am briefings from 9 feb 2016 innovation network event
TRANSCRIPT
Innovation Network event 09 February 2016
Jim Pennycook CDE Head of Operations
Military capability
Advantage
Persistent
The aim of CDE
Rapid technology change
Defence
Other markets
Utilisation
CDE evolution
Years
CDE directive
Prove the value of innovative, high-risk, high-potential-benefit research to enable development of cost-effective military capability advantage
Defence White Paper – National Security Through Technology Feb 2012
Defence and security
First point of contact
‘CDE remains our first point of contact for those who wish to submit a research idea to the MOD.’
Defence White Paper – National Security Through Technology Feb 2012
Support to SMEs
Routes to market
CDE operating principles
Engage with innovators
Funded opportunities
Participation costs
Risk
Intellectual property
Managing innovation
Proof of concept Development
Innovation Future capability
CDE MOD + investors
CDE competition space
Technology innovation lifecycle
Original idea Capability
Technology innovation lifecycle
Uptake / commercialisation
Pre-commercial development
TRL 1 TRL 2 TRL 3 TRL 4 TRL 5 TRL 6 TRL 7 TRL8 TRL 9
Experimental research
Technology implementation
Applied research
Curiosity driven
research
CDE competition space
Pre-commercial development
TRL 3 TRL 4 TRL 5 TRL 6
Applied research
Solution exploration Prototyping/test products
Phase 1 Phase 2
Phase 1
TRL 7
TRL 2
CDE competition space
Phase 2
TRL 3
TRL 4
TRL 5
TRL 6
Two routes to funding
Enduring
Themed
Not classified
Enduring competition
Themed competition
£ 7M
Enduring competition
Enduring challenges
Challenge framework
Protection Lethality
Human performance
Mobility
Situational awareness
Communication Data
Power
Lower cost of ownership
Themed competition
Competitions this year Theme Value
Open-source big data insight £2.25M Persistent surveillance from the air £2.25M
Agile, immersive training £2.25M What's inside that building? £1.15M
Understand and interact with cyberspace £1.00M Security for the internet of things £2.00M
Autonomy and big data £4.00M Synthetic biology £1.5M
Identification and treatment of tinnitus £1.0M
Online bid submission
How has CDE performed?
CDE in numbers
6133 proposals received 57%
CDE in numbers
17% of proposals funded
19% 13% E T
CDE in numbers
1018 contracts placed 43%
CDE in numbers
£69.91M invested
1 2 3 4 5 6 7 8
What’s next for CDE?
Innovation Network events
www.gov.uk/dstl/cde
A successful proposal
A successful proposal
Questions
Today’s competition
Detect and treat hearing loss and tinnitus
Detect and treat hearing loss and tinnitus Centre for Defence Enterprise themed competition
9 February 2016
UK OFFICIAL © Crown copyright 2014 Dstl
10 February 2016
Detect and treat hearing loss and tinnitus
UK OFFICIAL © Crown copyright 2013 Dstl
10 February 2016
Introduction Context
• the human component of capability • innovation in defence medicine • MOD’s medical sciences programme
Technology challenges • monitor and diagnose • treat and restore
Exploitation Questions and answers
Noise-induced hearing loss and tinnitus: A Serviceman’s perspective
© Crown copyright 2013 Dstl
10 February 2016
• noise exposure history – Chinook/MAOT (1992 – 1998) • first manifestation – War Operations Centre (2002) • the realisation – MOD (2008) • the impact – service environment
– SF Ops (2006) – briefings/presentations – orientation on exercise/ops – image – war fighter first?
• the impact – at home – noise levels – stress – anxiety – sleep!
© Crown copyright 2013 Dstl
10 February 2016
Detect and treat hearing loss and tinnitus
UK OFFICIAL © Crown copyright 2013 Dstl
10 February 2016
The human component of defence
• the human component is central to delivering military capability
• provision of sufficient, capable and appropriately trained personnel is critical to operational success
• need to sustain capability by protection, treatment and rehabilitation
• high-quality support, care and treatment at all points along the continuum of care
Detect and treat hearing loss and tinnitus
UK OFFICIAL © Crown copyright 2013 Dstl
10 February 2016
Innovation in defence medicine Brigadier Timothy Hodgetts CBE PhD MMEd MBA CMgr FRCP FRCSEd FRCEM FIMCRCSEd
Medical Director, Defence Medical Services Honorary Professor of Emergency Medicine (University of Birmingham)
Brigadier Tim Hodgetts CBE PhD MMEd MBA MBBS CMgr FRCP FRCSEd FRCEM FIMC FIHM FRGS
Medical Director Defence Medical Services
Honorary Professor of Emergency Medicine University of Birmingham
Visiting Professor School of Health Sciences City University London
INNOVATION IN DEFENCE MEDICINE
REDUCING THE BURDEN OF HEARING LOSS AND TINNITUS
RSM LONDON 9 FEB 16
Hearing loss and tinnitus REDUCING THE BURDEN
Shifting the problem focus An analogy
The environmental challenges Noise protection vs hearing utility
DMS Research Strategy Where does hearing loss and tinnitus fit?
The CDE call Disruptive ideas that protect quality of life
Hearing loss and tinnitus A UK POLITICAL PRIORITY
“We will work to address hearing loss among veterans.”
US Military BENCHMARK DATA
The most prevalent individual Service-related disability
US DoD estimated compensation costs for FY 2014 = $2.3Bn
Tinnitus & deafness increasing by 13-18% annually
SOURCE: US DoD HCoE
SHIFTING THE PROBLEM FOCUS
Shifting the problem focus ANALOGY—IN-HOSPITAL CARDIAC ARREST
Outcome from in-hospital cardiac arrest is poor …but resources traditionally focused on management
of the arrest after it has occurred
Shifting the problem focus ANALOGY—IN-HOSPITAL CARDIAC ARREST
Early detection of deterioration and timely intervention saves lives …but requires a change in culture and resources
• Warning signs in around 75% of arrests • Warning signs not picked up in 35% • Not acted upon adequately in 56% • Not communicated to senior doctors in 55%
Shifting the NIHL problem focus PREVENTION, EARLY DETECTION & INTERVENTION
Established hearing loss and tinnitus impairs the quality of life and reduces employability …so the Defence research focus should be on
prevention and measures that slow, arrest or reverse early deterioration iot sustain productive Service
CDE
THE ENVIRONMENTAL CHALLENGE
The environmental challenge
protection from impulse noise
The environmental challenge
protection from background noise
The environmental challenge
understanding speech in noise
The environmental challenge
stealth awareness
The environmental challenge
faint noise
perception
The environmental challenge
sound localisation
DMS RESEARCH STRATEGY
Medical
Personnel
NIHL NFCI
NUTRITION
VIBRATION HEAT
MENTAL HEALTH
HUMAN PERFORMANCE
TRAINING
Research MED-PERS INTERFACE
SUBSTANCE ABUSE
Research ADDRESSING KEY PRIORITIES: NIHL
CONSORTIUM
hearWELL COLLABORATION
hearWELL MISSION
Deliver a systematic research programme that provides comprehensive understanding and practical solutions to PREVENT, DETECT and TREAT Service-related noise induced hearing loss in order to PROTECT and SUSTAIN the operational effectiveness of the force
hearWELL CENTRES OF GRAVITY
PROBLEM The critical vulnerability
that provides opportunity to be attacked Prevention through education and culture change
STRENGTH
The component of the clinical system that must be protected
Regular hearing assessment/surveillance
hearWELL MAIN EFFORT
When resources are limited (people, time, money)
where should they be focused? Earlier and better detection
PREVENT?
DETECT?
TREAT?
NIHL A SYSTEMATIC APPROACH
1. What is the size and nature of
NIHL?
4. How can damage to hearing be quantified more
consistently & reliably?
2. What is the optimal hearing
protection?
5. How can hearing be
assessed more functionally in
relation to role?
3. How can damage to hearing
be detected earlier?
6. How can an accurate staging and prognosis be
determined for NIHL prior to discharge?
7. How do we optimally treat
established hearing loss?
PREVENT DETECT TREAT PRE-EMPLOYMENT
- DETECT genetic predisposing trait. DETECT recreational pre-existing damage.
-
EMPLOYMENT MAINTAIN optimal hearing by protection& avoidance. PREVENT further damage once established
IDENTIFY early loss (optimise test sensitivity; ensure reliability & consistency). DISCRIMINATE between recreational & occupational damage (pre- & post-deployment tests).
TREAT established hearing loss to optimise continued employment. AMELIORATE deterioration.
PRE-DISCHARGE - ESTABLISH final disability with reliable prognosis (relates to compensation)
ESTABLISH & ASSURE referral pathway & commissioning for long term needs
POST-EMPLOYMENT
- MONITOR deterioration in order to INFORM pre-discharge prognosis
SUSTAIN optimal treatment as a benefit of Service acquired disability
NIHL A SYSTEMATIC APPROACH
E
PREVENT PREVENT PREVENT PREVENT
DETECT DETECT DETECT DETECT
TREAT TREAT TREAT TREAT
NIHL A SYSTEMATIC APPROACH
CDE THEMED COMPETITION
active serving personnel Disruptive ideas to prevent or limit harm and thereby sustain employability
Secondary benefit: to protect enduring quality of life
Prevent Passive/active occlusive hearing protection Otoprotectant drugs (pre- or post-exposure)
Detect Earlier detection of hearing loss & tinnitus
Treat Intervention to slow, arrest and reverse established
hearing loss & tinnitus
CDE themed competition HEARING LOSS & TINNITUS
CDE themed competition HEARING LOSS & TINNITUS
The competition relates to disruptive ideas that can be taken through proof of principle
But are their COTS solutions that are not being exploited?
Do you have ideas about occlusive prevention that we can separately exploit?
Summary REDUCING THE NIHL BURDEN
Shifting the problem focus
Understanding the environmental challenges
A DMS Research Strategy priority
Disruptive ideas to protect quality of life
Defence medical sciences research programme
10 February 2016 © Dstl 2014
Four research themes • casualty care
• contingent operational medicine
• whole service life care
• medical systems
UK OFFICIAL
Providing research which contributes to an improvement in physical, psychological and social health, to maintain operational
effectiveness and minimise mortality, morbidity and residual disability
Defence medical sciences research programme
10 February 2016
• systems for medics and first responders
• simulated environments in defence medical training
• rehabilitation and regenerative medicine within defence
• fit to deploy • operational health and protection • combat casualty care • Surgical Reconstruction and Microbiology Research Centre
UK OFFICIAL
Delivery and partnerships • Dstl • National Institute of
Health Research (NIHR) Surgical Reconstruction and Microbiology Research Centre
• Defence Human Capability Science and Technology Centre
• industry • academia • small medium enterprises • international collaboration
10 February 2016 UK OFFICIAL
The medic on operations
UK OFFICIAL
Innovation: recent CDE themes The extremes of defence medical capability (2012) • medical operational independence of front line units • rehabilitation support to severely injured service personnel
The medic of the future (2013) • exploring the potential of simulated training • novel systems to help those injured in battle
Future battlefield health surveillance and systems (2014) • technologies for health surveillance • advance medical systems for field care
Enduring competition: human performance • resilience, systems interfaces, survivability, sustainment,
training, medical systems
UK OFFICIAL
Detect and treat hearing loss and tinnitus
UK OFFICIAL © Crown copyright 2013 Dstl
10 February 2016
Technology challenge 1: monitor and diagnose Development of technologies to identify those at risk of injury, early diagnosis of hearing loss and an objective measure of tinnitus, for example:
• novel enhancements to current hearing screening methods • solutions to identify individual susceptibility and risk • improvements to standard audiometry surveillance tools • remote monitoring and self-assessment • understanding and assessing tinnitus
Detect and treat hearing loss and tinnitus
UK OFFICIAL © Crown copyright 2013 Dstl
10 February 2016
Technology challenge 2: treat and restore Development of interventions to stop deterioration and/or restore hearing, for example:
• restoration of damaged cells and cell structures • regenerative medicine • rehabilitation • pharmaceutical and therapeutic interventions • gene therapies • tinnitus treatment
What we want
UK OFFICIAL © Crown copyright 2014 Dstl
10 February 2016
• novel and innovative systems • systems which consider full cost of introduction • solutions which can easily be upgraded or updated • details on validation and accreditation • systems which require minimal training or changes to existing
practice • demonstration of proof-of-concept for further investigation
What we don’t want • audiology or screening services • data handling services • consultancy on audiology, hearing loss or tinnitus • demonstrations of existing ‘off-the-shelf’ products • paper-based studies • marginal improvements in capability • technology watch or horizon scanning • roadmaps or technology prediction
© Crown copyright 2013 Dstl
10 February 2016
Exploitation
UK OFFICIAL © Crown copyright 2013 Dstl
10 February 2016
Follow-on activities • stakeholder demonstration • phase 2 competition
Research integration • medical sciences programme
Procurement • refine, trial or purchase
Policy • refinement and implementation • development of doctrine
Important information
• total budget for phase 1 up to £500,000 • projects typically between £40,000 to £80,000 • stakeholder event January 2017 successful phase 1 to
demonstrate their technology • up to an additional £500,000 available for phase 2
funding
© Crown copyright 2013 Dstl
10 February 2016
Important dates • webinar 12:30pm Monday 7 March 2016 • competition closes at 5pm Thursday 21 April 2016 • proposals must be submitted using CDE’s online
submission service • contract placement initiated and feedback provided
mid-June 2016 • phase-1 projects to complete by 31 December 2016
© Crown copyright 2013 Dstl
10 February 2016
Detect and treat hearing loss and tinnitus
UK OFFICIAL © Crown copyright 2014 Dstl
10 February 2016
Technical questions
General enquiries
Proposals submitted via CDE’s online submission service – no later than 5pm Thursday 21 April 2016
© Crown copyright 2013 Dstl
10 February 2016
Detect and treat hearing
loss and tinnitus
How will it work?
Funded opportunities
Awareness
Network
Funding
Intellectual property
Online bid submission
A successful proposal
Assessors
Technical partners
www.gov.uk/dstl/cde
Detect and treat hearing loss and tinnitus
What do we want?
Challenge 1: monitor and diagnose
Challenge 2: treat and restore
Up to £500,000 Typically £40-80,000 Complete by 31 December 2016 Proof of concept Phase 2 proposal
Phase 1
Up to £500,000 available
Longer research projects
Phase 2
What we want
Innovative proof-of-concept
Value for money
Integration
Demonstrations
What we don’t want
Consultancy
Incremental
Mature technologies
Studies
Competition dates
Webinar:
7 March 2016
Competition dates
Start to place contracts:
June 2016
Competition dates
Phase 1 research completed by:
31 December 2016
Competition deadline
Competition closes
21 April 2016 at 5pm
Apr
5 21 2016
www.gov.uk/dstl/cde
Questions
Innovation Network event 9 February 2016