33 Public duty, whistleblowing and scandal: influences on public policy
-
Kay Sheldon
Abstract
From time to time a ‘scandal’ or wrongdoing is exposed – often through the dogged persistence of individuals – which has a substantial influence on public policy, especially in health and social care. The relationship is a complex one as Butler and Drakeford (2006) observed: ‘Scandal is constructed out of a very particular set of events and processes, inhabited by real people and built on unique experiences’ (p 5). In 2011 I made a decision that was to dominate my life for the next two years: I decided to speak up about the serious concerns I had about the leadership and approach of the Care Quality Commission (CQC), the national regulator of health and social care services in England. This was a controversial, and unusual, step as I was a current member of the CQC’s board. Such was my concern that I felt the CQC was, or was at risk of, not meeting its statutory duties.
It is fair to say that I am not unaccustomed to raising difficult issues. I pursued successful legal action following years of neglectful care from mental health services. As a result of my experiences I have campaigned on mental health issues and worked with numerous organisations to provide or facilitate the voice of people receiving care services. I have brought three successful legal claims for disability discrimination, including as a litigant-in-person. These previous experiences were helpful when I was faced various behaviours when speaking up: I knew what worked and I was prepared for the emotional rollercoaster.
Abstract
From time to time a ‘scandal’ or wrongdoing is exposed – often through the dogged persistence of individuals – which has a substantial influence on public policy, especially in health and social care. The relationship is a complex one as Butler and Drakeford (2006) observed: ‘Scandal is constructed out of a very particular set of events and processes, inhabited by real people and built on unique experiences’ (p 5). In 2011 I made a decision that was to dominate my life for the next two years: I decided to speak up about the serious concerns I had about the leadership and approach of the Care Quality Commission (CQC), the national regulator of health and social care services in England. This was a controversial, and unusual, step as I was a current member of the CQC’s board. Such was my concern that I felt the CQC was, or was at risk of, not meeting its statutory duties.
It is fair to say that I am not unaccustomed to raising difficult issues. I pursued successful legal action following years of neglectful care from mental health services. As a result of my experiences I have campaigned on mental health issues and worked with numerous organisations to provide or facilitate the voice of people receiving care services. I have brought three successful legal claims for disability discrimination, including as a litigant-in-person. These previous experiences were helpful when I was faced various behaviours when speaking up: I knew what worked and I was prepared for the emotional rollercoaster.
Kapitel in diesem Buch
- Front Matter i
- Contents iii
- List of figures and tables vii
- Foreword viii
- Introduction 1
-
Service users and social policy: an introduction
- Challenging injustice: the importance of collective ownership of social policy 14
- Participation and solidarity in a changing welfare state 22
- Social policy in developing countries: a post-colonial critique and participatory inquiry 33
- Advancing sustainability: developing participatory social policy in the context of environmental disasters 43
- Social policy and disability 51
- A case study of children’s participation in health policy and practice 62
- Who owns co-production? 74
-
Critiquing and reconceiving Beveridge’s ‘five giant evils’: key areas of British post-war social policy from a lived experience perspective
- Rethinking disabled people’s rights to work and contribute 86
- Talking policy as a patient 95
- ‘We don’t deal with people, we deal with bricks and mortar’: a lived experience perspective on UK health and housing policy 98
- Education (ignorance) addressing inclusive education: the issues and its importance from a participatory perspective 103
- “For work, we came here to find work”: migrant Roma employment and the labour of language 107
-
The contribution of service user knowledges
- Disability policy and lived experience: reflections from regional Australia 120
- Renewing epistemologies: service user knowledge 132
- Pornography, feminist epistemology and changing public policy 142
- Making social policy internationally: a participatory research perspective 147
-
An inclusive life course and developmental approach to social policy
- Disabled children’s lives: an inclusive life course and developmental approach to social policy 163
- Troubled youth and troubling social policy: mental health from a Mad Studies perspective 172
- Disability: an inclusive life course and developmental approach to social policy 181
- Independent living from a Black Disabled Woman’s perspective 188
- Food poverty and the policy context in Ireland 195
- Implementing race equality policies in British health and social care: a perspective from experience 205
- Participatory approaches to social policy in relation to ageing 211
- Death, dying and digital stories 223
-
Transforming social policy
- People acting collectively can be powerful 233
- Their participation and ours: competing visions of empowerment 243
- A participatory approach to professional practice 251
- Dreams of justice 257
- Sustainable-participatory social policy 262
- Participatory social policy in a large EU research project 277
-
Campaigning and change
-
Approaches to activism
- ‘What is strong, not what is wrong’ 292
- Participatory social policy and social change: exploring the role of social entrepreneurship linked to forms of social and micro enterprises in the field of social care 297
- Public duty, whistleblowing and scandal: influences on public policy 306
- ‘Informed gender practice in acute mental health’: when policy makes sense 311
- Making the case for single sex wards 314
- #JusticeforLB: in search of truth, accountability and justice 319
-
The role of online platforms and social media
- Guerilla policy: new platforms for making policy from below 323
- A Magna Carta for learning disabled people 327
- Pat’s Petition: The emerging role of social media and the internet 332
-
Breaking down barriers
-
Inclusion and difference in the formulation and operation of social policy
- “LGBT History Month is a thing!” The story of an equal rights campaign 338
- Progressing gender recognition and trans rights in the UK 343
-
User-led approaches to social policy
- Transforming professional training and education – a gap mending approach: the PowerUs European partnership 349
- Grassroots tackling policy: the making of the ‘Spartacus Report’ 355
- Involvement for influence: developing the 4Pi Involvement Standards 362
-
Participatory research and evaluation
- From expert to service user: challenging how lived experience is demeaned 369
- Participatory methodologies involving marginalised perspectives 376
- Developing the evidence to challenge ‘welfare reform’: the road to ‘Cash Not Care’ 389
- Service user-controlled research for evidence-based policymaking 394
- Participatory citizenship, gender and human trafficking in Nepal 406
- Experiential knowledge in mental health policy and legislation: can we ever change the agenda? 418
- Conclusion 427
- Notes on contributors 435
- Index 447
Kapitel in diesem Buch
- Front Matter i
- Contents iii
- List of figures and tables vii
- Foreword viii
- Introduction 1
-
Service users and social policy: an introduction
- Challenging injustice: the importance of collective ownership of social policy 14
- Participation and solidarity in a changing welfare state 22
- Social policy in developing countries: a post-colonial critique and participatory inquiry 33
- Advancing sustainability: developing participatory social policy in the context of environmental disasters 43
- Social policy and disability 51
- A case study of children’s participation in health policy and practice 62
- Who owns co-production? 74
-
Critiquing and reconceiving Beveridge’s ‘five giant evils’: key areas of British post-war social policy from a lived experience perspective
- Rethinking disabled people’s rights to work and contribute 86
- Talking policy as a patient 95
- ‘We don’t deal with people, we deal with bricks and mortar’: a lived experience perspective on UK health and housing policy 98
- Education (ignorance) addressing inclusive education: the issues and its importance from a participatory perspective 103
- “For work, we came here to find work”: migrant Roma employment and the labour of language 107
-
The contribution of service user knowledges
- Disability policy and lived experience: reflections from regional Australia 120
- Renewing epistemologies: service user knowledge 132
- Pornography, feminist epistemology and changing public policy 142
- Making social policy internationally: a participatory research perspective 147
-
An inclusive life course and developmental approach to social policy
- Disabled children’s lives: an inclusive life course and developmental approach to social policy 163
- Troubled youth and troubling social policy: mental health from a Mad Studies perspective 172
- Disability: an inclusive life course and developmental approach to social policy 181
- Independent living from a Black Disabled Woman’s perspective 188
- Food poverty and the policy context in Ireland 195
- Implementing race equality policies in British health and social care: a perspective from experience 205
- Participatory approaches to social policy in relation to ageing 211
- Death, dying and digital stories 223
-
Transforming social policy
- People acting collectively can be powerful 233
- Their participation and ours: competing visions of empowerment 243
- A participatory approach to professional practice 251
- Dreams of justice 257
- Sustainable-participatory social policy 262
- Participatory social policy in a large EU research project 277
-
Campaigning and change
-
Approaches to activism
- ‘What is strong, not what is wrong’ 292
- Participatory social policy and social change: exploring the role of social entrepreneurship linked to forms of social and micro enterprises in the field of social care 297
- Public duty, whistleblowing and scandal: influences on public policy 306
- ‘Informed gender practice in acute mental health’: when policy makes sense 311
- Making the case for single sex wards 314
- #JusticeforLB: in search of truth, accountability and justice 319
-
The role of online platforms and social media
- Guerilla policy: new platforms for making policy from below 323
- A Magna Carta for learning disabled people 327
- Pat’s Petition: The emerging role of social media and the internet 332
-
Breaking down barriers
-
Inclusion and difference in the formulation and operation of social policy
- “LGBT History Month is a thing!” The story of an equal rights campaign 338
- Progressing gender recognition and trans rights in the UK 343
-
User-led approaches to social policy
- Transforming professional training and education – a gap mending approach: the PowerUs European partnership 349
- Grassroots tackling policy: the making of the ‘Spartacus Report’ 355
- Involvement for influence: developing the 4Pi Involvement Standards 362
-
Participatory research and evaluation
- From expert to service user: challenging how lived experience is demeaned 369
- Participatory methodologies involving marginalised perspectives 376
- Developing the evidence to challenge ‘welfare reform’: the road to ‘Cash Not Care’ 389
- Service user-controlled research for evidence-based policymaking 394
- Participatory citizenship, gender and human trafficking in Nepal 406
- Experiential knowledge in mental health policy and legislation: can we ever change the agenda? 418
- Conclusion 427
- Notes on contributors 435
- Index 447