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m-libraries: information on the move September 2012


Widening access & stimulating innovation:
 opening up NHS information for creative
          mobile applications


                   Bob Gann
      Director of Partnerships & Strategy
                  www.nhs.uk




                                                        1
Health information is one of the web’s
 most popular topics

When faced with a symptom:
• 75% of patients research their condition online before seeing
  doctor
• And 70% go online afterwards to learn more

Having found health information online:
• 55% changed their lifestyle or health behaviour
• 52% made a self-diagnosis
• 49% started an over the counter treatment

Study commissioned by Google
from research company OTX
Reported on CNN Health 4 October 2010
                                                                  2
Not just information – people want to
transact too

                                                          31%
              Look up health information                27%

                                                  10%
            Ask for a repeat prescription                         43%

              Book GP, hospital or clinic         10%
                    appointment                                 42%

           Communicate with you health       4%                         Do/ have done
                professional                               35%          Would like to do
        View or add information to health   2%
                     record                                 36%

       Record your needs in advance of      2%
           appointment e.g. disability                          40%
    Record how you want to be treated if
                                            1%
    you can't make your own decisions in                  32%
                 the future




NHS Choices Omnibus household survey August 2012
                                                                                           3
Going mobile

More mobile phones
than people in the
world

23% of online surfing
via mobile device
(40% of visits to NHS
Choices)

50% of iPhone users
have used their
phone to make a
health related search

Mobile Advertising Insights
Report: Health and Dating
Using the iPhone
Greystripe., February 2010    4
Apps explosion
                                           Over 600,000 apps available – average of 65
                                           per mobile device
                                           More time spent using apps than on web



13,000 health apps for consumers




  Medical, health & fitness apps on Apple App Store



  Consumer health apps for Apple iPhone
  MobiHealth News Report, September 2011

                                                                                         5
Mobile ways of working – increasing convenience &
reducing cost in NHS   • SMS appointment reminders
                       significantly reducing did not attends
                       (Portsmouth Hospitals)

                       • Remote scheduling and records access
                       for community staff (NHS Calderdale)

                       • SMS test results for sexual health
                       services (NHS Isle of Wight)




                                                                6
Mobile in developing world

More mobile phones in
Africa than in USA

Ten years ago 100,000
phone lines in Nigeria –
today 100m mobile
phones




                             7
Simple, ingenious SMS
solutions saving lives

  30% medicines in developing
  countries are fake




                                8
Crowd sourced cities – responding to
public emergencies
• Multi-channel 311
service allows citizens to
report problems - &
services (& other
citizens) to respond
• Builds rich knowledge
base of citizen concerns
• Twitter knows first –
early alert to emerging
health problems


What a hundred
million calls to 311
reveal about New
York
Wired 1 Nov 2010




                                       9
At first NHS Choices developed its own
products

• Mobile version of www.nhs.uk

• SMS to find my nearest GP,
pharmacist, accident department

• Patient feedback pilot via SMS

• Healthy living apps




                                         10
Power of Information Strategy:
space to innovate


While Government should provide a core
set of information, it cannot try to provide
everything to everyone.

Within specific areas, there are already
organisations, often in the voluntary
sector, which can provide better-targeted
information. The Government will be clear
about what will need to be provided
centrally, giving others space to innovate.

  Beyond this core information provided
nationally by Government and creating the
right environment to support the
development of an information market,
the state will not intervene in the
information market unless it is necessary to
prevent a significant negative impact on       The power of information
outcomes, equalities or efficiency             Department of Health, May 2012
                                                                                11
Syndication for partners to add value &
extend reach

                                                       Simple free APIs
                                                      350 active partners
                                                   Over 80m additional visits
                                                            a year

     Social networks             Media




   NHS & local authorities   Occupational health        Other countries

                                                                            12
Increasing take up by apps developers




  Health Choices               Health AZ            NHS West Midlands        Find Health Services   My tablet time
 Windows, IOS, Android    Windows, Android, Nokia            IoS                Nokia, Blackberry




 Healthy Living             Wellnote – Darzi                                   Pocket Health        NHS NEWS
                                                     EMIS
 Blackberry                 IOS                      IOS,Windows , Android     ios                  ios




 13 Mobile Apps          Platforms:
 10 Companies
 All Free


                                                                                                                     13
Assuring quality

           Do we need a different approach from any other sort of content?



                                                        Does European Medical
                                                        Device Directive apply?




                                                         Do we need health
                                                         apps store?




                                                         www.happtique.com

                                                                             14
Stimulating innovation & economic growth




                           • Value to the UK economy of releasing
                           free data estimated to be in the region of
                           £6bn a year
                           • US alone could derive more than $300bn
                           annually in new value from healthcare
                           related data
                           • Profitability of all SMEs could be
Competitions, hack days,   improved by 5%
innovation showcases
                           Implementing the transparency agenda. Public
                           Accounts Committee, 2012

                           McKinsey Global Institute
                                                                          15
Our approach to the role of government
in today’s information market

•   Produce core set of authoritative national content when this is best
    done once and shared
•   Provide simple, free to use feeds for all to re-use & add value
•   Provide opportunities for ideas stimulation and match-making
•   Curate and quality assure the best examples
•   Stand back and let creative developers widen access & stimulate
    innovation




bob.gann@dh.gsi.gov.uk
Twitter: @Bob_Gann


                                                                           16

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M-Libraries presentation Bob Gann

  • 1. m-libraries: information on the move September 2012 Widening access & stimulating innovation: opening up NHS information for creative mobile applications Bob Gann Director of Partnerships & Strategy www.nhs.uk 1
  • 2. Health information is one of the web’s most popular topics When faced with a symptom: • 75% of patients research their condition online before seeing doctor • And 70% go online afterwards to learn more Having found health information online: • 55% changed their lifestyle or health behaviour • 52% made a self-diagnosis • 49% started an over the counter treatment Study commissioned by Google from research company OTX Reported on CNN Health 4 October 2010 2
  • 3. Not just information – people want to transact too 31% Look up health information 27% 10% Ask for a repeat prescription 43% Book GP, hospital or clinic 10% appointment 42% Communicate with you health 4% Do/ have done professional 35% Would like to do View or add information to health 2% record 36% Record your needs in advance of 2% appointment e.g. disability 40% Record how you want to be treated if 1% you can't make your own decisions in 32% the future NHS Choices Omnibus household survey August 2012 3
  • 4. Going mobile More mobile phones than people in the world 23% of online surfing via mobile device (40% of visits to NHS Choices) 50% of iPhone users have used their phone to make a health related search Mobile Advertising Insights Report: Health and Dating Using the iPhone Greystripe., February 2010 4
  • 5. Apps explosion Over 600,000 apps available – average of 65 per mobile device More time spent using apps than on web 13,000 health apps for consumers Medical, health & fitness apps on Apple App Store Consumer health apps for Apple iPhone MobiHealth News Report, September 2011 5
  • 6. Mobile ways of working – increasing convenience & reducing cost in NHS • SMS appointment reminders significantly reducing did not attends (Portsmouth Hospitals) • Remote scheduling and records access for community staff (NHS Calderdale) • SMS test results for sexual health services (NHS Isle of Wight) 6
  • 7. Mobile in developing world More mobile phones in Africa than in USA Ten years ago 100,000 phone lines in Nigeria – today 100m mobile phones 7
  • 8. Simple, ingenious SMS solutions saving lives 30% medicines in developing countries are fake 8
  • 9. Crowd sourced cities – responding to public emergencies • Multi-channel 311 service allows citizens to report problems - & services (& other citizens) to respond • Builds rich knowledge base of citizen concerns • Twitter knows first – early alert to emerging health problems What a hundred million calls to 311 reveal about New York Wired 1 Nov 2010 9
  • 10. At first NHS Choices developed its own products • Mobile version of www.nhs.uk • SMS to find my nearest GP, pharmacist, accident department • Patient feedback pilot via SMS • Healthy living apps 10
  • 11. Power of Information Strategy: space to innovate While Government should provide a core set of information, it cannot try to provide everything to everyone. Within specific areas, there are already organisations, often in the voluntary sector, which can provide better-targeted information. The Government will be clear about what will need to be provided centrally, giving others space to innovate. Beyond this core information provided nationally by Government and creating the right environment to support the development of an information market, the state will not intervene in the information market unless it is necessary to prevent a significant negative impact on The power of information outcomes, equalities or efficiency Department of Health, May 2012 11
  • 12. Syndication for partners to add value & extend reach Simple free APIs 350 active partners Over 80m additional visits a year Social networks Media NHS & local authorities Occupational health Other countries 12
  • 13. Increasing take up by apps developers Health Choices Health AZ NHS West Midlands Find Health Services My tablet time Windows, IOS, Android Windows, Android, Nokia IoS Nokia, Blackberry Healthy Living Wellnote – Darzi Pocket Health NHS NEWS EMIS Blackberry IOS IOS,Windows , Android ios ios 13 Mobile Apps Platforms: 10 Companies All Free 13
  • 14. Assuring quality Do we need a different approach from any other sort of content? Does European Medical Device Directive apply? Do we need health apps store? www.happtique.com 14
  • 15. Stimulating innovation & economic growth • Value to the UK economy of releasing free data estimated to be in the region of £6bn a year • US alone could derive more than $300bn annually in new value from healthcare related data • Profitability of all SMEs could be Competitions, hack days, improved by 5% innovation showcases Implementing the transparency agenda. Public Accounts Committee, 2012 McKinsey Global Institute 15
  • 16. Our approach to the role of government in today’s information market • Produce core set of authoritative national content when this is best done once and shared • Provide simple, free to use feeds for all to re-use & add value • Provide opportunities for ideas stimulation and match-making • Curate and quality assure the best examples • Stand back and let creative developers widen access & stimulate innovation bob.gann@dh.gsi.gov.uk Twitter: @Bob_Gann 16