Care Design 2016

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#7 Design a platform rather than a “vending machine”

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Our seventh proposed redesign principle is to design a platform rather than a "vending machine" approach to care e.g.

  •  A mental shift away from a service that dispenses care to people through experts (access – diagnosis – prognosis – treatment) towards a platform for getting the resources and connections people want and need
  • Services are no longer ‘done to’ people, or inflicted upon them, but instead built with them with their input at the very heart
  • A platform not just to deliver healthcare services but to those of other organisations and communities
  • Enable the healthcare system to play a new, appropriate role within a local setting

Now, we'd love to hear what you think about this

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  1. Caroline Poole
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  2. Victoria Hewitt
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  3. Candy Perry
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Meeting patient need isn't as simple as getting something off a shelf to order.  it's about understanding that the person concerned is complex and individual. It's about empowering them to exercise their voice and take a central position in care planning.  But there must also come a point when the service has to respond (sensitively) by saying "unfortunately that isn't available".  How comfortable do we feel as health care professionals saying this?

Victoria Hewitt
by Victoria Hewitt
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Victoria Hewitt

I agree with other comments that this has too much jargon in it. I understand the sentiment and the shift in thinking being advocated, but this overlaps heavily with the principles on organising a network and activated citizens. 

Wendy Lane
by Wendy Lane
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Wendy Lane

This redesign principle is littered with management speak. I work in the arena and don't fully understand its intention.  Are we talking co-production? Self-serve healthcare? Web facility?  Not sure ..... :/

Caroline Poole
by Caroline Poole
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Caroline Poole

In principle I agree with this as a statement but I do think its all bound up in some of the other design principles, particularly the network one but several really. If we took a constraint-based approach to the examples we would ask "what is stopping this being true right now?" And I suspect we would find people (at a population level) don't really want to be accountable for their health and well-being, and of those that do, that really do, some don't know how and some are not able....

Candy Perry
by Candy Perry
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Candy Perry

Four big trends are shaping the future and turning healthcare, as we know it, on its head. Predictive data can alert us to risk factors at individual and population levels so that interventions can be focused on eliminating need for downstream treatment of preventable disease and its symptoms. With global databases, clouds and supercomputer analytics at hand, people have access to information that has a profound effect on how they chose to engage with the formal healthcare system....

Hugh MacLeod
by Hugh MacLeod
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Hugh MacLeod
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I think we need to be using clearer language to describe this design principle.  Many people don't know what 'platforms' are and I'm not sure people will describe current services as vending machines.   Is this describing an online website with information for people to help themselves?  Something like the current NHS Choices website?

Zoe Lord
by Zoe Lord
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Zoe Lord
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On 24.9.15, Helen Bevan visited AQuA's Leading Transformational Change Programme to lead a masterclass on 'Engagement for Transformation.' Helen asked the delegates to look at the ten draft redesign principles and give their feedback. Here is what they said about this seventh principle ' D esign a platform rather than a "vending machine"  '... "Culture shift - how to draw out and focus on empowerment?"   Thank you to the AqUA masterclass delegates for this feedback. Do you agree?...

Care Design 2016
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