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Future strategy & opportunities

Future strategy & opportunities. Nottingham MindTech Healthcare Technology Co-operative. Professor Chris Hollis. NIHR Healthcare Technology Co-operatives (HTCs). Bradford: Wound Prevention & Treatment. Leeds: Colorectal Therapies.

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Future strategy & opportunities

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  1. Future strategy & opportunities Nottingham MindTech Healthcare Technology Co-operative Professor Chris Hollis

  2. NIHR Healthcare Technology Co-operatives (HTCs) Bradford: Wound Prevention & Treatment Leeds: Colorectal Therapies Sheffield: Devices for Dignity Nottingham: Mental Health Cambridge: Brain Injury Birmingham: Trauma Management Barts: Gastrointestinal Disease Guys: Cardiovascular Disease

  3. NIHR Healthcare Technology Co-operatives (HTCs) Aimsof the NIHR Healthcare Technology Co-operatives are to: • act as a catalyst for NHS “pull” for the development of new medical devices, healthcare technologies and technology-dependent interventions • focus on clinical areas and/or themes of high morbidity which have high potential for improving quality of life of NHS patients and improving the effectiveness of healthcare services that support them • work collaboratively with patients and patient groups, charities, industry and academics.

  4. NIHR Healthcare Technology Co-operatives (HTCs) Bradford: Wound Prevention & Treatment Leeds: Colorectal Therapies Sheffield: Devices for Dignity Nottingham: Mental Health Cambridge: Brain Injury Birmingham: Trauma Management Barts: Gastrointestinal Disease Guys: Cardiovascular Disease

  5. University of Nottingham Innovation Park MindTech NIHR HTC in Mental health & neurodevelopmental disorders

  6. Why Mental Health? • Mental health problems affect 1 in 4 people • Huge economic cost to UK - £105bn per year • Largest area of government health spending (13%) • High unmet need with little technological innovation • Subjective clinical assessment dominates practice • Lack of engagement with SMEs

  7. Clinical Landscape • Mood Disorders • Unipolar depression • Bipolar depression • Neurodevelopmental disorder • Autism spectrum disorder (ASD) • Tourette syndrome • Attention Deficit Hyperactivity Disorder (ADHD)

  8. Current prevalence of mental health disorders in Europe Wittchen et al 2011 European Neuropsychopharmacology

  9. Why Nottingham? • National Leadership • - Nottinghamshire Healthcare NHS Trust • - Neurodevelopmental and Mood Disorders • - Computer Science & Biomedical Engineering • Regional Hub • - NIHR CLAHRC (NDL) -> CLAHRC East Midlands • - East Midlands Academic Health Sciences Network (EMAHSN) • - Medilink (East Midlands)

  10. Research Strategy • Technology Innovation Pipeline • High quality collaborative projects • User-led design • New partnerships • National resource • Transformation of mental health care and services

  11. Bringing Partners Together Nottinghamshire Healthcare Trust £260k NHS Tourettes Action ADDISS Patients & Carers Clinicians IMH1 Medilink HTC Computer Science Qbtech Ltd £90k £330k University Industry TTO2 Biomedical Engineering BuddyApp Academics SMEs Business School Buzz3D Ltd Red Embedded Ltd 1: Institute of Mental Health 2: Technology Transfer Office

  12. Organisation NHS Trust Medilink EMAHSN SMEs Steering Committee 3rd Sector Charities Clinicians University Operational Group Neurodevelopmental Disorders Mood Disorders Involvement & Implementation Cross-cutting themes Technology Clinical themes

  13. Technology Innovation Pipeline Patients, Clinicians, NHS Trusts Identifying Need Implementation Development NICE/ HTA NICE/ HTA & Academics SMEs Facial affect recognition QbTest BuddyApp Automated tic monitoring

  14. Research Approach • Identify the clinical problem/ unmet need • Identify and develop a technological solution • Evaluate clinical/cost effectiveness • Adopt and disseminate technology in NHS

  15. Qb Test: Objective Assessment of ADHD • Computerised assessment of attention and activity • Supports clinical decision making • Provides patients with objective reports on their condition

  16. Text messaging app to support therapy Diary: SMS or web Analysis tool Goal reminders Appointment prompts

  17. Automated objective assessment of mood and behaviour Valstar et al. (technology theme)

  18. Personalised Ambient Monitoring (PAM) • User input: • General health questionnaires • Mood self-assessment GSM location GPS module XYZ accelerometer • Wearable Node • Acceleration • General light level • Artificial light level • Ambient sound properties Internal accelerometer Bluetooth Encounters* • Bluetooth • 3G / GPRS • User input • Internal

  19. Computer vision / visual tracking for automatic tic monitoring & analysis • Face and expression recognition • Automatic eye blinks detection • Hand and detailed body tracking • Integration & tic data analysis Med-e-Tel 2013

  20. Games that engage • For diagnosis and treatment • Work with ADHD children shows they will engage with games • Built games to treat but also promote interaction with therapist • Playful environment to get young people to discuss emotional reaction

  21. What can we offer ? • Collaboration with SMEs, academics, NHS Trusts • Support to AHSNs and funding agencies; e.g. SBRI, TSB • Clinical expertise • Technology Trials • Patient Public Participation (PPI) • Early stage Health Economics • Advice on NICE assessment procedures • An understanding of clinical pathways • Advice on procurement procedures • Technological expertise & regulatory advice

  22. Contacts: Principal Investigator Prof Chris Hollis chris.hollis@nottingham.ac.uk Technology Theme Lead: Prof John Crowe john.crowe@nottingham.ac.uk

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