2. Why mHealth?
• Need for a step change:
– ageing population
– increasing healthcare burden/cost
– personalisation/stratification
– self-care and independent living
• Opportunity - mobile technology:
– commoditised, ubiquitous
– personalised, socialised
– any time, any place
– real-time
– context-aware
3. mHealth – Transformative
• mHealth interventions offer:
– collaboration and workflow
– information at the point of care
– monitoring and targeting intervention
– influencing behaviour
– supporting self-care
• Key outcomes:
– improved quality of care
– enhanced patient/citizen experience
– reduced cost of care
4. But…
• ‘Successful’ trials, poor adoption
• Systematic weaknesses
– Poor understanding of needs
– ‘Point’ vs whole system approach
– Barriers to user acceptance
– Underdeveloped business models
– Lack of sustainability planning
– Short term partnerships leading to limited commitment
– Lack of critical mass
• Need for a new approach…
5. mHealth Ecosystem
• Multi-sector partnership of critical mass
– shared commitment to accelerate adoption
• Innovation factory
– co-development of innovative whole-system solutions
• Route from pilots to routine practice
– co-developed pilot-to-adoption business plans, evidence
• Reduced barriers to new deployments
– large, diverse, ‘instrumented’ study population
– stage-gated deployments & shared risk models
6. Who’s in an mHealth Ecosystem?
Health & Social Care HE Research Base
HE Research Base
Commissioners
Open Innovation Partnership
The University of Manchester
Internationally renowned as a centre of
excellence for multi-disciplinary mHealth &
eHealth research.
MIMIT Industry
Health & Social Care Providers First translation outside the USA of the highly
Devices
successful CIMIT initiative for generating and
Public Providers developing innovations in medical and health
technology.
North West eHealth Telecoms
ICT &
Private Providers Mission: To make sense of local healthcare
through better integrated and analysed
information. Software
Greater Manchester Comprehensive Local
Research Network
Primary Community Assisted Care Secondary Pharma
One of 25 CLRNs across the UK, providing
Care Care Living Home Care support for clinical trials and other studies in all
areas of disease and clinical need.
Integration
Services
Patients, Families, Citizens
7. Ecosystem Purpose
• To accelerate the adoption of mHealth solutions in health
and social care
• To facilitate and support sound research into mHealth
To build a trusted network of collaborators to ‘make
mHealth happen’ in Health and Social care
8. Benefits to Members
• Community of practice
– Breaking down silos; sharing knowledge & experience
– co-innovation
– developing the market
• Commercial opportunity
– understanding need
– stage-gated sustainable deployment
– evidence – cost-benefit analysis
• Better, cheaper health and social care
– early adopter opportunities
– addressing unmet need
9. Manchester mHealth Ecosystem
• Launched June 2011
– under the European Mobile Health Alliance (EuMHA) banner
– An International family of ecosystems
• Concentrates on a geographical health economy
– population > 3M in 10 mile radius
– 23,500 NHS staff
• Builds on the MAHSC University-NHS partnership
– 6 NHS trusts, NHS research networks
– A Top-ranked research-intensive university in UK, (health, science,
engineering, humanities, business)
• Strong Industry Members: technology, healthcare, pharmaceutical, SMEs
• Scope: includes Healthcare, Social care and Social housing
10. Manchester Ecosystem
Health & SocialCare
Health & Social Care HE Research Base
Providers/Commissioners HE Research Base
Commissioners The University of Manchester
Internationally renowned as a centre of
Primary Care Providers: excellence for multi-disciplinary mHealth &
Open Innovation Partnership
•Salford PCT eHealth research.
•Stockport PCT Industry
MIMIT
•Trafford NHS Social Care Providers
Health & First translation outside the USA of the highly
•Manchester Mental Health & Social Care Devices
successful CIMIT initiative for generating and
Trust Public Providers developing innovations in medical and health
technology.
•StonyDelph Medical Practice
North West eHealth Telecoms
ICT &
Private Providers
Secondary Care Providers: Mission: To make sense of local healthcare
•The Christie NHS Foundation Trust through better integrated and analysed
•Manchester Mental Health & Social Care
information. Software
Trust Greater Manchester Comprehensive Local
•Salford Royal NHS Foundation Trust Secondary Research Network
Primary Community Assisted Care Pharma
One of 25 CLRNs across the UK, providing
•University Hospital South Manchester Care
Care Care Living Home support for clinical trials and other studies in all
•Central Manchester NHS Foundation Trust areas of disease and clinical need.
Integration
Social/Community Care Providers:
•Manchester Mental Health&Social Care Trust
•Stockport Adult Social Care Citizens
Patients, Families, Services
•Halton Borough Council
11. Manchester Ecosystem
Patients Families, Citizens
Health & Social Care HE Research Base
HE Research Base
Commissioners The University of Manchester
Internationally renowned as a centre of
excellence for multi-disciplinary mHealth &
Open Innovation Partnership
The ecosystem works with eHealth research.
representatives of patient MIMIT Industry
Health & Social Care Providers
forums locally and more widely First translation outside the USA of the highly
Devices
successful CIMIT initiative for generating and
in the UK Public Providers
and Europe e.g: developing innovations in medical and health
technology.
• IAPO
• PRIMER (patients in primary North West eHealth Telecoms
ICT &
Private Providers Mission: To make sense of local healthcare
care) through better integrated and analysed
• North West People in Research information. Software
• CLAHRC Citizen Scientist Greater Manchester Comprehensive Local
Research Network
Cohort
Primary Community Assisted Care Secondary Pharma
One of 25 CLRNs across the UK, providing
Care Care Living Home Care support for clinical trials and other studies in all
areas of disease and clinical need.
Integration
Patients, Families, Citizens Services
12. Manchester Ecosystem
HE Research Base
HE Research Base
Health & Social Care HE Research Base
Commissioners TheUniversity of Manchester
The University of Manchester
Centre of Excellence as a centre
Internationally renowned for multi-of
excellence for multi-disciplinary mHealth &
disciplinary mHealth & eHealth
Open Innovation Partnership
eHealth research.
research.
MIMIT Industry
Health & Social Care Providers MIMIT
First translation outside the USA of the highly
Generating andDevices
successful CIMIT initiative for generating and
developing
Public Providers developing innovations in medical and health
innovations in medical and health
technology.
technology
North West eHealth Telecoms
ICT &
Private Providers Mission:West eHealth local healthcare
To make sense of
North better integrated and analysed
through
Integrates and Softwarehealth data
information. analyses
Greater Manchester Comprehensive Local
Greater Manchester Comprehensive
Research Network Network
Local 25 CLRNs across the UK, providing
Primary Community Assisted Care Secondary One of Research Pharma
Care Care Living Home Care The best performing research network
support for clinical trials and other studies in all
areas of disease and clinical need. for
in England providing support
Integration
clinical trials and other studies in all
areas of disease and clinical need.
Patients, Families, Citizens Services
13. Manchester Ecosystem
Health & Social Care Industry ResearchBase
HE
HE Research
Base
Commissioners The University of Manchester
Internationally renowned as a centre of
From multi-national corporations to
excellence for multi-disciplinary mHealth &
Open Innovation Partnership
eHealth research.
SMEs/start-ups:
MIMIT Industry
Health & Social Care Providers • Adherence Science Ltd
First translation outside the USA of the highly
Devices
successful CIMIT initiative for generating and
• Aida
Public Providers developing innovations in medical and health
• AstraZeneca
technology.
Private Providers • Robert eHealth Telecoms
ICT &
North West Bosch Healthcare
Mission: To make sense of local healthcare
• Intel
through better integrated and analysed
• Janssen Software
information. Healthcare Innovation
•Kainos
Greater Manchester Comprehensive Local
Primary Community Assisted Care Secondary •Medopad
Research Network
Pharma
One of 25 CLRNs across the UK, providing
Care Care Living Home Care • Melandra
support for clinical trials and other studies in all
areas of disease and clinical need.
• North West eHealth
Integration
• RegPoint
• Wellkom
Services
Patients, Families, Citizens • Wragge & Co
14. Example Eco-system Priorities
• Integrated care across acute, primary, community and social care
• Access to patient records at point of care
• Tele-health and Tele-care
• Falls prevention
• Rapid response teams
• supporting early discharge
• deflecting A&E admission
• Support for people with long term conditionss
• End of life care
15. Ecosystem Projects - Current
University of Manchester/Manchester Mental Health & Social Care Trust - Mobile
technology for experience sampling to support patients with Schizophrenia.
Intel/Central Manchester Foundation Trust – Touch screen devices to manage staff
workflow.
University of Manchester - Smart, self-adaptive environments for falls prediction and
prevention to support older people in their own homes.
Intel/UHSM – Changing workflows to support integrated care and putting in place the
necessary technology
University of Manchester/NHS Stockport/Manchester City Council - Needs assessment
of Assistive Technologies for older people
University of Manchester - Optimization of Treatment and Management of
Schizophrenia in Europe
16. Ecosystem Projects - Completed
University of Manchester – using mobile to deliver CBT directly to employees absent
from work due to mental health difficulties.
Intel/Macclesfield Hospital - Mobile Point of Care for pharmacy staff.
Central Manchester Foundation Trust – automated tracking of vital signs in intensive
care unit.
CLAHRC for Greater Manchester – Lifestyle intervention for patients with impaired
glucose tolerance (IGT).
Intel/Salford Royal Foundation Trust – Mobile Point of Care for ward staff.
17. Manchester mHealth Ecosystem Today
Health & Social Care Commissioners HE Research Base
• Trafford, Salford, Stockport PCT • University of Manchester
• Manchester Mental Health & Social Care - 11,000 staff, 3rd in UK for research power
• Stockport Adult Social Care - Manchester Informatics – 550 researchers
Health & Social Care Providers University-NHS Collaborations
• Salford PCT • Manchester Academic Health Sciences Centre
• Stockport PCT - 6 Trusts, 3m patients, 23,500 staff
• Trafford Primary Health • MIMIT: Medicine & Innovative Technology
• Manchester Mental Health &Social Care • North West e-Health
• Christie NHS FT
• Salford Royal NHS FT Business
• Central Manchester NHS FT • Intel Corporation
• University Hospital of South Manchester FT • Bosch Healthcare
• Stockport Adult Social Care • AstraZeneca
• Halton Borough Council • Janssen Healthcare Innovation
• Wragge & Co
Patients, Families, Citizens • Adherence Science
• European Patients’ Forum • RegPoint
• CLAHRC Citizen Scientist Cohort • Trustech
• Melandra
• AIDA
• Wellkom
• Kainos
