Entrepreneurship, Creativity and Management
Edited by Paul Windrum and Per Koch
Chapter 8: Patient-centred Diabetes Education in the UK
Paul Windrum 8.1 INTRODUCTION This chapter analyses the birth, development and implementation of patient-centred diabetes education in the UK. It is a radical innovation within the UK National Health Service (NHS). The case study is of interest for four reasons. First, it is a pure public sector innovation. As such, it provides a clear counter-example to the suggestion that the public sector is not innovative in its own right but applies innovations developed in the private sector. The concept of patient-centred diabetes education is being driven by ongoing innovations in two areas: the public health sector and the public education sector. Second, the case study takes us beyond the usual descriptions of innovation, which overwhelmingly focus on product and process innovation in manufacturing. Patient-centred diabetes education involves innovation in multiple dimensions, simultaneously. It involves the development of a radically new concept, policy innovations and administrative/organizational innovations, as well as innovations in service and service delivery. As such, the case study highlights the expansiveness of innovation in public sector services. Third, it highlights the key role of innovation champions within the public sector. These are the counterparts to private sector entrepreneurs. These innovation champions drive the innovation process through their personal motivation, their ability to command ﬁnancial and other resources, and by their networks of inﬂuence. Fourth, the case study is interesting for what it tells us about innovation in general. It forces us to reappraise what we (think we) know about innovation. Diabetes is a chronic long-term condition for...
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