Cathy Harrison Senior Principal Pharmaceutical Officer Head of Medicines Policy Department of Health

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Virgil McKenzie
5 years ago
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1 Cathy Harrison Senior Principal Pharmaceutical Officer Head of Medicines Policy Department of Health

2 Health and Wellbeing Delivering Together 2026

3 Medicines Optimisation Defined by NICE as a person centred approach to safe and effective medicines use to ensure the best possible outcomes from their medicines

4 Why do we need Medicines Optimisation?

5 Context for change Financial Demographics Technical innovation Risk Sustainability Pharmacological innovation Workforce Demand

6 Medicines Optimisation Quality Framework Medicines Optimisation Hospital General Practice Community Pharmacy Social Care Safety Effectiveness Patient/ Client Focus

7 Cathy Harrison Tel

8 Optimisation of Care: Providers, Patients and Enablement using Technology Julie-Ann Walkden SBRI Executive 1 st December 2016 julie-ann.walkden@hscni.net

9 Complex methodologies for improvement TQM Management Guru s and Leadership TYC Clinical Social Care Governance Coloured Hat Thinking Value Analysis Oval Mapping Process Reengineering but the system affords a real opportunity for: Utility in design User involvement Business opportunity for local entrepreneurs Solutions to the service problems and issues

10 Phases 1 & 2 Combined in SBRI

11 2016/17 SBRI/ PCP Programme Nurture Ideas GEMS (Gestational Diabetes) - H reserve SBRI Challenge - All Ireland SBRI FAST - Small Digital SBRI 141k support Pharmacy Staff Intelligent Deployment Hospital Efficiency HOME SBRI 384k support Medicine Management in Dom Care Horizon 2020 MAGIC PCP Post-Stroke PCP 5.2m euro project with a 3.6m euro PCP fund BSO leading an international consortium Phase 1 = 7 suppliers each receive 60k euro Medicines Optimisation Final 6-months of an 18-month phase k to be spent in 2016/17 on two contracts: SmartAir/ Airbrio Appattic/ Mage Pre-Phase Zero Phase Zero Phase 0 to 1 Phase 0 to 1 Phase 0 to 1 Phase 2 Hothouse of issues continuum to market ready solution

12 Worldwide Interest

13 What make s our Model different? User Empowerment Practitioner Involvement & Co-creation Patient Centric Models of Care Dynamic Industrial Engagement -Iterative Design OPTIMISATION OF TECHNOLOGY IN HEALTH & SOCIAL CARE

14 Actors in this space Enabling Environment In the wild not just laboratory trial & testing Trusts with dedicated R&D Leads and experience Cross Departmental and Commissioner support Dept. for the Economy Dept. of Health Real Team Committed Practitioners Agile Industry Service Users and Carers

15 Practitioners From a patient point of view it is excellent because the patients have the freedom to live their life I think it is an excellent system. They also like to have the equipment there because if they are unwell outside of monitoring times they can self-initiate a test and that can guide their selfmanagement What People Say Service Users I have been able to take readings when on holiday and to report the readings via internet. I am very satisfied about the way the system is operated. There must be a saving in NHS staff time, indeed in my time, rather than having to attend clinic for INR assessment I believe this to be a very effective way of monitoring the patient providing there is a well trained back up from healthcare staff and not merely a cost cutting exercise

16 Does it work? Feedback for a tech augmented future (N=97) 85% Patients indicated reduced GP attendance 90% Patients indicated reduced HCP attendance 46% worried about being given tech to self care 93% found the tech easy to use 64% more interested in tech since using it in HC 75 % more tech in future service Optimisation of Remote Vital Sign Telemonitoring Data Collection conducted by J Walkden, Prof Kernohan & Dr P McCullagh.

17 Current SBRI Field Trials Showcase 6 of our current SBRI suppliers

18 Conclusion Style of SBRI that embeds co-creation and iterative design Really understands the issues first so that a laboratory solution is not just given to practitioners to use Sense of ownership and commitment Patient Centric with a shared vision of technology enabled empowerment for independent care and self-management.

19 Contact Julie-Ann Walkden Business Services Organisation

Pre Commercial Procurement (PCP) SHOWCASE. #ECHConnected #ehealth4all

Pre Commercial Procurement (PCP) SHOWCASE #ECHConnected #ehealth4all ehealth Ireland & N.Ireland 1 st Joint Ecosystem Gathering Pre Commercial Procurement (PCP) SHOWCASE Pat Doyle, Innovative Procurement