ANNUAL INNOVATION REPORT 20I0-II
NHS NORTH WEST STRATEGIC HEALTH AUTHORITY Innovation is core to the strategic direction outlined in our regional vision
Contents
1. Content 2
2. Foreword 3
3. Introduction
4. Innovation across the North West 4
a. Developing partners and our five strand 4
Regional Innovation Framework
5. Healthcare innovation Expo 2011 9
6. Lessons learned 10
7. Case Studies 11
8. Beyond the RIF 13
9. Glossary 15 Foreword Welcome to the second NHS North West annual innovation report. In addition to meeting our legal responsibilities it is intended that this report will encourage our NHS colleagues to continue to value and champion innovation as a core activity in meeting the current challenges of NHS reform and the QIPP agenda. Innovation in the North West acts as a catalyst for change by stimulating and developing new innovative ideas from individuals across all sectors. We are always looking for that cutting edge healthcare development which is ground breaking, or a simple innovation that may seem small scale, but has demonstrated that it has added impact and scalability. The adoption, diffusion and spread of practices are key to delivering our clinical vision, utilising some of the most pioneering thinking and the latest technology. Funding opportunities have brought together a number of innovators, businesses and organisations from across our healthcare system to develop creative solutions to make health services in the North West the best they can possibly be. We have used the North West Regional Innovation Fund (RIF) to encourage and inspire clinicians, managers and support staff to be innovative within the health system and work collaboratively with a variety of partners. We want to change how things are done, in order to consistently increase healthcare quality, eradicating inefficiencies and reducing costs. The ambition for innovation is clearly established within the North West and outlined in key strategic policy frameworks such as Healthier Horizons. There are numerous examples of best practice and we need to continue working harder in the adoption, diffusion and culture of innovation both at individual and organisational levels across the region. We continue to seek to realise our ambition of raising the profile of innovation to become a part of everyday working within the North West NHS community, its partners and stakeholders. The NHS continues to build on its historical legacy of innovation to deliver better outcomes for patients, staff and the public. We recognise that part of transforming healthcare is the need to bring patients and staff together to share in the role of redesigning services, through innovative thought. NHS North West fully embraces this legacy and continues to seek to support the delivery of improvements in health provision through innovation by a variety of opportunities with and beyond the RIF.
Mark Ogden, Chief Executive, NHS North West
3 NHS NORTH WEST ANNUAL INNOVATION REPORT 10/ 11
Innovation within the North West
Building on last year’s report, we will In the report, we have reviewed the latest update on progress made with our innovation activity across the region and Regional Innovation Fund (RIF) provided feedback on the lessons learned. investment in the region, our local We have also highlighted examples of innovation infrastructure and lessons projects that we believe could have significant benefit for the North West learned in the challenge of securing health economy and community. improved adoption and diffusion of innovative technologies and service design.
Developing partnerships and our five strand Regional innovation Framework
We have developed a five-strand Build on our existing innovation http://www.ntac.nhs.uk/ Regional Innovation Framework to architecture, in partnership http://www.trustech.org.uk/ support delivery of both national and with regional development regional policy. The following section bodies, academic institutions, http://www.mahsc.ac.uk/ describes key achievements within our life-science industry and NHS http://www.mimit.org.uk/ framework. for maximum return. http://www.bionow.co.uk/home.aspx The Strategic Health Authority (SHA) continues to work in close collaboration, The group is supported by additional supporting and taking advantage of our health and social care partners from unique regional architecture with partners across the region. such as National Institute for Clinical Excellence (NICE) and National Technology Adoption Centre (NTAC). The Innovation Partnership Group is a longstanding group which supports and utilises our regional infrastructure to achieve the aim of regional innovation improvement. The Innovation Partnership Group includes the following innovation organisations: NHS NORTH WEST ANNUAL INNOVATION REPORT 10/ 11
Partnership working – For further information, contact The BioBooth Initiative [email protected]
The Biobooth initiative is a collaborative North West attracted £120 million programme between several national and National Institute for Health Research regional UK organisations including funding amongst others, the National Health The Government has emphasized its Service (NHS), academia and industry. The commitment to the promotion and Biobooth’s vision is “To develop an NHS conduct of research as a core NHS role in North West interconnected outreach platform for the White Paper: Equity and Excellence: attracted clinical diagnosis and monitoring capable Liberating the NHS. The following of integrating Point of Care Testing (POCT) examples highlight NHS North West and utilising Telehealth technologies”. support for research and development. £120 The Biobooth initiative comprises a series of work streams required for the design, development, implementation and rollout Research and Development million of an automated Biobooth. The Biobooth in the new NHS National Institute will serve several functions to diagnose NHS North West hosted a national and/or monitor diseases, connect, interact, workshop in February 20 11, which aimed to: for Health analyse data, etc. The first version of the • Influence and shape emerging policy Biobooth will provide a mobile, automated, Research funding with a focus on research non-invasive, and publically accessible ‘booth’ that produces excellent quality data that is • Suggest how the emerging uploaded in real time to GP practices, that commissioning structures could work improves patient management productivity with other parts of the system effectively and supports self management. Developing to support the conduct of high quality a platform is highly complex and extremely research costly and is usually not undertaken by one • Ensure the great progress made with single organisation. Therefore the major research in recent years is not lost challenge at present is to develop through the transition successful partnerships between Industry, the NHS and other organisations in order • Propose priority areas requiring further to provide enough resources to take work forward this initiative. The Biobooth team Participants looked specifically at the new is in the process of developing a robust structures emerging for the NHS business case to facilitate these discussions. Commissioning Board, PCT Clusters, The collective expertise and the Biobooth Clinical Commissioning Groups and the steering group network is considered our role that they will play in research. biggest asset and in partnership with industry, can make a difference in In the North West we have been asked to designing the future of healthcare in the undertake more focused work spanning UK and beyond. Biobooth aims to develop regional, cluster and clinical an opportunistic screening tool, capable of commissioning group levels. This work providing cost effective screening focuses on the following five topics: programmes which monitor patients • Leadership and partnership remotely, optimising the use of non-invasive POCT technology. The Bio-booth will be • Research metrics part of a diagnosis and monitoring • Excess treatment costs programme aimed at supporting the much • People in research needed change in patient behaviour. • Protecting and strengthening research capability NHS North West has provided financial support for the project management arrangements to enable the project to reach proof of concept stage.
5 HIECs are cross sector partnerships Positioned at the heart of the NHS, the between the NHS, the higher education LSIDB is a globally unique partnership that sector, private health, third sector brings together senior NHS leaders, regulators Raising the profile of the organisations and industry. A total of (NICE), senior policy makers and industry North West nearly £2.7 million funding was allocated leaders from the life sciences sector to work across the three North West HIECs to cover in collaboration for the benefit of patients. The North West is home to world-class their first two years. research infrastructure and expertise; to The NHS has many attractions to the Life promote health-related R&D we HIECs provide a key element of the Sciences industry, given its size and clinical commissioned two pieces of work by educational arm of NHS pathways and expertise. Senior leadership engagement has Manchester Business School students: support the delivery of the quality, led to support from Clinical Research innovation, productivity and prevention Network Clinical Directors and NHS • Research, Innovation and Industry (QIPP) programme across the North West. Confederation. This work has been driven Between July 2010 and September This is highlighted in the vision set out by by the NIHR “exemplar” programme which 2010, we collected success stories from Greater Manchester HIEC “to create a was set up to identify the tools and health-research stakeholders in the measurable improvement in the quality of techniques which would have a positive North West. The primary aim of this local healthcare and a cadre of healthcare impact on improving time to permission and exercise was to identify and highlight practitioners superbly enabled to respond time to recruitment. The engagement of the positive research, financial and to the changing healthcare agenda and NHS senior (i.e. board level) leaders was business outcomes. economic situation”. identified as an essential element, along • Research Infrastructure with the systematic use of basic This study aimed to create a management techniques. comprehensive picture of research Life Sciences To find out more about the work of the infrastructure in the North West by What is the LSIDB? LSIDB, or discuss specific projects, please analysing health-research facilities in email [email protected] or the North West . The NHS Life Sciences Innovation Delivery Board (LSIDB) has been set up to by calling 0161 625 7387. Both studies showed that there is a need champion innovation in drugs and to strengthen how information on the medical technologies across the NHS. North West’s research profile is collated, It aims to: presented and promulgated, ensuring that North West Exemplar success stories are shared and that our • increase the use of cost effective Programme excellent research facilities are well known. medicines and medical technologies The North West was selected to pilot the • improve relationships between the life NIHR CRN North West Exemplar HIEC’s sciences sector and the NHS Programme – of national interest and importance due to its demonstrating how Three Health Innovation and Education • increase the attractiveness of the UK as the NHS contributes to the UK’s economic Clusters (HIECs) were established in the a site for clinical trials and product recovery and secure our place as a global North West at the start of 2 01 0. The HIECs development. leader. The project had two phases: phase 1 are based on the three distinct geographies The UK life sciences industry includes – effective study set-up; and phase 2 – of the North West region namely, Cheshire pharmaceuticals, medical technology and effective study delivery, which focused on & Merseyside, Cumbria & Lancashire and diagnostics. An effective partnership identifying the high-impact changes from Greater Manchester. The aim of the initiative between the NHS and industry will help the project, enabling the learning to be was to support high quality patient care and the NHS increase quality and productivity, rolled out across the wider NHS, CRN and services by bringing the benefits of research and and make it easier for the life sciences pharmaceutical industry. innovation directly to patients. By strengthening industry to deal with the NHS. This will the co-ordination of education and training help industry focus on the development it will have the breadth and depth to of new medicines and medical devices, support excellence. which are designed to meet the needs of the NHS and its patients.
funding allocated across the three NW HIEC’s to cover their £2.7 M illion first two years NHS NORTH WEST ANNUAL INNOVATION REPORT 10/ 11
Develop incubation, facilitation agenda. The results of the NHS 2010 The technology allows the coating of most and evidence/knowledge staff survey provided some insight into surfaces with a pure layer of a flexible, management systems that whether the culture of innovation was breathable, durable, anti microbial glass support staff to realise working to support NHS staff in delivering layer comprised of molecular SiO2. innovation potential improvements at work. Adenosine triphosphate (ATP) tests were We have continued to develop the undertaken to measure performance of innovation web portal as single point of Celebrate and recognise the liquid glass during normal PICU entry to ensure information about innovation in the creation and activity. Results indicated that the scores regional and national innovation working adoption of knowledge in the intervention bed space were on can be showcased and easily accessed average lower. The results will undergo within our region. statistical analysis, however initial findings Idea Street suggest that using this product can help As part of the work being undertaken by reduce contamination of equipment over NHS North West to support and motivate time and between routine cleaning. Plans NHS staff to consider, adopt and diffuse for using the liquid glass will be innovations we have piloted “Idea Street” developed following final study results in partnership with the Department of and statistical analysis Works and Pension. This national/ public For further information contact Sian sector initiative now includes a health care Snelling focused, online ideas-management platform [email protected] and check that encourages healthcare professionals our innovation portal across the North West to share their innovative ideas with a community of like-minded www.northwest.nhs.uk/innovation colleagues.
What is unique about Idea Street is that it puts ideas out in the open, so that other NHS North West sponsored the Innovation categories in the North West Leadership people working in local NHS organisations Academy Awards, held in May 2 01 0. can comment and vote on the suggestions Pictured is winner of the Innovative/ of others. In this way ideas can be enhanced Entrepreneurial Award, Jill Jackson, by the shared experience of the health care Occupational Therapy Professional Lead at community and the most promising ideas Lancashire Care NHS Foundation Trust can be brought to the attention of relevant with John Humphrys and Gail Richards. decision makers. Mersey Care is the first NHS Trust in the country to launch Idea Street. Dragon’s Lair The SHA held two Dragon’s Lair events, in Innovate and spread best May and September 2010. The ‘Dragon's practice to promote an Lair’ provided an opportunity for clinicians innovative culture in all our and industry to “pitch” innovative ideas NHS organisations through to a panel comprising of NHS chief aligning leadership, support executives, and clinical directors. Some of and incentives to realise the the successful projects from the Dragon’s full potential Lair are listed below: We have provided assistance for RIF Using a liquid glass coating to project leads through support, training reduce contamination on and development days. This has also included the provision of project patient equipment – Alder Hey profiling/management assessment tools. Children’s NHS Foundation Workshops have been developed and Trust. facilitated in partnership with the Young The project was undertaken to identify if Foundation as part of the Regional using liquid glass to coat equipment was Innovation Fund Advisory Service. The effective at reducing contamination. The need for a strong and robust innovation design of the study was a quasi-experimental culture within health provision is vital for the NHS in maintaining continuous control study using 2 bed spaces on a improvement and delivering against the children’s PICU. 15 sets of equally economic challenges outlined in the QIPP matched equipment were used.
7 software to help avoid Proms 2.0 unnecessary outpatient appointments...
Patient Related Outcome A Programme Manager was appointed to Measures. Informing patients oversee the project and report to a board and tailoring care: the next comprising of clinical leads from across the stage… PROMS 2.0 – Trafford community. Healthcare NHS Trust. It is expected that this programme will PROMs 2.0 is a software application, support Liverpool PCT aim to reduce developed by clinicians in collaboration premature deaths from cardiovascular with a leading clinical software provider. disease, help reduce inequalities, increase It is can be customised to the service productivity and improve the quality and being measured and patients listed for experience of care. surgery are asked to complete a series of For further information contact pre and post-operative assessments on Dr David J Wright [email protected] line, which generates a report for the clinician and automatically emails the and check our innovation portal patient, clinician and patient’s GP at www.northwest.nhs.uk/innovation pre-determined points. Patients can compare their current, previous and pre-operative score and can see the average scores for the procedure. Where a patient’s score is satisfactory, an unnecessary outpatient appointment can be avoided. Should the patient want the appointment, it can be arranged as usual.
The PROMs 2.0 project carries huge potential. It can be adopted across the NHS in other specialties and could easily be adopted worldwide.
For further information contact Bibhas Roy [email protected] – and check our innovation portal www.northwest.nhs.uk/innovation Implementation of a system wide pathway for heart failure – Liverpool Heart and Chest Dr J Wright and team, one of the successful candidates from the Dragon Lair event NHS Foundation Trust
This programme aimed to implement an Managing our Regional • To continue to invest in service and electronic information system spanning Innovation Fund (RIF) to add technology innovation, with a view to continual improvement in health and across community, general practice and significant value within and beyond the boundaries of the well-being and value creation in the the acute sector to support the heart NHS North West. failure pathway, standardising the data collected and referral criteria. To achieve NHS North West continues to deliver two NHS North West has used the fund in this the funding supported the integration main aims: 201 0/2 011 to bid for matched funding from the Manchester innovation fund of diagnostic systems across care providers • To continue to drive quality and productivity from Manchester City Council. This funding and the integration of multiple systems to by promoting cross sector working, new is taking forward the Smart Solutions enable the tracking of performance, support collaborative partnerships, knowledge for Healthcare programme run by the improvement and promote transparency sharing and adoption of innovative North West innovation hub, TrusTech. of the heart failure service. practice NHS NORTH WEST ANNUAL INNOVATION REPORT 10/ 11
Smart Solutions for Healthcare Healthcare Innovation Expo 20 11 Smart Solutions for Healthcare is a programme which aims to help the NHS The SHA participated in the National NHS North West, Yorkshire and Humber & find new ways to combat Cardiovascular Health Care Expo in March 2 011. Key East Midlands delivered a joint partnership Disease and Long Term Conditions. partners were invited to share the event the ‘TeleHealth Journey’ showcasing Companies from throughout the UK and stand and showcase their work for our telehealth projects across the three regions, beyond were invited to put forward region. which was well attended and positively better, more cost-effective approaches to received by delegates. diagnosis and treatment. Entries closed in April 2011 and the winners have now been selected. The winning products and systems will be evaluated in healthcare settings within the North West Smart Solutions for Healthcare is being delivered by TrusTECH – the North West NHS Innovation Hub, and is supported by NHS North West, NESTA, Northwest Development Agency (NWDA), England’s Northwest, Manchester City Council, Manchester: Knowledge Capital, and New Economy through the Innovation Dr Mike Bewick, Dr Andrew Coley and Investment Fund Partnership. Mr Bibhas Roy at EXPO 2 011 Details of the programme can be found at:- http://www.smartsolutionsforhc.co.uk /
RIF Zone The RIF (Regional Innovation Fund) Zone gave all Strategic Health Authorities the opportunity to showcase 40 of the projects which had been supported by the Regional Innovation Funds. The centre piece of the Zone was a ‘Tube Map’ displaying all 214 RIF funded projects. This proved to be a high impact visual way of demonstrating the wealth of innovation that has blossomed from the relatively small innovation funds the SHAs Dr. Paul Davies presenting the Cumbria Telestroke Project have managed. at the EXPO Joint SHA Telehealth Journey Seminar
Dr Steven Ward and Melanie Ogden (NHS NW) at the EXPO RIF Zone, with 2 of the North West projects 9 Lessons Learned
Senior management support is Manchester University Hospitals NHS North West Social Value an intrinsic factor in enabling the Foundation Trust, Manchester Mental Foundation Innovation success of projects from our RIF. Health and Social Care Trust, NHS Salford, Investment Fund Salford Royal NHS Foundation Trust, The • The SHA has been striving to develop a The North West Social Value Foundation Christie NHS Foundation Trust and, University sustainable culture of innovation which (SVF) will ensure that NHS Organisations in Hospital of South Manchester NHS Foundation supports the QIPP agenda. The RIF has the North West of England actively innovate, Trust) is continuing to deliver its strategy been vital in supporting innovation in inspire and invest to improve the economic, “Partnership for the patient: bringing the North West and will be important in social and environmental wellbeing of local benefit through research, education and supporting the profile of innovation communities in everything they do. innovation” based on a tripartite mission in through the change of the current research & innovation, education & training To gain a better understanding of how we reforms. and health service delivery & wellbeing. interpret Social Value, the Social Value • Training and support provided to Foundation has developed a DVD that show MAHSC has supported development of its projects has been an important aspect cases some exciting examples of good industrial liaison activity, particularly with Small of the RIF working. This has been practice. and Medium Enterprises. MAHSC is also keen targeted at increasing the knowledge to develop innovative partnerships and on 23 The Innovation Fund: In order to deliver on base of project leads and teams through May, MAHSC, the University of Manchester its mission, the Social Value Foundation has innovation expertise provided by the and the National Institute of Clinical Excellence identified £40,000 to invest in a number of RIFAS team and the Young Foundation. (NICE) signed a Memorandum of ‘kick-start’ projects between NHS delivery • The biggest challenge to the adoption and Understanding to develop collaborations in bodies and the voluntary and community diffusion of innovation is embedded research and teaching with a particular focus sector or social enterprises. It is hoped that culture and behaviour. NHS North West on health technologies and public health. if successful, additional resources may be recognises this and will continue to work released. to address these issues in collaboration with key partners and stakeholders Innovation Technology Adoption within and external to the NHS. Procurement Programme (iTAPP) The Regional Innovation Fund 20 11- 20 12 The Department of Health's Innovative Technology Adoption Procurement The next instalment of the RIF will be used Beyond the RIF Programme (iTAPP) aims to improve patient to consolidate innovation best practice. NHS This section of the report describes the outcomes whilst reducing NHS expenditure North West will be reviewing and assessing work of key partners and elements of the through increased adoption of innovative both regional and national innovations that innovation North West architecture that medical technologies by the NHS. The have proven to be most effective in support innovation sustainability in addition Department commissioned the NHS addressing our health priorities in the North to the Regional Innovation Fund. Technology Adoption Centre (NTAC) as its West and against the QIPP agenda. These iTAPP delivery partner to provide practical innovations will be further funded to Manchester Integrating Medicine and support to each Strategic Health Authority improve the successful roll out within our Innovative Technologies (MIMIT) in the selection, planning and NHS community. (www.mimit.org.uk ), the first international implementation of technology specific affiliate of CIMIT, Boston (www.cimit.org) adoption programmes. has quickly established a remarkably strong track record of success in the first 3 years of operation. MIMIT has enabled a considerable Health2Works culture change and has created a challenge led innovation ecosystem in the North West. The NHS Web Accelerator Initiative "NHS Web Resulting benefits include substantial leverage Tools" - Initiated by NHS North West, the NHS of project funding to support a number of Web Accelerator initiative is a partnership collaborative partnerships (including industry) between several NHS organisations and and technology innovations. Health2Works. The initiative is focused on quickly introducing creative and low-cost Manchester Academic Health Science ways of using the Web for the benefit of Centre (MAHSC) (www.mahsc.ac.uk) a patients, clinicians and NHS managers. In partnership of the University of Manchester short, it’s about doing really useful things and its six NHS Trust partners (Central with everyday technologies. NHS NORTH WEST ANNUAL INNOVATION REPORT 10/ 11
Case Studies
The following section show cases examples collaboratively to implement this new Method of reaching elderly and of additional innovation projects we have service. It is an excellent example of an isolated individuals with supported across the region. A full listing of innovative solution from local networks in domiciliary eye care whilst North West RIF projects can found on our the area which is now benefiting both NHS educating carers and community web portal staff and patients." health teams on vision http://www.advancingqualityalliance. Heath Minister, Lord Howe impairment and the local support nhs.uk/innovation/casestudies/ For further information contact services available – Central and [email protected] watch the Eastern Cheshire PCT Self Care Aware telestroke video on You Tube This project is a pilot study, whereby a local e-learning for GP’s http://www.youtube.com/user/NWNHS NHS contracted optometrist gives basic ?feature=mhum#p/c/4/CB-TAtSUhjI training and awareness of vision impairment Based on research, the cost to the NHS for www.northwest.nhs.uk/innovation to carers and community based healthcare treating minor ailments is £2 billion teams. By raising awareness amongst There are 57m GP consultations per year community healthcare teams of vision involving a minor ailment, of which 51.4m Self Care Diabetes in Salford impairment and its impact on the elderly, are for minor ailments alone. This amounts vision problems become routinely People with Type 1 Diabetes need to perform to an average of about one hour of work a considered as part of the assessment of intensive self glucose monitoring when day per GP. individuals’ needs. making improvements to their management. The e-learning programme, funded by NHS This is required at times of extra demand Some of the benefits seen so far include:- North West, is being developed by the Royal such as pregnancy or illness. ‘easySHARE’ • better quality of life, improved safety in College of General Practitioners (RCGP) and enables this process to be carried out in a the home, resulting in reduction in falls will be launched at the national self care manner that is time efficient to patients and and acute hospital admissions, event on 8 November 20 11. It will be professionals, improves patient feedback and immediately available to 47,000 GP’s, 20,000 reduces clinic attendances. • better understanding of vision and practice nurses and 10,000 practice managers. glaucoma, Instead of written records the blood glucose For further information contact data is automatically downloaded for • preventative - earlier detection of [email protected] viewing by both patient and professionals. treatable eye conditions A professional can view it via a regular For further information contact email. Treatment adjustments can be [email protected] or Telestroke Delivering 24/7 negotiated by email or phone instead of [email protected] or Find out more Stroke Thrombolysis across face to face visits. So far we have seen about this project by following this link to Lancashire and Cumbria using increased effectiveness in managing glucose the case study on our portal Telemedicine levels due to rapid feedback. www.northwest.nhs.uk/innovation An innovative telemedicine service, For further information contact providing a 24 hour thrombolysis service for [email protected] Find out more stroke patients in Lancashire and Cumbria. about this project by following this link to Telestroke improves access to thrombolysis the YouTube video treatment, which may in turn reduce http://www.youtube.com/user/NWNHS mortality and serious disability post-stroke. ?feature=mhum#p/c/1D401A082286FA1 A/3/2VcNNM9_5lU This new state of the art technology allows and case study hospitals within Cumbria and Lancashire to http://www.advancingqualityalliance.n make use of all available stroke consultants hs.uk/document_uploads/Case_Studies/ within the Network. Bob%20 Young%20Managing%20Diabete “It is great to see first hand the Telestroke s_e5d37.pdf system in use and the positive impact this www.northwest.nhs.uk/innovation new technology is having on stroke victims in Cumbria and Lancashire.
“I applaud all the NHS organisations from across the region who are working
11 Best Practice for patients receiving To date, the following benefits have been Looking Local ‐ NHS Sefton: end of life care in care homes – recognised:- Interactive Health Services by NHS Warrington • Empowering individuals to make Digital TV and Mobile Phone. informed educated healthy lifestyle This project builds upon the success of the A service which enables those otherwise choices that will have an overall impact specialist palliative care team for care homes excluded from the digital revolution, on their health and wellbeing. in reducing inappropriate acute admissions. particularly the elderly and those with ill A programme of workshops covered all • An opportunity for individuals to learn health, to access information at any time aspects of end of life care, from new skills and become an inspiration to through their TV. This is provided through communication skills, to advanced care others, build confidence and develop an NHS Sefton microsite on the Looking planning. communication skills. Local service. Looking Local is accessible by anyone with cable (Virgin Media) or Sky TV “We recognised that lack of knowledge, • A unique approach to health in a as well as on web ‐enabled mobile phones skills and confidence is still leading to community, tailored specifically to and over the internet. It empowers people patients experiencing inappropriate communities addressing the issues that to educate themselves, and provides admissions to hospital at end of life.” matter most. information for people with long term Some of the benefits realised already are a For further information contact health conditions which can to help them reduction in inappropriate admissions, A&E [email protected] manage their conditions independently. It attendances and bed days. In addition, also informs about the range of services there is an increase in knowledge, skills and available in the area, and is a channel confidence and improved equity of care. An Evaluation of the Human through which people can communicate with NHS Sefton. For further information contact Rights Based Approach to risk [email protected] assessment and management in Nationally, 16m people have no home a Learning Disabilities Service – internet access. This is creating a digital Mersey Care divide, which includes inequity in the Project Health – NHS Ashton, availability of health ‐related information and Leigh and Wigan The Human Rights team at Olive Mount advice on health services. have developed practical tools for applying Project Health is a sustainable course a human rights based approach to learning Addressing health inequalities between targeting a range of communities aiming to disability services in collaboration with the different demographic groups is a pressing empower, engage and inform individuals to British Institute of Human Rights and the issue. The growing focus on the internet take responsibility for their own health and Department of Health. These include a exacerbates this inequality, and so new wellbeing. Connecting Communities to human rights based risk assessment and information channels are needed which are Health (CCTH) will include and reflect key management tool, which benchmarks third accessible by the whole population. health issues prominent to the local area sector providers on a range of human rights The main benefit of the service is how it and address health issues in a bespoke factors. This provides a legal framework to enhances existing services by combating interactive approach. The project aims to incorporate a person-centred, digital exclusion, empowering people with educate and inform local residents about biopsychosocial model of care and information and providing them with the healthy lifestyles choices, through examined care provision through a human tools for better self management. conversation and facilitation. The project rights lens. received £5000 of RIF funding which was For further information contact There is preliminary evidence from the pilot used in the development of the three [email protected] suggesting that the introduction of the different learning resources. Six health Human Rights Joint Risk Assessment Plan themes running throughout the course are (HR-JRAMP) has improved service user Smoking, Alcohol, Healthy Eating, Sexual access to their human rights and Health, Mental Wellbeing and Physical community access. Activity reflecting the Wigan Borough Public Health agenda. Service users and staff appeared to have benefitted from training initiatives designed Connecting Communities to Health (CCTH) to increase their understanding of human allows for the local health inequalities to be rights. Within the service there is now an addressed, explored and discussed interactively embedded culture of human rights thinking with local people, in a way that is meaningful when working with people with learning and realistic to that individual or community. disabilities and complex needs. By empowering individuals to take responsibility for their own health, it can only have a For further information contact positive outcome on the overall aim. [email protected] NHS NORTH WEST ANNUAL INNOVATION REPORT 10/ 11
Regional Innovation Fund Awards 2 01 0 – 2 011
Total RIF Award 2010-20 11
DRAGON’S LAIR AWARDS Sharing and learning Award ENABLING 6 Bursary Award CHANGE Enabling Change AWARDS 4 Dragon’s Lair SHARING AND LEARNING AWARD 21
BURSARY AWARD 31
Chart showing 2010- 20 11 Regional Innovation Awards – Our RIF programme provided funding for four main types of award: The Innovation Bursary Award provided up to £25,000, primarily as a contribution to SEGMENTATION EXPENDITURE backfill staff costs, for the adoption of an Infrastructure costs & administration innovative service or pathway within a team costs including TrusTech contract £183,000 or division. Disruptive Innovation/ Innovation The Innovation Sharing Award provided up Gateway £265,000 to £5,000 to encourage a greater understanding of innovation or an Sharing & Learning Awards £73,000 innovative project. This involved running Adoption Bursary Awards £510,000 awareness workshops and knowledge Enabling Change Awards £306,000 sharing events. Dragon’s Lair/Trust Nominated £116,000 The Enabling Change Award offered up to £50,000 per organisation to a maximum of Social Innovation Fund £100,000 £250,000 and was designed for situations QIPP Innovation Support £40,000 where the innovation would be Region Wide Innovation Initiatives £97,000 implemented across or would affect a range of teams or providers. Table showing Carried forward including Infrastructure total funding allocation for 2 01 0-2 011 costs for 2 011/2 01 2 £310,000 The Dragon’s Lair awards offered up to Total £2,000,000 £40,000 for working across organisations in the North West to prove that the innovation concept can work in the NHS.
The Dragon’s Lair award... £40,000... to prove that the innovation concept can work in the NHS 13 Project Health offers... NHS Staff Survey 2010 • that there are frequent opportunities for them to show initiative in their role; The following information represents the an opportunity percentage of staff who agreed with at • that they are able to make for individuals least two of the following three improvements at work statements: to learn new • that they are able to make skills and suggestions to improve the work of become an their team; inspiration to others, build ORGANISATION AVERAGE SCORE AVERAGE SCORE HIGHEST SCORE LOWEST SCORE confidence NW % ENGLAND % NW % NW % All Trusts 65 66 80 39 and develop Acute Trusts 61 62 71 53 communication Ambulance Trust 39 37 --skills Mental Health/ 67 67 71 59 Learning Disability Trusts PCTs 68 70 80 63
Contact If you are interested in applying for the 2011 – 2012 regional innovation fund, please contact us [email protected] Details of the full list of RIF funded projects are available on our website www.northwest.nhs.uk/innovation NHS NORTH WEST ANNUAL INNOVATION REPORT 10/ 11
Glossary of Terms
A&E Accident and Emergency
AHSCs Academic Health Science Centres
AQuA Advancing Quality Alliance
ATP Adenosine triphosphate
CIMIT Centre for Integrating Medicine and Innovative Technologies
CCG Clinical Commissioning Group
CRN Clinical Research Network
DH Department of Health
HIECs Health Innovation Education Clusters
iTAPP Innovative Technology Adoption Procurement Programme
LSIDB Life Sciences Innovation Delivery Board
MAHSC Manchester Academic Health Science Centre
MIMIT Manchester Integrating Medicine and Innovative Technology
NESTA National Endowment for Science Technology and the Arts
NHS North West The regional Strategic Health Authority
NIHR National Institute for Health Research
NTAC NHS Technology Adoption Centre
NWDA North West Development Agency
PCT Primary Care Trust
PICU Paediatric Intensive Care Unit
PROMS Patient Related Outcome Measures
RCGP Royal College of General Practitioners
QIPP Quality Innovation Productivity Prevention
R&D Research and Development
RIF Regional Innovation Fund
SHA Strategic Health Authority
SVF Social Value Foundation
Telemedicine A radically developing application of clinical medicine where medical information is transferred through interactive audiovisual media for the purpose of consulting, and sometimes remote medical procedures or examinations
TrusTECH The innovation hub for the North West region
15 ANNUAL INNOVATION REPORT 20I0-II
We welcome any comments and feedback from members of the public, NHS colleagues and other stakeholders on this report, which can help us to further develop our innovation strategy. This report may also be accessed via our web page. If you have any comments or require further information about any of the work covered in this report, you can either:
• Visit our web pages at: www.northwest.nhs.uk/innovation • email [email protected] • Write to us at: NHS North West, 3 Piccadilly Place, Manchester, M1 3BN If you need this report in an accessible format, for example another language, on audio tape or large print, please call 0161 625 7840.
NHS NORTH WEST STRATEGIC HEALTH AUTHORITY