2015: How have we changed the Business Model? Coventry 12 th December 2012 Graham Worsley - Technology Strategy Board Assisted Living Innovation Platform

Welcome and Introduction (& Agenda) How did dallas change the business model? Alison Mlot How did 3millionlives change the business model? Rupert Hipwell Philips Break What did MALT Contribute? Lizzie Coates, University of Sheffield What did SALT Contribute? Feng Li/ Daniel Martin, Newcastle University What did Comodal Contribute? Simon Fielden, Coventry HDTI Lunch What worked for us - DAP Connect Richard Foggie, HoIP What worked for us – MOST Andrew McIntosh, Tunstall end of presentations break PARALLEL SESSIONS (A) Gap Analysis - What have we missed? What do the EBM projects need to prioritise? Graham Worsley, Technology Strategy Board PARALLEL SESSIONS (B) Exploitation & Commercialisation - getting your product to market. Luke Kempton & Robert Breedon, Wragge & Co Report Back

The Assisted Living Landscape Preventative Technology Grant (PTG) Whole System Demonstrator (WSD) {clinical evidence} Assisted Living Innovation Platform (ALIP) {technology development} d elivering a ssisted l iving l ifestyles a t s cale { next stage of evidence with even more users } ml

Understand current and future markets for assisted living technologies

Draw parallels with other comparable markets Ensure scalability of technology and service solutions Consider together with parallel developments –E.g. smart housing and smart metering Mapping of stakeholders and interdependencies Identify the demand in different population groups Understand the potential private sector market –e.g. the ‘wellness’ market, long term conditions etc. Identify marketing interventions for beneficial change

Understand the apparent contrast between rapid technical developments and their uptake and use

Are new tools needed? – to evaluate the larger amounts of raw health and care data –to populate modelling and evaluation initiatives –to capture the value of technology-enabled services Consider how co-creation concepts can be adapted user-led innovation living labs ethnographic analysis

Understand how industry structure and business models can move forward uptake and use

Develop a dynamic model for the UK and global markets How can fragmented public sector markets be addressed through innovative business models? How the private market will evolve? What is the most effective role for the Third Sector? What is a viable new state to encourage market ‘pull’? How to bring about mass-market pull from private purchase? –How might this impact the ramp-up of statutory services?

Understand how public funders’ structures and processes can move forward uptake and use

Impact of integration, standards and interoperability –How technology changes skills and management processes? –How technology helps realise public value? –How web 2.0/3.0 services will build upon that available now? Suggest and develop a new model for the NHS –Combined Model, value co-creation, and financial flows –Stratification of private provision, social care and healthcare

Understand how commercial, third sector public providers of care can develop new combinations of technologies, services and sustainable finance to move forward uptake and use

Health and Wellbeing Promotion Integrated LETs and Services Assisted Independence Admission to Care FGF Mission Statement: To create positive health and wellbeing at scale enabling individuals to take control FGF Mission Statement: To create positive health and wellbeing at scale enabling individuals to take control Feel Good Factory step up step down model

commission signpost & advise Select & buy assessment AL service management Home caretelecare telehealthreablement Extra careetc etc …..telecoachingAdvice/self care Population services - Risk stratification - Predictive studies - Resource planning Public Private consent, schedule, train, install… monitor, triage, escalate, respond data extraction EHR Analysis & Outcomes analysis Validation Gateway eg GP PHR Multi-channel services Multi-media applications Self-management Care Housing Diagnostics Telehealth Telecare Smartphones Tablet TV PC Social networks Portals data choice £ Commissioned by health/care £ Personal budgets £ Self-funding Business process view of a mixed community... Co-ord personalisation evidence

i-focus interoperability priorities Multi-platform service delivery to consumer client devices Streamed multi-media content within applications including QoS etc Use of consumers existing devices – MDD issues Shared services for informal carers Multi-sourcing telecare and telehealth equipment Telehealth integration with GP systems Identity and consent Security and information governance Interface between PHR e.g. Health Vault and statutory systems

Conclusions Technology is moving on, as are plans for large scale deployment e.g. dallas and 3millionlives. Standards and regulation and business models are adrift of deployment at scale, and of a desire for more self management and prevention. Where is the pathway to scalability? What business models are going to work? Be brave !!! Need to maximise outcomes and plan for better dissemination from EBM projects.

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