Academic Health Science Networks supporting strategic commissioning
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Dr Liz Mear, Chief Executive of the Innovation Agency, presented at NHS Confed 17 on Academic Health Science Networks (AHSNs) supporting strategic commissioning and bringing innovators, commissioners, clinicians and patients to together to develop closer collaboration and a demonstrably clearer understanding of NHS needs and opportunities.
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Academic Health Science Networks supporting strategic commissioning
- 1. Academic Health Science Networks supporting strategic commissioning Dr Liz Mear Chair of the national AHSN Network, England Chief Executive, Innovation Agency @MearLiz
- 2. 15 Academic Health Science Networks– innovation, health, economic growth, advancing technology
- 3. Our privilege is our ability to uniquely connect…
- 4. This goes from research to revenue: from start-up to scale-up UK Plc Researchers / Industry CliniciansPatients
- 5. Key AHSN impacts since 2013 • 6.3M people have benefited from AHSN activity • 226 innovations have been adopted via significant AHSN involvement • Over £330M in innovation funding has been leveraged by AHSNs • AHSN-enabled innovations have been implemented in over 11,400 sites • Over 500 jobs have been created.
- 6. AHSN support • Analytical capacity and skills to evaluate complex data setsCapacity • Support and links to innovative technologies for the delivery of high quality patient careIndustry links • Engagement with academia; bridge between researchers and commissioners; signposting Evidence/ research into practice
- 7. AHSN support • Sharing best practice across systems and across AHSNs System/England wide collaboration • Promotion and support of economic growth and engagement with non- NHS organisations and across wider systems Economic and social wellbeing
- 8. Interoperability and learning from data for future commissioning – one example Quality Improvement Academic rigour Specialist expertise Infrastructure
- 9. 9 The Innovation PathwayThe Innovation Pathway AHSNs help companies & innovators navigate a fragmented landscape
- 10. Relative reduction in hip fracture incidence following four years bone sparing therapy based on 1500 patients (Cochrane 2008) 59 Hip Fractures avoided £960,000 Direct savings in acute hip fractures Pilot with Amgen – system to optimise medicines for osteoporosis patients Potential for reducing hip fractures:
- 11. 7,870 identified as benefitting from intervention to optimise medicines use 39,350 patients in audit Study highlighted opportunities to improve treatment of osteoporosis and reduce the risk of fractures Study showed potential to improve treatment and avoid fractures
- 12. A unique opportunity to enhance evidence based approaches to commissioning that supports a culture of innovation, improvement and transformation. Clinical Commissioning Evidence Champions
- 13. Clinical Commissioning Evidence Champions Who • Clinical Commissioners and GPs (11 in total) • From CCGs and local authorities What • PG Cert Professional Practice (Evidence Based Commissioning) through Lancaster University How • Students reported improved confidence in using evidence • Work based project – practical application and reflection of how to put evidence into practice
- 14. Right evidence, better decisions Our aim is to put good research evidence at the heart of decision making in the NHS, public health and social care. Dedicated NIHR Dissemination Centre http://www.dc.nihr.ac.uk/emai l-sign-up
- 15. Making research accessible Signals Highlights Themed Reviews
- 16. Events to support collaboration across systems Ecosystem Series supporting mobile health and electronic health, connecting businesses, academia, NHS and local authorities Hackathons Connecting businesses with health professionals and patients to ‘hack’ solutions
- 17. Presentation 1 17 Innovation Fellows: innovative health technologies and services into action Francis White spreading the use of Kardia from AliveCor, the UK’s first mobile heart monitor Dr Lloyd Humphries Patient Knows Best Dr Penny Newman Health Coaching National Innovation Accelerator
- 18. Presentation 1 • 469 additional NHS providers and commissioners using NIA innovations • £28.6m+ raised in funding for life science businesses • 14 awards won, 10 selling internationally • Impacts around earlier intervention, • reduced emergency admissions, • reductions in complications, cost • savings AliveCor, the UK’s first mobile heart monitor National Innovation Accelerator
- 19. Patient and public involvement
- 20. Listening and involving the public – PIES and PIGs • AHSNs engage patients and the public • Consultation and feedback on innovations; part of projects such as preventing AF-related strokes; and testing self-care tech • National forum of AHSN Patient and Public Involvement Leads share learning and solve problems together “The Citizens Senate… ensures that patients can play a greater role in the design and delivery of improvement.” Trevor Fernandes Co-chair East of England Citizens’ Senate “I am impressed with the work of the AHSNs’ pioneering new approaches to self-management with the voluntary sector and directly with patients.” Hilary Newiss Chair, Patient Voices
- 21. AHSNs’ future role • Aligned with national innovation and improvement aims • With local direction from transformation partnerships and our regional stakeholders
- 22. Our shared objectives • Innovators, commissioners, clinicians and patients develop closer collaboration and a demonstrably clearer understanding of NHS needs and opportunities • Patients, residents and the NHS have demonstrably faster access to cost effective innovations and improvements • Patients are demonstrably safer and systems are demonstrably more focused on continual leaning and improvement of patient care
- 23. Dr Liz Mear Chief Executive E: Liz.Mear@innovationagencynwc.nhs.uk T: (0044) 1772 520260 Email us: info@ahsnnetwork.com Visit us: www.ahsnnetwork.com For more information…
Editor's Notes
- 15 Academic Health Science Networks (AHSNs) across England Uniquely connect NHS, academic organisations, LA’s, 3rd sector & industry We do this by Bringing people, resources & organisations together quickly, delivering benefits that couldn’t be achieved alone Support the development of healthcare innovations & technologies by SME’s Drive commercial return for SME’s through supporting adoption, procurement & supply into to the NHS market
- National annual call: supporting proven innovation to be adopted faster for patient benefit at reduced cost The aim of the NIA is to deliver on the commitment detailed within the Five Year Forward View – creating the conditions and cultural change necessary for proven innovations to be adopted faster and more systematically through the NHS, and to deliver examples into practice for demonstrable patient and population benefit. After a successful first year, the NIA 2016 opens for applications from healthcare innovators on Friday 17 June. This round of applications will focus on three challenges based on population health needs: Prevention Early intervention Long term condition management
- National annual call: supporting proven innovation to be adopted faster for patient benefit at reduced cost The aim of the NIA is to deliver on the commitment detailed within the Five Year Forward View – creating the conditions and cultural change necessary for proven innovations to be adopted faster and more systematically through the NHS, and to deliver examples into practice for demonstrable patient and population benefit. After a successful first year, the NIA 2016 opens for applications from healthcare innovators on Friday 17 June. This round of applications will focus on three challenges based on population health needs: Prevention Early intervention Long term condition management
- · This was an industry collaboration with Amgen, testing a new osteoporosis audit tool · The tool interrogated practice clinical systems to identify: o Patients at risk of osteoporosis requiring assessment o Patients known to have osteoporosis but not on optimal treatment o Patients known to have osteoporosis who may benefit from a change in treatment · The funding paid for a clinical pharmacist to visit practices and run the tool then feedback to GPs · Practices volunteered to participate · We ran the tool initially in CCGs with the highest rate of hip fractures
- The audit identified nearly 8,000 opportunities, across the test site, to optimise osteoporosis patient care and improve local performance against national indicators and targets. The audit results showed that there are manageable groups of patients already with or at risk of osteoporosis that may benefit from having their medication optimised to reduce their fracture risk. The project found that by splitting the patients into subgroups based on their medication and clinical history, practices should be better placed to prioritise patients for review either proactively or at next contact.
- Hackathon July 2016 – Collaborate to Improve Care, in partnership with Chief Scientific Officer Sue Hill. Focus on improving care in care homes. Winner was a project to produce a mobile phone based system to test the hearing of care home residents, improving the quality of care
- We support the National Innovation Accelerator along with UCLPartners. 17 Fellows with innovative technologies or practices. In its first year, the 17 fellows who joined the programme received support to take their high impact innovations to more than 345 NHS providers and commissioners, raised over £17m in funding and won 12 awards. We support 3 Fellows – Francis White, Penny Newman and Lloyd Humphries. Each year, the NIA looks for the best national and international evidence-based healthcare innovators. Another 8 Fellows are currently being recruited – the results of the applications will be announced in November 2016.
- As our therapeutic area are unplanned care in COPD and alcohol misuse it has been difficult to recruit patients in some areas. Patient advocates who work regularly with patients dependent on alcohol are members of the Senate including one representing the Whitechapel Centre in Liverpool who support those with alcohol dependency and also those who are homeless. Focus groups have been held with those recovering from alcohol dependency at Genie in the Gutter. Innovation Lead for Patient and Public Involvement, Debbie Parkinson, has formed a patient group at The Royal Liverpool Hospital after liaising with Senior Nurse Specialists and the Hospital Board to gain permission to sit in clinics and interview patients on their views of sharing their healthcare data. Patients attending Liverpool and Aintree Hospitals will be identified by clinicians to work with CHC and with their consent be tracked on their care pathway and feedback gained throughout their journey. The Innovation Agency ensure patient voice is incorporated in our work and Senate members are involved in Patient Safety steering group, Innovation Exchange selection panel, Interviews for Innovation staff and one has recently acted as judge for the BMJ shortlisting for the awards with Dr Liz Mear.
- Patient Involvement and Engagement Senate; Patient Involvement Groups AHSNs are very strong on public engagement - engaging diverse communities, supporting genuine co-production of health and care services, and enabling self-management so patients have more control of their care. In the North of England, patient and public representatives are central to our work on the £20m Connected Health Cities programme, which is using shared data to improve clinical pathways and for research.