklet as a leader in a publicservice organisation who is facing hugely difficultdecisions. Spending cuts of up to 25 per cent over thenext few years are a daunting prospect. The biggest messagefrom this booklet should be that taking bits out of the currentsystem is not the only option. This ‘less for less’ approach willbe very damaging given the scale of proposed cuts. Thereare alternatives. It is worth investing the time to explore anddevelop new approaches.This booklet outlines a constructive way for you to makebetween 20-60 per cent cost savings and improve outcomesfor service users at the same time – radical efficiency. It is notsimply about improving current services, but creating new anddifferent services with much better outcomes for the peopleyou serve.Our experience working with local authorities on radicalefficiency in practice has shown that the process can bemobilising and energising. Although timescales for cost-cuttingare tight and the current environment is difficult and draining,radical efficiency offers practical steps and hope for somethingbetter in this tough time. It helps public service professionals topursue the mission that attracted them to their roles in the firstplace – it is a route to helping improve the quality of people’slives, even as cuts in spending are unavoidable.This booklet offers practical tips to service leaders on howto start developing different, better and lower cost services.It is relevant for decision-makers in many different services,
INTRODUCTION 3from children’s centre managers and GPs to social workersand the police. It also offers insights to directors of servicesand local authority leaders about how they can create a betterenvironment for the ‘doers’ to make radical efficiency happen.Importantly, radical efficiency is not an abstract theory – it isbased on hundreds of well-evidenced examples of different,better and lower cost services from around the world, fromdifferent sectors, contexts and on very different scales. It isalso being put into practice in a joint project between NESTAand Innovation Unit, which is working with local authorities totransform early years provision.The content of this booklet has been drawn from the full report <strong>Radical</strong><strong>Efficiency</strong>: Different, Better, Lower Cost Public Services published byNESTA and the Innovation Unit, June 2010 (available at http://www.nesta.org.uk/publications/reports/assets/features/radical_efficiency)
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Page 5 and 6: CONTENTSCONTENTSPart 1: Why radical
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Page 10: FIGURE 1:RADICAL EFFICIENCYNew pers
Page 13 and 14: CASE STUDY 1: CLEAR 13Figure 2. CLE
Page 15 and 16: CASE STUDY 2: MENTAL HEALTH FIRST A
Page 17 and 18: CASE STUDY 3: UBUDEHE 17CASE STUDY
Page 19 and 20: CASE STUDY 3: UBUDEHE 19Figure 4. U
Page 21 and 22: CASE STUDY 4: PATIENT HOTELS 21ward
Page 23 and 24: CASE STUDY 5: MAKE IT WORK 23CASE S
Page 25 and 26: CASE STUDY 5: MAKE IT WORK 25“The
Page 27 and 28: PART 4: LESSONS FOR INNOVATORS 27PA
Page 29 and 30: PART 4: LESSONS FOR INNOVATORS 292.
Page 31 and 32: PART 4: LESSONS FOR INNOVATORS 314.
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Page 35 and 36: PART 5: APPLYING RADICAL EFFICIENCY
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Page 39 and 40: RADICAL EFFICIENCY IN THE UK 39RADI
Page 41 and 42: ENDNOTES AND PICTURE CREDITS 41ENDN
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