Master slide deck from the Digital Allied Health Professional networking event on Tuesday, 10 March at Walshaw House, Lancashire.

1. Digital Allied Health Professionals
Networking event
East Lancs CCG, Walshaw House, Regent Street, Nelson, Lancashire, BB9 8AS.
12.00 – 15:30, Tuesday 10th March, 2020

2.  Fire alarm, toilets and exits
 Coffee and tea on tap … no breaks so feel free to roam!
 Please tweet throughout the day! Tag @healthierlsc @innovationnwc
and any speakers, and use the hashtag #digitalAHP
 Photos
 Wifi (or lack thereof!)
 Share, ask questions and have fun!
 Think ahead … what would you like to evolve from today?
Housekeeping and agenda for the day …
2

3. Agenda
3

4. Agenda
4
Show and Tell: 3 x 2 breakout sessions (15 mins each) … your chance to share
an innovation or digital development you’ve undertaking or are undertaking.
If possible, share what the need was, how the project was implemented, what
were the measures of success and what lessons were learned?
Volunteers? … … …

5. AHP Digital Event 10/3/2020
Louise Waters

6. Welcome
• Louise Waters, my story…
• Extended Scope MSK Physiotherapist at ELHT since 2010.
• Since 2017, ½ day per week dedicated to clinical informatics.
• GayPreston,ELHT
• PeteBurns,ELHT
• KarlaRimaitis,ProjectManager,InnovationAgency
• LindaVernon,DigitalLeader,HealthierLancashireandSouthCumbria
• AndyJeans–ORCHAstall
• RedmoorHealth–NHSOrbStall
• JulieBlackburn-ProfessionalAdvisorattheCharteredSocietyofPhysiotherapy. DigitalInformaticsPhysiotherapy
Group

8. Inspire
Modernise
Learn
Collaborate
AIMS
FUTURE
Share

9. Karla Rimaitis – Project Manger, Improvement and
Education / Q Partner North West Coast
@InnovationNWC
@krimaitis

10. About Q
Working together to improve
health and care quality
across the UK
Find out more about joining Q:
q.health.org.uk/join-q/

11. Liberating Structures – Impromtu Networking
You will get 5 minutes – (2-3 minutes each) to discuss
with 1 person – write down anything interesting
• What do you hope to get from the session?
• What do you want to give the session?
Rotate – find someone new (2nd pass)
Rotate – find someone new (3rd pass)
@InnovationNWC
@theqcommunity

12. What do we want to
achieve with our time
today?
@InnovationNWC
@theqcommunity

13. • Kick start an AHP digital network
• Gain an understanding of digital innovations across AHP
and explore current projects
• Raise awareness of some useful tools to try in practice
• Identify key elements of a AHP Digital DREAM
• Explore the sustainability of an AHP digital network
• Commit to small steps to move to a better digital workforce
• Create a report representing your views and work
@InnovationNWC
@theqcommunity

14. Raising awareness of contributions
@InnovationNWC
@theqcommunity

15. Liberating Structures – 1-2-4-all
The most recent digital innovations/projects
that you already know about/have experienced
or worked with?
Key opportunities and challenges to
overcome when adopting/innovating digital
solutions?
@InnovationNWC
@theqcommunity

16. @InnovationNWC
@theqcommunity
Think for 1 minute on your own and write
down your reflections
Then share in pairs 2 minutes, share as a four 4
minutes, discuss as a group 20 minutes and
collect responses.
Write down and feedback to the room some of
the most interesting finds your group
discovered.
Liberating Structures – 1-2-4-all

18. AHPs into Action – Digital Transformation
Declan Hadley, Digital Lead
@Declan_hadley

19. Why AHPs….19
• Leading change
• Developing your skills
• Evaluating and improving impact
• Utilising information & technology
• Action focussed & problem solvers

20. AHPs Digital Framework20
Skills, tools &
data

21. Our digital future strategy21

22. PHM is more about change than data22
Technology &
Data
Collaboration
The
Improvement
& Change
Collaboration
The
Knowledge &
Research
Collaboration
Monitoring Change

23. Sharing & using data23

24. New technology, creating the future24
Voice & AI
Sensors
Printing
Video
consultation

26. GETTING TECH INTO
PRACTICE
DR RACHEL C STOCKLEY MCSP
PHYSIOTHERAPIST, SENIOR RESEARCH FELLOW
@rachel_stockley
rstockley1@uclan.ac.uk

27. THE SUCCESS OF DIGITAL HEALTH
TECHNOLOGIES
• What % of health technologies are successfully, sustainably
adopted in practice?
•  20%
• Why?
• Not clear – reasons for failure are rarely reported.
• Frameworks to support tech implementation – NASSS, eHIT,
COM-B, NPT……

28. THE SUCCESS OF DIGITAL HEALTH
TECHNOLOGIES
• What % of health technologies are successfully adopted and
sustained into practice?
•  20%
• Why?
• Not clear – reasons for failure are rarely reported.
• Frameworks to support tech implementation – NASSS, eHIT,
COM-B, NPT……
• Present what we know on factors influencing digital health tech
implementation

29. QUESTIONS TO ASK YOURSELF…..1
• Users
• Who are they?
• How variable are they?
• As a group?
• As individuals?
• Tech design
• Poor user focus
• Were users involved? How?

30. QUESTIONS TO ASK YOURSELF…..2
• What behaviours are needed to use the tech?
• Frequent, quick interactions for short period vs sustained,
lengthy, use
• Organisation
• Track record in implementing tech? Or the first? Ready?
• What else is going on? Lots of change/churn vs relative stability
• How does it fit with work flows?
• What do you need to implement it? Training, work, equipment,
licences
• Will it change as technology develops? Can you respond to

31. QUESTIONS TO ASK YOURSELF….3
• Value
• What does it give you that no one else can?
• Is it the solution to the problem that no one has?
• Effort of using it vs likely benefit
• £
• Wider landscape
• How does it fit with evidence based practice?
• Policy drivers – “Frontline staff need good tech” Matt
Hancock, Dec 2019
• Professional concerns
• Individual familiarity

32. CONCLUSIONS
• Sometimes now is not the right time
• Too much change now, need to increase readiness
• Sometimes technology is not right
• Needs to ‘fit’
• Need to understand current work flows consider the
where/when/how
• Need a plan to implement and ensure sustainability
• Staff training, follow up support, too much training?
• Patient support, consider demographics but avoid bias
• What is the long term view? Updates? Compatibility? Across
Behaviou
r change

33. THANK YOU
QUESTIONS?
@rachel_stockley
rstockley1@uclan.ac.uk

35.  6 breakout sessions (2 rounds of 3 sessions each)
 Share an innovation or digital development you’ve undertaking or are
undertaking.
 If completed, share what the need was, how the project was implemented,
what were the measures of success and what lessons were learned?
 If in progress, share the steps taken to get to where you are now …
Show & Tell
35

36. Louise Waters Pete Burns

37.  Applied for funding to trial Physitrack as digital pioneers
 Evaluated the product over 12 months
 Measured clinician and patient feedback
 Present results to Senior Leadership team

38.  Physio Tools
◦ Trust moved to Manage Print in
Winter 2018.
◦ Currently use printed
diagrams/photos of home
exercises, in use last 5 years+.
◦ One licence (CD) per department
– housed on a departmental PC
with generic log in.
◦ Unsustainable?
 Physitrack
◦ Online video exercises (web or
app).
◦ Sent to patients via email / text.
◦ Ability to track progress / modify
remotely.
◦ Ability to configure – local advice
leaflets and outcome measures.
◦ Scope for ‘telehealth’ and data
evaluation tools.

39. ◦ Learn a new product
◦ Less time out of cubicle
◦ Able to offer better package of care (rehab / advice / outcome
measures)
◦ Can send patients electronic narrated videos of exercises, not printed
diagrams / photos (more personalised care)
◦ Ability to track patient progress / amend programs remotely
◦ Ability to collate outcome data more easily
◦ 35,000+ sheets of paper saved through printing

41.  NHS long term plan / Digital AHP
◦ Support self empowerment and self management for patients.
◦ Use data to inform strategy / outcomes / opportunities.
◦ Reduce waste.
◦ Telehealth….? Evolution of Physiotherapy
 Telephone / skype consultations
 Advise patients whilst on the waiting list / at point of triage
 Remote monitoring – tracker.

43. AHP Digital Maturity Assessment
Linda Vernon, Digital Leader (Empower the Person & Personalised Care) [MSK ESP]
@vernonlinda linda.vernon@nhs.net
On behalf of : Steve Tolan, AHP Lead, NHSE/I – London Region
@tolanAHP steve.tolan@nhs.net

44. AHP Digital Framework
https://www.england.nhs.uk/wp-content/uploads/2019/04/a-digital-framework-for-allied-
health-professionals.pdf
44

45. Background
• AHP Digital Framework published in April 2019 including an ambition for digitally ready and digitally
mature AHP services
• No existing data illustrating AHP digital maturity, only Trust level maturity assessment
• Anecdotal evidence of variation in maturity, AHP digital strategic alignment and AHP leadership
• Since August 2019, 115/233 NHS Trusts have nominated an AHP digital lead to NHS England via the
Chief AHPs network. These are now networked through the NHS Futures Forum.
• AHP digital leads vary in these nominations ranging from AHPs employed or seconded into Trust
digital roles (minority), individuals with digital as an additional interest but no protected time and AHPs
who have been volunteered by their organisation.
45

46. Why AHP Digital Maturity Assessment (AHP DMA)?
Analysis ‘Layers’ & Focus Points
46
Provider
Footprint
Regional
National
As an AHP service, I want to
understand our digital maturity
From a national perspective, I
want to know about key gaps,
successes and opportunities
across the country. This will
help identify the national AHP
offer and priorites
As an AHP service, I want to
know whether I’m engaged with
my organisation’s digital agenda
and strategy
As a provider, I want to know how
I compare to other providers
As an ICS AHP Council, I want to
identify common and individual
weaknesses across our providers
As part of the NHSE regional team, I
want to know how providers in my area
compare to those in other regions
across the country
Adapted from the NHS Digital trust level DMA

47. Sample
Responses
• AHP DMA sent to all 115
nominated AHP digital leads
directly and through the
NHS Futures Forum AHP
Digital Forum.
• AHP digital leads provided
with AHP DMA and brief
‘how to’ guide
• 52 / 115 Trusts responded to the DMA within the timeframe (45% response rate, equivalent to 22% of
NHS Trusts)
• 37 AHP digital lead requested additional advice / support and were responded to by ST (yielding
additional informal evidence)
• More than >4000 individual data items received from providers plus additional reports of how some
have used to support local advocacy
AHP DMA methodology
When? How?
• November 2019 to January
2020
• AHP Digital maturity
assessment constructed by
Mike Folan whilst in post.
• These were 77 questions
adapted from the NHS
England organisation level
digital maturity assessment
(133 questions) given an
AHPs professions focus

48. Organisational Digital Maturity Assessment: Data Model
48
Adapted from the NHS Engand trust level DMA
AHP DMA
adapted from
these sections
Digital Maturity
Assessment
Level 0
Readiness Capabilities Infrastructure
StrategicAlignment
Leadership
Resourcing
InformationGovernance
Governance
Records,Assessments&
Plans
TransfersofCare
Orders&Results
Management
MedicinesManagement&
Optimisation
DecisionSupport
Remote&AssistiveCare
Asset&Resource
Optimisation
Standards
27 Questions 95 Questions 11 Questions
No Sections
Level 1
(Themes)
Level 2 (Sections)
Level 3
(Questions)
133 scored Questions

49. 49
Brief summary AHP DMA highlight examples
• 47% respondents report organisational digital strategies acknowledge AHP service
requirements
• 25% report implementation of the digital strategy is aligned to, and supports AHP
service transformation programme(s)
• 39% Trusts report their AHP service participates in a wider health and care
community initiative to achieve digital record sharing (i.e. integration)
• 34% have formal embedded AHP digital leadership within their Trust
• 21% of nominated AHP digital leads have protected time for digital activity
• 96% respondents report they are confident the AHP workforce understands and
follows your organisations information governance policies & processes
• 30% of respondents agree their organisation's digital plans include financial
planning for AHP requirements

50. 50
Brief summary AHP DMA highlights
• 68% of respondents collect their clinical notes digitally
• 30% capture care plans in a structured format
• 13% of respondents report AHPs and their patients/service users where applicable
have access to Remote/virtual clinical consultations and clinical advice tools
• 24% of respondents report AHPs where applicable are able to contribute remotely to
discussions about patient care with colleagues outside their organisation using tools
such as online meeting, videoconferencing or skype
• 15% of respondents report patient and service users (and their carers) of AHP services
where applicable have access to tools such as apps and online services to support them
in with self management of their condition

51. • AHP DMA in some circumstances the first structured AHP digital conversation for
participants within their organisation
• Examples of digital AHPs being invited to join organisation digital working or strategic
groups, take up secondments or employed roles or invited to submit business cases as a
result of their AHP DMA enquiries
• Significant variation often reported between AHP professions within a trust and between
sites
• Example of a Trust using the AHP DMA exercise as evidence for Chief AHP within
organisation
• Examples given to change organisational digital strategies based on local AHP DMA findings
• Examples given of enhanced local relationship with CNIOs and CCIOs through use of AHP
DMA as an advocacy tool and examination of reality of representation of AHPs through
CNIO (constructive critical appraisal by CNIO)
• Requests from other professions in organisations to undertake AHP DMA (e.g. nursing)
51
Additional example feedback from respondents

52. 52
(LV)
Take Home Messages
 Check if your Trust was involved in the AHP DMA and if so what has
resulted from that involvement; if not connect with Steve Tolan
 Seek out your organisational CCIO/CNIO/CAHPIO and equivalent digital
leads across Integrated Care Systems / STPs
 Raise the profile of AHPs among the digital leadership world!
 When considering any service improvement/QI/transformation process,
consider where digital might support, and engage a wide range of
stakeholders from the outset.
 Get involved in EPR/PHR/shared care records conversations across your
region
 Engage with your ICS AHP lead (if there is one)

53. CSP and informatics …
• History of innovators and leaders in
health informatics
• Margaret Hastings, Lesley Holdsworth,
Michael Folan and others
• Employed 1.0 WTE Health Informatics
Lead for UK in April 2018
• Innovations Database
• NO digital strategy
• NO informatics strategy
“Collecting, using and sharing data is as much part of
being a clinician as assessment and diagnosis. There are
a number of physiotherapists further engaging with
informatics and we expect them to lead the way for the
rest of the profession”
Karen Middleton, CEO
@EMAHPInfo

54. Digital and Informatics Physiotherapy Group (DIPG) …
• Standing on the shoulders of giants
• 30 enthusiasts at CSP HQ in February
• Core value of linking like-minded physiotherapists together to share
learning, challenges, solutions and opportunities
• “For the people, by the people”
• Now >200 members and growing most days
• All 4 home nations and abroad, public sector, private sector, industry,
research, education, military, sport, innovation, students, clinicians,
managers, directors, government leads and everything in between!
@EMAHPInfo

55. Digital and Informatics Physiotherapy Group (DIPG) …
• Constant digital chatter in CSP publications and events
• iCSP network – Digital Physiotherapy (>2000 members)
• Social Media presence (#DigitalPhysio)
• In line with country-specific groups #DigiAHPNI #dNMAHP and #DigitalAHP
• “Digital Physio” series published in early 2020
• Review of digital content in UG and PG curriculum
• Representation at national and international forums
• Local DIPG champions influencing local and regional work
• CSP hackathon in November 2020 as part of PUK
• Whatever else the people want! **
@EMAHPInfo

56. What is the digital “art of the possible”?
Using the “Yes, and” method demonstrated, in
your groups discuss the BIG DREAM question
and write down ALL your answers.
No answer is wrong!
If your laughing! It’s working!
No IF’S, no NO’S, no BUTS
@InnovationNWC
@theqcommunity

57. What one thing will
you do to make the
digital dream a reality?
@InnovationNWC
@theqcommunity

58. Web healthierlsc.co.uk | Facebook @HealthierLSC | Twitter @HealthierLSC