Health and Social Care Future
Information technologies changing
health and social care: overview and
examples of trends
Ra...
The Emailer was a landline phone that allowed you to send email from
a keyboard built into the handset. The Emailer arrive...
7 trends information technologies
•
•
•
•
•
•
•

Electronic records, decision support
Mobile
Patient-led and social media
...
Electronic medical
records (EMRs) have been
a long time coming
History
1960s
First hospital admin systems, first GP systems
1970s
Patient administration systems; departmental clinical
s...
Biggest civil computing project
Bit off more than they could chew
1998 NHS Executive commits to detailed EHR
2002 National...
Where next for EMRs?
• Interoperability
• GP-centred
Influenced by other trends
• Mobile
• Patient-led
• Sensors
• Big-dat...
Mobile

• 80% of UK to have smart phone by 2020
Patient-led and social media
Diabetes App Challenge
apps developed BY young people with
diabetes FOR young people with diabetes
• UK wide competition f...
‘Stakeholders online’ project

Experiments in getting service users and
professionals online to discuss future ehealth ser...
Sensors and alarms
There are all sorts of sensors and alarms already
available which may reassure the carer about
their fa...
Sensors and alarms
Telehealth
Telehealth research at
Plymouth University
Professor Ifeachor, Dr Kamel Boulos, Dr
Carroll and colleagues at the Universit...
Wearable technology
eg1 - eCAALYX project
• eCAALYX Enhanced Complete Ambient Assisted
Living Experiment, EU-funded projec...
Wearable technology
eg2 – various off the shelf fitness
bands and watches
‘Big Data’
• Patient collected data (mobiles, sensors)
– Out of interest do you record some health data (BP, BG,
weight…) ...
Robotics research at Plymouth University
Plymouth University is
a centre of excellence
in robotics research.

Guido Bugman...
Frank and the robot
Telepresence
Giraff telepresence robot being
used by geriatrician to contact
elderly patient in her own home
Five telepres...
Telepresence – virtual visitors
Giraff has been tried out in Italy, Spain, Sweden, Australia,
and are now being tried in t...
Do you Skype (or Facetime) (say) once
a month?
• Wave green for yes
• Wave pink for no
Problems of technology development
• Does it improve health, wellbeing, quality of
life?
• How should we educate and imple...
E-health inequalities
Healthpoint: public access touch screen
‘kiosk’ with health
information
(Late 80s
-early 90s)
NHS supply side e-health inequalities
• (2011) 94% of GP practices in Harrogate Vs
35% in Southend have a GP website.
(Ply...
E-health
inequalities: lack of
awareness
Pilot cluster
randomised
controlled trial
comparing Google
Ads with website
links...
Simpler and cheaper ways of giving
video contact with the family
If the person can be shown how to use a tablet
computer t...
Simpler and cheaper ways of giving video
contact with the family
We are developing a simple ‘Skype on Wheels’
method, of m...
Left: original vaguely human
shaped device suggested to care
homes and community hospitals
(rejected) and (middle and righ...
What do you think of the idea of
having Skype on Wheels available in
care homes and community hospitals,
so that families ...
Conclusion
7 trends information technologies
•
•
•
•
•
•
•

Electronic records, decision support
Mobile
Patient-led and so...
End of the conference today
Reminders
• Free interdisciplinary workshop Wed 12th Feb
– please email ray.jones@plymouth.ac....
Health and social care future ehealth 8 1-14
Health and social care future ehealth 8 1-14
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Health and social care future ehealth 8 1-14

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Presentation by Ray Jones at Plymouth Universty Health and Social Care Futures one day conference 8 Jan 2014

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Health and social care future ehealth 8 1-14

  1. 1. Health and Social Care Future Information technologies changing health and social care: overview and examples of trends Ray Jones Wednesday 8/1/14
  2. 2. The Emailer was a landline phone that allowed you to send email from a keyboard built into the handset. The Emailer arrived in 2000. It cost £80 to buy and exorbitant usage costs could add up to £150 to your monthly phone bill. Amserve, the subsidiary of Amstrad set up to deal with the Emailer, posted multi-million-pound loss after multi-million-pound loss. No-one bought them, despite Sugar's massive publicity drive. What happened? People took to home broadband and real email, mobiles and text, and then smart phone email/text.
  3. 3. 7 trends information technologies • • • • • • • Electronic records, decision support Mobile Patient-led and social media Sensors, telehealth, telecare Wearable technology Big Data Robots
  4. 4. Electronic medical records (EMRs) have been a long time coming
  5. 5. History 1960s First hospital admin systems, first GP systems 1970s Patient administration systems; departmental clinical systems (eg diabetes); imaging systems 1980s Micros for GPs scheme, GP computing ‘takes off’ Departmental systems, decision support continue to develop
  6. 6. Biggest civil computing project Bit off more than they could chew 1998 NHS Executive commits to detailed EHR 2002 National Programme for IT for England starts 2003 10-year contracts awarded 6-7 consortia 2005 NHS Connecting for Health set up to deliver Programme 2006 Some companies drop out 2007 Reconfigure 2008 Some contracts terminated 2009 More renegotiations and changes 2010 New government 2011 Change from replace all to connect all Meanwhile most GPs now have virtually paperless practice
  7. 7. Where next for EMRs? • Interoperability • GP-centred Influenced by other trends • Mobile • Patient-led • Sensors • Big-data
  8. 8. Mobile • 80% of UK to have smart phone by 2020
  9. 9. Patient-led and social media
  10. 10. Diabetes App Challenge apps developed BY young people with diabetes FOR young people with diabetes • UK wide competition for YPD (aged 16-25) & teammates to design and develop an ‘app’ (either website or Smartphone app) • Apps to help others prepare for and set the agenda of clinic appointments • 6 apps were created by 6 YPD and 8 teammates • Tested by 83 YPD
  11. 11. ‘Stakeholders online’ project Experiments in getting service users and professionals online to discuss future ehealth services
  12. 12. Sensors and alarms There are all sorts of sensors and alarms already available which may reassure the carer about their family member. Next is a clip from a commercial video from a company called Tunstall. I am just using their video to illustrate the types of devices already available.
  13. 13. Sensors and alarms
  14. 14. Telehealth
  15. 15. Telehealth research at Plymouth University Professor Ifeachor, Dr Kamel Boulos, Dr Carroll and colleagues at the University are working with other European universities on the LiveWell project. This aims to develop a Web-based Training and Social Networking System for: • • Parkinson’s disease patients: to help them self-manage their condition, reduce the burden on their caregivers, and promote their well-being and social inclusion. Caregivers: to help them with access to relevant information, training and greater support through an online community. • Healthcare professionals: to enable them to remotely monitor patients’ participation in various activities and communicate with patients online, thus helping improve patients’ effective rehabilitation.
  16. 16. Wearable technology eg1 - eCAALYX project • eCAALYX Enhanced Complete Ambient Assisted Living Experiment, EU-funded project for older people with multiple chronic conditions • Android smartphone app receives input from smart garment with wireless health sensors and the GPS in phone • Communicates over Internet with remote server accessible by healthcare professionals in charge of remote monitoring
  17. 17. Wearable technology eg2 – various off the shelf fitness bands and watches
  18. 18. ‘Big Data’ • Patient collected data (mobiles, sensors) – Out of interest do you record some health data (BP, BG, weight…) on a regular basis? – PINK yes, GREEN no. • Genomics • Data stored has doubled every 40 months since 1980s • Now increasing even more.. ‘big data’ is difficult to work most desktop packages - instead may use parallel software running on tens or hundreds of servers.
  19. 19. Robotics research at Plymouth University Plymouth University is a centre of excellence in robotics research. Guido Bugmann robot football Angelo Cangelosi RobotDoc and RobotERA Tony Belpaeme: ALIZ-E teaching kids about diabetes
  20. 20. Frank and the robot
  21. 21. Telepresence Giraff telepresence robot being used by geriatrician to contact elderly patient in her own home Five telepresence robots. From left: Giraff £4000, Double Robotics £2600, Vgo £5000, TILR £10,000, Qb £15,000 RP-VITA telepresence robot used by remote doctor to advise nurse at bedside in American hospital (left) and County Down (right) (cost £200,000)
  22. 22. Telepresence – virtual visitors Giraff has been tried out in Italy, Spain, Sweden, Australia, and are now being tried in the Western Isles of Scotland.
  23. 23. Do you Skype (or Facetime) (say) once a month? • Wave green for yes • Wave pink for no
  24. 24. Problems of technology development • Does it improve health, wellbeing, quality of life? • How should we educate and implement? • What about equity? This is a rolling presentation taking 10 minutes in total. It will start at the beginning again in
  25. 25. E-health inequalities Healthpoint: public access touch screen ‘kiosk’ with health information (Late 80s -early 90s)
  26. 26. NHS supply side e-health inequalities • (2011) 94% of GP practices in Harrogate Vs 35% in Southend have a GP website. (Plymouth 78%) • (2009) Kirkwall had 35 times the number of people using Living Life to the Full (per 100,000) than Wigan
  27. 27. E-health inequalities: lack of awareness Pilot cluster randomised controlled trial comparing Google Ads with website links to raise awareness of online CBT for depression
  28. 28. Simpler and cheaper ways of giving video contact with the family If the person can be shown how to use a tablet computer they could Skype. We are working with and evaluating Plymouth SeniorNet
  29. 29. Simpler and cheaper ways of giving video contact with the family We are developing a simple ‘Skype on Wheels’ method, of making Skype available and easy to use for Families would Skype residents in care homes and and a care assistant or patients in community nurse would wheel the hospitals. tablet computer to the resident or patient. They would not need any expertise in using computers, but would be able to see and speak to their family member.
  30. 30. Left: original vaguely human shaped device suggested to care homes and community hospitals (rejected) and (middle and right) two first prototypes designed by students of 3D Prototypes adjustable for use at different heights, in bed, seated, armchair, different size people.
  31. 31. What do you think of the idea of having Skype on Wheels available in care homes and community hospitals, so that families can ‘Skype’ in and see their relative? Seems like a good idea (wave pink) Can’t see it working (wave green)
  32. 32. Conclusion 7 trends information technologies • • • • • • • Electronic records, decision support Mobile Patient-led and social media Sensors, telehealth, telecare Wearable technology Big Data Robots
  33. 33. End of the conference today Reminders • Free interdisciplinary workshop Wed 12th Feb – please email ray.jones@plymouth.ac.uk • One day conference: Health and Social Care Futures 2 Wed March 26th - £20 on estore.

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