CHANGING FOR THE BETTER (C4B) @C4B_ABM #C4B #DIGITAL

Digital Strategy for Connected Health and Care Gary Eke Cisco Healthcare www.cisco.com/uk/healthcare @C4B_ABM #C4B #DIGITAL

Global Trends in Health and Care Preventative Treatment Through Innovation Increased Demand Digital Strategies Patient/Care Provider Access to Information Privacy and Security Concerns Telemedicine Financial Pressures Alternative Care Models @C4B_ABM #C4B #DIGITAL

The UK Health & Care Landscape How to cope with increasing demand against a backdrop of cost pressures Ageing population and the ‘worried well’ Global drive towards new models of care From Healthcare to Health and Care Regionalisation and devolution New capabilities, e.g. Genomics Predictive health and Population Health Management Country plans: England – ‘The NHS 5 Year Forward View’ Scotland – ‘2020 Vision’ and companion documents Wales – ‘Together for Health’ The UK Health & Care Landscape @C4B_ABM #C4B #DIGITAL

Drivers of Change @C4B_ABM #C4B #DIGITAL Healthcare Professionals An Ageing Population Chronic Diseases By 2018, there will be more people age 65 or over, than there are under 5s (Old-age dependency ratio, Eurostat, Eurostat ) People over 65 occupy 51000 acute care beds at any one time – 70% bed days (RCP: Hospitals on the Edge – Time for Action) A need to support people to live independently and provide remote care Scarcity of resources The EU estimates a shortage of 1 million healthcare professionals by 2020 (EC Staff Working Document on an Action Plan for the EU Health Workforce, EC (2012), EC Healthcare Workforce ) Drives a requirement for self-management/ remote expert where it is appropriate Lifestyle can be a contributory factor Chronic disease is also a natural consequence of an ageing population Requires a focus on prevention , early intervention and education Self-management and independent living @C4B_ABM #C4B #DIGITAL

Digital Strategy for Connected Health and Care (Cisco Network Architecture Blueprint for NHS Organisations) Business-led ICT, written specifically for NHS organisations Advocates and architectural approach to link business and ICT Based on well-known frameworks e.g. TOGAF Evidence based – business requirements based on policy and local priorities Two volumes addressing the Business and Technical Decision Makers in Acute Hospitals, Community Care, Mental Health and other NHS organisations @C4B_ABM #C4B #DIGITAL

‘Plan down, build up’ Plan Build @C4B_ABM #C4B #DIGITAL Business Architecture Based on business challenges, objectives, organisational dependencies Build Application/Data Architecture Based on functional roles and inter-dependencies – people, applications, data Technology Architecture Underpinning infrastructure, network and re-usable integrated services @C4B_ABM #C4B #DIGITAL

A Layered Platform: Underpinning the patient journey The Patient Journey and Improved Workflow Use Cases (sample) Length of Stay Hospital at Night Translation Services Remote Expert Extended Care One Collaboration Platform Enabling Infrastructure Platform (inc. Mobility Services) @C4B_ABM #C4B #DIGITAL

ABMU Mobility Pilot User Cases Medical Equipment Asset Mobile Tracking RFID tagging and mapping of Medical Assets, e.g. Infusion pumps Integration with MSE, utilising Stanley MobileView App. Partnership with Stanley Healthcare In service Staff and Patient Mobile Wayfinding Mapping of facility to mobile App. Available through free WiFi service Providing key and relevant local data/information via interactive map Partnership with Locate3 Pilot now live at Morriston Patient Wristband BLE Mobility. Initial user case for “Docs” Ward Rounds Mobile Patient data made available via secure wearable BLE tag Provided through strategic partnership with Apple for mobile devices Emergency Remote Mobility Extend mobility services securely over EN IWAN platform to remote emergency sites Delivered over EE 4G mobile network, now moving to fixed line service In service June 2016 Future - Home Broadband connectivity

Phil Smith Cisco UK&I CEO @C4B_ABM #C4B #DIGITAL

Thank you http://www.cisco.com/uk/healthcare @C4B_ABM #C4B #DIGITAL