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PROVIDERS OF
CitizenCommunity Corporate
PROVIDED FOR
“Life can only be understood backward, but it must be lived forward”. Soren Kierkegaard
The OECD ...is grá geal my chroí
Potential for the public service ‘to become more focused on its contribution to the achievement of broader citizen-centred societal outcomes.’
OECD Public Management Reviews: Ireland – Towards an Integrated Public Service
Understanding the Life CycleInter-Connectedness & Complexity
HHHHomeHospiceHospital HotelHospitality
HFH STANDARDSPatientStaffFamilyHospital
HOSPICEHolisticPhysical PsychologicalSpiritualSocial
FORUM on END of LIFESocialHealthEconomicLegislativeAdministrativeEducationalCulturalReligious
ELDER COUNCILSSocial ConnectionsServicesTransport & MobilitySafety, Security, CrimeIncome & Financial Resources
NESCHuman Services SectorsEldercareEnd-of-life careDisabilityPolicing
Unravelling the Life Cycle
The challenge: ‘how to wrap supports around the individual based on where they are in the lifecycle’ NESC
Public Services
• Pilots• Public Service Excellence Awards• Philanthropic Funds• Caution• Help-Desk• Senior Civil Service• Regulation• One size fits all• Service Model• Evidence Base• Anecdote• Committed to maintaining status
quo
Services with & for Public
• ‘Airports’ / Clustering• Public Service Innovation Network• Innovation (R&D) Funds • Challenge (Internal) • Pathfinders & Guides• Oversight by ‘Elders’ (PIRs)• Personalisation• Self-Management• Logic Models: Inputs-Outputs-Outcomes• Evidence informed / Values Base• Experience based• Committed to Improvising adapting and
overcoming in the face of adversity
Changing Public Services‘The Search for Actions with Leverage’
Croke Park – Whose Agreement?
‘The greatest danger in times of turbulence is not the turbulence; it is to act with yesterday’s logic’.Peter Drucker
Self-Management
“..rather than giving fixed budgets to traditional public service providers like the HSE, VECs and Fás, we will put resources into the hands of citizens to acquire services that are tailored to better suit their needs and less expensive for the taxpayer”Programme for Govt
“We need more people …..who are less diffident in the presence of technology. There are not enough articulate Luddite, anti-technology voices.”Dr David Gelernter. Pioneering Computer Scientist. Economist 3rd Feb 2011 http://www.economist.com/node/21540383
‘the fate which for some older people precedes death – confined to a bed in an open ward in an old building eating dinner on one side of a curtain while on the other side a person uses a commode’.
Dr Maurice ManningPresident
Irish Human Rights Commission
“What I would like to see is community based trusts developing new innovation models embedded in local communities and finding ways to do this that at least won’t be more expensive than current private care costs- otherwise the idea will be shelved as being too expensive”Anonymous