Dr Liz Mear, Chief Executive. Gideon Ben-Tovim OBE, Chair. Page 9. How well do you know your Scout? Page 3. Annual award
The latest innovations to improve health care in the North West Coast Issue #1 Winter 2017/ 2018
WHAT’S INSIDE: INNOVATIONS FREE TO NHS NW DIGITAL HEALTH PIONEERS
Pictured: Mr Marc Lucky Consultant Urologist/Innovation Scout Aintree University Hospital NHS FT
BURSARY ON OFFER
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Innovations
» Issue #1
» Winter 2017/2018
Contents Sharing the latest
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innovations
Annual awards for the best in region
Patient Safety Collaborative
by Dr Liz Mear and Gideon Ben-Tovim This new, bi-annual magazine
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is aimed at senior leaders and decision makers in the North West
Explore our Innovation Exchange portal
Coast healthcare system to support transformation through innovation. We have selected innovations that are improving care and efficiency which we think you should know about. We have also included a round-up of
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Innovations available at zero cost
Apps on prescription…
How well do you know your Scout?
some of the best opportunities for supporting innovation both locally and from our national commissioners.
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This is in addition to our
Join our Digital Ecosystem
Awards for North West digital health pioneers
monthly e-bulletin to which you can subscribe by emailing
[email protected] We hope you find it useful and if you have any comments or suggestions
Page 12 NHS in NW Excellence in Supply Awards
for a future edition please email us via the above address. Yours,
AHSNs have ‘proved their worth’
Dr Liz Mear, Chief Executive Gideon Ben-Tovim OBE, Chair
The five year licence for the
Ian Dodge said that AHSNs have
15 Academic Health Science
“proved their worth” and are
Networks is to be renewed
now regarded as an integral
when it ends in March 2018,
part of the long term future of
after NHS England confirmed
the NHS architecture.
its intention to re-license us. Work is being carried out on There was unanimous approval
an agreed set of themes which
by the NHS England Board of a
will be the basis of the new
report from National Director of
licence from April 2018.
Strategy and Innovation Ian Dodge, highlighting the AHSNs’ significant impact and outlining an even more influential future role as the NHS ‘centrepiece for innovation’.
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» THE LATEST INNOVATIONS TO IMPROVE HEALTH CARE IN THE NORTH WEST COAST
Annual awards for the best in the region Entries are invited to the
• Research for Wellbeing
North West Coast Research and
• Taking Research into Practice
Innovation Awards – to recognise
• Patient Safety Innovation Award
the region’s most inspiring
• Transformation Award
innovators and researchers.
• Partnership in Innovation Award • Culture for Innovation Award
Presentations will be at an evening dinner event at Preston North End FC on 8 March.
The awards are a collaboration between the Innovation Agency,
Best System Improvement Award winners Professor Pete Chamberlain and Dr Debbie Harvey of NHS South Sefton CCG
the Clinical Research Network for Categories are:
the North West Coast, part of the
• Clinical Research Team
National Institute for Health Research
or Site of the Year • Clinical Research Practitioner of the Year • Clinical Research Rising Star of the Year
(CRN NWC) and the Collaboration for Leadership in Applied Health Research for the North West Coast, part of the National Institute for Health Research. (CLAHRC NWC).
• Excellence in Delivery of
Innovation Champion Alistair Gray, with Lord Andrew Mawson
Commercial Life Science Award • Research Student of the Year • Outstanding Contribution to Patient and Public
The deadline is 1 December and
Involvement in Research
entry is at: www.nwcawards.co.uk
Three awards for preventing strokes Lifesaving work in preventing strokes
In eight months, an irregular
A second award was for an innovative
has resulted in three global awards
heartbeat was identified in 29
project to use genotype testing for
for the Innovation Agency and
people – potentially preventing a life
prescribing individualised dosages
partner organisations.
threatening stroke. The collaboration
of warfarin, led by the University
involves Cheshire Fire and Rescue
of Liverpool’s Wolfson Centre for
Three projects to identify and treat
Service, the Innovation Agency,
Personalised Medicine and involving
atrial fibrillation (AF) – a major cause
Halton Clinical Commissioning Group
three NHS trusts, with the support of
of stroke – won Showcasing Best
and Halton Borough Council’s Public
the Innovation Agency.
Practice Awards at the international
Health department.
Heart Rhythm Conference.
The third award was for the Innovation Agency’s work in leading
One project involves Cheshire
an AF Collaborative in Lancashire,
firefighters working with health
where GPs have been given AliveCor
professionals to carry out pulse checks
Kardia devices and service support to
and provide support and advice to
screen patients for atrial fibrillation.
vulnerable residents. Case studies will appear in the AF Fire crews in Halton are using
Association Healthcare Pioneers 2018
MyDiagnostick devices – portable ECG
report, which features the very best
monitors – to detect atrial fibrillation during their Safe and Well Visits to local residents.
Dr Julia Reynolds from the Innovation Agency, Runcorn Watch Manager Andrew Clarke, Cllr Stef Nelson from Cheshire Fire Authority and Cllr Rob Polhill, Leader of Halton Borough Council
work from around the world.
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Innovations
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» Winter 2017/2018
Eleanor Garnett-Bentley & Jenny Dodd
New transformation team We have appointed a new team
Andrew Cooper and Mandy Townsend
Patient Safety Collaborative – be part of it
focussed on supporting system transformation; Director of
We deliver the NHS Improvement Patient Safety Collaborative programme
Transformation Carole Spencer
in the North West Coast – and we would like you to be part of it.
has joined us from Lancashire Teaching Hospitals; and she
The Collaborative is the biggest patient safety initiative ever undertaken in
is supported by Associate
this country and the AHSNs’ role is to work on national workstreams and on
Directors for Transformation
priorities identified locally. In our region, we have established a Patient Safety
Eleanor Garnett-Bentley,
Steering Expert Group with members drawn from trusts, CCGs, charities and
covering Lancashire and South
patient groups.
Cumbria and Jenny Dodd for Cheshire and Merseyside.
Our national workstreams are: deterioration including sepsis; maternity and neonatal care; and supporting a culture of improvement.
Eleanor and Jenny will be working closely with the transformation
This work is led by our Medical Director Dr Phil Jennings and two Associate
partnerships to help spread
Directors for Patient Safety, Mandy Townsend and Andrew Cooper,
innovations which are identified
who joined us in the summer.
as helpful to their plans. These appointments follow consultation with system leaders in each area about how we can best support transformation programmes. If you or any of your colleagues would like to be included in updates from the patient safety team, please email
[email protected]
Bursary available for MSc in patient safety We are offering funding to cover the cost of studying a Master of Science degree in patient safety to an individual in our region. The details of criteria and how to apply will be explained at our Ecosystem event in Preston on Wednesday 13 December. Find out more on our website www.innovationagencynwc.nhs.uk
» THE LATEST INNOVATIONS TO IMPROVE HEALTH CARE IN THE NORTH WEST COAST
Explore our Innovation Exchange portal Our Innovation Exchange portal contains around 140 innovations which are improving patient outcomes and saving money to accelerate the delivery of safer, better care. You can use the Innovation Exchange to search for innovations in your areas of interest. Examples are…
Lincus – Improving self-care and wellbeing
House of Memories
This web-based app for conditions such
This is a training programme from National Museums
as hypertension was struggling to gain
Liverpool which provides skills and knowledge to
traction - with the support of the Innovation
help improve the quality of life for people living
Agency it is being rapidly spread and expected
with dementia, plus an app with images, videos and
to reach 20,000 users within 12 months.
audio to stir memories and stimulate conversations.
Estimated savings are over £250,000.
Prevent cerebral palsy in pre-term babies
Reduce pain, improve mental wellbeing We have secured funding from the Health Foundation to roll out an initiative to reduce cerebral palsy in
We are implementing a pilot of ESCAPE-Pain,
pre-term babies.
a NICE-approved rehabilitation programme for the management of osteoarthritis.
PReCePT - Prevention of Cerebral Palsy in PreTerm
Evaluation shows ESCAPE-Pain reduces pain,
Labour - involves administering magnesium sulphate
improves physical function and mental
to mothers, at just £1 per dose. If used nationally, it is
wellbeing and reduces NHS costs.
estimated up to 14,000 low birthweight babies could benefit each year. Pre-term birth is the leading cause of
It is already operating in more than
brain injury and cerebral palsy.
30 UK sites – a mix of NHS physiotherapy departments, community and leisure settings; and
The project is one of seven selected for support by the
has supported around 3,000 patients since 2013.
Health Foundation as part of their £3.5m ‘Scaling Up’ awards to spread the uptake of proven interventions.
Using a combination of education and exercise,
It was developed in maternity units across the West of
ESCAPE-PAIN is easy to implement and can
England with the support of West of England AHSN.
produce annual savings of £1,417 per patient.
NICE recommends administration of MgSO4 in preterm deliveries to substantially reduce the risk of cerebral
Find out more:
palsy by 30 percent, based on evidence in support of
www.innovationagencyexchange.org.uk
its brain protective potential. However, the uptake of MgSO4 in the UK remains relatively low compared with the leading countries in the developed world.
Image above right: © Robin Clewley, reproduced with the permission of House of Memories at National Museums Liverpool.
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Innovations available at zero cost Did you know there are products available at no cost, through NHS England’s Innovation and Technology Tariff?
The NIC makes arterial lines and blood
pharmacist and even psychologist at
sampling techniques safer by preventing
a time and place to suit the patient.
accidental administration of medication into the artery instead of the vein.
Approved by the NHS and developed by experts alongside COPD patients,
Currently used in 14 hospitals,
MyCOPD can be accessed on any
These are innovations which
the NIC has won the National
smartphone or tablet and delivers
have been proved to improve care
Patient Safety Award.
advanced patient self-management,
and reduce costs and whose costs are covered by the tariff up to the end of March 2018. A new round of Innovation and Technology Payment products will
education, pulmonary rehabilitation
Pneumonia prevention systems which are designed to stop ventilator- associated pneumonia
be available from April 2018. The PneuX Pneumonia Prevention
Guided mediolateral episiotomy to minimise the risk of obstetric anal sphincter injury
and disease management.
Identification and measurement of atrial fibrillation through mobile ECG technology
System prevents hospital-acquired pneumonia by using a tracheal tube
Kardia Mobile ECG is the world’s first
with a highly engineered silicone
mobile electrocardiogram (ECG),
cuff and tracheal seal monitor
allowing individuals to detect,
preventing leakage into the lungs.
monitor and manage heart
EPISCISSORS-60™ are patented,
arrhythmias with automatic analysis.
fixed angle scissors which take
An independent NHS study
away human error in estimating
by the Heart and Lung Centre,
Atrial fibrillation (AF) is the most
episiotomy angles during childbirth.
Wolverhampton and the Royal
common heart rhythm disturbance
They have been shown to reduce
College of Surgeons in 2016 showed
and a leading cause of stroke.
OASIS (Obstetric Anal Sphincter
significant reductions in hospital-
Injuries) by nearly 20 percent
acquired-pneumonia using the
Clinically-validated, Kardia consists
PneuX System and a saving of
of a device and app enabling users
£700 per PneuX System tube used.
to capture medical-grade ECGs
in a two-centre UK study.
Arterial connecting systems to reduce bacterial contamination and the accidental administration of medication
in 30 seconds. Attaching to the
Web-based applications for the self-management of chronic obstructive pulmonary disease
back of most mobile devices, it communicates wirelessly, instantly. More than 125 North West Coast GPs
The Non-Injectable Connector (NIC)
MyCOPD is the world’s first evidence-
and Community Nurses use Kardia,
helps avoid complications associated
based online care platform for chronic
and it is part of an AF Collaborative
with arterial lines by preventing
obstructive pulmonary disease
involving 50 GP practices.
bacterial contamination, blood
(COPD) patients. It aims to deliver the
spillage and accidental administration
expertise normally provided by the
of medication into the artery.
consultant, nurse, physiotherapist,
» THE LATEST INNOVATIONS TO IMPROVE HEALTH CARE IN THE NORTH WEST COAST
Management of benign prostatic hyperplasia as a day case This is an alternative to transurethral resection of prostate, an 80-minute operation performed under general anaesthetic requiring two to three days stay in hospital. The UroLift system works by lifting and holding the enlarged prostate tissue out of the way, like opening curtains on a window, to relieve the compression on the urethra. The UroLift delivery device delivers the implants to the prostate lobes without any cutting, heating or removing of prostate tissue. Typically, four implants are placed. The new procedure involves a 30-minute day case under local anaesthetic or light sedation. Consultant Urologist Mr Marc Lucky of Aintree University Hospital said: “I have carried out over 30 Urolift procedures in the past six months, the majority under sedation, saving a considerable amount of bed days and operating theatre time. The results have been excellent with high patient satisfaction rates and immediate improvement in quality of life for our patients.” Mr Marc Lucky is one of our Innovation Scouts – see page 9
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Innovations
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Apps on prescription…
…and available via NHS library
Clinicians will soon be able to prescribe clinically assessed
The NHS Apps Library is in a testing phase and gathering
apps via EMIS.
feedback from users. It contains over 40 apps that help people manage a wide range of conditions including
The EMIS App Library offers a wide range of free and low
diabetes and cancer, and innovations that help minimise
cost apps that cover various topics and conditions. It means
the impact of these conditions through ordering repeat
that patients can improve how they manage their own
medicines via smartphones and having them delivered to
care by accessing help through their mobile devices.
home. Apps from the North West Coast include Chill Panda and MyCOPD.
It will reduce the need to prescribe drugs, cutting back on costs to clinicians and patients and enabling patients to
The library can be viewed at:
access support – which will reduce pressure on services.
https://apps.beta.nhs.uk
Available from January 2018, it will allow NHS organisations to fund apps so that they won’t cost patients any money.
Fully funded postgrad course In partnership with Connected Health Cities, we are offering a free Postgraduate Certificate in Professional
Participants on the first Evidence Champions course
Practice (Evidence Based Health and Care Service Development), through Lancashire University’s Centre for Training and Development, CETAD. Eligible candidates should work in the North West Coast. This one-year course will minimise time away from
For further information, email
[email protected].
work, with a blend of online learning, group workshops,
The deadline for applications is 18 December and the
learning sets and support for work based projects.
course starts in February 2018.
It is an opportunity to enhance evidence based approaches to commissioning, to support a culture of
View a video featuring participants on our last course,
innovation, improvement and transformation with a
on the Innovation Agency Youtube channel:
focus on using data and digital health.
www.youtube.com/user/nwcahsnvideo
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» THE LATEST INNOVATIONS TO IMPROVE HEALTH CARE IN THE NORTH WEST COAST
Innovation Scouts – annual awards
How well do you know your Scout? We organise a community of
Bronze, silver and gold awards are
around 70 Innovation Scouts,
presented annually to recognise
largely from across the NHS
achievements in developing a
but increasingly also in local
culture of innovation. Consultant
government and university sectors.
Mr Iain Hennessey
Paediatric Surgeon Iain Hennessey,
take the fear out of coming in for an
Clinical Director of Innovation at
operation or appointment and also to provide the best possible care.
We offer skills development and
Alder Hey Children’s Hospital was
resources through mentorship,
the first Innovation Scout to be
coaching, study visits and virtual
presented with a gold award.
learning opportunities.
“Being part of the Innovation Scout network helps me and others to
Iain said: “Our aim is to be the
share great ideas and access support
Scouts are nominated by chief
world’s best hospital for children,
for innovation, helping Alder Hey to
executives and typically are
using all the latest technology to
realise our innovation ambitions.”
directors, senior managers or clinicians. Their role is to encourage a culture of innovation within their organisations and to proactively
If you want to know more about Scouts and how to get
promote and encourage adoption
the most out of the programme of support, please email
of evidence-based innovations.
[email protected]
Coaching academy opens in new year An Innovation Agency Coaching Academy for Innovation and Improvement is to be launched in January 2018.
To do this we will: • Offer an accredited, structured
• Provide coach training and support to leaders of teams and
and focussed ‘Coaching for
communities of practice who
Innovation and Improvement’
are working on specific themed
programme that consists of
improvement and innovation
four elements: QI, innovation
projects and strategies
The aim is to improve culture, quality
knowledge and skills; team
and safety in health and care services
coaching and action learning;
Innovation Agency to offer team
by developing a coaching approach
social and digital platforms
and individual coaching for
that mobilises and supports people
for collaboration; and,
innovation and improvement
across systems.
• Increase capabilities within the
measurement and evaluation • Perform a culture diagnostic with teams to identify areas for improvement and to assess
To register your interest please email
motivation for change
[email protected]
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Innovations
» Issue #1
» Winter 2017/2018
Networking at Eco 13
Our Chief Operating Officer Lorna Green with Martin Hunt of Cruarch Associates
Our Patient Involvement Lead Debbie Parkinson and delegates
Join our Digital Ecosystem Our quarterly Ecosystem events bring together businesses and health professionals involved in digital health innovations. They are run in partnership with the European Connected Health Alliance and the next event, Eco 14, takes place at Preston North End FC on Wednesday 13 December, focusing on patient safety.
Innovation Webinars
Find out more on our website: www.innovationagencynwc.nhs.uk
Each month we run lunchtime webinars
We regularly run events to support our collaborative
to share learning
working; below is a comment from a delegate at a primary
about innovation and
care event in Lancashire:
improvement - our Big Innovation Conversation.
Healthwatch Lancashire Chief Executive Sheralee Turner-Birchall leading a Big Innovation Conversation
“It was without doubt the most worthwhile event I have attended in some years. The flow and contributions made
The sessions are one hour long and
by delegates and presenters really had substance.
recordings are available afterwards. The next
The ‘world café’ sessions in particular afforded the
session is on 12 December at 12.30pm and is
opportunity to listen to some very exciting developments
about digital application: Using digital technology
and I feel those present really ‘joined up the dots’ in seeing
to manage capacity.
the bigger picture they are a part of. I made some excellent contacts and the diary is quite full with follow up meetings.”
Registration and access to webinar recordings is via the events page of our website: www.innovationagencynwc.nhs.uk
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» THE LATEST INNOVATIONS TO IMPROVE HEALTH CARE IN THE NORTH WEST COAST
Collaboration Award winners Jenni West and Bev Roberts with Alan Davies Director of Digital Health, Innovation Agency
Awards for North West digital health pioneers Two Lancashire health teams whose work has spread across the country to benefit hundreds of thousands of health professionals and patients, were presented with awards sponsored by the Innovation Agency.
The Gateway is a system which allows different organisations to meet governance standards when sharing information, now used by more than 1,100 organisations around the country. It was created to support the Lancashire Person Record Exchange System, or LPRES, a programme which won the Collaboration Award, also
They were among seven winners at
Kevin Whittaker and Nicola Briggs receive the Innovation Award from Alan Davies of the Innovation Agency
sponsored by the Innovation Agency.
the North West Skills Development Network’s Informatics Awards,
LPRES enables the exchange of
part of the ‘Connect 2017’
clinical and social care information to
conference to showcase pioneering
and from front line clinical and social
work in digital health.
care professionals without the need to build a separate database.
The Innovation Award winners
It connects more than 300 GP
were the Information Sharing
practices, four major hospital
Gateway team at the University
trusts, a mental health trust,
Hospitals of Morecambe Bay.
Lancashire County Council, two upper tier authorities and some private providers.
Other Informatics Awards winners were: Best Improvement in Patient Safety Award ‘From paper to iPads’, Patientrack Project Team & Informatics, St Helens and Knowsley Health Informatics Service
Team of the Year Award Electronic Patient Record Project Team, Bridgewater Community Healthcare NHS Foundation Trust
Apprentice of the Year Bethany Egerton, Bolton NHS Foundation Trust Clinician in Informatics Gareth Thomas, Chief Clinical Information Officer, Salford Royal NHS Foundation Trust Staff Development Award Blackpool Teaching Hospitals NHS Foundation Trust
Mike Kenny, Lorna Green, Dave Burrows (of award winners Damibu) and Dr Liz Mear from the Innovation Agency
NHS in NW Excellence in Supply Awards A company which designed a hygiene
proud to have worked with Vernacare
product for hospital patients now
to develop the new VernaFem,
used worldwide has been named
which provides greater treatment
North West NHS Supplier of the Year.
choices for patients, while improving infection prevention and efficiency.”
Vernacare won the Patient Experience Award and the overall
The Innovation Award, presented by
Supplier of the Year Award at the
Innovation Agency Chief Operating
annual NHS in the North West
Officer Lorna Green, was won by
Excellence in Supply Awards,
Liverpool company Damibu for their
sponsored by the Innovation Agency.
app ‘CATCH’ - a Common Approach To Children’s Health – which was
Other winners were: Acute Hospital Sector Award Karl Storz Endoscopy UK Ltd working with Manchester University NHS Foundation Trust Sustainable Development Award Philips, working with Lancashire Teaching Hospitals Small Business Award TBS GB, working with Manchester University NHS Foundation Trust Mental Health and Community Award Language Empire Ltd, Rochdale, working with Pennine Care NHS Foundation Trust Support Services Award Deafness Resource Centre, St Helens Rising Star Award Alexandra Diamond, Salford Royal NHS Foundation Trust
Vernacare worked with Lancashire
developed to meet requirements
Teaching Hospitals NHS Foundation
laid down by NHS Eastern Cheshire
Trust to develop the first disposable
Clinical Commissioning Group (CCG)
female urinal which prevents urinary
with Cheshire East Council and NHS
infections and improves comfort and
South Cheshire CCG.
NHS Procurement Innovation Award The Countess of Chester Hospital Patient Flow System
VernaFem, is being used by 153 NHS
Excellence in Supply Awards is
trusts plus healthcare facilities in
organised by North West
Supplier Engagement Award The Walton Centre NHS Foundation Trust, nominated by Drager
21 other countries.
Procurement Development, which
dignity for patients. The product,
Champion Award Dr Darren Kilroy, East Cheshire NHS Trust
helps NHS trusts to improve their Lancashire Teaching Hospitals NHS
procurement practices, for the benefit
More information and
Foundation Trust Chief Executive
of patients. The Innovation Agency is
photos available at:
Karen Partington said: “We are very
the lead sponsor.
www.nwprocurement.co.uk
Join the conversation online: @innovationnwc InnovationNWC InnovationAgencyNorthWestCoast
To find out more, visit: www.innovationagencynwc.nhs.uk
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