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Employability through health? Partnership-based governance and the delivery of Pathways to Work condition management services

机译：通过健康就业吗？基于伙伴关系的治理和工作条件管理服务的交付

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摘要

The Pathways to Work (PtW) initiative has been rolled out in 49 Jobcentre Plus districts across Great Britain as the government seeks to provide services to activate claimants of incapacity benefits and help them overcome health-related barriers to work. The recent expansion of PtW has seen a heavy reliance on the contracting-out of services to the private and third sectors, with 'Lead Providers' paid according to job outcomes achieved for clients. However, during the initial development of PtW, the initiative was defined by a flexible, partnership-based form of governance, with a key role for the public National Health Service (NHS) in the delivery of health 'condition management' services. This approach has been retained in a minority of Jobcentre Plus Districts. Based upon a review of previous evaluation evidence and more than 50 in-depth interviews with NHS staff and managers, this article critically assesses this partnership-based governance model and the potential added value flowing from the involvement of the NHS and its professional clinicians in the delivery of condition management services. The article concludes by identifying lessons for the continuing development of governance and delivery mechanisms for condition management under the PtW regime and future employability/health interventions.
机译：英国政府试图提供服务来激活无能力领取失业金的人，并帮助他们克服与健康相关的工作障碍，该服务计划已在英国49个Jobcentre Plus地区推出。 PtW的最近扩展严重依赖将服务外包给私营和第三部门，“领先提供商”根据为客户实现的工作成果付费。但是，在PtW的最初开发过程中，该倡议是通过基于伙伴关系的灵活治理形式来定义的，在公共“国家条件服务”（NHS）在提供健康“条件管理”服务中起着关键作用。少数Jobcentre Plus地区保留了这种方法。在回顾了先前的评估证据并与NHS员工和管理人员进行了50多次深入访谈的基础上，本文严格评估了这种基于伙伴关系的治理模型以及NHS及其专业临床医生的参与所带来的潜在增值。提供病情管理服务。文章最后总结了在PtW体制下以及未来的就业能力/健康干预措施下病情管理的治理和交付机制的持续发展的经验教训。

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