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The Australian Journal of Public Administration, vol. 70, no. 3, pp. 227–235 doi:10.1111/j.1467-8500.2011.00727.

KEY SPEECH

Creating the Conditions for Radical Public Service


Innovation1

David Albury
Director, Innovation Unit, UK, and Visiting Professor in Innovation Studies,
King’s College London

It is an honour to be here to give the lecture for in attendance]. But why now, as opposed to
the HC Coombs Policy Forum and for the De- ten years ago, are governments across the world
partment of Innovation, Industry, Science and talking about public service innovation? In the
Research, and the Australia and New Zealand UK where I spend at least some of my time in-
School of Government. What I’m about to talk novation is currently the latest buzz-word in
about I don’t think HC Coombs necessarily all policy pronouncements. I feel as though
would have recognised because my content, there’s a sort of embedded ‘macro’ in some
for those who are interested in its academic central government computer that routinely in-
genesis, owes more to the work of Joseph serts the word ‘innovation’ into any paragraph,
Schumpeter rather than to John Maynard policy announcement or white paper written
Keynes in terms of the economics of innova- without it. Innovation has become an incredi-
tion. bly critical word. But why is it there? I’d argue
In this lecture I am going to discuss creat- the reason it has become so important today
ing the conditions for radical public service in- is because we are in the middle of a ‘perfect
novation. But before beginning I would like storm’ around public services to which radical
you to think of a particular public service or- innovation provides a form of solution. And
ganisation. It could be a school, it could be a the important characteristics of that ‘storm’
hospital, it could be a prison, it could be a gov- are the immense pressures that have come to
ernment department. It doesn’t matter what it bear on public services in the beginning of the
is. But during the course of this lecture I want 21st century – pressures that have not been
you to consider your organisation (the whole matched since perhaps the Second World War. I
department, or unit or a team within it) and want to say a little bit about one or two of these
to think about what is it that would encour- pressures to give us the flavour of how they are
age it or people within it to be innovative, to impacting on governments. Remember to keep
innovate and to adopt and adapt innovations. your organisation, your institution or your team
This way my rather sterile, abstract title – ‘Cre- in mind at this point.
ating the Conditions for Public Service Inno- Public institutions now face a set of sub-
vation’ – at some point has to have purchase stantial long-term challenges. Every society is
on schools, hospitals, local authorities, prisons, facing massive demographic pressures. In de-
police forces, whatever it may be. Ask yourself veloped societies this is mainly a phenomenon
as we go through what would induce the school, of ageing; a phenomenon about the proportion
the hospital or whatever it may be to become of an ageing population taking over from a
more innovative. younger population with all the concomitant
So, why has this subject suddenly become so issues around retirement, pension affordability,
critical over the last few years? I’d say there benefits, welfare provisions, and about lifelong
are perhaps as many reasons as there are peo- learning and so forth. There is also obesity,
ple in this lecture theatre [over 200 people and long-term eating disorders. Despite many


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228 Creating the Conditions for Radical Public Service Innovation September 2011

Figure 1.

interventions, both childhood and adult obesity the ways in which we deliver or think about
continue to increase. In the UK, drug and alco- public sector, but about radical innovation that
hol abuse, again despite many well-intentioned can produce significantly better outcomes for
interventions, has continued to increase. significantly lower costs. That is the real chal-
There are also changes in citizen expecta- lenge that we are all now facing.
tions and the ways in which individuals re- It involves a quantum leap in thinking. How
late to public service professionals. There are do we equip children with 21st century skills,
differences about what a student in a school not just the basics of literacy and numeracy but
can access in terms of information and learn- about problem-solving, about team collabora-
ing from what there was 20 years ago, with or tion, about critical thinking and so forth? How
without teachers. There are patients who can do we embrace the fact that health services in
access as much if not more information about the Western world were developed to deal with
their condition and their disease as any doc- infectious and acute diseases (emergencies) but
tor. Some of these changes have been induced yet the vast majority of their expenditure now is
by private sector experiences, so that people ex- on chronic conditions and long-term illnesses?
pect to ‘consume’ when and where they choose, Hospitals are antiquated institutions that bear
which affects how they then relate to exper- little relation to most of the needs of most of
tise and authority. There are different expec- the population.
tations about convenience and access; when I I suggest we need radical and compelling
can do my banking 24 hours a day, why can’t innovation to generate significantly better out-
I do my schooling or get my healthcare 24 comes at significantly lower costs. This is the
hours a day? Governments are still grappling real challenge, and I want to spend the re-
with difficult and persistent issues, such as mainder of this lecture introducing you to a
crime, disadvantage, or poverty, often without set of findings from research undertaken over
success. the last few years that have explored how high-
As if these were not enough challenges, in the performing innovative organisations and high-
last three or four years we have seen a massive performing innovative policy sectors behave.
fiscal constraint on public services. Therefore, From that research I have tried to distil some
what we are really talking about is not some of the characteristics that define those systems,
incremental improvement or slight changes in those sectors, those organisations.


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Albury 229

Figure 2.

What, then, are the common characteristics would like to achieve but they are relaxed about
of high-performing innovative organisations, the process for getting there. Unlike many or-
sectors and systems? I will mention here ganisations that are commonly in the public
five clusters of factors, namely: culture and sector which are obsessed with methods and
leadership; support and investment; rewards process controls, these leaders are people who
and incentive; industry structure, regulation have fantastically aspirational goals, are very
and degree of openness; and citizen and user clear about them, but allow space to encourage
engagement. The characteristics of innovative other people to find different ways of meeting
organisations, sectors and systems are found them. It is in that space that innovation begins
in these essential clusters – so, think about to exist.
your school, your hospital or your department It is a privilege at the moment to work in
and ask what determines whether they are New York City with the Department of Educa-
innovative, and what influences whether the tion – a department responsible for 1.1 million
people within them are innovative and/or adopt students, 80,000 teachers and a budget of
and adapt innovations? $21 billion. This department has presided over
Let me start with culture and leadership. This the most dramatic improvement in educational
research is from interviews with top managers, performance of any city in the world over the
senior managers, leading professionals in 40 last ten years. Leaders in this organisation were
to 45 organisations that are generally recog- not people who talked about an innovative or-
nised as high-performing and innovative. Some ganisation as such. Yet, they had great clar-
are private sector, some are public sector and ity of purpose and pushed the development of
some are not-for-profit organisations. What is a bold innovation strategy principally because
so remarkable in these interviews is that these the existing pace of change was insufficient to
leaders are passionate about their aspirations. reach the outcomes they sought (namely to get
What generates a state of innovation is that the 100 per cent of children in New York graduat-
leaders of these organisations are passionate ing from high school within four years with the
about the outcomes, about the goals, about the necessary skills and knowledge to equip them
ambitions, about the aspirations of their or- for the 21st century). They set very ambitious
ganisations. They are clear about what they goals but chose to focus on a limited number of


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230 Creating the Conditions for Radical Public Service Innovation September 2011

priorities and challenges and, most importantly, of £20 million for innovation. That in reality
did not define or stipulate the process and the is a drop in the ocean compared with what we
detail of getting there. The space created here see high-performing innovative organisations
was where innovation takes place. Secondly spending.
they encouraged experimentation along with Money for innovation is important but more
informed and bounded risk-taking. They also important than the money is the ability to apply
tolerated failure, not in the sense of observing methods and support the disciplines and ap-
something that wasn’t working well and leaving proaches that are necessary to enhance a likely
it alone (a failure to try), but tolerating failure in effectiveness of innovation. These can be in-
the sense that it was only through the process of cubators, labs, zones, prototypes, innovation
learning from failure, learning from mistakes, intermediaries. There is now a whole raft of
learning from getting their prototypes wrong, public sector organisations that have brought
that the system begins to accumulate the evi- to bear disciplines from service design derived
dence of creating a more powerful innovation. from prototyping, from modelling, from simu-
Encouraging staff to innovate and supporting lation, to bear on to the process of public sector
their attempts is a crucial element of leadership innovation, an area which is still relatively am-
and organisational culture. ateur.
So, we find that these leaders, these senior I think there are some parallels here with
managers and lead professionals are hungry, venture capital funding and incubation strate-
thirsty, exploring all the time the external envi- gies. When I was interviewing some venture
ronment. They are reaching out to other sectors, capitalists, one shared two important insights
other organisations, other countries. They’re through experiential stories. First, he told me
reaching out to the frontline of their organi- they started off believing that the way to operate
sations. These are people who are both exter- as a venture capitalist was to find people with
nally and frontline oriented in their approach good ideas and drop some money on them and
to management. And they maintain a ‘split wait for them to make a profit and then get their
screen narrative’; they are interested in inno- return on investment. And, he said, it rapidly
vation but not for its own sake, rather they are became very clear that just because somebody
concerned about how to continue to improve had a good idea did not mean that they had the
their day-to-day operations and services and necessary skills and expertise to develop it and
products while at the same time building in- take it into a marketable or serviceable product
novative capacity to address present and future or service. Therefore, venture capital began to
challenges. develop the process of ‘wrapping around’ po-
It is also critically important to support or- tential innovators the skills, expertise, knowl-
ganisational culture and leadership with invest- edges, people and support structures that would
ment, rewards and incentives. In these high- enable those people to be more successful in
performing organisations, sectors and systems their innovation process. So, in addition to re-
there is always a way of distributing money to leasing funds for innovation we have to think
sustain innovation through a fund or directly about incubator zones, laboratories, whatever
from budget. These leaders are able to identify they may be, and plan their development. The
approximately how much of their totality of re- ‘APS design centre’ that the Department of
sources they spend on innovation. If we look at Innovation is establishing is a good exam-
high-performing innovative companies in the ple (see DIISR 2011), that brings to bear
private sector, their spending on innovation some of those disciplined approaches to
would be somewhere between three percent innovation.
and as much as 15 or even 20 percent of The second story he told relates to the man-
turnover on their innovation effort. By contrast, agement of risk and the likelihood of failure.
I thought we were doing really well in the Na- In answer to the question how successful are
tional Health Service in the UK – a £100 billion you, and how successful have your investments
organisation – when we managed to get a fund been over the last few years, he said in the

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Albury 231

last ten years around 60 percent of their invest- complemented with financial incentives, ad-
ments had been successful. When I said that is ditional innovation funding, and performance
very impressive, he said no it’s terrible! And bonuses.
the reason he gave for saying it was terrible One of the factors that drives the take-up
was because it was too high. He argued that of innovation (spread) across different sectors
if you want really powerful innovation or re- and different systems and different organisa-
ally powerful investment you have to be able tions is granular, comparative performance in-
to take a chance on some pretty wild cards in formation. By ‘granular’ I do not mean data
this process and his view was that the high suc- collected at the level of the individual hospi-
cess ratio of their investments was in a sense tal or the school. We can already get this data,
a marker they weren’t taking big enough risks. and governments seem very fond of collecting
Hence, the balance of risk and reward across a such institutional data and constructing league
portfolio of innovations is also a very important tables, star ratings or comparative judgements
part of public sector innovation. about hospitals or schools or police forces etc.
Supporting investment and encouraging peo- But what really matters to the general public,
ple to be innovative is all very important, but to the end-users and to the professionals in
I also want to mention adoption, adaptation, those organisations is much more about what is
and what encourages individuals, teams and or- happening to them, concerning their particular
ganisations not to be innovative themselves but service, treatment or speciality, concerning the
to adopt and adapt other people’s innovations. particular doctor or consultant or the particu-
Arguably, most innovations spread through a lar clinic, or with the particular subject in the
process of adaptation and adoption, not inven- school. Such information does two things: it
tion. In organisations that are successful, high- provides consumer information leading to con-
performing and innovative we find that there sumer pressure, and it also excites competition
are rewards and incentives not just for being an between rival suppliers or providers (in ser-
innovator but for adopting and adapting inno- vice quality, maintenance of professional stan-
vation. dards). Innovation occurs or gets spread in part
Already in the public sector we have lots of because one doctor realises that another doctor
prizes and awards for innovators. This is great down the road is achieving better clinical out-
if it encourages more innovation. But the lim- comes or one teacher realises another teacher is
itations of these rewards is that they continue getting better educational outcomes. So, com-
to celebrate the person who is the originator parative performance information at the level
of the innovation rather than those organisa- of the subject or the specialty or the service or
tions and teams that might be encouraged to the unit is a critical part of performance im-
adopt and adapt those innovations. We already provement.
have the mechanisms to reward adaptation at The advantage of rewarding innovative take-
the individual level, at the team level and at up, especially if we had some financial reward
the organisational level. Yet, it still amazes for improvement in performance and we were
me that in public sector organisations (hospi- able to get it right, is that rather than the blunt
tals, schools and local governments especially) funding mechanisms we have at the moment for
there is no real incentive other than public com- most public services (which is a form of grant
mitment and public mindedness for improved funding for who shouts loudest) we would be-
results. Indeed, most funding systems across gin to build a cycle of return on investment. We
public sectors are neutral or perverse in re- would be able to invest in innovation and ser-
gard to institutions really improving their per- vice improvement, and if there was a premium
formance. And adopting reward and incentive attached to that improvement in performance
systems for deploying innovations is a really that could be recycled back into the fund. We
critical part of creating conditions for radical can already see some governments and organi-
innovation. It is not sufficient merely to have sations beginning to experiment in those sorts
reputational rewards in place, they need to be of domains in public services.

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232 Creating the Conditions for Radical Public Service Innovation September 2011

Turning to the structure of high-performing control and the bureaucratic command cultures
service sectors, we find that the innovative ones we have in the public sector resisting aggre-
have very similar compositions. They usually gation, which in turn means that the renewal
have a core of a small number of large domi- and refreshing mechanisms operating in other
nant players, often with four or five major play- sectors are weak or entirely absent (remember
ers occupying an oligopolistic core, and around Schumpeter and the need to destroy to create).
the edge a wide periphery of specialist suppli- And, in turn this is the reason why innovation
ers, niche providers, start-ups and so on. So diffuses much slower across public sector or-
a few core players (firms, companies or or- ganisations.
ganisations) provide most services but are in If we look at one of the largest global soft-
competition with one another in an oligopolis- ware manufacturers which is dominant across
tic sense, and there is a wide periphery of agile both the developed and developing worlds, they
start-ups coming in and out, people who are themselves are not particularly innovative. But,
specialist providers, niche suppliers of what- what they are is fantastically acquisitive of
ever it might be. There is fluidity across both other ideas. So if you were to dream up a re-
boundaries. There are people and suppliers ex- ally powerful piece of software in your garage,
iting and entering the periphery all the time and the nice people from this giant software com-
we see significant merger and acquisition activ- pany would come along and say to you we can
ity and demerger activity going on between the make you a very rich person if you will give us
oligopolistic core and the periphery of smaller your intellectual property, and then they take
organisations. it away from you and push it across 100 mil-
If we examine a commercial industrial sec- lion platforms overnight. By contrast if we are
tor from the beginning of the 20th century, it talking about innovations in the local doctor’s
doesn’t actually matter which one it is, but let’s surgery, it would take forever to get a new
take the British motor manufacturing indus- message out and convince colleagues of the
try. In 1900 Britain had something in excess benefits.
of 200 motor manufacturers, all of roughly The process of acquisition is a phenomenon
similar size, and as we progress through the of ‘scaling’. Constant acquisition enables the
20th century the structure of motor manu- dynamic players to encode those ideas and
facturing moves more and more towards an niche players into wider domains of operation.
oligopolistic core supported by a wide periph- The ability to expand market share for start-ups
ery. We see a tendency towards aggregation at to grow into these spaces is very great. We see
the centre and dispersal around the edge. This much evidence of this in dynamic sectors such
applies to our motor manufacturing case, but it as financial markets, retailing and hospitality.
also fits pharmaceuticals, chemicals, newspa- But we do not see this much in public sector
pers and the media, computer software, what- activities. I do a lot of work with education de-
ever sector is chosen. There are very technical, partments and as I go around I would ask: if
economic indicators in economics for measur- somebody found a really powerful way in one
ing these levels of aggregation and disaggrega- school of educating people aged five and get-
tion around the edge. ting them to a graduate maths level by the age
But if we examine a public sector ‘indus- of ten, how long would it take to spread the
try’, say health services or education, as we innovation through your entire education sys-
march through the 20th century the basic cen- tem? The answers I generally received varied
tral structure of operation stays remarkably between a decade or more to never! Partly this
the same. There is a lack of organisational is because we have centralised regulation and
re-alignment despite lots of administrative re- funding in public education and massively high
structuring. And why is this important to our levels of disaggregation (the schools) which are
innovative potential, or more pertinently why small units that have no ability and no capacity
is this important in terms of the diffusion of to scale. Think about a school as an organisa-
innovation? I would argue it is due to political tional unit in terms of what it really cares about.

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Albury 233

It cares about getting its annual funding, it cares professionals, designers and users and the pub-
about retaining staff and staff-student ratios, it lic as absolutely central and key to both the
cares about its departmental examination and it design process and the delivery of the services
cares about its inspection report. These are the or the products and so forth.
big drivers of education delivery. Schools are Secondly, these organisations do not go for
not motivated to provide space to innovate, to the usual suspects. Innovative firms like Apple
collaborate with niche players, to acquire new are not complacent, and do not simply listen
ideas to experiment. to users who appreciate their existing prod-
Looking ahead, the processes of acquisi- ucts. They like people who are really dissat-
tion and scaling will become very important isfied and say its complete rubbish as a product
in terms of the way in which our public ser- because it doesn’t do this, it doesn’t do that
vices operate. Thinking about innovation, al- and they want to use it another way, and so
lowing space for innovation and adaptation, forth. That way Apple’s executives and tech-
openness and deregulation are all absolutely nicians can contemplate and search for im-
key to whether innovation happens and whether provements. These organisations reach out to
it spreads. Unless we are attentive to those their most extreme, most leading edge, most
wider conditions and determinants of innova- difficult, most obstructive users because it is
tion we won’t really foster high levels of public through those responses that one can build
sector innovation and its diffusion. things for the future. So, if we return to our
Finally, the remaining cluster of enabling fac- example of a school, if it could tackle ‘dif-
tors in high-performing innovative organisa- ficult children’ with major learning impedi-
tions is their relationship to their publics, to ments or learning difficulties, perhaps from
their end-users, to their markets, to their citi- disadvantaged families, the chances are their
zens. Such innovative organisations really take approach might have much wider applicability.
this factor seriously. Public services over the If a social agency can deal with people with
last decade have got much, much better at ac- multiple health and social conditions and who
cepting it is important to engage with our users. are homeless, they can probably get it right
But we are still a long way from actually do- for everyone else. Hence, organisations reach-
ing it. With some prominent exceptions, we are ing out to the extreme and the most difficult
still, in my view, a long way behind some of the ‘users’, the most disadvantaged and most com-
best practice in the private and third sectors. plex cases, is a way of engendering radical
These high-performing organisations, the innovation.
Microsofts, the Googles, definitely do not send By way of conclusion, let me finish with two
out surveys to customers and ask people to re- remaining problems in public sector innova-
turn them. They definitely do not target a group tion. One is relatively easy solved, the second
of users to come in a talk to them, who are much more difficult to deal with. The first prob-
relatively satisfied with the service and won’t lem concerns increasing the flow of innovation
cause too much trouble. They generally do not by investing in the innovation pipeline. Over
go for offering people blank sheets of paper the past ten years most of the policies for in-
and saying how would you like Google to be? novation developed by governments across the
And, they generally don’t offer detailed strate- world have been supply-side policies about in-
gic plans to ask people to comment on a partic- novation. There are now many ways of increas-
ular point or clause. Yet, there is still too much ing the volume of innovation that takes place in
of this that goes on in the public sector under public services.
the name of ‘user engagement’. What these dy- But secondly, as alluded to earlier, the more
namic organisations do is they move more and significant problem is not one of the volume
more to both co-create and to co-produce with of innovations per se; the problem in the pub-
their users. Indeed, their notion of ‘users’ or lic sector and with public services is a prob-
‘customers’ begins to dissolve as much as pos- lem in the main about diffusion. It is about
sible. They see the ways of interaction between the way in which innovations tend to spread or

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234 Creating the Conditions for Radical Public Service Innovation September 2011

not spread across the system, and tend to stay HIV and Aids was incredibly active, informed
locked in the location of origin. The problem themselves and demanded the drugs. Patients
is that innovations in one component of a gov- went to the doctor or the clinic and said that
ernment department often do not spread to an- they had heard that this treatment was being
other part of the same department, let alone to developed and demanded to be provided with
adjacent government departments, never mind the drugs. They became the demanders of this
to adjacent states and territories, never mind innovation.
to other countries. Siloed innovation prevails. The second example concerns what you in
This is the fundamental problem, a problem of Australia call ‘self-directed services’ and in the
lack of ready diffusion of innovation. More- UK we talk about personalised or individual
over, continuing to look at supply-side issues budgets. These programs are about giving
and continuing to believe that this aspect can clients, often with a number of disabilities
be sorted out by more information is, I would or multiple conditions, the ability to decide
argue, missing the point. We need today to be and control how and which services (‘their
thinking about how do we mobilise and en- nominal resources’) are deployed, which bits
courage the demand-side to pull innovation of available public services they might want
through. to assemble for their particular needs. This
I will end by recounting two stories. A few innovation, whilst it was thought about and
years ago I was privileged enough to hear the developed with professionals, actually has
head of research for a global pharmaceutical taken off across the world not because these
company talk about the future of pharmacolog- professionals announced or disseminated these
ical research. He started off with a slide that programs, but because very active groups of
listed ten high impact drugs and charted how people living with disabilities and with mul-
long it took from the clinical approval of those tiple conditions began mobilising themselves
drugs to going into widespread manufacture to arguing for and advocating for the choice of
and distribution. These are all drugs that have these resources themselves. Hence, if we can
major impact on large numbers of the popu- find ways of involving users in the co-creation
lation. The stark evidence is there – how long and co-delivery of public services, not only will
it took each drug to go from clinical approval the innovations be enriched in that process and
to widespread practice. And the evidence var- be more radical than otherwise, but they in turn
ied enormously from several months to sev- become ways of strengthening and empowering
eral years. I asked what explains these differ- those organisations keeping them relevant to
ences, and he said that although they had not citizen needs. These organisations then become
done any systematic research he could point the advocates and mobilisers of demand.
out one very strong correlation. That corre- So, to conclude, I leave you with two take-
lation was between the shortness of the time home messages. One is to say if we’re thinking
to diffuse, to move from clinical approval to about really improving, increasing innovation
widespread practice, and the strength of pa- and its diffusion in public services, what we
tient lobbies and organisations in those areas. need to do paradoxically is not just invest in
The time taken was not due to the strength of more R&D but strengthen and empower user
clinical networks, nor the strength of the num- networks and organisations. And two, if as gov-
ber of academic professional conferences, but ernment agencies we want to foster innovation
the strength of patient organisations. So, one and stimulate diffusion we should not simply
of the fastest diffusion rates drugs was anti- focus on what appear to be the direct levers of
retroviral drugs for people living with HIV and innovation but examine the underlying condi-
Aids. The drugs were quickly on the market, not tions that might impede or enhance radical in-
because the evidence was more overwhelming, novation, be they leadership and organisational
not because doctors heard more about it or re- cultures, funding regimes, reward and incentive
ceived more information, but because the gay mechanisms, regulatory regimes, engagement
network and community of people living with or the accountability regimes across which

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Albury 235

serious innovation will undoubtedly impact. I’ll ment of Innovation, Industry and Science and
leave it there. Thank you. Research, and the Australia and New Zealand
School of Government (ANZSOG).
Endnote
Reference
1. This is an edited version of David Albury’s
public lecture of the same title delivered on DIISR [Department of Innovation, Industry, Sci-
30 June 2011 and co-sponsored by the HC ence and Research]. 2011. APS Innovation Action
Coombs Policy Forum, the Australian Depart- Plan. Canberra.


C 2011 The Author
Australian Journal of Public Administration 
C 2011 National Council of the Institute of Public Administration Australia
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