Innovating in a Shifting

Healthcare Environment

Professor Malcolm SperrinRoyal Berkshire Hospital

Drivers and Considerations

Ageing population Greater range of treatments Improved diagnostic tools Greater expectations

Crikey factors Equipment capital cost Device support costs Increase in population beyond retirement Need for specialist knowledge Litigation Reduced funding Expectations Rationing

Membership of:100 club

Accelerating adoption of innovation in the NHS

Palpation(BC to ?1920?)

Imaging(1920 - )

Keep in touch with the real world Good inventions butter no parsnips Money is vitally important Multi-disciplinary Be prepared to lead Don’t forget external collaboration The media

The road to good invention

Good Idea

Innovation

Implementation

Marketing

Preferential use

Individual Culture

Resources

Need to be Savvy

Org

anis

atio

nal C

ultu

re

Kinect and overcome

Stroke Rehab

Reduced bed days

Inpatient

Outpatient

Improved outcome

Cudos

XBoX/Kinect

Commercial games

Requirement for response

Requirement for movement

Metrics ?

Response ‘That’s nice !’ Does it save money ? Does it increase through-put ? Other uses Who can fund it ? IPR, rights etc

The Bespoke Element

Stroke rehab Geriatrics Paediatrics Trauma Orthopaedics

Sub-lieutenant Alex Donnelly

What needs to be measured ? Symmetry Speed of response Perception Perception lag Extent of reach Tremor Improvement

Project aims

Align with health initiatives Engagement with the patient Improved outcomes Collection of data Cost efficient

Malcolm’s view and Summary Create a relevant departmental culture Identify need Be politically savvy Collaboration is good (essential) Have the courage of your convictions Blow your own trumpet.

SECRETARY OF STATE FOR HEALTH,

“There are great people in the NHS with great ideas. Through a focus on outcomes, we are going to enable and encourage them to turn those innovative ideas into reality. This will result in better care and outcomes for patients.”

Contact Details

Malcolm.sperrin@royalberkshire.nhs.uk 0118 322 7360

Royal Berkshire Hospital Reading

Radiation medicine Public perception of risk Ultrasound Scientific strategy