This was the presentation I gave to my peers at ScHARR to present my ideas and research application for a NIHR Fellowship 2011

1. The New Web and the NHS’ Failure to Engage with itCan New Web Technologies Open up a Brave New World for Collaboration and Knowledge Management. Andy Tattersall A Dragon’s Den Fellowship Application

2. 08/12/2010 © The University of Sheffield 2

3. 08/12/2010 © The University of Sheffield 3 £150,000 for 100%

4. The Application NIHR Doctoral Research Fellowship The NIHR-DRF will offer 3 years full-time funding to undertake a PhD and is aimed at individuals of outstanding potential early in their research careers. It aims to fast-track them through a customised research training programme in an environment reflecting their individual talents and training needs. 08/12/2010 © The University of Sheffield 4

5. Why an NIHR Fellowship Best route for my career - I have ideas for research – not the time, experience or resources (at present) It is a good reflection on IR and ScHARR It is the right time and there is a NEED for this research! It is going to be HOT! 08/12/2010 © The University of Sheffield 5

6. Why me? I have extensive knowledge of social software and Web 2.0 applications and theory Have become an Internet, technology and New Web resource for ScHARR, YH RDS, Medical Faculty and some colleagues in The University Presented on Web 2.0 applications at Internet Librarian, EAHIL and E-learning in the 21st Century. Written about Web 2.0 for MMIT Journal and Libraries for Nursing Journal 08/12/2010 © The University of Sheffield 6

7. Social Software, Communities of Practice and the NHS:An investigation of barriers and facilitators for effective Collaboration and Knowledge Management using the World Wide Web 08/12/2010 © The University of Sheffield 7

8. Lay summary of Research To investigate why the NHS has failed to utilise for power of the New Web and move realm of Web 1.0 to 2.0 and in turn prepare for the world of Web 3.0 08/12/2010 © The University of Sheffield 8

9. 08/12/2010 © The University of Sheffield 9 What is Web 1.0 – 2.0 – 3.0?

10. People not Technology 08/12/2010 © The University of Sheffield 10

11. 08/12/2010 © The University of Sheffield 11 http://en.wikipedia.org/wiki/Diffusion_of_innovations

12. Why is that? Culture of suppression? " NHS manager has less freedom on the web than a Chinese farmer.” Roger Marlow (Health2Works) – Computer Weekly 08/12/2010 © The University of Sheffield 12 http://www.computerweekly.com/Articles/2010/04/27/241077/Web-resources-key-to-NHS-improvements.htm

13. Health2Works’ 6 point theory There isn't a culture of IT curiosity and appreciation of the new Web in IT IT Connecting for Health - disempowered managers and senior IT staff in the NHS "It is no longer part of their job" the consequence of the new system was that "I don't have to think about technology and its design. Culture of risk averseness - The NHS is an employment agency? Do they want to replace people with systems? 08/12/2010 © The University of Sheffield 13

14. Pt 2 Clinicians see themselves as experts, they aren’t comfortable with patient knowledge People are happy to accept mediocrity - despite the growth in the digital divide NHS is a terrible client for small business - they don't pay bills on time that help keep small businesses afloat 08/12/2010 © The University of Sheffield 14

15. Why is that? Culture of failure 08/12/2010 © The University of Sheffield 15

16. Why is that? 08/12/2010 © The University of Sheffield 16 Culture of restriction

17. RIP IE 6.0 “Many other companies have already stopped supporting older browsers like Internet Explorer 6.0 as well as browsers that are not supported by their own manufacturers. We’re also going to begin phasing out our support, starting with Google Docs and Google Sites. As a result you may find that from March 1 key functionality within these products — as well as new Docs and Sites features — won’t work properly in older browsers.” 08/12/2010 © The University of Sheffield http://googleenterprise.blogspot.com/2010/01/modern-browsers-for-modern-applications.html (accessed 9/10/2010) 17

18. Risk 1) Is £2.3 Billion on an NHS IT system a risk? 2) Are free on-line tools a risk? 3) Is providing the information literacy training to use these tools worth the risk? 08/12/2010 © The University of Sheffield 18 The answer to 2 and 3 are surely yes – but how big is the risk? The answer to 1 is still accepted as yes original cost 2.3bn, in 2006 estimated cost 12.4bn potential final cost 20bn – cost over -run 440% - 770%

19. Are the Government getting their money’s worth? 08/12/2010 © The University of Sheffield 19 HOW MUCH? £105 ,000 ,000 For 3 years £95,890 per day

20. Case Studies Sony Vaio’s Twitter account has generated over £1m in sales, the technology giant has revealed.1 “Google Flu Trends” Found to Be Nearly on Par with CDC Surveillance Data. 2 “Social Media Saves Lives: Salmonella Outbreak Pushes HHS, FDA, CDC to Get Social.” 3 University of Sheffield switches to GMail 08/12/2010 © The University of Sheffield 20 1. http://www.nma.co.uk/news/sony-generates-over-%C2%A31m-in-sales-through-twitter/3010491.article 2. http://www.scientificamerican.com/article.cfm?id=google-flu-trends-on-par-with-cdc-data 3. http://www.readwriteweb.com/archives/social_media_saves_lives_salmonella_cdc_hhs.php

21. Chatter “I was successful last year in getting our IT dept to upgrade from IE6 to 7 on the library staff's computers. I had to argue the case with them, but what succeeded for me was to cite a specific case - access to the Coutts Oasis database which we use for library book selection - where IE 6 was causing huge problems around slow connectivity. As Coutts is a PASA agreed supplier, I used that as an argument, plus the fact that two hours work took me virtually one and a half days because of hanging, loss of data, time outs etc, which is an unacceptable cost. I was still pretty surprised when I won the argument, mind you!” “I had to really cajole our web developers into producing a IE6 friendly website, as they said it was insecure, and no one uses it anymore. Unfortunately it just happens that virtually all of our NHS based audience do!” 08/12/2010 © The University of Sheffield 21

22. Chatter #2 “here in the NHS we can't get our IT departments to upgrade from Internet Explorer 6, even when this has been strongly recommended by the DH. Many sites (including some medical publishers!) are now withdrawing support for IE6 and this as well as the indiscriminate blocking of websites such as Twitter, Facebook and even blogs makes it very difficult for us to keep up with what is going on in the world of social networking. We are lucky to have our own library computer network here so we can keep our Twitter updated etc. but most medical libraries, wards, clinics etc don't have this luxury!” “IT depts. in all types of NHS trust are notorious for blocking virtually everything!” 08/12/2010 © The University of Sheffield 22

23. 08/12/2010 © The University of Sheffield 23

24. What the NHS Don’t realise… "There is a theory which states that if ever anyone discovers exactly what the Universe is for and why it is here, it will instantly disappear and be replaced by something even more bizarre and inexplicable. There is another theory which states that this has already happened.” Adams, D (1979) Hitchikers Guide to the Galaxy 08/12/2010 © The University of Sheffield 24 Web

25. This has already happened… The first purpose of the Internet was to connect computers The second was to connect people – The Social Web (People and Knowledge) 08/12/2010 © The University of Sheffield 25

26. Not engaging with the Web U.S. Government and Wikileaks BP and Oil Spills Woolworths and religious magazines Actions groups against Wal-Mart The TripAdvisor Backlash 08/12/2010 © The University of Sheffield 26

27. Insanity is doing the same thing over and over again and expecting different results." Albert Einstein 08/12/2010 © The University of Sheffield 27

28. Parts of the jigsaw 08/12/2010 © The University of Sheffield 28 x

29. Access 08/12/2010 © The University of Sheffield 29

30. A few misconceptions 08/12/2010 © The University of Sheffield 30 35,000 Tweets on Mexican Earthquake 23,129 subscribers to JAMA

31. 08/12/2010 © The University of Sheffield 31 The Hive Community

32. PLN 08/12/2010 © The University of Sheffield 32 PLN

33. The Information Literacy Gap 08/12/2010 © The University of Sheffield 33 Google Maps blamed for invasion of Costa Rica Google Maps blamed for invasion of Costa Rica

34. Why should the NHS employ these tools? It will become commonplace – Cloud Computing, the Social Web, Augmented Reality, Mobile Technologies, The Semantic Web Professional development - Employability Time is Money – Streamline work processes Flexibility – Work on anything you want where you want Collaboration – Work with anyone from anywhere Creativity – Happier work force, greater productivity 08/12/2010 © The University of Sheffield 34

35. Application so far Personal Tutors – Andrew Booth and Simon Dixon Advisory Group – Peter Bath, Mark Hawker (University of Leeds), Paul Wigfield, Steve Pashley (Health2Works), Chris Carroll, Danny Hind, Suzy Paisley, Diana Papaioannou, Claire Beecroft. Tele-meeting with Mike Farrar CBE – Chief Executive (NHS North West) – Letter of Intent to arrive 08/12/2010 © The University of Sheffield 35

36. Letter of Intent “I support the Fellowship Funding Application from Andy Tattersall, because it has the potential to provide the NHS with evidence and insight that could act as a catalyst to a change in its culture; to one that embraces the ‘New Web’ and transforms how we engage with patients, the public and with our own staff.” Mike Farrar CBE – Chief Executive, NHS North West 08/12/2010 © The University of Sheffield 36

37. Potential collaborations Strategic Health Authority Library Leads (SHALL) Andy Prue – Health Libraries Network Steve Pashley – Health2Works Mark Hawker – University of Leeds NHS North West 08/12/2010 © The University of Sheffield 37

38. Training needs Depth interviewing. NatCen. Tim Albert - Write a scientific paper - and get it published Qualitative Data Collection. HAR6081 Introduction to Research Methods. HAR6030 Qualitative research design and analysis. HAR6531 08/12/2010 © The University of Sheffield 38

39. Research Methods Qualitative + Action 08/12/2010 © The University of Sheffield 39

40. The Intervention Action Research - To provide the tools and knowledge for NHS staff to work with. Proposed target group – occupational therapists, osteopaths, chiropractors, physiotherapist 08/12/2010 © The University of Sheffield 40

41. The benefits Greater information literacy Better knowledge transfer Streamlined processes Better crisis management – Swine Flu, natural disasters Cost saving – using the free option when applicable Easier communication with patients and external bodies 08/12/2010 © The University of Sheffield 41

42. A new era of peer review? 08/12/2010 © The University of Sheffield 42

43. 08/12/2010 © The University of Sheffield 43

44. 08/12/2010 © The University of Sheffield 44

45. 08/12/2010 © The University of Sheffield 45

46. And more… 08/12/2010 © The University of Sheffield 46 THANK YOU