LOOK out


The need to achieve more with less through sourcing...

Public sector service delivery faces an unprecedented need for transformation as services are commissioned in an increasingly connected and distributed economy, and, as service users increasingly want to co-create the services they consume. Current financial pressures will likely preclude major investment in service transformation (despite ring-fencing of some budgets) and thus there is an urgent need to ‘achieve more with less’ without compromising key health outcomes. There are opportunities to further capitalise on best modern practice already available in other sectors – a process that the health service has already begun. The key is to develop a clear and coherent sourcing strategy – a way of exploring how different service delivery models (in-house, shared services, joint ventures, outsource and hybrids) can best be combined across different providers (such as public private and third sector) to optimally deliver a set of strategic outcomes.


21stC NHS

What does ‘free at the point of delivery’ mean for a 21st Century UK health service?

I recently attended a conference at which two clinicians – one a GP, the other a Consultant – jointly presented their experience of how joined-up patient records are transforming healthcare delivery in the UK. I found it an inspiring session. Talking explicitly about a vision for ‘patient-centric care’, the two doctors explained how technology was changing both their and, more importantly, their patients’ lives. Here are just two quick examples:

 •         By using a digital camera to photograph a lesion on a diabetic patient’s foot, the GP was able to then share the record with a diabetic consultant at the hospital, get their expert opinion and agree treatment. All without the need for the patient to wait for an outpatient appointment and then attend a clinic. And this was achieved in a matter of days, rather than weeks.

•         By using a set-top web-cam, the Consultant was able to have a virtual consultation with a patient who found it extremely difficult to travel. Even though the person concerned was elderly, he found this approach suited his needs perfectly and was happy with the treatment. And his GP was immediately updated on the treatment provided through the shared electronic patient records.


Necessity, Invention and Gov 2.0

In this LOOK out, Jim Scopes co-founder of 8020 Insight looks at some of the challenges that the UK Government and the public sector face and suggests a paradigm change that is necessary for the government of the future.   


The public sector is under pressure as never before. As it moves further towards commissioning services in a connected and distributed economy, where service recipients expect to co-create the services they consume, government needs to reinvent itself. Yet finances are under severe pressure and will remain so for the foreseeable future leading to growing calls for substantial savings – whilst preserving or improving services. 

How can government react to these pressures and what will the government of the future look like? 

Seeking to design the government of the future in any detail (Gov 2.0) is futile. Instead, government needs to understand trends and adopt new behaviours / operational modes that can capitalise on them. This can help to identify possible characteristics of the government of the future such as:

  • a smaller centre with localised outcome-centric delivery (‘ministers for outcomes’ not ‘ministers of state’);

  • a partner-centric approach to developing delivery models – where local government is leading the way (Whitehall has a great deal to learn from Town Hall); and

  • a recognition that service users are more than just ‘customers’ – they are citizens and businesses who want to engage, not just consume. 

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