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An Essential Redesign for Public Services
© HISL 2013
(with apologies to Mel Smith and Griff Rhys Jones)
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version 1.0
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An Essential Redesign for Public Services
Today’s economic climate demandsradical public service reform.
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An Essential Redesign for Public Services
I agree.
The Government is addressing that with several programmes: Efficiency and Reform, Digital by
Default and new ICT strategies.
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An Essential Redesign for Public Services
Yes.
However, those reforms are being constrainedby today’s ICT design in public services.
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An Essential Redesign for Public Services
Is there an alternative?
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An Essential Redesign for Public Services
Yes.
Starting with the REDESIGN of those ICT solutions to better exploit the Internet.
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An Essential Redesign for Public Services
I’m intrigued.
How long will it take to explain?
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An Essential Redesign for Public Services
Two to three minutes.
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An Essential Redesign for Public Services
Start the clock.
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An Essential Redesign for Public Services
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
Press enter or click mouse to advance
An Essential Redesign for Public Services
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
Blimey… There’s tens of thousands of applications in use in healthcare.
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An Essential Redesign for Public Services
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
Yes.
As you can see public service applicationswere designed for individual organisations.
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An Essential Redesign for Public Services
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
How is the Internet being used?
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An Essential Redesign for Public Services
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
message passing
Internet
Systems Integration (SI) has been usedto move relevant data over the Internet
between those applications since the 1980s.
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An Essential Redesign for Public Services
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
message passing
Internet
I understand that.
What are you proposing?
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An Essential Redesign for Public Services
an application designed for the Internetapplications designed for a computer
GP Application (x 30,000)
Hospital Application (x 800)
Pharmacy Application (x 25,000)
Operate
Diagnose Prescribe Refer
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.
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An Essential Redesign for Public Services
an application designed for the Internetapplications designed for a computer
GP Application (x 30,000)
Hospital Application (x 800)
Pharmacy Application (x 25,000)
Operate
Diagnose Prescribe Refer
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
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.
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An Essential Redesign for Public Services
an application designed for the Internetapplications designed for a computer
GP Application (x 30,000)
Hospital Application (x 800)
Pharmacy Application (x 25,000)
Operate
Diagnose Prescribe Refer
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
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.
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An Essential Redesign for Public Services
an application designed for the Internetapplications designed for a computer
GP Application (x 30,000)
Hospital Application (x 800)
Pharmacy Application (x 25,000)
Operate
Diagnose Prescribe Refer
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
Where can I find further information?
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An Essential Redesign for Public Services
an application designed for the Internetapplications designed for a computer
GP Application (x 30,000)
Hospital Application (x 800)
Pharmacy Application (x 25,000)
Operate
Diagnose Prescribe Refer
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
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.
Press enter or click mouse to advance
An Essential Redesign for Public Services
an application designed for the Internetapplications designed for a computer
GP Application (x 30,000)
Hospital Application (x 800)
Pharmacy Application (x 25,000)
Operate
Diagnose Prescribe Refer
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
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.