This document summarizes an online chat discussion between multiple participants. Key discussion points included: - Interest in how online platforms can effectively connect people and support patient/citizen engagement - Challenges clinicians face in engaging with online communities due to fears about personal information being exposed and lack of time/IT access - Importance of using existing familiar platforms like Facebook to build trust and leveraging volunteer sector partners to help establish online communities - Need to support clinicians to feel they can safely engage online without risking their personal online identities and help transition mindsets from positional authority to experiential credibility

1. fromMark Outhwaite toAll Participants:
Morningall
fromJo HemmingtoAll Participants:
Good morningall
fromMark Outhwaite toAll Participants:
JoiningfromWiltshire
fromMark Outhwaite toAll Participants:
You avoidedmysurname!lol
fromGareth to All Participants:
Morning,Gareth fromLeeds
fromGareth to All Participants:
Good thanks,lookingforwardtothe talk!
fromGareth to All Participants:
Dont be sillyKate,itsthe Northright;)
fromBen Metz to All Participants:
Hi all,douse th echat box to letus knowyourinterestsinthe subjectandwhatspecificallyyouwant
to discusstoday
fromGareth to All Participants:
Lol,yea we hadour fewdaysa fewweeksago:)
fromCarolynChalmerstoAll Participants:
VerymistyanddreichtinOrkney. I feel sorryforthe folkwhohave justarrivedonthe bigcruise
linerinKirkwall bay
fromFionaO'Neill toAll Participants:
I am interestedinthe platformsthatcan connectpeople -whatworks?
fromMark Outhwaite toAll Participants:
My interesttodayisinthe analysisof social networksandonline communitiesandhow these
insightscanbe usedto make evenbetteruse of these networks(whilstminimisingthe riskof
'freezingthembylookingatthem - the Basilisk'sGlare effect)
fromCarolynChalmerstoAll Participants:

2. Interestedtofindouthowwe mighttake advantatge of thisto improve connectivityacrossthe
Northof Scotlandandouterislands
fromSarah Chalmers-Page toAll Participants:
I'm newto the whole area,anddroppinginout of interest. I'mworkingonan STP andthinkthat
technologyhashuge potential tosupportpatientinvolvementbothintheirowncare and infuture
service development,buttodayI'mprobablyaimingtolurkand learn.
fromBen Metz to All Participants:
OK - thanks - useful stuff - wil tryand coverthese inthe conversation
fromCarolynChalmerstoAll Participants:
I like 'Lurkand Learn'Sarah
fromSarah Chalmers-Page toAll Participants:
There'sprobablya managementbookinthere somewhere!
fromÁine Carroll toAll Participants:
I'm responsible for5integratedcare programmesinIrelandandam verykeentosee how we can
fullysupportpatient/citizenengagementinthe developmentof the programmes,self management
supportetc.Going to listenandlearn!
fromJanetto All Participants:
Please tweetusinghashtag#EdgeTalksandthe handle @School4Radicals@theEdgeNHS
fromJanetto All Participants:
Checkout the workwe have done on platformsasa way of engaging:
http://theedge.nhsiq.nhs.uk/wp-content/uploads/2016/04/Platforms-for-Social-Change-Final-
report.pdf onthe NHSEdge.
fromJanetto All Participants:
ThanksPaul.All goingwell!
fromJanetto All Participants:
Couldwe share any on-line platformsthatwe know are effective forsharingpatientstories?
fromBen Metz to All Participants:
www.patientopinion.org.ukisthe platformthatPaul founded
fromAlisonCamerontoAll Participants:
Can't waitnexttime Iam expectedtogive consultancyorspeakasa patientatan expensive health
care eventfornothingtointoruduce themtothe money,valuesandtrusttrilemma!....

3. fromMark Outhwaite toAll Participants:
Alsion- the ineffable JohnPophamhadthe followingquote aboutthat'Everytime youaska
freelancertodosomethingforfree aunicornbreaksitsleg& spearsa kitteninthe eye withitshorn
as it falls'
fromMark Outhwaite toAll Participants:
AlisonImean!Spelling!
fromAlisonCamerontoAll Participants:
That is evenbetter!Iwill quote thatone forsure.
fromSarah Chalmers-Page toAll Participants:
Mark andAlison,Ido love that. I remembertalkingaboutpatientinvolvementata conference in
2010 and people stillbeingastonishedthattheyshouldinvolve the publicatall ("buttheyaren't
trained!"),letalone paythem.
fromKate PoundtoAll Participants:
can you mute himplease?
fromSarah Chalmers-Page toAll Participants:
I wishI'd hadthe unicornline!
fromMark Outhwaite toAll Participants:
Ohh- I like that
fromAlisonCamerontoAll Participants:
Spearingcliniciansinthe eye isafirstforEdge Talks.
fromMark Outhwaite toAll Participants:
Dunbar's Number- the equivalentof '42' hohumm
fromMark Outhwaite toAll Participants:
An example of averyinterestingcommunityliterallyhackinghealthcare is
http://www.nightscout.info
fromTim Mustill toAll Participants:
Is there a avearge %or ratio of active to watchingparticipantsforthese typesof cummunity?
fromEsther FlanagantoAll Participants:
How doyou measure meaningful onlinecommunityengagement?

4. fromTim Mustill toAll Participants:
yep
fromCarolynChalmerstoAll Participants:
Yes
fromMark Outhwaite toAll Participants:
Yes - can hear
fromSarah Chalmers-Page toAll Participants:
yes
fromMichele toAll Participants:
yes,i can hearyou
fromCarolynChalmerstoAll Participants:
Notnow though
fromMark Outhwaite toAll Participants:
No notnowJanet
fromEsther FlanagantoAll Participants:
no
fromBev Matthewsto All Participants:
whatare the keycriteriafor successful self-sustainable online communities
fromAlisonCamerontoAll Participants:
Thisstuff aroundmanagingidentityisreallyinteresting.Iwasall aboutchallengingprofessionalsto
leave theirjobtitle atthe doorbut realisedItoostruggledtoemerge fromthe "patientbox"
fromMark Outhwaite toAll Participants:
Janetyouare muted
fromMark Outhwaite toAll Participants:
yesnow
fromJon Bryant toAll Participants:
Hi Paul and Kate
fromTim Mustill toAll Participants:

5. will there be clusterswithinclustersegtumourtype withinanoncologycommunity?The figure in
the slide implieslimitedoverlap.
fromMark Outhwaite toAll Participants:
It isreallyinterestingwhenyoustarttoactuallygraphicallymapthese networks
fromMark Outhwaite toAll Participants:
Benand paul - youare on mute
fromBen Metz to All Participants:
sorry guys - we have no audio - soundslike underwaterdoctorwho
fromMark Outhwaite toAll Participants:
Ben/Paul couldcome invialandline ormobilephone
fromMark Outhwaite toAll Participants:
Detailsunderaudiomenuitem
fromJanetto All Participants:
it can be reallydifficulttoaligntrust,valuesandmoney - how can we do itin a verycompetitive
environment?
fromEsther Flanaganto All Participants:
We have founditdifficultforNHSstaff toaccess online communitiesdue tolackof time butalso IT
restrictions!Isitbettertouse existingplatformsortry to developnewones?
fromJanetto All Participants:
Baby dragons - love it?Usercentric designinonline communities - zerocostsappealstome
fromTim Mustill toAll Participants:
Can we pickup anythingfromsiteslike this...http://www.fabnhsstuff.net/
fromCarolynChalmerstoAll Participants:
Our Vol sectorpartnershave helpedus(NHS) tosetup a Facebookpage forChronicPain
fromMark Outhwaite toAll Participants:
Dragons,unicornsand kittens - excellentsummaryof manyonline communities!
fromJanetto All Participants:
Please askyourquestionsinthe chatroom andI will tryto get Benand Paul to addressthem.
fromMark Outhwaite toAll Participants:

6. Basilisk'sGlare syndrome
fromMark Outhwaite toAll Participants:
Justlookingatit freezesit
fromJon Bryant toAll Participants:
Thinkusingexistingplatformsbringsalevelof trustwithitthat startinggroundup doesn't
fromMark Outhwaite toAll Participants:
Alsouse existingplatformslike Facebookasitisalreadyfamiliar - alsprememberthatfor
patients/carerstheirconditionisapart of theirlife not'apart fromtheirlife'
fromMark Outhwaite toAll Participants:
For cliniciansdiabetiesissomethingIdoat work.For patientdiabetiesispartof whoI am at workor
at play
fromJanetto All Participants:
Estheris there a questionyouwanttoask?
fromSarah Chalmers-Page toAll Participants:
Mark, do you meanthatin termsof identity(e.g.whenIwaspregnantIidentifiedasapregnant
woman,butwhenI have a migraine Idon't fullyidentifyasa migraine sufferer,so it'scondition
dependent),orjustinthe softersense thatit'sa central part of life,notanepisode?
fromJon Bryant toAll Participants:
I like the opensource mentality/model
fromSarah Chalmers-Page toAll Participants:
I'm justthinkingthe extenttowhichtailoringtoidentitywoulddependonthe condition
fromDerekC Stewartto All Participants:
How dowe reallylearnfromthose whoare doingthisandshare that learning?
fromMark Outhwaite toAll Participants:
The softersense - itsall the overlappingcirclesthatare beingdescribed
fromTim Mustill toAll Participants:
Checkout ImogenCheese forclassicexampleof aninspiredindividual
http://www.melanomapatientconference.co.uk/
fromAlisonCamerontoAll Participants:

7. As forme mine isa verylongtermcondition.Iwasdiagnosedin1998. I ledto lossof careerhome
and yes,identity.SoItotallygetthe identitything.Mydiagnosesbecame mylabelsasthe thingsby
whichI had previouslydefinedmyself were removed.Thisis mightydiffernttojustgoinginto have a
boil lanced.
fromCarolynChalmerstoAll Participants:
I thinksome clinical colleaguesmightbe frightenedaboutexposingthemselveswiththiskindof
interaction
fromMark Outhwaite toAll Participants:
What I am sayingI suppose thatthese communitiesnaturallyoverlapintoareasof widerlifewhlsta
purelyNHSresponse tendstofocusonthe clinical andthose issuesimmediatelyadjacent
fromMark Outhwaite toAll Participants:
So more natural to findlike mindedpeople onFacebook - diabeticswhoalsoenjoyparachuting
fromJanetto All Participants:
I thinkthiswouldreallyappeal tocliniciansgiventhattheyoftendonthave the time forface to face
engagement
fromJanetto All Participants:
One question isthe overlapbetweenidentityandconditionforon-line communities...
fromSarah Chalmers-Page toAll Participants:
ThanksMark, that makessense
fromCarolynChalmerstoAll Participants:
Applysome improvementmethodology?
fromDerekC Stewartto All Participants:
The NHS will enduplike KingCanute - youcannotstop thistide andas you saytheyhave to catch
up.
fromEsther FlanagantoAll Participants:
How can we engage NHSmanagersto geton board withthe use of online communities?
fromMark Outhwaite toAll Participants:
You have to learnto swiminthe sea - not buildyourownswinningpool
fromEsther FlanagantoAll Participants:
I thinkthere isan elementof fear

8. fromMark Outhwaite toAll Participants:
swimming
fromÁine Carroll toAll Participants:
As a clinician,i thinkwe needtobe brave andengage.Ihave learnta huge amount withmylimited
online engagementandI'ma real scaredycat to keepwiththe animal theme!
fromJon Bryant toAll Participants:
Control stops thingstakingtheirnatural state,soperhapshonestbrokermoderatorsare a wayof
goingwiththe flowof a forkingcommunity
fromMark Outhwaite toAll Participants:
The NHS (andindeedpatients) needtodoa lotmore to supportcliniciansandmanagers experiment
and learninthisspace
fromPaul WoodleytoAll Participants:
findingawayto tap intopatientengagementcouldhelpgetaccesstothe increasedaccessto
technologythatwasdiscussedearlier
fromSarah Chalmers-Page toAll Participants:
Certainlyearlierinmycareerwhenwe were firstdiscussingonline engagementthere wasalotof
fearof whatpeople wouldsay,wouldtheybe critical,wouldtheybreachsomeone else's
confidentiality("whenIsawMrs Smithat the doctorsshe said..."). Ihad hopedthatwasfadingbut
I'm assumingnot?
fromMark Outhwaite toAll Participants:
Enormousdissonance betweenNHSmanagementandclinical experience of collaborative
technologysupportingtheirrole internallyandwhatisemergingoutside the NHSamongstthese
communitiesandprivate sector
from@domcushnanto All Participants:
@mark - yep
fromEsther FlanagantoAll Participants:
Fundamentallycliniciansare stilltrainedtocreate boundariesbetweenthemandpatients.Online
communitieschallenge this.
fromMark Outhwaite toAll Participants:
Watch out for the Digital Zorroprojectcomingsoonwhichisdesignedtoaddresshow tosupport
and create more Digital Insurgents
fromMark Outhwaite toAll Participants:

9. in these communitiesfrompositional authoritytoexperientalcredibilityisanimportantmind-set
for effective engagementforclinicians
fromMichele toAll Participants:
WouldBigWhite Wall fall intothe middle ground?
fromJanetto All Participants:
Changingourmindsettojourneynotjustproduct- reallyimportantinservice design.
fromSarah Chalmers-Page toAll Participants:
I thinkthere'salsoa reluctance toexpose personal life. If adoctor joinsanopencommunity,I'mnot
sure theyknowhowto stop people seeingpersonal profilesandsites,whichmightinclude griping
abouthow tiredtheyare,picturesof themonholidayorat a party,theirthoughtson the strike and
so on. AndI thinkthere isa bitof fearaboutbeingtooopenand authenticincase you make a
mistake andthensomeone seesapicture of youwitha glassof champagne froma couple of nights
later. I've met social workerswhowere semi-forbiddenfromevenbeingonFacebook,letalone
joiningcommunitiesrelatedtothe people theywere helping - Idon'tthinkdoctors andnurseshave
everopenlybeenthatheavilycontrolledbutIcan see an emotional needtokeeponlineidentitiesas
a sort of safe space. Doesanyone have anythoughtson how we couldsupporthealthprofessionals
to feel thattheycouldsafelyengage withoutriskingtheirownonline safe space toventandrelax?
fromSarah Chalmers-Page toAll Participants:
Sorry,that turnedintoa bit of an epictangent..
fromDerekC Stewartto All Participants:
The middle isaboutmutality - where we canlearnfromeach other(Patienttopatient;Patientand
professions;InformationandStory) Thisleadstobettershareddecisionmaking
from@domcushnanto All Participants:
Veryinterestingcomment@Sarah
fromEsther FlanagantoAll Participants:
Good questionSarah!
fromEsther FlanagantoAll Participants:
I wouldlike toknowthe answerformyself!
from@domcushnanto All Participants:
@sarah - i thinkpeople have differentpersonasondifferentsocial platforms?
fromkaren toAll Participants:

10. Is itjust healthprofessionalsthatneedthatspace?Anyprofessionalswithfitnesstopractice would
be interested?
from@domcushnanto All Participants:
hmmwouldlike toknowmore aboutthe financing
fromRussell GundrytoAll Participants:
Is the presentationavailable online?Ican't openthe clickon the 'read more'linkswhenIclickon
them!
fromJon Bryant toAll Participants:
by crowdsourcinginvestorsthe tail can'twag the dog?
fromSarah Chalmers-Page toAll Participants:
Karen,yes,Ithinkso. And@domcushnanI thinkthe problemwouldbe if youwere usinganexisting
platform(whichIthinkisgreat). If a diabetesnurse joinedadiabetesgrouponFacebookthey'dbe
usingherpersonal profile,unlesstheyknew how tosetupa "diabetesteamatSt Elsewhere"type
page,and eventhatwouldlinktothemas a person. Sothey'dneedsupportto setprivacysettings
so that,say, theirpolitical activismorthoughtsontheirhaircutwere still possibletohide fromthe
diabetesgroup,if theyfeltunsafesharingthat.
from@domcushnanto All Participants:
@russell itshouldbe yes
from@domcushnanto All Participants:
@sarah yesi thinkthere isconversationaroundonline privacy?Idonthave abig answersorry
fromkaren toAll Participants:
So manysimilaritiestocurrentdiscussionsaroundpeersupport(offline).Thankyou:-)
from@domcushnanto All Participants:
where cani learnmore about Meta Capital :)
fromTim Mustill toAll Participants:
Is there a reference froEnatanglementtheory?
fromMichele toAll Participants:
thankyou Paul and Benreallyveryinterestingandinspiringwork.
fromBen Metz to All Participants:
do sendthe slidesaround - paul wwas goingto do a slideshare

11. fromRussell GundrytoAll Participants:
Thanks, that wouldbe great
fromPaul WoodleytoAll Participants:
The slideswill be made availableandwill be sharedonthe Edge Talkspage after the event
fromhelenbevantoAll Participants:
Thishas beena fantasticsession.We needtotweetthe linkwidely andgetlotsof people watching
this
fromMichele toAll Participants:
Balick'sbookis a greatresource
fromJane Douthwaite toAll Participants:
ThankyouPaul andBen,veryinterestingsession
fromBen Metz to All Participants:
aaron balick - the psychodynamicsof social networks
fromBen Metz to All Participants:
https://www.amazon.co.uk/Psychodynamics-Social-Networking-Instantaneous-Psychoanalysis-
ebook/dp/B00FF739I8/ref=sr_1_1?ie=UTF8&qid=1464946599&sr=8-1&keywords=balick
fromÁine Carroll toAll Participants:
Blockchainasa wayto share data? Fascinating!
fromDerekC Stewartto All Participants:
Thank youso verymuchfor thisenlightenedandinformativeonline discussion.
fromRussell GundrytoAll Participants:
There'sa big questionabouthowthe tippingpointiscreatedinsocial healthcare.The massively
successful techinnovatorstendtohave beendrivenbysimplicityandsingularvisionof an
individual...Inhealthcare we have atendencytoclutterdesignbybeingall thingstoall people.
from@domcushnanto All Participants:
https://www.healthbank.coop/amazingwork
from@domcushnanto All Participants:
i wouldlove toknowyourthoughtsonGoogle DeepmindandIBMWatson on healthcare
fromSarah Chalmers-Page toAll Participants:

12. That looksreallyinteresting
fromSarah Chalmers-Page toAll Participants:
...healthbank,Idon'tknowaboutgoogle deepmind!
fromkaren toAll Participants:
Watson at AlderHey - wouldreallylike toknow parentsandchildren'sviewsonit
fromÁine Carroll toAll Participants:
Thishas beenanexcellentsession.Ihave muchto thinkaboutbutyou have givenme ideaswhere to
start. Nowwheresthatinspiredindividualandhonestbroker...??!
fromkaren toAll Participants:
So muchof whathas beensaideasily appliestooffline peergroups/patientgroups - Is iteasierto
do all thisonline oroffline?
fromAlisonCamerontoAll Participants:
Follow@mjseresforgreatinsightfromapatiententrpreneur.
fromDerekC Stewartto All Participants:
Worth lookingatmanyof the rarer cancer groupsin Europe.
from@domcushnanto All Participants:
@kareni thinkonline allowspeople todothingsatanytime anywhere
fromJon Bryant toAll Participants:
Opensource thinkingcouldcreate aninterface betweensocialmediaplatformslike anAPI
fromSarah Chalmers-Page toAll Participants:
ThanksAlison
fromÁine Carroll toAll Participants:
@karengood question!Dowe knowwhichisbetter?
fromkaren toAll Participants:
@domcushnandoesthatmake it a biggerthreatto systems?Andthereforepotentiallyeasierto
start withoffline groups?
fromMichele toAll Participants:

13. thishas beena greatsession.Thankyou.Ihave to go now but I lookforwardto pickingupthe slides
and resources,anddevelopingmythinkingabout participationinall the onlinecommunitiesthatI
belongto.
from@domcushnanto All Participants:
as technologistIamconflictedasI thinksome conversationsandsupportcanbe done viadigital but
thensome issuesIwantto speakto someone inareal environment.
fromÁine Carroll toAll Participants:
@domcushnanIthinkthat's right.Differentoptionsfordifferentthings.Isuppose itscreatingthe
conditionsforhavingthatchoice?
fromkaren toAll Participants:
@domcushnan I'dbe interestedtoknow whatcan't be done online:evenlocally,onlineeasierfor
anytime support.
from@domcushnanto All Participants:
holdingsomeoneshandandtellingthemitwill be okayisdifferentthansendingaforumor
whatsappmessage
fromkaren toAll Participants:
@Alison- thanksforthe linkto@mjseres - love histwitterbioas'Epatientinresidence' - let'shave
more of them:-)
fromJane Douthwaite toAll Participants:
@domcushnanagree.Some thingsare betterdiscussedinreal environmentratherthandigitally.
fromSarah Chalmers-Page toAll Participants:
Karen,I wonderif some of the McMillanstyle,compasionandpersonal contactstuff,whichhasa
massive impactonpeople,wouldstruggle online. Iam *very* keenformuchmore digital
communityworkbutI can see it's a hard one forthat sort of contact and lonelinessreduction. We
can do compassiononline butwe can'tdotea
fromSarah Chalmers-Page toAll Participants:
That and I've seensome nastyflame warsover"tone of voice"whichishard online!
fromkaren toAll Participants:
@domcushnanholidngsomeone'shandcan onlybe done at a fixedtime - bookedappointmentetc-
whatsappisbrilliantformiddleof the nightvirtual hugsandhandholding
from@domcushnanto All Participants:

14. i thinkwe all agree onthat - usingvideobroadcastinglikeskype/hangoutsisgreatforremovingthat
barrieraroundtone of voice
fromAlisonCamerontoAll Participants:
I thinkpeople likeMichael are sofar removedfromthe traditional view of "patientrep"orwhatever
it iswe tendto getlabelledas.Wascalled"ourlayrep" the otherday byan organisationwithwhom
I workas a paidconsultantinpatientandpublicengagement....face/palm.
fromJane Douthwaite toAll Participants:
eg.for me lookingatdevelopinglisteningservice,supportgroupforlocal birthtrauma witha
midwiferyunit.Thisneedstobe apersonal compassionate contact
fromkaren toAll Participants:
@Sarah I've had loadsof virtual teawithpeople (Iagree there'sa differenceBTW- justtryingto
thinkthroughdifference)
fromSarah Chalmers-Page toAll Participants:
Karen,I agree on the 3am thingcompletely. Ithinkthere'sarole for that, *and* insome casesfor
appointments.
fromSarah Chalmers-Page toAll Participants:
(whatsappisprobablythe onlyreasonIkeptbreastfeeding,onapersonal note!)
from@domcushnanto All Participants:
@Jane you shouldchatto https://twitter.com/ESasaruNHSasI have beenhavingchatsaroundthis
from@domcushnanto All Participants:
local supportgroupson a regularbasisand signpostingthemtoonline communications
fromMark Outhwaite toAll Panelists:
In manycasesTrust IG restrictionspreventaccesstomanytoolsand communities
fromkaren toAll Participants:
@jane I'm hearingof loadsof FB groups forperinatal mental health - new mumscan'tget outto
groups
fromJane Douthwaite toAll Participants:
@domcushnanIhave beenfora while.She'sgreat,and@ghostwrittermumm
fromSarah Chalmers-Page toAll Participants:
ooh,Alison,howannoying.

15. fromJon Bryant toAll Participants:
The face to face is where the on-line seedcanbe planted,?
fromJane Douthwaite toAll Participants:
we have beenlookingata 24 hr telephone service asanalternative forface toface
from@domcushnanto All Participants:
@jonyeahit helpswiththe trustpart too
fromMark Outhwaite toAll Panelists:
Many groupsnow mixingasynchronouschat,synchronousforumsandvideochat(Skype groups,
Airwave andHangoutsetc)
fromMark Outhwaite toAll Panelists:
togetherwith'socials'
fromkaren toAll Participants:
If NHS can't supportsmall local groups,how will itthenmake the leaptosupportinglargeronline
groups?
from@domcushnanto All Participants:
on demandsupportissomethingthatI stronglyfeel people wantandthatswhydigital allowsthat
fromMark Outhwaite toAll Panelists:
Doesthe NHS have to 'support'groups? Perhapsitshouldsupportitsownstaff to engage inexisting
and emergent groupswithconfidence
fromAlisonCamerontoAll Participants:
Hi sarah.Yes it showssuchlimitedconceptof whatishappeningoutthere where "patients"are
actingas educators,entrepreneurs,researchers,advocatesetcetcetc.There isevena Patient
Directorsharingstrategicleadership.Timestheyare achangin.
from@domcushnanto All Participants:
and dependingonthe groupI mightnot interactbutI will lurkandgetmy answersbyotherpeoples
commentsandanwer
fromMark Outhwaite toAll Panelists:
Andget some of these communitiesto supportNHSstaff make the transitionintousingthis
technologymore effectively
fromkaren toAll Participants:

16. @domcushnanThnx - good pointaboutlurkers
fromSarah Chalmers-Page toAll Participants:
Alison,I'mreallygladtohearabout the patientdirector. Ithinkpatientsandmembersof the public
are a massive engine forchange andcommonsense,andit'sgreatto stepbeyondasingle lay
memberorrare forumintomuch more creative approaches.
fromSarah Chalmers-Page toAll Participants:
I think I've justfoundyouon twitter.
fromJon Bryant toAll Participants:
Notsure froman individualsperspective thattheywillwanttoto go to the bigsystem, the intimacy
iskeyto feelingsafe,needstoworklike ahoneycombemaybe?
fromMark Outhwaite toAll Panelists:
follow@davidgilbert43forthe patientdirector
fromCarolynChalmerstoAll Participants:
Thank you
fromÁine Carroll toAll Participants:
Thanksto all!
fromSarah Chalmers-Page toAll Participants:
thankyou verymuch!
fromMark Outhwaite toAll Panelists:
Well done andthanksall
from@domcushnanto All Participants:
@Jon yesyouare rightgoodway of lookingat it
fromGareth to All Participants:
Thanksverymuch guys
fromPaul WoodleytoAll Participants:
Thank you
fromkaren toAll Participants:
Thank you - lotsto thinkabout - lookingforwardtoseeingslides
from@domcushnanto All Participants:

17. ah couldkeepchattingforhour
fromJon Bryant toAll Participants:
Thankswas thoughtprovoking:)
fromTim Mustill toAll Participants:
TVM!
END OF CHAT