(Slightly less) Patient Opinion

Interesting article from Paul Hodgkin, SSE Fellow and founder of Patient Opinion, in Wednesday’s Society Guardian entitled "Conversation Peace". On the face of it, this is an interesting diversion into how new technology might have ramifications for the NHS (video footage of mixed wards, unclean areas, bed shortages on YouTube etc.), but it is also the story of how the NHS is giving mixed messages about independence.

On the one hand, the NHS is being encouraged to commission and work with social enterprises to deliver services, and substantial sums of money have been made available for this. So, on the one hand, the NHS is being encouraged to devolve services to social enterprises and the volutnary sector. On the other hand, in the case of Patient Opinion, it has decided to develop its own solution in-house (NHS Choices), albeit with a slightly broader remit. And in an area where, as Paul points out, trust is absolutely paramount:

"Running Patient Opinion has convinced us that the state or public
sector providers themselves are likely to be poor hosts for these
conversations. Citizens are likely to instinctively distrust government
websites, suspecting them – rightly or wrongly – of spin. They may also
be reluctant to give email addresses to a feedback platform owned by
the NHS when they may be users of its services in the future. And, of
course, health abounds with controversies, be it hospital closures or
herceptin rationing.

In our view, the NHS will find it easier to
handle such firestorms if they are hosted on a platform that is clearly
independent of the main players
."

Now obviously, innovation is welcome and new models may bring different benefits. Patient Opinion will also have the benefit of years of operation, building its credibility and refining its model, whilst the new site has to build that from scratch. But NHS Voices may well, as the article points out, bring interesting new slants, open data to be used, interesting ways of gathering collective experiences and so on.

Still, even if this NHS IT project goes smoothly in development, there seems (admittedly from a distant standpoint) to be something of a divergence here between rhetoric and reality. Others have voiced concerns over health/social enterprise with regard to a) lack of social enterprises able to deliver; b) need for sufficient support and c) opening up commissioning to private sector (if not the first time, then after 3 years). There’s some validity to these, although there are good, well-informed people at the DoH working through the issues, but my concern is more of a cultural one: will the NHS really let go?

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Edge Upstarts winners event 07

SSE attended the Edge Upstarts awards the other evening at St James’ Palace, no less. Having arrived slilghtly late, I found myself walking directly behind the royal party (our host was the Duke of Kent, President of Edge) into the venue, and it was a close-run thing not to walk straight up on the stage behind them. Thankfully, I settled in the audience and listened as the winners were announced (photos etc. available via this link).

No great surprises, to be frank…Tom Savage won young social entrepreneur of the year, Belu Water won social enterprise of the year, and Sital Punja (of Sari UK) won social entrepreneur of the year. Best speech came from social enterprise trainee of the year, Craig Watson ("Thank you, London!") who revealed to me later that this was the first time he’d ever been to the capital….and we agreed that receeiving a prize from a duke in a palace might not happen every time.

As ever, the networking is what it’s all about, and the organisers had done well to keep the awards/speeches section to a minimum. Some of those with left-leaning, grassroots backgrounds raised an eyebrow at the level of bowing and scraping, but the Duke’s speech was actually pretty good: he (or his researcher) had done his homework on the background to some of the award-winners, and he was frank in admitting his lack of knowledge of the movement up to that point. Another convert.

Other speakers included Geoffrey Robinson, who just about got through his MC duties (there seemed to be a degree of relief when handing over…), Ed Miliband (who had a nice line about Geoffrey knowing his father, bolstering his youthful credentials…), and Edge CEO Andy Powell. I confess the latter’s speech didn’t really resonate with me, and the problem with hosting an event in such rarefied surroundings is that it can seem rather stuffy and undynamic in contrast to the very movement we are there to celebrate and recognise.

On the flipside, there is also a sense in which being in such a place does make people feel ‘special’ in some way, as evidenced by Craig above. So I can see why it was chosen. Good networking areas in the palace, too, after the main section, chatting to Alan (Strachan, partner of one of the nominees Servane Mouazan from Ogunte), Cliff Prior from UnLtd, Simon Tucker from the Young Foundation, the lovely Louise Coward from OTS, and MT Rainey, founder of the mentoring website Horse’s Mouth (which Edge Supports) and is now open for use in beta..

Having called for celebration and recognition recently, the Edge awards are an important part of the social enterprise and entrepreneurshp ecology… and long may they continue.

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Social entrepreneur round-up May 2007

Long overdue round-up of recent news and links of interest:

– the Third Sector awaits the imminent reshuffle with Gordon Brown succeeding Tony Blair and, most likely, Ed Miliband moving from his current post….though no-one seems to know where (not even the legendarily well-connected Stephen Bubb, who I asked last night)

– the Schwab Foundation, who run "Social Entrepreneur of the Year" competitions across the world (US, India etc.) appear to have paired up with the Independent and Boston Consulting Group to launch here: see Calling all social visionaries here; I wonder how the Edge Upstarts Awards (who announced their finalists and will announce winners this evening) and Enterprising Solutions and the other ceremonies will feel about another award scheme on the patch? Given that the article above misspells "entrepreneur" in its headline, possibly not very worried….

– And, while we’re on the subject, the Skoll Centre in Oxford has launched (or re-launched) its business plan competition as the 21st Century Challenge: "to encourage bold and innovative business ideas that will help to solve
the major social and environmental challenges of the twenty-first
century".

– Social Edge, the Skoll-funded portal of US/international social entrepreneurs, has launched some video and audio podcasts. Global X, whose blog is profoundly irritating or intensely amusing depending on who you speak to, is in charge of video interviews… ;US-centric, but there are some nuggets here….

– Whilst we’re covering all things Skoll-related, there’s an interesting take on the recent World Forum: all the way from New Zealand

– How can I not link to an article entitled "Digging into social enterprise: the mud beneath the yellow brick road"? It doesn’t really deliver on the title, but some interesting bits and pieces on earned income, sustainability and the balance of economic with social aims

–  An article in the NY Times about businesses which "try to make money and save the world"; worth reading, and the first time in a while that I’ve read the label "fourth sector", which was once predicted to become a more established term….

– Closer to home, this month’s Social Enterprise Magazine features an article by Barbara Phillips on scaling , which refers to our own Long Tail of Social Entrepreneurship theory….(article not online yet, but available in our reception if you’re passing by… ;0) )

– Finally, seamlessly linking to the long tail comes this marvellous video on that very subject. Spoof movie trailer on how old media is being undone by the power of new technology. Or something.

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Duplication and diversification

Just thought I’d reference a couple of posts that deal with the two ‘d’s: duplication and diversification….the first, duplication is something that comes up a lot when I’m expounding our long tail theory: “but then there’d be hundreds, thousands of them…all starting new organisations, all duplicating existing activity…” etc. And there is something to this: in Hackney in East London, for example, it is said (urban myth?) that there is a charity/community organisation for every 6 people. I also heard the other day that there are over 150 prostate cancer charities….in London (is this true??!).

So this post on Social Citizen about duplication is an interesting one, particularly because it places it in the context of ‘why young leaders are leaving the [third] sector’….s/he says the following about the situation in the US:

“There are a million social entrepreneurs coming out of college ready to
go, and they all start their own nonprofit or get a job with a
nonprofit they have always loved. The problem is, there are too many
people doing the same thing. Talking in business terms, nonprofits are
flooding the markets. A recent Chronicle Article
got it right. Someone interviewed had said this about competition in
the nonprofit sector: “‘It wouldn’t be nice to compete. We don’t run by
metrics; we run by good intentions.’ If the city the social
entrepreneur was working in had eight soup kitchens, he said, everyone
would applaud the person who decided to start the ninth.”

To an extent, this is true, although I’d temper some parts of this in our context. Certainly, I don’t think you could say that there are lots of graduates (never mind millions) leaving university dedicated to becoming a social entrepreneur and starting their own thing. There are more than there were, but it is still a relatively minority career option (a subset of entrepreneurship, of you will). The other part I’m not sure I go with is this myth that the sector is all nicey-nicey. Certainly, there is an imperative to collaborate, but there is also an impulse to compete. If I opened a 9th soup kitchen, I can guarantee the other 8 would be in touch, be protective of their funding, do their utmost to prove they were more effective and had greater impact and so on….given the amount of third sector organisations supporting themselves with contracts as well as grants and donations, there is no dearth of competition.

In theory, also, a social entrepreneur spots a niche in the market…so I would argue that the person starting up a 9th soup kitchen is not doing anything innovative, or meeting an unmet need. Unless they were doing it in a new way, more effectively, or something, it would simply be pure duplication.

Where I think Social Citizen has it partly right is that we should be less afraid of being like business here, and understand that organisations fail, merge, get taken over, partner to cut costs and so on. We’ve started to see this at a big level (in the ‘corporate’ charity world): Childline being absorbed by NSPCC, Gingerbread and OneParent Families merging, and, of course, Cancer Research and Imperial Cancer Research….but maybe we will begin to see these happening at a smaller level. New innovative projects being taken under a larger organisation’s wing; two social enterprises merging for greater effectiveness and sustainability; community groups sharing back office functions….and so on.

And so to the other peril, diversification. A post from Todd over at Social Catalyst got me thinking about this, and I think he has it pretty much spot on:

“Why do Social Enterprises think they are different than private
enterprises? I want to shake people silly or run outside and scream
every time I
hear…

“..and
we will run a cafe, bookstore, creche, catering service, consultancy
service, training, lettings, bakery, car repair, disco, and flower shop
in our building.”

You and what government? How do we
get social enterprises to do one or two things well and grow sensibly.
It’s no wonder so many social enterprises never get off the ground or
are spinning out of control. You cannot do everything and do it well
(or even ok).”

Certainly this rings bells here: social entrepreneurs, particularly, are often buzzing with lots of ideas, and an eternal message here tends to be “focus” or “you can do three things well: what are they at the moment?” or “put those in order of priority for yourself” etc. And this doesn’t just happen at small, fledgling organisations, as this article on CAN demonstrates well, with Adele Blakebrough sharing the learning of how they went from 25 projects to focusing on two, to great success.

One key thing we’ve used to enable social entrepreneurs to focus on the goal, is to introduce evaluation techniques at an early stage, basically as a planning tool. Focusing on the outcomes and impact they are striving for, and gaining an understanding of how, why and what to do to get there, is incredibly powerful for channelling the drive, commitment and passion they all have.

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St George’s Day social enterprise round-up

In a radical change to the normal Friday round-up, a post-weekend run-down of recent news and views of interest:

Nigel Kershaw is a “dream catcher”, according to the Guardian in this article….He’s certainly one of the biggest and brightest personalities in the sector, and this feature captures that well (sample snippet: “Kershaw thinks the comparison [of Big Invest] with private equity firms is “fucking marvellous” “).

– The Scarman Trust, which has been undergoing various internal changes (even consulting the Charity Commission), has formally announced its relaunch as of last week. See this article in New Start which reveals that Matthew Pike will return as Chief Executive, and head up a new Scarman Institute with a wider policy (and international) brief.

The plan for the rest of the Trust includes “the creation of a UK network of community investment funds at a neighbourhood level, continuing work with social enterprises and coaching public sector agencies”.

– Charities warned to not jump on the social enterprise bandwagon; a Cass report “urges organisations to resist pressure to develop a social
enterprise arm if they are not convinced there is an adequate market
for their product or service.”

– The blog of Wouter Kersten is interesting; he’s part of the team running Enviu, a Dutch environmental organisations…recent posts of interest include facilitating a session with social entrepreneurs and the purpose of a new legal entity; the latter also includes the marvellous Dutch term for social entrepreneur: maatschappelijke onderneming

Lucy Bernholz points to a new blog with a variety of thinkers and practitioners in this wide field, over at Sharing Witness. You can sign up to various feeds, which includes Business and Social Entrepreneurship

– Kevin Jones of Xigi was telling me that their mapping led them to the finding that Lucy Bernholz was the most well-connected person on their network; I’m intrigued by Xigi, and am discussing various uses with Kevin….in the meantime, I’ve finally got round to mapping the SSE network (or some of it!); see what you think:



make your own map at
www.xigi.net,imitazioni borse

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