The London School of Economics Public Policy Group Seminars “Innovating Out of the Recession” Peter Gilroy OBE Chief Executive Kent County Council “The most important lesson: think horizontally. The world is moving from a place where value was created in vertical silos of command and control to a world where value is increasingly going to be created horizontally by how you connect and collaborate - how you synthesise this with that” Thomas Friedman “The World is Flat” Global Changes & Technology Changes Funding in future and the global recession mean the public sector can not afford to continue as it is The conflict for citizens and care professionals is how to maintain and increase independence and reduce public costs against a background of demographic change & public expectation As citizens we are becoming more articulate and more demanding and we like to handle things ourselves Increasingly “online” Public services and expectations are moving into services that give choice and increase quality of life Citizenship means influence – that means transforming the way we interact and engage The Digital Age – Digital Britain Globalisation and the Internet have fundamentally altered approaches and behaviours Public Access in the 21st Century and our behaviour is changing Needs are inter-related Telephonic access needs to be simple – single numbers Web access needs to be interactive Footfall complementary Multi-agency linkages and connectivity DID YOU KNOW ? 1 out of 8 couples married in the US last year met online CARTER REPORT!! Broadband and broadband mobile technology is being used for Information activity Engagement Transactional activity Four Examples from Kent • Telehealth: £1.5m on bed days alone in a year • The Kent Card: £2m saving • Gateway: £10m saving • Kent TV: £200k savings on publications – more to come! • This is about quality of service as well as productivity Video on telehealth Telehealth 1000 people involved Reduced hospital visits/admissions Increased confidence and quality of life for service users and their carers Alongside the Kent Card this is a journey that is starting to shape the future in Kent Fundamental implications for Social and Health Care over the next decade nationally and internationally for remote care and clinical management The Kent Card Developed with the Royal Bank of Scotland New to the banking world Preloaded with an agreed amount Simplifies Direct Payments No need to apply for or manage a bank account or keep detailed records The Kent Card Puts people in control and makes a reality of choice Simplifies back office processes, and saves time and money Developed for Social Care but potential applications right across local government and the Health Service Agreed to trial use for Continuing Care, Patient Transport, Specialist Equipment Video on Gateway programme Gateways Customer focused Cross-agency: central & local government, voluntary sector, business community (eg Lloyds Pharmacy) Modern, retail concept and setting: high footfall, convenient, friendly environment, customer first mindset Takes traditional “one-stop shop” concept further Complementary to web, telephone and traditional home visiting Mobile Gateway – bringing services to rural communities 7 Gateways now – 3 more to open soon Central to office transformation strategies Video on Kent TV KENT TV 24/7 broadband community channel, not just news Promoting the best of Kent Transforming communications & embracing digital age – iPod, mobile downloads Tourism, politics, leisure, education, public health Tackling gritty issues – bullying, social exclusion “How To” channel New “What’s On” channel Training for social care providers Over 1 Million visits Truly interactive Impacting on the “glue” that creates communities and community cohesion Just a click away – www.KentTV.com Conclusion This is not about restructuring – it is about transformation and being obsessed with the citizen’s experience of public services Promoting independence and choice, and personalisation of services Shift of power from systems and practitioners to service users and citizens Technology is just a tool. Dramatic change will continue and we should not underestimate the massive shift in all areas of our lives with regard to applied technology. There will be more change in the next ten years than in the last seventy You see things; and you say “Why?” But I dream things that never were; and I say “Why not?” George Bernard Shaw