Richard Harding: Project Manager (Commercial)

Innovation = Idea + Traction

+

Richard Harding

CREATIVE COMMISSIONING IN HEALTH AND SOCIAL CARE

&TECS AND SERVICE PROVISION

To Innovate Procurement or Procure Innovation that is the

question:

Creative Commissioning in Health and Social Care

Delphi Method

The Design Cycle

Procurement Stakeholders

Other services

(police, fire, 3rd sector)

AcademiaIndustry & LEPs

Housing

Innovation Pipeline

Regulation and funders

Innovation Hubs,

Vanguards, Test Beds

Local Authorities

& CCGs

John Kotter: “Accelerate!”

• We won’t create big change through hierarchy on its own•We need hierarchy AND network•Many change agents, not just a few, with many acts of leadership•At least 50% buy-in required•Changing our mindset•From “have to” to “want to”

HOW?

Political Policy ChangesPolitical ForcesAccreditationsPersonalizationNormalizationIntegrationEarly InterventionIncreased RegulationScandals (Winterbourne)The move from Residential Models to Community Models

Economic Budgetary PressuresSupporting People Funding CutsThe Macro and Micro EconomyWage Cost InflationEuropean FundingCuts in Mental Health Services

Social Population DemographicsStaffCustomer KnowledgeIncreasing co-morbiditiesIntraprenoursCollaborative Design

Technological Advances in technologyBig DataThe ‘internet of things’Inter-operabilityArtificial IntelligenceMachine LearningDeep LearningWearables

Pienta (2010)

The Diffusion of Innovations - Everett Rogers, 5th ed 2003

Geoffrey Moore, Crossing the Chasm, 1991

From Innovation to Invoice

The Disruption: This technology can radically change how we work therefore, system change is needed to accommodate

Partnership working Technology & Infrastructure Organisation

Quality

Partnership Working

Patients and Public

Structure

Conflicting/Competing Services

Joint Strategy

Who will benefit?

The need?

How do we engage?

Competencies/Training T.S.A

Intrapreneur

Allignment with Innovation HubsAlder Hey Children’s Hospital:

Pump-prime funding into Institute in the Park and Innovation Centre helping to leverage over £13m additional investment

Sensor City University Enterprise Zone

£500k funding for technologiesto pump prime adoption

Innovations with Impact competition, funding technologies to support care

Digital ; 10

De-vices; 4

Telecare; 4

Funded pilots

Innovative procurement methodsin our procurement process

NHS Eastern Cheshire CCG

OMC Events Social MediaOMC Social MediaWebsites

Liverpool’s Domiciliary Care Procurement

Drawing in Innovation

Innovation Scouts•50 Champions of change, learning from innovation leaders

•Creating a culture of innovation; part of the AHSN •Network for co-creating new technologies and systems

Leverage Mapping Tools

TECS Landscape

Useful, useable, flexibility, simple and intuitive, used in different ambient conditions, avoiding

errors, minimum fatigue?

'The challenges of improving the lives of people using digital innovations'

Everyone wants to………

Stay at home

Stay out of hospital

Stay Independent

Stay at home

Stay out of

Hospital

Stay Independent

Presentation 1

What will stop that?

Ineffective Assessment InactivityIn-patient Episodes InstabilityIllness Insufficient HelpImpaired Cognition ImmobilityInsolvency Inappropriate housing Insecurity Inadequate NutritionInsensitivity IncomprehensionInaccessible Support Incessant PainIsolation doctor Induced problemsInformal Care CrisisThings that will impact on your IndependenceRef: Dr K Doughty

Everything can produce data……..

What are we using already?

Families and onsite staff want to know?

Is my Mum ok Now?

But what if we connect all the data?

Will connect a device for 50p per month. So if the kettle isn’t used before 10am it notifies the onsite warden.

The next level?

An integrated system composed of a set of network devices including:• Smartphone and wearable

sensors • Clinical sensors• Environmental sensors

The system aims to produce:

• Users profiles• Lifestyle monitoring• Detection of trends• Recognition of anomalies

And apply Artificial Intelligence?

From a pop up business

Meaningful Patterns in the data:

Not Normal

What else can we do?

3D Cameras and Smart Carpets• No Image, nothing to wear• Micro Movements (breathing,

seizure, self-harm, chocking, violence, skin temp)

• The 2nd Stumble alarm (the 3rd is the fall)

• Prediction through algorithms• Adults with Learning Disabilities,

Mental Health, Care Homes, Extra Care

Using Robots

Physical Web: Virtual Keysafe/Navigation

• Door Release Via a secure app (auditable and No Keysafe Needed)

• Navigation around the building• Data sharing with relevant professionals

How do you feel?• Digital Survey:

• Worn Devices:

How do we use Apps?

increases activity, wellbeing and social inclusion

Connecting service users with providers and payers

Telecare Gas + Electric safety solutions for vulnerable people

Safer Homes

2015 National Finalist

Test Beds Innovator

Telecare Services Association

Driving Digital Challenge 2015

Finalist

Digital Assessments for People and Staff

Pulling data from Medical Record and pushing to housing and repackaging the data and sending it to the social services assessment

• Information • Preferred carer• Who is coming?• Tasks• Seamless Support• Key safes could disappear• Gamification and Nudges• Digital and Meds• Mobile Alarm (GPS)• Video Calling• Wellbeing ---------• Loneliness

What do you want to tackle?• Prediction• Decline in functional Ability• Loneliness• Cooking Issues• Matching Tenants to properties and partners• Engagement with activities and professionals• Connectedness and re-assurance for families• Detection of Urinary Tract Infections earlier• Safer Walking and Geo-fencing• Supported Employment• Supported Meaningful activities and trips• Reducing onsite staff levels• Reducing Admissions' and GP visits• Staff and Customer flow and modelling• Digital Mars• Sustainable Transport

Presentation 1To keep the right tenantIn the right propertyLiving with the right peopleWith the right supportWith the right social interactionsIncreasing ActivityIncreasing ConnectionsAndReducing staff workloadsReducing Tenant losses to other accommodation typesEffectively Manage Assets

Email: Richard.harding@innovationagency.nwc.nhsTwitter: @ricardohardinio