I shared this presentation at Healthcare Innovation Expo 2014 in March.

1. Selfish or Selfless....?

2. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Selfish or selfless?
“There’s no difference between selfish and
selfless if you understand how the world works.”
President Bill Clinton & Stephen Colbert
(TED Talks)

3. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Wealth of Networks
●
Extrinsic motivation: motivation that comes
from outside in the form of financial reward,
punishment, etc.
●
Intrinsic motivation: motivation that derives
from within ourselves, such as the pleasure
involved in completing a task.
Benkler, Y., (2006)

4. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Social / Peer - Production
●
Producing and consuming informational goods
●
NHS Networks
●
Standards emergence
●
Medicine is not a black-box
●
EHI Best Practice theatre
●
This is the usual way working for Health and
Social Care professionals

5. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Open Innovation
●
Benefits
●
Reduced cost of conducting research and development
●
Potential for improvement in development productivity
●
Incorporation of customers early in the development process
●
Disadvantages
●
Possibility of revealing information not intended for sharing
●
Potential for the hosting organization to lose their competitive
advantage as a consequence of revealing intellectual property
●
Increased complexity of controlling innovation and regulating
how contributors affect a project
Chesbrough, H. (2008)

6. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Closed versus Open
●
The paradigm of closed innovation holds that
successful innovation requires control
●
Patents, Intellectual Property, Copyright
●
Prince2, Financial Controls
●
Open source and open innovation are not
mutually exclusive.
●
Participating organisations can collaborate
through an independent organisation

7. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Message from the Cabinet Office
●
For common problems use Opensource.
●
For rare problems use Buy.
●
For unique problems use Build.
http://digital.cabinetoffice.gov.uk/2012/10/12/coding-in-the-open/

8. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
CICs – A social enterprise
A Community Interest Company (CIC) is a limited
company, with special additional features, created
for the use of people who want to conduct a
business or other activity for community benefit,
and not purely for private advantage.
http://www.bis.gov.uk/cicregulator

9. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
A simple example
Open Source Software
CIC
NHS Organisations
Developers
(n)
Clinical Governance Policy Makers

10. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
A social system
Open Source CIC
NHS Trusts
(Sml/Med/Lrg)
Subscription
Governance/
Assurance/
SW Maint SLA
Accredited
PartnersSLA £
Partner FeesCommunity
Edition
Others w/
Community Edt SLA £
Developers
(n)
Clinical Governance Policy Makers

11. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Openness...
●
“Over time, the supply and demand model supporting
OSS encourages the development of a competitive
marketplace for providers of support.”
Beverley Bryant
●
“The Cabinet Office now has some geeks who can
spot consultancy bullshit at 50 paces. ... The
Government Digital Service brief is to build the right
technology, using modern methods and approaches”
http://www.theguardian.com/technology/2013/nov/03/obamacare-website-barack-obama-healthcare-computer-meltdown

12. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Open Source CICs
●
Because:
●
Obvious Community
●
Shared Interests
●
Runs just like a Company
●
OJEU friendly procurement through VEAT
●
Opens innovation while providing governance

13. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
CICs – Some examples...
●
HANDIHealth!
●
OHIG – ohig.org
●
Renalink and other projects from Tactix4
●
HSCIC and opensource?
●
NHSvista / NHS VistA ?

14. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
Questions?

15. Tactix4 at NHS Expo 2014
04/03/14
Rob Dyke, rob@tactix4.com
@robdykedotcom @tactix4
THE END