‘That’s how we’ve always done it’ – why AHSNs hold a powerful role for staff and patients

As part of the NHS Graduate Management Training Scheme, Ellie Boden spent eight weeks working at the Health Innovation Network. Here she describes what that taught about the role of AHSNs.

At one point or another, I think all of us have heard the phrase ‘that’s how we’ve always done it’, which can be annoying at best and dangerous at worst. Enabling change in the NHS can be a difficult and lengthy process and the formation of the AHSNs were set up with the aim of tackling this challenge.

This means the HIN is in a position to look at a service with a fresh perspective and question why it’s always been done a certain way. By sitting separately to hospitals and community trusts, the HIN can help partner organisations to take a step back from the fire fighting and develop a headspace in which opportunities for change can be considered.

This may appear indulgent, but it is vital in the process of innovation and improvement, allowing care providers to think differently and collaborate. And by driving the spread and adoption of innovation, the HIN can improve health outcomes for patients and drive economic growth. Whether this be technology or service redesign, I saw changes move quickly due to the vast network of stakeholders with which the HIN has formed relationships.

It’s important to recognise that lots of our colleagues in transformation teams closer to the frontline also want to implement change. Yet, they may struggle to do so due to multiple barriers, which is why the work that AHSNs do is so important. HIN colleagues are the enablers and facilitators of change – they may not implement the change on the ground, but they support those on the frontline to do so. Since working at the HIN, I have seen first-hand the strong relationships that each team has with key stakeholders. That these relationships help the HIN to influence organisational change is one of its biggest strengths.

Although the HIN consistently demonstrates its ability to facilitate change, it can still come up against challenges as an AHSN. It can be difficult to determine the impact of an AHSN – wicked problems make it harder to measure tangible benefits of changes. Furthermore, the complex steps between engaging with teams to introducing a transformation that leads to service improvement, can make the impact unclear. In addition, it can be tricky to convince a team to introduce new innovations, even more so during the pandemic.

Yet AHSNs are the solution – crisis creates innovation at a time when the NHS needs it even more and these changes, particularly regarding digital technology, will be a necessity for the healthcare system moving forwards.

With the HIN being such a unique organisation, working with them may be a good choice for organisations needing additional support. The breadth of skill and expertise that exists, along with strong relationships throughout the system and an ability to be flexible, creates an organisation that would make an excellent partner.

As a Graduate Management Trainee, working at the HIN provided me with insight into an area of the NHS I had no former knowledge of. The opportunity to be challenged and yet supported made the HIN a fantastic placement experience and I would highly recommend it to graduate trainees seeking similar opportunities.

New digital innovations tested for vulnerable people during Covid-19 outbreak

New digital innovations tested for vulnerable people during Covid-19 outbreak

Testing starts today as 18 winners of TechForce19 challenge announced

People who are particularly vulnerable or isolated as a result of the coronavirus (Covid-19) outbreak could soon benefit from a range of innovative digital solutions selected as part of the TechForce19 challenge.

NHSX and MHCLG have announced 18 digital solutions that have been awarded funding under the TechForce19 challenge. TechForce19 has awarded up to £25,000 each to innovation that offers a digital way to support vulnerable people who need to stay at home or need other help in the community for extended periods of time. The response to the challenge was extremely strong, with over 1,600 innovations submitted.

The successful solutions will now receive funding to rapidly test their product to meet specific Covid-19 related needs.

This testing phase will last for two to three weeks, and be followed by an assessment to better understand the potential and scope for accelerated deployment at scale, based on evidence.

NHSX has been working with partners PUBLIC and the AHSN Network to run the fast-track competition for innovators, creating a pool of technologies that have the potential to be rapidly scaled regionally and nationally.

Each prospective technology must have the capability to operate on a standalone basis without the need to be integrated with existing health or care systems.

Examples of the solutions going forward include:

  • Feebris for the most vulnerable who are isolating

Feebris helps carers to identify health risks and deterioration within elderly communities. The Feebris app guides a carer through a 10min check-up, including capture of vital signs from connected medical-grade sensors (digital stethoscope, pulse oximeter etc.). Powerful AI augments clinical guidelines and personalised monitoring to help decisions on triaging health issues. The intention is to provide Feebris to care homes to help carers triage the day-to-day health needs of their residents during the Covid-19 pandemic, and also enhance the capabilities of remote clinicians.

  • Neurolove to support young people with mental health

Chanua provides Neurolove.org, a platform providing a friendly ear and human support for young people to help them to keep virtually social and safe online. Supporting young people to manage anxiety and low mood, they can book sessions directly with mentors and therapists and find content that will support them to manage their emotional and mental health in this current period of uncertainty.

  • Peppy for new parents

Peppy helps parents-to-be and new parents remotely access trusted, convenient advice from perinatal and mental health experts. This includes remote support via phone/video with lactation consultants, baby sleep consultants, specialist mental health support and more. Peppy provides timely interventions that reduce stress, anxiety and burn out for parents-to-be and new parents.

  • Team Kinetic for volunteers

TeamKinetic’s digital platform helps organisations better manage community-led volunteer programmes. The solution helps manage recruitment and retention of volunteers, as well as monitoring the impact of these programmes in real time. TeamKinetic are also looking at developing and documenting some open standards and establishing a model for better service interconnectivity across the voluntary sector.

  • Vinehealth for cancer patients

Vinehealth is a mobile app to support cancer patients and their loved ones during treatment by allowing them to easily track and understand their care, including their symptoms, side effects, appointments and medications. By completing a 1-minute daily log, cancer patients can develop a clear overview of their progress through treatment and access advice on how to cope and when to access health services. The Vinehealth app empowers cancer patients who are self-isolating to self-manage and feel more in control.

“The TechForce19 challenge has harnessed some of the incredible talent we have in our tech sector to help the most vulnerable. Many of the problems created by isolation lend themselves to digital solutions, and we hope this process will help people take advantage of the potential that digital technology offers.

“The 18 companies we are announcing today have the potential to help a number of the key affected groups during Covid-19, including young parents, the elderly at home, and the homeless, as well as giving people tools to look after their own mental health during isolation.”

Guy Boersma, Digital & AI Lead, The AHSN Network, said:

“This list of solutions is testament to the talent being harnessed to address the consequences of the Covid-19 crisis. The health and care sector has already seen many solutions being deployed to support vulnerable citizens with mental health needs or other specific conditions, and the pandemic makes it even more necessary that we address the needs of citizens unable to access face-to-face care or even their usual social networks.

We are delighted that we have a series of solutions which can be piloted and then scaled to address these pressing needs.”

Daniel Korski, CEO of PUBLIC, said:

“As social distancing measures continue, today’s selections amount to a wealth of possible answers to helping the most vulnerable through these difficult times.

These companies demonstrate the valuable role for new technologies in helping public services adapt to new challenges, and we’re excited to follow their journeys from here through to deployment.”

For more information about the programme visit Techforce19.uk

Full list of digital innovations:

  1. Feebris for the most vulnerable who are isolating

Feebris helps carers to identify health risks and deterioration within elderly communities. The Feebris app guides a carer through a 10min check-up, including capture of vital signs from connected medical-grade sensors (digital stethoscope, pulse oximeter etc.). Powerful AI augments clinical guidelines and personalised monitoring to help decisions on triaging health issues. The intention is to provide Feebris to care homes to help carers triage the day-to-day health needs of their residents during the Covid-19 pandemic, and also enhance the capabilities of remote clinicians.

  1. Chanua / Neurolove to support young people with mental health

Chanua provides Neurolove.org, a platform providing a friendly ear and human support for young people to help them to keep virtually social and safe online. Supporting young people to manage anxiety and low mood, they can book sessions directly with mentors and therapists and find content that will support them to manage their emotional and mental health in this current period of uncertainty.

  1. Peppy for new parents

Peppy helps parents-to-be and new parents remotely access trusted, convenient advice from perinatal and mental health experts. This includes remote support via phone/video with lactation consultants, baby sleep consultants, specialist mental health support and more. Peppy provides timely interventions that reduce stress, anxiety and burn out for parents-to-be and new parents.

  1. Team Kinetic for volunteers

TeamKinetic’s digital platform helps organisations better manage community-led volunteer programmes. The solution helps manage recruitment and retention of volunteers, as well as monitoring the impact of these programmes in real time. TeamKinetic are also looking at developing and documenting some open standards and establishing a model for better service interconnectivity across the voluntary sector.

  1. Vine Health for cancer patients

Vinehealth is a mobile app to support cancer patients and their loved ones during treatment by allowing them to easily track and understand their care, including their symptoms, side effects, appointments and medications. By completing a 1-minute daily log, cancer patients can develop a clear overview of their progress through treatment and access advice on how to cope and when to access health services. The Vinehealth app empowers cancer patients who are self-isolating to self-manage and feel more in control.

  1. Beam for homeless population

Beam is a digital platform that supports the homeless and vulnerable people sleeping rough. Beam takes referrals from local authorities and homeless charities, then ensures goods are funded, delivered and documented.

  1. Alcuris Ltd

Alcuris’ Memohub® prolongs the independence of elderly or vulnerable people, enabling them to return to home quicker, from hospital discharge. A digital platform collates data from unobtrusive sensors placed in the home, then provides actionable alerts when behaviour changes, enabling families to intervene early to delay or reduce the frequency of professional ‘crisis intervention’ help. This gives family a reassurance of loved one’s safety and wellbeing even when left alone for extended periods. Also provides objective information to inform professional care planning.

  1. Ampersand

Ampersand Health‘s self-management apps help people with long term, immune mediated diseases (such as Crohn’s and Colitis) live happier and healthier lives. Using behavioural and data science, the apps deliver courses and programmes designed to improve sleep quality, stress management and medication adherence; with modules for activity, diet and relationships in the works. During the Covid-19 crisis, this will help these people better manage their conditions and reduce the need for clinical support. Ampersand are also offering their clinical management portal free of charge to NHS Trusts until January 2021, no strings attached. This will allow clinical teams to help manage their patients, remotely.

  1. Aparito

Aparito uses remote monitoring technology (videos, wearables, photos and text) to gather patient-generated data outside of hospital. This is focused on patients with rare diseases. Data is captured and transferred via the patient’s own smartphone / tablet and made available to clinicians or researchers in real-time to help avoid direct contact during the Covid-19 crisis.

  1. Birdie

Birdie provides a digital platform for home care agencies to better manage the care they provide. Through an easy to use app, care workers capture daily visit logs, and a central hub allows staff to track real-time information. Family members receive live and daily safety and well-being updates through the app, including from optional home monitoring sensors. Birdie helps domiciliary care agencies to increase efficiency, and improves the care people receive in their homes through systematic monitoring, prevention of risks, and support to carers.

  1. Buddi

Buddi Connect is a smartphone app, enabling people to stay in touch with those they care for. Safe groups of connections are united through the app to share private, secure messages and raise instant alerts when help is needed. Important messages from the NHS can be shared directly to users. During this difficult time, while many vulnerable people are missing the face-to-face contact of family, friends and carers, the reassurance that help is available at the touch of a button is more important than ever.

  1. Just Checking

Just Checking supplies activity monitoring systems, used by local authorities to help with assessment of older people in their homes, for social care. Sensors pick up activities of daily living and display the data in a 24-hour chart. The company also has a second, more sophisticated activity monitoring system, to help manage the care and support of adults with learning disabilities.

  1. Peopletoo Ltd/ Novoville

Peopletoo and Novoville have been selected to launch GetVolunteering, a volunteering app to fast track volunteers into clinical and non-clinical roles to support the fight against Covid-19. It will enable local authorities to quickly identify and assess capable volunteers in the local community to fill key roles to support social care in areas that have been impacted by loss of staffing capacity due to Covid-19, or for new roles that are required during the crisis.

  1. RIX Research & Media, University of East London

The RIX Multi Me toolkit provides highly accessible and secure social networking that serves as a support network for people with learning disabilities and mental health challenges. This easy to use multimedia network, with accompanying communication, personal-organiser and goal-setting tools, enables isolated and distanced vulnerable people to build stronger support circles. It helps them self-manage their care and actively limit the impact and spread of Covid-19 infection. Care professionals use the ‘Stay Connected’ RIX Multi Me Toolkit to remotely monitor and support people’s wellbeing in an efficient and friendly way.

  1. Simply Do

Simply Do will develop a virtual community of NHS medical professionals currently in self-isolation. These employees have significant expertise, experience and skills which can be unlocked virtually to help solve Covid-19 care challenges set within the platform. This will create a powerful ‘think-tank’ of medical professionals to contribute virtually to fight Covid-19 by solving wider health challenges (i.e. challenges faced in the care sector).

  1. SureCert

SureCert is a digital platform that connects people with job and volunteering opportunities. The system also manages background checks. SureCert can provide data on successful placements, and information to enable policy makers to better understand the labour market and volunteering supply and demand.

  1. VideoVisit Global Ltd

VideoVisit® HOME allows the elderly to communicate with their family members and home care providers through a virtual care tablet designed specifically for elderly. VideoVisit will measure how this virtual home care service can increase people’s feeling of safety and decrease loneliness during self-isolation.

  1. Virti

Virti aims to make experiential education affordable and accessible for everyone. Virtual and augmented reality, coupled with AI, transports users into difficult to access environments and safely assesses them under pressure to improve their performance. The system is used for training and patient education.

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How is the AHSN Network supporting the response to Covid-19?

Map of the AHSNs

How is the AHSN Network supporting the response to COVID-19?

All AHSNs within the AHSN Network are actively supporting the NHS and social care system regarding the Covid-19 pandemic.

If you would like advice on immediate or future needs, and how best to present your offer to local and/ or national commissioners, please contact the commercial team at your local AHSN via the AHSN Network Innovation Exchange or register online. Use the postcode checker to help you find your local AHSN.

The government has provided national guidance on where to register products to support the Covid-19 response. Please find these details below.

PPE (Personal Protection Equipment)

Contact the Surgical MedTech Co-operative (one of NIHR’s Medtech and In vitro diagnostics Co-operatives) if you have a technology that could be adapted quickly for the healthcare setting to help protect healthcare workers against aerosol contamination. Find out more about their ‘Covid-19 PPE Challenge’ here.

 Vaccines

Contact Public Health England: nervtag@phe.gov.uk

 Ventilators

Contact the Government’s Department for Business, Energy & Industrial Strategy (BEIS): ventilator.support@beis.gov.uk or call 0300 456 3565

 Innovation and Tech

Contact NHSX: DNHSX@nhsx.nhs.uk

 Diagnostics

Contact Public Health England: coviddiagnostics@phe.gov.uk

General

The UK government has set up a service allowing businesses to share any support that might help the Covid-19 response, from PPE and medical testing equipment to transport/logistics and warehouse space. Find out more here.

If you have any other solutions (not specifically Covid-19 related) that could be useful to the health and care system during this unprecedented time, you can access AHSN advice and support by visiting www.ahsninnovationexchange.co.uk.

The AI in Health and Care Award: accelerating testing and evaluation of the most promising AI technologies

The AI in Health and Care Award: accelerating testing and evaluation of the most promising AI technologies

The AHSN Network welcomes the launch of the new Artificial Intelligence (AI) Health and Care Award. This will make £140 million available over three years to accelerate the testing and evaluation of the most promising AI technologies that meet the strategic aims set out in the NHS Long Term Plan.

The Award is run by the Accelerated Access Collaborative (AAC), of which the AHSN Network is a key member, in partnership with NHSX and the National Institute for Health Research (NIHR).

Guy Boersma, AHSN Network Digital & AI Executive Lead, commented: “We welcome the launch of this new fund to fast track the implementation of the most promising AI innovation into frontline care.

“It is an exciting development following the publication of our AI State of Nation report, supporting the creation of the Code of Conduct and now contributing to the distribution of funding to accelerate testing and evaluation of AI technologies.

“AI has the potential to address the many challenges impacting services today, such as those around workforce and the ageing population. As part of the Accelerated Access Collaborative, the AHSN Network looks forward to supporting this programme through the adoption and spread of AI across our strong research and innovation network.”

About the AI in Health and Care Award

The Award will support technologies across the spectrum of development: from initial feasibility and conception through to initial NHS adoption and testing of the AI technology within clinical pathways.
Initially, it will focus on four key areas: screening, diagnosis, decision support and improving system efficiency.

The AI Award is part of the £250 million funding given by the Department for Health and Social Care to NHSX to establish an AI Lab aimed at improving the health and lives of patients. The Award forms a key part of the AAC’s ambition to establish a globally leading testing infrastructure for innovation in the UK.

A call for applications for the Award will run at least twice a year through an open competition to identify appropriate AI technologies for support into the NHS.

The call for applications for the first Award is now open. A second call will be launched in summer this year.

First competition – application information

The application process for the first competition opened on 28 January 2020 and closes at 1.00pm on 4 March 2020. Applicants will be able to identify which phase they should apply for using the self-assessment criteria. Full details are available here.

Support from the AHSNs
Innovators interested in applying for the AI in Health and Care Award are encouraged to talk to their regional AHSN for advice and support. Find your nearest AHSN on our Innovation Exchange digital gateway here.

AI Event – 3 February 2020
The Accelerated Access Collaborative, NHSX and NIHR are holding an AI Event in London on 3 February. This will provide information about opportunities and support available to AI innovators and technologies at all stages of development.
Come to the event to find out more about the most recent developments and upcoming opportunities, hear about the experience of an SME developing an AI product in the NHS, and find out about organisations such as the AHSNs that can support collaborations. In addition, there will be the opportunity for networking and establishing new connections.
Book your place here.

Webinars

A series of webinars are being organised to provide more information to potential applicants:

Initial information session: 31 January 2020, 11-12.00 Join here
Applicant Webex: 4 February 2020, 11:00-12:00 Join here
Applicant Webex: 11 February 2020, 11:00-12:00 Join here
Applicant Webex: 18 February 2020, 11:00-12:00 Join here
Applicant Webex: 25 February 2020, 11:00-12:00 Join here

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London’s Health Care Industry Booms as Millions are saved for the NHS

London’s Health Care Industry Booms as Millions are saved for the NHS

DigitalHealth.London have launched their impact report confirming they are speeding up digital innovations across health and care in London, creating jobs and saving millions of pounds for the NHS. This supports the objects of the Government’s Long Term Plan to make digitally-enabled care the mainstream across the NHS.

DigitalHealth.London is a collaborative programme delivered by MedCity, and London’s three Academic Health Science Networks (AHSN) – UCLPartners, Imperial College Health Partners, and the Health Innovation Network (HIN). It is supported by NHS England (London) and the Mayor’s Office.

The DigitalHealth.London Accelerator is a flagship programme delivered by DigitalHealth.London to fast track innovations into the NHS and support innovators navigating the NHS system. Around 20-30 companies are selected onto the Accelerator programme each year and are given bespoke mentoring, training, networking opportunities to develop their business. This collaboration and support also enables the fast spread of cutting edge innovations into the NHS to benefit patients and support NHS staff. The Accelerator companies range in size when they begin the programme, from a single founder working on one product, to companies with in excess of 30 employees.

467 new jobs were created

Eighty-five percent of companies to have been on the Accelerator programme who participated in this report, reported an increase in their staff numbers. Of the additional jobs created by companies on both the 2016-17 and 2017-18 programmes, 30.3 percent (141) are attributed to their involvement in the DigitalHealth.London Accelerator. A total of 467 new jobs were created between August 2016 and November 2018.

“Anything we achieve as a company is in some way down to, or connected to, working with the Accelerator.” Elliott Engers, CEO, Infinity Health, Accelerator cohort 2017-2018

Over £64 million of investment raised by Accelerator companies

As discovered by the recently published report DigitalHealth.London Accelerator companies raised over £64 million of investment between August 2016 – November 2018. One company alone account for £28 million of this. Sixty-six percent said that the DigitalHealth.London Accelerator had helped them raise investment in their company.

“The DigitalHealth.London Accelerator is saving millions of pounds for the NHS while stimulating economic growth in the health care industry.  It supports innovations that will change the lives of patients, support NHS staff and create jobs.” Tara Donnelly, Chief Digital Officer of NHSx 

NHS Savings almost £76 million

The work of Accelerator companies has resulted in almost £76 million in savings for the NHS, with just over a third of this (£24.8 million) credited to the Accelerator’s support, based on information self-reported by companies involved. A conservative view that 50 per cent of the NHS savings attributed to the Accelerator are actually being realised, given that the Accelerator programme is 50 per cent supported by AHSNs (the innovation arm of the NHS) and their partners MedCity and CW+, the Accelerator programme has a return on investment of over 14 times: for every £1 spent by the NHS (via AHSNs) on the DigitalHealth.London Accelerator, £14.60 is returned, in some way, through the implementation of a digital solution. Some of these savings are made in efficiency gains, for example finding more efficient ways of supporting patients to manage their own health conditions, whilst others may help reduce inappropriate urgent care attendances by providing easier access to GP services.

Read the full impact report here.

 

Support for the deployment of GP online consultation systems in south London

Support for the deployment of GP online consultation systems in south London

Since its inception, Health Innovation Network’s Technology team has been interested in how new communications technologies offer the opportunity to enhance healthcare interactions. Such interactions could include clinical consultations between a GP or specialist and a patient in general practice or hospital outpatients’ department. They could also include discussions between professionals, for instance:

  • A multi-disciplinary team (MDT) meeting in a hospital/community setting
  • A GP seeking the input of an expert specialist.

In July 2016,we undertook a review of the Hurley Group’s ‘eConsult’ (formerly ‘WebGP’) platform, in which we sought to understand the nature and extent of this particular opportunity to transform access to general practice. More recently, we have undertaken work to promote the spread and adoption, specifically, of video-based remote consultation in hospitals—often generically referred to as ‘Skype clinics’.

Given the announcement in October 2017 of NHS England’s GP Online Consultation Systems Fund, Health Innovation Network’s Technology team is now exploring how it could be of support to CCGs and GPs in south London as they progress plans to introduce or further develop provision for GP online consultation.

We are well-aware that CCGs across south London are by no means lacking in ambition where digital transformation is concerned, and many are already forging ahead with enhancements to primary care provision with online consultation solutions of one form or another at their heart. We watch these developments with great interest and excitement.

We would be interested to hear from colleagues across south London to understand your plans for offering GP online consultation, and to discuss how can best support you in this endeavour. We are in the process of engaging CCGs across the patch, but if you would like to discuss this support opportunity further now, please contact Tim Burdsey, Technology Project Manager at tim.burdsey@nhs.net We look forward to hearing from you—and to working with you, to help realise your digital ambitions for primary care and for your wider local health and care system.

NHS rolls out new tech to prevent 3,650 strokes, save 900 lives and £81 million annually

NHS rolls out new tech to prevent 3,650 strokes, save 900 lives and £81 million annually

Thousands of patients to benefit from increased diagnosis of irregular heart rhythms

Innovative technology is being rolled out across the country to prevent strokes in a national campaign.

More than 6,000 devices including mobile electrocardiogram (ECG) units are being distributed to GP practices, pharmacies and NHS community clinics across England during National Heart Month this February. The range of tech being rolled out can detect irregular heart rhythm quickly and easily, enabling NHS staff to refer any patients with irregular heart rhythms for follow up as they could be at risk of severe stroke.

Official figures show that more than 420,000 people across England have undiagnosed irregular heart rhythm, which can cause a stroke if not detected and treated appropriately, usually through blood-thinning medication to prevent clots that lead to stroke.

The range of technology includes a smartphone-linked device that works via an app and a new blood pressure cuff that also detects heart rhythms. Small and easy-to-use, NHS staff can also take the devices on home visits and allow more staff in more settings to quickly and easily conduct pulse checks.

The devices pictured, which are being distributed by NHS England and the AHSN Network, can accurately and quickly detect atrial fibrillation. Clockwise from top right: Watch BP blood pressure cuff, imPulse, Kardia Mobile, MyDiagnostic & RhythmPad

The mobile devices provide a far more sensitive and specific pulse check than a manual check and this reduces costly and unnecessary 12 lead ECGs to confirm diagnosis. As a result, the project aims to identify 130,000 new cases of irregular heart rhythms (known as Atrial Fibrillation) over two years, which could prevent at least 3,650 strokes and save £81 million in associated health and costs annually.

The devices are being rolled out by the 15 NHS and care innovation bodies, known as Academic Health Science Networks, in the first six months of this year as part of an NHS England-funded project.

Professor Gary Ford, Stroke Physician and lead on the project for the Academic Health Science Networks, said:

“More than 420,000 people throughout England are unaware they have irregular heart rhythms and of the dangers that this can pose to their health. We have highly effective treatments that can prevent these strokes, but early detection is key. Using cost-effective technology, the NHS will now be able to identify people with irregular heart rhythms quickly and easily. This will save lives.

“As the NHS approaches its 70th birthday this year, this is also a great reminder of the way that healthcare is continually evolving and innovating. Taking advantage of digital health solutions will be even more important for the next 70 years. Today’s new devices are just one example of the way that low-cost tech has the potential to make a huge difference.”

Professor Stephen Powis, Medical Director of NHS England, said:

“Cardiovascular disease kills more people in this country than anything else, but there are steps we can all take to prevent it. These innovations have enormous potential to prevent thousands of strokes each year, which is why NHS England has committed to funding the rollout of 6,000 mobile ECG devices to help identify cases of atrial fibrillation so behaviours can be changed and treatment started before strokes occur.

“We are also encouraging people, during National Heart Month, to learn how to check their own pulse so we can catch even more cases.”

One million people in the UK are known to be affected by AF and an additional 422,600 people are undiagnosed. As the most common type of irregular heart rhythm, it is responsible for approximately 20% of all strokes. Survivors must live with the disabling consequences and treating the condition costs the NHS over £2.2 billion each year.

The rollout is being unveiled during National Heart Month, which raises awareness of heart conditions and encourages everyone to make small changes towards a healthier lifestyle. This year the British Heart Foundation is encouraging everyone to make small changes towards a healthier lifestyle. See more here.

The public are being encouraged to spread the word about irregular heart rhythm and urge friends and family – particularly those aged over 65 – to check their pulse and see a GP if it is irregular. Pulse checks can be done manually (a British Heart Foundation video and guide shows how here) or through new technology, with irregular rhythms investigated further by healthcare professionals.

REAL STORIES

Ian Clark, 62, North West London

I was visiting a client in 2012 and suddenly thought I was having a heart attack. The client called 999 for an ambulance. When the ambulance arrived, they took me to see a registrar in A&E who said that I had atrial fibrillation. I was in complete shock because I didn’t know what it was. She told me it’s an irregular heartbeat, lots of people have it and you will get attacks from time to time.
I felt dreadful. Really, really bad as it felt like I could die at any point. I was living in fear. The ongoing feeling was of complete and utter exhaustion and being totally drained. It’s far worse than the worst jetlag. You do not have the energy to do anything at all.
To know that there is something dreadfully wrong with your heart is awful and all you want to do is collapse into a corner.
Three days after being in A&E I went to my GP. The nurse there gave me a ECG and while doing it she ran out and came back with the doctor and they thought I was having a heart attack! It turned out I wasn’t but they booked me to see a cardiac specialist at the Harefield Hospital in North West London, who was amazing. She put me on anti-coagulants to treat my condition.
During this whole period, I constantly thought I was going to die and that was massively draining and stressful. I had 37 medical appointments in three months.
Six years on after the diagnosis, the reality is that I am living a normal life. Two years ago, I even went white water rafting in Costa Rica!

Above: Chris (4th from left) white-water rafting in Costa Rica six years after an atrial fibrillation diagnosis

Wendy Westoby, 77, Tyldesley in Wigan

After suffering from an AF-related stroke, Wendy Westoby is the first to encourage people to get their pulses tested.
77-year-old Wendy, from Tyldesley in Wigan had been suffering from an irregular heart rate since 2000. She first noticed an atrial flutter after her 60th birthday but put it down to “over indulgence!”
Wendy suffered a stroke in 2009 and but despite many consultations with cardiologists, her symptoms “wouldn’t appear to order” so she wasn’t diagnosed with AF until 2011.
Wendy has received a catheter ablation but her symptoms reappeared in 2017 and Wendy is scheduled for further surgery this weekend at Liverpool Heart and Chest Hospital.
Now Wendy has become an AF Ambassadors – using the latest AliveCor technology to test people’s pulses in her community – she also finds it useful for emailing her own ECGs to her consultant’s secretary.
She said: “The experience has shown me is that it’s even more important to pick cases up early.”
And for those who may be nervous after being tested, she advised: “Go ahead – very simple – initial treatment should be non- traumatic and may avoid long term problems after a stroke.”

Adoption and spread of innovation in the NHS

Adoption and spread of innovation in the NHS

Boots on the ground, local freedoms and supportive leaders: ingredients for successful spread of innovation detailed in new report.

A new report from The King’s Fund, published today and commissioned on behalf of the AHSN Network, charts the journeys of eight innovations from creation to widespread use.

From new communication technologies for patients with long-term conditions, to new care pathways in liver disease diagnosis, to new checklists for busy A&E departments, the report details the highs and lows of an innovator’s journey through the NHS.

While thousands of patients are now receiving new innovative treatments for arthritis, diabetes, cardiovascular disease and chronic liver disease, thanks to successful innovations, the report outlines the significant barriers that stand in innovators’ paths.

The case studies reveal common themes:

  • New innovations may appear simple to introduce but can have a domino effect – triggering a series of changes to diagnosis and treatment, revealing new patient needs and resulting in big changes to staff and patient roles. That’s why staff need time and resources to implement them.
  • As long as the NHS sets aside less than 0.1% of available resources for the adoption and spread of innovation, a small fraction of the funds available for innovation itself, the NHS’s operating units will struggle to adopt large numbers of innovations and rapidly improve productivity.
  • Fragmentation of NHS services remains a barrier to adoption and spread of innovation, making it harder to develop shared approaches and transmit learning across sites.
  • Providers need to be able to select and tailor innovations that deliver the greatest value given local challenges and work in the local context.

Read the report in full here.

The findings of the report will be discussed in depth at a live online event hosted by The King’s Fund on 19 January at 10am. Register and more details here.

England’s 15 AHSNs were set up by the NHS in 2013. They bring together the NHS, social care, public health, academic, voluntary and industry organisations to support the spread of innovation throughout the NHS and care. During their first licence (since 2013) they have spread over 200 innovations through 11,000 locations, benefiting 6 million people, creating over 500 jobs and leveraging £330 million investment to improve health and support the NHS, social care and industry innovators.

AHSN’s feature at Patient-Centred Pharmacy event

AHSN’s feature at Patient-Centred Pharmacy event

It’s fast approaching the Pharmacy Management National Forum which has chosen Patient-Centred Pharmacy as its theme. The forum, which is free to NHS delegates, focuses not only on the use of medicines but also their impact on patient care and the resources of the NHS. The event, which is in its sixth year, is on 10 November and returns to the Novotel Conference Centre in West London

The forum is supported this year by a number of contributions from Academic Health Science Networks around the country. The day allows a choice of Satellite Sessions from a selection of 24, plus ample time in the Innovation Zone where colleagues will be demonstrating their advances.

The Health Innovation Network is providing the following sessions:

  • Patient Centred inhaler technique assessment and adherence support led by pharmacists using RightBreathe – Mandeep Butt and Dr Azhar Saleem
  • AF work being developed nationally by all the AHSNs – Helen Williams
  • An experience based co-design approach to pharmacy services – Catherine Dale
  • “Walk in my Shoes” – an experiential learning exchange project between GPs and Pharmacists – Cleo Butterworth

Yorkshire and Humber AHSN:

  • Polypharmacy Project (Funded by the Health Foundation) – Tony Jamieson & Chris Ranson

Innovation Agency:

  • Electronic Transfers of Care to Community Pharmacy – Learning from regional adoption – Andrew Shakeshaft (Head of Programmes, Innovation Agency, Academic Health Science Network for the North West Coast); Hassan Argomandkhah (NHSE and Chair of LPN Merseyside); Matt Harvey (Chief officer, Liverpool Pharmaceutical Committee); Kevin Noble (Managing partner Pinnacle Health Partnership) and Sally Wright (Researcher, Liverpool John Moores University)

The full list of the sessions can be found here.

Health Innovation Network Annual Review now available

Health Innovation Network Annual Review now available

We’ve had a busy year here at the Health Innovation Network and we’re pleased to share an extended online edition of our annual review which showcases a selection of the work from our clinical and innovation themes.

More and more we are witnessing first-hand how innovation is improving care for people in South London and saving money. Join us as we reflect on the highlights of our programmes, which are cultivating and spreading innovation across the NHS, locally and nationally.

We would like to say a special ‘Thank You’ to our partners who have worked with us throughout the year.

Download our annual review here.