Upload
eventwithme
View
544
Download
1
Tags:
Embed Size (px)
DESCRIPTION
Geoff Wedgwood Beyond 2010
Citation preview
People-Powered HealthIn the West Midlands
HealthCare in the UK presents many big
challenges
Obesity, for example ...
23% of UK 5-year olds are overweight
1 in 3 UK Teenagers are
overweight
1 in 6 are obese
Annual Cost of Obesity to the NHS: £4.2 Bn
Annual Cost of Obesity to the UK
£15.8 Bn
Foresight Report, Oct 2007: “Tackling Obesities: Future Choices”
Underlying trends are clear …
Annual Cost of Obesity to Society by 2050: £50 Bn
Foresight Report, Oct 2007: “Tackling Obesities: Future Choices”
… and are set to continue
And Obesity is just one example ...
Big Healthcare Challenges in the West Midlands
2008
• Better navigation• Increasing public
confidence• Improving innovation• Reducing inequalities
• Reducing variability in quality & safety
• Increasing the sustainability of services
In the West Midlands, we wanted to adapt our
approach to tacklingbig challenges such
as these
We believed in combining what already
worked well with new and more creative ways of
doing things …
… such as Digital Healthcare
… to enable more sustainable models of
care to emerge
Old Model of Care
(Digital Healthcare rare)
New Model of Care(Digital Healthcare the norm)
• Focus on Acute Conditions • Focus on Long Term Conditions
• Reactive Management • Prevention & Continuing Care
• Hospital Centred • Embedded in Homes & Communities
• Disjointed Episodes • Integrated with People’s lives
• Doctor-dependent • Shared record - Team-based
• Patient as passive recipient • Patient as partner
• Self-care infrequent • Self-care encouraged & supported
Adapted from Prof. Jeremy Wyatt, Institute of Digital Healthcare, University of Warwick
The potential of Digital Healthcare
Digital Healthcare never more appropriate
• Better navigation• Increasing public
confidence• Improving innovation• Reducing inequalities
2010
Relatively flat resources + rising demand & costs = funding gap- A productivity challenge of doing “better for less” (QIPP) -
• Reducing variability in quality & safety
• Increasing the sustainability of services
2008
• “The re-design of health services supported by appropriate digital technologies”
• “The application of appropriate information or communication technologies to the promotion of health, prevention & management of disease & delivery of health services”
What is Digital HealthCare?
Not a new idea …
Source: Prof. Jeremy Wyatt, Institute of Digital Healthcare, University of Warwick
Lifeline
Relevant Activities
Candidate Tech
Healthy
Health Promotio
n
IP-based, Web, TV,
Kiosks, Apps,
Consoles, Serious Games
Symptoms
Screening
IP-based, Web,
Phone, Tele
Monitoring, SMS
Diagnosis
Test Choice &
Inter-pretatio
n
Tele-Medicine
, Decision Support,
EHRs
Long Term
Condition
Prognosis; Drug
Choice & Dose, Self-Care
Prescribing
Alerts, SMS, Tele
Health, Prediction Rules,
EHRs
End of Life
Supported Self-
Care
Virtual Ward /
Hospice
Adapted from Prof. Jeremy Wyatt, Institute of Digital Healthcare, University of Warwick
Appropriate Digital TechnologiesAcross the Healthcare Lifeline …
Digital Healthcare needs to operate across many types of boundary to unleash its potential
To achieve this, we’re buildingan open digital healthcare
ecosystem with a range of new, local healthcare services …
… services capable of improving the lives & health of the region’s
5.5M Citizens
… services designed to support the region’s 147,000 Staff in delivering safe, high quality,
innovative healthcare services
… local health services
that leverage the power of
technology, but are designed
around people
NHS localA local digital healthcare ecosystem
for People-Powered Health
NHS local EcosystemUnderlying Principles
NHS local EcosystemUnderlying Principles
• NHS local is an umbrella brand for a “bottom-up” approach to transforming service delivery
• NHS local curates the best services from an “ecosystem” of partners and provides others itself, all through a common, open platform
• Ecosystem = co-creation, collaboration, participation & sharing = “Big Society”?
• Engaging, informative & interactive user journeys, designed around the needs of local users, not providers
NHS local EcosystemUnderlying Principles
• Supportive of local people, their networks, successes & challenges: reflects the region’s diversity
• Local resources, services, tools & applications
• Complements & works with national services
NHS local EcosystemUnderlying Principles
• An open, standards-based platform, at the heart of Service Transformation & Delivery
• Not centrally-driven - interoperable, “Connect All” to reflect local priorities, open APIs, driven by data
• Iterative, built to evolve and encompass transactional services – eLearning, TeleHealth, EHRs, etc.
NHS local EcosystemUnderlying Principles
• Uniquely, a single, integrated framework of services for both local citizens and staff, creating a partnership between them
• Available through the places, services & channels that Staff and Citizens already know, & our dedicated online Hub
NHS local EcosystemUnderlying Principles
The Hub
Benefit (Stage I)
1. Reduces Training Costs
Big Challenge
Sustainability of Services
Benefit (Stage I)
2. Showcases Best Practice
Big Challenge
Reduced variability in quality / safety
Benefit (Stage I)
3. Enables Greater Dialogue between Staff & Citizens on quality of care
Big Challenge
Reduced variability in quality / safety
Benefit (Stage I)
4. Shows patients how others in their situation are “doing it”
Big Challenge
Better Navigation
Benefit (Stage I)
5. Brings care pathways to life
Big Challenge
Better navigation
Benefit (Stage I)
6. Provides a channel for Staff & Patients to share views openly, and receive responses
Big Challenge
Improved Public Confidence in Health System
Benefit (Stage I)
7. Breaks down barriers between Staff & Citizens – “what it’s really like”
Big Challenge
Improved Public Confidence in Health System
Benefit (Stage I)
8. Projects a friendly, open and accessible face of the health service to Citizens
Big Challenge
Improved Public Confidence in Health System
Benefit (Stage I)
9. Fosters a culture of innovation in Staff and celebrates it
Big Challenge
Innovation
Benefit (Stage I)
10. Makes local health services more accessible and attractive to traditionally “hard to reach” groups
Big Challenge
Reducing Inequalities
The NHS local Digital Healthcare Ecosystem is an enabler for addressing
Big Healthcare Challenges & QIPP
Benefits
Key Service Benefits: Stage IBig Challenges Q I P P NHS local Benefit Area
Sustainability of services * 1. Reduces training costs
Reduced variability in quality/safety * * 2. Broadcasts best practice
Reduced variability in quality/safety * * 3. Enables greater dialogue between staff & citizens on quality of care
Better navigation * 4. Shows patients how others in their situation are “doing it”
Better navigation * 5. Brings care pathways to life
Improved public confidence in health system
* * 6. Provides a channel for staff & patients to share views openly, and receive responses
Improved public confidence in health system
* 7. Breaks down barriers between staff & citizens – “what it’s really like”
Improved public confidence in health system
* 8. Projects a friendly, open and accessible face of the health service to citizens
Innovation * 9. Fosters a culture of innovation in staff and celebrates it
Reducing inequalities * * 10. Makes local health services more accessible and attractive to traditionally “hard to reach” groups
QIPP: Quality, Innovation, Productivity, Prevention
Benefits will deepen & widen as the NHS local Digital Healthcare Ecosystem
moves into Stage II (early 2011)
Benefits
A Staged Approach
Stage I Stage II
Un-integrated Informatics / TeleHealth / Digital Services
Integrated Informatics / TeleHealth / Digital Services
TeleHealthCare: pilots, stand-alone … TeleHealthCare: beyond pilots, integrated
Digital Healthcare Ecosystem (NHS local): Digital Healthcare Ecosystem (NHS local):
• Informal Training • Formal Training (eLearning)
• Showcase best practice • Online Communities of Practice empowered to execute best practice
• Embryonic Collaboration & Engagement • Deep Collaboration & Engagement
• Dissemination of data to drive Quality • Quality & Services powered by Open Data
• Powered by Information, across system boundaries
• Powered by Transactions, across system boundaries (especially self-service)
• Tangible but potential framework for change, scalable test bed for Service Reform (Health White Paper), “Patient Revolution” (Information Strategy /Choice Agenda)
• Tangible and actual framework for change, scaled delivery vehicle for Service Reform (Health White Paper), “Patient Revolution” (Information Strategy / Choice Agenda)
• Efficiency & Financial Savings
Thank You
Geoff WedgwoodProgramme Director, Digital [email protected]: 07751 407645
www.nhslocal.nhs.uk