Why public services need to play the numbers game
Facing severe workload and increasing budget cuts post pandemic, can open data pave the way ahead for government and create a fairer system for the service user?
As public services tried to wrest control during the pandemic, local authorities in Essex were forced to think on their feet. To deal with the new airborne virus, they redeployed a data tool they had previously created to spot flood risk areas in Jaywick Sands and mark them for evacuation. This emergency services tool – VIPER – could create a cordon around the epicentre of an outbreak allowing local authorities and responders to view real-time data to spot vulnerable groups and residents who would be directly impacted. “VIPER actually came about partly as a result of Essex area Jaywick Sands’ coastal flooding evacuation experiences,” Ian Davidson, Tendring CEO.
Likewise, Camden Council – who manage around 600 types of services – drew on preexisting population-level data related to demographics, housing, education, crime, poverty and employment to determine where demand was likely to be greatest during the pandemic, says Tariq Khan, chief digital and information officer at Camden Council.
“These events have definitely reinforced just how transformational data can be,” says Khan. “As such, there feels like much more investment is being made across local government to ensure we have the requisite skills, tools and approach to start baking in data-informed decision-making at all levels.”
However, other parts of the public machine became ragged as Covid-19, Brexit and the fuel crisis bit hard. Everything from bin collections to NHS waiting lists were impacted as public services struggled to manage a shortage of resources and a change in customer base.
Getting a head for figures
The success of the above public initiatives worked by using data with laser-like focus, whereas often public services are hamstrung by how much information they have to collect. “Garbage” data can block access to the strands which could be transformative, says Roger Grimes, data-driven defence evangelist at KnowBe4. “Public services do eventually figure out solutions, but it's often two or three years after the problem first started. By the time they get involved, it’s at crisis level. It's very tough and slow to steer big ships in new directions.”
For instance, while government schools struggled to monitor pupils during online learning – with 100,000 at-risk pupils ‘lost’ during the pandemic and around a third of lessons lost overall – private companies, who were already entirely digital flourished. Quizlet – a free, digital revision cards system for shared learning – exploded in growth during the pandemic and was also able to continually survey their 60 million global users to gather instant information. This improved their own service as well as the lives of their pupils. They could acquire data as disparate as the impact that access to laptops was having on grade achievement, the rise in students wanting to pursue medicine during the pandemic, and – when they returned to schools – the 60% spike in students studying at the weekend to catch up on studies.
Other private companies were showing how data could improve services. While the UK government version cost £37bn and stalled badly, Irish firm Nearform managed to create a track and trace app in just a few weeks, which became the world's most effectively deployed contact tracing app reaching 55 million people. The same firm is also producing a data-driven system to eradicate kidney disease, combining diagnostics, automated analysis and reporting to identify patients at most risk of developing chronic kidney disease.
“Bringing a diagnostics-based product to the healthcare market is hard,” says Larry Breen, head of health and life sciences at Nearform. “It means combining strong diagnostics data, automated analysis and reporting with a robust technical solution, while making sure the whole service is accessible and useful at the same time,”
Adaptability is also important. Adam Hurst, chief technical officer at Log My Care, says private companies are not restricted by archaic systems that reduce the sharing of data. Log My Care is a digital care management platform that removes the need for paper records and, during the pandemic, was able to add Covid dashboards so users could monitor and report everything from coughs to PCR test results. “(In the future,) social care providers will be able to analyse the risks for each of their service users, allowing for early health interventions which could reduce the need for unexpected hospital visits or expensive, reactive medical treatments,” says Hurst.
With data, a problem shared is a problem solved
But while the private sector was able to move quickly, local councils are also gaining traction by sharing their data. As profiled in a report by the Centre For Data Ethics And Innovation (CDEI) on how data was shared by local councils during the pandemic, Hackney Council combined internal and external datasets for the first time to help them identify residents who are particularly vulnerable to Covid-19. Authorities across London also shared data about children in receipt of free school meals, allowing them to be better supported while schools were closed.
There were also shifts in sharing data across partners. Central government gave local authorities access to the NHS shielding patients database. This allowed authorities to better target support, including food parcels and pharmacy deliveries, to those individuals who are particularly vulnerable to Covid-19.
“Faced with a once in a generation public health crisis, local authorities have sought novel ways of keeping their residents safe while continuing to deliver public services at a distance – and data-driven interventions have played a key role in these efforts,” says the DEI report.
Camden is one such council now seeing that managing data across its hundreds of different types of services, from property management to parking and schools, is not just a challenge but an incredible opportunity for learning across many departments. “Our investment in data and product disciplines should help us work towards synthesising data across services and unearthing new insights which we can test, learn and build from,” says Tariq Khan of Camden Council.
It is this ingenuity and shared purpose that will help public services help citizens through this age of increased demand, high cost of living and reduced physical access to services.