Disruptive Innovation:The National Pathology Exchange (NPEx)

Owen JohnsonSenior FellowSchool of ComputingUniversity of Leeds

X-Lab – Disruptive Innovation in e-Health

Disruptive Innovation?

Disruptive Innovation?

Christensen, Clayton M., Richard Bohmer, and John Kenagy. "Will disruptive innovations cure health care?." Harvard business review 78.5 (2000): 102-112.

X-LabDisruptive Innovation in e-Health

• Formed in 2006 as by staff and graduates from the University of Leeds.

• Co-located with the Leeds Institute for Health Sciences on the University of Leeds campus

• Three directors, eighteen staff (11 developers, support, design, business analysis, management and business development)

• Almost all staff have first class degrees from School of Computing• Either a small SME or

one of the most talented teams of software developers associated with the NHS

Sector Solution Backed by Status

Pathology NPEx The Health Informatics Service Live since 2009. 20% of UK market.

Patient Reporting QTool The University of Leeds Live since 2011.First to market.

Patient Records PPMP Leeds Teaching Hospital Trust Live since 2013.First open source.

X-Lab Innovation Cycle

InnovationDevelopment

Deployment

X-Lab – National Innovation Awards 2010

Pathology in the UK NHS

800m pathology tests per annum – Department of Health – Digital First (2014)7 times over capacity – Carter Report 2008… Capacity = 5,600m Demand is rising BUT…Local Buyers are “locked in” to inelastic local supply so market forces cannot achieve best valueRivalry is limited to local geographic regionProcesses are expensive, slow and clinically unsafe when use paper

LABA

Coding standards

User skillsProcesses

LABB

Coding standards

User skillsProcesses

?

A single National Digital Hub for the NHSEvery lab digitally connected to every lab

LABC

How to Disrupt?

A national lab to lab exchange for all laboratory disciplines.From any lab, to any lab.

2009Laboratory to laboratory exchanges within Greater Manchester Pathology Network

Dave Johnson ,Trafford General Hospital “X-lab’s system is extremely effective and efficient. We have been using it for processing Chlamydia tests and the reduction in turnaround has been dramatic – in fact, now in a best-case scenario we can get test results back within a day. The reporting process is seamless, largely automated – and paper-free. It has increased efficiency and accuracy and is of great benefit to clinicians and patients.”

www.NPEx.nhs.uk

Disruptive?

Where we would like to go:A Digital Stock Exchange for UK Pathology

The ability to buy and sell pathology capacity across the UK to give the best value, finest

quality service to the NHS

NPEx Roadmap

•Transport Integration•Laboratory Results Portal•Benchmarking•Exchange – buying and selling capacity•RFID in Sample Tubes

Disruptive Innovation:The National Pathology Exchange (NPEx)

Owen JohnsonSenior FellowSchool of ComputingUniversity of Leeds

X-Lab – Disruptive Innovation in e-Health