The “integration agenda” and public online feedback Tim Hunt Patient Opinion [email protected].
Www.patientopinion.org.uk [email protected] How the web is changing how we involve...
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Transcript of Www.patientopinion.org.uk [email protected] How the web is changing how we involve...
How the web is changing how we
involve patients
Easy for the NHS
blogging
Formal complaints
Surveys
YouTube, Flickr,RateMDs.comLitigation
Engaging with patients
Hard for the NHS
Easy for the public
Hard for the public
© P
au
l Ho
dg
kin
Voice
Flickr.com
Easy for the NHS
blogging
PatientOpinion
Formal complaints
Surveys
YouTube, Flickr,RateMDs.comLitigation
Engaging with patients
Hard for the NHS
Easy for the public
Hard for the public
© P
au
l Ho
dg
kin
Does Patient Opinion work?
• 10,000 plus stories on the site
•60% of stories posted to Patient Opinion get a response(43% on NHS Choices)
• We only reject 5% of stories(24% rejected on NHS Choices)
•Some stories clearly generate service improvements
A society of networked individualism creates an new economic landscape
Cheap voice
Ridiculously easy collaboration
These are citizen-centric not organisation-centric
Lower prices lead to an over-supply. For voice this can lead to on-line offensiveness and bullying
‘Shroud wavers on speed’ using these toolsmay reduce solidarity
How do create social capital out of social software?
Socio-economic status of contributors
Least deprived 20% of population
Most deprived 20% of population
NHS NW subscribers: Trusts• 5 Boroughs Partnership• Bolton NHS Trust• Cardiothoracic Centre NHS Trust• Christie FT• Clatterbridge FT• Countess of Chester FT• East Cheshire NHS Trust• Mid Cheshire NHS Trust• North Cheshire NHS Trust • North Cumbria Acute Hospital Trust• North West Ambulance Trust• Pennine Acute NHS Trust • Southport & Ormskirk NHS• Tameside & Glossop Acute Trust• Trafford Healthcare NHS Trust • Walton Centre NHS Trust• Wirral NHS Trust• Wrightington, Wigan & Leigh Trust
• Ashton, Leigh & Wigan PCT• Blackburn with Darwen PCT• Blackpool PCT• Bolton PCT• Bury PCT• Central & Eastern Cheshire PCT• Central Lancs PCT• Cumbria PCT• East Lancashire PCT• Halton & St Helens PCT• Heywood Middleton&Rochdale PCT• Knowsley PCT• Liverpool PCT• Manchester PCT• Oldham PCT• Sefton PCT• Tameside & Glossop PCT• Trafford PCT• Warrington PCT • Western Cheshire PCT• Wirral PCT
NHS NW subscribers: PCTs
Life enhancing today
Avoiding death tomorrow
Best solution known/Good evidence
Best solution unknown/No evidence
Co-create using small budget
Significant Discretionary
budget
Vouchers and menu based care+/- discretionary budget Accept/decline
best practice advice
Multiple Co-morbidities
Worried well
screening
Medical aspectsof individual LTC
Much mental health
Life style: obesity, exercise, smoking
Palliative care
Per
sona
lised
car
e
Systematic care
Low
Low
High
High
50’s/60’s
70’s/80’s
90’s/00’s
10’s/20’s
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A society of networked individuals empowered by the new economics of the web experiences
Reduced informational asymmetries
Reduced power differentials
Reduced vulnerabilityincreased solidaritynew gift economiesco-creation with professionals
We have put ‘choice’ at the wrong point
Ill people make terrible shoppers
But afterwards know exactly what went right and what went wrong
