Robin Vickers, Executive Director, Digital Life Sciences

DIGITAL HEALTHCARETHE FUTURE OF THE NHS

[email protected] @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!


DIGITAL HEALTHTHE FUTURE OF THE NHS

What is Digital Healthcare?

Why should we bother?

How can it be done?


WITH LESSONS DRAWN FROM…


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

WHAT IS DIGITAL HEALTHCARE?


…SORRY IT ISN’T MORE OF THIS…

AND IT IS CERTAINLY LESS

OF THIS

• [email protected] @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


THIS PROVIDES FANTASTIC (Web 1.0) INFO….

BUT DOES IT DO ANYTHING


HANG ON….COULD IT BE SOMETHING LIKE THIS

DIGITAL HEALTHCARE =

PERSONALISED + TRANSACTIONAL


• [email protected] @DigiLifeSci @Robin_Vickers

TAKE A BIT OF THIS

AND A LITTLE BIT OF THIS

No pun intended


AND SOME OF THIS...


WITH A LARGE DOSE OF THIS...


MAKE IT WORK WITHIN THE

NHS

Mind the barriers!


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


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


NOW WE ARE GETTING SOMEWHERE….

BUT WHY BOTHER?

LET’S EXPLORE THE BUSINESS CASE


ACCESS AND TRANSACT REMOTELY

+LONG TERM SELF-SUPPORT


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..


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


BUT HOW DO YOU DO THIS?

- Business Model?- Technical Model?


= FACTORY/PRODUCTION LINE

WRONG BUSINESS MODEL

= RETAIL OUTLET



= FIELD SUPPORT


WHERE IS THE AT SCALE BUSINESS MODEL FOR REMOTE CLINCAL SUPPORT?


BIRMINGHAM (1 ALREADY, 3 MORE THIS YEAR)….

AND THE TECH?



ANYONE CAN CREATE A

DISCONNECTED APP…AND THE

MARKET IS SATURATED

AND THEY AREN’T INTEGRATED

WITH THE SERVICE YOU

RECEIVE!


THINK ABOUT HOW EVERY

OTHER SECTOR HAS DONE THIS…

THE USER EXPERIENCE IS INTEGRATED

WITH THE SERVICE THAT WE

ACTUALLY RECEIVE FROM

OUR PROVIDERS


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)

SUMMARY


LESS(as fast as we

can)


MORE (asap)

DIGITAL HEALTHCARETHE FUTURE OF THE NHS


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 [email protected]

Robin Vickers, Executive Director, Digital Life Sciences

Technology

Transcript of Robin Vickers, Executive Director, Digital Life Sciences