Delivering better services and a better relationship with citizens: challenges for the next decade
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Geoff Mulgan, Hong KongNovember 2010
Delivering better services and a better relationship with citizens: challenges for the next decade
Give them enough food and arms and the people will have trust in you. If you have to give any up, give up the food and arms ... when there is no trust the common people will have nothing to stand on Confucius
A century of public services – as the key to trust
In the West, over 30 years of reform to improve efficiency – responses to the fiscal and trust crises of the 1970s Privatisation, deregulation, marketisation, agencies, new public management, performance management, targets , service guarantees, incentives.... The delivery model, partly drawn from manufacturing: linear; precise specification; economies of scale and scope and flow ....
What happened?Trust crises were contained but not solved. The public remained sceptical; efficient governments weren’t necessarily loved.So what can be done?
The relational state– addressing the quality of the relationship with citizens directly , with engagement, feedback, co-design, co-production and continuous improvement and innovation
Personal advisers, teachers and coaches with higher skills and more time in more personalised services
Public contracts, milestones, deliverables all on the web – to improve performance, reduce waste and corruption
Sundhed in Denmark – promoting self-management in health and saving money
The School of Everything – a platform linking teachers and learners but with no involvement of schools and colleges
Spice – a platform enabling people to exchange time
Mobilising the community to help with care
Social Entrepreneur in Residence (SEiR) accelerating design and spread of better ways to cut obesity, smoking
"Government 2.0 … represents a fundamental shift… toward an open, collaborative, cooperative arrangement ….“ Australian Government 2.0 Taskforce http://groups.google.com.au/group/gov20canberra
Neighbourhood websites becoming key tools for organising public services, engagement, self help
Smart travel schools projects and others promoting walking, local activity
Google’s personnel and incentives policy
Patient Opinion : feedback to hospitals, doctors and nurses Website that tells people what happened; what others are saying, positive as well as negative feedback
Innovation made natural and normal – extending R&D from science and technology to services, processes and governance
A new generation of innovation funds – focused on services, improving relationships as well as delivery
£220m Health Innovation Funds in the UK Stimulating Innovation Prototyping Challenge prizes Small business research Investing in Innovation Staged grants and investments using loans, equity, quasi-equity Dragon’s Lair models Removing barriers to innovation Payment by outcome Health impact partnerships Adapt and Adopt
September 2010: 70 billion Euro to be invested in social, public and technological innovation – ageing, carbon reduction, youth
NATO’s Policy Jam 3,800 people with expertise or interest in trans-Atlantic security issues from 124 countries logged in over five days for thematic conversations led by senior officials and scholars in Europe, Russia, China and the United States. Produced recommendations that call for NATO to develop a civilian arm and the European Union to create its own intelligence agency. 4,000 participants 10,000 logins 124 countries 5 days 10 streams 26 online hosts 75 facilitators
“We have grown used to the centre taking more and more of the decisions, despite the fact that in almost all cases the knowledge, expertise and experience required to inform those decisions are at the edge.” Beth Noveck, author of Wiki Government and Deputy CTO, Open and Transparent Government, The White House
What gets measured:... Patient satisfaction as well as health outcomes Fear of crime as well as crime Wellbeing as well as GDP Social wealth as well as economic wealth
Proportion of Americans with no-one to talk to about important things
Speed in crisis to preserve public confidence Speed of testing, piloting – to accelerate learning Slow and steady at cultural change, systems change Always explaining why as well as what
The relational state – addresses the quality of the relationship with citizens directly, and manages relationships alongside delivery, strategic goals and performance
Where next - adding the relational dimension - Feedback rich services with co-design and co-production To get there – conscious innovation and experiment Ethos of collaboration with the public – service with as well as service to