"Disruptive innovation, a term of art coined by Clayton Christensen, describes a process by which a product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors."
Today I came upon a tweet that contained a link to a post by the Scottish Recovery Network Director on Patient Opinion where he said: "Patient Opinion is also, I would argue, a great example of disruptive innovation". Comparing it to Wikipedia.
didn't agree with this statement and entered into a twitter dialogue
with the protagonists, including the CEO of Patient Opinion. Here is a
flavour of our interaction:
didn't like the inference that I was disruptive but had no innovation.
It seemed disrespectful, patronising and untrue. I don't particularly
like the term "disruptive innovation" and prefer "grassroots activism".
Because I have been a grassroots community development worker since
1980. Working with others to set up projects in communities,
underpinned by a philosophy of empowerment and lifelong learning.
wasn't about agitating, rather it was about local people leading and
setting up projects in response to demand or need. More recently, in
the last few years, I have had to become an activist and campaigner in
mental health matters because of human rights abuse in psychiatric
settings, perpetrated on my son. Although Patient Opinion was a useful
space to have a voice, it did not help with my cause. I had to do the
Which consisted of raising complaints and keeping on
doing so, then taking the complaint to the Scottish Public Services
Ombudsman, in all 30 months of complaining, before there was any
justice. My complaint upheld. Unreasonable treatment. Human rights
abuse. A locked seclusion room in a psychiatric ward with no toilet or
drinking water, light switch outside. Locked in for hours in the dark,
To compare Patient Opinion with Wikipedia is a large
stretch of the imagination. The former has a few paid workers. The
latter has many volunteers, globally, in a community who spend many,
many hours keeping the massive information resource updated. I have a
Wiki log-in and have posted on pages myself. It is a complex network
that in my opinion does not in any way resemble the work of Patient
Here is my comment in response to the SRN Director's piece, still being moderated:
are many people working at the grassroots to bring about a paradigm
shift in psychiatry and in general health services, so that people are
treated like human beings and there is an end to systemic bullying and
abusive cultures. Patient Opinion is a useful resource but it is the
people at the sharp end, feeling the pain, meeting the cost and having
to cut their coats accordingly that are the real innovators and change
In my opinion.