Building an Innovation Exchange Network
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Master presentation from the Building an Innovation Exchange Network event at Haydock Holiday Inn on Tuesday 1 October 2019.
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Building an Innovation Exchange Network
- 2. We are catalysts for innovation, helping facilitate change across whole health and social care economies – to improve health, drive down the cost of care, and stimulate economic growth. Drive down the cost of care Stimulate economic growthImprove health INNOVATION Exchange Network
- 3. England’s 15 AHSNs operate as the innovation arm of the NHS INNOVATION Exchange Network
- 4. 1. Engagement and buy-in 2. Culture – different professional groups, perspectives and beliefs 3. Multiple organisations involved in decisions – integrating services 4. Silo working 5. Sourcing the right solutions - how do we know what we don’t know? 6. Resources 7. Managing and leading change Innovation Agency is here to help build capability in the system, connecting you to solutions and support overcoming barriers to spread Build an innovation mind-set into job roles and everyday practice INNOVATION Exchange Network
- 7. INNOVATION Exchange Network To create a network of interest across the system for the uptake of innovation Act as a conduit for the sharing of existing innovative practice and support spread to elsewhere in the system Create a system level pipeline for innovation identification and spread Testing solutions with real world validation Identify the system needs and priorities and curate solutions Match innovations to mobilise transformational and improvement strategies of your Trust/CCG/Place e.g. new models of care
- 8. Collaborative Working INNOVATION Exchange Network
- 9. Cheshire and Merseyside team: Jenny Dodd Sue Critchley Ed Millensted Lancashire and South Cumbria: Eleanor Garnett-Bentley Gemma Byrne Howerd Booth INNOVATION Exchange Network
- 10. INNOVATION Exchange Network Support system transformation through the adoption of innovations that enhance quality and value: • Structured working with the Health and Care Partnership/L&SC • Links with strategic transformational programmes and places • Trust engagement visits and other networks • Spread of nationally commissioned products & programmes • Pathway transformation at a system level e.g troponin, urolift, TCAM, ELC
- 11. Mapping and navigating the health & care landscape Classify our products into solution categories that reflect the health & care sector Hold conversations with providers to understand service needs and priorities Match innovative solutions to identified needs Navigating the footprint and signposting companies INNOVATION Exchange Network
- 12. We have simplified access to a wide range of tools, practices and innovations by grouping them into eight solution categories. Patient activation and self-care Patient safety and quality improvement Greater support and resource for primary care Workforce resource optimisation Digitalising the system Improving system flow Independence and prevention Operational excellence
- 14. The Coaching Academy is the vehicle for the education, learning and development programmes offered by the Innovation Agency We exist to: Increase capabilities for spread and adoption Support regional programmes for system integration Transform system culture for safety, innovation and improvement Collaborate with agencies to align support Build internal capabilities for a thriving workplace INNOVATION Exchange Network
- 16. Table discussions: co-designing an innovation collaborative
- 19. • Innovation Technology Tariff (ITT) • Innovation and Technology Payment (ITP) • Accelerated Access Collaborative (AAC) HST UroLift PCSK9i PLGF FIT Epi- Scissors NIC Endo- Cuff Heartflow Cladribine Gamma core Space OAR PneuX Secur Acath Calprotectin FMT MyCOPD
- 20. HeartFlow FFRCT • A standard coronary CT scan is uploaded to HeartFlow, which produces an FFRCT, and a 3D model of the coronary arteries. Reduces unnecessary invasive angiograms by specifically identifying site and degree of coronary artery block High sensitivity troponin- T assay PCSK9 • For people at high risk of heart disease who do not reach target cholesterol levels using traditional medicines. • Two blood tests are performed 1 or 3 hours apart compared to standard testing (10-12 hours apart), to rule out myocardial infarction within four hours of presentation to the emergency department (ED). Cardiology Cardiology Cardiology, diabetology, endocrinology, clinical biochemistry
- 21. Episcissors PLGF ratio test & triage test • Blood test to measure the ratio of protein biomarkers detectable before the onset of pre- eclampsia. • Or point of care blood test result within 20 minutes to measure elevation of one protein biomarker detectable before the onset of pre-eclampsia. • Fixed 60o scissors to increase accuracy of the episiotomy angle. • Reduces risk of damage to the pelvic floor and the need for further surgery. Women and children’s Women and children’s
- 22. Urolift • Hydrogel injected between the prostate and rectum prior to prostate radiotherapy, temporarily creates space between them. Minimises radiation dose to the rectum and other organs, reducing radium toxicity and its complications. Space OAR Hydrogel • Day case procedure to relieve symptoms of urinary outflow obstruction without cutting or removing tissue. A cost-effective alternative to TURP, reducing theatre costs, outpatient activity and improving patient satisfaction. Urology Urology, oncology, radiotherapy
- 23. Cladribine • A tablet for rapidly evolving severe relapsing remitting Multiple Sclerosis (MS). Reduces relapse by 58% and risk of disability by 33% • Patient-handheld medical device that enables self-administering discrete doses of non-invasive vagus nerve stimulation therapy for the treatment of cluster headache. gammaCore Neurology Neurology
- 24. Non injectable connector (NIC) • A one-way valve that attaches to an arterial line, allowing blood gas sampling but not drug administration. • Prevents serious error, reduces risk of blood spillage and bacterial contamination • Subcutaneous catheter stabilization device with small nickel feet placed just beneath the skin at the insertion site. Reduces need for adhesive dressings, cleaning time and dislodgement rates. SecurAcath Intensive care, coronary care ITP
- 25. • A silicone cuffed endotracheal tube with an electronic cuff monitoring and inflating device. Prevents leakage of bacteria contaminated secretions to the lung, lowering the rate of ventilator associated pneumonia by 50%. • Education, assessment, self-management, symptom reporting and pulmonary rehab app. It enables clinician remote monitoring, self- management and reduces hospital admissions. myCOPD PneuX ITT ITT
- 26. Faecal Microbiota Transplant • Treats recurrent clostridium difficile bacterial infections in one dose with 80% efficacy, reducing unnecessary antibiotic therapy and mortality. Faecal Immuno Chemical Test • Self-administered postal stool sample to detect faecal occult blood. Better than traditional tests for early detection of colorectal cancer and helps detect other colorectal abnormalities Gastroenterology, endoscopy, biochemistry Gastroenterology, endoscopy, biochemistry
- 27. Faecal Calprotectin • Self-administered stool test to detect increased levels of calprotectin. Distinguishes between inflammatory and non-inflammatory syndromes, allowing early effective management and reducing unnecessary colonoscopies. Endocuff Vision • Small, soft device attached to the distal end of a colonoscope, designed to maintain and maximize the viewable mucosa during endoscopy • ↑ Adenoma Detection Rate by 4.7% Primary care, gastroenterology, endoscopy, biochemistry Gastroenterology, endoscopy, general surgery
- 28. Provider: Heartflow Endocuff NIC Epi-Scissors SecurAcath Uro Lift Aintree UHT N/A Stage 1: Knowledge Stage 1: Knowledge N/A Stage 5: Adoption Stage 5: Adoption Alder Hey NHS FT N/A N/A Stage 1: Knowledge N/A Stage 3b: Dec - no Clatterbridge CC N/A N/A N/A N/A Stage 5: Adoption COCH Stage 5:Adoption Stage 5: Adoption Stage 5: Adoption Stage 5: Adoption Stage 5: Adoption Stage 5: Adoption LHCH Stage 5: Adoption N/A Stage 5: Adoption N/A Stage 5: Adoption Liverpool Women's N/A N/A N/A Stage 5: Adoption Stage 3b: Dec - no Mid Cheshire Hosps N/A Stage 5: Adoption Stage 5: Adoption Stage 5: Adoption Stage 2: Interest Stage 5: Adoption RLBUHT Stage 3b: Dec - no Stage 5:Adoption Stage 5: Adoption N/A Stage 3b: Dec - no Stage 5: Adoption S'port & Ormskirk N/A Stage 5: Adoption Stage 4: Implement Stage 5: Adoption Stage 2: Interest Stage 5: Adoption STHK N/A Stage 5: Adoption Stage 1: Knowledge Stage 5: Adoption Stage 5: Adoption Stage 5: Adoption Walton Centre N/A N/A Stage 4: Implement N/A Stage 4: Implement N/A W&HFT Stage 5: Implementation Stage 5: Adoption Stage 1: Knowledge Stage 5: Adoption Stage 1: Knowledge Stage 1: Knowledge Wirral University N/A Stage 5: Adoption Stage 5: Adoption Stage 5: Adoption Stage 5: Adoption Stage 1:Knowledge INNOVATION Exchange Network
- 31. Products & Programmes for spread and adoption
- 32. Ideas Walkingthe Dog TakingShape Pretty Good Game Changer • Funding Sources • Intellectual Property • Industry Partners • Evaluation • Regional, National or International Links New National Programmes
- 36. INNOVATION Exchange Network Carole.Spencer @innovationagencynwc.nhs.uk Sue.Critchley @innovationagencynwc.nhs.uk Ed.Millensted @innovationagencynwc.nhs.uk Jenny.Dodd @innovationagencynwc.nhs.uk Howerd.Booth @innovationagencynwc.nhs.uk Eleanor.Garnett-Bentley @innovationagencynwc.nhs.uk Gemma.Byrne @innovationagencynwc.nhs.uk Access our prospectus and other resources here; www.innovationagencynwc.nhs.uk
Editor's Notes
- Patient activation and self-care Products and services that: • Support people with an existing diagnosis to manage their condition • Use of support and education to increase patient activation that will reduce likelihood of exacerbation • Provide information and advice which helps people maximise their wellbeing Patient safety and quality improvement Products and services that: • Increase the quality and safety of clinical services • Reduce impacts of human factors • Reduce serious incidents and never events • Improve patient experience • Improves outcomes and reduce side effects Greater support and resource for primary care Products and services that: • Release GP capacity • Make GP practices more effective and efficient places to work Digitalising the system Products and services that: • Trigger a shift from paper based working to digital working • Introduce remote and assistive technology • Enable record sharing and interoperability • Population-based intelligence systems • Increase patient access to information and records • Reduce the burden of travel for staff and patients Independence and prevention Products and services that: • Improve the physical, mental and emotional wellbeing of individuals and carers • Are targeted at healthy people to keep them well and prevent illness • Support early diagnosis by identifying people at risk of developing disease • Identify people with an existing diagnosis to who are at risk of deterioration Improving system flow Products and services that: • Reduce time spent in hospital • Help navigation of the urgent care system to prevent admissions • Reduce delayed transfers of care • Identify bed availability across the system • Reduce time lost waiting for access and discharge
- 55% angiograms are unnecessary and do not result in a change of management. It is not as accurate as HeartFlow
- 15 AHSN We do spread and adoption First time in NHS history this has been attempted at scale