Session 1.1 Technology Innovation in NHSScotland: The Big Debate Explore and Understand

1. Session 1.1 Technology Innovation in NHSScotland: The Big Debate Explore and Understand

2. This session “To have a lively debate about the part that innovative technology in its widest sense can really play in improving quality and/or increasing productivity”

3. Our speakers today • Richard Carey – CEO NHS Grampian • Frances Elliot – CEO HIS • All of you !

4. This session “To have a lively debate about the part that innovative technology in its widest sense can really play in improving quality and/or increasing productivity”

5. Our definition of ‘technology’ Information technologies Bio- technologies Device Technologies Pharmaceutical technologies Communications technologies ‘assistive’ technologies Diagnostic technologies Other Technologies !

6. A definition of ‘innovation’

7. Spectrum of Innovation Sustaining Disruptive (Risk Taking) (Comfort Zone) Doing what we do today, better Creating what we will do tomorrow

8. Healthcare is a late, slow adopter of technology. Sir Derek Wanless 2004

9. Our discussion today • If technological innovation is so much of an answer for the ‘Health’ and for the ‘Wealth’ agenda, why do we need to a Statement of Intent to make it happen more? • Where are the problem areas – is it the technology, our ability to implement or our ability to make use of it ....? • Share your proposals about what needs practically to be done to increase the uptake of innovative technology.

10. Innovation: The Big Debate Frances Elliot 21 June 2012

16. Conceptual framework for innovation Omachonu,V.K & Einspruch, N.G 2010

17. What do we need? We need the public engaged to tell us how they wish their care to be delivered with them We need the service to tell us what they need to be make care delivery more effective and efficient to meet what the public say We need to ask industry and businesses to generate ideas to help us do this

18. How can we help? We can link with stakeholders to find out what they need We can create the opportunities to bring stakeholders together We can undertake health technology assessments

19. Innovation, Productivity and Quality Richard Carey Chief Executive NHS Grampian

22. PREVENTION

27. Planned and Unscheduled Care

28. VARIANNCE Are there significant variations in hospital expenditure by GP practice?

29. Early headline findings NHS England Whole System Demonstrator The early indications show that if used correctly telehealth can deliver a 15% reduction in A&E visits, a 20% reduction in emergency admissions, a 14% reduction in elective admissions, a 14% reduction in bed days. More strikingly they also demonstrate a 45% reduction in mortality rates.

31. 12%reduction in outpatient attendences No delays

33. Clinical Guidance Intranet

34. 2 years!

35. Technology changes every 6 months?

37. X PRIZE

38. Emerging Technology and Adoption

43. PROCUREMENT • ROLE OF HEALTH INNOVATION PARTNERSHIPS AND LIFE SCIENCES? • HOW DO SME’S FIT IN? • OVERCOMMING THE COST BARRIER-SHARED RISK/BENEFIT • DIGITAL BY DEFAULT(90% interactions are face to face) • HOW WILL HEAT SUPPORT DIFUSION? • ROLE OF NHS 24? • HOW DO WE ENABLE STAFF AND PATIENTS TO CHANGE?

44. HEALTH CARE MARKET • $3TRILLION WORLD WIDE MARKET • NHS£109B • BIGGEST DETERMINANT TO WEALTH IS HEALTH • MARKET SLOW TO ADOPT NEW PRODUCTS/PROCESSES

45. Questions ?

46. Your turn ! • 3 things we should do if we want to increase the uptake of innovative technology. • 3 things we should not do if we want to increase the uptake of innovative technology.

47. What did you hear ?