Citizen Petitions and other online platforms for capturing citizens’ ideas on a range of matters including public service improvement. One example in the UK is the Prime Minister’s e-Petitions website which has had nearly 10 million petitioners. The German parliament now encourages citizen petitions online. The petitioners who receive the most support get the chance to discuss their ideas in parliament – requiring radical innovation to parliamentary procedure. Another example is the people of Karelia petitioning for radical action on heart disease which led to the world’s most innovative programme for public health.