The speed in which health technology innovation is evolving is presenting the healthcare system with challenges and some great potential opportunities – and the growth of digital health is no exception
Digital health is rapidly changing the lives of patients and NHS service providers. It is assisting the use of information and patient data, supporting faster diagnosis, streamlining hospital systems, and changing the way patient care is delivered
Our 3rd Annual Healthcare Digital Technology Congress will provide you with a unique opportunity to listen, learn & engage with some of the key drivers of Digital Healthcare from across the UK.
Business Change in the NHS
£200million for new IT systems
Standards in digital health tools – how could we design what is good enough
Transforming Care Through Technology
Innovation | Improvement | Impact
Digital General Practice
These are exciting times, and we are confident that digital tools and services will transform health and care for the entire country, enabling a culture change from patients relying on their doctor for access to their health information and assistance with even the most straightforward health needs, to a more level exchange. A world where people are empowered to manage their health and wellbeing and get advice on the go whenever and wherever they are.
Join us in on the 25th of June to have your say on the future of Healthcare Digital Technology. Places are minimal so don’t hesitate in contacting us today to confirm your place at the event.
We look forward to meeting you on the day.
*Research sources: National Health executive / NHS Digital
In May 2019, the Convenzis Group will be bringing you a highly informative 1-day congress that will discuss the current plans being implemented across the NHS to help adhere to growing staff pressure and further funding cuts across the healthcare service.
The evidence from multiple sources suggests three truths:
Overall, the NHS is one of the world’s most efficient health care systems. Substantially more cost effective than other advanced European countries such as France, Germany, Sweden or Switzerland, for example, Germany spend 30 per cent more per person on health care than the UK. Also, since 2010 the NHS has been increasing its productivity faster than the rest of the UK economy.
As the Office for Budgetary Responsibility has projected in their latest Fiscal Sustainability Report. Notwithstanding any action to address future cost pressures, health spending is likely to rise significantly as a proportion of GDP over the coming decades. As a result of demographic pressures but also growing technology costs and increasing demand.
However, despite those two truths. Also, the is still substantial opportunities to cut waste and increase efficiency in the NHS, just as there are in every other country’s health care system. In a tax-funded health service, every pound of waste saved is a pound that can be reinvested in new treatments and better care for the people of England. With 2017/18 funding fixed, substantial efficiencies are needed to create funding headroom over and above that.
Most annual efficiency gains will continue to be delivered locally taking account of the specific opportunities in different areas and organisations. For example improving staff retention, reducing sickness absence and implementing staff rostering systems.
Join us in May to get involved and have your say on the changes needed to ensure we are all working towards a fully sustainable healthcare service.
On the 6th March 2019 the Convenzis group will be hosting a 1-day conference that will focus on the how the NHS are planning to build a happy and healthy workforce and the tools at their disposal to help drive this strategy.
Lack of funding and a huge staff shortfall has created a perfect storm within the NHS, the number of vacancies is at record high in England as underlying deficit of £4.3bn has been revealed but with the recent annual budget review and news of a £20bn investment into the NHS over the next 5 years, we should see these statistics fall, NHS leaders are poised to publish their blueprint of how the health service can adapt to the next 10 years with help of this recent funding injection.
“The NHS is one of our country’s finest achievements. As outlined in the NHS Constitution it belongs to, and is a source of pride to, the people”
Topics our conference will address:
Transforming Care Programme
Change & Innovation
Better use of workforce Tech
ESR – Workforce Solution for the NHS
Staff Nursing and Workforce Quality management
The Recruitment Challenge – An Alternative Solution
The health and care strategy
Join us in March to listen, learn and engage with the thought leaders that are driving new policy and strategies to create a fully sustainable healthcare service. places are limited so get in touch early to avoid missing out on this opportunity.
We look forward to meeting you on the day.
*Research Source: The Guardian and The Kings’ fund
In July 2018 the Convenzis Group hosted the 1st Patient Flow: Health and Care Improvement for Urgent and Emergency Care Congress, due to the success and popularity of the event we will be hosting the 2nd event in London on the 27th of February 2019.
“A briefing from Nuffield Trust warns that the NHS can no longer find enough bed space to move patients through hospitals quickly and meet key A&E targets and that its practice of counting patients at midnight means that the true scale of the squeeze is being missed.”
Across the NHS, staff work around the clock to deliver the best possible care to more patients than ever before, but it’s becoming increasingly difficult as demand continues to rise.
The current system is under increasing pressure, NHS England wants to improve the urgent and emergency care (UEC) system, so patients get the right care in the right place, whenever they need it.
Technology is changing and so is the way people access services and that’s why we are piloting NHS 111 online which will mean people can access urgent care services over the internet.
In the future, health records will also be available to clinicians however a patient accesses the health service, whether this is through NHS 111, by ambulance, their GP or A&E.
NHS England has set in place a series of pilots and programmes that will help to manage the current demand that the Urgent and emergency care services face, our conference will give you first-hand insight into these impending changes.
Key topics will include:
• Paramedic prescribing • Ambulance Response Programme • From hospital to home programme • Urgent and emergency care vanguards • Urgent and emergency care channel shift model • NHS 111 online
Places are currently minimal for this event, so please get in touch today to register your place and avoid missing out on what is shaping up to be another engaging and insightful day.
Digital systems are the foundation upon which we will build a modern, efficient and responsive health service. Enabling information to flow between care providers within and beyond organisational boundaries, between care providers and patients is a crucial means by which we will achieve a safe, convenient and personalized health and care service.
Join us in February 2019 as we delve into the world of Digital Primary Care. Our Digital Primary Care: The Information Revolution conference has been developed to advise GP Surgery’s and Clinical Commissioning Groups on the current tools in place to help them harness technology and drive efficiency.
Events key tops:
Electronic Prescription Service (EPS)
GP Systems of Choice (GPSOC)
Summary Care Records (SCR)
Systems & Service Delivery
The GP IT Operating Model
Digital Primary Care Maturity Assurance model
How the Digital Primary Care Maturity Assurance Model can benefit General Practice:
Demonstrate progress against core GP IT services, as outlined in the GP IT Operating Model assures that CCG’s are meeting the requirements of the GPIT Operating Model in the effective delivery of GP IT services.
Identify areas for investment in GP IT services and digital innovations that support delivery of primary care at scale, extended hours/7 days working and changing models of care.
Baseline service provision enabled through technology against other general practices/localities to maximize efficiencies Support CQC assessment by providing insight into the use of digital technology within the practice, to help meet patient need and improve delivery of clinical services.
Demonstrate progress against GMS/PMS/APMS digital requirements.
How the Digital Primary Care Maturity Assurance Model can benefit CCGs:
Support the re-procurement of GP IT service provision via the Lead Provider Framework.
Demonstrate progress against the digital requirements outlined within the CCG Improvement and Assessment Framework.
Inform the development of Local Digital Roadmaps (LDRs) and Sustainability and Transformation Plans (STPs), helping identify areas for further investment.
To enable comparison of digital maturity within Primary Care against secondary care, as highlighted in the Digital Maturity Index (DMI) assessment of secondary care.
Places are limited for this event so don’t hesitate in getting your place booked today, we look forward to meeting you on the day.
The key to re-designing outpatient and back-office processes in the NHS
Ryan Reed, Head of Public Sector Sales
NHS Trusts gathered at a discussion group led by SPS to discuss the challenges of digitisation, and the need for more guidance surrounding digital transformation.
NHS Trusts and organisations are facing significant challenges with digitisation. The benefits of improved operational and back office efficiency, and — ultimately — enhanced patient experience, are clear. However, significant hurdles must be overcome, and new ways of working need to be developed, in order to reap the full benefits of digitisation. Funding and technology are not enough — Trusts need guidance, management, and communication to share best practice in order to successfully go digital.
Digitisation cannot be a one-size-fits-all solution. Different Trusts, and even different hospitals within the same Trust, are all at varying stages of maturity, and have their own individual processes, workflows, and budgets. The challenge is not simply digitising these processes, but finding a digital roadmap that reconciles these differences. Unified leadership needs to be provided for budgets and funding if tangible results are to be expected.
With £200M of funding recently released to help advance Trusts to GDE (Global Digital Exemplar) status, sharing GDE innovation blueprints and strategies can only achieve so much. These blueprints are often specific to the digital products in use, and the outcome-based strategies makes them unique to the 17 GDEs rather than universal to the remaining 157, meaning their guidance is limited.
Furthermore, this funding can only drive limited change without the appropriate steerage in place. Unified leadership needs to be provided for budgets and funding if tangible results are to be expected, with Trusts in some cases needing to manage innovation across over 200 separate entities. Funding needs to be provided for management and roadmaps, as well as actual transformation, allowing the NHS’ budget to be used more efficiently and effectively, without compromising any areas. If the main aim of digitisation is to unify organisations and information, then communication is key to achieving this.
The importance of communication is evident in digital platforms themselves. A key issue for Trusts when choosing a digital provider, is ensuring that they do not become tied down by specific systems or Emerging Architecture that cannot communicate or integrate with other systems, resulting in an ecosystem vendor lock-in.
Larger NHS organisations need solutions that act as ‘building blocks’ that can fit together without acting as a limiting one-size-fits all. For example, standards worked up between industry bodies such as TechUK, INTEROpen and the NHS should allow systems to interoperate through open standards and APIs; however there is evidence that vendors are gaming these principles by creating proprietary APIs that require a commercial partnership to access data. This has the potential to create barriers rather than opening up systems. Vendors have significant commercial investment in their intellectual property and are unlikely to want smaller software vendors picking off features and functionality.
Ultimately, the key objective of digitisation is to improve the user experience, both patient and clinician. Digital innovation has the potential to unlock fast, remote access to information, and more collaborative ways of working, all of which are key to enhancing patients’ experience. Kent Local Authority has seen this first hand: their shift to the Cloud has revolutionised their back-office processes, such that the snow storms at the beginning of the year had little effect on those services. They have also been able to significantly reduce their estates footprint as staff work flexibly and remotely rather than needing to be in-house to access information.
This being said, it has been a long and difficult journey to transfer all processes and services. Whilst there are many suppliers who can provide technology for digital innovation, the key issue is change management: the re-design of processes, the training of staff and actively implementing these processes into existing organisations. Technology is only the first step in digital innovation; transforming the people and processes associated with this technology is where the true challenge lies.
If back office processes could be digitised, it could be the first step in more patient facing areas of the NHS. Remote access to information could in turn support initiatives such as virtual clinics using video consultations, for follow-ups or less urgent appointments. This will be essential for organisations’ financial sustainability when tariff changes kick in next year. With 127 million appointments in the UK last year, and doctors believing that 10–20% of these could have been avoided, digital back office processes are a crucial first step in advancing patient facing engagement.
Digital innovation relies on people and communication within the NHS, just as much as it can enhance communication and improve the experience of patients and carers alike. The NHS needs a transformation partner who will focus not only on a digital solution, but on how this can be tailored to each individual organisation to suit and benefit the most people, from patients, carers, admin, and across the organisation as a whole.
In November 2018 The Convenzis Group have developed a 1-day conference that will take a look at how the National Health Service is currently harnessing and adopting technology. The event will be shine a light on how technology can drive productivity and slash budget spend.
Events key topics:
The Global Digital Exemplars
Local Digital Roadmaps
Digital Maturity Assessments
The New Clinical Digital Council / Role & Aims
5 Year Forward View / Next Steps
Paper Free at the point of care
The Deputy Chair of the new Clinical Digital Council argues that for effective digital health services and systems to succeed across the NHS, we need agreed digital health standards which cover evidence, regulation and clinical safety:
The global market for digital health is expected to reach almost £43billion by 2018 and £408billion by 2025.
Health IT systems represent the largest market both globally and, in the UK, where they contribute 66 per cent of digital health sales. But the most promising market for growth is mobile health with sales of apps and wearables predicted to increase by 35 per cent in the UK by 2018.
Join us at our 2ndHealthcare Digital Technology Congress to gain first hand insight into the plans that have been set in place to ensure the NHS are driving towards being a world leader in harnessing healthcare technology, you will get the chance to listen, learn & engage with some of the most well followed and reputable speakers in the country.
In July 2018 we will be working in partnership with NHS England, NHS Digital and NHS clinical leaders network to bring you a 1 day conference that will focus on Patient flow and the current methods being implemented to help reduce the demand on urgent care departments across the UK.
Each year the NHS provides around 110 million urgent same-day patient contacts. Around 85 million of these are urgent GP appointments, and the rest are A&E or minor injuries-type visits. Some estimates suggest that between 1.5 and 3 million people who come to A&E each year could have their needs addressed in other parts of the urgent care system. They turn to A&E because it seems like the best or only option. The rising pressures on A&E services also stem from continued growth in levels of emergency admissions and from delayed transfers of care when patients are fit to leave hospital. Working with NHS England we are opening open up valued discussions between peers and demonstrating the great work that is already being done across the UK
What’s been achieved in England over the past three years?
Cared for 23 million A&E attendances in 2016/17, 1.2 million more than three years ago.
Boosted the capacity and capability of NHS 111, which now takes 15 million calls each year, up from 7.5 million three years ago.
Expanded “Hear and Treat” and “See and Treat” ambulance services so that they now cover 3.5 million people, with the provision of telephone advice and treatment of people in their homes saving needless trips to hospital.
Developed an integrated urgent care model, offering a single point of entry for urgent care via NHS 111, and rolled it out to 20% of the population.
Increased NHS staff uptake of winter flu vaccinations from 49% last year to 63% this year – the highest ever.
Our Urgent and Emergency Care conference for 2018 will be looking into improvements across the UK for access to immediate and urgent care. We are already working with NHS England, NHS Digital, British Medical Association and Health Education to name a few. This is a great opportunity for you and your organisation to hear from both public and private sector on how to adopt change
The event will give delegates the opportunity to listen, learn and engage with some of the UK’s most reputable speakers, it will also provide 4 hours of networking time and 8 CPD points for all attendees.
In 2018 we are working in partnership with NHS England, NHS Digital and Health Education England to bring you a 1 day conference that will delve into the world of innovation and technology for the healthcare sector, the event will take place in ETC Venues, Central Manchester on the 26th of June 2018.
This event will provide delegates with a live opportunity to listen, learn and engage with some of the most reputable and well established thought leaders from across the UK healthcare sector, this years key topics will include: NHS reforms: know your STPs and CCGs, Relationship-building and working with the NHS, Commissioning and contracting, IT Change Programmes and Digital Public Health
This event is designed for anyone working in the NHS, public, private, academic and third sector who would like to gain a greater understanding of how the health and care system currently works and how it is changing. Join us for an informal day of learning and networking and find out the answers to questions you’ve always been afraid to ask.
What will you learn?
You’ll hear from some of the most senior policy shapers in the country on how the government and the NHS plan to build and sustain a fully integrated and digital healthcare system:
how the system works: how it is structured and how money flows
NHS reforms: know your STPs and CCGs
relationship-building and working with the NHS
what is happening in general practice
commissioning and contracting
the future of health and social care
NHS Digital’s 2017-18 Business Plan sets out a strategy to reform pretty much all aspects of healthcare. Areas include: Patient engagement, self-care and prevention, urgent and emergency care, digital transformation in general practice, social and integrated care, digital medicines, elective care, paper free at the point of care and public trust and security.
Our upcoming Healthcare Technology Congress: Sustainable change for a digital future conference will discuss each of the above topics. Working with NHS England the conference will offer delegates a first-hand look at the current plans in place to revolutionise the healthcare sector and also give open opportunity to network with policy driving speakers and innovative solution providers.
The Deputy Chair of the new Clinical Digital Council argues that for effective digital health services and systems to succeed across the NHS improving patient care, we need agreed digital health standards which cover evidence, regulation and clinical safety:
The global market for digital health is expected to reach almost £43billion by 2018 and £408billion by 2025.
Health IT systems represent the largest market both globally and in the UK, where they contribute 66 per cent of digital health sales. But the most promising market for growth is mobile health with sales of apps and wearables predicted to increase by 35 per cent in the UK by 2018.
With the increasing value of these markets comes increased focus on the policy around health IT systems and interoperability. This is key to enabling safe and effective data exchange, but unfortunately we have discovered a lack of interoperability with digital health tools such as devices, wearables and integrated apps which need to be addressed.
What has become clear is that the market has pushed on ahead in creating high cost health IT systems, with little focus on building application programming interfaces (APIs) or allowing smaller digital health players to integrate clinically effective tools into those larger electronic health records and IT systems.
In order to address this nationally, it is clear that a standard of what is ‘good’ needs to be developed and adopted. This would allow developers to create tools and products that not only impact clinical care and improve patient outcomes, but that can also connect to and talk to other clinical systems being used within the NHS.
As part of the NHS Five Year Forward View and Next Steps, a common standard across regulators, NICE, Public Health England and other central NHS bodies to review digital health tools was developed. However, in the fast changing world of digital health, it was clear that a cross stakeholder group was needed to maintain this standard and to ensure it changed accordingly with technology developments and advancements.
A group was also needed to address emerging questions around what amounts to good evidence in the digital health space, impacts of real world data, and how we change the narrative of healthcare delivery in the digital age. And while technology in healthcare does not yet truly make intelligent decisions independently, with the pace of change it is clear we need to address these questions now.
To help address these, under the leadership of the outgoing Chief Clinical Information Officer (CCIO), Professor Keith McNeill, the Clinical Digital Council (CDC) was set up at the end of 2017. Its membership includes senior clinical digital health leaders from across the arm’s length bodies – currently the MHRA, NICE, Care Quality Commission, Public Health England, NHS England, NHS Digital and the Department of Health.
The goal of the CDC is to ensure issues affecting digital health policy are raised in the right environment, and it acts as an advisory body to the governance and delivery groups informing the Digital Delivery Board – the governing body which decides NHS technology spending. It is a clinically-led forum for informed discussions and sharing of standards and policies relating to digital health and clinical implementation.
The CDC meets every other month under the chairmanship of the CCIO for health and care and is managed by me, as deputy chair.
Our focus this year is to:
Publish a digital health standard with a focus on evidence, regulation and clinical safety. This will inform the wider Health Standards and NHS Digital Service Standards Manual and procurement frameworks;
Create a common understanding of what is good evidence with respect to digital health, and use of real world data and trials to inform effectiveness of a product or tool;
Explore the challenges of machine learning and intelligent technology to policy and regulation, with an aim to creating a policy framework.