10. Scottish Collaborative Innovation Partnership Process
(SCIPP)
Community
Assets and
Resilience
Creating
Healthy
Housing
Prevention
Of Crisis
And
Breakdown
Community
Alternatives
To Hospital
Care
The
Hospital:
Managing
The Front
And Back
Doors
H
O
S
P
I
T
A
L
Aim
Active
Management
of Conditions
and Response
To Indications
Of Crises
Aim
Provide
Assessment/
Care/ Follow-
Up In Home
And
Community
Aim
Prevent
Attendance /
Admissions/
Reduce LoS
Aim
Enable People
to Look After
Their Health
And Use
Services More
Effectively
Aim
A Living
Environment
To Promote
Health And
Engagement
With Services
Discharges
Discharge
s
The Logic Of Current System: The Conveyor Belt
Prevention
14.
Fiona is a young volunteer in east Edinburgh. She is a
student locally and has formed a good relationship with some
of the local residents • Fiona is used to cooking nice stews in her
home country (Hungary) and thinks that
these can be just as warming for people
who live in Edinburgh!
• She cooks with two families whom she has
been referred to via the east Edinburgh
volunteering scheme
• Fiona is ‘addicted’ to Facebook. She uses it
to keep in touch with all her friends and
family and upcoming events, she says she
couldn’t live without her mobile.
• Fiona found it frustrating working with the
volunteer scheme as there is rather a lot of
red tape to step around, she wishes
attitudes were more relaxed and she was
given more freedom to try new activities
with the families she cooks with
• There is not much internet outside of the
local library and says she has gone as far
as to look up activities for residents, then
make and print posters at home to stick up
on the local community notice board so
people will take more notice.
• “If would be great if we could have posters
delivered to families with activities in the
local area on them and more up to date
transport info...I need more things for the
families to do”
A Hackpad of mine on the topic - notes https://hackpad.com/Exploring-mHealth-related-projects-with-people-with-LTCs-MmTvCn0s3GT
Apps I'm having a go with myself:
Ginsberg https://www.ginsberg.io/
Jointly https://www.jointlyapp.com/#welcome
Talko http://www.talko.com/
Some of the ecosystem’s inhabitants:
EC Green Paper on mHealth http://ec.europa.eu/digital-agenda/en/news/green-paper-mobile-health-mhealth
PWC paper on socio-economic outlook for mHealth http://www.gsma.com/connectedliving/wp-content/uploads/2013/06/Socio-economic_impact-of-mHealth_EU_14062013V2.pdf
SCVO and Digital Participation programme http://www.scvo.org.uk/news-campaigns-policy/campaigns/digital-participation/
Nesta and support for Code for Europe (model for Code for Health) NB. nice timeline layout of notes on activity http://www.nesta.org.uk/project/code-europe
Ginsberg (see above)
Health Data Exploration - overview of Quantified Self and health potential (US survey) http://www.rwjf.org/en/research-publications/find-rwjf-research/2014/03/personal-data-for-the-public-good.html
MyDex https://mydex.org/
Living Lab (Edinburgh) http://edinburghlivinglab.org/ SM Fund http://www.alliance-scotland.org.uk/what-we-do/self-management/self-management-impact-fund/
Stormhealth https://mobile.twitter.com/stormhealth
It is difficult to over-state the current (2014) emphasis given, in policy circles at least, to ‘The What’s Important to You Conversation’. Health and Social Care Integration, in Scotland, has to happen at the level of the individual (part of Person-centred Care), as well as between organisations. Developing the capacity for all involved, to have meaningful WITTY conversations, is crucial to the endeavour.
This slide shows various notepads created by people attending a Self-Directed Support workshop I was contributing to, in Stornoway, in spring 2014.
At the bottom right is a screenshot of the WITTY iPad app that IRISS developed, after an interesting project on practitioner-person conversations, that they had worked on with East Dunbartonshire communities.
The app can be found via this page: http://www.iriss.org.uk/resources/witty-whats-important-you
The original project report (very interesting reading) can be found here: http://www.iriss.org.uk/resources/social-assets-action-evaluation-report?
In its current form, the WITTY app is ‘Just a picture’. One can drag placeholders in, drop them onto the circles, write in little text boxes, etc. One can save it today, change it next month and save that version, and compare the two, over time.
The conversation that it triggers, supports, and later reminds us of, is the important thing. Pictures are important as conversation pieces – for many people, more effective than text.
The other day, looking at this again, I wondered “wouldn’t it be interesting if, when I touched the running woman icon, something happened?” Like
triggering a search for nearby exercise resources?
Pinging a message to a social network asking if anyone fancied a run?
Showing me my tracked exercise patterns (assuming I did exercise) (see below)
Here, my Ginsberg app (https://www.ginsberg.io/) sends me a daily reminder to answer three questions (which I have selected from a wider range) on how I’m feeling. I’m beginning to generate a set of data points. I could track my exercise, weight, sleep, diet, in the same way, or automatically via a wearable device and API with my personal store in the Ginsberg cloud. I can annotate my record with diary entries, tag stuff, etc
Wide variety of potentially relevant apps – for a selection of ‘vetted’ ones see:
NHS App store http://apps.nhs.uk/
At the moment (this is early days for Ginsberg) one’s data is visualised as a sort of ‘vital signs’ timeline from which insights can be derived (It’s up to you – no-one (at least from Ginsberg) is rubbing your nose in things. They’re making the data available.
What if it could be made to surface elsewhere besides??
Along with the What’s Important to You Conversation, person-centred planning (PCP) is high up on the policy priority list. Think…“Self-Directed Support”…?!? (the CarrGomm ‘Click-Go’ (http://carrgomm.org/click-go) app – see screenshot at lower centre - is directly centred on the SDS instance of PCP). The other two screenshots are just placeholders, examples of the many PCP applications available.
Surfacing quantified self data in this context could reference it to the sort of goals (e.g. “I want to get sufficiently mobile to attend my grand-daughter’s wedding”) that can motivate us all.
Promoting these sorts of apps cd enable – as a by-product – community-based practitioners to run their rosters digitally. And their institutions to have an idea where they are, in case members of Betty’s care circle anxiously enquire…
A component within the broader policy context - SCIPP
NB. the Programme pivoted quite radically in February ‘14 http://www.scotland.gov.uk/Topics/Health/Quality-Improvement-Performance/Innovation-Health
Parts of service landscape:
Fareshare http://www.fareshare.org.uk/regional-centres/central-and-south-east-scotland/
Cyrenians Good Food http://www.cyreniansgoodfood.org.uk/
Punjabi junction Leith Walk http://punjabijunction.org/ Dundee project http://www.bbc.co.uk/news/uk-scotland-tayside-central-30233720
Canny Families http://www.edinburghcommunityfood.org.uk/what-we-do/the-canny-families-project
Harry Burns TED talk on assets based approaches http://tedxtalks.ted.com/video/What-Causes-Wellness-%7C-Sir-Harr
Collaborative Scottish government workshop report http://www.scotland.gov.uk/Resource/0045/00459780.pdf
Design thinking in public services:
(Snook workshop for Lapland) http://wearesnook.com/snook/?p=6743
Lancaster Univ input to SG folk http://imagination.lancs.ac.uk/sites/default/files/news_downloads/scotgovreport2.pdf
gov serv-des conference http://govservicedesign.net/2015/
The ‘ALISS project’:
The ALISS Engine at http://www.aliss.org/
Also asset-mapping processes http://www.alliance-scotland.org.uk/download/library/lib_5347f91fd8144/
I use Feedly to organise my subscriptions to RSS sources http://feedly.com/i/welcome
Then ByLine reader, to consume material http://www.phantomfish.com/byline.html
Twitter it's about whom you follow, not the firehose!
Echofon reader http://www.echofon.com/
Tweetdeck for heavy use, gd for monitoring https://about.twitter.com/products/tweetdeck
NHS SoMe report, via Guardian healthcare network article http://www.theguardian.com/healthcare-network/2014/dec/18/how-nhs-organisations-should-use-social-media English survey (don't be chauvinist!)
Healthcare prof networks on Twitter – good intros to nursing tweets: http://www.wecommunities.org/about
AHP tweets: http://physiotalk.co.uk/2014/09/30/who-to-follow-ahps-on-twitter/
Slideshare - my presos http://www.slideshare.net/mobile/pashe
Handy for publishing/sharing in that it’s easy to embed a slideshare view in a blog post/web page etc so ppl don’t need to download, can view in situ.
Trello https://trello.com/
An example ‘Board’ that we created and used for part of ALISS tech dev a while ago https://trello.com/b/ZnJs5cig/napp-tidying-up