Virtual reality: a game changer for mental health treatment?

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Demand for mental health treatment in the UK far outstrips supply. And the outbreak of COVID-19 has forced many primary care services to think creatively not only about demand and supply, which has increased further during the pandemic, but also about delivery. GPs and community mental health teams in particular are thinking about more innovative ways to deliver remote support to people with mental health conditions, including the use of Telehealth and virtual reality (VR) platforms.

People are probably most familiar with VR in a digital gaming context, with devices like Oculus headsets offering immersive gaming experiences where players can place themselves “in the game”, but it has been suggested that integrating VR, alongside other telehealth options like apps and videoconferencing into mental health consultation and treatment could make counselling and alternative treatment options more accessible to those living and working remotely. Early research suggests that while discussions about investigating the benefits of this type of delivery of care have been accelerated by the coronavirus pandemic, researchers and practitioners were already beginning to explore how VR and Telehealth could be a tool that could be utilised more regularly in the treatment and engagement of people with mental health conditions, not just during periods where face to face contact is a challenge.

Blended treatments to help improve outcomes

Telehealth encompasses a number of different approaches and techniques, including using platforms like skype for mobile conferencing, or mobile apps to help people manage conditions and to help deliver some treatment options. It has previously been used in other areas of medicine, for example to help those with chronic conditions self-manage, with various levels of success and uptake.

One foundation embracing remote mental health support, even before the arrival of coronavirus, is Greater Manchester mental health foundation trust who use a mobile app called ClinTouch, to support people recovering from psychosis, schizophrenia and bipolar disorder. Although patients will typically see a care co-ordinator monthly, symptoms of a relapse can appear within days; with the app, users are asked how they feel a few times a day, and an alert is generated if a relapse looks likely.  Some NHS organisations have also adopted telepsychiatry – videoconferencing therapy sessions. 

Using VR for remote therapy almost takes telehealth a step further, and involves using a complete virtual environment, with the potential for this to be integrated into treatment plans, so clinicians can, for example, create a setting which looks like the inside of their office, or use virtual environments to model external scenarios that may cause anxiety to help patients practice coping techniques like breathing exercises.

One of the potential extended uses for VR and telehealth in a clinical mental health treatment setting which has emerged is its application for rural populations, or for people who are isolating because of exposure to coronavirus. However, this has raised some additional questions about the potential barriers to uptake exacerbated by digital illiteracy and poor access to digital devices, as well as the problem of poor or slow internet connections, something which will need to be considered by health boards if they decide to offer these treatment options.

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More research is needed, and is being done

While recent research has shown face-to-face therapy remains the optimal treatment method in mental health care, VR-based therapy has been found to be more effective than Skype-based or phone only counselling. The research also suggests VR-based Telehealth sessions could improve engagement, compared to phone only sessions and greatly reduce dropout rates for clients which in turn can support positive clinical outcomes. It appears the general consensus is that self-service, VR and automated technology, in the form of apps and notifications could support and augment healthcare professionals and help support the delivery of more traditional approaches.

The virtual reality lab at the NIHR-Wellcome Trust-King’s Clinical Research facility aims to improve the understanding of the mechanisms that play a role in the onset and maintenance of mental health problems. They use virtual reality environments to assess and develop treatments to improve the well-being of people with mental health problems.

Research is also being done on the specific reaction to young people of engaging with digitally driven treatment options. There are some suggestions that the delivery of digital interventions to support young people with mental health problems may help them to engage more, in part because they are more familiar with digital platforms and may feel more comfortable using them day-to-day, however there is also a suggestion that young people also prefer the feeling of “distance” and “impersonality” that a digital platform provides which can lead to some feeling more able to express how they are really feeling, compared to a face to face meeting with a clinician which can sometimes be a stressful and intimidating experience.

Where next?

So far in clinical psychology and psychiatry, the primary focus of VR has been its role in treating anxiety and stress-related disordersspecific phobiaspanic disorder, and post-traumatic stress disorder. However the disruption to face to face mental health treatments caused by the coronavirus pandemic has led to clinicians thinking even more creatively about the applications of VR and telehealth options to help support the treatment of people with a wider range of mental health conditions.

While it is clear that virtual treatments should not replace the face to face consultation in mental health treatment entirely, research suggests there is a growing role for VR and Telehealth options in augmenting face to face treatment options and that they could be offered as an option for those who are unable to attend face to face sessions. Telehealth and remote treatments are something which will continue to be explored beyond the coronavirus pandemic and could soon be integrated into practice as part of the standard delivery of mental health care and treatment.


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The ‘Netflix of transportation’ – could MaaS be the future of urban mobility?

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Congestion, air pollution, inadequate public transport services – these are just some of the issues cities around the world are having to try and mitigate.  Could Mobility as a Service (MaaS) be the solution?

A recent webinar presented on Intelligent Transport looked at the different approaches currently being proposed, discussing the various benefits they offer and the challenges they face.

What is MaaS?

Although MaaS is enabled by technology, it was made clear from the get go that it is fundamentally about the user perspective.

Keynote speaker, Jonathan Donavan, CPO of Masabi, highlighted one definition provided by University College London’s MaaS Lab:

“Mobility as a Service (MaaS) is a user-centric, intelligent mobility management and distribution system, in which an integrator brings together offerings of multiple mobility service providers, and provides end-users access to them through a digital interface, allowing them to seamlessly plan and pay for mobility.”

Essentially, MaaS aims to provide the convenience of a private vehicle without the need for ownership, making users’ lives easier.

From the user perspective, it has to make it easier to plan and pay for travel, match the right mode of transport for the journey, be cost-effective and provide complete journey coverage. From a city perspective, it has to move people away from private cars, keep the city moving, provide equitable service to riders and optimise transport resources.

Real world examples

In an attempt to address these needs, a number of pilots have emerged. These include: the Whim app in Finland, which has now expanded to projects in the UK and Europe; Transport for Greater Manchester; UbiGo in Gothenburg, which has expanded to Stockholm; and NaviGoGo, Scotland’s first MaaS web application, similar to UbiGo, which was piloted in Dundee – to name but a few.

Other examples of MaaS in practice, include: Uber, which is expanding its market by bringing different forms of transport onto the platform; Citymapper, a journey planning app bringing in different ways of paying for and commissioning your own travel; Transit App, a navigational app based in Montreal, Canada; and Kisio’s PlanBookTicket, a mobile ticketing solution.

Stephen Miller, the Communications Lead at Transit outlined the work they are doing. Transit provides navigational services getting people from A-B without their own car, shows nearby transport and other mode options, and can track buses and trains approaching in real time. It also includes bike share, car share, your own bike, walking and now scooters, showing how multiple modes can integrate. It is the number three navigation app in the US and Canada, after Google Maps and Waze.

With PlanBookTicket, Kisio has moved towards a one platform MaaS, as described by their Chief Product Officer, Laurent Leca. It covers the data platform, trip planner, booking and ticketing, and analytics. Providing a seamless user experience, it offers a full ticket range which can be purchased with or without an account and it enables flexible integration with the existing infrastructure, making it affordable for medium-sized cities.

These real world examples show that MaaS is about enabling a simple and combined experience. Such initiatives are a good example of how the public and private sector are working together by combining various transport options. Nevertheless, there are still issues that need to be addressed for MaaS to be a true success.

Subscription or account based MaaS

MaaS has been referred to as the ‘Netflix of transportation’. However, a digital platform is very different to providing physical services and there are a lot of different services available for providing transport. In consideration of what might be the best model for MaaS, two were discussed: subscription based and account based.

Subscription based benefits:

  • Commitment to package means usage of car may be reduced, therefore shifting behaviour
  • Potential to support initial pilots
  • Under-utilised subscriptions may have roll-over model to ensure passengers don’t miss out

However, various issues were also highlighted. For example, subscription based models could favour those who can afford to pre-pay for their transport; there are potential barriers in relation to which package is most suitable and the geography of services; and there are national constraints of supply and demand.

It was also noted that the subscription demographic is a very niche one that is already well served by a mix of mobility options, but it doesn’t cover everybody. It was therefore argued that there is a need to look at different options to make it more universal.

Unlike Netflix, there is finite capacity within the transportation system and a lot of transport systems are physically constrained by something.

It was therefore suggested that perhaps more of an ‘Amazon for transportation model’ is more appropriate, where users can pay as they go for the services they need when they need them. This paves the way for an account based model.

Account based benefits:

  • Puts the city at the centre of MaaS
  • Customer does not need to pre-select their package – lower barrier to entry, more flexibility for customer and city
  • Greater equity – pay for travel once consumed
  • Greater ability to link together transit, tolling, parking and other mobility solutions

It was suggested that this provides a much more holistic option.

Future of public transit

With the success of numerous pilots across the globe, and with 85% of transport professionals in the UK who responded to the Landor Links 2018 annual survey of Mobility as a Service perceiving MaaS as an opportunity and something that would improve matters, both socially and environmentally, MaaS may well be the future of urban mobility.

Perhaps one concern, as highlighted by the author of the survey, Beate Kubitz, is resistance among public transport operators, the very people that are expected to provide the services. They only made up 4% of responses to the survey. The reason cited was because they are concerned about the costs and don’t see the business case. The automotive industry on the other hand is moving towards cooperation and collaboration with MaaS. Clearly more work is needed to increase cooperation and collaboration among the public sector.

Nevertheless, as highlighted throughout the webinar, the fundamentals are there for MaaS to be a success.


If you enjoyed reading this, you may also be interested in our other posts on the potential of smart cities and lessons from public transport in Nordic countries.

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Joining the digital revolution: social workers’ use of digital media

In January 2018, NHS digital published a report, which highlighted the accessibility and availability of digital platforms to help social workers with their job role. The research, which was compiled from survey data, sought to understand not only how social work could be supported through the use of IT and digital platforms, but also to assess the current level of usage and understanding of digital technologies among the current workforce. While more than half of survey respondents said they had access to a smart phone as part of their role, far fewer were actually able to access case notes and other necessary documents digitally from outside the office.

The survey found there was an appetite for greater and better use of digital media in day-to-day work, which practitioners felt would not only improve their ability to work more flexibly but could also be used to forge better relationships with people who use services. In some instances, respondents to the survey felt improved use of digital media may provide a way to communicate more effectively with those who had previously been unwilling to engage, particularly in relation to social work with young people. The research found that digital technology was used in a range of ways to build and manage positive relationships, particularly with service users, including:

  • communicating with them to gather specific data (as part of assessment);
  • delivering interventions (such as self-guided therapy or telecare); and
  • supporting team work (peer support and online supervision)

Questions around the use of social media

Earlier research around the use of digital media in social care more generally found that it is used in a variety of capacities, such as storing and maintaining records, communications and day-to-day tasks such as booking appointments and scheduling in visits. However, the use of digital technologies by social workers can at times extend beyond simply maintaining records and scheduling visits. Many felt that while digital media in some ways makes their job easier, in other ways it can add to the stress of an already difficult job role.

A lot of the anxiety concerning digital technologies centres around social media. In the most positive of ways, it can be a core platform to allow service users to communicate, and make the social work team appear more accessible to people who may feel uneasy communicating in more formal ways. However, significant challenges around ethics and practice remain. Repeated instances of social workers being reprimanded have made some social workers wary of using social media platforms. In September 2017 HCPC published guidance which encourages practitioners to continue to use social media, but to seek advice and help if they are ever unsure. The guidance suggested that social media, if used responsibly, could support professionals to raise the profile of the profession and network with others nationally and internationally.

Supporting confidentiality and security

For many social workers and social work supervisors many of the challenges around using digital media centre on the necessity for confidentiality and security of information. While much of social work practice within offices is digitised with regard to record and case file keeping and report writing, security issues concerning remote access to files is one of the major challenges. In many cases until digital security can be assured, it will be difficult for social workers to work fully remotely and flexibly without some travel back to the office. GDPR also raises some interesting questions for the profession with regards to storing and accessing data.

An opportunity to improve information sharing and partnership working

It is well recognised that the use of digital media provides an opportunity to improve efficiency and partnership working within social work. If used effectively and supported well, it can allow information to be stored, shared and accessed across a range of different services, which can be particularly useful for increased health and social care integration. However, challenges in practice remain – including the ability of social workers to remotely access notes and information, the need to align working and IT systems, and the ability to access and read data in a number of formats across a number of devices. Research stresses the importance of risk management and appropriate training for staff so that they feel comfortable and confident using media platforms.

A welcome change in the profession?

For many within the profession, the rise of digital platforms as a way to engage with service users and provide increased support and flexibility for social workers themselves has been a positive development. It is a great leveller and can encourage service users who feel comfortable to engage in a much more transparent way with social workers. However, NHS Digital research shows that there are still significant challenges. Overcoming these to successfully integrate digital platforms and interfaces into social work practice has the potential to revolutionise not only how social workers engage with service users, but how they themselves conduct their work. Improved collaboration with other services, increased flexibility, and increased capacity for completing and recording continuing professional development and training to improve practice are just some of the potential fruits of social work’s digital revolution.


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Smart-eco cities: how technology is addressing sustainability challenges in the UK

Looking down on densely packed buildings of New York

By Steven McGinty

As cities realise the need to improve sustainability, many are turning to innovative technologies to address challenges such as traffic congestion and air pollution. Here, the ‘smart agenda’, with its focus on technology and urban infrastructure, overlaps with the ‘sustainability agenda’ – usually associated with energy, waste management, and transport.

In 2015, an international research project – coordinated by the University of Exeter and involving teams from the UK, China, the Netherlands, France, and Germany – was launched to investigative how smart-eco initiatives can be used to promote the growth of the green economy. As part of this work, the report ‘Smart-eco cities in the UK: trends and city profiles 2016 was published.

Below we’ve highlighted some interesting case studies from this report.

Glasgow

Glasgow’s smart city approach has been described as ‘opportunistic’ (as opposed to strategy-led) by the report’s authors. New initiatives are often linked to creative organisations/individuals and competition funding, such as Future City Glasgow, which was awarded £24 million by the Technology Strategy Board (now Innovate UK).

Nonetheless, this has helped Glasgow become a smart city leader, not just in the UK, but globally.

Almost half of the £24 million Innovate UK funding was spent on the Operations Centre, located in Glasgow’s east end.  The new state-of-the-art facility integrates traffic and public safety management systems, and brings together public space CCTV, security for the city council’s museums and art galleries, traffic management and police intelligence. As well as helping the police and emergency services, the centre can prioritise buses through traffic (when there are delays) and has recently supported the Clean Glasgow initiative, a project to tackle local environmental issues, such as littering.

Intelligent street lighting was also a major part of Future City Glasgow. Three sections of the city have been fitted with new lighting: a walkway along the River Clyde; a partly pedestrianised section of Gordon Street; and Merchant City, a popular retail and leisure district. The new lighting includes built-in sensors which provide real-time data on sound levels, air quality, and pedestrian footfall. ‘Dynamic’ lights, which use motion sensors to vary lighting – increasing levels when pedestrians walk by – have also been introduced.

London

London’s smart city programme is linked to the challenges it faces as a leading global city. Its need for continuous growth and remaining competitive has to be balanced with providing infrastructure, services, and effective governance.

The Greater London Authority (GLA) is behind both the strategy, through the Smart London Board, and the practical delivery of various activities. Much of their work focuses on encouraging collaboration between business, the technology sector, and the residents of London. For example, the London Datastore, which includes over 650 governmental (and some non-governmental) data sets, plays an important role in ensuring the city’s data is freely available to all. Visitors can view a wide variety of statistics and data graphics, on areas such as recycling rates, numbers of bicycles hired, and carbon dioxide emission levels by sector.

In 2014, the Smart London District Network was established to explore how technology could be used in four regeneration projects: Croydon; Elephant & Castle; Imperial West; and the London Olympic Park. To support this, the Institute for Sustainability was commissioned to run a competition asking technology innovators to pitch innovative ideas for these projects. Winners of this competition included the company Stickyworld, who created an online platform which supports stakeholder engagement through a virtual environment, and Placemeter, who developed an intelligent online platform which analyses the data taken from video feeds and provides predictive insights.

Manchester

Recently, the City of Manchester Council consolidated their smart city initiatives into the Smarter City Programme. The Smart-eco cities report explains that the programme draws on the city’s 2012 submission to the ‘Future Cities Demonstrator’ competition, focusing on the development of Manchester’s Oxford Road ‘Corridor’ around five main themes:

  • enhanced low carbon mobility
  • clean energy generation and distribution
  • more efficient buildings
  • integrated logistics and resource management
  • community and citizen engagement

Manchester’s approach to becoming a smarter city involves a wide range of partners. For instance, Triangulum is a €25m European Commission project involving Manchester and two other cities (Eindhoven and Stavanger) to transform urban areas into ‘smart quarters’.

In Manchester, the council-led project will integrate mobility, energy, and informations and communications technology (ICT) systems into the infrastructure along the Corridor. It will introduce a range of technologies into assets such as the University of Manchester Electrical Grid, with the aim of showing their potential for supplying, storing and using energy more effectively in urban environments. Data visualisation techniques, based on the use of real-time data, will also be developed.

In 2016, Manchester launched CityVerve, a £10 million collaborative project to demonstrate internet of things technologies. The project will involve several smart city initiatives, including:

  • talkative bus stops, which use digital signage and sensors, to provide information to passengers and provide data to bus operators on the numbers waiting for buses
  • air quality sensors in the street furniture
  • ‘Community Wellness’ sensors in parks, along school and commuter routes, to encourage exercise
  • a ‘biometric sensor network’, to help people manage their chronic respiratory conditions

Final thoughts

There is great excitement about the potential for smart city technologies. However, as is highlighted by the smart-eco cities report, many are limited in scale, short term, and based on competition funding. If we want to create sustainable cities, which meets challenges of the future, greater investment will be needed from both public and private sector.


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The pros and cons of the gig economy

By Heather Cameron

The ‘gig economy’, also described as the ‘sharing economy’, ‘collaborative economy’ or ‘on-demand economy’, has grown rapidly in the UK, a trend that is predicted to continue amid post-Brexit uncertainty.

A new study from the McKinsey Global Institute suggests that work in the gig economy is even more widespread than official data suggest, with 20-30% of people in the US and UK working independently. And while the report suggests the majority of these workers are participating in the gig economy by choice, a sizable minority are there reluctantly.

So what exactly is the gig economy and what are its benefits and drawbacks?

What is the gig economy?

The gig economy comprises enterprises such as Uber, the driver hire app, Airbnb, the accommodation-sharing platform, and Deliveroo, the online food delivery company. These enterprises enable people to use digital platforms to buy services from, and sell services to, each other.

A recent PwC study identified five key sectors within the gig economy:

  • peer-to-peer accommodation
  • peer-to-peer transportation
  • on-demand household services
  • on-demand professional services
  • collaborative finance

People that work in the gig economy, as described in the McKinsey report, are independent workers, rather than employees. Three key features of these workers have been identified:

  • a high degree of autonomy
  • payment by task, assignment, or sales
  • short-term relationship between the worker and the customer

Growth

The UK has seen higher growth in the gig economy than the rest of Europe, partly due to the recent establishment of London as a global financial technology (FinTech) hub. Transactions reached £7.4bn in 2015, almost double the previous year.

The number of jobs in the online gig economy advertised by UK employers increased by 14% between May and September, according to the Online Labour Index. This is around double the 7.5% rise elsewhere in Europe, and 6% in the US.

The McKinsey research estimates that there are up to 162 million independent workers in the US and Europe combined. The number of people classified as self-employed in the UK has grown by 47% since 2000, while the number of employed has risen by just 13% over the same period.

Pros

Supporters of the gig economy argue that it enables more people to participate in the labour market by providing flexible working, provides opportunities for the unemployed and could increase productivity.

Indeed, flexible working has proven very popular among the working population as more seek to achieve the perfect work-life balance. Those surveyed for the McKinsey report who chose independent work, reported greater satisfaction with their lives than traditional workers. They were more engaged in their work, and relished the chance to be their own boss and have more control over their hours. Even those working independently out of necessity reported being happier with the flexibility and content of the work they do, although they were less satisfied with their level of income and income security.

Both consumers and organisations can benefit through greater availability and accessibility of services and improved matching that better fulfils their needs.

And there is also the benefit of minimal cost. Digital business models have lower transaction costs for consumers, and organisations can keep costs down by using independent service providers only when they need them.

Nevertheless, challenges exist.

Cons

While there are more people in work than ever before, due in large part to the increase in self-employment, and despite the high levels of satisfaction among independent workers overall, there are concerns over job insecurity and low income.

Those working in the gig economy do not enjoy the same rights and protections as employed workers, such as health benefits, overtime pay and sick leave pay.

The TUC has highlighted that the increase in self-employment has not been driven by a boom in entrepreneurship but, instead, workers are increasingly forced by employers to accept precarious employment with low pay.

Deliveroo has recently come under fire from workers over their employment practices in relation to the minimum wage. And Uber is involved in an employment tribunal where drivers have contested their status as self-employed, suggesting they should be entitled to a range of benefits such as pension contributions as well as holiday and sick pay.

In a bid to address concerns about the lack of rights held by people working in the gig economy, Theresa May has recently appointed a former adviser of Tony Blair to head a review into employment rights across the new economy.

But this will be no easy feat, as the rapid development of the gig economy poses significant challenges for policy makers and regulators to keep up.

Final thoughts

As the McKinsey report argues, “expanding economic opportunities and income security policies for this group should be a priority”. Hopefully the review of employment rights will mark the first step in the right direction.


If you enjoyed reading this, you may also be interested in our previous blog on ‘the self-employment boom.

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Government as a Platform: a new way of thinking about digital transformation

Multi-coloured blocks on the table, with a green dinosaur

By Steven McGinty

The term ‘Government as a Platform’ (GaaP) was coined by Tim O’Reilly, a technology entrepreneur and advocate.

The Government Digital Service (GDS), the body responsible for UK Government digital transformation, has started to introduce ‘platform thinking’ to government services. However, according to a survey carried out in February, three-quarters of civil servants hadn’t heard of or didn’t understand ‘Government as a Platform’. This may be concerning for government, whose efficiency programme greatly relies on successful digital transformation.

On the blog today, I’m going to reflect on the concept of ‘Government as a Platform’, as well as outlining its adoption in the UK.

The ‘gubbins’ of government

Mark Foden, an organisational change strategist, explains the platform-based view of government in a simple (and humorous) video.

In his view, government has traditionally been made up of independent departments, providing services such as benefits, pensions, and tax. These services use bespoke technology provided by large technology companies, over long contracts.

However, the platform based-view is different. He illustrates this by splitting a government department into three sections:

  • Levers and dials – the part of the service the user interacts with (e.g. websites and mobile apps)
  • ‘Gubbins’ – in simple terms, it’s the common capabilities (e.g. checking identity) and the bespoke services (e.g. calculating tax) that government services need to function
  • Machinery – the fundamentals of technology (e.g. mainframe computers, storage, and databases)

Foden explains that a key element to platform thinking is the ‘gubbins’ section. Advances in technology now make it possible to untangle these ‘gubbins’ government services, without affecting others. In practice, this means that common capabilities used by government, such as making payments or checking identity can be developed and used across departments. Websites can also be shared to create consistency across government digital services – a sort of ‘brand government’. This approach limits the number of bespoke services developed in ‘silos’ (or within departments).

Additionally, having this separation between common capabilities and bespoke services also presents opportunities to involve a greater number of suppliers.

Potentially, this approach could be worth £35 billion in savings across government.

Organising Government as a Platform

Mark Thompson, senior lecturer in information systems at Cambridge Judge Business School, suggests three principles to enable Government as a Platform to succeed:

  • gradually moving towards more common capabilities and reducing departmental bespoke services
  • developing common capabilities across the public sector must be a priority for digital transformation
  • optimising the relationship between common capabilities and bespoke services within government departments

The UK approach  

GDS

A widely used definition by the GDS is that digital government should include:

 “a common core infrastructure of shared digital systems, technology and processes on which it’s easy to build brilliant, user-centric government services.”

GOV.UK was the first attempt to transform how the UK does government. Launching in 2012, the publishing platform brought together over 300 government agencies and arm’s length bodies’ websites within 15 months. Replacing DirectGov and Business Link alone saved more than £60m a year. Early testing also showed GOV.UK was simpler for users, with 61% completing tasks on the new Business Link section; compared to 46% on the old website.

GOV.UK Verify has also been introduced – an identity assurance platform which allows people to prove who they are when using government services. The common service is the first of its kind and is being used by organisations such as HM Revenue & Customs (HMRC) and the Department for Environment, Food & Rural Affairs (DEFRA) to build new services.

More recently, GOV.UK Notify, a service which sends text messages, emails or letters, has sent notifications to its first users. GOV.UK Pay also just secured compliance with the Payment Card Industry (PCI) Data Security Standard.

NHS

Although the GDS have taken the lead on platform thinking, the NHS launched NHS Jobs, a shared recruitment service, in 2003. The service has been remarkably successfully, generating over £1 billion in savings.

Mark Thompson suggests this is because of its platform approach. The Department of Health (DoH), working alongside Methods Consulting, convinced over 500 NHS employers to give up their own recruitment services and to make use of this common capability. The website is the biggest single employer recruitment site in Europe, with one unique visit every two seconds. The service has also become a valuable commodity with suppliers willing to provide the service at near cost, and compete on providing innovative services. The creation of this high quality recruitment service has therefore become a spur for innovation – something which is at the heart of Tim O’Reilly’s work on Government as a Platform.

Local government

Adur and Worthing council have recently taken a platform approach to their digital transformation. Paul Brewer, digital lead for the council, notes that it was struggling on several fronts, including IT outages and systems replicating inefficient paper-based processes.

To solve this problem, the council went through a capability mapping exercise. They identified departments which had common functions, such as undertaking case management, taking payments and booking appointments for customers. With this roadmap, they developed a CRM system to manage customer interactions (including social media), and purchased a platform which supports the creation a range of new IT products. The new approach enabled the council’s waste management service to support full mobile and remote working. Within a year, the department saved £20,000 on software and the equivalent of 1.5 staff members.

Interestingly, the council did not built their own platform, on the GDS model. Nor did they purchase an inflexible technology. Instead, they chose a third way by purchasing the building blocks of capability, and controlling where the capability was slotted in.

Final thoughts

The lack of knowledge about Government as a Platform within the civil service is somewhat disheartening. However, the GDS has introduced many new approaches to government and shown practically how they can work. Projects such as GOV.UK and GOV.UK Verify have been well received and countries such as New Zealand have looked towards the UK for their own digital transformation.

In August, the UK was ranked as global leader for e-participation on the United Nations E-Government Survey, ahead of Australia and South Korea.


Follow us on Twitter to see what developments in public and social policy are interesting our research team. If you found this article interesting, you may also like to read our other digital articles.