Martin Caraher Professor of Food and Health Policy Centre for Food Policy City University London EC1V OHB m.caraher@city.ac.uk +44 (0)20 7040 4161 •From Food Poverty to Food Banks: Examples of Successful Failures! •Issues for measurement and measurement of what 3 Things fall apart the centre cannot hold; Mere anarchy is loosed upon the world, The blood-dimed tide is loosed, and everywhere The ceremony of innocence is drowned; The best lack all conviction, while the worst Are full of passionate intensity Measurement • Faced with a policy problem and making sense of it • Evidence of what? • How to explain it? Evidence into practice: a cycle of improvement? (as seen by UK’s Health Dev’t Agency now NICE) Source: Kelly M, Spellar V, Meyrick J (2004). Getting evidence into practice in public health. London:6HDA p 2 An example Accepted Manuscript Title: The Public Health Responsibility Deal: brokering a deal for public health, but on whose terms? Author: Clare Panjwani Martin Caraher PII: DOI: Reference: S0168-8510(13)00290-X http://dx.doi.org/doi:10.1016/j.healthpol.2013.11.002 HEAP 3133 To appear in: Health Policy Received date: Revised date: Accepted date: 25-7-2013 7-11-2013 8-11-2013 Please cite this article as: Panjwani CM The Public Health Responsibility Deal: brokering a deal for public health, but on whose terms?, Health Policy (2013), http://dx.doi.org/10.1016/j.healthpol.2013.11.002 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. The responsibility deal The New Politics of Food Sustainable food futures Content' Proce The initial policy scoping and literature review highlight the lack o Figure 22 Policy analysis triangle, adapted from Walt and Gilson 1994 the formation of Healthy Start. Kingdon’s model of policy streams Context' an organised approach to studying the influences on public policy (Cairney 2012). Analysis grounded in policy streams could provid Actors' understanding. Individuals! Groups! Organisations! Content' Figure 23 Kingdon's Multiple Streams Process' The initial policy scoping and literature review highlight the lack of clarity around Problem! the formation of Healthy Start. Kingdon’s model of policy streams (figure 23) offers an organised approach to studying the influences on public policy formation (Cairney 2012). Analysis grounded in policy streams could provide a depth of understanding. Figure 23 Kingdon's Multiple Streams Problem! Policy! Politics! Policy! window! Policy! window! Policy! Politics! Civil Society NGOs NGOs Government Business Successful failures (Seibel 1989, Seibel 1996) • Seibel theorised that there were some challenges in society that were both inevitable and unsolvable, although highly visible. These issues are troubling for a public concerned with social justice, and problematic for politicians who need to avoid blame for allowing such problems to exist • Seibel argued that such problems tend to be of particular interest to voluntary organisations, keen to fill spaces where the state and the market may have failed and attractive to politicians as it allows them to shift the focus away from government delivering services. • The involvement of civic society can thus be celebrated by politicians and the public alike, thankful that well-meaning others are addressing difficult issues. • Meanwhile such celebration both reaffirms the importance of the work these organisations are undertaking, providing legitimacy to their efforts. An example • But in contrast to welfare recipients who were ‘demonised’ and to whom categories of undeserving/deserving poor were applied this was not so of users of food banks • Articles from -2001 food bank had to be explained but 2011 it was a shorthand for problems So….. • Seibel contends that as a result, management will construct their operations to ensure they have a continuous supply of sufficient and appropriate resources maybe even encouraging a new stream of users, even if the objectives of the organisation become compromised in the process. • Seibel calls such organisations ‘successful failures’. • Their voluntary or faith based nature made criticism socially unacceptable. There is a halo effect around such organisations doing good deeds. The limits of evidence • Seibel argued that such failure would never be acceptable in the public or private sectors where audits and accountability are sacrosanct. • Therefore the ‘mellow weakness’ of the voluntary sector makes it the perfect vehicle for tackling problems that cannot be solved and in policy terms distracting attention from the underlying causes to the symptoms of the problem. Area Europe Evidence All-Party Parliamentary Inquiry into Hunger in the United Kingdom Classification Classification Success Failure X (2014) Van de Horst, Pascucci and Bol (2014) ** X Lambie-Mumford (2013) X Silvasti and Karjalainen (2014) * Garrone, Melacini and Perego (2014) ** Castetbon et al (2011) USA Canada X X X Poppendieck (1999) X Winne (2008) X Poppendieck (2014) * X Tarasuk and Dachner. (2009) X Tarasuk, Dachner and Loopstra (2014) ** X Saul and Curtis (2013) X Tarasuk and Eakin (2003). X Riches and Tarasuk (2014) * Australia Lindberg, Lawrence, Gold and Friel ** X X Booth and Whelan (2014) ** Butcher et al (2014) ** Booth (2014) X X X Some reflections • Evidence of what: process/doing something/media space • Not outcomes! • Volunteer engagement? Big Society arguments. • The ‘product’ becomes the drive, that is not to say that the product creates need. • Formal evidence is not enough we became aware of the need to address fundamentals of political positioning and social justice, this results in a tension between charity provision and the role of the state vis-a-vie rights. • The social processes which frame the role of evidence within policymaking the formation of Healthy Start. Kingdon’s model of policy streams (figure 23) offers an organised approach to studying the influences on public policy formation (Cairney 2012). Analysis grounded in policy streams could provide a depth of understanding. Figure 23 Kingdon's Multiple Streams Problem! Policy! window! Policy! Politics! Why should not Old Men be Mad? Why should not old men be mad? …………………………. And when they know what old books tell And that no better can be had, Know why an old man should be mad References • • • • • • All-Party Parliamentary Inquiry into Hunger in the United Kingdom (2014), ‘Feeding Britain: Strategy for zero hunger in England, Wales, Scotland, and Northern Ireland London, Archbishop of Canterbury’s Charitable Trust Booth S (2014) Food banks in Australia. In Riches, G. and Silvasti, T., (2014) First World Hunger Revisited: Food Charity or the Right to Food?, 2 nd edition, New York: Palgrave Macmillan, pp 15-28. • Silvasti, T and Karjalainen J (2014) Hunger in a Nordic Welfare State. In In Riches, G. and Silvasti, T., (2014) First World Hunger Revisited: Food Charity or the Right to Food?, 2nd edition, New York: Palgrave Macmillan, pp 72-86 • Tarasuk, V. and J. M. Eakin (2003). "Charitable food assistance as symbolic gesture: an ethnographic study of food banks in Ontario." Social science & medicine 56(7): 1505-1515. • Tarasuk, V. and Dachner, N. (2009), “The proliferation of charitable meal programs in Toronto”, Canadian Public Policy, Vol. XXXV No. 4, pp. 433-450. • Tarasuk VS, Dachner, N and Loopstra R. (2014),"Food banks, welfare, and food insecurity in Canada", British Food Journal, Vol. 116 Iss 9 pp. 1405 – 1417 • van der Horst, H. Pascucci, S. and Bol, W. (2014),"The “dark side” of food banks? Exploring emotional responses of food bank receivers in the Netherlands", British Food Journal, Vol. 116 Iss 9 pp. 1506 – 1520 Booth, S. and Whelan, J (2014),"Hungry for change: the food banking industry in Australia", British Food Journal, Vol. 116 Iss 9 pp. 1392 - 1404 Butcher, LM. Rose, M., Leisha C., et al (2014),"Foodbank of Western Australia's healthy food for all", British Food Journal, Vol. 116 Iss 9 pp. 1490 - 1505 Castetbon K. et al (2011) Dietary behaviour and nutritional status in underprivileged people using food aid (ABENA study, 2004–2005). 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"The function of mellow weakness; nonprofit organizations as problem nonsolvers in Germany." The nonprofit sector in international perspective. Yale University: 177-193. • • Riches, G. and Tarasuk V (2014) Canada: Thirty years of Food Charity and Public Policy Neglect. In First World Hunger Revisited: Food Charity or the Right to Food?, 2nd edition, New York: Palgrave Macmillan, pp 42-56. Saul, N. and A. Curtis (2013). The Stop: How the Fight for Good Food Transformed a Community and Inspired a Movement, Random House Digital, Inc. • • Seibel, W. (1996). "Successful Failure An Alternative View on Organizational Coping." American Behavioral Scientist 39(8): 10111024.