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2. Technologies for what purpose?. The second half of the 20th century saw major improvements in communicable disease treatments and surgical advancesThe first half of the 21st century will see increases in non-communicable diseases and improvements in care of people with long term conditionsTechnology is readily used and accepted in the treatment of many acute interventions
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1. Whole System Demonstrator programme Stephen Johnson Deputy Director Head of Long Term Conditions
2. 2 Technologies for what purpose? The second half of the 20th century saw major improvements in communicable disease treatments and surgical advances
The first half of the 21st century will see increases in non-communicable diseases and improvements in care of people with long term conditions
Technology is readily used and accepted in the treatment of many acute interventions CT, MRI, x-rays, etc
But can technology be used to improve the care of people with long term conditions?
3. 3 .Yes, at least that is the claim, but where is the evidence? Back in 2006 it was recognised the evidence base was not as robust as we would have liked
So we secured funding and set out to fill that gap
WSD was born (3 sites, 6000 people, 238 GP practices, making it the largest RCT of TH/TC in the world)
2007 to 2008 sites were selected
2008 2009 patients recruited (easy this RCT thing isnt it!!)
2009 to 2010 patient data collected
Jan 2011, data to evaluation team
Now? well now the data is being evaluated and peer reviewed prior to publication
4. 4 What will WSD tell us?
5. 5 What have we learnt? Technology is only part of the story, you must re-design services to maximize the benefit of the technology
That includes looking again at skill mix and facilities
Clinical engagement is essential, but takes time
Patients are suspicious, and building trust takes time
Patient data was not as good as we thought, disease registers were out of date of inaccurate
Some population groups were very difficult to reach
Good project/programme management is essential
What you do on a small scale does not necessarily scale
But..
6. 6
7. 7 BUT
8. 8 Remember why we are doing this The number of people with long term conditions is growing (15.4m now, but up to 18m within 20years) and they account for 70% of spend
People with LTCs live with their condition every minute of every day, not just the 3 to 6 hours they are with a professional
Remind ourselves why here today why focus so much energy
For starters large and growing population 15 million in this country
Range of conditions with differing severity some have single condition can manage well, some have range of conditions that limit them and others have range of complex health and social care needs that severely limit their ability to copeRemind ourselves why here today why focus so much energy
For starters large and growing population 15 million in this country
Range of conditions with differing severity some have single condition can manage well, some have range of conditions that limit them and others have range of complex health and social care needs that severely limit their ability to cope
9. 9 What next? This will need significant leadership at all levels as well as raising awareness of what can be achieved and how to use the technology properly
But to lead needs a direction - align incentives, re-train staff, develop interoperability, embed common standards and reduce high unit costs
10. 10 Stephen Johnson
Deputy Director
Head of Long Term Conditions
0113 254 7362
stephen.johnson@dh.gsi.gov.uk
