By Conference of Socialist Economists
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Extra info for Capital & Class. - 1988. - Issue 36 issue 36
For their part trade unions, in reacting to the expenditure, cuts and privatisation, have also to some extent realised the importance of taking a view on how services should be managed . Together trade unions and Labour local authorities have sought to defend council services against financial restrictions and in certain cases the Tory campaign to discredit councils as `loony left' . A number of local authorities have sought to decentralise their services to local offices, taking their provision out of city hall .
As trade unionists we need to think about what values we place on our services . " (NUCPS/Northern College, 1988) Such guidance draws upon the experience of actual campaigns . For instance the campaigns against privatisation of the British Airports Authority and of the Forestry Commission in 1986-7 covered use values and nonmonetary measures of benefit/cost to society . In the case of airports, the joint trade union campaign identified passenger comfort, safety and security and the likelihood of more night flying as issues which would rally support .
In socialist planned economies budgeting systems are at all levels coupled with detailed statistics on resource use and service delivery, often underpinned by a range of standards or norms defining the level of service offered (World Health Organisation, 1981). However the definitions recommended by the World Health Organisation in the assessment of health care are more broadly drawn than the British three `E's' of value for money theory : "Efficacy: the benefit or utility to the individual of the service, treatment regimen, drug, preventive or control measure advocated or applied; Effectiveness: the effect of the activity and the end results, outcomes or benefits for the population achieved in relation to the stated objectives ; Efficiency: the effects or end results achieved in relation to the effort expended in terms of money, resources and time .