7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
Health and social care future ehealth 8 1-14
1. Health and Social Care Future
Information technologies changing
health and social care: overview and
examples of trends
Ray Jones
Wednesday 8/1/14
2. The Emailer was a landline phone that allowed you to send email from
a keyboard built into the handset. The Emailer arrived in 2000. It cost
£80 to buy and exorbitant usage costs could add up to £150 to your
monthly phone bill.
Amserve, the subsidiary of Amstrad set up to deal with the Emailer,
posted multi-million-pound loss after multi-million-pound loss. No-one
bought them, despite Sugar's massive publicity drive.
What happened?
People took to home broadband and real email, mobiles and text, and
then smart phone email/text.
3. 7 trends information technologies
•
•
•
•
•
•
•
Electronic records, decision support
Mobile
Patient-led and social media
Sensors, telehealth, telecare
Wearable technology
Big Data
Robots
5. History
1960s
First hospital admin systems, first GP systems
1970s
Patient administration systems; departmental clinical
systems (eg diabetes); imaging systems
1980s
Micros for GPs scheme, GP computing ‘takes off’
Departmental systems, decision support continue to
develop
6. Biggest civil computing project
Bit off more than they could chew
1998 NHS Executive commits to detailed EHR
2002 National Programme for IT for England starts
2003 10-year contracts awarded 6-7 consortia
2005 NHS Connecting for Health set up to deliver Programme
2006 Some companies drop out
2007 Reconfigure
2008 Some contracts terminated
2009 More renegotiations and changes
2010 New government
2011 Change from replace all to connect all
Meanwhile most GPs now have virtually paperless practice
7. Where next for EMRs?
• Interoperability
• GP-centred
Influenced by other trends
• Mobile
• Patient-led
• Sensors
• Big-data
10. Diabetes App Challenge
apps developed BY young people with
diabetes FOR young people with diabetes
• UK wide competition for YPD (aged 16-25) & teammates to
design and develop an ‘app’ (either website or Smartphone app)
• Apps to help others prepare for and set the agenda of clinic
appointments
• 6 apps were created by 6 YPD and 8 teammates
• Tested by 83 YPD
12. Sensors and alarms
There are all sorts of sensors and alarms already
available which may reassure the carer about
their family member.
Next is a clip from a commercial video from a
company called Tunstall. I am just using their
video to illustrate the types of devices already
available.
15. Telehealth research at
Plymouth University
Professor Ifeachor, Dr Kamel Boulos, Dr
Carroll and colleagues at the University
are working with other European
universities on the LiveWell project.
This aims to develop a Web-based
Training and Social Networking System
for:
•
•
Parkinson’s disease patients: to
help them self-manage their
condition, reduce the burden on
their caregivers, and promote their
well-being and social inclusion.
Caregivers: to help them with
access to relevant information,
training and greater support through
an online community.
•
Healthcare professionals: to
enable them to remotely monitor
patients’ participation in various
activities and communicate with
patients online, thus helping
improve patients’ effective
rehabilitation.
16. Wearable technology
eg1 - eCAALYX project
• eCAALYX Enhanced Complete Ambient Assisted
Living Experiment, EU-funded project for older
people with multiple chronic conditions
• Android smartphone app receives input from
smart garment with wireless health sensors and
the GPS in phone
• Communicates over Internet with remote server
accessible by healthcare professionals in charge
of remote monitoring
18. ‘Big Data’
• Patient collected data (mobiles, sensors)
– Out of interest do you record some health data (BP, BG,
weight…) on a regular basis?
– PINK yes, GREEN no.
• Genomics
• Data stored has doubled every 40 months since
1980s
• Now increasing even more.. ‘big data’ is difficult to
work most desktop packages - instead may use
parallel software running on tens or hundreds of
servers.
19. Robotics research at Plymouth University
Plymouth University is
a centre of excellence
in robotics research.
Guido Bugmann robot football
Angelo
Cangelosi
RobotDoc
and RobotERA
Tony Belpaeme: ALIZ-E teaching
kids about diabetes
21. Telepresence
Giraff telepresence robot being
used by geriatrician to contact
elderly patient in her own home
Five telepresence robots. From
left: Giraff £4000, Double
Robotics £2600, Vgo £5000, TILR
£10,000, Qb £15,000
RP-VITA telepresence
robot used by remote
doctor to advise nurse at
bedside in American
hospital (left) and County
Down (right) (cost
£200,000)
22.
23. Telepresence – virtual visitors
Giraff has been tried out in Italy, Spain, Sweden, Australia,
and are now being tried in the Western Isles of Scotland.
24. Do you Skype (or Facetime) (say) once
a month?
• Wave green for yes
• Wave pink for no
25. Problems of technology development
• Does it improve health, wellbeing, quality of
life?
• How should we educate and implement?
• What about equity?
This is a rolling presentation taking 10
minutes in total. It will start at the
beginning again in
28. NHS supply side e-health inequalities
• (2011) 94% of GP practices in Harrogate Vs
35% in Southend have a GP website.
(Plymouth 78%)
• (2009) Kirkwall had 35 times the number of
people using Living Life to the Full (per
100,000) than Wigan
30. Simpler and cheaper ways of giving
video contact with the family
If the person can be shown how to use a tablet
computer they could Skype. We are working
with and evaluating Plymouth SeniorNet
31. Simpler and cheaper ways of giving video
contact with the family
We are developing a simple ‘Skype on Wheels’
method, of making Skype
available and easy to use for
Families would Skype
residents in care homes and
and a care assistant or
patients in community
nurse would wheel the
hospitals.
tablet computer to the
resident or patient. They
would not need any
expertise in using
computers, but would
be able to see and speak
to their family member.
32. Left: original vaguely human
shaped device suggested to care
homes and community hospitals
(rejected) and (middle and right)
two first prototypes designed by
students of 3D
Prototypes adjustable for use
at different heights, in bed,
seated, armchair, different size
people.
33. What do you think of the idea of
having Skype on Wheels available in
care homes and community hospitals,
so that families can ‘Skype’ in and see
their relative?
Seems like a good idea (wave pink)
Can’t see it working (wave green)
34. Conclusion
7 trends information technologies
•
•
•
•
•
•
•
Electronic records, decision support
Mobile
Patient-led and social media
Sensors, telehealth, telecare
Wearable technology
Big Data
Robots
35. End of the conference today
Reminders
• Free interdisciplinary workshop Wed 12th Feb
– please email ray.jones@plymouth.ac.uk
• One day conference: Health and Social Care
Futures 2 Wed March 26th - £20 on estore.
