Dementia test bed - KSS AHSN

Innovate Issue 08

Winter 2016

Practice worth spreading

2 3 4 7 8 10 12 14 15

Inside

Focus on Funding opportunities Insight The technology issue Focus on Dementia test bed Focus on Expo

Improvers network Taking the lead on leadership Focus on European funding

Focus on Accelerated Access Review Focus on Perfect Ward

Focus on Upcoming events

Dementia test bed

Changing the face of dementia care through co-creation

2

3

Focus on

Insight

Innovate Issue 08

Funding opportunities Healthcare technologies discipline hopping, EPSRC

Innovate Issue 08

Insight

I was delighted to take to the lectern with Helen Rostill and Peter Julius at our Pop Up University session at this year’s Expo in Manchester (page 7), where we talked about the TIHM for Dementia test bed project, which is featured on pages 6 to 8.

A future open call is planned for early January 2017 and is designed to enable single researchers to develop new skills and build new collaborations with other disciplines and end users so they can address the key health challenges identified in the Healthcare Technologies strategy.

It’s clearly a hot topic, with Des Holden, our Medical Director, also speaking on it at the prestigious Sowerby eHealth Symposium in September. Chaired by Professor the Lord Ara Darzi, the event explored the benefits and challenges from sharing patient data.

Deadline: No closing date More information: http://tinyurl.com/houh4dz

Accelerated Access Review

Health Services and delivery research programmes, NHS National Institute for Health research The programme supports research into the quality, appropriateness, effectiveness, equity and patient experience of health services. It has a continued interest in a range of issues, including dementia, surgical and implantable devices and primary care interventions. Deadline: 19 January 2017 More information: http://tinyurl.com/hf75uf2

Alzheimer’s Society Dissemination Grant

Dissemination grants scheme provides funding to support the sharing of research knowledge and material beyond researcher’s own peer groups. It encourages researchers to communicate and engage with people who may be helped and supported by the outcomes of their research. Deadline: 31 January 2017 More information: http://tinyurl.com/he3yegq

Future opportunities

The Health Foundation has a range of funding and fellowship opportunities throughout the year. By signing up for a user account you will be notified when new opportunities become available. http://tinyurl.com/jxnuaav

We were particularly interested to read the final report from the Government’s Accelerated Access Review, which looked at how to spread innovation across the NHS. Find out more about the review, and the key roles that AHSNs will play, on page 12.

Working across the region

Recently we’ve been working with the NIHR Clinical Research Network, as part of its strategic review with stakeholders which has identified a number of key points for development. We’ve also been supporting the establishment of the Surrey Heartlands Academy, incorporating elements of IHI style improvement science and Danish living lab user centred design. We hope to bring you further details of these projects in future Innovates.

Training for change

Our Patient Safety Collaborative has continued to spread learning opportunities with its IHI Patient Safety Officer programme, held in partnership with Health Education England KSS. This four-day course saw more than 70 delegates being given the opportunity to learn from the best – the Institute of Healthcare Management – and each other. By supporting this group of individuals committed to leading patient safety programs we are creating a real sea-change in the spread and adoption of new practices and model – see page 8 for full details.

Spreading Innovation

As well as learning networks, the faster spread of innovation is an important component of quality and safety improvement. We’re pleased to be supporting the wider adoption of the Perfect Ward app (page 14), which provides a simple, cost effective solution to a problem that, I am sure, is faced by the vast majority of hospitals and care settings. Best wishes

Guy Boersma Managing Director KSS AHSN

4

5

Focus on

Focus on

Innovate Issue 08

Innovate Issue 08

Changing the face of dementia care through technology

We are on the cusp of finding out how technology could transform the lives of people with dementia and their carers, with the start of the country’s first Internet of Things dementia test bed trial. Led by Surrey and Borders Partnership NHS Foundation Trust alongside a number of partners including KSS AHSN, the ‘Internet of Things’ test bed will show how the use of network enabled devices such as monitors, robotics and wearables will be able to provide better healthcare for older people in the comfort of their own homes.

Called TIHM (Technology Integrated Health Management) for dementia, the trial will help clinicians to remotely monitor the health and wellbeing of people with dementia so they can intervene earlier to help someone avoid a crisis and unnecessary hospital stay. It is also hoped the trial will relieve pressure on carers and help people with dementia to remain independent for longer.

Recruiting patients and carers

Surrey and Borders Partnership is now looking for 700 people with dementia and 700 carers to get involved. Half of the people with dementia will be randomly selected to receive the technological devices. The remaining half will form the control group and continue with their care as usual. People receiving the technology will have their homes kitted out with noninvasive devices, such as sensors, apps and trackers. These will connect to each other via the ‘Internet of Things’ and work together to collect and analyse different pieces of information, that will be securely managed, about a person’s health and patterns of behaviour.

Using the data

The data will enable the devices to identify if there is a problem. If there is, health and social care professionals will be immediately alerted and a decision taken about the action needed. This may mean a clinician is sent out to visit the person or a call is made to the carer. Technological devices in the trial include sensors attached to objects such as fridges, kettles and beds. These can, for example, detect if someone is following normal patterns of behaviour for eating and drinking, is at risk of dehydration or whether they are unusually restless at night. The technology will not replace any existing face-to-face contact with health or social care staff.

Volunteer support

The Alzheimer’s Society, which is a partner in the TIHM for dementia trial, is recruiting 150 trained volunteers who will keep in regular touch with participants, offering them their support.

Find out more People keen to find out more about the trial and register their interest, should go to: www.sabp.nhs.uk/tihm

6

7

Focus on

Focus on

Innovate Issue 08

Innovate Issue 08

Dementia test bed What is the Internet of Things?

A new 5G mobile network, offering wider coverage and much faster speeds, will be widely available within the next five years. This enhanced network will allow data to be easily shared between physical objects embedded with electronics, software, sensors and network connectivity known as the Internet of Things (IoT).

What is a test bed?

The Test Bed programme is a series of different projects launched by NHS England in January 2016 to benefit people with long-term health problems. The aim is to improve the way NHS services are delivered by evaluating the impact of new technologies.

How the trial will work

Health and wellbeing data will be collected from a range of devices provided by ten technology companies. The data will be processed at the University of Surrey’s 5G Innovation Centre and transformed into a ‘common language’. The insights and alerts provided by the devices to clinicians in realtime will then allow healthcare staff to deliver more responsive and effective services.

Partners

KSS AHSN supported the consortium, led by Surrey and Borders Partnership NHS Foundation Trust, to secure £5m of funding from Innovate UK to make Surrey an official ‘test bed’ for new innovative healthcare. Project partners include local clinical commissioning groups, the University of Surrey, Royal Holloway University, NHS commissioners, the Region of Southern Denmark, Public Intelligence (Denmark), Alzheimer’s Society and a number of third sector organisations.

How many people have dementia?

850,000 people in the UK have a form of dementia and in Surrey and NE Hampshire an estimated 18,800 people have the condition. Of those aged 65 and over with a formal diagnosis of dementia, 55 per cent are admitted to hospital each year.

What the experts say

Dr Ramin Nilforooshan, leading dementia specialist at Surrey and Borders Partnership: “The technology is designed to alert us to any changes in behaviour or any changes in wellbeing that could signal someone is becoming unwell or that they are in trouble.

For example, they may be developing a urinary tract or lower respiratory infection. We could detect the early signs/ symptoms of those infections and successfully treat them at home.” Dr Helen Rostill, Director of Innovation and Development at Surrey and Borders Partnership: “With a growing elderly population, it is right that we examine innovative new technologies, such as the Internet of Things, to see what we can do to help people live better lives in their own homes and help them avoid stays in hospital that we know they can find very distressing.” Guy Boersma, MD at KSS AHSN said: “KSS AHSN has been involved with this project from the start - from leading the consortium bid for funding to this recruitment stage. It’s incredibly exciting to think that we are spearheading new technologies which could lead to changes, both national and internationally, in the way we care for those with dementia.”

Sharing innovation at Expo KSS AHSN joined the best of the best at Expo this year, where we were proud to showcase our work, and that of the AHSN network, and learn from others. The annual Health and Care Innovation Expo event is committed to celebrating those who are changing the NHS, with Simon Stevens, Chief Executive of NHS England, describing it as a meeting of the ‘NHS’s can do crowd’. And KSS AHSN was certainly at the centre of things this year with our pop-up university slot.

There was also plenty of activity on our stand at the event, which took place over two days in Manchester at the start of September. We talked to a range of delegates - sharing knowledge, raising awareness, agreeing actions and promoting the range of great work taking place across Kent, Surrey and Sussex.

The session detailed how we hope to change the future of care for people living with dementia, and their carers, through our Internet of Things test bed (see page 4 for further details).

Meeting future health challenges

Guy Boersma, MD at KSS AHSN, presented alongside Dr Helen Rostill, Director of Innovation and Development at Surrey and Borders Partnership NHS Foundation Trust, and Peter Julius, Consultant and Partner for Public Intelligence Denmark.

IoT Impact

The trio explained the wide ranging impact that the initiative could have, from changing the lives of individuals to influencing the shape of national and international approaches to care.

Commenting on the event, Guy Boersma said: “There was a palpable sense of excitement at this year’s Expo, with a whole range of innovative approaches to meeting future health and care challenges. “As ever, Expo was a great opportunity to engage with individuals and organisations working across the health industry, and we made some valuable contacts that I am sure will be of great benefit to our future work.

“We also had lots of positive discussions around the potential benefits of the IoT test bed, and it was an amazing opportunity to be able to share details of this groundbreaking initiative alongside Helen and Peter at our pop-up university.”

Find out more Guy Boersma, Managing Director, KSS AHSN [email protected]

8

9

Improvers network

Improvers network

Innovate Issue 08

Innovate Issue 08

Taking the lead on leadership

Case study

KSS Patient Safety Collaborative is committed to improving patient safety and quality across the region. We know that there’s some great work taking place, and we want to empower people to do more. Integral to all of KSS PSC’s work is the theme of Leadership, Culture and Capability. Together with measurement of patient safety it informs every aspect of our work.

There are currently more than 200 members drawn from health, social services and care settings. Following their feedback we have drawn up a list of services that will include:

We know how vital the improvement culture is within the local health economy, but when we researched skill levels we found there was limited capability across the region.

 Collaborative events across the region and locally to facilitate the Improvers Network in sharing ideas, successes, challenges and current improvement projects

Undeniably there was some strong work taking place, however many of the region’s improvers are often working in isolation with limited, if any, opportunity to collaborate with like-minded individuals.

Developing a new safety culture

That’s why we’ve set up our Improvers Network, which will tackle these challenges and support organisations in developing a safety culture. It will also act as a hub for individuals to learn, network and collaborate on safety and quality improvement projects.

 Quality Improvement training and practical tools and resources  Access to use the LIFE platform - a bespoke QI platform based on the Institute for Healthcare Improvement (IHI) Model for Improvement  A stepping stone to applying to become a Q member  Access to our Communities of Practice.

The Improvers Network offers an immediate opportunity for anyone, regardless of experience, to start making real, beneficial change in their care setting and perfectly complements our work with the Q Initiative. We’ll be coordinating the next QI cohort in May 2017, and will report back on the successes of our Improvers Network in future editions of Innovate.

Find out more Further details on our Improvers Network, including details on how to join, can be found here: www.kssahsn.net/improvers-network Email Sarah Leng, Improvement Manager, at [email protected]

IHI training spreads skills and training

At the heart of any patient safety program are its leaders - identifying issues and proactively driving change. We’ve set out to support them in that role, and our IHI training was the first step in spreading skills and knowledge across the group. The Accelerated Patient Safety Officer Programme took part over four days at the end of the summer, and saw more than 74 delegates learning how to lead effective patient safety programs. Held in partnership with Health Education England KSS, it offered participants a vital chance to learn how to enhance the effective delivery of safety and quality improvement projects in the region. Provided by the Institute for Healthcare Improvement (IHI), the course gave delegates a framework, methodology and approach for improving patient safety and quality. By the end of the week they were able to:  Describe the skills, theory, and practical tools critical to developing a successful patient safety programme  Learn how to use improvement methodology, diagnostics and measures to determine the safety of their system  Develop and implement a plan to improve safety at a systems/ hospital/practice/department level.

Knowledge creative

Delegates were drawn from provider and commissioning organisations in East Sussex and North Surrey, as well as some key clinical leads in existing improvement projects. Senior leaders joined the training on the last day, giving them an understanding of the course and their role in supporting the quality improvement projects. Tony Kelly, Director at KSS PSC, said the course was designed to create a wealth of knowledge in these two localities, as well as providing excellent networking opportunities. “We believe that creating a concentrated pool of knowledge in these specific areas will accelerate spread and adoption of patient safety projects. The course was a great success, and we’re excited about seeing how it impacts patient safety projects in the areas, as well as spreading this model across the south-east in the future.”

Networking and more

Mark Hinchliffe, Programme Office Manager, was one of nine delegates from Ashford & St Peters NHS Foundation Trust. He commented that as well as being a great opportunity to network with like-minded colleagues, the course contained a wealth of ideas and innovation.

“There were some really practical tips on areas such as measurement of harm and how to employ small tests of change to make improvements,” he said. “But we also went beyond the practical tools and techniques to learn how we can lead and encourage teams to focus on safety, and create a culture of safety in which people can speak up and talk about the concerns they have. “The fact that we were able to access all of that in collaboration with other NHS organisations within the region was fantastic.” KSS PSC will be keeping in contact with all delegates over the coming months to determine the impact of the course, as well as offering additional support and training. It hopes to repeat the training again in the New Year.

10

11

Member Focus onshowcase

Focus on

Innovate Issue 08 04

Innovate Issue 08

EU funding boosts new diabetes project for Kent and Medway

Alice Chapman-Hatchett, Director of the Health and Europe Centre, said the project’s cross-border approach will make DWELL highly transferable to other countries looking for solutions to this common issue. And while it is not clear how BREXIT may affect future funding opportunities, she added that there are many opportunities to access European funding, and great benefits in doing so. “The health and social care issues the UK is facing are not unique. EU Member States share these and other issues, given our close cultural, geographic and social connections,” she said.

“Creative solutions are found by combining talent and expertise, not by working in isolation. Anything which hinders or prevents European collaboration will be to the detriment of health and social care research, and ultimately to that of services to patients in the UK which will not keep abreast of new developments.”

Find out more www.healthandeuropecentre.nhs.uk Alice Chapman-Hatchett, Director, the Health and Europe Centre: [email protected]

 The DWELL project was approved and funded by the EU Interreg 2 Seas Programme 2014-2020 (cofunded by the European Regional Development Fund) which awarded €1.9m (£1.6m) to support the project over four years.

While the future of European funding is not clear, there are still real opportunities, and the Health and Europe Centre can help you access them.

More than £1.5m of European funding has been secured by the Health and Europe Centre to develop a crossEuropean approach to tackling Type 2 diabetes. The project is the latest in a long line of funding successes by the Health and Europe Centre, which has developed and managed €10m of European projects from many different funding streams since 2005.

Tailored support

Called DWELL (Diabetes and WELLbeing) this latest initiative involves eight partners from the UK, Belgium, the Netherlands and France. The programme will enable patients with Type 2 diabetes to access tailored support, empowering them to selfmanage their condition and improve their wellbeing.

More than 500 patients from Kent and Medway are set to benefit from the project, which will involve health organisations from across the region. A 12-week patient support programme of ‘pick and mix’ options and a training package for staff to deliver the programme in the years ahead will be designed by, and implemented in, all four countries represented in the partnership.

Substantial savings

As a result of improving patients’ long-term health and well-being, it is estimated that the project will see a 30% per person reduction to state funded health services per year anticipated at €1.25m (£1.05m) per 1000 patients per year.

How the project developed

The Health and Europe Centre was approached by Blackthorn Trust and Kent County Council with the seed of an idea, based on previous experience with mental health patients. From this initial concept it:  Determined an appropriate EU funding stream and developed the idea  Found European partners for the project  Developed and submitted the application  It is now carrying out the project management

What is the Health and Europe Centre?

The Health and Europe Centre is a social enterprise established in 2007 to facilitate international learning and access to EU funding for health and social care organisations locally. It can provide everything from advice on developing European initiatives to end-to-end support in developing an idea, submitting a bid and then implementation and management of multi million Euro projects.

12

13

Focus on

Focus on

Innovate Issue 08

Innovate Issue 08

Assessing the Accelerated Access Review

We take a look at the AAR’s proposals for identifying and pulling transformative innovations into the NHS, and the key role that AHSNs will play in this. One of the biggest challenges facing the NHS is how it accesses innovation to support sustainable improvements in health care outcomes and drive efficiency. Companies leading innovation can struggle to find the best route into the NHS, while those working in the NHS can face multiple barriers to approval and adoption of new technology. This is a problem that AHSNs are acutely aware of, and there is already a lot of good work taking place across England to champion, support and introduce innovative approaches to healthcare.

Recommendations

The AAR report makes 18 recommendations on how products and services could reach patients faster, including improved horizon scanning, simplified national and local routes to get products to patients, the spread of innovation and better coordination and infrastructure to support delivery. Rob Berry, Head of Innovation and Research at KSS AHSN, said that the principles of the report tie in perfectly with the vision laid out in the Five Year Forward View. “It’s clear that the report’s authors have carried out an extensive analysis of the issues surrounding the development of new technologies, but less so on the factors affecting real world adoption in the NHS and wider UK health system,” he said.

“AHSNs already play a strong role in bridging this gap between the NHS and industry, and will be able to add real value to the processes outlined in this report.

Aspirational thinking

“While we welcome this aspirational review there are some unknowns, the greatest around funding. If the level of aspiration is not matched by adequate funding then there’s a risk that patients, the health system and the wider economy will not benefit from this important review.

“This is an exciting time to be working in the field of innovation, and we look forward to accelerating implementation of the best new medicines and medical technologies over the coming months and years.”

Find out more Rob Berry, Head of Innovation and Research at KSS AHSN [email protected], www.kssahsn.net

“It’s also vital that AHSNs are able to operate at a sufficient scale to make change happen, and that we can continue to work with companies of all sizes to seek out products and services that are genuinely affordable.

Bridging the gap

At Kent Surrey Sussex AHSN we’ve seen great interest in our Innovation Surgeries, which bridge the gap between industry and the NHS, offering tailored advice and support to companies with products on or near to market. But it’s clear that more needs to be done nationally and that, as the report states, AHSNs should be at the front of that work.

AHSNs, with their existing local networks that include NHS providers and commissioners, academia and industry, should play a vital role in supporting the testing and diffusion of technologies in the NHS. Accelerated Access Review

What is the Accelerated Access Review?

The AAR was launched by the Governm ent in November 2014 with the aim of speeding up access to innovativ e drugs, devices, diagnostics and digital technologies for NHS patients. The review has been defined and refined through extensive stakeholder engagement, including patients and carers, the NHS frontline, research ers and industry. The final report makes 18 recommendations to Governm ent on how to accelerate access for NHS patients to innovative products and treatments.

14

15

Focus on

Events

Innovate Issue 08

Innovate Issue 08

A new app-roach to perfecting ward audits A new app is transforming the way the way that ward inspections are carried out – saving both time and money while driving improvement. KSS AHSN is supporting wider adoption by bringing potential users together. Ward and clinical area audits are a daily event in hospitals across the country, but can be time consuming and don’t necessarily provide structured, quantitative data that can be used to drive change or improve quality. Medway NHS Foundation Trust is countering these problems by signing up for the Perfect Ward app, a system developed alongside the nursing team there. Operating on a smartphone or tablet, the system makes clear the standards expected and provides instant, transparent feedback. During an inspection with Perfect Ward, users can see areas of focus from previous inspections, respond to customised questions and add comment and photos to the report. This level of detail encourages discussion with front line staff and provides a measurable indication of progress – empowering them to drive improved quality through clear and transparent reporting.

As well as producing detailed information the tool creates the potential for significant savings. The combined costs of a matron carrying out a manual inspection, with notes typed up by a secretary, is estimated to be around £30,000 a year. Over the same period, the time cost of a matron using Perfect Ward is £6,000. KSS AHSN is now working with the Perfect Ward team to seek integration of the system into quality assurance processes in Trusts across KSS, as well as developing a community of practice around the topic of quality assurance and governance. Commenting on the Perfect Ward app, Peter Carpenter, Director of Improvement KSS AHSN, said: “Perfect Ward has worked hard to understand the issues surrounding ward inspections and have come up with an effective solution to a widespread problem.

“While the technology behind the app is relatively straightforward to use, its impact is immense – saving time, money and, most importantly, driving quality improvement – and is exactly the kind of technological approach that KSS AHSN is keen to champion.”

Find out more Peter Carpenter, Director of Improvement, KSS AHSN [email protected] www.perfectward.com

s t n e v e g n i m Upco November 2016 KSS AHSN, Collaborative events, Crawley

collaborative events KSS AHSN is hosting me of Living Well for in November on the the ors and Fracture Neck Longer, Medicines Err ts are free to attend, of Femur. All the even can be found via the and further information link below. km7 http://tinyurl.com/h7a8

29 November 2016 ing and Measuring, Understand rience Acting on Patient Expe ences, Insight, HC-UK Confer London

Patient Experience Chaired by Paul Jebb, S England this Professional Lead at NH measuring, conference will focus on on patient g understanding and actin monstrating de d experience insight, an ight to improve care. ins t tha responsiveness to lzp http://tinyurl.com/qa32

7 December 2016 ated Frailty Delivering your Integr are, Pathway, SBK- Healthc Birmingham

frailty seminar to Attend this interactive ples of front end care. take away good exam uce the chance of Hear how you can red spital and prevent patients coming into ho pped in the system. tra them from becoming the frailty pathway Examine both ends of to ensure older and explore strategies ed from hospital are people being discharg they leave hospital to being supported when prevent readmission. hh http://tinyurl.com/jnjcg

8 February 2017 ce, Age UK, For Later Life Conferen London that brings 300 A one-day conference teers together to lun professionals and vo lopments in agediscuss the latest deve ctice. The theme related policy and pra ce is ‘creating for this year’s conferen and we’ll a culture of wellbeing’ ’s new be showcasing Age UK Wellbeing Index. d2 http://tinyurl.com/glrcw

16-17 February 2017 ICDH 2017: 19th International Conference on Digital Healthcare, London

to bring The conference aims emic together leading acad and scientists, researchers change and ex to research scholars and research es nc rie share their expe of Digital Healthcare. results on all aspects er interdisciplinary It also provides a premi , practitioners and platform for researchers d an discuss the most educators to present nds, and concerns recent innovations, tre allenges encountered as well as practical ch in the fields of Digital and solutions adopted Healthcare. z5 http://tinyurl.com/zt9rh

Get in touch

t [email protected]

Innovation surgeries: bridging the gap between industry and the NHS “The workshop helped us define a strategy to approach the NHS, and more importantly stopped us from going down dead-ends, and losing time.” Entrepreneur and CEO digital health company

Do you have a new product or technology ready for use in the NHS? Are you trying to find your way through the healthcare maze? Struggling to make sense of NHS finances? Our new innovation surgeries can help. They aim to enable more patients to benefit more quickly from innovative products, treatment and technology. Designed for companies with products on or near to market, each innovation surgery offers a confidential 60 minute discussion about topics such as: ‹‹ how healthcare funding might impact on your plans to sell to the NHS

“The surgery was invaluable in helping us to develop our insights, challenge our assumptions and highlight the areas we need to focus on.” Director, specialist pharmacy

“The surgery provided a valuable insight into the NHS purchasing methodology and budget status. To have access to such experienced experts via a free to join membership organisation is remarkable in today’s world.” CEO medical device design company

‹‹ advice on approaching healthcare purchasers, and ‹‹ assessing your value proposition. Advice is available for companies from every sector of the healthcare market. To find out more, or to book, please email [email protected]