Jan 13, 2016 - on in the digital space, from app prescribing to the big ... complex networks through the development of
Network 12 Quarterly update from the Health Innovation Network, Academic Health Science Network (AHSN) for South London
Issue 01 / Winter 2015
Southwark Greenwich Lambeth Richmond & Twickenham
Bexley
Wandsworth Lewisham
Merton Kingston Bromley Sutton Croydon
Welcome to our first edition, inside... • Hello from Managing Director, Tara Donnelly • Stakeholder survey: over 90% of respondents recommend working with us • ESCAPE-pain awarded Royal Society for Public Health Award • Dementia Report: Social value of investing in Dementia Support Groups proven • Patient Safety: Communities of Practice update • Supporting NHS National Innovation Accelerator Fellows • Digital Health: The patient will see you now • Education & Training: Health Innovation Network NHS Internship Scheme
www.hin-southlondon.org
@HINSouthLondon
Dear Member, I’d like to introduce myself, Tara Donnelly, Managing Director of the Health Innovation Network, which is, as I’m sure you know, the Academic Health Science Network (AHSN) for South London. Welcome to our all new quarterly ‘Network 12’ that showcases our highlights of the last few months. Our newsletters will still continue, but we know how busy you all are, so this is to ensure you don’t miss out on our big news.
“ I’m particularly
pleased to see an exceptional 91% of respondents recommend working with the Health Innovation Network
“l”
Stakeholder Survey Results
More than 90% of respondents recommend working with the Health Innovation Network
It’s been a fascinating few months for me since I joined in September. I’ve really enjoyed meeting so many members as well as the Health Innovation Network team as we settle into a new home.
In South London, a strong cross-section of people across our members, partners, patients and communities responded to this independent survey conducted by YouGov.
As part of my induction I’ve also been visiting other AHSNs, to see what we can learn from them, including Greater Manchester, Yorks & Humber and colleagues in the other two London AHSNs. Of particular note, there’s lots going on in the digital space, from app prescribing to the big European bid to help kick off a digital health accelerator for London and you’ll have seen from my blogs that getting great tech into healthcare is one of my passions.
It’s great to see such a positive and strong breadth of responses from across our South London population.
We are also taking our staff wellbeing responsibilities seriously, from running to yoga to table tennis and lunchtime jogging sessions and have recently been awarded the ‘Commitment’ level award, from the Greater London Authority Healthy Workplace Charter Scheme. It’s great news that the Health Innovation Network has clocked up some impressive results in the National AHSN Survey results - 91% of members would recommend working with us which is really good to hear. And our MSK team has also been recognised by the Royal Society of Public Health in its annual Health and Wellbeing Awards for its fantastic ESCAPE-pain MSK rehab programme - many congratulations all. But as well as reading about what we do, we want to feature some of the great stuff you are up to as well - particularly in the areas we can work together, so we’ll be coming to you to find out more about our shared projects and making sure we showcase these as well.
We are particularly pleased to see that an exceptional 91% of respondents recommended working with the Health Innovation Network, and we’re proud to highlight how well our teams are regarded, with more than 82% of respondents telling us our staff are helpful and knowledgeable. In addition, a strong 75% of respondents tell us how valuable our support has been in the area of quality improvement, a key focus in both our dementia and diabetes programmes, as well as our patient safety collaborative. Alongside this, 78% of respondents value our role in identification, adoption and spread of innovation.
Read more about our work at the Health Innovation Network here and to see the full results click here.
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Our participant spread...
Thanks to everyone who took the time to respond to the survey that was run during the summer, sharing their views on our work in addition to providing insights into how we align with their own work and where they think we can continue to grow – as well as telling us about areas where we aren’t so strong. These views are hugely valuable and we would encourage people to continue to talk to us about how we work together and what we can achieve.
Our focus on working with members to support local populations and the needs of patients through our programmes is recognised as positive by almost 70% of respondents.
@Tara_Donnelly1 @HINSouthLondon
Our results, at a glance
91%
75%
value our support in quality improvement
More than
82%
of respondents say Health Innovation Network staff are helpful and knowledgeable
recommend working with the Health Innovation Network
How our stakeholders
responded: 52% upper
36% middle 12% lower 3
News round-up
ESCAPE-pain receives Royal Society for Public Health Award
Patient Safety present to Health Innovation Network Board
The Board heard a fascinating presentation from the Patient Safety team about their approach to harnessing the energy and drive for a change in the approach to patient safety across our complex networks through the development of Communities of Practice (CoP). The first CoPs focus on issues of importance to acute members, sepsis, candour, delirium, maternity (PPH), medicines safety, pressure ulcers and the acutely deteriorating patient and are led by dynamic acute trust clinicians with an excellent range of involvement by members; for a more detail read click here. The Board recognised the considerable potential to extend this approach across our programmes, and wider across the health and care system, particularly bringing in the value added by industry partners and making sure CoPs are accessible to this sector, in similar way to our Diabetes Improvement Collaborative has been. Discussions also centred on ‘keeping CoPs going once they’re created – and closing them down when they’ve done their job’. The next Communities of Practice event takes place on 15 January 2016 For more on our Patient Safety work click here
The Health Innovation Network has been recognised in the Royal Society for Public Health’s Health and Wellbeing Awards for our ESCAPE - into the Community programme. The award is given for organisations that demonstrate a cross-organisation and embedded health improvement strategy that is measurable, effective and efficient, enabling the individuals and communities served to improve their health. ESCAPE-pain has spread to 24 sites nationally (12 in South London) including private health and leisure centres.
Professor Mike Hurley, Clinical Director (MSK), and Desmond Carter, Project Manager
Professor Mike Hurley, Clinical Director (MSK), at the Health Innovation Network said: “We’re really delighted to have won this award. We want to get the work that we have been doing - helping people with knee and hip pain - outside of traditional NHS environments
and into the community and workplaces, where people live their lives. Recognition of the importance of this by the RSPH Health and Wellbeing Award will help us greatly.”
NHS National Innovation Accelerator The NHS National Innovation Accelerator (NIA) was launched in the summer by NHS England. The Health Innovation Network is keen to focus its support with a few of the innovations that will offer the best opportunity to our members in South London. You can see the full national programme here. The seven we will initially support are below - click on each to learn more:
Brush DJ EPISCISSORS-60
Innovation Grants and Recognition Awards honour South London talent The third joint annual Health Innovation Network and Health Education South London Innovation Grants and Recognition Awards have taken place, celebrating and recognising healthcare innovation across South London.
Above: Oxleas NHS Foundation Trust won three Recognition Awards for their work
A total of 10 innovation grants, which recognise innovation and educational excellence with sums of up to £50,000 were awarded in categories for: Patient Safety, Proactive Care, Developing the Whole Workforce, Learning from Patient Experience & Involvement and Integrated Care. The Recognition Awards celebrate success, talent and innovation in teams or individuals who are leading the way in delivering excellence. Six awards in four categories, including Patient Safety Champion, Implementing Improvements, Inspiring Educator and Promoting Collaboration and Inclusion were awarded. Two Chairman’s Choice awards were also awarded. To see the full story, including a list of all winners and more pictures, click here
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For more on MSK click here
Report: Social value of investing in Dementia Support Groups proven The Dementia team published a report in September proving the positive social value of peer support groups for people with dementia, their carers and volunteers, can be far greater than the initial investment. Peer Support for People with Dementia – A Social Return on Investment (SROI) Study has been welcomed by dementia support groups as concrete evidence, for the first time, of the true benefits of dementia peer support groups. The Health Innovation Network also created a Dementia Peer Support Resource Pack, a toolkit for organisations interested in setting up support groups for people with dementia. Findings from the SROI study demonstrate that peer support groups, or having the opportunity to meet others regularly, can help people with dementia feel less lonely and less isolated and are a valuable intervention. Dementia peer support groups also offer carers respite by providing some time for themselves, and the opportunity to meet other carers. Amy Semple, Health Innovation Network Dementia Project Manager, said, “Our study, validated by NEF Consulting, provides benchmark evidence for those looking to commission, invest or set up dementia peer support groups and will be invaluable for organisations and groups providing peer support services when applying for funding.” Aileen Jackson, Commissioning Manager, London Borough of Richmond said “This SROI study contains very useful information for commissioners. Peer support is so often thought of as an optional extra, but these findings contribute to the evidence of the benefits of both peer support for people with dementia and its value for money”.
Click here to download the report
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Spotlight on... Diabetes
NHS England Diabetes Clinical Director, Professor Valabhji congratulates Diabetes Improvement Collaborative
Flying the flag for Type 1 diabetes
A showcase event highlighting the Improvement Collaborative success took place at Guy’s Tower with NHS England’s Diabetes Clinical Director, Professor Jonathan Valabhji.
With an expected 13% hike by 2020 and an annual NHS bill of £10bn a year, it’s little wonder diabetes is rarely out of the news. In South London, the Type 1 diabetes community has seen a radical shake up for the better thanks to the Health Innovation Network’s successful Diabetes Improvement Collaborative… Type 1 diabetes usually presents in children and adults under the age of 30 and affects more than 370,000 adults in the UK. The first clinical trial of insulin pump therapy took place at Guy’s Hospital back in 1978; however far fewer UK adults use pumps that in comparable countries. In Europe, insulin pump uptake on average is 15% while in the US it’s around 40%. Here in the UK, approximately 6% on average, use an insulin pump, this is despite between 15%-20% of adults with Type 1 diabetes meeting NICE criteria for insulin pump therapy.
strong voice in the collaborative ensured a holistic approach to service changes. Dr Andrew Rodin, Consultant Endocrinologist, Epsom & St Helier Hospital NHS Trust, part of the collaborative, said, “Before the collaborative, St Helier saw a large number of patients but the insulin pump service was at crisis point and had almost come to a standstill.”
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Professor Valabhji and the diabetes team
Dr Rodin said the collaborative helped ‘bring home’ what needed to be done and the workshops formed the basis for a lot of work, such as updating the patient databases, developing a new nursing role, employing admin staff to free up clinical staff to do clinical work.
During the first phase of the collaborative (June 2014 – April 2015) over 100 people started using a pump, or an overall pump uptake rise of 21.4% Dr Andrew Rodin, Consultant Endocrinologist, Epsom Participating Trusts now & St Helier University Hospitals NHS Trust have sustainable plans The Diabetes Improvement in place to continue this Collaborative in London launched in increase and reach at least 15% by 2018. November 2014 and comprised 10 secondary Click here to watch the Collaborative film care diabetes teams including over 60 doctors, nurses, allied health professionals, managers Tips for adoption administrators and service users working together over 10 months. • It is crucial to understand the size
L-R: Monica Fisk, Faye Edwards, Alison White, Dr Natasha Patel, Prof. Jonathan Valabhji, Dr Sophie Harris, Dr Charles Gostling & Laura Spratling
“The ability to reflect on our own pathways and to get those aligned across the trust has been absolutely brilliant.”
and characteristics of the local Type 1 population.
Through workshops and tailored on-site support, the collaborative gave participating trusts the service improvement tools and techniques to help them streamline patient pathways and improve services including staff training.
• A high quality insulin pump service always resides within a high quality diabetes service, so take a holistic whole pathway approach.
It was important for pump users to have their voices heard and they worked alongside clinicians in designing improvements and their
• Involve the whole multi-disciplinary team including clinical staff, managers, administrators and service users.
The collaborative is now evolving into a broader Type 1 diabetes network with three meetings scheduled for the coming year.
Insulin Pump Uptake at South London Trusts - Overall increase of 21.4%
Number of pumps
The Health Innovation Network undertook an audit of all the Insulin pump services in South London to discover what services were being offered for Type 1 patients before meeting with diabetes leads and their teams in each unit to further understand the problems they were facing.
He told collaborative members who attended, “Congratulations on this great work. We have an AHSN flying the flag for diabetes. Type 1 is a really important area and I am hugely grateful for the focus you are bringing to the diabetes space.”
Health Innovation Network Joint Diabetes Clinical Director, Dr Natasha Patel, who led on the collaborative, said, “It’s brilliant to see how the collaborative has evolved. The next big thing I’m keen to improve is care planning.”
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The Patient will see you now… Health Innovation Network Managing Director Tara Donnelly explores app prescribing I usually choose fiction for my leisure reading but recently made an exception for “The Patient will See You Now” by Dr Eric Topol. He is well placed to draw together themes - from the invention of the printing press, genomic sequencing, medical tools utilising smartphone technology and the potential of data to predict disease, as well as the democratisation of information and how this can feel extremely threatening to doctors familiar with practicing 20th Century medicine. In it he highlights some amazing statistics:
• Speed of spread of innovation: it took 46
years for electricity to reach one quarter of Americans, smartphones reached this proportion within two years
• Number of devices: there are more mobile
phones on the planet than toilets, and more connected devices than people
• This year two U.S. medical schools have
ceased handing out a stethoscope to trainee doctors and instead given them smartphones with cardiac ultrasound capability due to far greater accuracy the philosophy being “why listen when you can see?”
• In a recent poll 70% of Americans
surveyed would prefer a virtual to a physical consultation
The sole direct reference to the NHS relates to our embracing the concept of app prescribing early. Here Topol alludes to commitments made by a previous Secretary of State for Health, better known for his sweeping structural reforms. However, we at the Health Innovation Network are in fact leading work in this space and our Technology & Information Programme Team are working with the NHS National Information Board Workstream - which governs the future of apps in the NHS. We are working with a number of health care providers and starting to test the potential of people managing their health supported by apps prescribed to them during their consultation with either their family doctor, pharmacist or other health practitioner. Watch this space for how this develops.
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Evidence is starting to build of the power of activity tracking, alongside apps designed to support marked behaviour change leading to improved health outcomes. At the Mayo Clinic they have tracked heart failure patients and readmission rates. Those patients who undertook cardiac rehab alone had a 60% likelihood of readmission, for those in the cardiac rehab plus smartphone app support cohort this was reduced to 20%.
“We are working with a number of health care providers to test the potential of people managing their health” Opportunities for health care in developing countries are profound, digital tools can “provide state-of-the-art medicine anywhere there is a mobile signal, and especially with a smartphone with Internet connectivity”. Recycled smartphone cameras are being used to “detect parasitic worms in Cameroon, retinal diseases in Thailand and oral cancer in India”. Topol describes the huge opportunities to take charge of our own health and wellbeing through the use of technology, to radically reduce hospitalisation rates, and the use of ionising radiation. I recommend this book to you; it is an excellent and thought provoking read for anyone interested in the future of medicine and absolutely vital for those who would like to shape it.
How to spot a good app We recently secured a doubled page spread in the HSJ with a piece quoting our very own Dr Leon Douglas and myself on digital health and our early work on app prescribing. Click here to read the article at hsj.co.uk
The Health Innovation Network welcomes five new Fellows The Health Innovation Network welcomes new Fellows to help innovate and spread best practice across South London in the following Programme areas:
Musculoskeletal Darzi Fellow Fay Sibley Fay joins the MSK team on secondment from London Ambulance Service NHS Trust where she is employed as paramedic team leader. Her project will focus on community staff who regularly work with patients with common musculoskeletal conditions to co-design, deliver and sustain appropriate training to improve skills in this area. The staff groups likely to be involved in the project includes allied healthcare professionals such as community nurses and pharmacists; as well as staff who prescribe, deliver or promote physical activity. For more on MSK click here
Diabetes Darzi Fellow Monica Fisk Monica will be a Darzi Fellow three days a week whilst continuing in her role as Principal Podiatrist for Guy’s and St Thomas’ NHS Foundation Trust (GSTT). Her previous roles have included working as diabetes and acute lead podiatrist for GSTT community services where she was involved in working alongside the Diabetes Modernisation Initiative to improve foot care provision for patients living within the boroughs of Southwark and Lambeth. For more on Diabetes click here
Patient Safety Darzi Fellow Sarah Curr Sarah joins the Patient Safety Collaborative; focused on improving patient safety, experience and value. She is leading the community/primary care improvement collaborative which focuses on reducing catheter acquired urinary tract infections in South London. With an adult nursing background, Sarah has worked in the acute medical setting both in and outside of the NHS. She is currently seconded from her role as a clinical teacher within the faculty of nursing & midwifery; King’s College London. For more on Patient Safety click here
Dementia Darzi Fellow - Dr Nwakuru Nwaogwugwu Kuru has worked in Peckham, Southwark, as a GP for three years. She is joining on secondment in the Dementia team for three days a week. She will lead in the delivery of clinical care across the nursing homes in Southwark. Kuru will be working with many patients and families with dementia in the community. She is looking forward to blending some of this work with her own Darzi project working with the Dementia Programme team to identify the gaps in and building models of care around psychoeducation. For more on Dementia click here
Enterprise & Technology Fellow - Dr Gyles Morrison Gyles earned his medical degree from Bart’s & The London School of Medicine and Dentistry in 2011 and worked as a junior doctor in Yorkshire for three years before switching careers to User Centred Design in healthcare IT. He spent a year working on form design for the Electronic Patient Record and e-Noting systems at Guys’ & St Thomas’ NHS Foundation Trust. Gyles has experience gathering requirements for IT change, usability testing and change management and will use his expertise during his year with our Informatics team. In July 2015, Gyles was elected as a Non-Clinical Staff Governor at Guy’s & St Thomas’ NHS Foundation Trust, where he assists the Council of Governors on assessing the Trusts performance in general , but especially on projects and routine business relating to IT. For more on Technology & Information click here
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The Health Innovation Network NHS Internship Scheme The Health Innovation Network NHS Internship Scheme is a free recruitment service for NHS manager’s to recruit fresh talent while expanding their teams. South London has a wealth of talented students and graduates from a number of excellent Universities, all keen to take their first steps into their career. The scheme has now launched toolkits for both hiring managers and graduates alike, to take them through the service and benefits they can expect. The NHS Internship Scheme benefits the health and social care system as it saves agency fees, promotes workforce diversity, brings new graduate enthusiasm, talent and energy into the NHS and increases employment opportunities for young people in South London.
As the fifth largest employer in the world, the NHS offers exciting opportunities behind the “front line” in support services such as business development, communications, human resources and information technology. We currently have 277 students signed up to our NHS Internship Scheme through Universities across South London, many of which are Masters and PhD students keen to work part-time for the NHS in a range of roles, including Business Admin, Communications including event photography, IT, Legal and Finance. Internships range from one day per week to full time one year positions and to date, 13 interns have been successfully placed into roles within a range of organisations including a significant number with the South East Commissioning Support Unit (CSU).
Michelle Rahman - Partner - Contracting Development at South East Commissioning Support Unit, on her experiences of the NHS Internship Scheme: What is your view of the NHS internship scheme so far? “Really great – we have been fortunate enough to have some really excellent interns, some have been successful in their applications for full time positions. For those interns that haven’t secured permanent roles, we are providing them with support, advice and guidance in their search for jobs”
If another hiring manager were to ask you about the scheme – what would you say? “I would highly recommend taking on interns through the scheme. It’s my intention to work with managers across the South East Commissioning Support Unit to see where we can place interns, to cover all our patch.”
For more on our NHS Internship Scheme, and to download the toolkits, click here
Upcoming events
Contact us
Great ESCAPE Showcase
[email protected]
Communities of Practice
@HINSouthLondon
13 January 2016 15 January 2016
Digital Health.London Launch February 2016
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What has really helped you from the intern scheme? “The calibre of the interns is just brilliant. For us, the challenge is finding the right skills at entry level band 4 and 5 – I can’t tell you how disappointing it is to be sat in interviews after shortlisting candidates who appear to have the right skills on paper, but then are not evidenced through the interview. We know that through the scheme – we have the right skills at the right level, and they have proved to be real assets to the teams they have worked in.”
www.hin-southlondon.org
