Public Sector Innovation – growing social needs, together with budgetary constraints, call for radically new public service models “ Reforms are ultimately designed to ensure the continuation of the current model - not prompting a rethink for a 21st century public service” David Eaves, Govt2 Task Force (Canada)
By 2030, 25% will be over 60. 80+ will double by 2050 Costs pensions, social security, health and long term care to increase by 4-8% GDP by 2025. Biggest healthcare challenge: delivering care to older people and those with chronic conditions
50% of men and 34% of women will have or have had a cancer diagnosis at sometime during their life People are living longer with cancer: a number of the 200 or so cancers are now considered to be a ‘chronic disease’. Can we think of cancer as a normal part of ageing? Siddhartha Mukherjee suggests that numbers speak to what is normal. And, often this is true – the mojority, or a large minority suggest a normal state of being, or look or behaviour. Therefore, if around 50% of men and 34% of women will have or have had a cancer diagnosis at sometime during their life time – is it then the ‘norm’ to have cancer? People are living longer with the disease and a number of the 200 or so cancers that we can describe are now considered to be a ‘chronic disease’. can we think of cancer as a normal part of ageing? we talk of, and invest millions in, ’finding a cure for cancer’ which is important and commendable – but, should we be investing equal amounts in ‘finding a way to live with cancer’. should we start thinking about investing in ‘aids for living with cancer’ in the same way as we do with other chronic diseases, for example. I am not for one moment comparing the life threatening aspects of some cancers with arthritis for example, but I am suggesting that we may think differently. Multiple myeloma, for example, is not a curable cancer, some people die of, some with it but increasing numbers of people (albeit a rare cancer – incidence approx 1% of all cancers and 15% of haematological cancers) are living for 10-20 years with the adverse effects of treatment. Fatigue, pain and peripheral neuropathy are major components of living with myeloma, and arguably, finding a cure would solve those – but, in the meantime, if we thought differently about the endpoint of cancer management – could we do better? http://www.guardian.co.uk/world/2011/jan/15/cancer-the-new-normal
In 2040 11 million people in Europe will have Alzheimer’s disease 30% of healthy elderly have already Alzheimer Early treatment needed to prevent morbidity and improve independence and quality of life Improved care for patients who are already demented In 2030 25% of European population is older than 65 years In 2040 11 million people in Europe will have Alzheimer’s disease or a related disorder No. of people with Alzheimer’s doubles with every 5 year age interval after 65. Total costs today €72 billion euro and expected to double by 2020.
. recent research in the UK and US highlights the energy and contribution of older entrepreneurs. 9 Contrary to popularly held assumptions, the highest rate of entrepreneurial activity belongs to the 55-64 age group. In every single year from 1996 to 2007, Americans between the ages of 55 and 64 had a higher rate of entrepreneurial activity than those aged 20-34.
Summarizes relevant dimensions of an innovation system Framework economic conditions : financial markets and access to credit, education, competition, bankruptcy laws, orientation of economic institutions towards entrepreneurship and dynamism. Structural changes : emergence of population of fast growing innovative firms is a sure sign that something disruptive, and positive, is happening. Likelihood that a good representation of the next generation of very large firms, leaders in their domains, originate in Europe Show current structural changes on organization of innovation (new division of labour in invention activities; increasing role of small firms ; vertical specialization and entries into new and highly focussed segments in the upstream phases of innovation ) (D. Foray)
In the UK, 40,2001 adults leave prison each year after serving a custodial sentence of less than 12 months. These prison places cost the tax-payer well over £213 million a year yet, on release, adults on short sentences receive no formal support to help them to successfully resettle into the community. 73% of these offenders go on to reoffend within 2 years of release (92% for those under the age of 21 years). Government spending on a range of deep-rooted social issues, including healthcare, adult mental health, and school truancy and exclusion, is similarly focussed on expensive interventions that deal with the consequences of the issue rather than addressing the root causes: £92 billion health expenditure in England, only 3.7% is spent on preventative interventions; Adult mental health costs government £10bn each year in benefit payments alone, while only £2m is spent on mental health promotion activities like promoting self-esteem and coping skills; Government spends £650m on truancy and £800m per annum on school exclusions while only £111m is spent on preventative initiatives. Government budgets are limited and early intervention spending is easier to cut in difficult times. Over time this creates a self-perpetuating pattern of expenditure , resulting in ever worsening social outcomes and an ever growing need for government resources to be spent on expensive crisis interventions
A Girl Named Facebook http://www.utne.com/Science-Technology/Egyptian-Girl-Named-After-Facebook.aspx
Innovation and creativity are the critical comparative advantages which Amsterdam needs to grow and to succeed.
Reinvent Europe Through Innovation Diogo Vasconcelos Distinguished Fellow, Cisco Chair, EU Business Panel Future Innovation
Europe’s leadership Johannes Gutenberg (1398-1468) Printing Press Charles Darwin (1809-1882) Theory of Evolution Florence Nigthingale (1820-1910) Modern Nursing James Watt (1736-1819) Steam Engine Engine Nursing Printing Evolution Rembrandt ( painter 1606-1669) Portrait Painting
Europe’s leadership Le Corbusier (1887-1965) Modern Architecture Coco Chanel (1883-1971) Fashion Icon Pablo Picasso (1881-1973) Modern Painting Albert Einstein (1879-1955) Modern Physics Art Architecture Hautecouture Nuclear Power
Europe’s leadership Alan Turing (1912-1954) Computer Science Guglielmo Marconi (1874-1937) Radio Tim Berners-Lee 1955- World Wide Web Nikolaus Otto (1832-1891) Automobile Engine Radio www. Automobile Computer
“ The key to our success – as it has always been – will be to compete by developing new products, by generating new industries , by maintaining our role as the world’s engine of scientific discovery and technological innovation .” President Obama
Focusing on key priorities and “grand challenges ” Build a leading 21st century infrastructure Create the IT ecosystem needed for 21st century innovation Support innovative entrepreneurs Enact the largest R&D budget increase in US history
http://ec.europa.eu/enterprise/policies/innovation/files/panel_report_en.pdf “ We propose a broader sense of innovation (from business to social innovation). EU innovation should be based around compelling social challenges such as chronic disease and other implications of our ageing society; inter-culturalism and hyper-diversity; climate change; environmental protection” Business Panel Future EU Innovation Policy, Oct 2009
Tackle major societal challenges whilst creating new business opportunities for EU industry
Set concrete targets (e.g. raising our citizens’ healthy life years by two in 2020)
A pilot on active and healthy ageing has been launched.
Over last 40 years the welfare gains associated with improvements life expectancy totalled 29–38% GDP.
Next innovation partnerships: smart cities, energy, raw materials, sustainable agriculture, water
Conclusions of the moderator: Diogo Vasconcelos, Cisco European Innovation Partnerships – meeting societal challenges and reinforcing competitiveness Seminar regarding the pilot "Active and Healthy Ageing“ 22 February 2011
Katherine Hepburn (1907-2003) Redelmeier and Singh, “Survival in Academy Award–Winning Actors and Actresses” American College of Physicians–American Society of Internal Medicine, 2001 “ Life expectancy is 3.9 years longer for Academy Award Winners” Stimulation is key
Who creates jobs? Haltiwanger, Jardin and Miranda, 2009,: Business Dynamics Statistics Briefing: Jobs Created from Business Star-ups in the United States, Erwin Marion Kauffman Foundation Contribution of business start-ups to overall employment and the net employment growth (US, 1992-2005)
“ What is needed is not new instruments for knowledge transfer, but something different: the spaces in which interactions can take place” (Geoffrey Crossick)
New Spaces for New Collaborations Health Launchpad provides funding and long term practical support from the germination of an idea through the pilot stage and finally to the delivery and scaled up application of the service
“ For Waag Society, Dialogue Cafe marks a continuation of our longstanding tradition of openness and experimentation, of exploring new ways of using technology to tackle today’s most pressing challenges .
Dialogue Café will provide a space for global conversations .”
A State that creates with people (social innovation) Geoff Mulgan
“ Substantially greater progress could be made in if nonprofits, governments, businesses , and the public were brought together around a common agenda to create collective impact. ” John Kania and Mark Kramer Stanford Social Innovation Review Winter 2011
Innovation and creativity: the critical comparative advantages