digital health – the future landscape

8/10/2019 Digital Health – The Future Landscape

http://slidepdf.com/reader/full/digital-health-the-future-landscape 1/23

“Digital Health – The Future Landscape”www.handihealth.org

www.woodcote-consulting.com/blog

[email protected]

@handihealth @woodcoteewan @nhsopensource

Ewan Davis – Director HANDIHealth Community Interest Company, Director

Woodcote Consulting, Consultant to NHS England Open Source Programme,

Member Health and Social Care Council TechUKPast Chairman PHCSG

http://www.handihealth.org/

mailto:[email protected]







First a Historical Detour



1911 National Insurance Act



Socialist Medicine and the Health Centre

Movement

The Peckham Experiment

www.thephf.org

Pine Street Health Centre



1966 GP Charter



1981 PHCSG Formed



1987 Free Schemes



1990 First Public Internet Service Provider in UK

• PHCSG pioneers discovery alt.sex.binaries , learn how to use a

mouse with their left hands and set up GP-UK



1991 GP Fundholding



2004 GP Contract



2000 The NPFiT



Era of Digital Health

• Apps and the formation of HANDI Health

• NHS Hackdays

• Open Data, Open Systems, Open Source



The Changing Landscape

• An imperative to harness digital technology and Big Data to address

health and care challenges

• The Internet revolution

• A proliferation of apps and devices

• From organisational to patient centred – Driven by a consumer

health revolution

• Massive challenges for primary care



Challenges for Primary Care

• Increasing demand

• More complex patients

• Extended access

• Care planning for LTCs• Integrated care

• “Virtual Wards”, “Hospital at Home”

• GP as care manager, patient advocate and commissioner

• Massive workload pressures

• Changes in the workforce and GP shortages



Not quite dead – but off it legs!

The Dominant model of

General Practice established

in the 1970’s based on the GP

partnership and developed

over the past 40 years has

been taken as far as it can gois now End of Life



What Next?

• GP Federations

http://www.kingsfund.org.uk/topics/commissioning/primary-care-toolkit

http://www.rcgp.org.uk/policy/rcgp-policy-areas/inquiry-into-patient-centred-care-in-the-21st-century.aspx

• Accountable Care Organisations

– Led by GPs

– Led by NHS Trusts

http://www.kingsfund.org.uk/publications/accountable-care-organisations-united-states-and-england













































Implications for Digital Health



The Changing Landscape

Megasuite

Best ofBreed

Platform

OpenEcosystem

“One system to rule them all”

• NPfIT

• Enterprise/GP Systems

• Limited external integrations

Many systems ~ 100• Portals

• Integration engines

• Bespoke integrations

“Own the Platform”

• Health Vault, Apple, Lorenzo, etc

• ~1000 apps

• Partner interfaces (Woodcote L3)

The “Internet “of Digital Health

• HANDI-HOPD

• The Healthcare Services Platform

Consortium



eHealth - City of Moscow

Reproduced with permission

http://bit.ly/1w9wZQy



Challenges for GP IT

• Opening up – Building of GPSoC-R

• Integration with the ecosystem

• patient record access integration with PHRs, wearable tech and

social media. Fredbook?

• New business models create challenges and opportunities for

existing GP suppliers

• New opportunities for new entrants – Particularly apps and

subsidiary systems – OpenGPSoC?



Not the time to retire



The time to be young again



“Digital Health – The Future Landscape”www.handihealth.org

www.woodcote-consulting.com/blog

[email protected]

@handihealth @woodcoteewan @nhsopensource

Ewan Davis – Director HANDIHealth Community Interest Company, Director

Woodcote Consulting, Consultant to NHS England Open Source Programme,

Member Health and Social Care Council TechUKPast Chairman PHCSG







digital health – the future landscape

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