imagineear's Andrew Nugée gives a presentation on working with Chelsea and Westminster Health Charity to launch a mobile phone app as part of its new arts in health project, Rhapsody. MuseumNext, 20th June 2014.

1. Art makes you better
Andrew Nugée
Chief Executive, imagineear
MuseumNext
June 2014, Newcastle Gateshead

2. What I’ll cover today – and what you’ll take away
About imagineear
What is well?
Is there a problem?
How can art help?
The rhapsody project
So did it help?
What next?
So what for museums?

3. imagineear
 Provides multimedia
content solutions
 Creates multilingual
content, including archive
and live audio
 Publishes to smartphones
and (our own) smart
devices
 Works with sports
venues, cultural sites and
the healthcare sector

4. “Data is vital for … the construction of insight-rich business plans, the
changing of organisational cultures to become more visitor focussed
and, crucially, … to ensure that continual improvement … delivering a
great visitor experience becomes [the] norm.”
Museums & Heritage Magazine Spring 2014

5. Imagineear regularly collects detailed usage data

6. And turns data to insight

7. Data to insight

8. Seeing exceptions in data patterns

9. What is well?
Health is not merely the absence of disease or infirmity
It is a state of complete
 Physical
 Mental
 Social
well-being
From Constitution of the World Health Organization signed on 22 July 1946 by the representatives of 61
States, entered into force on 7 April 1948. Never subsequently modified

10. First line of defence; the NHS – a large beast
Every Day Is
10,500 GP practices
2,300 hospitals
150k beds
Over 1.7m people, incl:
 370k nurses
 40k GPs
 20k ambulance staff
Every Day Does
25k emergency calls
8k category A - life-threatening
650k patients treated
300k are seen
60k are seen in A&E
13k operations (in England alone)
Source: NHS Confederation, The NHS, Health and the Social Care Information Centre

11. How is it doing? Pretty well
Source: The Commonwealth Fund National Scorecard

12. The problem is one of cost
NHS budget for England next year £100bn
 £2bn shortfall
 £2bn transfer to the Better Care Fund
 1/3 of NHS Trusts forecasting a shortfall this year
There is “a real risk” of hospitals running out of
money this year and next
 Chris Ham, CEO Kings Fund
“NHS is enduring the most sustained
budget crunch in its 66 yr history”
 Simon Stevens, NHS England CEO

13. So what?
It turns out that integrating visual and performing arts
 Induces significant differences in clinical outcomes
 Reduces amount of drug consumption
 Shortens length of stay in hospital
 Improves patient management
 promotes better doctor‐patient relationships
 improves patient mental health
 Contributes towards increased job satisfaction
 Enhances the quality of service
Source: Rosalia Staricoff PhD et al, based on research carried
out at Chelsea and Westminster Hospital from 1999 to 2002

14. Note to self
If we can employ art to reduce the average post-op hospital stays by
just one day per person, we save
£225 per bed day
for 13k operations per day
ie £3m a day
or £1bn a year
half of the NHS deficit

15. How does art help us get well?
Effect on pleasure/reward centres of the brain
 Releases dopamine, the ‘feel good’
neurotransmitter
Attention – the Hawthorne Effect
 We respond better when people pay attention to us,
regardless of what they are offering
Placebo
 Creates endorphins, natural pain killers
 Changes the patient's perception of pain

16. How does art help us get well?
Flow
 Intense focus on the Now
 Sense of control over the situation
 Experience intrinsically rewarding
 Altered sense of time
 Loss of self-consciousness
Art breaks barriers
 between healthy and sick
 Between normal life and hospital
 Between carer and patient
Mihaly Csikszentmihalyi
Professor of Psychology at the School of
Behavioral and Organizational Sciences at
Claremont Graduate University and Co-Director of
the Quality of Life Research Center

17. Rhapsody – a collaborative art project
Partnership between
 Chelsea and Westminster Health Charity
 Chelsea and Westminster Hospital
 Royal College of Music
 Arts Council England
 Eric Whitacre
 Imagineear
 TNF

18. Art trail – with a difference
Hospital with a difference
 Museum status since 2009
 Over 1,000 artworks, most in public
atriums, including The Resurrection, by
Veronese
 Over 350 concerts annually
Rhapsody for patients, visitors and
staff
 Music that engages the listener,
reflects the artwork’s message

19. Rhapsody Phase 1 – Music and Art

24. Rhapsody Phase 2 - Composition
15 new bespoke pieces chosen from over 250 applications
 Royal College of Music
 Royal Academy of Music
 Oxford University
 Cambridge University
6 months composition training by William Mival, Head of Composition
at the RCM
Recorded at RCM earlier this year

25. Rhapsody Phase 2 - Isaac Ssebandeke

26. Rhapsody Phase 3 – the CD, the Apps

27. Did it help?
100% of patients were relaxed by the guides, 56% very much so
100% of patients had boredom alleviated, 63% very much so
100% of patients experienced a psychological lift, 27% very much so
“Without the Rhapsody audio guide, my patient stayed in bed. But now
we are using the incentive of the music to go a bit further off the ward
each day.” Darren Brown, Physiotherapist
And the one-day hospital bed target?
 Research to be completed
 Data appears to indicate … a one day reduction on average

28. What have we learnt?
The arts programme
 Helps patients return to health
 Is valuable to carers and visitors as much as patients
 Provides a common emotional platform, breaks barriers
NHS projects T…a…k…e T…i…m…e
 Experimental design, trials, focus groups, alternatives, testing, clinical trials
 And this is nothing compared to apps that are classed as ‘medical devices’
But the arts sector has the potential materially
 To enrich lives outside the museum
 To reduce cost and promote health

29. What Next – at C&W? Tackling pre-operative stress
14% of pre-op patients suffer from stress
Stress slows recovery, increases pain
Preliminary research shows music and art can help
 Lowers anaesthesia by 0.83mg/kg
 Lowers stress hormones 48%
 Reduces hospital stay by 1 day on average

30. What next more generally?
So join us!
Activate the archives!
Save lives!

31. Thank
you!
Andrew Nugée
Chief Executive
Imagineear Ltd
andrewnugee@imagineear.com
+44 20 3289 1416 (direct)
+44 7785 368 971 (mobile)
andrewnugee (skype)
@andrewnugee