welcome to our 4th ecosystem event - innovation agency nwc · the nwc ecosystem so far • the nwc...

Welcome to our 4th Ecosystem event

Follow us on Twitter @NWCAHSN

Hashtag for the event #nwcEngage

Introductions and welcome

Liz Mear

Chief Executive, NWC AHSN



Housekeeping

• Nearest toilets are located outside the boxes opposite

boxes 6&7

• No fire alarm test is planned for today

• Evacuation lifts are situated to the east and west ends of

the venue

• The assembly point in event of fire is the south east car

park near to Peasley Cross Lane.

Thank you to all our exhibitors:

The NWC Ecosystem so far

• The NWC Ecosystem brings together representatives from the NHS, local councils, academic organisations and industry

• This is the 4th quarterly event – attracting more than 700 people in total.

Event topics covered include:

- International case study examples from health and business

- Patient centred data exchange

- Integrated care

- Supporting the NWC region to achieve improved self-management for our populations using digital innovations

- Interoperability

Copyright © 2015 NWC AHSN

6

North West Coast Academic Health Science Network Business Plan 2015 – 16


7

Section 2 – Introduction to the AHSN


8

Our vision is to support the reduction of health inequalities and the development of a vibrant economy. We also aim to improve

safety in health and social care.

Our key partners include:

• HealthWatches

• LEPs

• PHE and HEE

• NHSA

• Northern AHSNs

• CLAHRC

• CRN

• Three research and innovation hubs

• NW leadership collaboration.

NWC AHSN at a glance

SCNs

NWC AHSN

Patients

Healthcare

providers 3rd

sector

Universities

CCGs Industry

NHS England

Local Authorities


9

AHSN Values

However the AHSH has developed its own set of values wider than the NHS Constitution remit:

Do things differently

• Entrepreneurial innovation

• Creative implementation

• Commitment to change

• Sustainability in mind

Clear Space

• Reflection, creativity and planning.

• Value Flexibility

• Having Fun

Courageous & achievement focussed

• People are consistently hard working

• Risk taking and challenging status quo

• Responsibility and commitment

• Passionate about what we do

• Going the extra mile

Co-creation, co-design, co-resourcing

• Engagement &collaboration with- “partners”

• Network Engagement

• Sharing ideas

• Sharing resource to fund projects


10

Section 3 – Looking back at 2014/15


11

Section 4 – Looking forward to 2015/16


12

Looking forward to 2015/16 – In Summary

Work with

commissioners and

public health

Rapid Spread of

Research and

Innovation into Practice

Build a culture of

partnership and

collaboration

Core Platforms

Cross Cutting Workstreams

Improving

Economic

Growth

Str

oke

M

en

tal

he

alt

h

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ele

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n

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dra

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psi

s

Te

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olo

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r sa

fety

Su

pp

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oid

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lde

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ns

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od

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om

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System integration

Use of technology

Procurement

Innovation culture

Effective partnerships

Digital health / data integration

Resident involvement

Prevention & early detection of disease

Business support

Reducing health inequalities

Future workforce

Using Greenspace in health

Precision Medicine

Safety Clinical


13

Core Platforms

Our strategy is founded upon four core platforms, which are part of our licence from NHS England , all

of which underpin our overall approach, our strategic planning and our specific activities. In 2015/16

we will closely measure our achievement against these platforms, which are summarised below:

Work with commissioners and public health bodies

• Focus on the needs of patients and local populations: support and work in partnership with commissioners and public health bodies to identify and address unmet medical needs, whilst promoting health equality and best practice.

Build a culture of partnership and collaboration

• Promote inclusivity, partnership and collaboration to consider and address local, regional and national priorities.

Rapid Spread of Research and Innovation into Practice

• Speed up adoption of innovation into practice to improve clinical outcomes and patient experience - support the identification and more rapid spread of research and innovation at pace and scale to improve patient care and local population health.

Improving Economic Growth

• Create wealth/ improve economic growth through co-development, testing, evaluation and early adoption and spread of new products and services.


14

NWC AHSN

GMLSC SCN

Cheshire and Merseyside SCN

Learning Disabilities

Diabetes

Kidney Disease

Key Partnerships – SCNs

Stroke / CVD

Mental Health

Dementia

Cancer

End of Life Care

Alcohol abuse

Musculoskeletal health

Safety in sepsis / hydration / transitional care

Neurological

conditions

Avoiding frail elderly hospital admission

Good practice in care homes

Maternity

Children’s Health Kidney Disease

Neurological

conditions

Diabetes


15

International Partnerships


16

Event Sponsorship

The following events will be among those sponsored by NWC AHSN in 2015/16.

Bionow Awards

IFB Awards 2016

NHS North West Excellence in Supply Awards

Red Rose Awards

Medilink UK Awards

North West Coast Innovation Awards

European Connected Health Alliance Bringing Together the future of Health, Social Care & Wellness

www.echalliance.com / [email protected]

Brian O’Connor, Chair

http://www.echalliance.com

Want to know more

http://www.echalliance.com/echalliance-health-mission-to-china/












Dr C J Mimnagh

www.clinicalcreativity.com

@chrismimnagh

SELF MANAGEMENT -A CLINICAL VOICE

We Need Change • Demographic Tsumani

• LTMCs are growth

2o

1o

Self

Its more than disease, its demand. • GP consults 2.5 average 2002

• GP consults 6 average 2014

One size never fits all

PERSON CENTERED BEHAVIOURAL CHANGE

Need Vs Activation

Motivation to use

He

alth

Ne

ed

Roy Lilly- Morrisons Car Park • They landscaped the car-park and included an ellipse of grass and flowers

at the front door. Instead of admiring the horticulture and taking the long way round the punters made a bee-line across the grass and gardens, treading a muddy path. If the supermarket had been run by the NHS they would have built a fence and accused the customers of shopping 'inappropriately'. Morrison's put down 20 paving slabs and created a convenient pathway.

Where is the Tech?

Evolution

Segment Knowledge Misleads

Professor Douglas Hartree, around 1951:

I went to see Professor Douglas Hartree, who had built the

first differential analyzers in England and had more

experience in using these very specialized computers than

anyone else. He told me that, in his opinion, all the

calculations that would ever be needed in this country could

be done on the three digital computers which were then

being built—one in Cambridge, one in Teddington, and one

in Manchester. No one else, he said, would ever need

machines of their own, or would be able to afford to buy

them.[17]

So the question

WHO ARE YOU CONNECTING?

Trends

• Mobile Phone Owners:

• 75% of over 10s

• 68% of over 65s

• 52% of over 75s

• Illness is the opposite

We need to be smarter Would you use this if…

You are a Nerd?

You are a Newbie?

You are well?

You have a chronic condition?

Its provided for you?

You provide it your self?

You have to feed it?

It feeds its self?

0

1

2

3

4

5

6

7

8

9

Active

System

LTMC

Newb

Passive

Self

Well

Nerd

Me

Worked Example EMIS Access Map my run Active 9 5

System 9 1

LTMC 8 0

Newb 0 5

Passive 5 5

Self 0 9

Well 0 9

Nerd 4 3

0

1

2

3

4

5

6

7

8

9

Active

System

LTMC

Newb

Passive

Self

Well

Nerd

EMIS Access

Map my run

Where are you? Active 9

System 2

LTMC 1

Newb 0

Passive 6

Self 8

Well 6

Nerd 9

0

1

2

3

4

5

6

7

8

9

Active

System

LTMC

Newb

Passive

Self

Well

Nerd

Me

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

Active

System

LTMC

Newb

Passive

Self

Well

Nerd

Series1

Final thought

LEARNING FROM AVIATION

Counter Intuitive

• Where to put reinforcement on returning bombers?

• Where there are no holes…

• Patrick Blackett RAF

• Improve his health?

• 23 Year Old Male

• 1 hour in the Gym

• 20 cigarettes

PERSON CENTRED BEHAVIOURAL CHANGE AND BOYD LOOPS?

Thank You!

ANY ANSWERS?

Coffee, marketplace and networking



@uMotif

www.uMotif.com

NWC AHSN Ecosystem

23 April 2015

Improving health outcomes, reducing costs

Clinically-led patient engagement &

Self-management

Software for self-management and shared decision making

Supporting patients, clinicians and carers;

Strengthening relationships;

Improving healthcare.

Deployments in UK, Australia and USA

30+ international deployments, 5 Trials, peer-reviewed publication

Parkinson’s Diabetes Oncology Cardiology

Adrenal Renal

Primary care Rheumatology Multi-Disease

Mental Health

Clinically-led patient

engagement and self-

management platform

Platform for health tracking, engagement and communication

Mobile and web apps for patients Secure web portal for clinicians

External services & wearables

Apps for patients to track, manage and engage with their health

Apps for patient Self-management

Web portal for clinicians to understand their patients

Platform for shared decision making

Current deployments supported by

Heart Failure &

Cardiac Rehab

Breathlessness

Dizziness

Swelling

Medication adherence

Shared decision making

Thyroid Cancer &

Head & Neck Cancer

Swallowing

Pain

Secretions

Diet, exercise, recovery advice

Cyclical medication regimes

Next steps

• Technology in use

• Demonstrating success

• Expanding across UK, Australia and USA

• Seeking new clients and partners

• Can be quickly set up for you, now!

Clinically-led patient engagement &

self-management

Bruce Hellman [email protected]

www.uMotif.com

Self management of mental health and wellbeing

NHS Fylde & Wyre CCG as a case study

Nicky Runeckles

Commercial Director, Big White Wall

Lesley Tiffen

Commissioning Manager, Fylde and Wyre CCG

Depression will be the

2nd largest cause of disability by 2020

(WHO)

....

Mental Ill Health

£105bn annual cost

in UK

75% of those with a diagnosable mental

illness receive no treatment at all

People with poor mental health die

15 – 20 years earlier

1 in 4 impacted

1 in 3 GP appointments involves significant mental

health issues

....

Mental Ill Health

75% of those with a diagnosable mental

illness receive no treatment at all

Traditional

healthcare

models aren’t

working for this

group....

Big White Wall

Contracts in all 4 NHS England

regions

End to end digital

platform for mental health and wellbeing

support

Founded in 2007

Over 28,000 members

Video: How Big White Wall Works

https://www.youtube.com/watch?v=VKkCtpvOWCk




57

Travel to and wait for appointments

Access 24/7 from where you are

58

Feel isolated and a number

Part of a community, accompanied by others

59

Addressing one aspect of me at a time

The whole of me – physical, mental, social

60

One size fits all generic treatments

Choice of personalised support and programmes

61

Waiting for expert opinion, next appointment

Access to information, professionals available 24/7

62

PASSIVE AND ALONE

ACTIVE AND SUPPORTED

Impact and outcomes...

73% Share an issue

for the first time

80% Self manage

95% Members feel

better

£37,000 saved per 100 members

Available to 27% of UK adult population

£37,000

Fylde and Wyre as a case study - context

• The population of Fylde and Wyre is

151,436 people across approximately

320sq km of coast and countryside.

• The majority live in urban towns, but a

significant proportion live in rural

villages.

• 17,314 people aged 16 and above in

F&W are likely to have depression

and/or anxiety disorders (Adult Psychiatric Morbidity

Study (2000))

• The national target for access to IAPT

(15%) equates to approximately 2600

people during the course of the year.

Fylde and Wyre as a case study - context

BWW launched in Fylde & Wyre in April 2014: • Support self-care for mental health

and wellbeing

• Increase choice

• Support Improving Access to Psychological Therapies (IAPT) pathway

• Improve access

Our 2030 Vision: ‘We will improve access to psychological therapies for people with all types of mental health problem. We are working closely with providers to develop innovative services that can be accessed by patients at any time from their own homes’ (Dr Kath Greenwood, GP Clinical Lead)

Fylde and Wyre as a case study – early data

342 Fylde and Wyre residents have used BWW so far:

52.9% 42.1%

5.0%

GP

Self Refer via postcode

Other mental health professional

16%

22%

25%

20%

13%

3% 1%

0%

5%

10%

15%

20%

25%

30%

16-24 25-34 35-44 45-54 55-64 65-74 75+

Age Profile

57% shared

something for first time

86% Increased wellbeing

Fylde and Wyre as a case study – ‘softer’ outcomes

48% reduced isolation

• 67% found BWW more helpful than other sources of support

• 86% think BWW should be re-commissioned

Other Fylde and Wyre outcomes

Fylde and Wyre as a case study – where next

For 15/16- Further embed BWW into our local offer of IAPT provision by: • Improving take up of Live Therapy

• Ensuring BWW counts towards IAPT Targets (Recovery, waiting times)

• Developing robust pathways between provision

• Communicating local choice

Contact

Awards

Nicky Runeckles Commercial Director Big White Wall [email protected]

Lesley Tiffen Commissioning Manager NHS Fylde and Wyre CCG [email protected]

mailto:[email protected]

mailto:[email protected]

Table top group discussions

‘As an Ecosystem, how can we take the work forward as North West Coast AHSN?’

Summary – next steps and moving forward

Liz Mear

Chief Executive, NWC AHSN

2015 Ecosystem dates

• Tues 14th July

(Venue TBC)

• Wed 25th November

(Venue TBC)

Close and networking

welcome to our 4th ecosystem event - innovation agency nwc · the nwc ecosystem so far • the nwc...

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