Mersey Care NHS Foundation Trust is facing increasing demand for mental health services due to high levels of deprivation and health issues in the communities it serves. The trust aims to [1] transform the patient experience through using digital technology, [2] deliver a digital patient record and online access to services and specialists, and [3] develop the digital skills of both patients and staff. Key deliverables include new clinical systems, predictive analytics using various data sources, and technology that enables self-care and connects patients digitally to clinicians. The trust will also focus on co-producing digital solutions, sharing learning nationally, and working with other organizations.

1. Global Digital Exemplar -
Mental Health
April 2017
JIM HUGHES | CHIEF INFORMATION OFFICER

2. Agenda
• Mersey Care - a mental health context
• Our digital ambition
• Who benefits
• Our key deliverables
• How we will learn and share

3. Our footprints

4. Increased demand
Bed occupancy
has risen from 96% to 100%
Liverpool third
highest severe
and multiple
deprivation
1/4 people in Liverpool
1/5 people in Sefton
have a current common mental health problem
Over three times more
A&E attendances
for psychiatric disorders in Liverpool than the UK average.
2x national
average
in Liverpool
unemployed
Deprivation… …and its impact
Higher incidence of
psychosis in Liverpool
Life expectancy
11.5 years lower for men in the most
deprived areas of Sefton than in the
least deprived areas
Liverpool: drug and alcohol
addiction capital of England

5. Strategy for
key challenges
Perfect Care
A clear, board-owned strategy
understood by wards and teams

6. Strategy for
key challenges
Perfect Care
A clear, board-owned strategy
understood by wards and teams

7. Our Perfect Care goals

8. Not face to face –
side by side

9. Our digital ambition
• Backdrop
• High levels of digital exclusion
• Most vulnerable and excluded people in society
• Transform the end-to-end patient experience
through the use of digital technology to enable
•
• Quicker access to services
• More control over their own health
• Enable sustainable recovery

11. Value proposition
• ‘Flip the clinic’
• Use digital technology in all the services we offer
• A digital patient owned care record with access to expert clinicians
• Digitisation is about people not just technology
• Co-production (side by side)
• Digital skills for workforce and service users

12. Who will benefit
• Our clinical workforce
• Digital skills
• Improved decision making (access to real time information)
• Our service users and their families
• Access to services
• Online choice
• Access to specialist advice
• Self-care
• The wider health and social care system
• Integrated records
• Interoperability
• Digital community – UK; USA; Somalia; Pakistan; UAE

13. Deliverables - systems
• New clinical information system,
automated pathways
• Sevelec RiO – electronic patient record
• JAC - Electronic prescribing
• EMIS web (part of merseyside digital programme)

14. Deliverables – data science
t0 t1 t2 t3 t4
Threshold to trigger emergency alerts
Initial Risk
Score
calculated
P1
P2
P3
P4
Patient
downloads and
configures the
app
Event 1:
Appearance of a
mildly negative
comment on
Facebook
Event 2:
Negative
comment in the
journal feature
in the app
Event 3: Low
mood score in
the “Mood
Meter” in the
app
Event 4:
Presence near
a “high-risk”
location
App calls relevant
authorities
automatically at the
high-risk locations
P0
App reaches out to
Friends and Family as
risk increases
Risk of
Suicide &
Self Harm
• Initial risk score
calculated upon
download and
configuration of the
app
• Events detected
based on a variety of
data sources (social
media comments,
entries in the app etc.)
• Risk score modified up
or down
• Alerts triggered when
the risk score crosses
certain thresholds
• Predictive analytics – eg anticipate increased risk
of self-harm or suicide and trigger an alert

15. Deliverables - technology
• Using technology to ‘flip the clinic’
• Connect users digitally with clinicians through
alert mechanisms and behavioural triggers
• Enabling self-care to maintain independence
• Service user access to their digital records

16. Deliverables - digitisation
• Digitisation is as much about people
as it is about technology
• Co-produce digital technology solutions with experts by experience
• Co-produce technology with clinicians
• Programme of digital skills for workforce and service users
• Embed clinical leadership – network of the office of the CCIO

17. Learning and sharing
• Develop a learning network in our STP
• Create Intellectual property and make it available to others
• Leverage our infrastructure in Merseyside with partner organisations
• Work with other GDE’s, national teams and with suppliers