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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
Follow us on Twitter @NWCAHSN
Hashtag for the event #nwcEngage
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
Copyright © 2015 NWC AHSN
7
Section 2 – Introduction to the AHSN
Copyright © 2015 NWC 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
Copyright © 2015 NWC AHSN
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
Copyright © 2015 NWC AHSN
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Section 3 – Looking back at 2014/15
Copyright © 2015 NWC AHSN
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Section 4 – Looking forward to 2015/16
Copyright © 2015 NWC AHSN
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
Mu
scu
losk
ele
tal
inn
ova
tio
n
Re
du
ce
alc
oh
ol
rela
ted
A&
E a
tte
nd
an
ce
s
Me
dic
ine
op
tim
isa
tio
n a
cro
ss t
he
sy
ste
m
Pa
ed
iatr
ic/A
du
lt c
are
tra
nsi
tio
n
Hy
dra
tio
n
Se
psi
s
Te
chn
olo
gy
fo
r sa
fety
Su
pp
ort
to
av
oid
fra
il e
lde
rly
ad
mis
sio
ns
Go
od
pra
cti
ce
Ca
re H
om
es
pro
gra
mm
e
He
alt
h a
nd
we
llbe
ing
of
sta
ff
Lea
de
rsh
ip
Me
asu
rem
en
t
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
Copyright © 2015 NWC AHSN
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.
Copyright © 2015 NWC AHSN
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
Copyright © 2015 NWC AHSN
15
International Partnerships
Copyright © 2015 NWC AHSN
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
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
Evolution
Evolution
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
Follow us on Twitter @NWCAHSN
Hashtag for the event #nwcEngage
@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!
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]
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