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mHealth in the UK
Dr. Malachy Rice
Kokomo
@malachyrice
NHS Reforms

NHS England
NHS England
Policy Consequences

•
•
•
•

Give power to the people who know the patients best
Move the locus of care from hospital towards home
Large Tenders: NHS Cornwall £300m, Cambridge £800m
Technology Fund £500m Nurse Tech: £250m A&E £1bn

Future Policy

• Vertically integrated Primary Care with Secondary Care
• Horizontally integrated health care and social care

(£3.8bn Integration Fund)
• Long term condition management will become social care
functions
Global Response
to Chronic Disease
2011 was a watershed year in human society’s acceptance of non-communicable disease
The General Assembly of the United Nations in its resolution A/RES/65/238
decided that the high-level meeting of the General Assembly on the
prevention and control of non-communicable diseases shall be held on 19 and
20 September 2011 in New York

Whole System Demonstrator: Headline Results: 20% reduction in emergency
admissions, 15% reduction in A&E visits, 14% reduction in elective admissions 14%
reduction in bed days, 8% reduction in tariff costs, 45% reduction in mortality rates

The aim – to improve three million lives over the next five
years. This is going to make an extraordinary difference to
people.”
Rt Hon David Cameron MP, Prime Minister, 5 December 2011
FT Global Pharmaceutical and Biotechnology Conference 2011
3millionlives
3millionlives
and Continua
Continua On-Ramp:
To achieve end-to-end
interoperability, Personal Health
Device providers must meet the
specifications under CEN ISO/IEEE
11073 Health Informatics for medical
/ health device communication
standards.

Continua Off-Ramp:
Services will implement, current and
future, applicable Interoperability ToolKit specifications, e.g. the Personal
Health Monitoring Report based on
Continua Health Record Network
interface.
DoH, H&S
Information
Centre
Dec 2013

Q2 2014

2014

Information
Example

Continua
PHMR
Dr. M.J. Rice
Principal Consultant
Kokomo
www.kokomo.eu
London (44) : 074 387 89155
Dublin (353) : 086 823 1447

@malachyrice

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mHealth 2013 - A UK Perspective on Telehealth

  • 1. mHealth in the UK Dr. Malachy Rice Kokomo @malachyrice
  • 3. NHS England Policy Consequences • • • • Give power to the people who know the patients best Move the locus of care from hospital towards home Large Tenders: NHS Cornwall £300m, Cambridge £800m Technology Fund £500m Nurse Tech: £250m A&E £1bn Future Policy • Vertically integrated Primary Care with Secondary Care • Horizontally integrated health care and social care (£3.8bn Integration Fund) • Long term condition management will become social care functions
  • 4. Global Response to Chronic Disease 2011 was a watershed year in human society’s acceptance of non-communicable disease The General Assembly of the United Nations in its resolution A/RES/65/238 decided that the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases shall be held on 19 and 20 September 2011 in New York Whole System Demonstrator: Headline Results: 20% reduction in emergency admissions, 15% reduction in A&E visits, 14% reduction in elective admissions 14% reduction in bed days, 8% reduction in tariff costs, 45% reduction in mortality rates The aim – to improve three million lives over the next five years. This is going to make an extraordinary difference to people.” Rt Hon David Cameron MP, Prime Minister, 5 December 2011 FT Global Pharmaceutical and Biotechnology Conference 2011
  • 6. 3millionlives and Continua Continua On-Ramp: To achieve end-to-end interoperability, Personal Health Device providers must meet the specifications under CEN ISO/IEEE 11073 Health Informatics for medical / health device communication standards. Continua Off-Ramp: Services will implement, current and future, applicable Interoperability ToolKit specifications, e.g. the Personal Health Monitoring Report based on Continua Health Record Network interface.
  • 7. DoH, H&S Information Centre Dec 2013 Q2 2014 2014 Information Example Continua PHMR
  • 8. Dr. M.J. Rice Principal Consultant Kokomo www.kokomo.eu London (44) : 074 387 89155 Dublin (353) : 086 823 1447 @malachyrice

Editor's Notes

  1. ObjectiveValidate current PHMR definition with wider clinical audience Review E2E process and ID Telehealth specificOverlaps with other standard processes e.g. referalls, CAF – build not reinventDevelop and validate clinical information requirements to point of confidence for next investment step – message development and subsequent spine releaseSignificant achievements/activities - What has been completed?Validation with User Champions – WSDAN and other leadersBuilding expanding network of real clinical users – required for clinical credibility, safety and valueProgramme of review events with volunteering usersWhat does it mean for audience?Opportunity to ensure national proposals incorporate local thinkingConsolidated and validated set of requirements (clarity of reasons for acceptance)Still need contributions from wider sourcesVOLUNTEERS