Responding to the risk of reducing resources: development of a framework for future change programmes in English environmental health services

Environmental Health Services in the UK have been subject to significant resource reduction from 2010 to 2018. It is suggested that services risk becoming unsustainable unless efficient and effective ways of working are employed. This research explored the experience of practitioners who are developing and delivering evolving Environmental Health Services in English local authorities in the context of deep cutting budget reductions. A range of ‘non-traditional’ service delivery models has been examined including outsourcing, shared services, regional delivery models and mutualisation arrangements. The models were at various stages of development from planning through to full transformation. Interviews were carried out with the participants involved in the change process to capture their experience of change and the impact on service delivery. Fieldwork was undertaken between 2014 and 2016. Thematic analysis of interview transcripts identified six central themes of the experience of change: ‘Managing changes effectively’; ‘Understanding the reasons for change’; ‘Understanding the nature of Environmental Health’; ‘Meaningful consultation’; ‘Viability of the proposal’; And ‘Planning and timeliness’. Further analysis of the data developed seven overarching themes: ‘Ethos of public services’, ‘Getting it right’, ‘Emerging service demands’, ‘Resilience’, ‘Trust’, ‘Skills development’ and ‘Risk’. A framework for future change programmes in Environmental Health Services has been developed which takes into account the lessons learnt by organisations that have previously undergone significant change in their response to the risk of a reducing resource. Environmental Health Services undergoing transformation will benefit from using this framework to examine their own organisation when they are establishing the need for change, making decisions, planning and transition. Use of this framework can mitigate against risks of unsustainable or undeliverable Environmental Health Services.