1. Web 2.0 and the future of health care Paul Hodgkin Patient Opinion

6. Digitisation wave 2: networks and democratised voice

7. Democratised bill boards Photo courtesy flickr.com

8. It’s cheap and easy to find ‘people like me’

9. So what might web 2.0 mean for health? ‘ Voice’ will become as powerful a driver of as ‘exit’ Patient-led change

10. Voice can lead to structured, public conversations between committed and passionate micro-audiences

11. Number of people using a service who feel: Finding the thoughtfully passionate Indifferent/ Concerned Passionate pleased Known Thoughtfully passionate people (whom we can now find)

12. Patient-led change Open source hygiene ‘ Sous-veillance’ as well as surveillance ‘ Shroud wavers on speed’ ‘ Loose a million pounds’ campaign in Liverpool

13. Why is the web so disruptive? Networks are citizen-centric Networks can give increasing returns

18. Return Turnover/ employee Number of people involved in system 10 100 1k 10k 100k 1m 10m 100m x Patient Opinion X Disney X Microsoft x YouTube x Google X NHS

19. Personal care Systematic care High High Low Low

20. 70/80s Feminism Post modernism 90s/00s 1 st wave digitisation EBM Protocols Managerial control 10s/20s Voice more than exit Patient-led change Personal care Systematic care High High Low Low 50s/60s Dr Finlay knows best

21. Thank You Paul Hodgkin

22. Gift economies on the web

23. Policy Evidence Protocols, process, performance Patients – professional behaviour

24. 1 million people per day 1 in10,000 ‘nudge’ the system 200,000 service improvements per year Cases study Policy Evidence Protocols, process interventions Patients – professional behaviour