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Digital Health NHS England |


Do you see any barriers to technological innovation in the NHS? Although unintentional, we come across barriers in the NHS due to the very size, scale and federated nature of our organisation, and its breadth of stakeholders. Change can be the biggest barrier – healthcare staff are busier than ever before so getting their engagement is crucial. Senior leadership championing innovation and its benefits can help drive this change. The recently established National Information Board (NIB) will for the first time bring together organisations from across the NHS, public health, clinical science, social care, local government and public representatives. The NIB has clear plans to publish a set of ‘road maps’ laying out who will do what to transform digital care.


Is getting people to take control of their own health the end goal? Of course it’s vital that we all take some responsibility for our own health and wellbeing. One in five adults still smoke. A third of us drink too much alcohol, and just under two thirds of us are overweight or obese, so over the next five years the NHS is committed to supporting national action on obesity, smoking, alcohol and other major health risks. Within five years, all citizens will be able to


access their medical and care records (including in social care contexts) and share them with carers or others they choose. Patient Online is a great example of realising patient empowerment. Of all general practices, 99 percent have the capability to allow patients to book or cancel appointments, or to view or order repeat prescriptions online.


Will a cultural shift need to take place in the way the NHS operates to fully embrace the opportunities presented by new technologies? I don’t see it so much as a cultural shift. The NHS is not one monolithic organisation, it is made of thousands of caring, clever and committed individuals, many with insatiable appetites for new technology. Some care settings and providers are embracing new technology quicker and better than others. We are here to help share, improve and learn from our experiences, both in the NHS and from health economies across the world, to improve the way we use innovation to improve patient care.


What will NHS care look like in 10 years time? The NHS will still be the NHS we know and love, but it will be modernised and more accessible to cater for our diverse population. Patient and public participation is key to a modern health and care service so we are listening to patients and designing services from their perspective. People will access care services in a variety of ways; email, instant messaging, webcam, phone, face to face - this will suit their individual needs and their way of life.


Further information www.england.nhs.uk


94 Global Opportunity Healthcare 2015 | Issue 01 CASE STUDY: MEDOPAD


Ensuring doctors have accurate and up-to-date patient information is vital to all aspects of healthcare, and increasingly wearable technology is being embraced as the way to do this. Medopad Ltd is one UK company that is leading the


way with mobile health solutions that securely connect healthcare professionals with patient information via mobile devices. The company has a suite of CE certified iPad applications that integrate health data securely from existing databases and puts them in the palm of a doctor’s hand. As a result doctors can use the simple Medopad


mobile app to access patient records, lab results, vitals, images and more to help reduce errors and improve efficiencies. Medopad is regulatory approved as a medical device, it has been developed with the largest UK private hospital group, and counts the NHS as its customer as well. Most people these days are familiar with using apps on their mobile telephones and other media, so wearable devices are accepted by all ages as an obvious part of their healthcare. Aside from integrating patient data, Medopad can be integrated with patient wearables and telehealth devices to provide a single point of access of care information for healthcare professionals. It boasts the first enterprise solution to be integrated with Google Glass and has integrated with Apple HealthKit. As well as ease of use, mHealth technology seeks


to deliver better clinical outcomes in terms of more evidence-led and patient-centred diagnosis and treatment at the point of care, optimised clinical workflows and staff time, more integrated digital records, and reduced costs in the long term.


CASE STUDY: PML


Better clinical decision making and a quicker patient journey was the impetus behind Physiologcal Measurements Ltd iPMC platform. Two years ago, PML decided to integrate a telehealth platform into the iPMC platform to allow reports and imaging data, as well as telehealth data, to be viewed from a single software application. This allows identification and quantification of disease, the development of a treatment plan and monitoring of the patient in a community setting. Disease parameters include hypertension, heart failure, diabetes, arrhythmia and O2 saturation. PML have also developed an app for the iPad so clinicians can access data almost anywhere, meaning patients can receive responsive care based on real time data. PML has been delivering a


Community Cardiology service for NHS Bexley CCG for five years.


The movement of all non-invasive cardiology into the community was facilitated by the PML service re-design team working with the cardiology project team. Referrals are received at the patient management centre, triaged, and then added to the iPMC software. After the patients diagnostic test, and consultation with the cardiologist or heart failure nurse, all information is uploaded to the patient’s file on the iPMC. It can then be shared with other colleagues to facilitate faster treatment time. For example, consultants in clinic can discuss images and reports with their surgeon colleagues in a hospital. This speeds up the pathway for the patient to receive treatment. The new system of working has


reduced pressure on local hospitals and as a consequence of this, advanced imaging or interventional procedures now have a much shorter waiting time.


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