Innovation Scouts: Digital Webinar
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The document outlines details of an online webinar discussing innovation in health and social care. It includes: 1. An agenda for the webinar with presentations on digital change from Jenni West and Adrian Quinn. 2. Examples of increased digital technology use during the COVID-19 pandemic, including 111 receiving 100 times more calls and use of video conferencing. 3. National reports and reviews on digital transformation in the NHS. 4. Winners of an award for digital innovation in health. 5. Statistics on internet and technology use that can enable new models of care delivery.
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Innovation Scouts: Digital Webinar
- 2. Raise hand function and we will unmute you Engage in “chat” box Q and A – can be upvoted Tweet @innovation_nwc and #innovationscouts Webinar will be recorded and slides sent out to participants via Eventbrite Invite you to sketchnote and capture your ideas For any detailed or specific conversations that you may want to pick up email me karla.rimaitis@innovationagencynwc.nhs.uk @innovation_nwc
- 3. Virtual Line up • 11.30am Introduction to the Innovation Scout network • 11:45am Community questions • 11:55am Jenni West, Associate Director of Digital Change Adrian Quinn, Programme Manager Digital • 12:30/40pm – Q/A and sharing • 12:50pm Wrap up and close @innovation_nwc
- 4. Community of Practice – relaunched 2019 • Innovation tools and approaches • Culture and leadership for innovation • Innovation pathway • Entrepreneurial skills • Coaching and mentoring • Connecting and networking • Peer Mentoring x 12
- 5. 9. Research and Evaluation 10.IP 11.Health and Social Inequalities 1. Engaging hard to reach populations 2. Funding for innovation 3. Digital 4. Wellbeing and resilience 5. Improving education for patients 6. Barriers to information sharing 7. How to create pace in innovation 8. Inspiring students to innovate @innovation_nwc
- 8. We have 83 members across the North West Coast Must be working on an innovation in health and social care or want to develop innovation skills. Must work within the North West Coast region. @innovation_nwc https://www.innovationagencynwc.nhs.uk/support/spread-and-adoption/communities-of-practice
- 9. Jenni West Associate Director – Digital Change Adrian Quinn Programme Manager – Digital Change
- 10. Change in a time of COVID Use of digital tech up through COVID 111 100 times more use than pre COVID Not just for consultation helping patients speak to relatives, doctors to oversee wards ‘ it was an R&D evaluation programme which turned into an aggressive national roll out plan in Wales, when the pandemic hit – it became a very black and white issue’ Mike Ogonovsky, Assistant Director of Informatics at Aueurin Bevan University Health Board.Video conferencing is something we could have done one or two years ago, but it was slow to get off the ground, not because of technical issues, but because of people’ Cindy Fedell, CIO Bradford Teaching Hospitals.
- 13. In 2019, almost nine in ten (87%) UK households had internet access, with 82% of people using home broadband and 70% using a 4G mobile service to get online 7% of Google’s daily searches are health related - 70,000 per minute 43% of people go online to find out about conditions, treatments, managing conditions and preparing for medical appointments 60% of people who use online services to check a condition don’t go on to use a frontline service Massive shift to virtual / online services in response to covid 19: ‘Total Triage’ https://www.ahsnnetwork.com/total-triage-five-benefits
- 15. Smartphones have become the most popular internet connected device 79% of UK adults own and use a smartphone Smartphone internet access increased from 20% in 2008 to 72% in 2018 66% of visits to NHS.UK are on smartphones Internet access via smartphones varies by age: 16 – 24 100% 25 – 34 97% 35 – 44 91% 45 – 54 88% 55 – 64 73% 65+ 40%
- 16. Personal monitoring (wearables), connected (IoT) devices, personal health record, medical devices, sensors. Every second,127 new IoT devices are connected to the web. Technology Enabled Care - convergence of telecare, telehealth and telemedicine e.g. same sensor or device collecting information for a variety of uses, with consent controlled by the individual Merging of multiple layers of data to give insight into health & wellbeing for preventive approaches, self care, population health and research
- 17. Analogue telephone network switched-off by 2025 – digital by default. Implications for traditional telecare services. Enable digital connectivity in homes without internet access. 5G network – ‘always on’, low latency enabling new applications e.g. remote surgery, continuous monitoring, augmented reality Continual refinement and proliferation of sensors and connected devices e.g. voice, home automation, medical grade sensors in smartphones and smartwatches. Shift from multiple specialist devices to consenting to share data from increasingly connected & sophisticated consumer devices
- 19. With supermarkets How do you feel about this? Was it justifiable? What are your concerns? What are the future problems
- 20. Over to you What would it include? How do we think it would work? How will consumer products support it?
Editor's Notes
- Accelerated programme Attend Anywhere AccuRx MS Teams – 1.2 million users Big winners For every action equal and opposite reaction Getting rid of paper notes they are at risk fro 72h having to be placed else where before scanning Why not before – competing budgets, proving they can save money before investment COVID propelled this type of technology forward Use during COVID has increased exponentially. Developments have been rushed up list i.e. virtual smart cards Consider there was limited business change for this implementation what might be the fall out of this? Same in USA Remote working, video consultation, telehealth, telecare. Private companies are upscaling their digital health roadmaps Reverse side Cyber security risk will rise in the short term Stay at home environmental impact could have paved the way forward.
- Make some interesting reading, especially if you are an SME ‘There could be a tension between the ambition to achieve interoperability and the aim to increase the number of technology suppliers to the NHS’ WE haven't really learned the lessons from before, some reading around this would be Professor Denis Protti report ‘ Implementing Information for health’ 2002 Making IT Happen, Robert Whachter Dot everyone 2020 report came out this week -
- There have been small successes to, Techforce UK winners £25k Platform to accelerate to benefit people Raised the awareness of what digital can do had Covid not been around.
- So, is everyone ready for digital health and care? First off, it might help if we look at some stats around digital usage (sources: OFCOM, GOOGLE, NHSE) Link to AHSN Network summary of a recent webinar around digital primary care and the ‘total triage’ model (https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0098-Total-triage-blueprint-April-2020-v2.pdf) that GPs have very quickly moved to:
- 5 benefits Resilience and reliability - online systems are flexible enough to cope with self-isolating doctors, self-isolating patients and even temporary loss of practice premises Access - waiting times at one practice reduced from three weeks down to one day on implementation of their system, and then further reduced to just 30 minutes Time to care - now more time “to look after your most needy patients better”. Examples included being able to contact patients proactively, to make regular blood pressure checks for example, rather than being reactive. Improved patient and staff satisfaction Improved efficiency Prior to pandemic 90% of practice work was done face to face, however now it's more like 90% remote / online consultation So how are people accessing these services?
- So, if people are accessing digital health services and information, how are they doing this? By using the devices which most of carry with us all the time 2019 stats – (ONS / OFCOM / NHSE) (https://www.finder.com/uk/mobile-internet-statistics) Whilst usage is less in the over 65’s, a significant proportion of people are able to access online services. So whilst there may be a digital divide, the people who are accessing healthcare via this route can free up resources for those who cannot or do not wish to ORCHA - 327,000 health apps available for download, 65% of those haven’t been updated for over 18 months, and only 43 of those apps account for 3% of all health app downloads. ORCHA – trusted review and accreditation
- Not just about actively using smartphones to access health services, apps and information. Other sources of data are enabling smarter, targeted, preventive healthcare. Devices which monitor our activity, our vital signs, our environment Technology Enabled Care – telecare (provided by local authority to monitor people in their own home e.g. pendant alarm, activity monitors etc.) and telehealth (provided by NHS for monitoring and managing long term conditions like diabetes and COPD). Aim in both social care and health is for care to be closer to home, rather than in care homes or hospitals. Self-care and ‘empowering the person’ Technology Enabled Care is becoming increasingly sophisticated and blurring the boundaries between health and care e.g. sensor tech continually being refined e.g. radar to measure heart and respiratory rates from 7m distance, disposable patches to monitor heart rate, SP02, respiratory rate, surface & core temp, activity, falls, hydration, blood glucose Connected devices are proliferating 2016 - 4.7 billion IoT connected (according to IOT Analytics). 2021 – predict 35 billion IoT devices will be installed worldwide. Allowing data from connected devices (some medical, some consumer or wellbeing focused - like wearables) to be shared into your health and care record via a smartphone or other connected device there is an opportunity to start to produce some real insights into your own health as more data layers interact with each other – possibly using AI Consent to share will be made easier and more dynamic – explaining the different levels of consent, and also allowing you to change your mind and for those changes to be applied across multiple services and providers. The person becomes the data controller, allowing access to data held in different places and by different organisations – overcoming restrictive data sharing agreements Using data in this way we could start to see more predictive and preventive approaches
- Alexa, Nest, Hue, Zigbee, smart meters, intelligent door locks, connected kitchen appliances Augmented reality – virtual physiotherapy in stroke rehab – using ‘virtual’ objects in your room. Boredom after 1 min with traditional exercises, but significantly enhanced engagement with virtual. Non-weight bearing until people are more able to do so. People go a bit further than they think they can do Gamification of wellbeing. Tokenisation / reward for healthy living. – potentially cheaper to incentivise healthy lifestyle rather than fund care needed chronic conditions? Increasingly sophisticated passive sensors. Future of wearables - no future in wearables - in 10 years we will be talking about implantables - potential for graphene based non-battery required devices e.g. tattoos, also potential for tech which can change and regulate your physiology. There will be a LOT of data!! By 2025 the International Data Corporation predict this Growth in Connected IoT Devices Is Expected to be Generating 79.4ZB of Data (Zettabyte is approximately equal to a billion Terabytes, or a trillion Gigabytes) OFCOM survey - 74% of internet users said they felt confident about managing their personal data online and the majority are happy for companies to collect their information under certain conditions. But are we happy when we find our data has been shared?
- This year’s research finds people continue to feel the internet is better for them as individuals than for society as a whole. 81% say the internet has made life a lot or a little better for ‘people like me’ while 58% say it has had a very positive or fairly positive impact on society overall. They mistrust tech companies’ motives – only 19% believe they design their services with people’s best interests in mind – feel powerless to influence what they do, and are resigned to services where harmful experiences are perceived to be part of the everyday.
- "We will be contacting our regular customers on the list of clinically vulnerable people living in England or Wales, which the governments have shared with us. If you are an existing Waitrose customer living in England or Wales and are registered with the Government as being extremely vulnerable to coronavirus, we will be in touch with you. "
- Population health Preventative agenda AI