An Essential Redesign for Public Services

(with apologies to Mel Smith and Griff Rhys Jones)

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Today’s economic climate demandsradical public service reform.

I agree.

The Government is addressing that with several programmes: Efficiency and Reform, Digital by

Default and new ICT strategies.

However, those reforms are being constrainedby today’s ICT design in public services.

Is there an alternative?

Starting with the REDESIGN of those ICT solutions to better exploit the Internet.

I’m intrigued.

How long will it take to explain?

Two to three minutes.

Start the clock.

Let’s use healthcare in the UK as the example.

Here are some simplified application designs.

applications designed for a computer

GP Application (x 30,000)

Hospital Application (x 800)

Pharmacy Application (x 25,000)

Operate

Diagnose Prescribe Refer

Dispense

Diagnose

Keys: GP Pharmacist Consultant Local Comms.application boundary

Operate

Dispense

Diagnose

Blimey… There’s tens of thousands of applications in use in healthcare.

Operate

Dispense

Diagnose

As you can see public service applicationswere designed for individual organisations.

Operate

Dispense

Diagnose

How is the Internet being used?

Operate

Dispense

Diagnose

message passing

Internet

Systems Integration (SI) has been usedto move relevant data over the Internet

between those applications since the 1980s.

Operate

Dispense

Diagnose

message passing

Internet

I understand that.

What are you proposing?

an application designed for the Internetapplications designed for a computer

Operate

Dispense

Diagnose

Prescribe Dispense

Refer Diagnose Operate

Healthcare Application (x 1)

DiagnoseBook GP

Choose

Feedback

healthcare community application redesigned around the patient

message passing

Keys: GP Pharmacist Consultant Patient InternetLocal Comms.application boundary

It is now practical to replace that with a single healthcare application,

redesigned around the citizen.

Operate

Dispense

Diagnose

Prescribe Dispense

DiagnoseBook GP

Choose

Feedback

message passing

Wow. That looks like an effective redesign to me.I can see two radical reforms immediately.

The creation of citizen-centric public servicesand the dramatic reduction of ICT costs.

Operate

Dispense

Diagnose

Prescribe Dispense

DiagnoseBook GP

Choose

Feedback

message passing

Yes, and the ICT redesign also opens up process redesign opportunities and a new digitised finance design with even greater

economic benefits in areas such as tax collection and benefits distribution.

Operate

Dispense

Diagnose

Prescribe Dispense

DiagnoseBook GP

Choose

Feedback

message passing

Where can I find further information?

Operate

Dispense

Diagnose

Prescribe Dispense

DiagnoseBook GP

Choose

Feedback

message passing

There is a document at www.his.co.uk/r5.pdf.

That short paper also contains a transformation strategy for Government, including enabling technologies, as well as a link to a prototype.

Operate

Dispense

Diagnose

Prescribe Dispense

DiagnoseBook GP

Choose

Feedback

message passing

www.his.co.uk/r5.pdf Thanks. I can’t wait to read the paper….

… it looks likethe redesign of today’s ICT solutions is essential

to deliver radical public service reform effectively.

An Essential Redesign for Public Services

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