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“Digital Health – The Future Landscape”www.handihealth.org
www.woodcote-consulting.com/blog
[email protected]
@handihealth @woodcoteewan @nhsopensource
Ewan Davis – Director HANDIHealth Community Interest Company, Director
Woodcote Consulting, Consultant to NHS England Open Source Programme,
Member Health and Social Care Council TechUKPast Chairman PHCSG
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First a Historical Detour
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1911 National Insurance Act
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Socialist Medicine and the Health Centre
Movement
The Peckham Experiment
www.thephf.org
Pine Street Health Centre
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1966 GP Charter
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1981 PHCSG Formed
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1987 Free Schemes
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1990 First Public Internet Service Provider in UK
• PHCSG pioneers discovery alt.sex.binaries , learn how to use a
mouse with their left hands and set up GP-UK
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1991 GP Fundholding
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2004 GP Contract
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2000 The NPFiT
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Era of Digital Health
• Apps and the formation of HANDI Health
• NHS Hackdays
• Open Data, Open Systems, Open Source
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The Changing Landscape
• An imperative to harness digital technology and Big Data to address
health and care challenges
• The Internet revolution
• A proliferation of apps and devices
• From organisational to patient centred – Driven by a consumer
health revolution
• Massive challenges for primary care
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Challenges for Primary Care
• Increasing demand
• More complex patients
• Extended access
• Care planning for LTCs• Integrated care
• “Virtual Wards”, “Hospital at Home”
• GP as care manager, patient advocate and commissioner
• Massive workload pressures
• Changes in the workforce and GP shortages
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Not quite dead – but off it legs!
The Dominant model of
General Practice established
in the 1970’s based on the GP
partnership and developed
over the past 40 years has
been taken as far as it can gois now End of Life
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What Next?
• GP Federations
http://www.kingsfund.org.uk/topics/commissioning/primary-care-toolkit
http://www.rcgp.org.uk/policy/rcgp-policy-areas/inquiry-into-patient-centred-care-in-the-21st-century.aspx
• Accountable Care Organisations
– Led by GPs
– Led by NHS Trusts
http://www.kingsfund.org.uk/publications/accountable-care-organisations-united-states-and-england
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Implications for Digital Health
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The Changing Landscape
Megasuite
Best ofBreed
Platform
OpenEcosystem
“One system to rule them all”
• NPfIT
• Enterprise/GP Systems
• Limited external integrations
Many systems ~ 100• Portals
• Integration engines
• Bespoke integrations
“Own the Platform”
• Health Vault, Apple, Lorenzo, etc
• ~1000 apps
• Partner interfaces (Woodcote L3)
The “Internet “of Digital Health
• HANDI-HOPD
• The Healthcare Services Platform
Consortium
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eHealth - City of Moscow
Reproduced with permission
http://bit.ly/1w9wZQy
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Challenges for GP IT
• Opening up – Building of GPSoC-R
• Integration with the ecosystem
• patient record access integration with PHRs, wearable tech and
social media. Fredbook?
• New business models create challenges and opportunities for
existing GP suppliers
• New opportunities for new entrants – Particularly apps and
subsidiary systems – OpenGPSoC?
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Not the time to retire
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The time to be young again
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“Digital Health – The Future Landscape”www.handihealth.org
www.woodcote-consulting.com/blog
[email protected]
@handihealth @woodcoteewan @nhsopensource
Ewan Davis – Director HANDIHealth Community Interest Company, Director
Woodcote Consulting, Consultant to NHS England Open Source Programme,
Member Health and Social Care Council TechUKPast Chairman PHCSG