PETRAS IoT Research Hub Workshop - Securing Health IoT, Hamlyn Centre, Imperial College London, June 2017.

1. Internet of Things for healthcare: data
integration and security/privacy issues
1
Payam Barnaghi
Institute for Communication Systems (ICS)/
5G Innovation Centre
University of Surrey
PETRAS IoT Research Hub Workshop - Securing Health IoT

2. 2

3. Data-driven Solutions for Global Challenges
3

4. Healthcare, Environment, …
4

5. The Health Challenge: Dementia
 16,801 people with dementia in Surrey – set to rise to 19,000
by 2020 (estimated) - nationally 850,000 - estimated 1m by
2025 (Alzheimer’s Society)
 Estimated to cost £26bn p/a in the UK (Alzheimer’s Society):
health and social care (NHS and private) + unpaid care
 Devices in the IoT will provide actionable data on agitation,
mood, sleep, appetite, weight loss, anxiety and wandering – all
have a big impact on quality of life and wellbeing

6. 6

7. The Health Challenge: Falls
 Surrey spends £10m a year on fracture care – with 95% of hip
fractures caused by falls
 People with dementia suffer significantly higher fall rates that
cause injury – with falls the most common cause of injury-
related deaths in the over-75s
 Devices in the IoT will monitor location, activity and incident,
supporting health/care staff and carers, enabling early
intervention

8. The Health Challenge: Carers
 5.4m carers supporting ill, older or disabled family members,
friends and partners in England - expected to rise by 40%
over the next 20 years.
 Value of such informal care estimated at £120bn a year – but
carer ‘burnout’ a key reason why loved ones require
admission to a care/nursing home.
 Devices in the IoT will support carers in their caring asks –
and support their own health and wellbeing.

9. TIHM: Technology Integrated Healthcare Management
− To evaluate the effectiveness of a domiciliary IoT intervention
for people with dementia and their carers
− Randomised controlled study design
− Standard care versus standard care plus IoT
− 700 people with dementia and 700 carers (350 control and
350 intervention)
− Primary outcome – whole system health and social costs
− Secondary outcomes – quality of life, independence,
symptoms, carer distress, patient and professional experiences

10.  Infrastructure
 Interoperability, integration
 Security
 Data governance
 Scalability
Technical Challenges

11. Innovation Partners

12. Device/Data interoperability
12

13. Interoperability - FHIR4TIHM
13

14. Gateway
Gatewa
y
Data Analytics
Engine
IoT Test Bed Cloud
External NHS, GP IT systems
Possible links to
Other Test Beds
HyperCat
Gateway
HyperCat
HyperCat
HyperCat
Data-driven and patient
centered Healthcare
Applications
TIHM Architecture

16. Data sources
16
Combining information sources….
Learning what is
normal for you….

17. TIHM Integrated View
17

18. Events and Alerts
18

19. Pattern Analysis
19

20. Agitation/Irritation/Aggretion
20

21. 21

22. TIHM Architecture
22
- Privacy
- Security
- Reliability
- Scalability

23. Security issues
23

24. Security: Information flow
24

25. Reliability: Infrastructure
25

26. Reliability: Data
26

27. How to deal with cyber security threats?
27

28. Extend into homes – year 1 via
twoCCG areas, rolling out across
four more CCGs in year 2
Reach 350 homes – with a control
group of 350 – via dementia
register
Focus on most effective product
combinations – with potential for
more via an open call
Scaling up
NE Hants & Farnham
Living Lab
Guildford &
Waverley
Rest of Surrey

29. Key technical issues
Security
Privacy
Trust, resilience and
reliability
Noise and
incomplete data
Cloud and
distributed computing
Connectivity and
quality of services
Interoperability
Applications and scalability,
flexibility
29

30. Acknowledgments
• My colleagues at the University of Surrey (Shirin Enshaeifar, Severin
Skillman, Andreas Markides, Tarek Elsaleh, Thomas Acton, Kieren Egan,
Catherine Parsons, Roma Maguire, Theti Chrysanthaki).
− Our collaborators from NHS Surrey and Borders (Dr Ramin Nilforooshan,
Dr Helen Rostill, Irfan Hassan, Mark Kenny, Stuart Klein), KSS Academic
Health Science Network, Alzheimer's Society, and Royal Holloway
University of London.
− Innovation partners (Arqiva, Docobo, Haliday James, Intelesant, Safe
Patient Systems, Sense.ly, Vision360, Yecco).
30

31. Q&A
− Thank you.
http://personal.ee.surrey.ac.uk/Personal/P.Barnaghi/
@pbarnaghi
p.barnaghi@surrey.ac.uk