Vision

Theworld’sfirstcivicpartnershipsexploitingdata:

• drivepublicsectorreformforbetterhealthandcarebyprovidingactionableinformation

• fuelregion-widehealthsciencethatcitizenstrust

• acceleratebusinessgrowthforthedigitalhealthrevolution

• £20m/3y

• HubandSpokeModel

• Fourcityregions– GreaterManchester– NorthWestCoast– Yorkshire&Humber– NorthEastandNorthCumbria

• Onehub(GM)

• ~2pathwaysperregion

• StartJan2016

Population densities: North England 2012

HealthNorth:CHCpilots

Whatisalearninghealthsystem?

Anintegratedhealthsysteminwhichprogressinscience,informatics,andcareculturealigntogeneratenewknowledgeasanongoing,natural by-productofthecareexperience,andseamlesslyrefineanddeliverbestpracticesforcontinuousimprovementinhealthandhealthcare.

Key metric: data-action latency

Data-ActionLatency

Time

DataProduction

Analysis

DataProductionData-ActionLatency

Insight

ActionDataPreparation

CHCIngredients• Tri-partitecommitment

• Population&healthsystem

• Civicpride&publictrust

• InformationReadiness

• Multi-disciplinarycriticalmass

• Establishedpartnershipsandgovernance

• Industryintegration

CivicPartnership–SocialLicence

1 J Med Ethics. 2015 May;41(5):404-9

• Thesociallicenceforresearch:whycare.dataranintotrouble1

• Failuretomeetexpectationsofcitizens

– Reciprocity

– Non-exploitation

– Serviceofthepublicgood

• CitizenJuries

– forhealthdatasharing

• Open&Transparent

– Continuousinformedconsent

– Feedbacktocitizens

➔DiameterofTrust

• MassParticipation

– CityMoves

• PublicEngagement

– #datasaveslives

Howwillwedriveeconomicgrowth

• OpeninnovationpartnershipwithestablishedITcompaniestoadvancecoreinfrastructure

• Spin-inlaboratorytoacceleratedevelopmentofdigitalhealthtechnologiesbySMEs

• Platformfordeliveringreal-worldevidencestudies

ConnectedHealthCitiesPilot2016-18• Jan2016–CHCstarts

• June2017–TechnologyPlatform&KnowledgeExchangeandReusePlatformFirstRelease

• Dec2017–Ark’sfullyoperational

• Dec2018–PathwayOptimisationComplete;CHCPilotEvaluationComplete

Ark

• AnArkisatrustworthy,regionalcombinatorialinnovationcentreforhealthandsocialdataanalysis,producingtimely,actionableinformationforthecareofthepopulationitserves.

ConnectedHealthCity:Ark-enhancedInformationFlows

IntegrationforCombinatorialInnovationinHealthDataAnalytics

TheRoleoftheHub

• ProjectManagementandReporting

• Coreplatformdevelopment

• Communicationsandpublicengagement

• KnowledgeExchangeandReuse

HubTechnology

• Data Access, Information Governance and Citizens Control

• Ark Design and Reference Architecture

• Common Applications and Tools

• Knowledge Exchange and Reuse

• Data Federation, Virtualisation and Distributed Data Analysis

CHCOutcomes• Civicpartnerships

–Effectivemodelforpatientandpublicinvolvement

• FourpilotCHCs

–Blueprintsandplans

• FederationofCHCs

–Exchangingandreusingknowledge

• Testlearninghealthsystemmethodology

–Understanddataneeds

• Modelfordrivingeconomicgrowth

–Responsivetotheneedsofindustry

Records

Evidence

Intelligence

Innovation

Informatics

PublicEmpowerment&Trust