NIHR| August 2018 | Healthcare in 2088 – how will research and innovation transform the NHS in the next 70 years?
Professor Mike Trenell, Director at NIHR Innovation Observatory, envisages how the NHS might look in 70 years’ time. Acknowledging this is difficult to predict for a decade’s time, it is much more problematic to prepare further ahead. Instead, Professor Trenell and his colleagues at the NIHR Innovation Observatory keep an eye on what the future holds. Helping the NHS and healthcare leaders to understand future medicines, devices and diagnostics helps to shape policy, regulation and approvals and stimulate research activity.
The full blog post is available from NIHR
They identify three areas that will influence the future of healthcare
- Digital Healthcare:
In the future, whether you access a GP through a video call, artificial intelligence is used to interpret your MRI scan, or your phone lets you know what dose of a drug to take – digital healthcare holds the potential to fundamentally change how we access and provide care.
- Changing Genes:The ability to alter genetic coding was established in 2012, a technology called Clustered Regularly Interspaced Short Palindromic Repeats – CRISPR. But scientists and care teams have translated this into ways to tailor immune therapies to attack cancers or cut out mutations that cause disease.
Research taking place in this area right now provides a glimpse of how gene editing might affect future care. For example, researchers funded by the NIHR’s Efficacy and Mechanism Evaluation (EME) Programme are conducting a clinical trial looking at using gene therapy to replace the faulty gene that causes the incurable eye disease choroideremia with a healthy one.
The ability to modify genes will have deep implications for the management and prevention of some diseases, but it will also have deep societal and ethical implications.
- Looking after ourselvesThis area is not an innovation by definition, but it will have important implications for us all. Today the NHS has developed into a world leading health care provision service, but is being challenged by the pressures being put upon it. Obesity rates continue to rise and physical activity levels falling. Although the NHS is keeping us alive longer, it comes at a very real financial and individual cost (are the extra years actually of a quality we would like?).
We are moving from an era of biomedical enlightenment into a realisation of its limitations. The future will involve a greater balance of disease prevention and public health as well as disease management – we need to revisit the original remit of the NHS and create a “wellbeing culture”.
The full, unabridged post is available from NIHR
The free app will be available to everyone in England in December 2018
The new NHS app will give patients safe and secure access to their GP record. Patients will be able to use it to:
- make GP appointments
- order repeat prescriptions
- manage long-term conditions
- access 111 online for urgent medical queries
It means patients will be able to secure a GP appointment with the click of a button, rather than join a queue of callers attempting to ring the local surgery at the same time each morning.
Patients will also be able to use the app to state their preferences relating to:
- organ donation
- end-of-life care
The app has been developed by NHS Digital and NHS England. It will be available through the App Store or Google Play and once downloaded users can simply sign up for an NHS account.
Full story here
NHS Digital has entered into a three-year strategic partnership with IBM to provide a range of new and improved services to health and care organisations. These services will enhance data security and cyber security response and provide additional defence against increasingly complex, evolving threats.
The additional services will expand NHS Digital’s existing Cyber Security Operations Centre (CSOC)3 and enhance NHS Digital’s current capability to monitor, detect and respond to a variety of security risks and threats across the NHS, and offer expert advice and guidance
The CSOC expands on the existing cyber security services provided by NHS Digital and will include:
- Enhanced services, such as vulnerability scanning and malware analysis, allowing NHS Digital to offer tailored and specialist advice to individual NHS organisations
- Enhancement of NHS Digitals current monitoring capability enabling the analyses of data from multiple sources to detect threats across NHS Digital’s national systems and services
- Access to IBM’s X-Force repository of threat intelligence to provide insight, guidance, and advice so health and care organisations can take appropriate action to prepare for, or mitigate against, identified risks and threats.
- Security monitoring pilots across selected NHS organisations, to test a range of security technologies and identify appropriate solutions that could be rolled out across the NHS estate
- An innovation service which will allow NHS Digital to quickly access new tools technologies and expertise to address new threats as they emerge and to allow it to adapt services to meet the changing needs of the health and care sector.
Full story at NHS Digital
This Kings Fund report aims to support local organisations looking to undertake large-scale digital change. The document states that the future is bright for technology in health and social care, with local care providers digitising under their own steam and initiative.
The report shares the lessons from five varied case study sites that have made significant progress towards their digital aims. It sets out the lessons learnt and tips for other organisations that are looking to progress their own digital change.
- The use of digital technology in health and social care can improve quality, efficiency and patient experience as well as supporting more integrated care and improving the health of a population.
- Large-scale change involving digital technology, such as adopting electronic patient records (EPRs) and shared care records, is complex and necessitates attention to particular aspects of the change.
- This report shares practical learning from a series of case studies where significant largescale digital change is happening.
- Key barriers to successful digital change include the constraints care organisations face in their workforce, tight budgets, organisations’ attitudes towards risk and the relationships that exist between care providers and key stakeholders.
- Most of the barriers can be mitigated through time and effort and by treating digital projects as change projects, not IT projects. Effective and consistent staff engagement and resource allocation to the project are key factors in success.
The Kings Fund have also produced an interactive map which brings together case studies from across England, highlighting some of the places that are experimenting with and implementing new technologies to achieve better health outcomes or more efficient care.
Full report: Digital change in health and social care
A summary of the report is available here
The King’s Fund | June 2018 | Digital change in health and social care
You can download both the summary and the full report
University College London Hospitals | May 2018 | Revolutionising healthcare with AI and data science: UCLH and The Alan Turing Institute announces breakthrough partnership today
University College London Hospitals Biomedical Research Centre and the Alan Turing Institute are working in partnership to improve healthcare through artificial intelligence (AI) and data science.
The Alan Turing Institute will use AI and machine learning techniques to enable analysis of large data sets which will identify bottlenecks and barriers, after identification these could be resolved to improve efficiency and reduce patient waiting times. (via UCLH).
Professor Marcel Levi, UCLH chief executive, said:
“With ever increasing numbers of patients and ongoing financial pressures, we need to try something different, something innovative, something longer-term. The partnership with the Alan Turing Institute provides an opportunity to work with the world’s leading data scientists to do just this.
“Imagine a scenario where patients present to A&E with abdomen pain – our standard response is to check bloods, order X-rays or scans and in probably about 80% of cases, discharge for home management. What, if through analysis of thousands of similar scenarios, we were able to identify patterns in the initial presentation of the 20% with serious conditions, such as intestinal perforation or severe infections? This could enable us to fast track them through to a scan and a swift diagnosis and could support clinical decision making to manage the 80% who need no further clinical input more effectively. Machines will never replace doctors, but the use of data, expertise and technology can radically change how we manage our services – for the better”.
Sir Alan Wilson, Institute CEO of the Alan Turing Institute, commented: “At the Turing we believe that data science and AI will revolutionise healthcare: not only through new technologies, as in the recent break-throughs in image recognition, but also through applying cutting-edge algorithms to the every-day problems facing the NHS such as A&E waiting times and other crucial services. We are very proud to be working with UCLH to begin a multi-year research partnership and driving the outputs of our research forward to deliver real impact across the whole NHS.”
The full press release can be read at University College London Hospitals
Related: University College London Hospitals A Research Hospital: implementing research innovation for healthcare improvement
In the media:
The Guardian London hospitals to replace doctors and nurses with AI for some tasks
Evening Standard London hospital uses AI to cut A&E queues
Daily Mail Major London hospital is replacing doctors with ROBOTS to tackle mounting A&E waiting times and prioritise the sickest patients