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South London Membership Council Summary of the day
Update from the SLMC held Thurs 25 February 2016
Contents
Summary of the plenary speaker’s talks
Notes from world café group discussions The Health Innovation Network (HIN) and Health Education South London (HESL) met for the first
South London Membership Council of the year at the ORTUS Learning & Events Centre, Denmark
Hill.
1. Welcome Richard Barker, Chair of the Health Innovation Network, opened the meeting by highlighting the importance of Technology as an enabler for transformation in the context of the 16/17 planning guidance - Delivering the Forward View and why it was selected as the theme of the meeting,. Richard also updated delegates that the recipients of the annual Innovation Grants and Recognition Awards, granted in November of last year, are now well underway with their projects and teams from HIN and HESL have been meeting with them to learn more about the exciting projects they’re delivering.
2. Health Education England update
Aurea Jones, Director of Health Education South London, opened the meeting with an overview of
recent work undertaken by HESL.
Workforce and education commissions: Health Education England’s South London’s focus over the winter months was working with stakeholders to discuss and agree workforce and education commissions for 2016/17, to ensure future investment proposals reflect the healthcare needs of the population across south London, as well as placement capacity being deliverable by trusts. HESL has also been running an investment programme, inviting proposals from organisations to
deliver projects which focus on delivering Health Education England (HEE) mandate priorities, new
models of care, and maximising education to employment.
HESL Programmes: Aurea also reported on a number of HESL programmes, including CEPNs (Community Education Provider Networks), which are progressing well across south London and having a positive impact on the development of the primary and community care workforce. From April 2016 The NHS Leadership Academy will be part of HEE and looking ahead, a new mandate for HESL from the Department of Health is anticipated. Associate Nurse Consultation: The consultation is now live, and the Membership Council were invited to complete the online survey and give their views on how this important new role will take shape. Comprehensive spending review (CSR): perhaps the most notable part of the review for education and training was the change to funding for pre-registration non-medical education which comes into effect in 2017. The full implications of the review are currently being worked through, and there will be a consultation and call for evidence which members are encouraged to play an active role in. Junior Doctor Recruitment: Aurea reported that junior doctor recruitment is progressing well and HESL will monitor for any impact from the junior doctors contract discussions.
3. HIN update
Managing Director for the Health Innovation Network, Tara Donnelly, spoke about a number of developments since the last membership council. The NHS internship scheme: had been launched which works with the universities across South London and offers undergraduate & graduates the opportunity to gain paid work within the NHS, in their chosen field of interest. The level of interest has been incredible with over 300 potential interns on the HIN's register. She referenced that the title of a recent blog said it all; If I were you, I’d get an Intern & urged members to think about where they could try an intern in their organisation. For more information please visit our website and Louise Brennan, lead for the scheme, would be delighted to help: [email protected]. Increasing Impact: Tara announced that having undertaken a midterm review the HIN’s programme mix has altered. It is adding a programme in stroke prevention (atrial fibrillation), integrating the south west London system into the HIN, increasing its work in Digital health care & no longer includes cancer. New HIN Board members: Tara also announced that the HIN Board has recently welcomed a number of new members:
Julian David - CEO Tech UK
Amanda Coyle - Director of Health & Communities at GLA
Matthew Patrick - CEO South London & Maudsley Foundation Trust
Hilary Newiss - Chair, National Voices
Daniel Elkeles - CEO Epsom & St Helier (with John Goulston)
Angela Bhan - Chief Officer, Bromley CCG
Liz Bishop – Chief Operating Officer, Royal Marsden
Nadra Ahmed – Executive Chair, National Care Association
Wider NHS developments: Tara talked about the important and growing role for AHSNs in enabling delivery of the forward view and the implications of the Planning guidance and how we can support the development of STPs in an environment of challenging operational and financial pressures across our memberships. She referenced work supporting the South London Vanguards and the London Test Bed at Care City. You can read more about Delivering the Forward View here.
Awards and press: The HIN teams have recently received a number of awards including, the Royal
Society for Public Health - Health & Wellbeing Award for our MSK programme and the British Society
of Rheumatology Best Practice Award for ESCAPE-pain. The HIN has also been awarded the
‘commitment level’ in the Mayor of London’s Healthy Workplace Charter. Media coverage of the
HIN’s programme areas and Digital Health.London launch has also been extremely encouraging.
4. HEE’s Strategic Framework for Library Services: Richard Osborn, London Strategic Lead for Library
Services and eLearning, Health Education England, presented Health Education England’s strategic
framework for library services, which launched in 2014. The library and knowledge services aim to
equip NHS bodies and staff as well as patients and the public with the right knowledge, at the right
time, in the right place. Thus enabling high quality decision making and easier (digital) access to
knowledge. For more information Richard can be contacted on: [email protected].
5. Delivering the Digital Healthcare Dream: John Paul Maytum, Special Adviser to the Chief Scientific
Officer, NHS England, gave a lively presentation about the opportunities, as well as the challenges in
delivering digital healthcare. John Paul called the Membership Council’s attention to the fact that
88% of adults in 2015 used the internet, and 50% are self-diagnosing. Yet only 2% of the population
have a digitally enabled interaction with the NHS. Healthcare is widely acknowledge to be at least a
decade behind other industries in the use of information technology, so there is a great deal of
scope to improve. John Paul stressed that; becoming digitally enabled is not about replacing
analogue or paper processes with digital ones. It is about rethinking; what work is done, re-
engineering how it is done, and capitalising on opportunities afforded by data to learn and adapt.
The slides from John Paul’s presentation are available here and he can be contacted on:
6. Digital Health.London Launch: Tara updated the Membership Council on the launch of Digital
Health.London on 10 February, which included a speech from George Freeman MP, Minister for Life
Sciences – Tara’s presentation and the full speech from George Freeman can be seen on the DH.L
website here digitalhealth.london/launch-of-digitalhealth-london/. A short animation can be seen at
http://digitalhealth.london/about-us/ which sets out the ambition for the project.
7. Digital Health Accelerator Programme: Anna King, Commercial Director for Health Innovation
Network then spoke about the launch of the Digital Health London Accelerator Programme,
designed for digital health businesses that would benefit from better engagement with the NHS and
the wider health sector, in order to refine and develop products and services that meet the needs of
the system. This part of the Digital Health.London programme was discussed in greater detail during
the world café sessions.
8. Aurea then introduced the World Café sessions with experts on each subject giving a fast and engaging one minute overview of their area before breaking into individual tables and rotating through a series of 15 minute discussions. The headlines from each of the tables can be seen below, together with contact details for each of the subject leads.
World Café Discussion notes Summary from Thurs 25 February 2016
Contents
Summary of the six world café sessions
Additional information and contact details
1. Dr Kate Tatton-Brown, St George’s University Hospital - Consultant in Clinical Genetics:
The Genomic Era: The Future of Genetics in Medicine
Summary:
The Massive Open Online Course (MOOC) in genomic medicine launched through the FutureLearn
platform in June 2015. The initiative was funded by a grant from Health Education South London and
developed in collaboration with Health Education England to rapidly up-skill the healthcare
workforce in an era where genomic technologies are becoming increasingly integrated into
mainstream medicine.
The course consists of five weeks learning undertaken over two to three hours per week. Multiple
media are utilised including animations; prezzi-based presentations; interviews with patients and
clinicians; narrated powerpoints and articles. However, one of the strongest features of the MOOC is
the opportunity to discuss each step: some steps are dedicated discussion steps whereas others
have a “talking point” to stimulate discussion. It is possible to “like” people’s comments and follow
participants that you have found particularly thought provoking / interesting. Five mentors from a
Clinical Genetics background monitor these discussions and answer any queries.
The course structure is as follows:
Week 1: DNA, the code of life and the human genome
Week 2: When things go wrong with our genes and chromosomes
Week 3: The changing genomic landscape
Week 4: Genomic data in clinical practice
Week 5: Ethical considerations and communication skills in a genomic era.
The course is accredited for CPPD from the RCP, RCPCH and RCGP and, over the three iterations to
date, over 6000 learners have participated. Many of these participants are from the UK and from a
healthcare background but a number of patients and their family members have also participated
which has enhanced the quality of the discussions. In addition, participants from all over the world
are taking part which adds an interesting perspective to the discussions. We are currently drawing to
the end of the current course run but will be launching again at the beginning of May. Found out
more about the course and learn all about genomics and its impact on healthcare now and in the
future.
2. Dr Jo Preston - Consultant Geriatrician, St Georges University Hospital
MDTea Podcasts
Follow MDTea Podcasts on Twitter and Facebook!
MDTea stands for Multi-disciplinary Team Education on Ageing:
Free, Open Access Medical Education (FOAMed) resources
Presented by two geriatricians, Jo Preston and Iain Wilkinson
Supported by an MDT Faculty of clinicians and academics from Kent, Surrey and Sussex
Funded by Technology Enhanced Learning grant from HEKSS for 20 episodes
Encourage team learning to replicate that seen day to day around clinical topics
Professionally produced and conversational style making them accessible.
Published fortnightly with interaction encouraged in between episodes.
What topics are covered?
Comprehensive Geriatric Assessment
Continence
Falls
Delirium
Communication in Cognitive Impairment
Pain Control in Older Adults… and many more!
How are they being promoted?
Social media sites such as twitter and Facebook
Word of mouth
Conferences for education, geriatrics, physiotherapy, occupational therapy, nursing etc.
Mailing list option for email delivery of link to episode
Aim is for all levels of digital literacy to be catered for
KSS AHSN assisting with promoting to local clinical networks, CCGs etc.
How is interaction encouraged?
One of the aims of the podcasts was to develop a community of practice around healthcare
for older adults, to compliment that seen working day to day.
Feedback is welcomed and incorporated into subsequent episodes and resources
MDTeaser quiz at the end of each episode encourages listenership using a clue each episode
to guess an MDT item.
Through social media and email on website: [email protected]
Credibility
All contributing MDT faculty recognised on the website
Clearly stated learning outcomes
Show notes provide references for further reading and curriculum mapping
Educational Basis
Produce infographics a week prior to each episode providing ‘A Sip of the MDTea’ to
incorporate a flipped classroom method.
Blended learning with infographics, audio show, followed by show notes with references for
further reading.
3. Leon Douglas, Health Innovation Network - Head of Technology and Clinical Information:
Digital Content Prescribing
Summary of the programme:
HIN are working with industry partner IMS Health
Helping the system understand the potential use of apps and digital content prescribing
Aligns with national agenda. The National Information Board (NIB) 1.2 work stream; brings
together organisations from across the NHS, public health, clinical science, social care, local
government and public representatives to focus on the regulation, accreditation and
Kitemarking of technology and data enabled services, including apps, digital services and
associated mobile devices.
AppScript is a tool that allows clinicians to recommend health apps and content to improve
patient engagement, satisfaction and outcomes.
AppScript also provides the facility for clinicians to review apps they have recommended.
A range of health and wellbeing apps have been selected for the pilot
The apps have been given a score through the six part AppScript scoring system. The score
includes patient and professional opinion, functionality and any supporting academic
evidence. The scoring system will assist clinicians in narrowing down the suitability of apps
for their patients, as well as giving them confidence in the apps’ effectiveness.
Evidence base for apps is small at the moment but building.
Learning from pilot so far:
Role plays to help clinicians understand how they need to adapt consultations in practice
Need to introduce apps/digital content as another intervention/support tool, not just an add
on at the end of a consultation
Potential for digital content prescribing in giving support to positive behaviour change
World café discussion points:
Digital content prescribing offers an opportunity for helping patient to prop themselves up
while the clinician isn’t there-support for behaviour change
Need to frame the opportunity to clinicians, making sure it isn’t just another thing to do, but
something which can support them and make their job easier.
Opportunity for clinicians to provide a whole package of information to patient in a
convenient way (not by 50 leaflets)
Apps prescribed by a clinician tend to be used for longer, patients buy-in is better.
Recommendation to embed use of digital content into clinicians training
Opportunity for care coordinators/health champions and public health professionals who
give advice on wellbeing to use.
It’s about information management as a whole and providing information in a more succinct
and efficient manner
4. Don Shenker, Alcohol Health Network – Director & Founder:
E-drink Check
Follow the Alcohol Health Network on Twitter!
Background:
Alcohol Health Network’s Don Shenker presented the e-drink-check Identification and Brief Advice
web-app. This web app is aimed to screen and support increasing and higher risk drinkers to reduce
their alcohol consumption and thereby improve their health outcomes. Alcohol Health Network are
working with a range of employers and boroughs – particularly RB Kingston and LB Richmond – and
workplaces – most notably Public Health England and Transport for London amongst others.
Session 1:
In this session the following points were raised and discussed:
There is an under delivery of IBA against potential delivery by practitioners and clinicians.
Unit information is still confusing and not well understood – the e-drink-check web app and scratch-card both feature an infographic to help users understand their consumption in units.
It was asked if there was a focus on supporting pregnant women, the LB Richmond version of the web app includes a section on maternity.
The uptake of the web app is circa 2,000 in RB Kingston and circa 1,000 in LB Richmond where the web app has been available for less time.
Session 2:
In this session the following points were raised and discussed:
It was asked how it had been commissioned in RB Kingston and LB Richmond – it was noted that Public Health commissioners within the local authority commissioned the web app as Public Health has the strategic lead for alcohol prevention.
It was noted that the statistics gathered from the web app indicated that a higher proportion of users (40%) were higher risk drinkers than the general population (circa 20-25%). It was also noted that this may have been due to an element of self-referral occurring.
It was also noted that in RB Kingston and LB Richmond non-health partners and services were keen to refer clients to the web app.
Session 3:
In this session the following points were raised and discussed:
It was asked how this connected with younger people – it was noted that a version of the web app had been developed for Kingston University students – but that the evidence on young people and behaviour change has not been fully developed yet.
It was noted that the delivery through LA Public Health was focused on primary care settings at the moment, and that referrals can be made directly from the web app to community treatment services.
Where it has been commissioned in workplace settings referrals can be made to Employee Assistance The age range of user’s pogrammes.
It was discussed whether gameification might be a possibility – it was noted that although UCL is conducting research in this area there isn’t a clear research evidence base yet.
Session 4:
In this session the following points were raised and discussed:
It was noted that the Alcohol Health Network hosts bespoke web apps for each commissioned service.
It was noted that a web app is more functional than a mobile app – mostly as it can be altered and updated easily, which is appropriate for a field with developing evidence and changing policy.
Data security was discussed – it was noted that use of the web app is anonymous.
Session 5:
In this session the following points were raised and discussed:
The age range of users was discussed, it was noted that as RB Kingston and LB Richmond deliver the wen app through primary care the age range tends to be older.
It was noted that the web app is customised for local commissioner’s needs.
5. Andrea Carter & Professor Mike Hurley, Health Innovation Network – Programme Manager &
Clinical Director for Musculoskeletal Programme:
ESCAPE Pain
Summary of the programme:
Intended for older people of 45+ suffering from chronic hip and/or knee pain as a result of
mild to severe arthritis
The programme involves groups of 8 – 10 patients having 1.5 hours of education and
practising exercises led by Physiotherapist, as well as a facilitated discussion between
patients
Currently in 30 sites across England, with a big focus on South London
Current barriers:
NHS constraints – gym time/physiotherapist availability/money
Getting to people before they become patients – changing people’s lifestyles/behaviours
Patients who do not live close to where the classes are currently held cannot join the
programme
Solutions:
Hold classes in leisure centres/NHS teaching sites/workplaces etc.
A free app (launching at the end of March) so that patients can follow the 12 session course
from home as a supplement to their face-to-face NHS physio sessions
Group discussion points:
Could the app link in with other health devices, i.e. Fitbit/apple watch?
We will get the word out about the programme and the app by using a good marketing
push, testing with local GP’s so that they can prescribe the app, being listed on NHS choices
etc.
Prevention is a key concern and the programme does also aim to target groups under 45.
A key element of the programme is getting patients to realise that it won’t be a miracle cure
– relaxation techniques on the app and coping strategies will help patients with chronic pain.
The primary care pathway needs to get better at recognising and helping patients manage
chronic pain
The programme also focuses on pre and post op patients which leads to a faster recovery
with less time waiting to see a physio. Patients receive their own personalised ‘escape plan,’
to tailor the programme to their needs.
In order to overcome the challenge of transferring the face-to-face classes to the app, which
patients will use at home, patients are given choice and flexibility in choosing exercises from
a library which work best for them.
Patient engagement is key, and the app should give the patient a prompt to keep going with
their ‘escape plan.’
6. Anna King, Health Innovation Network – Commercial Director
Digital Health Accelerator Programme
Follow Digital Health.London on Twitter!
Summary of the Programme:
DigitalHealth.London has been created as a response to the 2015 report by the London Health Commission, Better Health for London, which recommended the creation of a digital health hub in the city. It is a collaboration between MedCity, the Health Innovation Network, UCLPartners and Imperial College Health Partners, supported by the Mayor of London. The programme will create an environment to support adoption of digital health innovation to approve health outcomes.
DigitalHealth.London’s first project will be a new accelerator programme for digital health businesses that would benefit from better engagement with the NHS and the wider health sector, in order to refine and develop products and services that meet the needs of the system.
The programme, set to be funded by £1.8m investment from the European Regional Development Fund, will boost economic activity across London and seek to support deployment of innovative technology as solutions to some of the challenges faced by members by supporting engagement between clinicians/healthcare experts and innovative small businesses. Much of the funding will flow to members as a means of freeing-up more staff time to be made available for engaging with innovative businesses.
Together we aim to find and support the highest potential digital health start-ups and
businesses, and support them to work with the NHS and the wider healthcare sector in
developing and deploying their products as solutions to some of the most pressing challenges
facing health and social care
Get involved:
The Accelerator is looking for small companies to engage, so please spread the word:
digitalhealth.london/accelerator
We are extremely keen to engage with members interested in providing access to expertise
for accelerator start-ups from their trust. It should be possible in most cases to cover provision
of staff time through ERDF funds.
Join a webinar!
Group discussion points:
- Can we work on interoperability?
- Can we facilitate the sharing of data between departments and across the NHS?
- How do we do this without a large cost to the system?
- Patients should hold the key to their own data
- How do we support engagement between NHS and innovative industry?
- How do we increase impact of digital health?
- Notion of hospitals as ‘academic health campuses’ – DigitalHealth.London needs to be a
thought leader
- What will the hospitals of the future look like?
- Where do great digital health ideas come from? How can we unlock the ideas from
clinicians?
9. Closing remarks: Richard Sumray, Chair of Health Education England, South London brought the meeting to a close, reflecting on the enormous value of coming together to discuss issues in this way and the wide ranging connections he had seen made through today’s meeting. Richard re-iterated the importance of what we’d covered and the value of it in the context of Delivering the Forward View and the need to keep these discussions going well beyond the boundaries of this meeting.
Upcoming SLMC meetings:
Tues 7 June 2016
Tues 11 October 2016
