Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Digitally	enabled	integrated	healthcare
Designed	around	users	and	their	needs	
November	 2018
Copyright	 ©	2017, Oracle	and/or	its	affiliates.	All	rights	reserved.	 	|
Safe	Harbor	Statement
The	following	is	intended	to	outline	our	general	product	direction.	It	is	intended	for	
information	purposes	only,	and	may	not	be	incorporated	into	any	contract.	It	is	not	a	
commitment	to	deliver	any	material,	code,	or	functionality,	and	should	not	be	relied	upon	
in	making	purchasing	decisions.	The	development,	release,	and	timing	of	any	features	or	
functionality	described	for	Oracle’s	products	remains	at	the	sole	discretion	of	Oracle.
Commercial	in	Confidence 2
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
About	Me
Raj	Modi,	Senior	Director	– Healthcare	Innovation	
Over	15	years	in	strategy	and	transformation	consulting	working	
with	clients	such	as	the	National	Health	Service,	BUPA,	InHealth,	
Novo	Nordisk	and	Mayor	of	London.
Contact:	raj.modi@oracle.com
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
“Just	being	able	to	make	the	
best	use	of	mainstream	
products	and	services	would	
transform	health	and	social	
care	in	this	country.”
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
People	with	long	term	conditions	
30%	of	the	population	account	for	70%	of	the	spend	
50% 64% 70% 70%
50%	of	all	GP	
appointments
64%	of	all	
outpatients
70%	of	all	
inpatient	days
£7	out	of	£10	
spent	on	LTCs
Source:	Department	 of	Health	 (2012).	Report. Long-term	 conditions	 compendium	 of	Information:	 3rd	edition
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
What	people	with	long	term	conditions	want
To	be	treated	as	a	whole	person	and	for	the	NHS	to	act	as	one	team
“I	want	to	be	involved	in	
decisions	about	my	care	– and	to	
be	listened	to”	
“I	want	access	to	information	to	
help	make	these	decisions”
“I	want	support	to	understand	
my	condition	and	confidence	to	
manage	it	– support	to	self	care”
“I	want	joined	up,	seamless	
services”	
“I	want	proactive	 care”
“I	do	not want	to	be	in	hospital	
unless	it	is	absolutely	necessary	
and	then	only	as	part	of	a	planned	
approach”
Source:	Department	 of	Health	 (2012).	Report. Long-term	
conditions	 compendium	 of	Information:	 3rd	 edition
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Integrated	care	centred	on	the	person
Person	centred	integrated	care	will	consume	fewer	overall	resources	while	at	the	same	time	
being	better	for	patients
Person
Home	
care
Commun
ity	care	
Pre	op	/	
post	op	
care
Primary
care	
Acute	
care	
Urgent	
care
Outcomes	sought
§ Care	is	seamless	and	addresses	user	needs	
§ Treatment	decisions	are	evidence-based	and	
data-led	
§ Population-based	health	and	care	is	pro-
active	and	preventative	
§ Everyone	can	access	services	that	supports	
them	
§ The	workforce	is	delivering	the right	care	at	
the	right time	and	right place
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Supported	by	one	ecosystem
Enabled	by	digital	
Areas	of	value
§ Patient	centric	 journeys
§ Care	seamlessly	 coordinated	 across	
all	channels,	 driving	 continuity
§ Leveraging	 best	practice	 pathways	
and	technology	 innovation
§ Leverages	 data,	driving	
accountability	 for	improved	 clinical	
quality	 and	safety
§ Care	is	more	accessible	 and	
affordable
£	cost	of	
intervention
Number	of	
interventions
Digital Telephonic Clinic Hospital
Health
Info
Apps
Devices
Coaching
Peripat
etic
Out
Patient
In
Patient
Data	Driven,	 Person	Centric	 Pathway	supported	 by	HCP’s
100%	 of	LTC’s 20%
Copyright	 ©	2017, Oracle	and/or	its	affiliates.	All	rights	reserved.	 	|
Imagine	if	you	could	
take	a	business	idea	
and	build	a	prototype	
with	a	business	
justification	in	
12	weeks	or	less
Oracle	 Confidential	- Internal
The	challenge
Copyright	 ©	2017, Oracle	and/or	its	affiliates.	All	rights	reserved.	 	|
A cross-functional
team of experts
from a clinicaland
business background
A core team to
socialise the idea
and develop
the customer
journey map
A sharingworkshop
with executive
stakeholders
Time commitment
for a hands-on,
innovation workshop
Interim meetings
to evolve and refine
the proposition
Combing	innovation,	strategy	and	
prototyping	into	a	simple,	end-to-
end	offer.
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
PATIENT
Feeling	empowered	by	digital	care		
services	on	demand	– accessing	
medical		knowledge	from	certified	
sources,	plus your	own	records
Experiencing	a	consistent and		
personalised	service	that truly
reflects	today’s	digital	world		
but	is	inclusive	of all
Having	peace	of	mind	through	a		
personal	care	community	of	
loved		ones	monitoring	your	
wellbeing	and		groups	who	
share	your	situation
Gaining	safe,	relevant	advice	at	
any	time,		accessing	professionals	
when	it	matters		most	to	you,	
through	telecare	and	video		
conferencing	technology
Imagine	if…
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
NURSE
Loving	your	workplace,		
empowered	 to	quickly	implement		
the	right	care	model	for	a	patient's		
needs,	easing	the	pressure	off	you
Accessing	innovative	mobile, systems allowing	
you	to	share		knowledge	across	departments		
and	in	the	community,	anytime,		anywhere,	in	
an	instant
Access	training	digitally,	with	the	
flexibility		to	suit	you	– and	your	
shift	patterns
Saving	even	more	lives,	because	
automated		processes	means	you	have	
the	time	to		provide	the	care	you	aspire	
to,	every	day
Reducing	demand	through	better
public awareness	– omni-channel	
community		care	messaging	about	
healthier	choices		and	appropriate	
use	of	NHS	services
Imagine	if…
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Manchester	Amputation	Reduction	Service
‘Whole systems analysis’
13
The	problem
• 1000	amputations	 across	GM	– half	avoidable
• Significant	 inequalities	 in	service	 provision
Mars	approach
• One	community	 pathway	for	foot	and	leg	 ulcers
• Take	‘hospital’	services	 into	community
• ‘whole	systems	analysis’	 population	 based	transformation
• Incorporates	 prevention,	 health/social	 care,	and	IT
Outcomes	 sought:
• Reduce	 chronic	 wounds	by	15%	within	 5	years	
• Reduce	 hospital	 AE	attendances,	 admissions	 and	outpatient	
referrals
• Reduce	 annual	 spending	 by	£70m	within	5	years
• Reduce	 inequalities	 in	service	 provision	
• Put	the	patient	experience	 first
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Oracle	 Confidential	 -
Internal
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Copyright	 ©	2017, Oracle	and/or	its	affiliates.	All	rights	reserved.	 	| Oracle	 Confidential	– Internal,	 Jacqueline	 Gummer
Digital	citizen-engagement	tool	
delivering	self-care	and	
professional	communication	across	
a	range	of	digital	devices	(e.g.	
computer,	mobile,	tablet).	
Family	Assist
The	West	Sussex	NHS	FT	story
Oracle	Confidential	– Internal,	Jacqueline	GummerOracle	Confidential	– Internal,	Jacqueline	GummerOracle	Confidential	– Internal,	Jacqueline	GummerCopyright	©	2017 Oracle	and/or	its	affiliates.	All	rights	reserved.
70%	registration	rate
Significant	reduction	in	
calls	to	triage
0.5%	escalation	to	
enquiries
42%	saving	on	printing
Copyright	 ©	2017, Oracle	and/or	its	affiliates.	All	rights	reserved.	 	| Oracle	 Confidential	- Internal
https://www.youtube.com/watch?v=ucudMJs0840
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
Multiple	Patient	
Personas
Multiple	Pathway	
Visions	
One	Platform Integrated	 Care	Platform
Maternity	 Pathway Family	Assist
Amputation	
Pathway
Copyright	©	2018, Oracle	and/or	its	affiliates.	All	rights	reserved.
“Companies	and	government	
agencies	often	make	the	mistake	
of	viewing	innovation	as	a	set	of
unconstrained	 activities	with	no	
discipline”
https://hbr.org/2017/09/what-your-innovation-process-should-look-like

Digitally Enabled Integrated care