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Innovating in a Shifting Healthcare Environment. Professor Malcolm Sperrin Royal Berkshire Hospital. Drivers and Considerations. Ageing population Greater range of treatments Improved diagnostic tools Greater expectations. Crikey factors. Equipment capital cost Device support costs
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Innovating in a Shifting Healthcare Environment Professor Malcolm Sperrin Royal Berkshire Hospital
Drivers and Considerations • Ageing population • Greater range of treatments • Improved diagnostic tools • Greater expectations
Crikey factors • Equipment capital cost • Device support costs • Increase in population beyond retirement • Need for specialist knowledge • Litigation • Reduced funding • Expectations • Rationing Membership of: 100 club
Accelerating adoption of innovation in the NHS Palpation (BC to ?1920?) Imaging (1920 - )
Keep in touch with the real world • Good inventions butter no parsnips • Money is vitally important • Multi-disciplinary • Be prepared to lead • Don’t forget external collaboration • The media
The road to good invention Individual Culture Good Idea Innovation Organisational Culture Resources Implementation Marketing Preferential use Need to be Savvy
Kinect and overcome Reduced bed days Stroke Rehab Inpatient Outpatient Cudos Improved outcome
XBoX/Kinect • Commercial games • Requirement for response • Requirement for movement • Metrics ?
Response • ‘That’s nice !’ • Does it save money ? • Does it increase through-put ? • Other uses • Who can fund it ? • IPR, rights etc
The Bespoke Element • Stroke rehab • Geriatrics • Paediatrics • Trauma • Orthopaedics Sub-lieutenant Alex Donnelly
What needs to be measured ? • Symmetry • Speed of response • Perception • Perception lag • Extent of reach • Tremor • Improvement
Project aims • Align with health initiatives • Engagement with the patient • Improved outcomes • Collection of data • Cost efficient
Malcolm’s view and Summary • Create a relevant departmental culture • Identify need • Be politically savvy • Collaboration is good (essential) • Have the courage of your convictions • Blow your own trumpet.
“There are great people in the NHS with great ideas. Through a focus on outcomes, we are going to enable and encourage them to turn those innovative ideas into reality. This will result in better care and outcomes for patients.” • SECRETARY OF STATE FOR HEALTH,
Contact Details • Malcolm.sperrin@royalberkshire.nhs.uk • 0118 322 7360 • Royal Berkshire Hospital • Reading • Radiation medicine • Public perception of risk • Ultrasound • Scientific strategy