workshop 2- innovation in third sector public service delivery/ gwiethdy 2- arloesi wrth ddarparu...
TRANSCRIPT
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Innovation in third sector public service delivery
Mark NapierThe Centre for Public Innovation
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Learning goals
1. Understand what “innovation” means.2. Understand why the public sector needs
innovation.3. Understand the role of the third sector in
innovation.
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What is innovation?
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Activity 1
1. What products do you think of when you think of the word innovation?
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Defining Innovation
“An innovation is the implementation of a new or significantly improved product (good or service), or process, a new marketing method, or a new organisational method in business practices, workplace organisation or external relations.”
Oslo Manual, 3rd edition, OECD, 2005
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Some useable definitions
Change that creates a new dimension of performance.
Or
Change that outperforms previous practice.
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What does this mean?
Innovation is...
A new idea…
That comes from a new way of thinking or seeing a problem…
That is put into practice as a new way of doing something…
That leads to an improvement over previous practice.
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What innovation is notInnovation is not:
Change for change’s sake, novelty or invention.
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1. Effectiveness outcomes2. Efficiency cost3. Safety reduction in
errors4. Timeliness waiting times5. Equity greater access6. Co-ordination shared assessment7. People-centredness ease of useNHS Institute for Innovation and Improvement
7 dimensions of performance
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Activity 2
Thinking about your examples of innovation.
1. Are they innovations?
2. If they are, why? If they are not, why not?
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An actual example...
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Mental health crisis:• Some people who have received an episode of in-patient treatment for mental ill-health will have further “crisis” episodes whilst back in the community• When experiencing/about to experience a crisis, they are most likely to come into contact with a non-mental health professional – police, ambulance, fire and rescue• Engagement with non-mental health services can exacerbate the crisis• First response organisations are poorly equipped to deal with a person suffering a mental health crisis
The problem
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On behalf of a group of Clinical Commissioning Groups in London, CPI explored the feasibility of setting up an online digital platform for mental health service users – a mini “crisis care plan”:• patient uploaded information onto a digital platform (using principle of Patient Knows Best):
• how do I like to be referred to• next of kin – and how to contact them• my address• what signs I might be exhibiting in a crisis• what works to help me manage when I am having a crisis
• patient information (not clinical) accessible to third party organisations – with patient consent• gives first line response organisations information to better support people in crisis
What we did
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The outcomes:• people undergoing crisis better managed – improves patient outcomes• fewer crisis episodes escalate and require in-patient admission• more people undergoing crisis managed in the community• fewer people require formal admission to a place of safety (Section 136)
The impact
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It started with a stupid question:• “Why can’t mental health patients share their data?”
That led to a shift in mindset:•from assuming mental health crisis has to be lead by mental
health services•in-patient stays can be avoided by better engagement in the
community• patients can hold and share their own data• that everyone has a role to play in managing mental health
crisis
What was the innovation?
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Was this an innovation?
Innovation is...
A new idea…
A new way of thinking or seeing a problem…
That is put into practice…
That leads to an improvement over previous practice...?
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Why innovate?
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The key drivers1. Intractable problems2. Emerging problems3. Client expectations4. The new financial environment5. The new delivery landscape
“The defining social challenges of the 21st century … will not be solved by ‘off the shelf’ answers.” Innovation Nation
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What does this look like?Intractable problems
ASBSubstance misuseLong-term unemployment
Emerging problems
Ageing populationClimate changeChronic health
ExpectationsConvenienceQualityAccessibility Internet native
Delivery landscape
Funding cutsRe-structuring public sector“More with less”
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Innovation and the 3rd sector
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3rd Sector Organisatio
n
1. What public
sector often does
2. Service users
3. Volunteers/staff
4. Collaboration and partnerships
5. New ideas, concepts, studies
3rd sector points of innovation
Organisation can be
innovation eco-system
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• Third sector has un-paralleled links with clients, communities, service users, patients, public, volunteers...
• Third sector understand why people do and do not use services
• Third sector has a greater appetite for collaboration and new ways of working
• Third sector can bring an outsider’s perspective and challenge received ideas
• Third sector can promote/lobby new ways of working or can demonstrate new ways of working in practice – be the change they want to seek
Innovation and the 3rd sector
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020 7922 7820www.publicinnovation.org.uk Follow us on Twitter: @cpiorg
The Centre for Public Innovation32-36 Loman Street
London SE1 0EH