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Celebrationof Innovation Awards 2017Awards brochure

CELEBRATION OF INNOVATION 2017 | 3

OUR MANAGING DIRECTOR’SINTRODUCTION

On 20 July 2017, more than 240 people from across the West Midlands’ health and care sector gathered for our second annual Celebration of Innovation Awards.

The awards were established last year to recognise and celebrate the work of individuals and organisations in developing better healthcare and generating economic benefit for the local economy. Through recognition and reward, we highlight and salute the West Midlands’ contribution to healthcare innovation.

We received 107 entries from local organisations, large and small. All of the shortlisted submissions showed the outstanding range of home-grown innovations available to help the local health and care sector to improve services, patient outcomes and economic activity. With a category for everyone, the ceremony provided an opportunity to celebrate achievements from across the full extent of the region’s healthcare landscape. Worthy winners from the NHS, academia and industry were crowned across 12 categories, with a special WMAHSN Award also given out for the first time this year.

Such was the quality of all of the entries that it was extremely challenging to pick out the winners from such a strong field. The submissions showed an astonishing breadth of scope or approaches that were truly innovative and able to transform patient care, provide solutions to significant challenges or break down barriers across the region. It was truly inspiring to be involved in judging the entries.

Dr Christopher Parker CBEManaging Director, WMAHSN


New2UKhealth: a peer-to-peer health services platform

First Byte works together with grass root organisations, small businesses or charities who want to help solve social inequalities using digital solutions. First Byte CIC creates ideas and solutions in a collaborative way, using stakeholder groups all the way from the initial ideas to the actual digital development. They also work with talented young people to help them develop their CVs by offering them key roles in a live IT project, supported by experienced professionals. First Byte CIC aims to turn any idea that will help facilitate change into an app or online resource. They believe that digital solutions really can change lives, and want to make technology that works for stakeholders to address inequalities effectively.

About 10% of the web app is about the NHS and how it works from the public domain (NHS Choices), as well as expert knowledge. The remaining 90% will be a moderated community platform, where migrants can interact with each other, and settled migrants can become mentors to help with general queries.

Saving Lives with Solar

Saving Lives with Solar is an innovative and ground-breaking community energy scheme which forms a 20-year partnership between University Hospitals of North Midlands NHS Trust, Southern Staffordshire Community Energy (a community benefit society), Staffordshire charity Beat the Cold and members of the local community.

Within the West Midlands, fuel poverty is among the highest in the country. In addition, there is a strong correlation between fuel poverty, cold homes, incidences of poor health and hospital admittance. As such, this was an ideal focus for the Community Fund expenditure. The project focuses on the core groups that are at risk, identified within the NICE guidelines as

those most likely to have exacerbated health problems due to fuel poverty, such as those aged 65 years and older and those with respiratory related illnesses. It offers free assistance to achieve better health outcomes by identification of the ill health due to cold homes and aims to prevent avoidable hospitalisation and improve home conditions.

UHNM is an acute secondary and tertiary care trust that is constantly evolving to improve active healthcare services to support the needs of more than three million people across Staffordshire, Shropshire, South Cheshire and North Wales. 10,000 staff care for more than 900,000 people every year.

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HIGHLY COMMENDEDUNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST

HIGHLY COMMENDEDFIRST BYTE CIC

4 | CELEBRATION OF INNOVATION 2017

A whole system approach

PSIAMS Systems Ltd transforms the way that organisations manage their client relationships and evidence their outcomes, while also supporting their own transformation. Through implementing PSIAMS, organisations are more able to direct resources to frontline delivery and to provide robust evidence to commissioners, as well as working collaboratively with organisations.

PSIAMS solutions are tailored to the needs of each organisation and how they engage with their clients. They work with staff to understand how they can develop processes, simplify solutions and reduce duplication. The client is at the centre of the system. PSIAMS has

enabled a collaborative approach to healthcare across the voluntary, community and social enterprise sector, allowing the sector to scale and present solutions to divert and reduce the pressure of healthcare services.

PSIAMS was first developed to support the work of Dudley Clinical Commissioning Group’s collaborative work with the voluntary, community and social enterprise sector. PSIAMS was used to demonstrate the difference their investment was making in terms of social impact, social value and social capital. Since its formation as a company less than 18 months ago, it now works with around 45 health and wellbeing organisations across the West Midlands and beyond.

SOCIAL ENTERPRISE AWARD WINNERPSIAMS SYSTEMS LTD

“What was unique about PSIAMS Systems’ approach was the focus on outcomes and delivering key skill development, as well as an end product. This transfer of knowledge and capability will support the scaling and sustainability of the approach and is diverse in its application across the region, country and globe.”

CELEBRATION OF INNOVATION 2017 | 76 | CELEBRATION OF INNOVATION 2017

“This is an exciting innovation, developed through excellent collaboration with huge potential; particularly promising for patients, rewarding for treating clinicians and with the potential to save many thousands of pounds in the longer term.”

Clinical application of non-invasive prenatal diagnosis for single gene disorders to enable increased access of this technology to patients and minimise procedure related miscarriages

Birmingham Women’s and Children’s NHS Foundation Trust (BWC) developed blood tests, called “non-invasive” prenatal diagnosis (NIPD) for rare diseases, which use the small amount of baby’s DNA in the mother’s blood. This project accelerated the introduction of NIPD for several genetic disorders, replacing invasive amniocentesis or chorionic villus sampling, which carry a risk of miscarriage.

BWC was officially launched in February 2017, and brings together Birmingham Children’s Hospital and

Birmingham Women’s Hospital NHS Foundation Trusts as a united NHS foundation trust, the first of its kind in the UK. The West Midlands Regional Genetics Service is located within the trust, but is a regional service and therefore provides genetics services to the whole West Midlands region, with a population of 5.6 million. Referrals also come from across the UK through the UK Genetics Testing Network and internationally. BWC is part of Birmingham Health Partners.

With more than 6,000 staff working together to provide the best possible care to thousands of patients each year, BWC pride themselves on caring, listening, responding and improving.

Implementation of EGFR mutation testing using blood for lung cancer patients within the Molecular Pathology Diagnostic Service

University Hospitals Birmingham NHS Foundation Trust (UHB) has implemented a new service for testing for mutations in lung cancer using blood in parallel with, or instead of, tissue acquired by invasive techniques. This allows more patients access to highly effective drugs which extend high-quality life and deliver considerable savings to the health service.

UHB is one of the highest performing healthcare organisations in Europe, with a proven international reputation for its quality of care, information technology, clinical education and training and research. UHB is a regional centre for cancer, has the second largest renal dialysis programme in the UK and has the largest solid organ transplantation programme in Europe. It also provides a series of highly specialist cardiac and liver services and is a major specialist centre for burns and plastic surgery.

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ADVANCED DIAGNOSTICS, GENOMICS AND PRECISION MEDICINE AWARD WINNERBIRMINGHAM WOMEN’S AND CHILDREN’S NHS FOUNDATION TRUST

HIGHLY COMMENDED ROBERT JONES AND AGNES HUNT ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST

HIGHLY COMMENDED UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST

Integrating genomic medicine into current care: the 100,000 Genomes Project and the muscle team model

The 100,000 Genomes Project has enabled the Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust (RJAH) muscle team to integrate genomics into routine clinical care and resources. Genomic diagnoses will enable patients to make informed decisions about their future and enable staff to personalise patient management and fast track patients to new emergent stratified treatment options.

RJAH is a leading orthopaedic centre of excellence. A specialist hospital with a reputation for innovation, the trust provides a comprehensive range of musculoskeletal (bone, joint and tissue) surgical, medical and rehabilitation services, locally, regionally and nationally. The Orthopaedic Hospital has been in existence as an independent hospital since 1900. It was taken into the NHS in 1948 and achieved

NHS trust status in 1994. The hospital was awarded NHS foundation trust status in August 2011. This means that RJAH can better shape healthcare services around local needs and priorities and the requirements of commissioners of healthcare.


The ACE programme – Acceptance, Choice and Empowerment for pre-dialysis patients

The ACE programme has brought together existing patients and NHS staff, working collaboratively with the charity to engage and empathise with newly diagnosed kidney failure patients, supporting acceptance of their medical condition and empowering them to make choices to improve their outcomes and quality of life.

The pilot project (a UK first) was conceived when a pharmaceutical company brought together Kidney Research UK, Heart of England NHS Foundation Trust’s renal unit and patients with kidney disease. The pilot project is completely centred on genuine patient engagement and involvement of existing patients,

working collaboratively with NHS staff.

The project aims to eliminate any preconceptions and misconceptions held by patients about dialysis treatments.

Kidney Research UK is the leading charity dedicated to research into kidney disease in the UK. It is their aim to find better treatments, and, ultimately, cures for kidney diseases. Kidney disease is a silent killer. There are three million people in the UK with it right now. One million don’t even know they have it, and there is no cure. For decades, developments in treatment, better information for patients and raising vital public awareness has been saving lives.

Empowering type 1 diabetes patients to self-manage by embracing the digital landscape of Diasend

Imagine if children and young people with diabetes could be empowered to take charge of their diabetes, and better still, if the empowerment was possible through innovative online tools. That was the aim of the Birmingham Children’s Hospital in 2016, and Diasend has empowered the trust to make it their patients’ reality.

The Diasend model, with the Birmingham Children’s Hospital Diabetes Homecare (DHC) team, has proven effective in empowering patients to take control of their diabetes, reducing the need for face-to-face contacts in hospital to review blood glucose results, and allowing the DHC team to deliver consistent advice to patients to ensure optimal control.

Birmingham Women’s and Children’s Hospital NHS Foundation Trust is a leading UK specialist paediatric centre, offering expert care to 90,000 children and

young people from across the country every year. Providing the highest quality treatment and care to young patients, supporting their loved ones and advancing medical innovation has been the driving force behind the hospital since opening its doors in 1862.

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SUPPORTING SELF CARE INNOVATION AWARD WINNERHEART OF ENGLAND NHS FOUNDATION TRUST AND KIDNEY RESEARCH UK

HIGHLY COMMENDED PHARMACY LOCAL PROFESSIONAL NETWORK WEST MIDLANDS, NHS ENGLAND

HIGHLY COMMENDED BIRMINGHAM WOMEN’S AND CHILDREN’S NHS FOUNDATION TRUST

An innovative approach to provide targeted information directly to patients with diabetes using frontline community pharmacy staff

More than 1.2million people visit a community pharmacy every day, but patients with long term conditions will interact with pharmacy teams around 14 times a year. Presenting an opportunity to provide targeted information to empower patients to self-care, this initiative was intended to deliver up to 100,000 patient interactions and measure the impact.

The Pharmacy Local Professional Network (LPN) supports pharmacy teams across the West Midlands to make a positive difference through leadership collaboration and engagement. The LPN is hosted by NHS England and delivers a single operating framework covering Birmingham, Solihull, the Black Country, Arden, Herefordshire and Worcestershire. The LPN engages with pharmacy teams across primary care, secondary care and community pharmacy.

Stakeholders include nine Local Pharmaceutical Committees, representing around 955 community pharmacies; Public Health England; 14 Clinical Commissioning Groups; Health Education England; Healthwatch; West Midlands Academic Health Science Network; Diabetes UK; and the British Lung Foundation, to name a few.

“Critically, the programme has the potential to contribute to closing all three gaps outlined in the Five Year Forward View. In these regards, it speaks very much to what the AHSN is about”


RAIDPlus Capacity and Demand Dashboard Information system

As part of the RAIDPlus test bed Programme, Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHFT), in partnership with the Midlands and Lancashire Commissioning Support Unit (CSU), have developed a live Capacity and Demand Dashboard Information (CADDI) mobile system for use across the mental health urgent care pathway.

CADDI provides ‘live’ capacity and demand information across the mental health urgent care pathway through an internet-based dashboard. It delivers improved patient pathways by providing managers and operational staff instant access to ‘live’ patient flow information,

allowing for more informed decisions on staff deployment and referrals.

BSMHFT provides mental healthcare to people living in Birmingham and Solihull who are experiencing mental health problems. A culturally and socially-diverse million-plus population spread over more than 172 square miles, and a £230 million plus income, makes the trust one of the largest mental health trusts in the country.

The Midlands and Lancashire CSU is one of England’s biggest CSUs, covering Staffordshire, Lancashire and the central Midlands. They provide an end-to-end service to 39 clinical commissioning groups, covering a 9.2 million population.

Making the case for integrating mental and physical health care: an analysis of the life expectancy and acute physical health service utilisation of mental health service users, and of the potential for improving outcomes and using resources more efficiently

Through a novel analysis that links, at patient level, millions of records from multiple datasets, the Strategy Unit has identified actionable, evidence-based opportunities for each local health system to significantly improve the physical health outcomes of mental health service users, and to reduce unwarranted demand on acute physical health services. This is the first time in England that these multiple datasets have been linked and analysed to provide a detailed local understanding of how mental health servicer users utilise acute physical health services and what their resultant physical health outcomes are compared with the rest of the population.

The Strategy Unit is an established health and care consultancy, born from the NHS in the West Midlands and now serving clients across the country. Hosted by Midlands and Lancashire CSU, it helps commissioners, healthcare providers, universities, charities and local government to address complex problems, and make critical decisions, by providing evidence-informed analysis and advice.

MENTAL HEALTH INNOVATION AWARD WINNERBIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST AND MIDLANDS AND LANCASHIRE COMMISSIONING SUPPORT UNIT

HIGHLY COMMENDED THE STRATEGY UNIT

The pioneering role of the Clinical Lead Nurse in Mental Health

University Hospitals of North Midlands NHS Trust (UHNM) introduced their Clinical Lead Nurse in Mental Health to help support some of the most vulnerable people in NHS services. In 2016, the Children’s, Women’s and Diagnostic Divisions at UHNM made a significant change in their practice by employing a Clinical Lead Nurse in Mental Health, designed to create and sustain significant changes to mental healthcare, with a specific aim to improve child and adolescent mental health and perinatal mental health. These two areas are at the forefront of national and local initiatives, with a portfolio of work that is an area for development nationally.

Since this role has been operational, there have been a number of internal and external relationships built with key stakeholders to streamline mental health care and share best practice across the local health economy.

UHNM is a university hospital trust based over two sites, Royal Stoke Hospital and County Hospital. Each year, the trust cares for more than three million people, using 1,450 beds for emergency treatment, planned operations and medical care.

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HIGHLY COMMENDED UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST

“This project really is a game changer, as the potential for spread is huge!”


Paediatric Hydration and Nutrition Care Bundle

A dedicated, multi-disciplinary project group at Birmingham Children’s Hospital has developed the Paediatric Hydration and Nutrition Care Bundle. This links hydration assessment to the embedded clinical assessment undertaken of all inpatients, the Paediatric Early Warning System, and contains what is believed to be the UK’s first paediatric hydration risk assessment.

In addition, the bundle includes a nutritional risk assessment which matches the profile of the children in their care more so than current tools available nationally. The aim of the bundle is to increase the safety and consistency of hydration and nutritional assessment for children and young people, enable early identification

of risks and promote early escalation and intervention.

Birmingham Women’s and Children’s NHS Foundation Trust (BWC) a new organisation, providing the very best of family-centric care for Birmingham and beyond. BWC brings together the very best in paediatric and women’s care in the region and is proud to have many UK and world-leading surgeons, doctors, nurses, midwives and other allied healthcare professionals on its teams. The integration of the two trusts under one united NHS foundation trust is the first of its kind within the UK.


PATIENT SAFETY AWARD WINNERBIRMINGHAM WOMEN’S AND CHILDREN’S NHS FOUNDATION TRUST

Cordelia Court Falls Reduction Programme

Cordelia Court has worked extensively to reduce the number of falls and incidents in their home. This has included examining and altering environmental factors, focusing on providing activities for their residents, employing an Activity Co-ordinator and supplying care staff with training around falls.

Staff also looked at ways to improve the environment to make it more dementia friendly. This included painting doorways a different colour to doors to encourage patients to walk through rather than stop, personalising bedroom doors to reduce the amount of residents entering incorrect rooms and more word and picture signage resulting in less confusion, which is often the catalyst for a fall. Staff spent time learning about resident’s interests. The Activity Co-ordinator ensures that existing staff were not taken away from care and that residents have a designated person and time to engage in activities. They also spent time

developing their training on falls and how to deal with challenging behaviour.

Cordelia Court is a 23 bedded care home that provides accommodation and care for residents, specialising in caring for people for are frail, elderly and have dementia. Cordelia Court is based in Coventry and run by Covran Limited.

HIGHLY COMMENDED CORDELIA COURT

The paradigm of frailty identification in acute services – ‘I may be old in terms of years but I am not frail yet’

The purpose of identifying frailty early is to raise awareness of this important prognostic syndrome in acute services and direct clinical care accordingly to specialist frailty team. Most trusts do not know how many frail older people are in their beds at any given time. How do they then direct the right specialist teams to these patients to provide better, safer, faster care?

University Hospitals of North Midlands NHS Trust (UHNM) decided to address this. The team undertook

several PDSA cycles with various recognised frailty screening tools and adapted the Acute Frailty Network tool as recommended by the Emergency Care Improvement Programme, locally named as North Midlands Frailty Tool (NMFT). All patients over the age of 65 years can be screened using this tool in any setting. Once identified as frail using the NMFT, the ‘frailty alert flag’ can be added to MedWay interface, the UHNM IT patient record system.

UHNM’s goal is to be a world-class centre of clinical and academic achievement, where staff work together to ensure patients receive the highest standards of care and the best people want to come to learn, work and research.

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HIGHLY COMMENDEDUNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST


Royal Stoke multiple sclerosis service redesign to maximise medicines optimisation

To maximise the impact of any medicines optimisation initiative, services need to be realigned to ensure patients get the right choice of medicine, at the right time, in a safe environment. Disease-modifying treatments (DMTs) clearly impact significantly on multiple sclerosis (MS), and the Association of British Neurologists recommends starting treatment as early as possible in eligible patients.

With this in mind, the University Hospitals of North Midlands NHS Trust (UHNM) reviewed its service in

2015 to optimise the use of medications available. Over an 18 month period, the service for patients with relapsing remitting MS has been redesigned to improve the pathway from diagnosis to treatment. However, the availability of medicines alone will not ensure patients receive the right medicine at the right time, as service delivery needs to be optimised alongside.

UHNM was created in November 2014 following the integration of Stafford Hospital with the University Hospital of North Staffordshire, signalling a time of major, positive change in health services for the people of Staffordshire.

Non-Medical Prescribing pharmacist-led mediation review clinic for patients with metastatic castrate refectory prostate cancer

The Dudley Group NHS Foundation Trust has implemented a Non-Medical Prescribing (NMP) pharmacist-led mediation review clinic for patients with prostate cancer, under the care of an oncologist and urologist. It aims to reduce the need for consultant or registrar reviews and provide a one stop review and medication collection service. Having this review clinic has reduced need for consultant or registrar reviews and improves the patient experience by being the constant link between oncology and urology. The trust has removed this patient burden on an already stretched oncology day case unit and reduced patient waiting times. The team has streamlined delivery of medication to patients and provided an opportunity for a full medication and holistic review. Pharmacists have a traditional role in medicines optimisations, ensuring compliance and concordance; this is incorporated during each review.

The Dudley Group NHS Foundation Trust is the main provider of hospital and adult community services to the populations of Dudley, significant parts of the Sandwell borough and smaller, but growing, communities in South Staffordshire and the Wyre Forest. Currently, the trust serves a population of around 450,000 people from three hospital sites at Russell’s Hall Hospital, the Guest Outpatient Centre in Dudley and Corbett Outpatient Centre in Stourbridge.

DIMEC Pocket Prescription app

£500 million worth of medicines is wasted each year through poor adherence; while some of this is unpreventable, more than £250 million a year can be avoided. DIMEC synchronises patients’ smartphones with their GP record, enabling 24/7 patient-initiated repeat prescription requests directly into authorising GPs’ workflows, while engaging pharmacies.

DIMEC groups convenient prescription management with proven adherence modifiers while enabling high output interventions from concise medicines reconciliation, empowering patients, decreasing medicines waste and decreasing prescribing errors. Patients are empowered to manage their own healthcare, improving adherence with customisable reminders. Studies have shown reminders and push notifications to be effective ways of promoting behaviour change and motivation in a variety of health arenas.

DIMEC is a health-tech start-up disrupting the NHS repeat prescription space with its mobile app. Founded by two Keele University MPharm graduates and based at Keele University Science and Innovation Park, DIMEC has tackled the murky world of NHS Digital’s GPSoC Interface Mechanism and validated their hypotheses with a proof of concept app. The team is in the process of piloting the integrated, connected and NHS Digital-assured DIMEC app. DIMEC’s co-founders are UK registered pharmacists with community, hospital and military experience. It is supported by Chee Wong, previously Chief Operating Officer of Shazam and Chief Technology Officer of Hailo Apps. Although located in Keele, DIMEC is piloting in five Eastern Cheshire practices.

A novel multidisciplinary team approach to reducing antimicrobial resistance and increasing antimicrobial stewardship to protect and improve patient safety in the West Midlands

In the past, antimicrobial stewardship (AMS) programmes have mainly involved doctors and pharmacists. However, the potential for nurses to contribute to antimicrobial stewardship cannot be underestimated, as they are the most consistent presence at the bedside and play a key role in patient safety and influencing prescribers. Since joining the AMS team at University Hospitals of North Midlands NHS Trust (UHNM) in October 2016, the nurse has contributed to the education programmes for newly qualified, overseas and quality nurses with a focus on providing nurses with the education to:

positively contribute to antimicrobial stewardship by prompting 24 - 72 hour and five day reviews

promote intravenous to oral switch of antibiotics, which has demonstrated a significant impact on reduced length of stay

reduce the time taken to prepare and administer intravenous medication, with reduction of risk of introducing infection and with associated reduction in costs.

Each year, UHNM cares for more than 900,000 people over two sites, Royal Stoke University Hospital and County Hospital. It is a teaching trust, in partnership with Keele University, and has a patient-centred clinical research facility providing state-of-the-art facilities.

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MEDICINES OPTIMISATION AWARD WINNERUNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST

HIGHLY COMMENDED UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST

HIGHLY COMMENDED DUDLEY GROUP NHS FOUNDATION TRUST

HIGHLY COMMENDED DIMEC

The awards were established to recognise and celebrate the work of individuals and organisations in developing better healthcare and economic benefit for the region, and the ceremony provided an opportunity to celebrate achievements from across the West Midlands.


Streamlining primary and secondary care management pathways for stroke prevention in atrial fibrillation: the simple ‘Birmingham three step’ approach

Atrial fibrillation (AF) is the commonest heart rhythm disorder, leading to a substantial risk of stroke and death. Adults aged over 40 have a one in four lifetime risk of developing AF, and while a recent study showed that AF is increasing in the elderly, prognosis is not getting any better and the burden associated with AF is increasing, leading to a major public health problem.

The ‘Birmingham three-step’ approach is a simple and practical aid implemented to help clinical decision-making, streamlining primary and secondary care management for improving stroke prevention efforts.

In 2014, Professor Lip and Dr Sarwar initiated a collaborative programme of simplifying the primary and secondary care patient management pathways, to streamline processes for detection, decision-making and optimising treatments. This programme includes increasing awareness, improving detection and simplifying decision-making processes with upskilling

workshops, education and awareness days, reinforced by audit and feedback. Clinical risk scores developed and validated by Prof Lip’s work to assess stroke and bleeding risk in AF are used in national and international management guidelines, such as NICE. The clinical risk score helps clinicians formally assess stroke risk and identify `truly low risk’ patients who do not need antithrombotic therapy, and effectively captures those patients who should be considered for stroke prevention.

Professor Lip runs a specialist AF clinical service at Sandwell and West Birmingham Hospitals NHS Trust. Dr Sarwar is a Planned Modernisation Clinical Lead for Sandwell and West Birmingham Clinical Commissioning Group (CCG), and has addressed cardiology and anticoagulation as commissioning priorities for the CCG footprint.

The FABS training programme

Move it or Lose it!’s innovative approach in the prevention of illness for the older citizen was to develop FABS, a unique training programme for the delivery of exercise classes to the over 60s. FABS stands for flexibility, aerobic, balance and strength, and every class provides exercises for each of these key components of physical fitness. The FABS training programme for older adult exercise tackles the consequences of physical inactivity as people age, increasing flexibility and mobility to improve everyday life.

The classes also provide opportunities to have fun and socialise, helping to combat loneliness by bringing communities together and providing the opportunity for older adults to meet and make new friends – a rare commodity in modern society.

The FABS programme was developed in collaboration with the University of Birmingham Centre for Healthy Ageing Research. The programme includes evidence-based exercises proven to be safe and effective to improve physical function in the older adult. To ensure

FABS can reach as many people as possible, Move it or Lose it! runs training courses, teaching exercise instructors to become specialists. To date, more than 250 instructors have signed up to the programme, which is delivered by eLearning and two days of practical assessment. This enables Move it or Lose it! to run a network of instructors throughout the UK, with the success of the programme being evaluated by the number of older people they reach and help each week.

FABS can be adapted to suit a range of audiences, with exercises being delivered seated, standing with support or free standing in community, care and NHS settings. The over 60s demographic is the fastest growing in the UK, but health span is not matching lifespan. FABS has proved to be effective by empowering older adults to stay active and well for longer so they can enjoy, not endure, their later years.

Move it or Lose it! was founded in 2010 by specialist exercise instructor, Julie Robinson, who has dedicated her career to motivating thousands of people to keep active in later life.

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“Sensible, collaborative, efficacious work, with excellent preventative outcomes for patients”

EXCELLENCE IN WELLNESS AND PREVENTION OF ILLNESS AWARD WINNERUNIVERSITY OF BIRMINGHAM AND SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST

HIGHLY COMMENDED MOVE IT OR LOSE IT!


Kaido Insights Engine

We are living in a healthcare data revolution. Health data has been earmarked as having the potential to revolutionise the relationship between patients and clinicians, and engage consumers in their own health in a way never before possible.

Companies such as Fitbit have taken the first steps in creating devices capable of tracking a whole raft of health parameters, such as sleep, activity and more recently, blood pressure and blood glucose levels. However, is unstructured data alone enough to make health change? And if not, how do you make it useful? Kaido was founded with this question in

mind. The Kaido Insights platform in a healthcare setting helps bridge the gap between home-based and clinical-based care. By giving care providers a greater understanding and access to the populations they are creating treatments for, insights can be used to create more personalised care models and treatment plans.

Kaido Group Ltd is a health analytics company based in Birmingham, which exists to turn arbitrary patient health data into personalised and actionable insights. By uniquely blending health science with data science, the vision is to help improve the health of the population by helping both clinicians and patients better understand health behaviour.


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Heart DNA Test

Rightangled Ltd’s idea is to provide health-related and clinically relevant genetic information to the end user. In a patient-centric approach, they have developed a platform that provides the necessary medical provision to each individual patient, taking into consideration lifestyles, environmental factors and medical history, along with the genotype profile of the patient, so that a partner practitioner can provide a personalised report on the patient’s health and wellbeing.

Rightangled Ltd’s unique selling point, represented by their platform, is also their initial route to market. Their innovation lays in the offering they have for providing clinically relevant genetic information to the patient and the practitioner in an easy, affordable and user-friendly platform. They have also enabled an online booking system for patients to follow up with the practitioner if needed.

Rightangled Ltd is a biotech start-up with a patent-pending technology for a lateral flow assay for detecting specific DNA sequences. Rightangled Ltd is also currently preparing to launch a direct-to-consumer genotyping service that would be offered through an online platform that is unique in its process and service design.

Patient Status Engine

In 2010, co-founders Keith Errey and Rebecca Weir set out with a vision to liberate patients from the burden of cables and wires and overcome the barriers of technology integration and data accessibility in healthcare. Today, Isansys is the leader in new generation wireless patient monitoring systems.

Through its Patient Status Engine (PSE), an automated, wireless, remote monitoring platform, smart wearable sensors collect and analyse vital signs to deliver real-time and predictive data to hospital, community settings or field medical units. The PSE observes every heartbeat, every breath, oxygen saturation every second, temperature every minute and blood pressure as required to allow doctors and nurses to monitor patients better, more closely, more efficiently and continuously. All this is done without wires or cables, and patients wear tiny wireless smart patches which allow them to move about freely, all the while being monitored as if they were in a high dependency hospital ward. The PSE removes the need for paper charts and manages observations based on clinical need.

Isansys Lifecare is a new generation healthcare company which provides patient surveillance and monitoring services built on an innovative, low cost and scalable digital platform. Established in 2010 by experienced digital health professionals, the company is now working with leading clinicians and hospitals throughout the UK and other countries. Isansys Lifecare currently works with Birmingham Women’s and Children’s NHS Foundation Trust, Royal Free London NHS Foundation Trust and University Hospitals Birmingham NHS Foundation Trust.

Isansys Lifecare is passionate about helping healthcare providers improve patient outcomes, increase patient safety and reduce the costs of care. It is their commitment to developing digital tools and services for healthcare professionals which offers new ways to help patients.

ECONOMIC IMPACT AWARD WINNERKAIDO GROUP LTD HIGHLY COMMENDED

RIGHTANGLED LTD

HIGHLY COMMENDED ISANSYS


Ask NHS - Addressing urgent care demand: an avatar based virtual nurse to facilitate self-assessment, self-care advice and signposting to NHS 111 and other services

The mobile app Ask NHS, powered by Sense.ly, was launched as part of the national pilots to test NHS111 Online. The vision was born in the West Midlands, working with Dudley and Sandwell and West Birmingham CCGs, which wanted to deliver a digital access point into the NHS. Ask NHS utilises Odyssey, which is trusted by clinicians, and employs Bayesian logic to mimic the way clinicians make decisions; just as clinicians do not ask questions in a linear way, this allows for probability to be re-calculated as more

information is gained during the interaction.

Sense.ly is an avatar-based, empathy-driven clinical platform that helps clinicians and patients better monitor and manage their health. Its Ask NHS mobile app introduces virtual nurse Olivia, who guides and educates patients through the NHS. The avatar engages in natural conversation between patients and providers, offering information to patients and clinicians regarding the patient conditions, access to services and clinical triage. Collaborating and integrating with providers in the West Midlands, Olivia provides a fast and convenient digital NHS access point, giving patients the needed support, advice and assessment, anytime, anywhere.

INDUSTRY COLLABORATION AWARD WINNERSENSE.LY

Airglove TM – air warming system for venous access

Up to 35% of patients require heated cannulisation due to fragile or hidden veins. The AirgloveTM patient warming system heats the arm, raising fragile or hidden veins to provide a more comfortable and less painful experience, with cost savings on consumables and nursing time.

The AirgloveTM warming system works in just three minutes, gently heating the patient’s arm to the selected temperature. It is so easy to use; the practitioner simply selects the chosen temperature setting according to the patient’s skin type, places the patient’s arm in the double walled polythene glove and selects Start. The patient will feel the warm air fill the glove up and vent away through a single slit perforation, and after three minutes the machine will automatically stop with an alert sound.

Green Cross Medico is a medical innovations company. It has been working with Maidstone and Tunbridge

Wells NHS Trust, along with NHS Innovations South East, on the AirgloveTM. Innovation is at the heart of all they do and they are delighted to become a member of Medilink and work with both WMAHSN and NHS Innovations West Midlands. Their innovations fill a market niche or fulfil a current need in medical procedures by improving an existing technology.

HIGHLY COMMENDED GREEN CROSS MEDICO

Insights for care: a real-world evidence laboratory

Insights for Care is a technological platform, linking clinical and administrative data for diabetes and lung cancer across primary, secondary and community care, aiming to design streamlined patient services. The platform can be adapted for use across multiple conditions, suggesting a high chance of scaling up with ease. While the project is funded by industry, the potential benefits to the health economy are huge and serve three main objectives:

Understand and improve patient care pathways

Reduce duplication and wastage

Enhance knowledge through real world evidence.

Industry benefits from the academic elements of a joint governance board for the project, which brings a greater understanding for them of the disease areas, and how the health economy uses their products.

Heart of England NHS Foundation Trust is an acute foundation trust serving a diverse population in Eastern and Southern Birmingham, as well as Solihull. It has three hospital sites, Heartlands, Solihull and Good Hope, as well as an outpatient-only site, Birmingham Chest Clinic. The trust aims to be caring, honest, supportive and accountable.

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HIGHLY COMMENDED HEART OF ENGLAND NHS FOUNDATION TRUST


NHS Live Waiting Times app

University Hospitals of North Midlands NHS Trust’s (UHNM) intuitive innovative smartphone app gives visibility of timely and accurate waiting times for nearby urgent care sites. Waiting times, in conjunction with opening times, treatments and navigation, gives patients

and families a means to make informed choice on location for the speediest appropriate medical care.

On a very busy day in A&E, clinical staff realised patients could be seen significantly quicker at nearby urgent care units. To reduce pressures and speed up treatment, some patients chose to use alternative sites when staff informed them of situation. With patients informed on expected waiting times at nearby alternatives to A&E, some patients are likely to choose locations with shorter wait times. This means patients are treated quicker, while helping relieve the pressure at busier sites. This realisation spawned the development of NHS Live Waiting Times app.

UHNM is one of the largest hospital trusts in the country. Serving around three million people across Staffordshire and North Wales, the 10,000 strong workforce cares for more than 900,000 people annually, providing the full range of emergency treatment, planned operations and medical care from two hospitals in Stafford and Stoke-on-Trent.

Silver Linings - the mobile app helping young people with psychosis to recover

Psychosis affects 2% of the population. It is a serious and misunderstood illness, often striking in late adolescence. Engaging young people and imparting information about their condition and treatment is an essential first step in their recovery.

The Silver Linings app began as a concept developed by clinicians working in Early Intervention in Psychosis Service at Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHFT). Recognising that the majority of patients do not read the glossy booklets produced at some cost, and that young people receive their information predominantly through smart phones, it was clear that the service had to adapt. The service therefore decided to develop a psychosis recovery app, Silver Linings. Developed by the clinicians in collaboration with patients and the third sector, the app was funded by the WMAHSN.

The app empowers patients to better manage their

mental health and enhancing their recovery from psychosis. Silver Linings has the potential to prevent relapse, reduce admissions and save the NHS money.

BSMHFT provides mental health care to individuals living in Birmingham and Solihull. 4,000 dedicated staff serve a culturally and socially-diverse population of more than a million, with an income of more than £230 million, making it one of the largest mental health trusts in the country.

Wireless technology being used to save young lives

A ground-breaking project at Birmingham Children’s Hospital is using wireless technology to predict deterioration in seriously ill children. The project, called RAPID, is using the Patient Status Engine (PSE), a CE marked, Class IIa continuous patient monitoring platform, and its Lifetouch™ smart patch technology, to collect patient’s vital signs in real-time and assess when a child’s condition may be deteriorating.

The PSE removes the need for paper charts and manages observations based on clinical need. It also helps reduce the time spent on routine tasks and frees up staff time for care by simplifying the documenting of patients’ vital

signs and assessments and the automatic calculation of early warning scores. Patient deterioration is detected early and escalated to the relevant doctor or specialist team, ensuring faster treatment. The wireless nature of the PSE also means that patients can be monitored in hospital, at home or in the community. The PSE is currently in use in several hospitals in the UK and overseas. The project at the Birmingham Children’s Hospital is the first type in the world and is on track to recruit more than 1,200 patients.

Isansys Lifecare is a new generation healthcare company which provides patient surveillance and monitoring services built on an innovative, low cost and scalable digital platform.

CareClocks

University Hospitals of Coventry and Warwickshire NHS Trust (UHCW) has developed a mobile app for Care Contact Time, part of the National Safer Staffing Programme. This is the first multi-disciplinary national

electronic solution for data collection providing live reports. The app has been included in the Lord Carter report and has been designed to accommodate wider healthcare settings.

Previously, data collection was paper-based, which involved staff having to record their care contact time spent by looking through a catalogue of care contact time codes for tasks, and then detailing this information on their personal paper-based record. The entire process took approximately five months to complete. The transformational business change from a paper-based system to the new innovative electronic system at UHCW has revolutionised Care Contact Time and produces real-time reports which are accessible on demand.

UHCW is one of the UK’s largest teaching trusts, responsible for managing two major hospitals in Coventry and Rugby, which between them serve a population of more than a million people.

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MIDTECH AWARD FOR BEST NHS INVENTION OR INNOVATION WINNERUNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST

HIGHLY COMMENDED BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST

HIGHLY COMMENDED UNIVERSITY HOSPITALS OF COVENTRY AND WARWICKSHIRE NHS TRUST

HIGHLY COMMENDED BIRMINGHAM WOMEN’S AND CHILDREN’S NHS FOUNDATION TRUST


In 2016/17, research and innovation played a fundamental role in obtaining innovation funds totalling £961,253 at Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHFT), with a further £3.8 million secured in the previous two years.

BSMHFT was named as a ‘Global Digital Exemplar’ and awarded £5 million to spearhead digital technology developments to improve mental health care. This is in recognition that BSMHFT is one of the most IT advanced NHS organisations for the innovative use of technology. The technology will allow service users to manage their own health and wellness, take ownership of their health and care information and provide interaction with clinicians.

Hosted by BSMHFT and led by the WMAHSN, the West Midlands Mental Health Innovation Network was launched in 2016/17 to support sharing and adoption of innovation in mental health across the region. The network encourages and supports closer working between clinicians, industry, academia, the voluntary sector, service users and their carers, with the aim being to offer improvements in health and wealth.

BSMHFT provides mental health care to those people living in Birmingham and Solihull who are experiencing mental health problems. It serves a culturally and socially-diverse million plus population spread over more than 172 square miles, and has an income of more than £230 million, making the trust one of the largest mental health foundation trusts in the country.

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Since successfully winning the Genomics England contract to deliver the ground-breaking 100,000 Genomes Project across the region, the West Midlands Genomic Medicine Centre (WMGMC) has taken a unique and highly innovative approach to go about achieving its aim.

Bringing 17 acute NHS trusts from across the region (18 prior to the merger of Birmingham Children’s and Birmingham Women’s NHS Foundation Trusts) together in partnership, the WMGMC has adopted an ambitious whole regional patient population approach, and also incorporates commissioners, academia and industry across the area. The WMGMC is not only intent on delivering 13,000 of the 100,000 whole genomes for sequencing, but also aims to create a long lasting legacy for the patients of the region, putting into place region-wide collaborative working relationships and practices, as well as new and innovative infrastructures. To successfully meet these objectives across such a wide geographical footprint, WMGMC has had to adapt and innovate at a rapid pace and continues to do so.

The WMGMC is one of 13 GMCs established to deliver NHS England’s pioneering 100,000 Genomes Project. Led by University Hospitals Birmingham NHS Foundation Trust, WMGMC is unique among the centres in the number of NHS trusts that it brings together.

Kimal Scientific was formed by George Press and his wife Diana in 1964, distributing other company’s products such as the world’s first hollow fibre dialyser from Cordis. Even back then, Kimal worked with some of the most innovative companies to provide cutting edge technology to improve patient outcomes. These innovative products and extensive medical knowledge, gained from years of experience and investment, helped Kimal make positive differences to the industry and use innovation to provide really ground-breaking technology.

Since 2011, Kimal has reversed the model of distribution of other company’s products to the manufacture and sale of its own products. Where many companies are shutting down innovation, Kimal is increasing and embracing innovation. Kimal is an innovative and trusted developer, manufacturing vascular access devices for use across a range of clinical disciplines and has had success in various enterprises for 50 years, with major shares in the procedure pack markets globally. Kimal’s commitment to supporting product development is exemplified by their continuous materials and process innovation.

In addition to this is Kimal’s ever-evolving partnership approach, working together with the NHS, other manufacturers, suppliers and customers, using facilities to best effect and to the benefit of customers and patients.

INNOVATIVE ORGANISATION AWARD WINNER BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST

HIGHLY COMMENDED KIMAL

HIGHLY COMMENDED WEST MIDLANDS GENOMIC MEDICINES CENTRE


Human Interface Technologies team

Since 2003, the Human Interface Technologies Team (HIT) has been developing highly innovative interactive technology solutions for civilian and military healthcare applications, collaborating with the Royal Centre for Defence Medicine and University Hospitals Birmingham NHS Foundation Trust.

Although members of the team have been involved in successful virtual reality and robotics projects for

healthcare since the early 1990s, more recently research has been directed to specific surgical and post-trauma physical and psychological care applications, with spin out of research results to the civilian sector. Such research has included studies of virtual reality and “serious gaming” technologies for procedural training in trauma surgery (collaborating with a West Midlands games company); psychotherapeutic support for post-traumatic stress disorder; and the development of interactive technologies for the investigation of “restorative environments”, using simulated scenes of nature, and assessing their impact on patient wellbeing (including sleep quality), especially in intensive care.

The HIT is a multidisciplinary group of researchers who focus on human-centred research, in essence making future technology “fit for human use” and helping end users of interactive technology to avoid the “technology push” failures of the 1990s by both developing and evaluating capability demonstrators, including those based on virtual, augmented and mixed reality techniques.

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Genomic Ambassadors

Funded by the WMAHSN, the Genomic Ambassadors were tasked with supporting 12 of the Local Delivery Partners (LDPs), the trusts which make up the West Midlands Genomic Medicine Centre (WMGMC). Over the last 12 months, eight of these LDPs began recruitment, with each of the Ambassadors’ host organisations taking both cancer and rare disease samples. Go live status at the remaining four LDPs is anticipated this year.

The Ambassadors have not only directly supported the recruitment of almost 300 participants to the project, but have also enabled other patients to benefit through the training of clinical and non-clinical staff across the patient pathway, from identification to the transfer of samples. In addition, the Ambassadors have contributed to the transformational changes that are starting to be seen across the region. They support the work of the WMGMC with the roll-out of the regional imaging platform, which will produce imaging data to Genomics England for patients recruited into the

100,000 Genomes Project.

The WMGMC is one of 13 GMCs established to deliver NHS England’s pioneering 100,000 Genomes Project. Led by University Hospitals Birmingham NHS Foundation Trust, WMGMC is unique among the centres in the number of NHS trusts that it brings together.

Children’s Community Offender Service

The service works with a cohort of vulnerable young people who have offended and sits within the Staffordshire Youth Offending Service. Its aim is to identify and address unmet health needs within this hard to reach client group, including physical, mental, sexual and neurological health and speech and language concerns.

The service has developed greatly in the last two years and provision is continuing to expand across the whole service, meeting the needs of many more young people. The service provides a mental health nurse, a public health nurse, healthcare support workers and a speech and language therapist to address varying identified needs. The team works alongside guidance from the Youth Justice Board in completing comprehensive health assessments for all young people, with the aim that addressing healthcare needs will support a reduction in recidivism.

Since offering this provision, the staffing structure and service has adapted and changed, which has proved to increase the engagement of the young people and decrease re-offending rates.

Staffordshire and Stoke-on-Trent Partnership NHS Trust works towards the 6Cs standards, a collection of values which reinforces compassion in practice, a vision and strategy for all healthcare employees and services. The trust empowers frontline teams to deliver in a joined up way which provides the highest quality services.

Impact Accelerator Unit

The dedicated and proactive Impact Accelerator Unit (IAU) at Keele University in 2016 came about due to increasing demand for the implementation of innovations emerging from the high quality

musculoskeletal research at the Research Institute for Primary Care and Health Sciences (iPCHS).

The fundamental aim of the IAU is to promote and maximise the benefits of the world leading, high quality research carried out at the iPCHS, using proactive and innovative approaches drawn from research results to solve stakeholder’s problems. Breaking new ground within the iPCHS, the unit brings together the talents, skills and enthusiasm of clinicians, academics, patients and managers to support the scale up and scale out of brand new innovations, with the ultimate aim of making a positive and real difference to healthcare.

The IAU supports stakeholders through every step of the implementation process, helping to identify gaps for improvement and solve challenges. By tracking key academic output via research themes and the iPCHS publications committee, the IAU operates effective strategies for identifying, gathering, synthesising and linking evidence from research to stakeholders, ensuring innovations match specific needs of partners.

INNOVATOR/INNOVATIVE TEAM OF THE YEAR AWARD WINNER UNIVERSITY OF BIRMINGHAM

HIGHLY COMMENDED WEST MIDLANDS GENOMIC MEDICINE CENTRE

HIGHLY COMMENDED STAFFORDSHIRE AND STOKE-ON-TRENT PARTNERSHIP NHS TRUST

HIGHLY COMMENDED KEELE UNIVERSITY


“citizenAID has had a massive impact since its launch, and in the light of recent events it is more important than ever. As a team, we were all in agreement that due to its importance, it should be a standard application on all smartphones. We created this award to ensure that the team at citizenAID received the recognition that they fully deserve.” Tony Davis, WMAHSN

Upon a terrorist incident, the initial priority will be public safety. This can delay the time before the emergency services can reach the injured. citizenAID enables the general public to be effective in these situations before the emergency services are available to provide professional medical support.

citizenAID is an initiative of four UK clinicians, working in collaboration with the NHS to improve public resilience. citizenAID is a smartphone app with a simple system of immediate actions. It is designed to guide the public to react safely, to pass effective messages to the emergency services, to prioritise the injured and to give life-saving first aid. citizenAID is a philanthropic initiative, in collaboration with medical charities and industry. Wide cross-government consultation has taken place to ensure that citizenAID complements existing

emergency service procedures and is supported by key stakeholders. citizenAID specifically reinforces the national ‘Run, Hide, Tell’ message to create ‘Run, Hide, Tell, Treat’.

Since ideation in late 2016, citizenAID has escalated in profile at such a rapid pace that it has been discussed in COBRA meetings following the recent London terrorist attack and in the House of Lords, where it received full support of the house. citizenAID can realistically prevent avoidable deaths in mass casualty events through decisive, predetermined actions and lifesaving interventions, using military knowledge from recent campaigns to improve wider civilian healthcare outcomes. This is system is going to be a huge success in empowering the population of UK and international partners in the face of a terrorism.

View more photos from the Celebration of Innovation at: https://goo.gl/Pcv7RN

WMAHSN AWARD WINNERcitizenAID

https://goo.gl/Pcv7RN

https://goo.gl/Pcv7RN

WEST MIDLANDS ACADEMIC HEALTH SCIENCE NETWORKOffice 12Ground FloorInstitute of Translational MedicineHeritage Building (Queen Elizabeth Hospital)Mindelsohn Way EdgbastonBirmingham B15 2TH

0121 371 [email protected]@wmahsn

celebration of innovation awards 2017 · pathology diagnostic service university hospitals...

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