Undiagnosed Health Problems: A Global Burden

How do we reduce it?

Earlier diagnosis?

Intelligent use of diagnostic tests enables earlier

diagnosis

SAVEScreening Adds Value Efficiently:

e-nergising, ®e-vitalising and e-nnovatingAdrian Davis

adriandavis@nhs.net

ETL

Birth notification

Late registrations

NSS - National Screening Store

NHSP Screening Management System

PDS lookup / trace

PDS

Movers

NHAIS

NIPEScreening Management System

Birth notification

NN4B

Data

Warehouse

Analytic

Trends

Analysis and reporting tools Quality Management System

Interfaced screening equipment

ETL

Current state architecture

Undiagnosed Health Problems: A Global Burden

How do we reduce it?

Earlier diagnosis?

Early screening enables earlier

diagnosis

HearCheck Screener

Introducing triage into primary care• Using HearChecks to screen

people before referring to Audiology– We have worked with primary

care in Leicester to raise their awareness of hearing & its management

– We triage patients in Audiology clinics to different pathways depending on how many tones they hear

– Liz Morgan-Jones (and Pauline Smith) can tell you about the great transformation this has made to her services

Working with Industry I

nnov

ation

Hea

lth a

nd W

ealth

We should build a better relationship with industry based on

Based on Trust not Transaction

With fewer contact points

Working alongside representative bodies to lever change

Horizon scanning for the highest impact innovations and spreading them at pace and scale

A different value proposition for the NHS

The NHS’ most senior CE’s regularly meeting and networking with industries most senior CE’s

More effective procurement and pre-procurement, and a more systematic approach to the spread of new ideas

NHS CB - developing a long and short term view

• NHS CB is undertaking work looking at our long term approach to tariff design, and how tariff can be developed to be consistent with, and promote the NHS CB’s strategic aims.

8

We had 5 opening lines of enquiry:1. What do we know already?2. Can payment mechanisms incentivise self-management of Long Term

Conditions?3. Can pricing incentivise centralisation & specialisation?4. Can it incentivise the uptake of innovative technologies?5. Can it incentivise productivity and efficiency?

Future - Outcome over our children’s life-course is everything

Thanks: Dr Bridget Wilckren Thanks: Northgate information systems

Thank you

Start networking early!

STM example

Inputs – Executive – Action – S/E/L/Cog

Archie CochraneWalter HollandDavid SackettMuir Gray

Value in healthcare• Demand does not = Need

– Efficiency through screening reduces stress

• Equity = whole population – (The price of inequality – Stiglitz)

• Earlier => better outcomes achieved– (mortality, quality of life, recovery from intervention, safer, more satisfactory)

• Whole Services Improvement– Even I can do this as I have standards, training, specs, SOP, audit, QA, QI and

commitment

Lessons…

Scale and pace

• Encouraging and working with SME

• Working with major companies

Questions

Thank you

BVHC system – Hearing Loss

Adrian Davis, Neil Porter, Jay Dobson

Healthcare scientist inputHealthcare scientist input, system wholly managed by HCS – audiologist from triage to long term care with input from other medical and scientific groups when needed

Benefits realisation:

UK plcPeople with HLPeople communicating with themWelfare, Social CareHealthcare – maybe greater spend on hearing and less on other issues because managed better????????However, spend per patient reduction