The four stages of disruption described by Steven Sinofsky are disruption, evolution, convergence and re-imagination.

It’s easier to see how Steven’s descriptions of these four stages apply to technological innovations than to other innovations that disrupt the status quo in health and care. Take, for example, @JennytheM (on Twitter) who has reached near-fame status since changing attitudes towards #skintoskin contact immediately following birth via C-section. This all started with one disruptive action for change – not with a technological innovation.

I did find it useful to apply the four stages to mapping out some of the amazing ideas that came out of an event I attended recently, which brought together diverse thoughts on reimagining health and care in 2020. Here is what I came up with:

Disruption = a personalised healthcare innovation that give us access to clinical expertise, available appointments and our personal health records when and where we want it e.g. via our handheld devices.

Evolution = the innovation is designed in a way that enables patients to take more of a role in decisions about what’s best for them – across more and more services and care contexts.

Convergence = measures of health & care performance are defined by the patient, replacing old indicators of illness with new indicators of wellness (which is more relevant to the patient, as it is, after all, their goal!).

Re-imagination = healthcare is a social movement, organisations without walls – we’ve moved from a National Health Service to a Personalised Health Service.

How would you apply these concepts to understanding how innovations have transformed (or could transform) health and care?



This contextual piece was written for you by Rosanna Hunt, Research Associate, Horizons Group, NHS Improving Quality @rosielhunt