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DIGITAL HEALTHTHE FUTURE OF THE NHS

[email protected] @DigiLifeSci @Robin_Vickers

Robin Vickers


• Aerospace Engineer; • Still recovering Big 4 Management Consultant;• Strategy and Business Transformation Specialist;• Enterprise Technology Architect;• Healthcare Technology Advisor;• Serial Start-Up Entrepreneur;• Exec Director at Digital Life Sciences;• Motorcycle Addict;• Wife, 2 kids;• Birmingham born and bred;• Will play with anything that involves a ball;• Does a bit of climbing….because his wife is seriously in to it!


What is Digital Healthcare?

Why should we bother?

How can it be done?


WHAT IS DIGITAL HEALTHCARE?


…SORRY IT ISN’T MORE OF THIS…

AND IT IS CERTAINLY

LESS OF THIS

THIS DOESN’T SEEM TO

MAKE MUCH

DIFFERENCE FOR END

USERSSorry health informatics and big systems chums….it needs to be integrated with real life experiences


THIS PROVIDES FANTASTIC (Web 1.0)

INFO….

BUT DOES IT DO

ANYTHING


HANG ON….COULD IT BE SOMETHING LIKE THIS

• [email protected] @DigiLifeSci @Robin_Vickers

TAKE A BIT OF THIS

AND A LITTLE BIT

OF THIS

No pun intended


AND SOME OF THIS...


WITH A LARGE DOSE OF THIS...


MAKE IT WORK

WITHIN THE NHS

Mind the barriers!


65% of consultations remote 75% resolve remotely

70% reduction in DNAs

15% increase in capacity15%-26% drop in A+E

attendanceDriven by patient choice

80% of patients think service has improved

FOR 60,000 PATIENTS IN BIRMINGHAM


FOR OVER 1,000 LONG TERM CARE PATIENTS IN SCOTLAND

Shifting 60% of long term care

consultations out of hospital through video on demand

Taking supported self-management

programmes to 75% of COPD patients in a

matter of months


NOW WE ARE GETTING SOMEWHERE….

BUT WHY BOTHER?

LET’S EXPLORE THE BUSINESS CASE


ACCESS AND

TRANSACT REMOTELY

+LONG TERM

SELF-SUPPORT


LETS IMAGINE THERE ARE 60,000 OF US HERE TODAY….

Currently we cost the NHS £1.86m per annum in general A&E admissions that should be treated outside of hospital (Kings

Fund data correlated with local commissioning data sets)

We also cost the NHS £1.87m in avoidable admissions for the top-ten ambulatory care sensitive conditions..

We also cost £1.04m in ‘zero day’ hospital attendances –outpatients, day cases, false diagnosis etc..


WHAT DOES OUR CURRENT DATA TELL US ABOUT THE SAVINGS….

Category Current Costs Savings Costs of Digital Alternative (around £15/patient once at scale)

Total Savings

Avoidable A&E £1.86m £0.35m (18%) £0.9m £1.19m

(or £19.83 for every citizen)

Avoidable LTC £1.87m £1.12m (60%)

Zero day stays £1.04m £0.62m (60%)

For these three use cases alone the savings potential for the NHS is £1.27bn across the U.K. – and creates a viable digital healthcare economy of around £0.96bn


BUT HOW DO YOU DO THIS?


= FACTORY/PRODUCTION LINE

WRONG BUSINESS MODEL

= RETAIL OUTLET



= FIELD SUPPORT


WHERE IS THE AT SCALE BUSINESS MODEL FOR REMOTE CLINCAL

SUPPORT?


BIRMINGHAM (1 ALREADY, 3 MORE THIS YEAR)….

LESS(as fast as we can)


MORE (asap)


DIGITAL HEALTH - King's Fund › sites › default › files › media...WHAT DOES OUR CURRENT DATA...

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