"Radical Change" ("Förändra radikalt") est un projet de l’Association suédoise des autorités locales et des régions (SALAR), associant une dizaine de municipalités suédoises désireuses de tester de nouvelles solutions pour leurs vieux problèmes, par un appui méthodologiques et des activités communes.

1. (Changement radical)
Change
radically

2. Sweden
• 9,5 million inhabitants
• 290 municipalities
• 20 county councils

3. • Education 27,1%
• Elderly care 19%
• Childcare 14,5%
• Functional disability 11,5%
• Assistance for individuals and families 4,5%
• Economic aid 2,5%
• Other 21%
Tasks

4. Tax income 67%
Government grants 17%
Fee 6%
Other 10%
Revenues

7. Long-term Focus
Control
Short-term Focus
Consider the parts
separately
the Context
Trust
Authority
Perspective
Customer Focus
World Value Survey 2011
66 % want to participate -
5% answer that they have the possibility today
Challenges
Members in political parties
3,9% are members of a political party, about
1% of the citizens are aktive members
We live longer
Increased demand for elder care

8. Value Assessments in Local Authorities
Citizens Civil servants Polticians
Current Values
Cost reduction
Uncertainty about the future
Short-term focus
Bureaucracy
Central control
Confusion
Waste of resources
Environmental awarness
Unemployment
Tradition
Economic stability
Cost reduction
Central control
Uncertainty about the future
Short-term focus
Unemployment
Democratic processes
Proud to live and work in the
Municipality
Enviromental awarness
Bureacracy
Uncertainty about the future
Unemployment
Bureaucracy
Cost reduction
Enviromental awarness
Short-term focus
Central control
Tradition
Nature conservancy

9. Value Assessments in Local Authorities
Citizens Civil servants Polticians
Desired Values
Employment oppertunitiy
Concern about future generations
Financial stability
Concern about the nature
Sustainability
Long-term focus
Commitment
Quality
Enviromental awarness
Democratic process
Employment oppertunitiy
Financial stability
Concern about future
generations
Democratic process
Sustainability
Enviromental awarness
Dependable public service
Long-term focus
Entrepreneurship
Citizens engagement
Employment opportunitiy
Concern about future generations
Financial stability
Concern about the nature
Dependable public service
Sustainability
Family
Citizens engagement
Long-term focus

10. Shifting Perspective
From knowing to not knowing/learning
From Focus on "inside-out" to Focus on both "inside-out" and
"out-side in"
From " showing up well" (conventional professional norms) to
being well authentically as ourselves
From directing to engaging/inspiring

11. Co production – when…
• The user has a voice, not only in the
group but as an individual
• We use the experience knowledge of
users/patience
• One works together to reach the goal

12. Why?
• Individualized service service/treatment
• More accuracy, better result
• Being able to meet with demands of influence and
willingness to take responsibility
• Selfcare, empowerment – less required helplessness
• Lower cost, to cope with financing, wellfare services
• Meet with new costs

13. Planning,
deciding
Co auditing,
evaluating
Users/patients/f
amily/relatives
Representatives/
organisations
Doing
Co-production
- Individual level?
- Operational level?
- Strategic level?

14. User perspective <vs> the perspective of the user?
Care and treatment shall start in the perspective of the patient.
We communicate, we don’t inform.
Two experts – patient and doctor cooperates.
(Vision of patient safety, VG)

15. A question of treatment?
- Not enough
Or a question of where we can find knowledge?
- A convincion that the ones we serve can contribute with important
wisdom and resources

16. Today and a possible tomorrow
1. Rhetorical phase
2. Phase of representation
3. Integrative phase – starting to be included in everyday work.
4. New order – natural part of practice

17. Different
Better
Lower cost

19. • Show how the public sector can be a driving force
• Show how radical innovation processes generate
increased benefits
• Identify legal barriers
• Interact with national/international research and
do/think tanks
Change radically - goals

20. VI ÄR HÄR
MÅL OCH
RESEARCH-
FRÅGOR
DESIGN-
RESEARCH
INSIKTER OCH
MÖJLIGHETER
Förstå problemet
IDÉER OCH
LÖSNINGAR
TESTER OCH
ITERATION
Hitta lösningen
PROTOTYP
Förverkliga
lösningen
TIDLINJE
Understanding the
problem
Finding
solution
Making it
happen
Goal and
research-
questions
Design
research
Insights and
possibilities
Ideas and
solutions
Testing
and
iteration
Prototype
(We are
here)

23. 2014-12-19 23
- Feels like
paternalism
- We have to
reapply all
the time
- I must at all
times be
accountable
for my needs.
- I have to
negotiate
about time
- I have to beg to
get more escort
for disabled
- Inflexible
systems
- Activities are
being clocked
What we got to hear:
- There’s narrow
limits to what
you can do.

25. Upscaling
Control &
management
implications and planning
Documentation
thinking in new ways
Legal obstacles
identifying
Analysis and conclusions
spring
autumn