Test beds innovator briefing - WMAHSN · Test beds innovator briefing May 2015 New Models of Care...

Test beds innovator

briefing

May 2015

New Models of Care

Date: 04/02/2015

Our invitation to global innovators

Michael Macdonnell

Director: Strategy Group, NHS England

Emily Hough

Deputy Director: Strategy Group, NHS England

Date: 04/02/2015

3 www.england.nhs.uk

What are we looking for?

• New technologies that offer the potential to improve health

and healthcare at the same or lower cost…

• but to realise their full value must be combined with

innovations in how NHS services are delivered

• Innovators that want to develop, or have already developed,

partnerships with NHS organisations…

• ……and to test their innovations in a real-world NHS

environment through these partnerships

• To do so at a significant scale and ideally across

traditional organisational boundaries…

• …and to use this empirical insight as a platform for wider

diffusion.


What this is not

• A direct route to market for the NHS – although

successful innovations will have a strong platform

• A way of getting your new technologies funded

• A programme for early-stage innovations that have not

yet satisfied all regulatory and safety requirements

• A guarantee of success: robust evaluation, probably

through controlled trials, will be a programme

requirement

• A rigid process – we want to iterate and flex, focusing on

getting the highest potential partnerships


The process

A call to innovators

Catalysing partnerships

Finalising test bed

proposals

Designating test beds

Stage 1 Stage 2 Stage 3 Stage 4

December 2015 Spring 2015 Summer 2015 Autumn 2015

Expressions of Interest

(EOIs) submitted

12th June 2015


Another way of looking at it

We are here

Virtual

matchmaking

Face-to-face

matchmaking


The ideal NHS site would have…

• Effective leadership underpinned by strong

relationships between all participating bodies

• The willingness and capability to share data, and use

the NHS number as unique identifier

• Serve an overall population of significant scale

• Commitment to conducting real world

demonstrations of combinatorial innovations in ‘live’

settings, including clinical leadership and buy-in.

• Commitment to moving at pace, with governance that

promotes swift decision-making and problem solving

The other side of the equation

We are working in parallel with AHSNs to identify prospective sites


The UK Government, Government Office for Science,

AHSN Network and NHS England together will bring…

• Sponsorship and a phone number to call

• Problem-solving; for example, approaches to tackling

barriers to sharing data that are employed elsewhere

• Flexibilities; for example, simpler and more consistent

contracts

• A wider diffusion approach for successful innovations,

co-developed with our first wave sites

• Some investment primarily to support the capacity to

implement and rigorously test innovations in NHS bodies

– up to £10m over 2-3 years for this first wave

What we offer


The next steps…

• Submit an expression of interest by 12 noon 12th June

2015 at:

https://nhs-ihw-colab.induct.no/login

• A long-list of potential innovators will be invited to take

part in brokering or ‘matchmaking’ events which will take

place over the summer and early autumn

• Potential test bed areas and innovators will finalise their

partnerships and develop a joint proposal late in the

Autumn








Views from the NHS frontline

Dr Ian Wilkinson

Chief Clinical Officer, NHS Oldham CCG

New Models of Care

Date: 04/02/2015


NHSE Test Bed

• The national £20bn challenge is real

• More of the same approach will not deliver this

• Wanless report “Securing good health for the whole

population” 2004 warned us so

• Five year Forward View emphasises the need to make a

step change in focusing health and social care on

disease & ill health prevention

• The Greater Manchester devolution proposition is based

on this re-engineering of allocative efficiency to move us

from reactive to preventative

• In this respect GM plan & FYFV align tightly


The Implementation Gap

• Invention – Originating idea for a new service or

product or a new way of providing a service ✔

• Adoption – Putting the new idea, product or service

into practice, including prototyping, piloting, testing and

evaluating its safety and effectiveness ✓

• Diffusion – The systematic uptake of the idea, service

or product into widespread use across the whole

service ✖

• ROI & T2V – Ensuring financial sustainability ✖


The Oldham Case Study

• Recurrent Innovation Fund

• Call for Innovations

• Assessment against priorities criteria

• Market place event

• Dragons Den

• Piloting/Evaluation

• Diffusion – Rapid Adoption of Innovation Framework

(RAIF)

• ROI

Dr Sanjay Gautama

Consultant Anaesthetist and CCIO & Caldicott

Guardian, Imperial College Healthcare NHS

Trust

Date: 04/02/2015

Current IT landscape

• End to End pathway management

• Communication

• Information Sharing

• Paper

The problems

The problem

The solution

• Community Independence Service

• Community based services

• NWL Care Information Exchange

• NWL Whole Systems Integrated Care – early adopters &

care planning

In Flight

• Sector Wide Information Sharing and Consent

• NWL Informatics Design Authority

• Apps and Mobility Committee

• Electronic communication and task management

In Flight

• Processes and Systems aligned – clinical strategy and

pathway management

• Population health and risk stratification

• Real time Big Data Analytics

• Community based Early Warning Systems

• Accountable Care

The Gap

• Interoperability – GP systems / Social Care

• Remote access / Apps / Mobility

• Patient Authentication

• Staff Authentication – moving on from smartcards

The Gap

Oliver James

Medical Director, NE and NC AHSN

New Models of Care

Date: 04/02/2015

The Region

Population: 3 + million, mixed urban and rural

In general, worse health than the rest of England,

significantly higher hospitalisation

11 NHS Trusts (all FTs), 8 Acute, 2 Mental Health,

Ambulance

13 CCGs

5 Universities, one major Medical School

AHSN, HEE (HENE), Reach of Newcastle Medical School,

CLRN are all coterminous.

The Test Bed A Network, including the following, is strongly motivated to work together as a Test

Bed encompassing the 3+ million NE & NC population:

• NHS Trusts (Acute, Mental Health, Ambulance (including 111 service)).

• CCGs

• Local Authorities

• NHS England North of England Regional Team

• North of England Commissioning Support Unit

• Universities

• The Two Regional LEPs

• NEQUOS (North East Quality Observatory)

• NIHR Diagnostic Evidence Co-operative Newcastle

The Test Bed will be underpinned by the “Connected Health Cities” programme

(based in Newcastle) of the Northern Health Science Alliance.

Total Programme - £20 million for four connected programmes, joining big data

sets.

The NE & NC Test Bed Vision

• To connect the present, very disparate and non-

interconnective NHS and social care information systems in

the test bed region

• Through the use of the vast, expanding, and improving

range of digital technologies to empower patients and

citizens. Hence to radically improve health and social care

pathways and save money to reinvest in NHS

Experience to Date: The Good • Roll out of digital technologies, often via AHSN, region-wide

I) Timely and appropriate e-referrals from hospitals to care homes,

palliative care etc. from Cumbria CCG.

II) Web-based monitoring of patients prescribed oral nutritional

supplements in nursing homes – County Durham and Darlington NHS.

FT. Now taken up in Wessex, Northern Ireland.

III) Telehealth Florence management of adolescents with Type I diabetes.

(Gateshead, now Newcastle, Northern Universities)

IV) Telehealth Florence Management of pregnant mothers with diabetes or

hypertension of pregnancy.

• Successful partnerships with successful digital companies; Proteus

Digital Health, Inhealthcare, Florence (NHS), Alere, O.J.Bio.

Experience to Date: Present Hurdles

• Not invented here

• “We like it, we recognise it will save money, but we have no

money this year to roll it out.

• “If we adopt this service improvement that will empower

patients, save NHS money, the Trust will lose money, we

can’t adopt.”

Test beds innovator briefing - WMAHSN · Test beds innovator briefing May 2015 New Models of Care...

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