John Cleland Department of Cardiology Hull York Medical School University of Hull Kingston-upon-Hull UK Active & Healthy Ageing Innovation Partnership Aim Good Social, Mental & Physical Functioning (Wealth)

Patient Doctor Advises Doctor Detects Doctor Treats Doctor Monitors

Patient Motivation Patient Engages & Monitors Patient Detects Doctor [Patient] Treats Patient Monitors

What’s Required Better motivational (educational) strategies Better Therapy –Ageing as a disease rather than inevitable –Sarcopaenia & Balance Better Implementation Better Integration –Social and Medical Care –Research & Clinical Practice Improved Regulatory Framework –Inappropriate regulation is stifling (and may kill) innovation –Over-enthusiastic (profit-driven) monitoring by CROs – which may account for the majority of costs in a clinical trial

Effect of (Unintegrated) Home Telemonitoring Inglis et al 2010 Mortality Need for a study of 3rd Generation Home Telemonitoring Fully Integrated into Routine Healthcare. Could recruit very quickly:- 6,000 patients from 8 hospitals in a year if it is done right