(Changement radical)

Change

radically

Sweden• 9,5 million inhabitants

• 290 municipalities

• 20 county councils

• Education 27,1%

• Elderly care 19%

• Childcare 14,5%

• Functional disability 11,5%

• Assistance for individuals and families 4,5%

• Economic aid 2,5%

• Other 21%

Tasks

Tax income 67%

Government grants 17%

Fee 6%

Other 10%

Revenues

Long-term Focus

Control

Short-term Focus

Consider the parts separately

the Context

Trust

Authority Perspective

Customer Focus

World Value Survey 2011

66 % want to participate -5% answer that they have the possibility today

Challenges

Members in political parties

3,9% are members of a political party, about 1% of the citizens are aktive members

We live longer

Increased demand for elder care

Value Assessments in Local Authorities

Citizens Civil servants Polticians

Current Values

Cost reductionUncertainty about the futureShort-term focusBureaucracyCentral controlConfusionWaste of resourcesEnvironmental awarnessUnemploymentTradition

Economic stabilityCost reductionCentral controlUncertainty about the futureShort-term focusUnemploymentDemocratic processesProud to live and work in the MunicipalityEnviromental awarnessBureacracy

Uncertainty about the futureUnemploymentBureaucracyCost reductionEnviromental awarnessShort-term focusCentral controlTraditionNature conservancy

Value Assessments in Local Authorities

Citizens Civil servants Polticians

Desired Values

Employment oppertunitiyConcern about future generationsFinancial stabilityConcern about the natureSustainabilityLong-term focusCommitmentQualityEnviromental awarnessDemocratic process

Employment oppertunitiyFinancial stabilityConcern about future generationsDemocratic process SustainabilityEnviromental awarnessDependable public serviceLong-term focusEntrepreneurshipCitizens engagement

Employment opportunitiy Concern about future generationsFinancial stabilityConcern about the natureDependable public serviceSustainabilityFamilyCitizens engagementLong-term focus

Shifting Perspective

From knowing to not knowing/learning

From Focus on "inside-out" to Focus on both "inside-out" and "out-side in"

From " showing up well" (conventional professional norms) to being well authentically as ourselves

From directing to engaging/inspiring

Co production – when…

• The user has a voice, not only in the group but as an individual

• We use the experience knowledge ofusers/patience

• One works together to reach the goal

Why?

• Individualized service service/treatment

• More accuracy, better result

• Being able to meet with demands of influence and willingness to take responsibility

• Selfcare, empowerment – less required helplessness

• Lower cost, to cope with financing, wellfare services

• Meet with new costs

Planning, deciding

Co auditing, evaluating

Users/patients/family/relatives

Representatives/organisations

Doing

Co-production

- Individual level?

- Operational level?

- Strategic level?

User perspective <vs> the perspective of the user?

Care and treatment shall start in the perspective of the patient.

We communicate, we don’t inform.

Two experts – patient and doctor cooperates.

(Vision of patient safety, VG)

A question of treatment?

- Not enough

Or a question of where we can find knowledge?- A convincion that the ones we serve can contribute with important

wisdom and resources

Today and a possible tomorrow

1. Rhetorical phase

2. Phase of representation

3. Integrative phase – starting to be included in everyday work.

4. New order – natural part of practice

Different

Better

Lower cost

• Show how the public sector can be a driving force

• Show how radical innovation processes generateincreased benefits

• Identify legal barriers

• Interact with national/international research and do/think tanks

Change radically - goals

VI ÄR HÄR

MÅL OCH

RESEARCH-

FRÅGOR

DESIGN-

RESEARCH

INSIKTER OCH

MÖJLIGHETER

Förstå problemet

IDÉER OCH

LÖSNINGAR

TESTER OCH

ITERATION

Hitta lösningen

PROTOTYP

Förverkliga

lösningen

TIDLINJE

Understanding the

problem

Finding

solution

Making it

happen

Goal and

research-

questions

Design

research

Insights and

possibilities

Ideas and

solutions

Testing

and

iteration

Prototype

(We are

here)

2014-12-19 23

- Feels like

paternalism

- We have to

reapply all

the time

- I must at all

times be

accountable

for my needs.

- I have to

negotiate

about time

- I have to beg to

get more escort

for disabled

- Inflexiblesystems

- Activities arebeing clocked

What we got to hear:

- There’s narrowlimits to whatyou can do.

Upscaling

Control & management implications and planning

Documentationthinking in new ways

Legal obstaclesidentifying

Analysis and conclusions

spring

autumn