1. An Essential Redesign for Public Services
(with apologies to Mel Smith and Griff Rhys Jones)
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© HISL 2013 version 1.0

2. An Essential Redesign for Public Services
Today’s economic climate demands
radical public service reform.
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3. An Essential Redesign for Public Services
I agree.
The Government is addressing that with several
programmes: Efficiency and Reform, Digital by
Default and new ICT strategies.
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4. An Essential Redesign for Public Services
Yes.
However, those reforms are being constrained
by today’s ICT design in public services.
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5. An Essential Redesign for Public Services
Is there an alternative?
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6. An Essential Redesign for Public Services
Yes.
Starting with the REDESIGN of those ICT solutions
to better exploit the Internet.
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7. An Essential Redesign for Public Services
I’m intrigued.
How long will it take to explain?
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8. An Essential Redesign for Public Services
Two to three minutes.
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9. An Essential Redesign for Public Services
Start the clock.
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10. An Essential Redesign for Public Services
Let’s use healthcare in the UK as the example.
Here are some simplified application designs.
applications designed for a computer
GP Application (x 30,000)
Diagnose Prescribe Refer
Pharmacy Application (x 25,000)
Dispense
Hospital Application (x 800)
Diagnose Operate
Keys: GP Pharmacist Consultant application boundary Local Comms.
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11. An Essential Redesign for Public Services
Blimey… There’s tens of thousands
of applications in use in healthcare.
applications designed for a computer
GP Application (x 30,000)
Diagnose Prescribe Refer
Pharmacy Application (x 25,000)
Dispense
Hospital Application (x 800)
Diagnose Operate
Keys: GP Pharmacist Consultant application boundary Local Comms.
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12. An Essential Redesign for Public Services
Yes.
As you can see public service applications
were designed for individual organisations.
applications designed for a computer
GP Application (x 30,000)
Diagnose Prescribe Refer
Pharmacy Application (x 25,000)
Dispense
Hospital Application (x 800)
Diagnose Operate
Keys: GP Pharmacist Consultant application boundary Local Comms.
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13. An Essential Redesign for Public Services
How is the Internet being used?
applications designed for a computer
GP Application (x 30,000)
Diagnose Prescribe Refer
Pharmacy Application (x 25,000)
Dispense
Hospital Application (x 800)
Diagnose Operate
Keys: GP Pharmacist Consultant application boundary Local Comms.
Press enter or click mouse to advance

14. An Essential Redesign for Public Services
Systems Integration (SI) has been used
to move relevant data over the Internet
between those applications since the
1980s.
applications designed for a computer
GP Application (x 30,000)
Diagnose Prescribe Refer
message passing
Pharmacy Application (x 25,000)
Dispense
Hospital Application (x 800)
Diagnose Operate
Keys: GP Pharmacist Consultant application boundary Local Comms. Internet
Press enter or click mouse to advance

15. An Essential Redesign for Public Services
I understand that.
What are you proposing?
applications designed for a computer
GP Application (x 30,000)
Diagnose Prescribe Refer
message passing
Pharmacy Application (x 25,000)
Dispense
Hospital Application (x 800)
Diagnose Operate
Keys: GP Pharmacist Consultant application boundary Local Comms. Internet
Press enter or click mouse to advance

16. An Essential Redesign for Public Services
It is now practical to replace that
with a single healthcare application,
redesigned around the citizen.
applications designed for a computer an application designed for the Internet
GP Application (x 30,000) Healthcare Application (x 1)
Diagnose Prescribe Refer
message passing
Book GP Diagnose Feedback
Pharmacy Application (x 25,000) Prescribe Dispense
Dispense
Refer Choose Diagnose Operate
Hospital Application (x 800)
healthcare community application
Diagnose Operate redesigned around the patient
Keys: GP Pharmacist Consultant Patient application boundary Local Comms. Internet
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17. An Essential Redesign for Public Services
Wow. That looks like an effective redesign to me.
I can see two radical reforms immediately.
The creation of citizen-centric public services
and the dramatic reduction of ICT costs.
applications designed for a computer an application designed for the Internet
GP Application (x 30,000) Healthcare Application (x 1)
Diagnose Prescribe Refer
message passing
Book GP Diagnose Feedback
Pharmacy Application (x 25,000) Prescribe Dispense
Dispense
Refer Choose Diagnose Operate
Hospital Application (x 800)
healthcare community application
Diagnose Operate redesigned around the patient
Keys: GP Pharmacist Consultant Patient application boundary Local Comms. Internet
Press enter or click mouse to advance

18. An Essential Redesign for Public Services
Yes, and the ICT redesign also opens up
process redesign opportunities and a new
digitised finance design with even greater
economic benefits in areas such as tax
collection and benefits distribution.
applications designed for a computer an application designed for the Internet
GP Application (x 30,000) Healthcare Application (x 1)
Diagnose Prescribe Refer
message passing
Book GP Diagnose Feedback
Pharmacy Application (x 25,000) Prescribe Dispense
Dispense
Refer Choose Diagnose Operate
Hospital Application (x 800)
healthcare community application
Diagnose Operate redesigned around the patient
Keys: GP Pharmacist Consultant Patient application boundary Local Comms. Internet
Press enter or click mouse to advance

19. An Essential Redesign for Public Services
Where can I find further information?
applications designed for a computer an application designed for the Internet
GP Application (x 30,000) Healthcare Application (x 1)
Diagnose Prescribe Refer
message passing
Book GP Diagnose Feedback
Pharmacy Application (x 25,000) Prescribe Dispense
Dispense
Refer Choose Diagnose Operate
Hospital Application (x 800)
healthcare community application
Diagnose Operate redesigned around the patient
Keys: GP Pharmacist Consultant Patient application boundary Local Comms. Internet
Press enter or click mouse to advance

20. An Essential Redesign for Public Services
There is a document at www.his.co.uk/r5.pdf.
That short paper also contains a transformation
strategy for Government, including enabling
technologies, as well as a link to a prototype.
applications designed for a computer an application designed for the Internet
GP Application (x 30,000) Healthcare Application (x 1)
Diagnose Prescribe Refer
message passing
Book GP Diagnose Feedback
Pharmacy Application (x 25,000) Prescribe Dispense
Dispense
Refer Choose Diagnose Operate
Hospital Application (x 800)
healthcare community application
Diagnose Operate redesigned around the patient
Keys: GP Pharmacist Consultant Patient application boundary Local Comms. Internet
Press enter or click mouse to advance

21. An Essential Redesign for Public Services
www.his.co.uk/r5.pdf
Thanks. I can’t wait to read the paper….
… it looks like
the redesign of today’s ICT solutions is essential
to deliver radical public service reform effectively.
applications designed for a computer an application designed for the Internet
GP Application (x 30,000) Healthcare Application (x 1)
Diagnose Prescribe Refer
message passing
Book GP Diagnose Feedback
Pharmacy Application (x 25,000) Prescribe Dispense
Dispense
Refer Choose Diagnose Operate
Hospital Application (x 800)
healthcare community application
Diagnose Operate redesigned around the patient
Keys: GP Pharmacist Consultant Patient application boundary Local Comms. Internet
Press enter or click mouse to advance