Across industries, companies are disrupting their business models and adapting services around customer’s needs - facilitated by digital technologies. Healthcare is no different but is behind the curve. The good news is the technology is available and ready to use now - and already solving similar problems in these other industries. The key question is how do organisations get the best value from these and that is where innovation comes in...

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Digitally enabled integrated healthcare
Designed around users and their needs
November 2018

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in making purchasing decisions. The development, release, and timing of any features or
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Commercial in Confidence 2

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About Me
Raj Modi, Senior Director – Healthcare Innovation
Over 15 years in strategy and transformation consulting working
with clients such as the National Health Service, BUPA, InHealth,
Novo Nordisk and Mayor of London.
Contact: raj.modi@oracle.com

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“Just being able to make the
best use of mainstream
products and services would
transform health and social
care in this country.”

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People with long term conditions
30% of the population account for 70% of the spend
50% 64% 70% 70%
50% of all GP
appointments
64% of all
outpatients
70% of all
inpatient days
£7 out of £10
spent on LTCs
Source: Department of Health (2012). Report. Long-term conditions compendium of Information: 3rd edition

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What people with long term conditions want
To be treated as a whole person and for the NHS to act as one team
“I want to be involved in
decisions about my care – and to
be listened to”
“I want access to information to
help make these decisions”
“I want support to understand
my condition and confidence to
manage it – support to self care”
“I want joined up, seamless
services”
“I want proactive care”
“I do not want to be in hospital
unless it is absolutely necessary
and then only as part of a planned
approach”
Source: Department of Health (2012). Report. Long-term
conditions compendium of Information: 3rd edition

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Integrated care centred on the person
Person centred integrated care will consume fewer overall resources while at the same time
being better for patients
Person
Home
care
Commun
ity care
Pre op /
post op
care
Primary
care
Acute
care
Urgent
care
Outcomes sought
§ Care is seamless and addresses user needs
§ Treatment decisions are evidence-based and
data-led
§ Population-based health and care is pro-
active and preventative
§ Everyone can access services that supports
them
§ The workforce is delivering the right care at
the right time and right place

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Supported by one ecosystem
Enabled by digital
Areas of value
§ Patient centric journeys
§ Care seamlessly coordinated across
all channels, driving continuity
§ Leveraging best practice pathways
and technology innovation
§ Leverages data, driving
accountability for improved clinical
quality and safety
§ Care is more accessible and
affordable
£ cost of
intervention
Number of
interventions
Digital Telephonic Clinic Hospital
Health
Info
Apps
Devices
Coaching
Peripat
etic
Out
Patient
In
Patient
Data Driven, Person Centric Pathway supported by HCP’s
100% of LTC’s 20%

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Imagine if you could
take a business idea
and build a prototype
with a business
justification in
12 weeks or less
Oracle Confidential - Internal
The challenge

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A cross-functional
team of experts
from a clinicaland
business background
A core team to
socialise the idea
and develop
the customer
journey map
A sharingworkshop
with executive
stakeholders
Time commitment
for a hands-on,
innovation workshop
Interim meetings
to evolve and refine
the proposition
Combing innovation, strategy and
prototyping into a simple, end-to-
end offer.

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PATIENT
Feeling empowered by digital care
services on demand – accessing
medical knowledge from certified
sources, plus your own records
Experiencing a consistent and
personalised service that truly
reflects today’s digital world
but is inclusive of all
Having peace of mind through a
personal care community of
loved ones monitoring your
wellbeing and groups who
share your situation
Gaining safe, relevant advice at
any time, accessing professionals
when it matters most to you,
through telecare and video
conferencing technology
Imagine if…

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NURSE
Loving your workplace,
empowered to quickly implement
the right care model for a patient's
needs, easing the pressure off you
Accessing innovative mobile, systems allowing
you to share knowledge across departments
and in the community, anytime, anywhere, in
an instant
Access training digitally, with the
flexibility to suit you – and your
shift patterns
Saving even more lives, because
automated processes means you have
the time to provide the care you aspire
to, every day
Reducing demand through better
public awareness – omni-channel
community care messaging about
healthier choices and appropriate
use of NHS services
Imagine if…

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Manchester Amputation Reduction Service
‘Whole systems analysis’
13
The problem
• 1000 amputations across GM – half avoidable
• Significant inequalities in service provision
Mars approach
• One community pathway for foot and leg ulcers
• Take ‘hospital’ services into community
• ‘whole systems analysis’ population based transformation
• Incorporates prevention, health/social care, and IT
Outcomes sought:
• Reduce chronic wounds by 15% within 5 years
• Reduce hospital AE attendances, admissions and outpatient
referrals
• Reduce annual spending by £70m within 5 years
• Reduce inequalities in service provision
• Put the patient experience first

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Oracle Confidential -
Internal

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18. Copyright © 2017, Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal, Jacqueline Gummer
Digital citizen-engagement tool
delivering self-care and
professional communication across
a range of digital devices (e.g.
computer, mobile, tablet).
Family Assist
The West Sussex NHS FT story
Oracle Confidential – Internal, Jacqueline GummerOracle Confidential – Internal, Jacqueline GummerOracle Confidential – Internal, Jacqueline GummerCopyright © 2017 Oracle and/or its affiliates. All rights reserved.
70% registration rate
Significant reduction in
calls to triage
0.5% escalation to
enquiries
42% saving on printing

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https://www.youtube.com/watch?v=ucudMJs0840

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Multiple Patient
Personas
Multiple Pathway
Visions
One Platform Integrated Care Platform
Maternity Pathway Family Assist
Amputation
Pathway

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“Companies and government
agencies often make the mistake
of viewing innovation as a set of
unconstrained activities with no
discipline”
https://hbr.org/2017/09/what-your-innovation-process-should-look-like