Proposals for The North East and North Cumbria Test Bed Professor Oliver James F.MedSci.FRCP
Health and Care Test Beds A competition organised by Innovate UK, the Department of Health, and NHS England. To evaluate introduce new digital Technologies into the NHS to improve patient care, while, if possible, reducing costs. Key word is combinatorial cf. the lightbulb This is to be a partnership between an NHS test bed (any NHS organisation), and two or more Innovation Partners (companies). Test beds to work through AHSNs. A test bed must encompass 1,000,000 + population and must aim to introduce meaningful change at scale and with speed.
Our Test Bed Bid Led by County Durham and Darlington NHS FT. Chaired by Professor Paul Keane OBE. NE and North Cumbria AHSN is the midwife. To include partners throughout the North East and North Cumbria (population 3.5 million). Partners include: All 11 NHS FTs in region (8 acute, 2 mental health, 1 ambulance) Most CCGs Many Local Authorities All regional Universities and York Third Sector (Age UK, Stroke Association) Innovation partners: 10+ potential partners
Our Test Bed Vision Recognising that the NHS needs radical change to meet quality, safety, and financial challenges of the next 5 years, 1. In conjunction with Connected Health Cities join up patient/client databases so they can readily intercommunicate for patient benefit. 2. To use the test bed initiative to radically alter a wide range of patient services and clinical pathways. 3. To do this by taking many clunky services/pathways out of hospitals and into patient s homes. 4. Rigorously evaluate efficacy and economics of these innovations to ensure suitability for widespread use in the NHS. 5. Carry out evaluation and introduction of new services etc. at scale and in defined numbers of patients.
Test Bed Evaluate Does it work? Does it save money? Deploy at Scale Diagnostics Safer, more effective medicines Long Term Conditions Frail/Elderly Connected Health Cities UNDERPINNING TECHNOLOGIES Virtual Clinics PARTNERSHIPS SCNs CCGs, TRUSTS, GPs, AGE UK, SOCIAL UNIVERSITIES CARE 7 Day Working Out-of-hospital Point-of-care Diagnostics Empowering Patients Target Numbers Evaluation
Diagnostics The Newcastle and North East DEC and Newcastle MRC Molecular Pathology Hub This is a unique (in UK) centre for evaluating diagnostic modalities. Partners: Potentially 10+, including Randox, Baxter, Nova Biomedical, Roche
Safer, more effective medicines: Partners: Proteus Inhealthcare Florence Mental Health Trusts (psychosis and bipolar disorders) Newcastle upon Tyne Hospitals NHS FT South Tees NHS FT (expensive medications, e.g. HCV) CCGs and Nursing Homes (medications for vulnerable elderly) Evaluation: Durham University School of Pharmacy
Long Term Conditions 1. Chronic Renal Failure Partners: Nova Biomedical Evaluation: York University Health Economics Florence Inhealthcare South Tees NHS FT Newcastle upon Tyne Hospitals NHS FT Northumbria NHS FT City Hospitals Sunderland NHS FT 2. Diabetes/Obesity Partners: IBM/Apple Evaluation: Newcastle University I.H.S Inhealthcare Florence Leicester Partnership Trust NHS Trusts Local Authorities GP Federations 3. Atrial Fibrillation/INR Testing Partners: Evaluation: York University Health Economics Inhealthcare Roche County Durham and Darlington NHS FT Newcastle upon Tyne Hospitals NHS FT Other FTs and CCGs.
Frail/Elderly 1. The Age UK Virtual Clinic Lunch Club Partners: Age UK (several centres) Multiple Technologies Several NHS FTs Social Services GP Federations 2. Improving Care in Nursing Homes Partners: Evaluation: Patient Source My Directives Florence Whzan Inhealthcare North East Ambulance Service NHS FT 50+ Care Homes Social Services GP Federations Sunderland Hospitals Sunderland CCG FUSE (Centre for Translational Research in Public Health) 5 North East Universities
This All Looks Very Wonderful BUT: Can we get partner Trusts, GP Federations, CCGs, Local Authorities to invest (both financially and organisationally) in this vision? For Trusts: Dismantle services, for which they are receiving payments, to make better. For CCGs: Commissioning new ways of delivering services which will probably save money but which may need initial expenditure. For Social Care: Commission/pay for new services/ways of working NOW to keep people out of hospitals/care homes LATER. They all want to do this, but can they? All are committed to rolling out things which work.