Ben Moody – Head of Health and Social Care

• Developing partnership with NHS Digital and joint work with NHSE

• Advocate for the role that tech can play in improving health

• Previously worked for Accenture, Macmillan, Diabetes UK

• Trade body representing the tech sector with 950+ members• 380 H&SC members – 70% SMEs• techUK team & Council of 19 members

Peter Gerber – Business Development Director, Dr Foster

• Building and strengthening customer relationships and strategic partnerships.

• Supporting and informing quality improvement and efficiency.

• Passion is understanding the people behind every healthcare organisation, what they are trying to achieve and helping them to achieve it.

Dr Foster – Turning data into decisionsWe equip healthcare organisations to make better and faster decisions on the quality and value of connected healthcare.

We work with healthcare organisations to deliver easy to use and role relevant solutions thatdeliver actionable insights – insights that play a significant role in driving decisions.

What we do at Dr Foster

We work with over a hundred healthcare providers, commissioners and integrated care organisations in the NHS, from clinicians and nurses to managers and analysts.

• Save time and resources – interoperability with customer

systems

• Greater transparency and deeper understanding of healthcare data – apply academic research via

partnership with Imperial College London

• Identify clinical variation and improve patient outcomes - meaningful insight

delivering service transformation

How we help healthcare organisations improve

1. Clinically relevant metrics – we have collaborated with

clinicians, developed clinically relevant metrics and complex analyses from patient-level data for six specialties for the national NHS Getting it Right First Time programme.

2. Population health insights – we have provided patient

segmentation analysis across a group of CCGs’ populations to identify patients using most emergency care resource and who would be eligible for out of hospital care.

3. Developing new algorithms – Developed a frailty algorithm

with a leading London hospital to identify complex, frail patients to flag at-risk patients requiring consultant evaluation.

Our barriers

1. Regulation – limitations to linking data to give holistic view of patient pathway

2. Standardisation – lack of standardised, mandated datasets

3. Reconfiguration – data models and data collection don’t match the new care models

4. Patient focus – national indicators not focused on meaningful patient outcomes

5. Funding – no money for sophisticated, innovative analysis

Changes needed to overcome barriers

1. Support data linkage and innovation

2. Standardise and expand data collection

3. Incentivise better patient outcomes

4. Minimise political interference

5. Increase funding

Ade AdewunmiSenior Industry Consultant

(Health & wider Public Sector)

@adewunmi

Outcomes-led, Technology Enabled, Data-driven

Teradata is a provider of data analytics solutions.

We help our clients harness the potential of their data ecosystems

through proven capabilities that span technology, people, and

methodologies to deliver value for their users and optimise

ways of workings.

What’s the opportunity?

A user-centred healthcare system:

● Path analysis enabling better patient classification and improved

health outcomes

● Improving hospital patient flow, minimising unnecessary

hospitalisations

● Improving the management of chronic conditions by broadening

and integrating healthcare provision

How is Teradata helping?

1. Making it easier to understand data landscapes and data asset

value

2. Providing platforms and expertise to support at-scale data

analytics?

3. Enabling collaboration and data-sharing across a federated

health system

What are the barriers and issues?

1. Closed systems that raise barriers to entry

2. Lack of data sharing standards

3. Procurement approach

Helpful policy changes

1. Improved access to good quality data (synthetic data works too!)

2. Easier access to relevant data infrastructure

3. More flexible, more procurement

Dr Nasrin Hafezparast, BSc, MBBS

Co-founder / CTO

@nasrinzt @obh_uk

www.outcomesbasedhealthcare.com

@obh_uk17 September, 2018 © Outcomes Based Healthcare

OBH Outcomes Platform

Loca

lly c

onf

igur

e

segm

ent

ation

model

Sele

ct o

utco

mes

from

OBH

Lib

rary ↓ Obesity

↓ Smoking

↓ Alcohol consumption

↑ Employment

↑ Housing

Healthy

↓ Falls

↓ Fragility fractures

↓ Delirium in care

↑ Independence

↑ Isolation

Frailty/Dementia

↓ Emergency care near death

↑ Deaths in preferred place

↑ Time spent at home

End of Life

Primary Care

Data

Secondary

Care Data

(SUS)

Community

Care Data

Outcome

Monitoring

20

15

20

16

20

17

20

18

20

19

20

20

Outcome Baselines

20

15

20

16

20

17OBH

Ana

lytics

Layer

Out

com

es

Pla

tform

Accessed via secure login online

✓

✓✓

✓✓

✓

Contracting

Target 2

Target 1

Band 1

£

Band 2

££

Band 3

£££

QOF NHSOF DH…

Arthritis ✓ ✘ ✓

Asthma ✓ ✓ ✓

Atrial Fibrillation ✓ ✓ ✘Cardiovascular Disease (CVD)

… ✓ ✓ ✓

↓ Premature mortality

↓ Complications of LTCs

↑ Quality of Life

↑ Self-management

LTCs/Disability

✓

✓

✓

✓

→ Decide on aggregation

of segments→ Decide on inclusion criteria

for each segment

1

4

57

6

78

8

1

2

3

Healthy

LTC

Frailty

and/or

dementia

Disability

Organ failure

End of Life

© Outcomes Based Healthcare

© Outcomes Based Healthcare

Methods AnalyticsEvidence for decision makersOriginally born out of the NHS, we are a group of expert healthcare analystsand clinical healthcare consultants, providing strategic and operationalintelligence on quality and efficiency of health and care systems.

Paul MolyneuxHead of Population Health Management

Originally born out of the NHS with a keen interest in datascience and communicating insights.

• Help users understand a population’s priority needs, guide the solutions and track theoutputs

• Whole population data model, segmenting the population to create target sub-populations,delivering insights about needs, gaps and risks and monitoring outcomes.

The challenge – the system needs to change

▪ Rising demand and complexity, ▪ Widening inequalities ▪ Finite resources

The opportunity – the system needs to change

▪ It needs to deliver improved outcomes

Population Health Management is the response to this challenge. This can be thought ofsimply as the identification, engagement and management of individuals and groups withinthe population.

Our data driven approach is as unique as your population

Hurdles

Data woes▪ Data acquisition▪ Data quality/completeness▪ Information Governance▪ Different collections for different purposes▪ Different standards▪ Re-identification

It’s not about data!

Analytics have no impact without an audience.

We need partners to help create the value.

Strategic woes▪ Clearly stated priorities▪ Capability to assimilate, challenge and act

upon analytical insights ▪ Appreciating statistical uncertainty▪ Asking good questions▪ Analytics often divorced from decision

making processes

System woes▪ The wrong events and behaviours are

incentivised

What needs to change?

▪ No national repository of GP data

▪ No national solution to securely link

patient level data

▪ Insufficient funds to stimulate this form of

analytical inquiry and data driven function

▪ The relative infancy of interoperability

between commercial systems…

But actually…

We don’t wish to use policy drivers as an excuse

We link data, we build locally tuned models and we can help

identify opportunities, cohorts and individual citizens that will

enjoy improved outcomes.

We are currently doing this with exemplar health and care

systems who are making active use of this to enrol citizens into

preventative care programmes.

A national departure from PbR in favour ofvalue based care would be helpful though…

Date Event

30/8 EPS - Developing a vision for the future

05/9 techUK at NHS Expo – Analytics Workshop

06/9 techUK at NHS Expo – SME Theatre Session

07/9 Social Care data collection webinar

20/9 Empowering the patient: digital medicines

21/9 SNOMED CT Briefing & Workshop

02/10 NHSD Cyber Security Briefing

03/10 NHS Digital Industry Briefing - London

10/10 NHS Digital Industry Briefing - Leeds

15/10 How can 5G transform Health and Social Care Services?

14/11 techUK Annual Health & Social Care Dinner