RED

Designing new public services presentation

I've had lots of requests from people who heard me speak at conferences in the US recently for a copy of my slides. The presentation sets out why we need a new generation of public services and a new(design-led) method of creating them. I talked about our two healthcare projects, designing for behaviour change and transformation design. Click here for a pdf of the presentation and a (very) rough transcript.

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Jennie Winhall | LINK | DESIGN METHODS + HEALTH PROJECT + PUBLIC SERVICES + TRANSFORMATION DESIGN | COMMENTS (0)

The name is BoND.....

Our colleagues in Bolton are moving ahead apace with developing the joint ideas for self-management in diabetes. The BoND team at the Bolton Diabetes Network have been driving this forward, with support from across the NHS in Bolton and from other partners and 15 GP's surgeries signed up for the trial. Plans for rolling out a pilot of the diabetes agenda cards are now on the verge of going live with the goal of getting initial results in March 2007, with hopes for identifying a wider roll-out of the cards and trainers from summer 2007.

Jude | LINK | HEALTH PROJECT | COMMENTS (0)

activmobs are go!

Those of you who have been following the RED Health project will know that we have been working with Kent County Council in developing the activmobs concept into a live service. We have built a team to provide support, with involvement from experts in social software and social enterprises. Kent have defined initial focus locations and are starting to build networks of motivators and trainers â€“ if you are in the area and would like to get involved contact RED for more details. Itâ€™s exciting to see this getting of the ground and we will post updates on progress as we move forward!

Jude | LINK | HEALTH PROJECT | COMMENTS (1)

PM embraces healthy living

RED set an ambitious agenda last year for healthy living. We set out to help people live well with diabetes and live active lifestyles as they grew older. Last week the PM made a speech embracing this agenda committing the government to action to tackle our unhealthy lifestyles. This is really welcome. Well done TB!

Matthew Horne | LINK | AGEING + HEALTH + HEALTH PROJECT + PUBLIC SERVICES | COMMENTS (0)

See your doctor on the hight street

Chemist giant Boots wants to introduce GPs and hospital consultants into its stores as part of the drive to bring the NHS to the high street. Apparently Boots is offereing to rent space in its own stores to GPs. RED thinks that this innovation seems like a good idea - making GPs more accessible and more convenient for consumers. But it will not create the long term relationships between doctors and patients that are necessary to tackle the really big healthcare challenges like obesity, diabetes, heart disease, cancer and depression.

Matthew Horne | LINK | HEALTH + HEALTH PROJECT | COMMENTS (0)

Bolton New Deal on Diabetes Launch

The Bolton Diabetes Network last week launched BoND: Bolton's New Deal on Diabetes, at a meeting of over 100 front-line Diabetes care workers in the city. RED's Nick Morton and Colin Burns joined meeting Chairman, Dr. Stephen Liversedge, and the team from Bolton PCT, led by Dr. Jane Pennington, Nurse Consultant. Jane was one of the co-design team that worked with RED last year on developing new approaches to care for people living with Type II Diabetes.

The BoND team are rolling out the Agenda cards - a tool to help re-frame the Professional / Patient consultation process, and a supporting web site. 1,000 sets of cards will be deployed over the next few months, through a number of the GP practices within the PCT. The RED team are really delighted that this project
has such a strong on-going momentum in Bolton.

Colin Burns | LINK | HEALTH PROJECT | COMMENTS (0)

RED REPORT 01: Open Health ...Published

Today we publish our first RED report: 'Open Health'. The report follows on from the RED PAPER 01 Health: Co-creating Services and presents the findings of practical work undertaken over the 9 months from December 2004.

The report remains work in progress and we welcome comment. Over the coming months we will be looking at taking this work to a different scale working in partnership with other health and non-health organisations. Regular updates on our progress will be found on this blog.

You can download the report and the associated design notes from our health page.

Chris Vanstone | LINK | HEALTH PROJECT | COMMENTS (0)

Health Project Design Notes published!

We've just published the Design Notes for our Health Project. They detail the user research and co-design that went into developing prototypes of co-created systems in Kent - to encourage active ageing and in Bolton to develop systems to help people live better with type 2 diabetes.

Get them here

Chris Vanstone | LINK | HEALTH PROJECT | COMMENTS (0)

Complex systems and activmobs

"We are continually faced with a series of great opportunities brilliantly disguised as insoluble problems." John W. Gardner

This quote appears in an interesting article by the Plexus Institute on why the increasingly centralised, controlling and mechanistic healthcare services which have been developed across the globe, fail and will continue to fail to deliver services which satisfy users and staff alike. It suggests that study of Complex Adaptive systems can suggest a way out of this situation. It says that "The defining feature of complex adaptive systems is emergence: (where)the order that emerges through the interactions of components in complex systems is "greater than - and different from - the sum of the parts"

Nick Morton | LINK | HEALTH PROJECT | COMMENTS (0)

Health: Another Take

In November Robin Murray spoke at the Oxford Health Alliance annual conference in Yale. This is the film they made about us - featuring interviews with Robin and Jennie Winhall.

Chris Vanstone | LINK | HEALTH PROJECT | COMMENTS (0)

RED Film 01: Health

This short film tells the story of our two RED health projects...view film.
(9 minutes / 8.8MB - Quicktime required)

Chris Vanstone | LINK | HEALTH PROJECT | COMMENTS (0)

What's that mob thing?

The activmob project website it now live. Read an introduction to the activmob platform, an output of our work in Kent and view some prototype touchpoints including: your.mob the activmob magazine and screenshots of website.wearemobs.org

Chris Vanstone | LINK | HEALTH PROJECT | COMMENTS (0)

Activmob Week 4 report : 'I will go down to Safeways tomorrow and say 'when I was with my personal trainer...''

Monday evening Anne Marie our personal trainer ran the first Backmob, the four participants were delighted with the experience and didn't even ache too much the next day. Anne Marie had devised a simple circuit involving exercises with a swiss ball, weights stretchy thing, trampoline and a medicine ball (3kg). Some of the participants have serious back injuries, but after some initial apprehension that Anne Marie did well to manage they got into the swing of things. (maybe it was ABBA in the background that helped) and are looking forward to next weeks session.

Initially we thought that we could devise activities that people would be able to do in their own front room, but 'getting out of doors' in itself was a clear motivator. We thought that activities could be devised which wouldn't need the support of a trainer - yet having seen the fundamental role that a trainer is playing this is difficult to imagine too.

Key functions of the trainer:

Identified individual motivations and medical conditions

Enhance group dynamics

Reassurance - 'Don't look scared' - 'You will feel pain tomorrow, but it's the worst it will ever be - it's important to come back..'

Safety - 'Don't use your hands on the swiss ball'

Planning suitable activity

Vary exercises for individuals abilities - 'I don't want you doing this one Sue'

Prevent people from doing too much - 'Don't over exhert yourself - we'll do that next week'

Encouragement - 'All of you are brilliant, your mobility is great, your form is great'

The rest of the week has been spent in London refining the system and producing the catalogue and presentations to get feedback on next week - our final week in Park Wood.

Chris Vanstone | LINK | HEALTH PROJECT | COMMENTS (0)

Motivational cards naming competition

As part of our work on the Diabetes project cards concept we are looking for a name for these cards! Some possible names are listed below – please join in and help to name a tool which can help to emphasise patient choice by helping them to take control of their care agenda. Final entries by 16th February!
Deal me in
Me in 3
Me 2
My deal
Agenda cards
Trigger cards
Pathways cards
Outlook cards
The me deck
Navigation cards
meDeck

| LINK | HEALTH PROJECT | COMMENTS (3)

Diabetes design – Week 2: Evaluating the support network

During the week two sessions we focused on; exploring the system and new services that could be put into place in order to best address the needs of diabetes patients; how the cards concept could work best with patients; and identifying situations in which the cards would be of most use.
Key feedback from week two was that there did appear to be a need for a person who fulfilled a role in increasing the motivation of people (where motivation is defined on the basis of being “an ability to act on knowledge”.) This develops on the idea that existing treatment is knowledge-based and that some patients would benefit from additional support that helps them to act on the existing support that is being provided. In order to address the divergent needs of patients it was felt that this position should be as an independent patient champion, and that they should be able to select this person based on their specific needs.
Areas that still need to be addressed are; how long patients would have this support; how this support may relate to the Asian patients; how this fits alongside the use of the cards as a tool for more effective consultations for clinicians; how the cards could be tested; and how the motivational interviewing skills can be built into the core competence framework.
All thoughts welcome!

| LINK | HEALTH PROJECT | COMMENTS (0)