1. What the Big Society means for patients, carers and staff.
And why the government is not in charge of it.
Paul Hodgkin FRCGP
Chief Executive
Patient Opinion

3. 3

5. The Big Government way Change is achieved by changing the rules
Evidence base
NICE and policy
protocol
Incentives
clinician
Individual journey
Care
Pathway
‘Variation destroys quality’
‘Power enforces control’
Creative Commons Hodgkin/Patient Opinion non-commercial licence

6. 6

7. The Networked World way (aka the Big Society way)
Voice-enabled, patient-led, loosely-coupled
‘Variation drives quality’
‘Transparency gives bite’
On-line tools enable patients to act together +/- staff to achieve change

8. Voice has been democratised

9. Community is quicker, cheaper

10. It is easy to find people like me
And cheap to collaborate

11. The web radically reduces the cost of:
Having a public voice
Finding people like me
Collaborating
All these are citizen-centric, not organisation-centric

12. So how does this fit with the Big Society?
Cameron is following not leading
Big Society IS the shift from hierarchies to networks
Horizontal not vertical
Resistant to external control
Intrinsic motivation, not extrinsic motivation
Voice more important than markets and choice
People want to give because we want meaning

13. So what does this mean for how we relate to the NHS?
We need to build systems for ‘us’ – patients and staff
We can exploit the falling costs to do more for less
We are in the midst of ideological regime change

14. Creating patient-led quality ‘automatically’
Rate providers for number of responses

16. Helping the patient voice ‘automatically’ drive up quality
Rate providers for number of responses
Get MPs involved
Show who is listening to each story

17. Using Patient Opinion and NHS Local to create the Big Society
Link with broadcast media
Identify the thoughtfully passionate

18. Thoughtfully passionate people
Number
of people
using a
service
Thoughtfully passionate people
(who we can now find cheaply)
Known/Complaints
Indifferent Concerned Passionate
Low strength of feeling High

19. Using Patient Opinion and NHS Local to create the
Big Society
Link with broadcast media
Identify the thoughtfully passionate
Support them to agree improvements
Add Trust and PCT managers – on-line &/or off-line
Agreed outputs published on Patient Opinion
Future users verify that improvements are in place

20. Possible examples of ‘Big Society’ initiatives
Yoosk
Buddy - a social media radio from Sidekick
FixMyHospital.org
NameMyComplaint.org

21. Summarising the cultural shift
From hierarchies to networks
Citizen-centric, not organisation-centric
Cheap tools!
Much bigger than the NHS

22. Thank You Paul Hodgkin FRCGP Chief Executive Patient Opinion

23. National government and MPs
Patient Groups
Regulators
3rd party payers
Automatic notification
Service
User
Relevant staff
Story
Response
Comment s
Improvements
Comment from patient
Local government
National government and MPs
© Patient Opinion 2010

24. Social value creation vs what the NHS will pay for
Service
User
Relevant staff
Story
Response
Comments
Improvements
Patients
love it when
they help create
better services
Social value is created
throughout the conversation
but the system will only pay
for ‘data’ ie A B A
Providers currently much more interested in data than in improvements