DIGITAL HEALTH THE FUTURE OF THE NHS Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
Robin Vickers • Aerospace Engineer; • Still recovering Big 4 Management Consultant; • Strategy and Business Transformation Specialist; • Enterprise Technology Architect; • Healthcare Technology Advisor; • Serial Start-Up Entrepreneur; • Exec Director at Digital Life Sciences; • Motorcycle Addict; • Wife, 2 kids; • Birmingham born and bred; • Will play with anything that involves a ball; • Does a bit of climbing….because his wife is seriously in to it! Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
DIGITAL HEALTH THE FUTURE OF THE NHS What is Digital Healthcare? Why should we bother? How can it be done? Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
WHAT IS DIGITAL HEALTHCARE? Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
…SORRY IT ISN’T MORE OF THIS…
AND IT IS CERTAINLY LESS OF THIS
THIS DOESN’T SEEM TO MAKE MUCH DIFFERENCE FOR END USERS Sorry health informatics and big systems chums….it needs to be integrated with real life experiences Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
THIS PROVIDES FANTASTIC (Web 1.0) INFO…. BUT DOES IT DO ANYTHING Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
HANG ON….COULD IT BE SOMETHING LIKE THIS
• Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
TAKE A BIT OF THIS
AND A LITTLE BIT OF THIS No pun intended Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
AND SOME OF THIS... Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
WITH A LARGE DOSE OF THIS... Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
MAKE IT WORK WITHIN THE NHS Mind the barriers! Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
FOR 60,000 PATIENTS IN BIRMINGHAM 15% increase in capacity 65% of consultations remote 80% of patients think 15%-26% drop in A+E 75% resolve remotely service has improved attendance 70% reduction in DNAs Driven by patient choice Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
FOR OVER 1,000 LONG TERM CARE PATIENTS IN SCOTLAND Shifting 60% of long term care consultations out of hospital through video on demand Taking supported self- management programmes to 75% of COPD patients in a matter of months Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
NOW WE ARE GETTING SOMEWHERE…. BUT WHY BOTHER? LET’S EXPLORE THE BUSINESS CASE Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
ACCESS AND TRANSACT REMOTELY + LONG TERM SELF- SUPPORT Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
LETS IMAGINE THERE ARE 60,000 OF US HERE TODAY…. Currently we cost the NHS £1.86m per annum in general A&E admissions that should be treated outside of hospital (Kings Fund data correlated with local commissioning data sets) We also cost the NHS £1.87m in avoidable admissions for the top-ten ambulatory care sensitive conditions.. We also cost £1.04m in ‘zero day’ hospital attendances – outpatients, day cases, false diagnosis etc.. Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
WHAT DOES OUR CURRENT DATA TELL US ABOUT THE SAVINGS…. Category Current Costs Savings Costs of Digital Total Savings Alternative (around £15/patient once at scale) Avoidable A&E £1.86m £0.35m (18%) £0.9m £1.19m Avoidable LTC £1.87m £1.12m (60%) (or £19.83 for Zero day stays £1.04m £0.62m (60%) every citizen) For these three use cases alone the savings potential for the NHS is £1.27bn across the U.K . – and creates a viable digital healthcare economy of around £0.96bn Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
BUT HOW DO YOU DO THIS? Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
= FACTORY/PRODUCTION LINE WRONG BUSINESS MODEL
= RETAIL OUTLET WRONG BUSINESS MODEL Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
= FIELD SUPPORT WRONG BUSINESS MODEL
WHERE IS THE AT SCALE BUSINESS MODEL FOR REMOTE CLINCAL SUPPORT? Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
BIRMINGHAM (1 ALREADY, 3 MORE THIS YEAR)….
LESS (as fast as we can) Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
MORE (asap) Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
DIGITAL HEALTH THE FUTURE OF THE NHS Robin.Vickers@digitallifesciences.co.uk @DigiLifeSci @Robin_Vickers
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