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De gemeente Amsterdam maakt net als andere gemeenten in Nederland gebruik van aanbestedingen om overeenkomsten te sluiten met aanbieders voor de levering van maatschappelijke ondersteuning en jeugdhulp. De gemeente vraagt zich af of aanbesteden wel het meest passende instrument is gezien haar visie op het sociaal domein. De gemeente wil onderzoeken hoe verschillende vormen van contractering van taken in het sociaal domein bijdragen aan het functioneren van het sociaal domein en welke risico’s en kansen zijn verbonden aan alternatieven voor aanbesteden. Van belang voor de gemeente zijn de kwaliteit van de dienstverlening, de kosten van de dienstverlening, de omvang van het veld van zorgaanbieders en kwesties als de continuïteit van zorg. In dit onderzoek hebben we specifiek gekeken naar de taakvelden huishoudelijke ondersteuning, dagbesteding en jeugdhulp.

Collaboration has become an imperative of many new healthcare policies; however, little attention has been paid to how system-level narratives in both policy documents and the media create boundaries that shape implementation processes. By using boundary work as a theoretical lens, this article critically analyses the discourse found in both policy documents and the media surrounding the 2015 Dutch LTC reform. This discourse analysis contributes, first, by revealing two separate narratives – one epic, one tragic – which we argue represent different rhetorical styles used to (de-)legitimise symbolic boundaries. Second, we contribute by unravelling boundary work in both the social and symbolic dimensions to show how the design of the 2015 reform led to a tension-ridden position for local actors: symbolic boundaries demanded integration, while social boundaries imposed differentiation. These findings have implications for literature on boundary work as well as for policy design and its local implementation.

Collaboration has become an imperative of many new healthcare policies; however, little attention has been paid to how system-level narratives in both policy documents and the media create boundaries that shape implementation processes. By using boundary work as a theoretical lens, this article critically analyses the discourse found in both policy documents and the media surrounding the 2015 Dutch LTC reform. This discourse analysis contributes, first, by revealing two separate narratives – one epic, one tragic – which we argue represent different rhetorical styles used to (de-)legitimise symbolic boundaries. Second, we contribute by unravelling boundary work in both the social and symbolic dimensions to show how the design of the 2015 reform led to a tension-ridden position for local actors: symbolic boundaries demanded integration, while social boundaries imposed differentiation. These findings have implications for literature on boundary work as well as for policy design and its local implementation.

Beleidsuitvoering gaat nog wel eens mis. We zagen het bij de toeslagenaffaire, we zien het in de jeugdzorg en we zien het op andere plekken. De redenen voor dat mislopen zijn niet altijd hetzelfde. We kijken hiervoor naar het concept maatwerk.

Dubbelrecensie in tijden van ongekende onzekerheid: Denkend bestuur en Besturen zonder wij, door Prof. Thomas Schillemans en Dr. Duco Bannink.

In this introductory article to our PPA special issue we argue that the relation between wicked problems and collaborative governance is fraught with difficulties. Doing so, we take four steps: we maintain that wicked problems are better understood as wicked actor constellations; we delve into the collaborative governance-approach and posit that it is mainly concerned with wicked problems; we then argue that collaborative governance might not be the most feasible response to wicked problems; and after that we argue that an assumption instead of actors being engaged in actor positioning processes allows a clearer understanding of policy processes in wicked actor constellations. Following this discussion, we introduce the articles featured in the special issue and discuss implications for research.