1. Place as a platform: joining up
across public services, the
voluntary sector and the
community
2. Outcomes – an overview of ..
• the Leeds Digital Strategy enabling place
based outcomes and integrated public
services;
• the importance of open platforms: open
data and standards;
• a proven approach to co-produce (across
place) solutions to outcomes;
• some suggested recommendations.
3. Place Based Approach to delivering better
outcomes and integrated public services
Voluntary Sector
Integrated
Local
Public
Services
Citizens
Private
Sector
LCC
Leadership,
Facilitation
&
Commissio
ning
4. Leeds the Best City For Health
and Wellbeing
We have not got the capacity or
capability to be good at everything
else.
5. We are about improving the Health
and Wellbeing of Bob
WHOLE SYSTEM / PLACE BASED APPROACH RELEVANT TO MANY OUTCOME AREAS
8. HIGH LEVEL REPRESENTATION OF THE PLATFORM COMPONENTS FOR
HEALTH AND WELLBEING IN THE CITY OF LEEDS (OR ANYWHERE ELSE)
Apps & devices to
support people live
their lives – health
and social care
View intelligence reports/
dashbords
Standards to allow data to flow across the whole system
Citizen Owned Data
Leeds Primary Care
Records
Non person sensitive
datasets prepared for open
publication
Open Data (Leeds
Data Mill)
Common infrastructure for health and social care
Integrated Intelligence
Information &
Advice
(Leeds Directory/
NHS.uk)
Professionals
Portals (Leeds
Care Record, CIS
etc)
Open data
analysis and
application
Digital literacy and leadership
Social care apps
CIS(eCM), eCB
ELMS
Consumer Applications and Tools
Co-designed with Service Users/Carers and Pratitioners
Care Act Apps
E.g. Personal Care
Account
Telex
Assisted Living Leeds
Telecare/ Assisted
Living Devices
Software and Tools
Information Portals:
Leeds Directory,
Mental Health etc..
Digital tools: Video
(Skype), Social, Mobile
Applications
Whole
system
Access
Infrastructure
NHS number to connect dataPublic wifi
Citizen Portal
(My
information)
Data
10. • Open Requirements
• Open Governance
• Open Citizen
• Open Viewer
• Open Integration (APIs)
• Open Architecture
Open integration is key
Simplify, Standardise & Share
For integrated digital care record see rippleosi.org.
11. Locked in systems vs adaptable
systems (ICT or Business Capabilities)
16. • Open Requirements
• Open Governance
• Open Citizen
• Open Viewer
• Open Integration (APIs)
• Open Architecture
Open Standards Important
Simplify, Standardise & Share
For integrated digital care record see rippleosi.org.
17. Local Digital Coalition
Simplify, Standardise and Share
Integrated Digital Care Records
Verify Registration, Authentication and Attribute
Exchange
Blue Badge Application Process
Local Waste Services Data Model
DVLA for Vehicle based services
18. Our challenges
1. System leaders don’t necessarily have a
whole system view or a focus on outcomes vs
their own services
2. Issues of boundaries and control
3. Middle managers accepting good as good
enough and common core capabilities
4. The challenge of scaling an sustainability of
prototypes
19. Recommendations
1. If you haven’t already: connect with your
partners/peers across place now;
2. Think outcomes (citizen) first, City (place)
second, Council services third;
3. Choose and adopt one either of Local CIO
Council, Local Gov Digital, GDS Design Principles
and apply;
4. Stop (Copy and adapt), Simplify, Standardise and
Share;
5. Don’t try to be good at everything.
Seismic shift in policy position – Health, Welfare, Policing, Education – Economic Dev (LEPs)
Global Trends – more people live in Cities than ever before – Café Society – cool places to be
Public Expectations – the expectation gap will grow >>> cuts vs capabilities
Technological advances – there is stuff available which is solving the problems we have now >> Translators for Asylm seekers.
The only thing that matter is the place and the people living there.
http://www.plantingtheflag.net/digitalinsights
LIVEABILITY INDEX – SMILIES
SYSTEM LEADERSHIP
Obstacles that need to be resolved, Enablers needed to get there, Example of a Citizen driven solution
We know that the current Health Care System is broken and unable to cope with the exponential increase in demand for health and care services (especially from people with Long Term Conditions/Co-morbidities) that the system as it is designed (architected) today, however efficient we make it will not meet the requirement. Therefore, as per the Five Year forward view, informed by numerous studies (e.g. Sir John Oldham et al), we have to move to a whole system approach which enables the citizen themselves to become more self-sufficient (wellbeing etc), we need to connect them and exploit their circle of care (of which the traditional health and care organisations are only part) and support that with technology and information solutions around their specific and unique needs.
What people with multiple conditions and complex needs say is: ‘I want you to care for the whole of me, and act as one team’. This is what we require commissioners and providers of health and social care to achieve: the needs of one person addressed by people acting as one team, from organisations behaving as one system. This starts with a conversation – listening to what you really want and takes account of your physical health, mental health, functional needs, environment and degree of empowerment. An integrated team from health and social care works with you and your circle of care (e.g. there are 94 mental health providers in Leeds non of which are in the Council or the NHS) to achieve the outcomes you wish for, with an overriding aim to help you maximise your independence and improve your overall wellbeing as a human being.
This includes the information and support to co-manage your conditions wherever possible. There are no multiple teams involved; specialist knowledge is pooled to achieve the outcomes that matter to you. The home is made a safe care environment. You, your carers, families and communities are seen as partners.
So how do we develop and information systems ecosystem to effectively support that? That is information systems/solutions designed around the individual circumstances and conditions of people that can interoperate with others, our professional care systems and from a data point of view we can capture all of that data for research, analytics and better proactive or reactive decision making.
Our strategic answer is the City As A Platform and this is not exclusive to underpin the delivery of Health and Wellbeing outcomes it is also to underpin the delivering of a whole range of other place based outcomes.
Citizen Driven Health and Wellbeing – A solution designed around the person
CitiSens will connect those living in social isolation particularly the elderly and vulnerable to support networks. Biometric and kinetic sensors deployed within the home and via body wearables will allow remote monitoring of health conditions and unusual activity patterns to trigger emergency responses when required.
Challenge: Meeting the needs of growing ageing populations and increased citizen’s expectations of healthcare services at times of substantial funding shortfalls in health and care budgets.
Solution: Technology and data enables development and delivery of new models of health and social care to support self-care and self-management of conditions, empowering citizens to participate in their own health and care.
Benefits - Citizen: Assisted self-care enables citizens to retain their independence within their own homes, provides reassurance that support is available at times of need and empowers people to participate and make decisions in their own health and care. Connecting individuals to friends, family, neighbours and carers builds stronger bonds for a better quality of life.
Benefits - Business: Business opportunities for SMEs in the development of healthcare innovations and large companies in the provision of wide scale IoT infrastructure.
Benefits – Environment: Fewer healthcare related journeys (The NHS accounts for 5% of all road traffic in England).
Benefits - Public Services: IoT enabled self-care and prevention reduces dependency on intensive services alerting to opportunities for early interventions in the management of conditions and provides intelligence for the effective planning and co-ordination of targeted, quality personalised services.
Six offers, six common needs
Three foundation blocks
Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR)
Open Governance - Endorsed templates with supporting guidance you can use for your IDCR initiative
Open Citizen - Common information and tools to support citizen engagement for your IDCR initiative
Three technical components to the open platform
Open Viewer - Web based IDCR application for both care professionals and citizens to use
Open Integration - Re-usable interfaces and integration engine to bring systems together into your IDCR – linking with Endeavour Health Charitable Trust
Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information
Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR)
Open Governance - Endorsed templates with supporting guidance you can use for your IDCR initiative
Open Citizen - Common information and tools to support citizen engagement for your IDCR initiative
Three technical components to the open platform
Open Viewer - Web based IDCR application for both care professionals and citizens to use
Open Integration - Re-usable interfaces and integration engine to bring systems together into your IDCR – linking with Endeavour Health Charitable Trust
Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information (OpenEHR)
Our innovation pathway doesn’t end with a prototype. Everything we do is designed to scale. To the scale of our city, to our city region, to the world. We learn from the people of Leeds, but we’re building for everyone.And our process isn’t limited to a single agenda. We’ve worked with fitness, education, public transport, ageing, energy, and waste management.
Our technologists work with Yorkshire Water, the WHO, KPMG, Sky, Gates Foundation, Zoopla, WY Metro, Bradford College, and many more.We are successful businesses, adding to Leeds’ huge strengths in digital, while delivering value to the place we choose to live.
Six offers, six common needs
Three foundation blocks
Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR)
Open Governance - Endorsed templates with supporting guidance you can use for your IDCR initiative
Open Citizen - Common information and tools to support citizen engagement for your IDCR initiative
Three technical components to the open platform
Open Viewer - Web based IDCR application for both care professionals and citizens to use
Open Integration - Re-usable interfaces and integration engine to bring systems together into your IDCR – linking with Endeavour Health Charitable Trust
Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information
Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR)
Open Governance - Endorsed templates with supporting guidance you can use for your IDCR initiative
Open Citizen - Common information and tools to support citizen engagement for your IDCR initiative
Three technical components to the open platform
Open Viewer - Web based IDCR application for both care professionals and citizens to use
Open Integration - Re-usable interfaces and integration engine to bring systems together into your IDCR – linking with Endeavour Health Charitable Trust
Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information (OpenEHR)