Innovation Show

1. www.england.nhs.uk
Dr Samantha Roberts
Director of Innovation and Life Sciences
NHS England
Increasing adoption of
innovation
What works?
2 May 2018

2. www.england.nhs.uk
To discuss today
• Who we are
• What we do
• Work underway to increase adoption and
spread of innovation
• How we hope to work with our partners
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3. www.england.nhs.uk
Who we are
The Innovation and Life Sciences Division
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• Life Sciences Industrial
Strategy
• Accelerated Access
Collaborative
• Horizon Scanning and
identifying demand at a
national level
• Identifying research needs
• Supporting research in the
NHS:
• Excess treatment
costs
• Commercial
Contract research
• AHSNs
• NIA
• SBRI
• ITP/ITT
• Test beds
• Clinical entrepreneurs
• Innovation strategy
Life Sciences Research Innovation
How can we support
implementation of the
Life Sciences Industrial
Strategy?
How can we facilitate
research in the NHS that
addresses areas of
need?
How can we increase
development, adoption
and spread of proven
innovations?

4. www.england.nhs.uk
What we do
NHSE currently supports a range of programmes from initial concept through to national spread

5. www.england.nhs.uk
Work underway
Drawing on lessons from a number of recent publications regarding adoption of
innovation in the NHS….
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The need to build demand
Adaptiveness of products The use of evidence
Leadership Funding spread
Move away from top-down, supply-side approaches
and instead focus on creating the right conditions
for spread
Products need to be adaptable to different clinical
settings. To achieve this innovators and adopters
need to work together at an early stage.
Focussed roles or groups are needed to drive
innovation and embed it into routine and operational
management processes
Far more is spent on R&D than adoption and
spread.
Move away from financial incentives to an approach
which embeds innovation into routine processes.
Qualitative evidence should complement economic
and clinical evidence to build a vision and create
buy in for innovations.
Financial imperatives and incentives

6. www.england.nhs.uk
Work underway
….We are working in a number of areas within NHSE and with partners
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With partners – innovation
landscape review
Creating
strategic
alignment
Supporting
behaviours
that
increase
adoption
and spread
Improving
the supply of
high quality
innovations
Within our unit
Simplify
and link
Understand
pipeline and
demand
Focus on
the ‘how’
as much
as the
‘what’
DRAFT – SUBJECT TO CHANGE

7. www.england.nhs.uk
Strategic alignment
We are one of many national organisations that support innovation, with 38
different programmes between us
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• Scientific Advice
• Preliminary Independent Model Advice
• META tool service
• AdviSME Prize
• Small Business Research Initiative (SBRI) Healthcare
• NHS Innovation Accelerator (NIA)
• Academic Health Science Networks (AHSNs)
• Innovation and Technology Tariff (ITT)/ Innovation
and Technology Payment (ITP)
• Commissioning through Evaluation (CtE)
• MedTech Innovation Briefings (MIBs)
• NHS Test Bed Programme
• Clinical Entrepreneurs Program
• Knowledge Transfer Network (KTN)
• Biomedical Catalyst
• Investment Accelerator Pilot
• Innovation Loans
• Investment showcase
• Open R&D
• Innovation in Health and Life Sciences
• Innovate UK other competitions
• Catapult
• ISCF (Medicines Manufacturing & Leading Edge
Healthcare)
• Innovation Observatory (formerly Horizon Scanning
Research and Intelligence Centres)
• NOCRI
• Efficacy and Mechanism Evaluation
• Health Technology Assessment Programme
• Invention for Innovation (i4i)
• Invention for Innovation (i4i) Connect
• Medical Technology and In-Vitro Diagnostics Co-
Operative (Health Technology Co-Operatives &
Diagnostic Evidence Co-Operatives)
• Innovation Office
• Early Access to Medicines Scheme (EAMs)
• Digital Health Technology Catalyst
• SME Funding support scheme
• Pathway Transformation Fund & Accelerate Access
Collaboration
• Innovation Scorecard
• Innovation Exchanges (to be launched soon)
Wellcome • Innovator Awards
Misc • MRC Industry Collaboration Agreement (MICA)
DRAFT – SUBJECT TO CHANGE

8. www.england.nhs.uk
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Case for
change and
vision for the
system
A
Resources
and skills
C
Role models
and
governance
B
Structures,
systems,
processes
D
Supporting behaviours
Taking and integrated approach to behaviour change
‘I will change my
mind-set and
behaviour if…..’
‘I understand what
is being asked of
me and it makes
sense’
‘I see leaders and
colleagues
behaving
differently’
‘I have the skills and
opportunities to
behave differently’
‘I see our structures,
processes and systems
support the changes I’m
being asked to make’
DRAFT – SUBJECT TO CHANGE

9. www.england.nhs.uk
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Supply of high-quality innovations
Priorities
DRAFT – SUBJECT TO CHANGE
Evidence Support Access

10. www.england.nhs.uk
Work underway
….We are working in a number of areas within NHSE and with partners
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With partners – innovation
landscape review
Creating
strategic
alignment
Supporting
behaviours
that
increase
adoption
and spread
Improving
the supply of
high quality
innovations
Within our unit
Simplify
and link
Understand
pipeline and
demand
Focus on
the ‘how’
as much
as the
‘what’
DRAFT – SUBJECT TO CHANGE

11. www.england.nhs.uk
How we hope to work together
Focus on the ‘how’ as much as the ‘what’ - drawing on lessons from Joe
McCannon and the Billions Institute
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Natural diffusion
Rigid design – focus on fidelity
‘Typical’
Active dissemination
Scalable design – focus on adaptability
‘Exceptional’
General goals Explicit, time-bound, apportioned aims
One approach Many methods
Central office broadcasts ‘All teach, all learn’
Summative reports Live network view
Adherence to plan Improvisation