Eyewire Social media could transform the UK National Health Service and other public services in the same way that file-sharing changed the music industry, a conference has heard.

“Growing use of tools, such as Facebook and Twitter, offered an opportunity to reinvent services, delegates heard.

The MyPublicServices event debated ways to harness these conversations, many of which are critical, to make services better and more inclusive.

If this was not done, many services would be undermined, speakers said. “

Make sure to check the related links on the right for some innovative examples of people-driven public services.

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Doctors NESTA, the UK’s National Endowment for Science, Technology and the Arts, has published a 45-page discussion paper on how transforming healthcare to involve the public, i.e. the creation of people-powered public services, can save money and save lives.

The National Health Service (NHS) needs to save £15 billion to £20 billion over the next few years. This paper argues that these savings could be achieved through radical patient-centred service redesign and more effective approaches to public behaviour change. However, these approaches are difficult to develop within the existing health service.

NESTA’s experience of working with leading companies and developing projects in healthcare demonstrates that radical new ways of innovating that give genuine power to frontline staff, patients and the public are necessary to make these approaches widespread. This would unlock the savings we need and improve the nation’s health.

Download paper

Decoder Italy is in the process of switching to digital TV, and the implementation is pretty much a disaster, as far as I can tell from the reactions in the region where I live (Piedmont). Many of the problems are technological, but not all. A volunteer force of ‘angels’ is doing what it can:

Here is quick translation of an article from today’s Repubblica newspaper:

“TRENTO – You can take everything away from them, but not the television. Put yourself in the shoes of Mrs. Livia, 78 years old, who lives in the middle of the mountains of the splendid Trentino region, doesn’t come out of the house from November to April, and has her television on all day long. When she was no longer able to watch the TV programs, she picked up the phone and called the ‘decoder angels’. “Help, my television doesn’t work anymore”. She soon became one of 6,000 elderly in the Trentino region who received personal assistance in setting up a digital TV decoder at their home. These are people who cannot (or do not want to) count on the help of children or other family and are already getting into trouble with wiring or the new remote control, let alone the now required channel tuning, which they sometimes have to do several times due to the various repetitor stations in the Trentino valleys.

This is the other side of the digital revolution – the one that after Sardinia and the Aosta Valley has now reached Piedmont and Trentino Alto Adige, with a slew of problems, complaints, doubts, protests, and threats not to pay the television tax any longer. Even when everything is fine on a technical level, the work inside the homes is just starting. The elderly are the most vulnerable, as shown by a research done by the Department of Sociology of the University of Trento. The study is based on the work done by the ‘decoder angels’, young people who have been installing decoders for free at the homes of those over 75, on a program subsidised by the local government.

Anxiety, anger, impatience: that’s what you get when you take away the television of an elderly person who is used to have that voice always in the background. It is a trauma for them. And then there are the technical problems: unable to adjust themselves to the double remote control, some elderly get confused, use the tv remote control to change the decoder settings, and vice versa, and then complain because the channel doesn’t change or the volume doesn’t go up. Elderly men, who tend to be more proud than women, try to make do. But it is not easy to connect a television set from the 70’s (yes, the angels also found those) to a decoder from 2009. And that’s if the antenna on the roof is fine and there is a free electrical outlet behind the television.

Panic strikes when an interactive menu appears during channel surfing: better then to turn everything off. Probably those in charge of the switch to digital didn’t think of the fact that those in charge of the implementation would often be the immigrant caretakers of the Italian elderly, who are not always able to read manuals in Italian. “It’s easy to say ‘digital’, but the real challenge is to bring the digital into the real lives of people,” explains Pierfrancesco Fedrizzi, who is in charge of communication for the project. The sociologist Carlo Buzzi, who authored the study, is more critical: he speaks about a revolution that is misunderstood, at least by the elderly users: “They are only interested in watching their usual channels. They don’t know nor understand the digital world, let alone anything interactive. “