Mr James Ferguson

Consultant in Emergency Medicine and Clinical Lead, The Scottish Centre for Telehealth and Telecare

www.sct.scot.nhs.uk

INNOVATION AWARDS 2020

Nominations Meeting

Background

• 2015 – “Holocaust Action”

ED Door to medical team time 30-day adjusted mortality

5.8 6.48.6

12.6

17.4

0.0

4.0

8.0

12.0

16.0

20.0

<2.5 hr <4 hr < 6 hr < 9 hr >9 hr

All

caus

e m

orta

lity

(%)

P < 0.0001

• a 15% reduction in A&E visits.• a 20% reduction in emergency admissions.• a 14% reduction in elective admissions.• a 14% reduction in bed days.• an 8% reduction in tariff costs.• a 45% reduction in mortality rates.

Whole System Demonstrator reported

“Holocaust Action”

• Corporate Manslaughter• Professional Bodies• Individual Clinicians

Crooks Report 2017

• SCTT- expanded powers• Hospital Admission Act- based on Mental

Health Act• SASM- Scottish Audit of Seniors’ Mortality

Nomination 1Category: Health Screening

• Based on the “Who’s the Daddy App”

• iMAPurDNA

Nomination 2Category: Diagnostics

• Further development of iUltrasound

16

Adding multiple acoustical views increases the diagnostic capability of HAND-DRUMS® to recognize and discard imaging artifacts. By adding a sense of “touch” to each sensor the elasticity of soft tissue can be imaged as an additional diagnostic measure of tissue health.*

(Fetal ultrasound images from www.imaging.robarts.ca/~fenster)

Used with Permission

Hand-DRUMS® Multi-dimensional acoustic views

17

• Sensors– Acoustic (A)– Pressure (P) (tactile,

elastic properties)– Position (R)

• Mesh Communications Network Links– Data acquisition– Control– Multiplex over fibre at

edges of network

• Cellular Power Distribution

A

A

A

A

P

A

R

R

A

R

Sensor Cell

•Micro-fluid Layer (acoustic coupling)

Acoustic Blanket

Nomination 3Category: Dying Well

• Longevity Prediction Tool

• Regression analysis