The document discusses the global challenges of an aging population and increased rates of chronic diseases. It proposes that mobile health (m-Health) technologies can help shift healthcare to focus more on prevention, home care, and quality of life while lowering costs. The Manchester m-Health ecosystem is highlighted as a partnership between healthcare organizations, universities, and industry in the Manchester area. It aims to accelerate the adoption of mHealth innovations through collaboration across the value chain, from research and development to implementation and evaluation. Example projects mentioned include tools for monitoring metabolic health, assisted living, and mental health conditions like schizophrenia.

1. Fostering Collaboration and Innovation:The Manchester m-Health Ecosystem 21 Sept 2011 John Ainsworth john.ainsworth@manchester.ac.uk

3. USA- 30% men & women

4. Tonga- 47% men, 70% women

5. Samoa- 33% men, 63% womenDramatic increase in people developing Asthma, Chronic Obstructive Pulmonary Disease (COPD), Diabetes and Hypertension New Innovation will be needed to help manage the challenges facing organisations operating in this sector Source WHO

6. Need to shift the Continuum of Care Shift Left Highest Quality of Life Lowest Cost of Care Health and Wellness Quality of Life Home Care Residential Care Acute Care Cost of Care

8. Large display

9. Usable

10. Short range connectivity

11. Always on

13. In the real world … Lots of pilots, very few progress further Barriers to be overcome deployment at scale – system not individual studies large, diverse, ‘instrumented’ study population health economics assessment access and equity regulatory environment EU 2007/47/EC

14. m-Health Ecosystem Multi-sector partnership of critical mass shared commitment to accelerate adoption Innovation factory co-develop innovative whole-system solutions Route from pilots to routine practice co-developed pilot-to-adoption business plans, evidence Reduced barriers to new trials

15. The European m-Health Alliance (EuMHA) Initiative designed to support and promote the wider adoption of healthcare and wellbeing (including sports and fitness) products, services, applications and innovation across Europe Concentrate on the economic development of the mHealth sector Provide leadership, innovation and economic transformation across a wide spectrum of private and public sector organisations Encourage a broad offering of new products and services for all European citizens that will promote a healthy and improved lifestyle to benefit everyone To work with organisations across Europe to support regulatory enablement

16. The Manchester m-Health eco-system Manchester Social, ethnic, health and lifestyle diversity Only UK city in WHO network of age-friendly cities University of Manchester World-leading multidisciplinary research in health, particularly e-health, informatics, social sciences, business models M-Health Innovation Centre (MHIC) founded in 2009 in partnership with the GSM Association Partnership with NHS Trusts: Acute, specialist and primary care NW Exemplar clinical trials network 53 day trials set-up (UK av = 98 days) Partnerships with industry

17. Who is involved with the Manchester m-Health eco-system? Serves a population of > 3 million; delivers services to > 2 million patients p.a. (3,700 beds); 8 Hospitals plus primary, community and social care; clinical research network; c. 23,500NHS staff University Hospital of South Manchester NHS Foundation Trust J&J (Janssen Healthcare Innovation) The Christie NHS Foundation Trust The University of Manchester EuMHA Manchester MHealth Eco-system Intel Greater Manchester Comprehensive Local Research Network NW eHealth Manchester Mental Health & Social Care Trust Salford Royal NHS Foundation Trust Central Manchester University Hospitals NHS Foundation Trust (comprising Manchester Royal Infirmary, Manchester Royal Eye Hospital, Royal Manchester Children’s Hospital, Saint Mary’s Hospital and University Dental Hospital)

18. What is the purpose of the eco-system? Understand healthcare needs, service delivery challenges and business models Create a multi-sector partnership of significant critical mass committed to: Accelerating the adoption of MHealth innovations Improving the quality and efficiency of healthcare delivery Providing a reliable route for moving from MHealth innovation to routine service, based on realistic co‐developed pilot‐to‐adoption business plans. Create an ‘innovation factory’ to co‐develop innovative whole‐system solutions partners with complementary expertise and objectives access to a large, well characterised study population. standard umbrella agreements to lower barriers to starting new pilots, trials and services

19. What are the benefits of the eco-system? m-Health Value Chain Partnerships are needed to deliver mobile health services across the value chain

21. Example projects Metabolic Health and Wellbeing (obesity, diabetes) Assisted Living (including ICT and ageing, falls prevention, self-care and remote monitoring) Mental Health & Wellbeing Process Optimisation Mobile Workforce

22. Mobile Monitoring of Schizophrenia

23. User can click or drag scale to answer Result will be converted to 7 point likert scale Next question depends on answer (branching) Mobile Monitoring of Schizophrenia

24. How do you get involved? Contact: Carmel Dickinson [carmel.dickinson@manchester.ac.uk]