Innovation and Health Connected

Presented by:

Gill Hamblin Programme Manager/Lead Nurse

gill.hamblin@nwcahsn.nhs.uk

Why are we here? • To spread evidenced based

innovation and best practice at pace and scale across NHS

• To promote and integrate the strengths of higher education, the NHS, industry, third sector

• To improve health of individuals and communities

• Bring investment to North West Coast/ the North

• Create jobs for local people

• To support business/ innovators to access the NHS market

The area we cover

• Merseyside

• South Cumbria

• Cheshire

• Lancashire

Definition of Innovation • Innovation is a new idea, device or process

• Innovation can be viewed as the application of better solutions that meet new or existing needs

• The term innovation can be defined as something original and more effective and, as a consequence, new, that "breaks into" the market or society

• Also interested in best practice – pragmatic approach

• Across the care pathway – avoid “cherry picking” and to understand the consequences up and down stream

Areas of interest • Mental health

• Cancer

• Neurological conditions

• Personalised medicine

• Medicines optimisation

• Digital health

• Infection and Tropical Medicine

• Priorities of our partners

• Supporting innovators to access the NHS market

Key Partners

• NHS Trusts and Foundation Trusts

• Commissioners (CCGs)

• Strategic Clinical Networks (SCNs)

• Universities

• NIHR NWC Clinical Research Network

• NIHR NWC CLAHRC

• Lancaster Health Hub

• Health Enterprise Hub

• Liverpool Health Partners (LHP)

• Local Enterprise Partnerships (LEPs)

• Advancing Quality Alliance (AQuA)

• Haelo

• Edge Hill University

• Medical Research Charities

• Third Sector

• Patients Organisations

Work with industry – why its important -examples

• SME – developing wireless technology for use in healthcare/had academic partner in Liverpool –little response from NHS. Partnered with Alder Hey – evaluation in the paediatric cardiac setting with a funding win from SBRI.

• SME – Mental Health app development ‘InHand’ supporting self management in mental health

• North West company developed catheter that could be emptied at the waist. Found it difficult to navigate the NHS – little progress made- funding to get established difficult. Established in US market with manufacturing base established there

Added value • Bringing partners together for a wider scope of action than

previously possible

• Pragmatism in product evaluation for industry

• ‘Trusted broker’ for NHS with industry and developing a similar relationship with academia and NHS

• Match funding and realistic ideas for regional health and wealth projects

• Promotion of our region as an area that is beneficial for industry to locate

Dr Liz Mear Chief Executive E: Liz.Mear@nwcahsn.nhs.uk T: 01772 520260 M: 07891 698692

If you would like to work with us and make a difference to the lives of millions of local people, please contact:

Philip Dylak Director of Innovation, Nursing & AHPs/AQuA Associate E: Philip.Dylak@nwcahsn.nhs.uk T: 01772 520255 M: 07538 02271

info@nwcshsn.nhs.uk @nwcahsn.nhs.uk

www.nwcahsn.nhs.uk

Prof John Goodacre Medical Director E: John.Goodacre@nwcahsn.nhs.uk T: 01772 520258 M: 07538 902165

Lorna Green Commercial Director E: Lorna.Green@nwcahsn.nhs.uk T: 01772 520259 M: 07507 845982

NICE GUIDANCE in MENTAL HEALTH

Supporting quality and good practice in mental health services

What is NICE?

• From April 2013 new remit for social care – renamed National Institute for Health and Care Excellence

• Evidence-based guidance and other products from NICE help resolve uncertainty about best quality care and what represents value for money

•

• www.nice.org.uk

NICE produces national guidance covering Health technologies:

• technology appraisals

• interventional procedures

• medical technologies

Guidelines and quality standards:

• clinical practice

• public health

• social care topics

• safe staffing

Topic Guidance QS

Health and wellbeing of looked after children Published Published

Supporting people to live well with dementia Published Published

Autism in children and adults Published Published

Mental wellbeing of older people in residential care Published Published

Managing medicines in care homes March 2014 March 2015

Challenging behaviour in people with learning disability May 2015 2015/16

Home care July 2015 2016/17

Older people with multiple long-term conditions Sept 2015 2016/17

Children’s attachment Oct 2015 2016/17

Transition between health and social care Nov 2015 2016/17

Transition from children’s to adults’ services Mar 2016 2017/18

Child abuse and neglect May 2016 2017/18

Mental health problems in people with learning disability Oct 2016 2017/18

NICE Quality Standards and guidance for social care

NICE Safe staffing guidelines

• NICE is developing evidence based

guidelines setting out safe staffing for

the NHS. This will include reviewing

and endorsing staffing tools

• The focus of work will be on nursing

and midwifery, including nursing

support.

• The guidelines will help ensure an

appropriate balance of staff numbers

and skill mix on wards and in other

settings

• As this new guidance programme

develops other elements of the

healthcare team may be included

www.nice.org.uk/About/What-we-do/Our-Programmes/NICE-guidance/NICE-guidelines/NICE-safe-staffing-

guidelines

Topic Date

Safe nurse staffing in adult wards of acute hospitals

July 2014

Maternity settings Jan 2015

Accident and Emergency settings May 2015

Acute in-patient paediatric and neonatal wards

Community nursing care settings

High dependency and intensive care

Learning disabilities in the community

Learning disabilities in-patient setting

Mental health community settings

Mental health in-patient settings

NICE Quality Standards

• Based on best available evidence such as NICE guidance and other evidence sources accredited by NICE

• Define priority areas for quality improvement

• Include measures to help inform local quality improvement work

Quality Standards

Evidence Guidance Quality

Standards

A prioritised set of concise, measureable statements

designed to drive quality improvements across a

pathway of care

A comprehensive set of recommendations for a particular disease or condition

Examples of published guidance and quality standards Guidance QS

Domestic violence Available Oct 2015

Psychosis and schizophrenia - adults Available Draft

Psychosis and schizophrenia - children Available Oct 2015

Smoking cessation Available Oct 2014

Falls Available Feb 2015

Autism Available Available

Infection control Available Available

Social anxiety disorder Available Available

Antisocial behaviour and conduct disorder – children and young people

Available Available

The epilepsies Available Available

Delirium Available Available

Nutrition Available Available

Depression in children and young people Available Available

Self harm Available Available

Guidance in development Guidance

Bipolar disorder ( update) Sept 14

Antenatal and postnatal mental health Dec 14

Disability, dementia and frailty in later life Feb 15

Depression in children and young people (update) March 15

Medicines optimisation March 15

Violence and aggression (update) April 15

Challenging behaviour and learning disabilities May 15

Employee health and wellbeing July

Home care July 15

Children’s attachment Oct 15

Older people – independence and mental well being

Oct 15

Mandatory requirements Quality standard topics for public health

A library of topics with a principal area of focus on public health has now been referred to NICE. This follows a public consultation to seek stakeholder views on the work programme. Topics are referred by the Department of Health.

Topics include

• preventing healthcare associated infections,

• promoting oral health,

• reducing tobacco use and

• preventing harm from smoking,

• preventing harmful alcohol use, and

• strategies to prevent obesity in adults and children.

And the importance of NICE guidance to patients, service users and carers

• “ Having confidence in the staff looking after me ”

• “Understanding what treatment I can expect”

• “Being confident in the system”

• Better patient experience and outcomes

• Empowering people to make choices about their own care

• A constitutional right to receive treatment and medicines.

Helping commissioners identify local priorities for quality improvement

NICE quality standards can highlight key areas for improvement. An initial assessment should consider for each statement within the quality standard:

• whether the statement is relevant to the organisation

• how the current service compares to the statement

• source of information to evidence this

• what actions/resources would be required to improve the service so that it meets the quality standard statement

• an initial assessment of risk associated with not making these improvements

NICE Implementation – practical support tools

Into Practice Guide

• Self assessment/Audit tools

• Costing reports and templates

• Online learning resources

• Clinical case scenarios

• Academic detailing aids

• Slide sets

• Forward planner

• Podcasts

• Shared learning database

• Medicines Information

• NICE and BNF apps

• Field team www.nice.org.uk/about/what-we-do/into-practice

NICE Evidence Services - www.evidence.nhs.uk

Guidance (TA325) • 1.1 Nalmefene is recommended within its marketing authorisation, as

an option for reducing alcohol consumption, for people with alcohol dependence:

• who have a high drinking risk level (defined as alcohol consumption of more than 60 g per day for men and more than 40 g per day for women, according to the World Health Organization's drinking risk levels) without physical withdrawal symptoms and

• who do not require immediate detoxification. The marketing authorisation states that nalmefene should:

• only be prescribed in conjunction with continuous psychosocial support focused on treatment adherence and reducing alcohol consumption and

• be initiated only in patients who continue to have a high drinking risk level 2 weeks after initial assessment.

AHSN Added Value • Health ecomonic expertise

• Project and programme management support

• Facilitation and alignment of your strategic objectives with other stakeholders eg CLAHRC

New models of working/new care models

• Integrated care – improving quality and outcomes

• Reducing delay in diagnosis and treatment

• POPS

Patient Safety Collaborative

• Transitions

• Zero Suicide/Reduction in Self Harm