Delivering Services That Are Fit For The Future, From Strategy To Delivery Professor George Crooks OBE Digital Health Assembly: Open Innovation 2015

1. Delivering Services that are
Fit for the Future,
from Strategy to Delivery
The Scottish Experience
Prof George Crooks OBE

2. 2
Population: 5.3 million
Health devolved to Scottish Parliament
NHS Funding: £12 billion
Public Service funded through taxation
All Boards funded directly from Scottish
Government
From urban/post industrial cities to very
remote and rural and islands
Principles of mutuality, partnership,
performance
NHS Scotland

3. Clydebank
East Kilbride
Kilmarnock
Dumfries
Aberdeen
Melrose
Glenrothes
Regional Centres
Local & Remote
Centres
Dundee
Cardonald
South Queensferry
Inverness
Falkirk
Shetland
Orkney
Western Isles
Highland
Grampian
Tayside
Dumfries & Galloway
Ayrshire & Arran
Borders
Lanarkshire
Lothian
Forth Valley
Greater Glasgow & Clyde
Fife
Scotland

4. 4
NHSScotland:
Is an integrated healthcare
system: 14 Territorial Health Boards
(“hands-on” healthcare providers)
In 2015 formal integration of health and
social care
NHS 24 is:
A statutory national NHS Health Board
Provider of national Telehealth and
Telecare services to the population of
Scotland
The Scottish Centre for Telehealth and
Telecare

5. In The Beginning

7. Evolution!!

8. Internet
TV
Telecare
Face
2
Face
SMS
Video
Mobile
Phone

13. Helsekonferansen 2010

14. Helsekonferansen 2010

15. Ageing society
Chronic
conditions
Lack of health
professionals
Financial
unsustainability
Health
inequalities
HLY vs LE

16. Number of Carers ↓
Number requiring care

18. OUR VISION IS THAT BY 2020:
Everyone is able to live longer healthier lives at home, or in
a homely setting. We will have a healthcare system where
we have integrated health and social care, a focus on
prevention, anticipation and supported self management.
When hospital treatment is required, and cannot be provided
in a community setting, day case treatment will be the norm.
Whatever the setting, care will be provided to the highest
standards of quality and safety, with the person at the centre
of all decisions. There will be a focus on ensuring that
people get back into their home or community environment
as soon as appropriate, with minimal risk of re-admission

19. INTEGRATION

20. Helsekonferansen 2010

23. THE RESHAPING CARE PROGRAMME
10 Year National Programme 2011-2021
£ 300 million Change Fund 2011 – 2015
32 Partnership Change Plans agreed by:
NHS: primary, acute and mental health services
Local Authority: social care and housing
Third sector
Independent sector
Reshaping Care and Integration Improvement
Network to support partnerships to transform care

24. National Delivery Plan
for
Telehealth and Telecare

26. 4 OBJECTIVES
Telehealth and telecare will enable choice and control in health,
care and wellbeing services for an additional 300,000 people
People who use our health and care services, and the staff
working within them, will increasingly demand Telehealth and
Telecare as positive options
An Innovation Centre where academics, care professionals,
service providers and industry innovate to meet future challenges
and provide benefits for Scotland’s health, wellbeing and wealth.
Scotland develops an international reputation for research,
development, prototyping and delivering innovative Telehealth
and Telecare at scale.

27. … dashboard …
Using Risk Prediction Tools to help target interventions

28. Keep
It
Simple

31. Themes from community
engagement
•Giving back
•Caring for others
•Recognising resilience
•Sharing skills and experience with others
•Connecting people and communities
•Technology

34. SERVICE
REDESIGN
ICT
Education and Training

37. Helsekonferansen 2010

38. Helsekonferansen 2010

39. Helsekonferansen 2010

42. An Innovation Centre
for
Digital Health and Care

43. Innovation Centre
for
Digital Health
• Funding
• University Led
• Industry Supported
• Delivery Organisations founding PARTNERS

44. DHI will co-create sustainable economic growth
through new products, services and systems
developed together with businesses, academics,
healthcare specialists and citizens
DHI will generate high value health and
social care solutions to the benefit of the
people of Scotland and beyond

45. Helsekonferansen 2010
Project intake
Apply for
membership Describe your
opportunity Develop
and
evaluate
the idea
with us
Satisfy the
criteria and
be
prioritised Enter
Exploratory
Laboratory
or Factory
Collaborate,
Iterate &
Innovate

46. Helsekonferansen 2010

47. From Supportive Self Management
To
Co Production

48. “Co production means delivering public
services in an equal and reciprocal relationship
between professionals, people using services,
their families and their neighbours.
Where activities are co produced in this way,
both services and neighbourhoods become far
more effective agents of change”.

49. http://www.coproductionscotland.org.uk/

50. Living it Up
will co-design sustainable and
innovative improvements and
choices in health, care and
wellbeing for 55,000 by 2015.

52. Living it Up Scope
Budget - £10.3m
Timeframe – June ‘12 – May ‘15
Users – 55,000
Locations – 5 regions (Lothian, Forth Valley,
Moray, Western Isles & Highlands)

55. Health, Care & Wellbeing –
person focussed
• Increasing;
1. Choice
2. Control
3. Connectedness
4. Collaborations
5. Contributions
6. Communities
wider world
locality
home
wider world
locality
home

56. Service Model
Local community

60. LiU Services

61. LiU Portal – The Hub

62. Sign up - Profile – Makes it personal

63. Shine – What are you good at?

64. Flourish
The Flourish service will support the
Health and social care element of Living
it Up, some ideas so far;
• Telehealth/Telecare
• Digital postcards
• What keeps you well tool
• Calendar reminders
• Doctors appointments
• Experienced guides
• Games
Some services prototyped in
Flourish - Autumn 2013.

65. Discover – What’s available to you
locally?

66. Connect – Who would you like to talk
to?