Posts Tagged ‘Innovation’

NHS must prepare for the “Genetic Revolution”

Wednesday, October 26th, 2011

A report from the Foundation for Genomics and Population Health has stated that the NHS needs to “urgently” develop the tools and expertise needed to take advantage of a revolution in genetic testing.

The report argues that new technologies could soon dramatically change the climate of care for patients suffering from cancer and other rare conditions, with the ultimate goal of one day tailoring treatments to an individual patient’s needs. The government is reported to be currently evaluating the benefits of the strategy.

The cost of sequencing the human genetic code has fallen dramatically in recent years which is thought to have important consequences for medicine in enhancing the ability to diagnose patients. Around 3% of the population have defects in their genetic code which cause rare forms of illnesses such as diabetes, cardiovascular disease or some rare forms of cancer. It is also believed that the use of genetics could help to predict which drugs are more likely to be effective or cause the fewest and least severe side effects.

Dr Caroline Wright, the lead author of the report, stated that the “genetic revolution” will come fairly quickly, and first start to be implemented in patients with rare disorders. This will then move into diagnosis for childhood developmental disorders or any undiagnosed rare conditions which are suspected to be genetic.

With the advances in sequencing a patient’s genetic code, Dr Wright warns that the NHS should start to consider a way of implementing a system to deal with the vast amounts of information that will be produced.  She states that the NHS desperately needs to build the IT support to interpret billions of letters of code.

Sir John Bell, the government’s Chief Genetics Advisor says that genetics will come to effect every single area of medicine. “For some it will have a very major effect, for others it will be less dominant, but the contribution of genetics to all human disease is clear” he asserted. He says a set of specialist hubs need to be set up to handle the information, but that there also a required “restructuring of the whole operation” to bring genetics to specialists in cancer, heart disease, diabetes and public health.

A Department of Health spokesperson said that they will continue to work closely with the research community and the research arm of NHS to look at the feasibility of specific programmes and new developments. “We have asked the Human Genomic Strategy group to look at advances in this area and to evaluate their benefit to the NHS. Their report is due in January 2012” they said.

Original Source BBC News

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Whole Body “Cryotherapy” Pod Unveiled

Monday, October 17th, 2011

The UK’s first whole body medical “cryotherapy” pod was today launched at The Garden Hospital in London which attempts to target a host of problems traditionally treated by physiotherapy.

The pod located in the physiotherapy department will offer patients, across a wide variety of medical fields access to a treatment that can relieve pain, decrease inflammation and swelling, shorten rehabilitation times, help increase blood circulation and improve athletic performance. The treatment can be used in isolation for some conditions or as part of a patient’s physiotherapy regime following surgery or trauma, to further enhance recovery and mobility.

Localised cryotherapy has stemmed from the use of ice packs as one of the oldest therapeutic treatments available to physiotherapists as a way to relieve chronic pain and arthritis. Whole body cryotherapy is a now a widely accepted medical treatment in both Germany and Poland where it is also used in the field of professional sports and athletics.

During the cryotherapy treatment, patients enters the pod which is then cooled to a temperature of -80°C for approximately three minutes. Whilst in the pod, the patient’s average skin temperature never drops lower than 5°C, and the core body temperature remains unchanged.

Exposure to whole body cryotherapy triggers the release of endorphins and induces natural pain relief in the body. The immediate effect of skin cooling and pain relief lasts for five minutes, but the release of endorphins can reduce pain and inflammation in some patients for many weeks.

Colin Crosby, a Consultant in the field of Sports and Exercise Medicine at The Garden Hospital commented that the acceptance of the treatment amongst elite athletes has grown, and has increasing application and potential benefits to the mass public. “Whole body cryotherapy has reported benefits across a number of medical conditions including tendonitis, muscle and ligament strains, back and neck pain, rheumatoid arthritis, fibromyalgia, osteoarthritis and even anxiety and depressive illness” he stated.

Kim McRae, Executive Director at The Garden Hospital commented that this venture is one that puts their hospital at the forefront of this new and emerging medical field. She stated that initial results from their physiotherapy team have been extremely positive, and they are now looking into performing research in toa number of medical specialties.

“I am confident this new treatment will increase the level of care we give to patients and help compliment the services already provided at The Garden Hospital” she stated.

Original Source Private Health

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Green Approach to NHS IT

Friday, September 30th, 2011

The ICT Operations Manager at Newham University Hospital Trust (NUHT), has published an article in The Guardian explaining how the Trust has made significant energy savings without disrupting the work of frontline staff.

Shaun Jeffery asserts that effective use of IT is crucial to the public sector’s ability to deliver the critical frontline services on which people depend whilst funding is simultaneously being reduced. He states that NUHT have been looking at this issue for several years, with IT being part of a bigger jigsaw designed to reduce overall carbon emissions.

Jeffery states that the pressure to reduce costs and carbon emissions presents a new challenge to IT departments, with the increasing cost of gas and electricity only adding to this pressure.

The IT department has played a key role in NUHT’s efficiency agenda, from “greening” the data centre and reducing the number of physical servers to reducing both the footprint and energy consumption of client-side devices. In the data centre, 70% of servers have been virtualised so far, and wherever possible have some activity co-hosted on another server, cutting both physical servers and overheads.

Many of the other efficiency measures were also designed to liberate space which is thought to be crucial in an acute environment. They have also moved towards the use of smaller and more efficient hardware devices where power consumption is less than 10% of a traditional PC. These devices will last twice as long as a traditional PC and need far less intervention, reducing support costs.

Power management solutions have also been implemented to reduce the amount of time that computers can stand idle, powering them down when they were not being used. This has proven highly effective on the 1,700 PC’s within the hospital.

Jeffrey states that one of the primary focuses of the IT restructuring was to ensure that it did not disrupt the work of frontline staff, which was essential as NUHT is an acute hospital operational 24 hours a day. “There are some instances where you do want to change the way people work to make them more efficient, but some of the big savings can be made without them even noticing” he says.

It is reported that in the first year the Trust saved approximately £18,500, covering the costs of the project and providing a return on investment in less than a year. In addition, they were able to demonstrate that that this project had directly contributed to reducing carbon emissions by 143 tonnes, which equates to 264,552 KWh of electricity. This has contributed to NUHT winning the Greenest Hospital award at the Healthcare Excellence and Leadership Awards and being a finalist in the Green IT awards 2011.

Jeffrey says that the project is the first step of an ‘efficiency audit’, looking back to determine which IT systems are actually providing business value, which ones are actually being used and whether or not they are running efficiently. He states that the minute you do that, you start to see where savings can be made.

Original Source The Guardian

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

NHS years behind on Innovation Benefits

Friday, August 26th, 2011

A documentary broadcast by BBC Radio 4 has stated that the NHS is taking too long to adopt innovations, with advances in heart disease care taking an average of 17 years from research funding to providing benefits to patients.

“An Unhealthy Wait” stated examples of currently existing technology and highlighted research by the Medical Research Council and the Wellcome Trust, which estimated that research findings take years to move from conception to producing actual benefits for patients.

One example cited was a piece of kit for operating theatres, which comes with “rock solid evidence” that it could save the NHS £360 million a year. It has been available for 30 years but is still not widely available in the health service.

Lord Howe, Parliamentary Under Secretary of State for Health stated in the programme that he wanted to see adoption times slashed. “If we can only break down the barriers that we know exist and foster a creative and entrepreneurial spirit, in the best sense, within the NHS I think we will see that time lapse speeding up considerably,” he said. He made reference to a current system being put in place by NHS chief executive Sir David Nicholson,to measure how quickly and well organisations adopt new ideas, and then holding them to account for failures.

Lord Howe said he believes the NHS has fantastic leaders, but in some parts of the service there is a lack of the necessary vision and leadership, without which very little can happen. He also believes there is a reluctance by the NHS to collaborate internally and externally with academia and with industries, all this is starting to change. He believes that the NHS isn’t over-managed, but he asserts that creativity can be quickly disincentivised by forcing managers to undergo routine “box-ticking” processes.

Dr Penny Attridge, Investment Director of Spark told the programme that the NHS is an organisation which both creates innovation and should be the primary end user of that innovation in the UK. She states that one of the largest issues with NHS innovation is the lack of clarity surrounding who to engage with both to access innovations and how to go about commercialising them. Due to consistent restructuring and the fragmented nature of NHS services, Attridge states that those controlling budgets are generally far removed from actual patient treatment.

Howe said that the NHS needed three things:

  • A culture of enthusiasm where care is being delivered
  • An element of push from above, perhaps incentives, information systems, or training
  • A culture in which clinicians and managers co-operation and there is mutual support

In order to implement innovative technologies that quickly deliver demonstrable benefits to patients, Trusts could seek to implement an Electronic Patient Record (EPR) system. Therapy Manager is an EPR system which provides an innovative method of streamlining the patient journey and has been developed in conjunction with clinicians working in a number of different environments. In addition, Therapy Manager can be integrated with a whole suite of Therapy-specific applications and can be used in conjunction with hardware solutions such as portable workstations, digital pens and dictation devices.

Original Source The Guardian

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

DoH call for Healthcare Apps

Tuesday, August 23rd, 2011

Health secretary Andrew Lansley has launched a competition for new ideas for health apps to help patients make informed decisions about their care.

The invitation is open to healthcare professionals and app developers and and urges patients and clinicians alike to submit ideas for apps and health maps that they thought would be useful and have a positive impact on patient care.

Lansley cited an existing example of what could be done, the Choosing Well app developed by NHS Yorkshire and Humber which enables people to search for their nearest NHS services.

The Department of Health (DoH) said any ideas should relate to one of five themes:

  • Personalisation and choice of care and support
  • Better health and care outcomes
  • Autonomy and accountability
  • Improving public health
  • Improving long term care and support

A spokeswoman for the DoH stated that this will not result in any additional funding for the development of health apps, but that the intention of the competition is to promote the best apps and reported by the wider patient community. They envisage that this will assist app developers and the technology industry as they seek to develop the best ideas.

Andrew Lansley also asked people to name their favourite existing health applications. “We want to give people better access to information that will put them in control of their health and help make informed choices about their healthcare” he said.

Over the next six weeks, people can visit a section of the DoH website to suggest favourite apps and ideas, and vote for app ideas submitted by others. They believe that this is a unique opportunity for the NHS and those who develop apps to showcase their work and realise true innovation in healthcare.

Shaibal Roy, a member of the NHS Future Forum and one of the competition judges, will also blog on submissions. “There are inspiring apps and incredible ideas that have never before been gathered and shared nationally. We hope to accomplish this quickly, and in doing so, build a community of champions to explore this particular view of the future,” she said.

Ideas can be submitted at www.mapsandapps.dh.gov.uk

Original Source The Guardian

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Copyright © 2011 Pathway Software. All rights reserved. Sitemap