Innovating in a Shifting Healthcare Environment Professor Malcolm Sperrin Royal Berkshire Hospital

Drivers and Considerations Ageing population Ageing population Greater range of treatments Greater range of treatments Improved diagnostic tools Improved diagnostic tools Greater expectations Greater expectations

Crikey factors Equipment capital cost Equipment capital cost Device support costs Device support costs Increase in population beyond retirement Increase in population beyond retirement Need for specialist knowledge Need for specialist knowledge Litigation Litigation Reduced funding Reduced funding Expectations Expectations Rationing Rationing Membership of: 100 club

Accelerating adoption of innovation in the NHS Palpation (BC to ?1920?) Imaging ( )

Keep in touch with the real world Good inventions butter no parsnips Good inventions butter no parsnips Money is vitally important Money is vitally important Multi-disciplinary Multi-disciplinary Be prepared to lead Be prepared to lead Don’t forget external collaboration Don’t forget external collaboration The media The media

The road to good invention Good Idea Innovation Implementation Marketing Preferential use Individual Culture Resources Need to be Savvy Organisational Culture

Kinect and overcome Stroke Rehab Reduced bed days Inpatient Outpatient Improved outcome Cudos

XBoX/Kinect Commercial games Commercial games Requirement for response Requirement for response Requirement for movement Requirement for movement Metrics ? Metrics ?

Response ‘That’s nice !’ ‘That’s nice !’ Does it save money ? Does it save money ? Does it increase through-put ? Does it increase through-put ? Other uses Other uses Who can fund it ? Who can fund it ? IPR, rights etc IPR, rights etc

The Bespoke Element Stroke rehab Stroke rehab Geriatrics Geriatrics Paediatrics Paediatrics Trauma Trauma Orthopaedics Orthopaedics Sub-lieutenant Alex Donnelly

What needs to be measured ? Symmetry Symmetry Speed of response Speed of response Perception Perception Perception lag Perception lag Extent of reach Extent of reach Tremor Tremor Improvement Improvement

Project aims Align with health initiatives Align with health initiatives Engagement with the patient Engagement with the patient Improved outcomes Improved outcomes Collection of data Collection of data Cost efficient Cost efficient

Malcolm’s view and Summary Create a relevant departmental culture Create a relevant departmental culture Identify need Identify need Be politically savvy Be politically savvy Collaboration is good (essential) Collaboration is good (essential) Have the courage of your convictions Have the courage of your convictions Blow your own trumpet. Blow your own trumpet.

SECRETARY OF STATE FOR HEALTH, “There are great people in the NHS with great ideas. Through a focus on outcomes, we are going to enable and encourage them to turn those innovative ideas into reality. This will result in better care and outcomes for patients.”

Contact Details Royal Berkshire Hospital Royal Berkshire Hospital Reading Reading Radiation medicine Radiation medicine Public perception of risk Public perception of risk Ultrasound Ultrasound Scientific strategy Scientific strategy