Sunday, October 18, 2009

Another Promised Change!

M. Bakri Musa
October 2007

In a recent meeting with media representatives, Chief Secretary to the
Government (its topmost civil servant) Sidek Hassan assured the public
that civil servants must now "perform or face the music." He also
revealed the demotions of senior officers, including a few in the "super
scale" grade and a Director-General.
Sidek's assurance was undoubtedly in response to the damning
indictments in the recent Auditor General's Report. (What else is new?)
The Chief Secretary went on with promises of more actions. Let us hope
that his pledge is for real. We have been through all these promised
changes before, so citizens' cynicism is understandable.
The civil service cannot be improved merely through edicts
from high above. No less than Prime Minister Abdullah had made many
similar pledges before.
As the top civil servant, Sidek cannot effect meaningful
changes until he knows the details of the various operations under him.
Not all of them; he needs study only two or three processes in some
detail, identify the problems, and then solve them. With that he could
teach others and replicate the success elsewhere.
All too often our top civil servants and ministers are content
only with mere utterances: "Be productive!" "Compete with the best!"
Unless they know the details of the operations of their departments,
identify and eliminate the redundant processes, they could not hope to
improve their services. These senior officers should not expect their
overworked line workers to come up with innovative solutions. Besides,
they lack the necessary knowledge or skills.


Leadership Through Ignorance

When I came home as a surgeon in 1975, the top honchos at the Ministry of
Health and the General Hospital Kuala Lumpur took me around trying to
impress me with their facility. After an hour or so of this dog and pony
show, I was fed up with the fluff thrown at me.
We were standing overlooking the busy road in front of the
hospital when an accident happened. I asked the hospital director to
imagine the driver sustaining a life-threatening ruptured spleen and thus
needing my service. How would I be contacted?
From there I was able to find out about the ambulance service
(haphazard), the quality of paramedics (untrained), and the Casualty Room
capabilities (erratic system of contacting on-call specialists). The two
top officials were embarrassed because they could not answer my basic
queries.
I suggested to the two that on-call specialists be equipped
with beepers so they could be readily contactable. Sensible enough
solution, except that neither the Director nor the ministry official
could authorize such an expenditure! They would have to submit that
first to Treasury! So calling surgeons remained a haphazard affair when
I was there. It would not surprise me if it still is, thirty years
later.
If the hospital director (or minister) had been familiar with
details of the operation of the hospital, he would be less likely to
criticize the doctors on call for not responding timely and instead
supply them with beepers.
A few years ago I was home to renew my ID card. I was told
that it would take months. Fortunately I knew the department head, and
between the two of us we had an exercise of going through every step of
the process. After that I told him how we could cut down the redundant
steps, like having the forms available (and filled) online instead of
lining up just to get the empty form. We tried it with my application as
a test, and I was able to get my new card within days.
Then the department head told me why he could not do what I
suggested. It would mean laying off thousands of unneeded clerical
staff; not politically acceptable. Like it or not, our civil service is
not for providing service, rather a massive public works program for
those with liberal arts degrees who otherwise would not be employable.
As head of a surgical unit at GHKL I was fed up with the large
and unruly crowd at the beginning of my clinic day. So I introduced
staggered appointments, with follow-up patients (who are within our
control as we made their appointments) to be seen at 3PM while patients
referred from elsewhere and others (who are beyond our control) be seen
at the clinic's opening hour of 2PM.
It worked wonderfully. At least now we could reduce the crowd
by half and thus be more manageable. Our patients loved it.
All went well for a few weeks, and then the crowd began coming
back. Puzzled, I decided to investigate. It turned out that the front
office clerk was telling everyone to come early and to ignore my advice
about the scheduled appointments. She had a very simple and remarkably
effective rebuttal for my patients. "Yes, I know the doctor asked you to
come at 3, but better lah to come early. The doctor is a busy man; it is
better for us to wait for him instead of having him wait for us!"
I could not help laughing at the clerk's ingenuity in
circumventing my orders. To her it would be easier if all the patients
were to come at the beginning, as that would mean going to the record
room only once.
Instead of getting angry with the poor overworked clerk, I
gathered my staff and explained to them my rationale for the staggered
appointments. Something about respecting our patients by not having them
wait. I also made sure that the poor clerk had additional help in
securing the charts. After that I had no more problem. Simple solution,
but it required my active intervention as a department head to study the
problem, implement the solution, and get my staff on board.
My clinic was one of the few that was orderly. One
consequence to my successful arrangement was that people began whispering
that I was not a "good" surgeon as my clinic was not crowded! Luckily my
patients, colleagues and staff were happy with our service, so that bit
of rumor had no traction.
My point is this: Simply saying you must improve your service
will not do it. Sidek and the other top civil servants need to do more,
like analyzing and re-engineering the various processes. If the solution
you prescribed does not work (or no longer does), examine the reasons why
and try to overcome them.


Incompetence, Insularity, and Lack of Integrity

Our civil service is afflicted with the terrible triad of incompetence,
insularity, and lack of integrity. I am not referring to the rank and
file union members, rather the managers and officers, those in the
"superscale" category. Each of these afflictions by itself is quite
crippling; combined their destructive powers are amplified considerably.
Ask a senior civil servant what management journals he
subscribes to or reads regularly, and you would draw a blank. The
standard response is that these journals are expensive, but those
officers have allowances. The more valid reason is their lack of
professionalism and sense of self-improvement. Their low English
proficiency is also a contributor.
I would make it a condition for promotions for these officers
to demonstrate their competency in English. We did something similar in
the 1960s when civil servants had to be proficient in the national
language to be confirmed.
As for competency, the government spends little in the
development of its staff. Ask a civil servant when was the last time he
or she attended a formal continuing education session, and you would also
draw a blank.
A major contributor to the lack of integrity is of course
pervasive corruption. I need not write more except to note that instead
of tackling it head on, the government establishes yet another
bureaucracy, the National Integrity Institute. A simple move that would
not involve spending more money or hiring additional personnel would be
to make the Anti Corruption Agency independent, answerable only to
Parliament or the King.
Lack of integrity is also tied to lack of professionalism.
How many times have you seen senior civil servants bring their work home?
They may be in upper management, but their mentality is still the
clerical nine-to-five. I have yet to see senior civil servants on
extended overseas trips carry a laptop. Meaning, when they are away,
they are cut off from their offices.
When asked why they do not have a laptop, these officers tell
me that the government does not provide them with one, and they are too
cheap to buy one on their own. If they were to travel business class
instead of first, the government would have more than enough funds to
supply each member of their family with a super laptop.
Query a Secretary- or Director-General, a ministry's top civil
servant, what innovations he or she had instituted within the past few
years, or the challenges facing his agency and how he or she would solve
them, and you will also get a bewildering look.
The civil service is hampered by its insularity, with
promotions strictly from within. There is no infusion of fresh talent
other than at the entry level. To make matters worse, recruits are
overwhelmingly local graduates in the liberal arts. Apart from their
abysmal English proficiency, they are also severely mathematically
challenged. There is also minimal specialization. An officer may be
posted in Sports Ministry one year and be in the Foreign Ministry the
next.
In my book Towards A Competitive Malaysia, I suggested getting
fresh talent at the mid and senior levels. The next time a vacancy occurs
at the Director-General level, open up the recruitment to applicants from
academia and the private sector. I also suggested having four or five
broad areas of concentration with officers rotated only within one area
so they could develop some specific skills and knowledge. This was also
the recommendation of Milton Esman, the American professor hired by Tun
Razak in the 1970s to spruce up the civil service.
Yes there will be the exceptional talent who could be an
accomplished academic, an effective CEO the next time, and then capping
his distinguished career as a seasoned statesman. For most however,
especially those in the mid level, they are better off staying and
learning within a limited sphere.
Sidek Hassan should go beyond simply warning his officers to
"perform or face the music," I would have been more assured had he asked
them to subscribe to at least three professional journals, attend 25
hours of formal continuing professional education courses annually, pass
an English competency test, and require them to have a laptop.


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