Post on 04-Aug-2015
DIGITAL HEALTHCARETHE FUTURE OF THE NHS
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
Robin Vickers• Aerospace Engineer; • Still recovering Big 4 Management Consultant;• Strategy and Business Transformation Specialist;• Enterprise Technology Architect;• Healthcare Technology Advisor;• Serial Start-Up Entrepreneur;• Exec Director at Digital Life Sciences;• Motorcycle Addict;• Wife, 2 kids;• Birmingham born and bred;• Will play with anything that involves a ball;• Does a bit of climbing….because his wife is seriously in to it!
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
DIGITAL HEALTHTHE FUTURE OF THE NHS
What is Digital Healthcare?
Why should we bother?
How can it be done?
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
WITH LESSONS DRAWN FROM…
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
60,000 patient, scalable remote access model in Birmingham
The largest deployment of personalised health records (PHRs) in the U.K.
Over 1,000 patients receiving remote specialist health support on-demand in Scotland
AND IT IS CERTAINLY LESS
OF THIS
• Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
THIS DOESN’T SEEM TO MAKE MUCH
DIFFERENCE FOR END USERS
Sorry health informatics and big systems chums….it needs to be integrated with real life experiences
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
THIS PROVIDES FANTASTIC (Web 1.0) INFO….
BUT DOES IT DO ANYTHING
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
DIGITAL HEALTHCARE =
PERSONALISED + TRANSACTIONAL
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
AND A LITTLE BIT OF THIS
No pun intended
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
MAKE IT WORK WITHIN THE
NHS
Mind the barriers!
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
65% of consultations remote 75% resolve remotely
70% reduction in DNAs
15% increase in capacity15%-26% drop in A+E
attendanceDriven by patient choice
80% of patients think service has improved
FOR 60,000 PATIENTS IN BIRMINGHAM
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
FOR OVER 1,000 LONG TERM CARE PATIENTS IN SCOTLAND
Shifting 60% of long term care
consultations out of hospital through video on demand
Taking supported self-management
programmes to 75% of COPD patients in a
matter of months
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
NOW WE ARE GETTING SOMEWHERE….
BUT WHY BOTHER?
LET’S EXPLORE THE BUSINESS CASE
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
ACCESS AND TRANSACT REMOTELY
+LONG TERM SELF-SUPPORT
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
LETS IMAGINE THERE ARE 60,000 OF US HERE TODAY….
Currently we cost the NHS £1.86m per annum in general A&E admissions that should be treated outside of hospital (Kings
Fund data correlated with local commissioning data sets)
We also cost the NHS £1.87m in avoidable admissions for the top-ten ambulatory care sensitive conditions..
We also cost £1.04m in ‘zero day’ hospital attendances – outpatients, day cases, false diagnosis etc..
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
WHAT DOES OUR CURRENT DATA TELL US ABOUT THE SAVINGS….
Category Current Costs Savings Costs of Digital Alternative (around £15/patient once at scale)
Total Savings
Avoidable A&E £1.86m £0.35m (18%) £0.9m £1.19m
(or £19.83 for every citizen)
Avoidable LTC £1.87m £1.12m (60%)
Zero day stays £1.04m £0.62m (60%)
For these three use cases alone the savings potential for the NHS is £1.27bn across the U.K. – and creates a viable digital healthcare economy of around £0.96bn
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
BUT HOW DO YOU DO THIS?
- Business Model?- Technical Model?
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
= RETAIL OUTLET
WRONG BUSINESS MODEL
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
WHERE IS THE AT SCALE BUSINESS MODEL FOR REMOTE CLINCAL SUPPORT?
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
ANYONE CAN CREATE A
DISCONNECTED APP…AND THE
MARKET IS SATURATED
AND THEY AREN’T INTEGRATED
WITH THE SERVICE YOU
RECEIVE!
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
THINK ABOUT HOW EVERY
OTHER SECTOR HAS DONE THIS…
THE USER EXPERIENCE IS INTEGRATED
WITH THE SERVICE THAT WE
ACTUALLY RECEIVE FROM
OUR PROVIDERS
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
WHAT SHOULD A DIGITAL
ARCHITECTURE LOOK LIKE FOR
THE NHS?
GP 1 GP 2 Community Acute Social
Tier 4: Clinical/ Professional Users
Interoperability Engine
Tier 3: Management and Care Coordination Users
Tier 2: Patient/Citizen User Applications (personalised/ logged on)
Communication Apps - Instant Messaging, Voice, Video, Imaging,Telephony
Personalised Care Planning
Scheduling Apps – Booking, Requesting (new and existing)
Secure Social Networking
Content Services – Syndicated and local
content
On Demand Access to Specialist
Content, Advice
Patient Feedback – ratings and responses
Telehealth and self support apps
Personalised Health Records
Patient Access to Medical Records
Patient Index
Booking and Scheduling
Contact Centre Mgt.
Reporting and M.I.
Virtual Caseload
Management
Identity Management
Self care tools. content and
direction finding
Tier 1: Patient/Citizen User Applications (for all)
DIGITAL HEALTHCARETHE FUTURE OF THE NHS
Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
http://www.digitallifesciences.co.uk/
http://www.creativedigitalhealth.org.uk/
Learn more about PHRs in this week’s HSJ
article from Andrew Chitty – or drop him a line
on andrew.chitty@digitallifesciences.co.uk