NHS Citizen Leadership Day: Thinking in Public

An event led by the Tavistock Institute, Involve, Demsoc, Public-i and the NHS England Patient and Public Voice Team

for NHS Citizen

13 February 2014

The context Sir David Nicholson

(Chief Executive, NHS England)

Lord Victor Adebowale (Non-Executive Director, NHS England)

Thinking in public

What kind of future are we creating?

Is this the Network Society?

Self Publication: Disintermediation of the Media

Virtual Community and Social Networking: Wide scale use of Networked Power

Collaborative Culture: Creating a sharing economy

Radical Openness: Disruption of the democratic relationship

Networked Technology: Smart Cities and new streams of information

Customization, Making and Self-Service: Disruption of manufacturing and the industrial economy

Technology or Social Change?

The Internet is the most significant technological development of the last 100 years. At least.

What do we mean by Digital?**what do I mean?

Digital is a contested term

Our relationship with the public is changing

There are new rules of engagement

Networked Digital

Open Agile

Participatory Culture and a Network Society

Collaborating

ParticipatingSharing

Creating

Connecting

Open by default: this is open not just in terms of information but also in terms of thinking and decision making

Digitally native: not in terms of age but in terms of the individual adopting the behaviours and social norms of the digital culture

Co-productive: an expectation that everyone in the conversation has power to act and the potential to be active in the outcome as well as the decision-making process

And as the name says, networked: able to be effective via networked as well as hierarchical power as a leader, to blur boundaries and to work across groups

The qualities of Democracy in a Network Society

Government is no longer the

only one creating public

space

Data?

Creativity?

Opportunities to sell stuff?

Building and making?

It doesn’t have to be defined by the

technology

There are other ways of looking at this

http://www.uckfieldnews.com/

http://lewes.co.uk/

http://hollingdeannews.wordpress.com/

A new Public Sphere?

Co-production and ABCD

New kinds of spaces

Networks….of networks

Society not Technology

Participatory Culture+

Asset based community engagement=

A new way of working with citizens

What does this mean for leaders?

Is it reasonable or appropriate to expect our leaders to have a minimum level of knowledge with respect to digital

in the wider social as well as technical sense?

If we do have this expectation does this change the type of people who we want to have in leadership positions or

does it simply mean that we have to up skill to leaders (and potential leaders) we already have?

Different skills are needed

An understanding of networked powerCreating personal relevanceCollaboration skillsCo-design skills Social media ‘social’ skills

An adequate understanding of the basic lexicon of digital Horizon scanning and researchData skillsDigital commissioningAgile project management

Behavioral Practical

These are cultural not technical skills

Will we just communicate with the public or collaborate with them?

NHS Citizen Purpose• To give citizens and organisations a direct

transparent route to the heart of the NHS England decision making process 

• To give the NHS England board and others a new source of evidence and opinion on the NHS now and future.

• To give the public an open and robust accountability mechanism for the work of NHS England

• To establish a mechanism/system that leads to action, quickly

NHS Citizen Model

NHS Citizen Model

NHS Citizen Model

NHS Citizen Model

NHS Citizen Leadership Day: Thinking in Public

What is Open Space?

Picture Credit: markhillaryon Flickr

Picture Credit: Micah Taylor on Flickr

Picture Credit: NuagedeNuit on Flickr

Four Principles•Whoever comes are the right people•Whatever happens is all that could have

happened•When it starts it is the right time•When it is over, it is over

Two Rules

Picture credit: Loop_oh Picture credit: hiljainenmies

Open space question

What will you do differently to make the most of the opportunities offered

by NHS Citizen?

What you will do differently

Review and Next Steps

Thank you