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DYLAN ROBERTS: Better Connected Live 2016
- 1. Place as a platform: joining up across public services, the voluntary sector and the community
- 2. Outcomes – an overview of .. • the Leeds Digital Strategy enabling place based outcomes and integrated public services; • the importance of open platforms: open data and standards; • a proven approach to co-produce (across place) solutions to outcomes; • some suggested recommendations.
- 3. Place Based Approach to delivering better outcomes and integrated public services Voluntary Sector Integrated Local Public Services Citizens Private Sector LCC Leadership, Facilitation & Commissio ning
- 4. Leeds the Best City For Health and Wellbeing We have not got the capacity or capability to be good at everything else.
- 5. We are about improving the Health and Wellbeing of Bob WHOLE SYSTEM / PLACE BASED APPROACH RELEVANT TO MANY OUTCOME AREAS
- 6. Coordination of Care and Wellbeing
- 7. The Promise of Assisted Technologies
- 8. HIGH LEVEL REPRESENTATION OF THE PLATFORM COMPONENTS FOR HEALTH AND WELLBEING IN THE CITY OF LEEDS (OR ANYWHERE ELSE) Apps & devices to support people live their lives – health and social care View intelligence reports/ dashbords Standards to allow data to flow across the whole system Citizen Owned Data Leeds Primary Care Records Non person sensitive datasets prepared for open publication Open Data (Leeds Data Mill) Common infrastructure for health and social care Integrated Intelligence Information & Advice (Leeds Directory/ NHS.uk) Professionals Portals (Leeds Care Record, CIS etc) Open data analysis and application Digital literacy and leadership Social care apps CIS(eCM), eCB ELMS Consumer Applications and Tools Co-designed with Service Users/Carers and Pratitioners Care Act Apps E.g. Personal Care Account Telex Assisted Living Leeds Telecare/ Assisted Living Devices Software and Tools Information Portals: Leeds Directory, Mental Health etc.. Digital tools: Video (Skype), Social, Mobile Applications Whole system Access Infrastructure NHS number to connect dataPublic wifi Citizen Portal (My information) Data
- 10. • Open Requirements • Open Governance • Open Citizen • Open Viewer • Open Integration (APIs) • Open Architecture Open integration is key Simplify, Standardise & Share For integrated digital care record see rippleosi.org.
- 11. Locked in systems vs adaptable systems (ICT or Business Capabilities)
- 12. Proven method for co-production
- 16. • Open Requirements • Open Governance • Open Citizen • Open Viewer • Open Integration (APIs) • Open Architecture Open Standards Important Simplify, Standardise & Share For integrated digital care record see rippleosi.org.
- 17. Local Digital Coalition Simplify, Standardise and Share Integrated Digital Care Records Verify Registration, Authentication and Attribute Exchange Blue Badge Application Process Local Waste Services Data Model DVLA for Vehicle based services
- 18. Our challenges 1. System leaders don’t necessarily have a whole system view or a focus on outcomes vs their own services 2. Issues of boundaries and control 3. Middle managers accepting good as good enough and common core capabilities 4. The challenge of scaling an sustainability of prototypes
- 19. Recommendations 1. If you haven’t already: connect with your partners/peers across place now; 2. Think outcomes (citizen) first, City (place) second, Council services third; 3. Choose and adopt one either of Local CIO Council, Local Gov Digital, GDS Design Principles and apply; 4. Stop (Copy and adapt), Simplify, Standardise and Share; 5. Don’t try to be good at everything.
- 20. Simplify, Standardise and Share
Editor's Notes
- Seismic shift in policy position – Health, Welfare, Policing, Education – Economic Dev (LEPs) Global Trends – more people live in Cities than ever before – Café Society – cool places to be Public Expectations – the expectation gap will grow >>> cuts vs capabilities Technological advances – there is stuff available which is solving the problems we have now >> Translators for Asylm seekers. The only thing that matter is the place and the people living there.
- http://www.plantingtheflag.net/digitalinsights LIVEABILITY INDEX – SMILIES SYSTEM LEADERSHIP
- Obstacles that need to be resolved, Enablers needed to get there, Example of a Citizen driven solution We know that the current Health Care System is broken and unable to cope with the exponential increase in demand for health and care services (especially from people with Long Term Conditions/Co-morbidities) that the system as it is designed (architected) today, however efficient we make it will not meet the requirement. Therefore, as per the Five Year forward view, informed by numerous studies (e.g. Sir John Oldham et al), we have to move to a whole system approach which enables the citizen themselves to become more self-sufficient (wellbeing etc), we need to connect them and exploit their circle of care (of which the traditional health and care organisations are only part) and support that with technology and information solutions around their specific and unique needs. What people with multiple conditions and complex needs say is: ‘I want you to care for the whole of me, and act as one team’. This is what we require commissioners and providers of health and social care to achieve: the needs of one person addressed by people acting as one team, from organisations behaving as one system. This starts with a conversation – listening to what you really want and takes account of your physical health, mental health, functional needs, environment and degree of empowerment. An integrated team from health and social care works with you and your circle of care (e.g. there are 94 mental health providers in Leeds non of which are in the Council or the NHS) to achieve the outcomes you wish for, with an overriding aim to help you maximise your independence and improve your overall wellbeing as a human being. This includes the information and support to co-manage your conditions wherever possible. There are no multiple teams involved; specialist knowledge is pooled to achieve the outcomes that matter to you. The home is made a safe care environment. You, your carers, families and communities are seen as partners. So how do we develop and information systems ecosystem to effectively support that? That is information systems/solutions designed around the individual circumstances and conditions of people that can interoperate with others, our professional care systems and from a data point of view we can capture all of that data for research, analytics and better proactive or reactive decision making. Our strategic answer is the City As A Platform and this is not exclusive to underpin the delivery of Health and Wellbeing outcomes it is also to underpin the delivering of a whole range of other place based outcomes.
- Citizen Driven Health and Wellbeing – A solution designed around the person CitiSens will connect those living in social isolation particularly the elderly and vulnerable to support networks. Biometric and kinetic sensors deployed within the home and via body wearables will allow remote monitoring of health conditions and unusual activity patterns to trigger emergency responses when required. Challenge: Meeting the needs of growing ageing populations and increased citizen’s expectations of healthcare services at times of substantial funding shortfalls in health and care budgets. Solution: Technology and data enables development and delivery of new models of health and social care to support self-care and self-management of conditions, empowering citizens to participate in their own health and care. Benefits - Citizen: Assisted self-care enables citizens to retain their independence within their own homes, provides reassurance that support is available at times of need and empowers people to participate and make decisions in their own health and care. Connecting individuals to friends, family, neighbours and carers builds stronger bonds for a better quality of life. Benefits - Business: Business opportunities for SMEs in the development of healthcare innovations and large companies in the provision of wide scale IoT infrastructure. Benefits – Environment: Fewer healthcare related journeys (The NHS accounts for 5% of all road traffic in England). Benefits - Public Services: IoT enabled self-care and prevention reduces dependency on intensive services alerting to opportunities for early interventions in the management of conditions and provides intelligence for the effective planning and co-ordination of targeted, quality personalised services.
- Six offers, six common needs Three foundation blocks Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR) Open Governance - Endorsed templates with supporting guidance you can use for your IDCR initiative Open Citizen - Common information and tools to support citizen engagement for your IDCR initiative Three technical components to the open platform Open Viewer - Web based IDCR application for both care professionals and citizens to use Open Integration - Re-usable interfaces and integration engine to bring systems together into your IDCR – linking with Endeavour Health Charitable Trust Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR) Open Governance - Endorsed templates with supporting guidance you can use for your IDCR initiative Open Citizen - Common information and tools to support citizen engagement for your IDCR initiative Three technical components to the open platform Open Viewer - Web based IDCR application for both care professionals and citizens to use Open Integration - Re-usable interfaces and integration engine to bring systems together into your IDCR – linking with Endeavour Health Charitable Trust Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information (OpenEHR)
- Our innovation pathway doesn’t end with a prototype. Everything we do is designed to scale. To the scale of our city, to our city region, to the world. We learn from the people of Leeds, but we’re building for everyone. And our process isn’t limited to a single agenda. We’ve worked with fitness, education, public transport, ageing, energy, and waste management.
- Our technologists work with Yorkshire Water, the WHO, KPMG, Sky, Gates Foundation, Zoopla, WY Metro, Bradford College, and many more. We are successful businesses, adding to Leeds’ huge strengths in digital, while delivering value to the place we choose to live.
- Six offers, six common needs Three foundation blocks Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR) Open Governance - Endorsed templates with supporting guidance you can use for your IDCR initiative Open Citizen - Common information and tools to support citizen engagement for your IDCR initiative Three technical components to the open platform Open Viewer - Web based IDCR application for both care professionals and citizens to use Open Integration - Re-usable interfaces and integration engine to bring systems together into your IDCR – linking with Endeavour Health Charitable Trust Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR) Open Governance - Endorsed templates with supporting guidance you can use for your IDCR initiative Open Citizen - Common information and tools to support citizen engagement for your IDCR initiative Three technical components to the open platform Open Viewer - Web based IDCR application for both care professionals and citizens to use Open Integration - Re-usable interfaces and integration engine to bring systems together into your IDCR – linking with Endeavour Health Charitable Trust Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information (OpenEHR)