Not Signed-In
Which clippings match 'Ownership' keyword pg.1 of 14
14 NOVEMBER 2014

NHS Innovation Diffusion: digital tools and social movements

"There is innovation inside the NHS. But innovations tend to stay local, failing to be adopted by other healthcare organisations or diffusing very slowly. This challenge is well recognised. But what's the problem? Given the assembled talents and good intentions of NHS staff, how can the systemic sum of innovation be so much less than its parts?

The NHS is sometimes described in terms of it's hierarchical structure. For my purposes it's useful to describe the current NHS using the language of philosopher–activists Deleuze & Guattari. In their terms, the NHS is a striated space marked by linear boundaries, restricted to a particular plane of activity in the space of all possible potentials[1]. For Deleuze & Guattari, like Foucault before them, power does not simply operate as a pyramid but in myriad multifaceted directions and relationships. Foucault said 'One doesn't have a power which is only in the hands of one person who exercises it alone... it is a machine in which everyone is caught, those who exercise power as much as those over whom it is exercised.. it becomes a machinery that noone owns'[2]. The overall effect is an institutional environment that acts to tame energies it is a social machine that produces conformity. As Deleuze & Guattari would say, the NHS is highly codified, where a code is a pattern of repeated acts. Of course, there are many situations where this is desirable–an ICU emergency needs a practiced response. But it doesn't make for a system that diffuses innovation.

Anyone who's returned from an innovation workshop and tried to applied new ideas in their NHS workplace has experienced this striation. It's the overlap in particular experience of all the dynamics that limit change: lack of autonomy in a hierarchical structure, the expectations of colleagues, the time it takes to deliver your daily targets, the lack of incentive, the lack of peer support, lack of sense of entitlement to change the way things are done all of which can combine to deliver an experiential straitjacket which is an impersonal affect, a pattern across the system and one that stifles diffusion as effectively as individual innovation.

The alternative is a system marked by flows, connections and zones of intensity. In the abstract terminology of Deleuze & Guattari, an innovative system would include smooth as well as striated spaces. Smooth space is occupied by intensities and events, by the continuous variation of free action. The characteristic experience of smooth space is short term, up close, with no fixed points of reference. I will try to show how the combination of social movements and digital technologies could blend smooth space with the more rigid boundaries and caste structures of the NHS in a way that aids the spread of innovation."

(Dan McQuillan, 2011)

[1] Deleuze, Gilles and Félix Guattari (1980). A Thousand Plateaus. Trans. Brian Massumi. London and New York:Continuum, 2004.
[2] Foucault, Michel (1975). Discipline and Punish: the Birth of the Prison, New York: Random House.

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2011 • a practiced response • an impersonal affect • change the way things are done • codified • conformityconnections • continuous variation • Dan McQuillan • diffusion • digital movements • digital technologiesevents • expectations of colleagues • experiential straitjacket • Felix Guattariflows • free action • Gilles Deleuze • healthcare organisations • hierarchical structure • ICU emergency • individual innovation • innovation diffusion • innovation workshop • innovative system • institutional environment • intensities • lack of autonomy • lack of incentive • limiting change • linear boundaries • local innovation • machinery • Michel Foucault • myriad multifaceted directions • myriad multifaceted relationships • NHS • no fixed points of reference • ownership • particular plane of activity • peer support • philosopher-activists • power • pyramid structure • sense of entitlement • short term • smooth spacesocial computing • social machine • social movements • spread innovation • striated space • striation • up close • zones of intensity

CONTRIBUTOR

Simon Perkins
10 AUGUST 2014

Ethics Unwrapped: Appropriation & Attribution

"Attribution is giving credit where credit is due. Appropriation is the complex borrowing of ideas, images, symbols, sounds, and identity from others. ... This video is a part of Ethics Unwrapped, a free online educational video series about ethics produced by The University of Texas at Austin. Ethics Unwrapped offers an innovative approach to introducing complex ethics topics and behavioral ethics ideas in a way that is accessible to both students and instructors."

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appropriationattribution • attribution theory • authorship • behavioural ethics • borrowing identity • borrowing images • borrowing of ideas • borrowing sounds • borrowing symbols • copyright legislationcopyright ownersethical issuesethical use of private dataethics • ethics topics • giving credit where credit is due • intellectual property rightsIPRlegal issueslegal rightslegal rights holders • online educational video series • ownershipplagiarismproperty rightsre-useteaching materialstheftunethical behaviour • University of Texas at Austin • your work

CONTRIBUTOR

Simon Perkins
21 JULY 2014

Jewish Voice for Peace: Israel/Palestine 101

Fig.1 short animated introduction to Israel–Palestine situation created by Jewish Voice for Peace.

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1937194719482D animationautonomyawareness raisingbelligerencecivil libertiesconflictcontested state • David Ben-Gurion • demolition • expropriationfertile landGaza StripGeneva conventionhegemonyhistoryhistory of conflicthuman rights violationideological intoleranceillegal behaviourillegal settlement • indignities • international community • international consensus • IsraelIsraeli-Palestinian conflictJewish peopleJewish settlers • Jewish state • Jewish Voice for Peace • Middle Eastmilitarized resistance movements • military force • militia • nationhoodoccupied territoryoccupying powerownershipPalestine • Palestinian Arabs • Palestinian territories • partition • partition plan • peace • Peel partition plan • Peel plan • polemic • protestrefugeerespectRonald Reagansegregationsettlement • sovereign states • sovereigntyState of IsraelState of Palestineterritorial bordersterritorialisationterritorytoleranceUnited NationsUnited Stateswallwarwar over water • West Bank • Zionist

CONTRIBUTOR

Simon Perkins
17 FEBRUARY 2014

University of Mary Washington's project: A Domain of One's Own

"A Domain of One's Own is a project at the University of Mary Washington managed by the Division of Teaching and Learning Technologies. Starting in fall 2013, the project allows UMW students, faculty, and staff to register their own domain name and associate it with a space on a UMW–managed Web server. In that Web space, users will have the opportunity and flexibility to design and create spaces of almost unlimited possibilities. Within the system, they may install LAMP–compatible Web applications, set up subdomains and email addresses, and install databases. In addition, users may choose to 'map' their domain (or a subdomain) to other services, such as a UMW Blogs, Google Sites, or Tumblr."

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CONTRIBUTOR

Simon Perkins
20 DECEMBER 2013

Kirby Ferguson: Embracing the remix

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2012Android OSAppleauthorship • behavioural finance theory • Bill BuxtonBob Dylan • borrow • Brian Burton • building on the work of others • Carter Family • celebrated creators • citation as a form of persuasioncopycopyingcopyrightcopyright law • core technology • creative workscreativitycultural productiondesign innovation • Dominic Behan • everything is a remix • good artists copy great artists steal • graphical user interfacegreat ideasHenry FordiPhone • Jean Ritchie • Jeff Han • Kirby Ferguson • loss aversion • multi-fingered gestures • multi-touch technologiesnew medianothing is original • Nottamun Town • originalityoriginality is non-existentownershipPablo Picasso • patent law • patent registration • Paul Clayton • private property • property analogy • remixremix cultureremixingrip • shameless stealing • standing on the shoulders of giants • stealing • Steve Jobs • stolen product • TED Talks • Woody Guthrie • Xerox PARC

CONTRIBUTOR

Simon Perkins
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