healthcare operations innovations through disruption
TRANSCRIPT
HEALTHCARE OPERATIONSINNOVATIONS THROUGH DISRUPTION
Dev Muniah
Head of Healthcare
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WHOAM I ?
Dev Muniah (RMHN, Dip Prof consulting, MBA)
• Mental Health Nurse
• Worked in High Secure Hospital, Medium Security and Low Secure Hospital
• Managed a number Prisons as Regional Operations Manager
• Currently Head of Healthcare leading a change programme at HMP Bronzefield
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• Previous managed a 2.2 million build to create a bespoke secure unit
• Lead of a number of programme of innovations across different sectors
• Lead consultancy project internationally as part of my MBA programme
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WHY AM I HERE & WHY IS THIS RELEVANT ?
• I am making the case that Healthcare is considered as a core part of Prison Design
• Here are some of the quotes of Nurses, GPs etc across all the prisons I have worked in
• ‘Not enough freedom to Practice’
• ‘Cannot use IT solutions to improve care that a member of the public will be able to
access’
• ‘Not enough Space’
• ‘Healthcare provision is too reliant on how Regime runs’
• ‘Physical environment not conducive to provide the full extent of care’
• We are ‘Lagging Behind’ compared to other segments!
• Yes, we can argue, safety and security procedures will take precedent – good reason – but
we should aspire to do more.
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WHY DO WE NEED TO THINK ABOUT THIS ?
• Professor Ian Woodward talks about
Altitude sickness
• Senior Leaders experience – 70% of
those are stuck at one level, either
too strategic or too tactical.
• We have to consider impact at all 3
levels when considering design and
commissioning.
• We have to ensure that Healthcare
is at the forefront of design
solutions.
PAST - PRESENT - FUTURE
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WHY DO WE NEED TO THINK ABOUT THIS ?
• COVID-19 Caused a
Disruption
• Bred Innovations at a
pace that we have
never seen before!!!
SOME EXAMPLES OF INNOVATIVE APPROACHES
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TELEMEDICINE
• Telemedicine for access to
Hospital Specialist Doctors
• Conducting remote Mental
Health Assessments for
transfer to mental health
hospital
• Great but issues with Access
– rooms, space, COVID-19
infections control procedures
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WING BASED MODEL
• Improved Access
• Reduction of Movement during
COVID
• Improved Therapeutic Relationship
with nurses
• Agile solution to regime constraints
• Multipurpose healthcare room
(Physical / Mental Health clinics)
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BBV TESTING
• Introduced In Cell Self Testing –
Not sure why we did not thinks
about this before
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HEPATITIS C
• 44 Patients through treatment.
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HEPATITIS C
• Significant increase in testing through use of Cepheid Machines
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IN CELL TELEPHONY
• Dental Clinics
• GP Clinics
• Nurse Clinics
• Mental Health Clinics
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OPPORTUNITIES
• Interface of Prison and Health Technology
• BIG DATA
• Assessment tools – ARDEN’s Templates – Self Assessments
• Creative use of Space / Design
• Self Help and Self Administration
• Mental Health Clinics
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WHY IS MORE SO IMPORTANT NOW ?
• Over 11 Million people imprisoned Globally (Johnson, 2021)
• Social Distancing difficult to maintain in Prison
• Longer time in cell
• Impact on Mental Health
• Lack of social contact – Family / Visits / Peer
• Johnson (2021) summarised challenges during COVID as follows:
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