Insane track Radical Reformers podcast, you should google 'bulletrank', they give out free plays right now.

This episode is with Adele Taylor, the Executive Director of Finance and Commercial Services at Slough Borough Council.

Those of you who know your local government onions will be aware that Slough has been in some financial difficultly. Adele joined the council earlier this year with a remit to get the finances back under control and to rebuild confidence and trust with local residents. 

I think its fair to say that Adele is attracted to a crisis situation and feels her skill set is well suited to it – I completely agree. She is also a finance director who really gets the importance of culture and relationships particularly when the priority is re-establishing trust both within and with people outside the council. 

We talk about how aware local residents are of their council’s financial situation and the impact it has on those who rely on services, especially when terms like “bankruptcy” are used freely (and incorrectly). Adele also understands the need to communicate the financial situation in understandable terms both within the council to staff and members, but also to the wider public. 

We also talk about the value of diversity within the public services workforce and the huge value people with different perspectives and abilities bring to an area like finance, which is sometimes regarded as quite dry and purely objective. 

And finally, if you are looking for a bit of inspiration as to why a career in local government is the right thing – Adele gives a powerful rallying call to people to say “come and work in a council and have an meaningful career. Look at the amazing things we do!”.

Local Government Turnaround With Adele Taylor

This episode is a real treat for anyone interested in a more person-centred way of delivering support. The conversation is with Helen Thomson, the Deputy Chief Executive of the Calico Group, an independent charity group which operates in the northwest and does everything from house building to employment support to helping people with drug and alcohol addiction. 

Andrew and Helen cover a lot of ground including how the Calico group is able to integrate the services they provide to ensure people get the seamless help they need. They do this through a focus on internal data sharing and ensuring trusting relationships and an understanding of all available services provided are in place across the organisation. Its all about not putting anyone in a box but rather offering them the tailored support they need. 

The Calico group also understands the multiple benefits of giving opportunities to people with lived experience to participate in the delivery of services. Who better to connect with and guide someone looking to reduce their dependence on drugs and/or alcohol than someone who has been on that journey.
 
Helen also talks about the importance of taking controlled risks in the delivery of public services and the wonderful concept of “reverse mentoring”.

Enjoy it!

Holistic Support With Helen Thompson - Radical Reformers Podcast

This episode is with leading health and care expert Nigel Edwards. Nigel recently stepped down as the chief Executive of the Nuffield Trust, a leading health think tank, after a wide-ranging career in the sector, which included a stint at NHS Confederation. 

This episode is very timely. Health and care services are adapting to a new structure at the same time as being under huge pressure and Nigel brings fantastic insight into what is currently happening within the system and what might change. We talk about the emphasis on “place” and “neighbourhoods” and the ambition for local services to be more co-ordinated, driven by local priorities and ultimately more focused on keeping people healthy and out of hospital. We ask the question – are leaders able to make time to build the relationships which are needed to enable this type of high trust working.

We take a deep dive into children’s health and discuss the ambitious plans Integrated Care Boards have for children’s health and the fact that the NSH cannot possibly achieve them without working very closely with councils and other partners. We ask, what enabling leadership and conditions need to be in place to achieve these ambitions for children? 

None of these changes will have any effect unless the change permeates down to middle management and front line staff. We challenge the notion of the “frozen middle” or “permafrost” which is a criticism sometimes aimed at public sector middle managers and look at the potential of regional working and ask what the right level is for different activities. 

Enjoy it!

Reforming Healthcare with Nigel Edwards - Radical Reformers Podcast

This episode is with Andy Couldrick. Andy is the Chair of the Birmingham Children’s Trust, having just stepped back from being the Chief Executive since the organisation was founded. 
 
Before joining the Trust, Andy led an incredibly fast children’s services improvement journey in Wokingham Council, moving up from a rating of “inadequate” in just a year. He explains how that was achieved and the importance of having the right team and being able to do many things in parallel. Andy also talks about his transition to Chief Executive from Director of Children’s Services and the different mindset and skills that required. 

Birmingham is not the only Children’s trust in the country and Andy explains exactly what a Trust is and how it works to give a service space and protection from what might be a difficult Council environment. Anyone with an interest in Local Government will know that Birmingham is facing some severe challenges. 

A key attribute Andy demonstrates is perseverance. He talks about the critical importance of keeping showing up and keeping consistent messaging over time, particularly of you are asking people who have been on multiple failed improvement journeys to trust you and buy in to what you are trying to achieve. 

And finally, we talked about the role of children’s services in the wider system and in particular the key role council services play in achieving system objectives around children’s health and wellbeing.

Leading an Improvement Journey With Andy Couldrick - Radical Reformers Podcast

This episode is with Elly De Decker, the Chief Executive of the Bromley by Bow Centre, a nationally renowned community centre in East London. 

Before this, Elly was the England Director of the National Lottery Community Fund, a huge job controlling a budget of £400m. Elly describes her decision to move from this highly visible national role to an ultra-local community-focused one. 
 
We talk about the support the Bromley By Bow centre provides, which ranges from health and wellbeing services, employment and skills support through to adult social care. The most impactful thing about the centre is the physical environment and culture which creates an “oasis” for local people to come to and get the help they need. 
 
The centre works closely with the NHS as well as council adult social care and public health services which gives Elly great insight into what’s working in the current system and what isn’t. We talk about the importance of the wider social determinants of health and how these are not yet prioritised by the formal system despite the impact they have on preventing demand for expensive NHS interventions.
 
Elly and I discuss about how leaders will often talk the talk on better collaboration - but often this doesn’t filter down to day-to-day activities and therefore organisations and services remain siloed and people seeking support see no real difference. 
 
A key element of effective collaboration has to be better data sharing which allows partners to target their support in the best possible way and to also track their impact. Unfortunately, this remains a difficult issue and is often left in the too difficult pile. 
 
Having said all this, Elly is remarkably optimistic and positive. Her mantra is “assume it’s possible!” and I think you will be inspired by this conversation.

The Wider Determinants Of Health With Elly De Decker - Radical Reformers Podcast

This episode is with Sam Plum, the inaugural Chief Executive of the new Westmorland and Furness Council. This council was created when Cumbria County Council split into two – so Westmorland and Furness has half the old County Council and the three districts, which used to sit in that geographical footprint.

This #RadicalReformers episode is part of the February "Place Leadership" theme of our #PrioritisingPublicServices campaign.

Sam gives her perspective on the different stages of implementing the change, starting with a period where the focus is on settling and stabilising. However, Sam has never lost sight of the forward vision and ensuring that the benefits of reorganisation are achieved for the people of Westmorland and Furness. Sam has some very clear ideas of what she wants to achieve in the long term, focusing on the three E's of equity, economy, and environment.

One of the really striking things for me in this conversation is how Sam sees herself as a “place” leader, not just the leader of an organisation. She is ready to focus on wider benefits rather than just those which directly impact the council. I think there are huge lessons to be drawn from this conversation for place leaders and council leaders everywhere.

Enjoy it!

Place Leadership With Sam Plum - Radical Reformers Podcast

This episode is with Sam Allen, the Chief Executive of the North East and North Cumbria Integrated Care System. 

This system covers a huge geography with 3.6m people living in both urban and rural settings in 14(!) different council areas. As you can imagine, getting this up and running was a real challenge and Sam explains how she has led that work and engaged with partners across the region. 

Sam understands really effective public services needs to be centred around the person and she has a very clear understanding of her role as a system leader focusing on the strategic things which are best done at scale while empowering places and neighbourhoods to do the really important locally focused work. 

A big segment of our conversation is on children’s health. We discuss how no one part of the system (NHS, councils, third sector) can hope to improve outcomes acting on their own. Genuine collaboration must be enabled from the system level all the way down to places and neighbourhoods. 

We also talk about women’s health and the importance of raising awareness and understanding particularly in the workplace. 

It’s a fantastic conversation and I hope you enjoy it.

System Leadership For Healthy Children And Families With Sam Allen - Radical Reformers Podcast

This episode is with Rob Walsh, the long standing Chief Executive of Northeast Lincolnshire Council. Rob has been Chief Exec of Northeast Lincolnshire for 10 years now which, in an era of quite high turnover for top local government jobs, is quite some achievement! 

Rob tells the story of how Northeast Lincolnshire is an area which has seen decline in the fishing industry - but is now embracing a new era of possibility around the decarbonisation and renewable energy market. Northeast Lincolnshire is a fantastic case study for Place Leadership: It was the first time to receive a Town Deal back in 2018; It has a long-standing section 75 agreement, which is essentially a way of pooling funding and resources between councils and the health system; and they are also part of proposal for a Greater Lincolnshire Mayoral Combined Authority. 

On top of that, within Northeast Lincolnshire itself, there's quite a lot of co-terminosity between some of the key anchor institutions, the council, and some of the key health providers, who are largely social enterprises. 

Rob is a very humble and quietly inspiring leader. And in my opinion, there is something quite special happening in Northeast Lincolnshire. I think they are quietly becoming a forerunner for what other areas in the country could aspire to.

Stronger Economies And Stronger Communities With Rob Walsh - Radical Reformers Podcast

This episode is with Sarah Thomas, the Chief Executive of the Fostering Network, the UK’s leading fostering charity and membership organisation. The network provides training, support and advice to everyone involved in the fostering journey. 

This episode is part of Mutual Ventures' 2024 #PrioritisingPublicServices campaign.

Sarah has an incredible and very relevant backstory, which involved going from homeless at 16 to being a Chief Executive at 40, which is incredible. Her passion for supporting vulnerable children and parents comes across strongly, along with some completely understandable frustration at how parts of the system work. 

You won't find many people with as much knowledge about the UK fostering and children's social care system so we really get into how system is performing, what's going well and what some of the challenges are. 

Sarah and I also unpack why the system isn't improving outcomes for children and young people, and what she thinks needs to happen to make a difference. We then move on to talk about one of the big questions troubling leaders across all public services i.e. how do you move towards prevention and away from crisis response? Especially at a time when council services don't have a lot of money. They certainly don't have much in the way of reserves. Within this context, how do you make that flip towards prevention? 

We also discuss how to tackle the stigma of seeking support as a parent, and also have a detailed discussion on children's residential care and why that market isn't working. And it certainly isn't!

Homeless To CEO With The Fostering Network's Sarah Thomas

This episode is with Dr. Linda Harris, the Chief Executive and Chief Medical Officer of Spectrum Community Health a Wakefield based social enterprise, which delivers services covering a wide range of areas including prison health, sexual health and substance misuse. 

Linda describes Spectrum’s services and their incredible growth journey from an organisation of just 100 people to more than 800. We talk about the challenges and opportunities of managing a large organisation of primary care professionals, many of whom are GPs, who we know can be quite independently minded! We also talk about what Linda calls jail craft, which is all of the various precautions and processes you have to follow when you're delivering health care in a secure environment. 

Delivering these types of services on a day to day basis, Linda understandably has a tremendous interest in the wider social determinants of health and we get into a discussion about health neglect, and social issues and how a person's situation can deteriorate over time. We also talk about some of the measures that can be put in place to try and prevent this very damaging and cumulative harm being done.

Fighting Health Neglect With Dr. Linda Harris

On this episode I speak to Ade Adetosoye - Chief Executive of the London Borough of Bromley. 

We talk about Ade’s ideas for a new relationship between public services and communities and how the council can tap into and support efforts from individuals and organisations within communities. The experience of Covid-19 has accelerated these ideas. 

We also get some great insights into how the council and the NHS has worked very closely together during the pandemic, perhaps foreshadowing the close partnership working set out in the new NHS White Paper. 

Ade is a former Director of Childrens Services and he has serious concerns regarding the impact of Covid-19 on demand for children’s social care services. He believes it could triple. 

Finally, Ade was recently Highly Commended in the MJ’s annual awards in the Chief Executive category. This was for his leadership of the Transforming Bromley programme which has seen Bromley’s children’s services improve dramatically and also turned a £32m budget deficit into a balanced budget.  We discuss how that was achieved.

Radical Reformers ep.11: Ade Adetosoye

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