I just read another fantastic article by Laura Hughes from the FT that led me to the recent NHS England Innovation Ecosystem Programme report. It got me thinking about how service design could be a key ingredient for enabling teams in our healthcare system to deliver modernised, accessible, and higher-quality care.
The Challenge
The report highlights some pressing issues, which have been summarised below:
- Regulatory Hurdles: Companies face difficulties launching medical devices and services due to complex regulations.
- Risk-Averse Culture: A culture within the NHS that is often sceptical of change can stifle innovation and discourage staff from trying new approaches.
- Siloed Operations: Lack of effective partnerships between industry, academia, and NHS providers.
- Fragmentation of Care: The healthcare system suffers from disconnected services, which can lead to a disjointed patient experience and missed opportunities for innovation.
- Passive Patient Engagement: Traditional healthcare often treats patients as passive participants rather than active agents in their own care, limiting their involvement in decision-making processes.
- Health Inequalities: Many innovations fail to address disparities in access to care, leaving underserved populations without the benefits of new technologies.
Why Service Design is the Answer
The future of healthcare lies with people, in my view, and can’t just be technology led. Service design is intrinsically linked with ‘product design’ and can help the NHS develop new services and experiences for patients, creating an economic advantage within healthcare and producing benefits around service efficiency.
The problem seems to not just be in the specific tools used, but also a variety of other factors including:
- Human-Centred Approach: Service design puts patients and healthcare professionals right at the heart of innovation. It’s all about ensuring that solutions are not only practical but also truly user-friendly. To make this happen, we need to involve the people who are on the front lines - those delivering healthcare and the patients engaging with these services. This collaborative approach leads to more meaningful and effective innovations, steering us away from a purely tech-driven mindset.
- Breaking Down Silos: Service design fosters collaboration, aligning with the report's call for "deliberate collaboration" in healthcare.
- Co-Creation: By engaging diverse teams; legal, marketing, design, sales, in the innovation process, service design emphasises making things together. This collaborative effort ensures that all perspectives are considered. This is also true around policies, e.g. through co-design and implementation strategies to ensure proper use of communication tools and buy in from the people the policies effect.
- Iterative Testing and Feedback: This approach supports the report's emphasis on real-world testing and evaluation of innovations. It allows for rapid prototyping and refinement of innovative ideas, reducing risk and cost.
- Streamlining Processes: By simplifying workflows, we can address the "disjointed policy and regulation hurdles" mentioned in the report. This can lead to more efficient and cost-effective healthcare services and aligned teams.
- Empowered Teams: Involving clinicians, nurses, and support staff in the design process, not only results in more user-friendly technologies, but also builds digital confidence and skills among the workforce. Through hands-on workshops and iterative prototyping, teams learn to adapt to new technologies, while actively contributing to their development. This collaborative process fosters a sense of ownership and enthusiasm for digital transformation, turning staff into champions of innovation within the NHS.
- Addressing Health Inequalities: Service design's focus on equity and inclusivity can help develop innovations that address health disparities and improve access to care for underserved populations. We need to make sure these innovations are scalable within the NHS ecosystem, and they don’t isolate and exclude patients.
Conclusion
This all sounds really easy right, but how do you do this at scale in one of the largest organisations in the world, with multiple journeys, products and services? The honest answer is it's hard, but with an evidence-based approach to service design, we can continue to demonstrate how innovation trials improve services.
The report stresses that "the NHS cannot do this alone or from the top down”. At Spotless, we're passionate about supporting organisations like the NHS on this journey. By embracing a service design mindset, we can create an environment that supports experimentation, collaboration, and innovation - key elements highlighted in the report.
Ultimately, the end goal is always to improve patient experiences within the NHS - or any healthcare provider.
I highly recommend you download a copy of the report for deeper insights into these pressing issues and potential solutions: NHS Innovation Ecosystem Programme Report
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