Registration

Welcome & Introduction

Professor Bill Buchanan, Edinburgh Napier University & Campbell Grant, Sitekit Solutions Ltd

Cloud4Health - Edinburgh Napier University/Microsoft/HoIP

Professor Bill Buchanan, Edinburgh Napier University

The cloud4health platform focuses on creating a next generation infrastructure which aims to integrate assisted living with primary and secondary health care, in order to reduce patient risks. This presentation outlines how it integrates assisted living, with primary and secondary healthcare, in order that data can be used within all the phases of the health care treatment. This then creates a completely integrated environment for the capture, storage and delivery of clinical services, to create an integrated approach to patient care.

Empowering Individuals

Alex Stobart, Mydex

Cloud based services can then be enabled by delivering applications and services built on top of personal data under the control and management of the individual. The individual ( citizen ; patient ; citizen ; consumer ) is the only ethical point of integration. The individual is then an active participant in their personal information sharing, for all aspects of their lives. Mydex's focus is on empowering the individual and enabling them with the means to capture, manage and control their personal information in all forms and permission its use and share it electronically within a framework of trust.

The Passport to Sustainability in Healthcare

Robert Stewart, Director of Finance & Technology, NHS 24

For those working in the public sector the cries of crisis in services brought about by lack of finance, increasing demand and demographic changes are simply business as usual. The environment is an opportunity, not a threat but unfortunately we sometimes cannot see the solution when it is right in front of us. Scotland has a proven track record in the delivery of telehealth and telecare services. This will be explored and thinking for successful future service offerings shared.

QIPP: Transforming the NHS

Professor Mahmood Adil, Department of Health

11:30-12:00

Coffee & Networking

12:00-12:30

Innovation Through Virtualization

Jason Broadbent, Brocade

Today's modern IT infrastructure is complex and made up of multiple locations including home and remote workers, fixed desktops, Virtual desktops, physical and virtual servers and for most organizations location independent, using a combination of your own distributed network resources, outsourced providers for hosted services and mobile devices including corporate mobile and Bring Your Own Device. Brocade consolidates all of these technologies across public and private Cloud environments creating simplified infrastructure where everything in your Network intelligently connects users wherever they may be and whatever device they are using, we then we combine them with all the many forms of applications you are using. Making businesses run on top of this fully distributed "Cloud" infrastructure is what Brocade is all about"

12:30-13:00

Integrating Genomics with eHealth for P4 Medicine

Professor Calum MacRae, Harvard Medical School

The basic concepts of P4 Medicine imply substantial changes in the scale of virtually every activity in biomedicine from diagnosis to drug discovery. In the last decade, advances in personalized medicine have been driven largely by the success and promise of genetics and genomics, but eHealth is rapidly gaining momentum. The integration of these two approaches around human biology and behavior will be a major challenge for P4 Medicine, but is likely to be critical for its success. Understanding the strengths and weaknesses of genetics as a predictive tool is instructive across eHealth innovation from the implementation of the eHR through to personal sensors and motivation tools. Potential models for the complementary integration of current and future genomic and eHealth technologies will be outlined.

Lunch

 14:00-14:30

P4 Medicine & P4 Digital

Dr Steven Doddsworth, Highlands and Islands Enterprise

A unique combination of global trends and drivers dictates that healthcare will change to become more predictive, preventative, personalised and participatory. This talk will explore the combined role of digital technology and genomics in shaping the future of healthcare.

14:30-15:00

Clinical & Patient Experience of Telemonitoring

Janet Hanley, The Telescot Programme

The TeleSCOT research programme focuses on the role of community based telemonitoring in a range long term conditions. It is responsible for a number of randomised controlled trials and other studies. As well as providing condition specific outcome data, the team have investigated patient and professional experience in using different systems. The recurring themes from these studies will be presented as a basis for discussion about future development.

15:00-15:30

A Wearable Sensing Approach to Persistent Physiological Monitoring

John Innes, Selex Galileo

As well as developing robust, secure and adaptable network architectures to support e-health, there is a need for improvements in the data collection and processing methods used for patient and assisted living monitoring to deliver the improvements in patient care that the promise of e-health offers. This presentation provides an overview of an on-going development programme aimed at producing a range of wearable multifunction sensors capable of providing high quality data and information on the physiological status of an individual. This sensor concept is designed to be applicable across many aspects of medicine and assisted living and into the realms of performance monitoring.

15:30-16:00

E-Health Solutions for Musculoskeletal Physiotherapy

Kirsten Lord, The Edinburgh Physiotherapy Centre

Increasingly, people turn to the internet as a first port of call when experiencing pain or physical problems, growing the demand for easy to access health information which is safe, personalised, responsive and human. This change in patient behaviour is driving the integration of technology and e-Health solutions into mainstream service provision. Based on a web platform, PhysioMedics has developed the PhysioWizard ® for low back pain. This system distils the complexity of the physiotherapy questioning process into a simple to follow pathway, enabling the user to discover the possible conditions they suffer and learn specific self management advice and exercise strategies.

16:00-16:15

Coffee & Networking

16:15-16:45

eHealth for Safer Maternity Care

Professor Jason Gardosi, NHS Perinatal Institute Director

It is an established fact that most adverse outcomes in maternity care are potentially avoidable. eHealth allows us to rise to this challenge in several ways, including digital pen technology to capture perinatal data, and web based, intuitive applications such as the Perinatal Episode Electronic Record, individually customisable charts for assessing fetal growth, and standardised clinical outcome reviews to ensure that substandard care is identified and lessons are learnt. A subtle yet highly significant aditional benefit of eHealth is that it engenders increased openess and transparency within health services.

16:45-17:15

Trust Framework for Assisted Living

Paul Thomas, Microsoft

Government is making clearer than ever statements about "digital by default" and this must apply to health and social care services if we are to see the efficiency gains that are now routine for a broad range of commercial and public services. But trust remains a major barrier to adoption for services that require a higher level of assurance of identities as well as requiring privacy and consent. This session brings some of the latest thinking from key government and industry players about trust frameworks that will facilitate online health and social care services.

Growing Digital Healthcare in Scotland

Scott Johnstone & Campbell Grant, Scottish Lifesciences Association

Summary & Close

Campbell Grant, Sitekit Solutions Ltd

Drinks Reception

Networking Dinner

9:00-9:30

Registration

9:30-10:00

Welcome: Sitekit & Partners - Collaborative Projects

Campbell Grant, Sitekit Solutions Ltd

10:00-10:30

Healthcare Social Marketing Using Broadcast Media

Jonnie Turpie & Andrew Chitty, Maverick TV & Illumina Digital 

10:30-11:00

Technical Overview: Cloud4Health - Edinburgh Napier University/Microsoft/HoIP

Dr Lu Fan, Edinburgh Napier University

The cloud4health platform focuses on creating a next generation infrastructure which aims to integrate assisted living with primary and secondary health care, in order to reduce patient risks. This presentation outlines how it integrates assisted living, with primary and secondary healthcare, in order that data can be used within all the phases of the health care treatment. This then creates a completely integrated environment for the capture, storage and delivery of clinical services, to create an integrated approach to patient care.

11:00-11:30

Coffee & Networking

11:30-12:00

Introducing the ePCHR

Daniel Moulin, Sitekit Solutions Ltd

12:00-12:30

A Paediatrician's View of the ePCHR

Dr David Low - NCL for Paediatrics and Child Health

The expectations of the digital generation together with the advances in information technology have resulted in the the desire to develop an electronic version - the ePCHR. This could potentially make the PCHR more responsive to health developments or different client groups, have increased availability at the point of care and increase accessibility for families for health promotion materials and messages; data collected once at the point of care could also be more easily shared. These advantages should improve parental and professional engagement and resultant health outcomes. There are, however, considerable challenges to achieving this vision.

12:30-13:00

Digital Pens in Healthcare

Claire Brookes, Portsmouth Hospitals NHS Trust

South Central Strategic Health Authority (SHA) funded the community digital pen pilot project following proof of concept March 2009. The digital pen project concept has won both National and International awards. The project also has at its heart the DH concept of “Enter once use many times”.

The digital pen concept utilises blue tooth technology to provide a seamless integration between the contemporaneous documentation of midwives in all areas of the services and all locations. The concept supported the claim that the data would be inputted both in written text and electronically in real time, thus capturing community midwifery activity, which is currently captured retrospectively, in a non-patient specific manner. This would support the requirement to capture the Maternity Minimum Dataset which supports the 2013/14 Pathway Tariff Payment mechanism.

The concept has been proven and once fully integrated will be of a significant benefit to mothers, staff and the Trust as a leader in mobile integrated technology.

The service is currently in shadow count for new tariff and the newly created multiple episode of care form has been piloted successfully and will enable the service to provide activity data for submission to commissioners and support Maternity specific CQUIN’s and Key Performance Indicators (KPIs).

• Pathway Improvement; the digital pen project will provide a seamless process from booking with the maternity services to the partner organizations such as GP’s, Health Visitors, Children’s Centre’s also including Social Care, Early Intervention, Safeguarding Children & Adults and Substance Misuse team.
• Safety; the Pathway improvement would provide immediate referral by email to all partner services and provide activity data, CQINN data, KPI’s and PbR Pathway tariff.
• Mitigation of Information Governance breaches due to encryption level of data due to real time data transfer to partner agencies.
• Reduction in storage of paper notes as held electronically and copies can be culled after 3 years as electronic version will be kept for 30 years. The electronic version is readily available to provide to parties on request in the case of litigation at a reduce cost.
• Statutory & Mandatory reporting, for example commissioners, Secondary Users System and External reports to Public Health and other partner organizations.
• Targets: the service is required to submit data to support the following KPIs:
• Discharge data relayed to GP with 24hrs of discharge
• Health visitor referral before 28 weeks of pregnancy
• Breastfeeding initiation
• 12+ 6 weeks booking
• Smoking cessation
• CNST
• National antenatal screening returns
• Newborn Initial Physical Exam (NIPE) completed within 72hrs of birth
• Research; the availability of electronic data allows for reports to be provided through Business Objects which provides data for training doctors in areas such as caesarian, third & fourth degree tears, shoulder dystocia and post partum haemorrhage to name a few examples.
• Work in partnership with the researh team to provide data for activity, demographics etc

Other objectives are not limited to but include:

• NHS baby number
• Link community with the hospital maternity unit
• Link community midwives with pathology services
• Link maternity with primary care
• Registrar of births and deaths, and child health records, Winchester

13:00-14:00

Lunch

14:00-14:30

Developing Digital Health Systems for Patient Care

Tim Benson, Abies Ltd

Thirty years ago the challenges in health informatics were user acceptability, the cost of disk space and lack of suitable coding schemes. Today the challenges are more to do with interoperability, information governance and monitoring outcomes. Progress has been frustratingly slow. I will seek to demonstrate that these problems are not essentially technical, but have much to do with the short-term survival strategies pursued by suppliers and hospitals, which have favoured lock-in over openness. We will not achieve patient-centric computing without some sort of regulator, with financial incentives and penalties, to ensure a level playing field.

14:30-15:30

HealthVault Platform: Technical Overview

Andy Payne, Microsoft

15:30-16:00

eHealth Market Overview

Jens Dommel, Microsoft (Germany)

16:00-16:10

Summary & Close

Dan Moulin, Sitekit Solutions Ltd