1. NHS Citizen Leadership
Day: Thinking in Public
An event led by the Tavistock Institute,
Involve, Demsoc, Public-i and the NHS England
Patient and Public Voice Team
for NHS Citizen
13 February 2014

2. The context
Sir David Nicholson
(Chief Executive, NHS England)
Lord Victor Adebowale
(Non-Executive Director, NHS England)

3. Thinking in public

4. What kind of future are
we creating?

5. Is this the Network
Society?

6. Technology or Social Change?
The Internet is the most significant technological development of the last 100
years. At least.
 Self Publication: Disintermediation of the Media
 Virtual Community and Social Networking: Wide scale use of Networked Power
 Collaborative Culture: Creating a sharing economy
 Radical Openness: Disruption of the democratic relationship
 Networked Technology: Smart Cities and new streams of information
 Customization, Making and Self-Service : Disruption of manufacturing and the industrial
economy

7. What do we mean by
Digital?*
*what do I mean?

8. Digital is a contested term

9. Our relationship with the
public is changing

10. There are new rules of engagement
Networked
Open
Digital
Agile

11. Participatory Culture and a Network
Society
Collaborating
Sharing
Connecting
Creating
Participating

12. The qualities of Democracy in a Network
Society
Open by default: this is open not just in terms of information but also in terms of thinking and decision
making
Digitally native: not in terms of age but in terms of the individual adopting the behaviours and social
norms of the digital culture
Co-productive: an expectation that everyone in the conversation has power to act and the potential to
be active in the outcome as well as the decision-making process
And as the name says, networked: able to be effective via networked as well as hierarchical power
as a leader, to blur boundaries and to work across groups

13. Government is
no longer the
only one
creating public
space

14. Data?

15. Creativity?

16. Opportunities to sell stuff?

17. Building and making?

18. It doesn’t have to be
defined by the
technology
There are other ways
of looking at this

19. http://lewes.co.uk/
http://www.uckfieldnews.com/
A new Public Sphere?
http://hollingdeannews.wordpress.com/

20. Co-production and
ABCD

21. New kinds of spaces

22. Networks….of
networks

24. Society not Technology

28. Participatory Culture
+
Asset based community engagement
=
A new way of working with citizens

29. What does this mean for
leaders?

30. Is it reasonable or appropriate to expect our leaders to
have a minimum level of knowledge with respect to digital
in the wider social as well as technical sense?

31. If we do have this expectation does this change the type of
people who we want to have in leadership positions or
does it simply mean that we have to up skill to leaders (and
potential leaders) we already have?

32. Different skills are needed
Behavioral
An understanding of
networked power
Creating personal relevance
Collaboration skills
Co-design skills
Social media ‘social’ skills
Practical
An adequate
understanding of the basic
lexicon of digital
Horizon scanning and
research
Data skills
Digital commissioning
Agile project
management

33. These are cultural not
technical skills

34. Will we just communicate with the
public or collaborate with them?

35. NHS Citizen Purpose
• To give citizens and organisations a direct
transparent route to the heart of the NHS England
decision making process
• To give the NHS England board and others a new
source of evidence and opinion on the NHS now
and future.
• To give the public an open and robust
accountability mechanism for the work of NHS
England
• To establish a mechanism/system that leads to
action, quickly

36. NHS Citizen Model

37. NHS Citizen Model

38. NHS Citizen Model

39. NHS Citizen Model

40. NHS Citizen Leadership
Day: Thinking in Public

41. What is Open Space?

42. Picture Credit: markhillaryon Flickr

43. Picture Credit: Micah Taylor on Flickr

44. Picture Credit: NuagedeNuit on Flickr

45. Four Principles
• Whoever comes are the right people
• Whatever happens is all that could have
happened
• When it starts it is the right time
• When it is over, it is over

46. Two Rules
Picture credit: Loop_oh
Picture credit: hiljainenmies

47. Open space question
What will you do differently to make the
most of the opportunities offered
by NHS Citizen?

48. What you will do differently

49. Review and Next Steps

50. Thank you