How do we then gain enough traction to change the way government agencies do things?
The reality is in uncertain economic times budget constraints leads to often viewing progressive approaches as highly promising, but if unable to demonstrate short-term results the ask is made harder.
“Collaborative behaviours, which are the bedrock of effective system outcomes, are not always encouraged or rewarded in a system which still relies heavily on siloed personal and organisation accountability.” (Messenger Review)
Many of us have talked over the decades about the need to focus on prevention, population health and health inequalities. We have called for a shift from top- down to a responsive to local communities’ system. What makes this feel different this time is the unprecedented degree of cross-party support amidst perpetual crisis and seemingly forlorn hope.