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Richard Harding:
Project Manager
(Commercial)
Innovation = Idea + Traction
+
To Innovate Procurement or Procure
Innovation that is the question:
Creative Commissioning in Health and
Social Care
Delphi
Method
The Design
Cycle
Other
services
(police, fire,
3rd sector)
Academia
Industry
& 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 Changes
Political Forces
Accreditations
Personalization
Normalization
Integration
Early Intervention
Increased Regulation
Scandals (Winterbourne)
The move from Residential Models to
Community Models
Economic
Budgetary Pressures
Supporting People Funding Cuts
The Macro and Micro Economy
Wage Cost Inflation
European Funding
Cuts in Mental Health Services
Social
Population Demographics
Staff
Customer Knowledge
Increasing co-morbidities
Intraprenours
Collaborative Design
Technological
Advances in technology
Big Data
The ‘internet of things’
Inter-operability
Artificial Intelligence
Machine Learning
Deep Learning
Wearables
Pienta (2010)
The Diffusion of Innovations - Everett Rogers, 5th
ed 2003
Geoffrey Moore, Crossing the Chasm, 1991
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
Allignment with Innovation Hubs
Alder 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 technologies
to pump prime adoption
Innovations with Impact competition,
funding technologies to support care
Digital , 10
Devices, 4
Telecare, 4
Funded pilots
Innovative procurement methods
in our procurement process
NHS Eastern Cheshire CCG
OMC
Social Media
Websites
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 Inactivity
In-patient Episodes Instability
Illness Insufficient Help
Impaired Cognition Immobility
Insolvency Inappropriate housing
Insecurity Inadequate Nutrition
Insensitivity Incomprehension
Inaccessible Support Incessant Pain
Isolation doctor Induced problems
Informal Care Crisis
Things that will impact on your Independence
Ref: 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 1
To keep the right tenant
In the right property
Living with the right people
With the right support
With the right social interactions
Increasing Activity
Increasing Connections
And
Reducing staff workloads
Reducing Tenant losses to other
accommodation types
Effectively Manage Assets
Email: Richard.harding@innovationagency.nwc.nhs
Twitter: @ricardohardinio

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Procurement and housing: Creative Commissioning in Health and Social Care & TECS and Service Provision

  • 2. To Innovate Procurement or Procure Innovation that is the question: Creative Commissioning in Health and Social Care
  • 4.
  • 6. Other services (police, fire, 3rd sector) Academia Industry & LEPs Housing Innovation Pipeline Regulation and funders Innovation Hubs, Vanguards, Test Beds Local Authorities & CCGs
  • 7. 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?
  • 8.
  • 9. Political Policy Changes Political Forces Accreditations Personalization Normalization Integration Early Intervention Increased Regulation Scandals (Winterbourne) The move from Residential Models to Community Models Economic Budgetary Pressures Supporting People Funding Cuts The Macro and Micro Economy Wage Cost Inflation European Funding Cuts in Mental Health Services Social Population Demographics Staff Customer Knowledge Increasing co-morbidities Intraprenours Collaborative Design Technological Advances in technology Big Data The ‘internet of things’ Inter-operability Artificial Intelligence Machine Learning Deep Learning Wearables
  • 11. The Diffusion of Innovations - Everett Rogers, 5th ed 2003
  • 12. Geoffrey Moore, Crossing the Chasm, 1991
  • 13.
  • 14. 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
  • 15.
  • 16.
  • 17.
  • 18. Allignment with Innovation Hubs Alder Hey Children’s Hospital: Pump-prime funding into Institute in the Park and Innovation Centre helping to leverage over £13m additional investment
  • 19. Sensor City University Enterprise Zone
  • 20. £500k funding for technologies to pump prime adoption Innovations with Impact competition, funding technologies to support care Digital , 10 Devices, 4 Telecare, 4 Funded pilots
  • 21. Innovative procurement methods in our procurement process NHS Eastern Cheshire CCG OMC Social Media Websites
  • 24. 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
  • 25.
  • 26.
  • 29. 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'
  • 30. Everyone wants to……… Stay at home Stay out of hospital Stay Independent Stay at home Stay out of Hospital Stay Independent
  • 31. Presentation 1 What will stop that? Ineffective Assessment Inactivity In-patient Episodes Instability Illness Insufficient Help Impaired Cognition Immobility Insolvency Inappropriate housing Insecurity Inadequate Nutrition Insensitivity Incomprehension Inaccessible Support Incessant Pain Isolation doctor Induced problems Informal Care Crisis Things that will impact on your Independence Ref: Dr K Doughty
  • 32.
  • 33. Everything can produce data……..
  • 34. What are we using already?
  • 35. Families and onsite staff want to know?
  • 36. Is my Mum ok Now?
  • 37. But what if we connect all the data?
  • 38. Will connect a device for 50p per month. So if the kettle isn’t used before 10am it notifies the onsite warden.
  • 39. 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
  • 41. Meaningful Patterns in the data: Not Normal
  • 43. 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
  • 45.
  • 46. 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
  • 47.
  • 48. How do you feel? • Digital Survey: • Worn Devices:
  • 49. How do we use Apps?
  • 50. 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
  • 51. Digital Assessments for People and Staff
  • 52. Pulling data from Medical Record and pushing to housing and repackaging the data and sending it to the social services assessment
  • 53. • 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
  • 54. 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
  • 55. Presentation 1 To keep the right tenant In the right property Living with the right people With the right support With the right social interactions Increasing Activity Increasing Connections And Reducing staff workloads Reducing Tenant losses to other accommodation types Effectively Manage Assets Email: Richard.harding@innovationagency.nwc.nhs Twitter: @ricardohardinio

Notes de l'éditeur

  1. Detail the new methods that you didn’t use before: LOMC, payment per outcome, co-design, … Or if you already use them mention it also.
  2. Lewin, K (1951) http://www.change-management-coach.com/force-field-analysis.html Gould and Lewis (1985) https://hannazoon.wordpress.com/tag/usability/ http://en.wikipedia.org/wiki/Failure_mode_and_effects_analysis http://en.wikipedia.org/wiki/Poka-yoke http://www.inclusivedesigntoolkit.com/betterdesign2/examplepersonas/examplepersonas.html http://www.inclusivedesigntoolkit.com/betterdesign2/exclusioncalc/exclusioncalc.html http://universaldesign.ie/What-is-Universal-Design/The-7-Principles/ Marshall, A (2015) “StEAM” Mair et al (2012) “Factors to promote or inhibit the the implemetation of e-health systems: an explanatory systematic review Murry et al (2011) “Why is it difficult to implement e-health initiatives”
  3. Connect the technology Internet of things
  4. Applying AI that has been used to navigate shipping in the Mersey estuary, combining information from the tides, ship locations, docking times and learning the most efficient way, the system sped up or slowed down the ships to get them in and out more efficiently. It even navigated the ships around the whales in the channel using sonar to spot them…….. How do we apply this to our systems?
  5. Digital health is a disruptive technology. It has the potential to radically alter the way healthcare is delivered. Our systems need to change to make it work