the power of voice: harnessing web 2.0 for ppi in the nhs [email protected]

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The power of voice: harnessing web 2.0 for PPI in the NHS www.patientopinion.org.uk [email protected]

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Page 1: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

The power of voice: harnessing web 2.0 for PPI in the NHS

[email protected]

Page 2: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Web 2.0 is here

The web is transforming how we access and share information about ourselves and our worldmyFace (!)Travel reviews, book reviews,

restaurant reviews…Sharing pictures, videos, musicCreating reputations (eBay)Citizen journalism

Page 3: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

But the NHS is very web 1.0

Much official health and social care information is already available onlineNhschoices.nhs.ukHealthcare Commission reportsSocial care inspection reports

But almost none of this comes directly from the experience of patients

Page 4: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk
Page 5: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Flickr.com

Page 6: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk
Page 7: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk
Page 8: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Posting on Flickr.com

Page 9: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Comments about a Canadian obstetrician on RateMDs.com

Page 10: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

How significant are user-generated sites?

In 2005 there were ~600 billion web pagesaround 100 pages for everyone alive

Around 60% of which were uploaded by citizens

• Kevin Kelly. Wired, August 2005• www.wired.com/wired/archive/13.08/tech.html

Page 11: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Patients and the web: pros

A (very) public forum Widely accessible, even from home

May allow wider participation Can cope with almost infinite numbers

At low cost Allows even quiet voices to count Allows anonymity

Page 12: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Patients and the web: cons

Requires net access Unfamiliar Not face-to-face May be harder to establish

authenticity and trust

Page 13: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Easy for the NHS

blogging

PatientOpinion

Formal complaints

Surveys

YouTube, Flickr,RateMDs.comLitigation

Engaging with patients

Hard for the NHS

Easy for the public

Hard for the public

Page 14: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk
Page 15: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Patient Opinion

A new website For patients

to give feedback on their health services to easily see what others are saying

For health care providers to hear – and respond to – patient concerns

and thank-yous to compare their ratings with others

Page 16: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

How is Patient Opinion set up?

A social enterpriseA not-for-profit businessNot a charity or a project

Independent of the NHSBut sharing NHS values

Page 17: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Contribute feedback

See what others say

Page 18: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Enter postcode and

problem

Page 19: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

See local services

Page 20: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Compare on seven

dimensions

Page 21: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

See how others rate a hospital or specialty

Contact details for

PALS

Page 22: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

A lot of feedback is

simply positive

Page 23: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Critical feedback highlights issues for attention

Page 24: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Much feedback is

mixed

Page 25: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Services still need to solve basic issues

Page 26: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

The web is both intimate

and public

Page 27: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Many opinions are

very thoughtful

Page 28: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Trusts can respond online

Page 29: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Our experience to date

About 3,500 opinions and ratings posted to date

Much of it very positiveMany “thank yous”

Some very critical, but usually thoughtfully so

We are able to publish over 95%

Page 30: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Services are responding

PCTs and trusts are learning to respondThere is some warinessA new style of communication is

needed But small changes to services are

already being made

Page 31: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Some postings change local services

Page 32: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

Where next?

Beyond hospital servicesMaternity, mental health, primary

care… Widening engagement

Enabling public dialogue between local services and their LINks, local authorities, MPs, patient groups…

Generating change in culture and practice

Page 33: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

“It took 4,000 days to produce 600 billion web pages.

What will we produce with the net in the next 4,000 days?”

Kevin Kelly, editor of Wired

Page 34: The power of voice: harnessing web 2.0 for PPI in the NHS  james.munro@patientopinion.org.uk

www.patientopinion.org.uk

Visit the site or email me to find out more