The London Health Technology Forum has just announced the details of its Christmas evening meeting on 13th December. Star turn will be the seasonally-appropriate Andrew Nowell, CEO of Pitpatpet who has a brilliant story to tell of how an activity tracker can unlock so many revenue sources. Attendees will also unlock mince pies, courtesy of longstanding host Baker Botts, and a roundup of key digital health changes in 2017 from this editor.
NICE Health App Briefings: NICE has finally published the end result of its review of three health apps on their Guidance & Advice list. Given that digital health is so much faster moving than pharma, it is disappointing that these apps appear to be being judged to a very high level of evidence requirement.
For example Sleepio, whose evidence for effectiveness “is based on 5 well-designed and well-reported randomised controlled trials and 1 large prospective unpublished audit” is still judged, in terms of clinical effectiveness, as “has potential to have a positive impact for adults with poor sleep compared with standard care. There is good quality evidence that Sleepio improves sleep but the effect size varies between studies, and none of the studies compared Sleepio with face-to-face cognitive behavioural therapy for insomnia (CBT‑I).”
This editor is unaware of any other app that has five good RCTs under its belt so (more…)
Rob Shaw, NHS Digital’s Deputy CEO, gave a welcome talk at EHI Live on Tuesday encouraging the NHS organisations to become “intelligent” customers. To quote “We have got to make it easier for suppliers to sell into health and social care”. Let’s hope that the message is received and acted on! Until it is, the Kent Surrey and Sussex AHSN is offering help to SMEs to make that first sales – how to book, and to get more details on the event on 23rd November go here.
DHACA’s Digital Health Safety event, in partnership with Digital Health.London on 7th November is proving extremely popular, to the point where it may be oversubscribed soon, so if you want a seat for this really important event for all digital health developers and suppliers, book now.
The IET is running a TechStyle event on the evening of 22 November entitled the world of wearables aimed at people “between 14 and 114”. For today only (1 November) they are offering a special “2 for 1” deal making the already tiny cost essentially insignificant. Book here. Hat tip to Prof Mike Short.
Prof Short has also highlighted a recent report from Agilysis looking at the role digital technology can play in delivering the vital step change our nation’s care services need. It concluded that:
- Leading digital professionals say lack of digital skills biggest risk to transforming care services fit for the 21st century;
- Lack of knowledge of digital tools is largely responsible for delays in embracing new ways of working;
- Believe digital technology could cut costs associated with social care delivery and therefore address the number one issue affecting UK social care today;
- Digital technology can help local authorities manage both demand (improved customer satisfaction) and supply (improves multi-agency working).
There’s a great (more…)
One of the signs of autumn for this editor is the first email from Flusurvey. This is a brilliantly simple system that sends you an email every week asking if you have flu-like symptoms, then produces a map of the UK that gives advance warnings of epidemics. It costs nothing to join and is a great contribution to public health so why not sign up?. (They also have some exciting developments that may surface soon such as a small device that you blow into the connects to a smartphone and can tell almost immediately if you have flu’.)
Increasingly of concern to this editor, due to his deep involvement in digital health regulation, is who is working out how to regulate self-learning algorithms. It is therefore good to see the issue breaking cover in the general press with this article. For what it’s worth this editor’s view is that as technology begins to behave more like humans, albeit in a much faster, and narrow, way by learning as it goes along, perhaps an appropriately adapted use of the way human clinicians are examined, supervised and regulated, might be most appropriate. Sitting next to an AHSN CIO interested in the topic at a Kings Fund event last week, I was pleased to hear him offer precisely the same suggestion, so perhaps there is a little mileage in the idea.
DHACA (disclosure: run by this editor) has just renewed its website after a long delay, and will be updating content over the next few weeks. First off is the events page advertising:
Our Digital health safety conference on 7th November at Cocoon Networks, London, is being run jointly with DigitalHealth.London – the MHRA has now confirmed they will present so we have almost all the relevant organisations and experts in the UK speaking at this event which should be essential attendance for all involved with the development and use of digital health & care. Attendance has increased substantially in the past few days so do book soon to be sure of securing a place. Much more, including an almost-finalised agenda, is here.
DHACA Day XV – we are back to our usual location at the Digital Catapult Centre on 10th January where are building an agenda of some extremely interesting speakers. To check out the agenda development and to book in advance, go here.
A quick blog to draw your attention to two events at the Royal Society of Medicine that this editor has been involved in setting up, and that should be of interest.
The first is the Future of Medicine: the Doctor’s Role in 2027, on May 18th, which has a host of excellent speakers looking at how technology is likely to change the way medicine is practised in ten year’s time, to help clinicians, healthcare managers, academics and suppliers prepare for those changes to ensure maximum improvement in patient outcomes. Book here
The second event, in partnership with the IET, Digital Health and Insurance: a Perfect Partnership? on June 1st brings in a wide range of international speakers to explore how, by giving insurers precision over the risks they are taking, digital health is transforming health insurance, both for humans and for pets, and in the process may well result in a fundamentally different way of providing, and paying for, health in the future. Not to be missed! Book here.
As has been said before, the RSM has medical education as one of its charitable objects (the other is promoting medical advances) so their events are extremely attractively priced.
Events are blooming like daffodils in a long-awaited Spring! Here are two coming up, organized by the Royal Society of Medicine’s Telemedicine & eHealth Section. Both are full day programs held at the RSM’s offices at 1 Wimpole Street, London.
Medical apps: Mainstreaming innovation
Tuesday 4 April 2017, 9am to 5:10pm
CPD: 6 credits
Event link: www.rsm.ac.uk/events/TEH03
To discuss the regulation, the potential use and evaluation of the introduction of medical apps in a range of healthcare situations. This event is the fifth annual medical apps event run by the Section; the previous four have all been popular. The purpose of each one has been to educate forward-thinking clinicians in the benefits of using medical apps to improve patient outcomes and reduce costs. In view of the expectation that the NHS will have an mHealth assessment operation running by next April, this event will focus on mainstreaming the use of apps within the health and care services.
Digital health and insurance: A perfect partnership?
Thursday 1 June 2017, 9am to 5pm
CPD: 6 credits (applied for)
Event link: www.rsm.ac.uk/events/TEH04
This meeting will explore how digital health and insurance can be mutually beneficial by enabling insurance companies to get a better handle on the risk of their insureds. It will also explore whether these new business models might result in a new paradigm for delivering care more effectively, and to consider whether as a result the population as a whole might be better motivated to take greater responsibility for their own health and wellbeing.
More information, online learning opportunities and links on the RSM section page. (PDF).
This past week at the RSM was Tuesday’s (28 March) 28th Annual Easter Lecture given by Matthew Syed, a columnist for The Times and author of two acclaimed books, ‘Bounce’ and ‘Black Box Thinking’. He focused on the dynamics of a high-performance culture. Talent is significant but not enough. There is no substitute for a mindset that drives continuous improvement. Every marginal gain is vital and they build together to achieve performance excellence. Event link here.
Here is a selection of events you may wish to engage with that have crossed this editor’s PC recently:
Nominate someone for a Digital Pioneer Award – nominations close on 2 December.
DigitalHealth.London in collaboration with NHS England is hosting the Digital Pioneer Awards. They are seeking out within the NHS individuals at any rank and in any role, who are deserving of an award for any of:
- Digital leadership
- Digital Innovation, or
- Sustainability through digital (which means that they have been instrumental in making sure a digital implementation has been sustained enough to a point of delivering benefit).
Med-e-Tel, the Luxembourg event, has a call out for abstracts with a deadline of 4 December.
The NHS England Clinical Entrepreneur Programme have launched recruitment for their second year cohort. Applications for all doctors will close on 9 December 2016. This intake apparently “will have limited places” (don’t they all?). Interviews will be held in March 2017 and the programme will commence in autumn 2017.
The West Midlands Health Informatics Network (WIN) will be holding its third (free) annual digital healthcare conference on 24 January 2017 at the University of Warwick. The keynote and guest speakers are:
- Professor Theodoros N. Arvanitis, Chair in eHealth Innovation and Head of Research at The Institute of Digital Healthcare
- John Crawford, Healthcare Industry Leader, Europe, at IBM
- Noel Gordon, Chairman of NHS Digital
- Harpreet Sood, Senior Fellow to the CEO at NHS England
- Jenny Wood, Director of Adult Social Care at Solihull Metropolitan Borough Council
The aims of the conference are to:
- showcase innovation and research in digital health, care and wellbeing;
- enable the sharing of good practice and experience from those working in this area; and
- promote collaboration across various settings.
The day will consist of exhibitions, poster presentations, talks/panels delivered by stakeholders, and networking sessions. With the keynote/guest speakers they have lined up, this is set to be their highest profile event to date, therefore, they ask that people should register as soon as possible here.
The Royal Society of Medicine is holding its highly popular Recent developments in digital health conference on 28 February. Speakers this year include Ali Parsa, Dame Fiona Caldicott, Shafi Ahmed, and Sir Mark Walport – it’s going to be another great event. Last year there were disappointed late bookers because it sold out, so worth getting in early by booking here, now!
Hat tip to Prof Mike Short for some of the events.
On the evening of Thursday 24th November, the London Health Technology Forum holds its last event of the calendar year on “Intellectual property & licensing”. This is a really critical area that this editor has seen more people lose money on because of not handling properly than in any other aspect of early start-up management – it truly is vital to think through very early on, to stop people stealing your ideas and paying an appropriate price to license them. Attendance is free; booking is here.
(The RSM’s mHealth app conference on 4th April 2017 is just about to end its early bird prices too – worth booking here anyway now, at it’s usually a sellout).
Research carried out in Australia shows that a hospital with telemedicine facilities for outpatient consultations was using those facilities for only one in seven potential appointments. The retrospective study of outpatient appointments at Princess Alexandra Hospital in Brisbane showed that in a 12-month period 2.5% of outpatient consultations were carried out by telemedicine. Although 17.5% of the appointments were potentially viable via telemedicine, a policy of permitting telemedicine only for rural residents meant that, as the majority of the viable telemedicine consultations were with metropolitan residents they were carried out as hospital visits.
This raises the question whether expansion of the use of telemedicine for hospital consultations in Australia should now be reviewed. Currently there is a geographic requirement that the patient’s location must be outside of an Australian Standard Geographic Classification Remoteness Area 1 (a city) for a telemedicine consultation to be eligible for Medicare Benefits.
The research has been published in the Royal Society of Medicine publication Journal of Telemedicine and Telecare. The author, Monica Taylor, also presented the findings at Successes and Failures in Telemedicine 2016 in New Zealand where she was awarded the best paper award.
DHACA is holding its tenth DHACA Day on October 6th, three minutes’ walk from Leeds station. We have a wide array of fascinating speakers, with a keynote by Bethany Gildersleve, Head of Operations at NHS Digital. Membership of DHACA is free, though we have to make a small charge for lunch. For more details, and to book, go here.
The Royal Society of Medicine (RSM) is holding an event on Point-of-Care-Testing, a technology that enables radical improvement to care pathways that improve patient outcomes and can dramatically reduce costs. Keynote will be Prof Chris Price, Visiting Professor in Clinical Biochemistry, University of Oxford, widely recognised as the leading authority in the world on the topic. For more details, and to book, go here.
The RSM has an earlybird (ie even lower cost) offering for our mHealth app conference on April 4th 2017 – these rates will last until 29th November. For more details, and to book for this event, now in its fifth year & which has serially sold out, go here.
The RSM is also has another long-running and regularly very well-attended event on 28th February entitled Recent Developments in Digital Health. Last February’s presentation by Mustafa Suleyman, co-founder of Google DeepMind, is still being talked about. Details and booking here.
Finally the London Health Technology Forum has its first Autumn meeting on 20th October, covering the true story of how a start-up made its first sale to the NHS from both the point of view of the seller and from that of the NHS buyer. Attendance is completely free – book here. (While you’re at it, you may want to book for the Christmas Pitch too, as it’s certain to be fully booked before it takes place on 24th November.)
Disclosure: all the above have had some involvement, to a greater or lesser extent, from this editor.
We have events this week that you can still sign up for/attend, through to November!
On the evening of 18th May, as we have previously covered, there is a free two hour webinar on telementoring surgeons – watch how it’s done during operations by experts. Register here.
For the 19th May, come and hear world-class speakers, introduced by George Freeman, Minister for Life Sciences, talking about the Future of medicine; the doctor’s role in 2025 at the Royal Society of Medicine. More info is here – online booking is closed though as many people now do at the RSM, you can sign up at the door on the day.
On 20th May, again as we have previously covered, the SIHI event at the University of Portsmouth is entitled Safe and effective medicines: Informatics for best practice. More info here.
Evangelia Balanou has kindly pointed out that the Aging2.0 (sic) Global Startup Search is coming to London on 14th June. Details of the Search are here, if you want to pitch. Note there are also European events in Barcelona, Berlin & Brussels. To book for the London event go here (note special free ticket category for 65+).
Also in June, the RSM is running another in its very successful big data series, entitled big data, clouds, and the internet of healthy things on June 2nd. Details here.
Finally, looking further out, the RSM is also repeating an event last run three years ago, again to a sellout audience, entitled point of care testing: disruptive innovation. is the NHS ready for it yet? (Especially eagle eyed readers with a good memory will notice the addition of yet.) This aims to demonstrate the extraordinary effectiveness of testing at the point of care (rather than sending samples for lab analysis) which can transform the cost of delivering care at the same time as greatly improving patient outcomes. Do check the programme out here, and book!
Make a place in your calendar for two Royal Society of Medicine full day events coming up in May and June. Both organized by the Telemedicine and eHealth Section. Hat tip to Charlotte Cordrey, Event Team Manager, RSM
The future of medicine – the role of doctors in 2025
Thursday 19 May 2016 (Chaired by our own Editor Charles Lowe)
Big data 2016 (Clouds and the Internet of Things)
Thursday 2 June 2016
Recent developments in digital health 2016
Thursday 25 February 2016
Royal Society of Medicine, 1 Wimpole Street, London, W1G 0AE
Presented by the Royal Society of Medicine’s Telemedicine and eHealth Section (presided by our Editor Charles), this full day conference is open to the public and provides a global perspective from leaders within digital health. Keynoters are Mustafa Suleyman from Google’s Artificial Intelligence branch, DeepMind, and Dr Euan Ashley from Stanford University in California who leads Apple’s MyHeartCounts. Rates are reasonable: £50-115 for RSM members and £60-175 for non-members, plus 6 CPD credits. More information and registration on the RSM website here and download the flyer here.
Upcoming RSM Telemedicine events into early June:
Medical apps: Mainstreaming innovation–Thursday 7 April 2016
The future of medicine – the role of doctors in 2025–Thursday 19 May 2016
Big data 2016–Thursday 2 June 2016
The must-do free digital health event of the next few weeks has to be to go to one of the four final dallas events, in which attendees will get to hear of all the important things that the programme has learned over the past three years. Surely that’s unmissable, or as the flier says, “free but priceless”!
The events are at:
- Manchester – 12th November
- Cardiff – 17th November
- Belfast – 25th November
- Glasgow – 8th December
Bookings for the first three of these can be made here, for Glasgow, here.
The Cardiff event is being run alongside the TSA International Technology Enabled Care Conference on 16th & 17th November, (and see our recent blog on this too), so you can combine the two.
The Glasgow event is part of the Scottish Digital Health & Care Week, that we also featured in a recent blog.
Another free-to-attend event with a particular focus on SMEs takes place on the evening of the 3rd December in City Hall, London: 21st Century London MedTech. Bookings, and more details, here.
Moving to paid events, albeit very cheaply priced because the Royal Society of Medicine is a charity, the Telemedicine Section of the RSM has four events now open to book:
Both the February and April events are now into their fourth years – and both are regular sellouts, so worth booking soon.
You might also want to hold the 19th May in your diaries for when the RSM & IET jointly run another conference that was previously a sellout: “the future of medicine; the doctor’s role in 2025”. This will be opened by George Freeman, Parliamentary Under Secretary of State for Life Sciences,and features a glittering array of experts who will be suggesting what we need to do now to deliver the health & care systems of the future. Bookings will open soon.
The 2nd UCL Festival for Digital Health is now set for 22 February to 4 March 2016 – more details here.
Planning ahead, the search for the best eHealth solution in 2016 developed by an EU SME has begun with the unveiling of the competition’s website and the ability to get mailed information as it emerges.
Good luck if you apply!
These days it seems you cannot get away from talk of innovation in the NHS – even the London Business School, this editor’s alma mater, is holding a conference on it, on 20th October. Then there’s the NHS Innovation Accelerator programme, the Accelerated Access Review (AAR), that this reviewer is involved with, the National Information Board (NIB), that this editor is also involved with, NHS Test Beds, the topic of a recent popular TTA blog, the NHS Vanguards, the NHS Pathfinders, the Integrated Care Pioneers and many others all seeking the holy grail of healthcare: improved patient outcomes, ideally at lower cost (or is that lower cost ideally with improved patient outcomes?).
If all this is too much and you have lost your way, the Royal Society of Medicine & NHS Innovations South West (NISW) have the solution: (more…)
At the Royal Society of Medicine we’ve just announced our next medical apps event on 7th April next year, Medical apps; mainstreaming innovation in which we feature for the first time a presentation by Pam Kato, a Professor of Serious Games, so it’s intriguing to see the iMedicalApps review of a clinician-facing serious game, iConcur, for anaesthetists.
We also have a powerful presentation on mental health apps from Ieso Digital Health which doubtless will make the same point as has been made in previous events that online mental health services typically are more effective than face:face. The abstract to the recent Lancet paper by Dr Lisa Marzano et al, examining this topic in great detail, suggests that the academics are now a long way to working out why this is the case and offers further potential improvements; aspiring mental health app developers unable to access the full paper may consider it worth paying $31.50 (or join the RSM to access it for free).
A regular at the RSM’s Appday is Dr Richard Brady’s presentation on Bad Apps, which next year will now doubtless include mention of the FTC’s recent fifth action against an app provider, UltimEyes, with deceptively claiming they their program was scientifically proven to improve the user’s eye sight.
Moving to good apps (more…)
This editor accumulated vast piles of notifications when on a two week holiday recently – here is the cream of the events notified. More to follow on resources shortly.
Between 4-6th September, SECC Glasgow is holding what it claims is the first ever medical education hackathon.
On the 14th September the free-to-attend London Health Technology Forum, organised by this editor, has an evening devoted to Exits (of the financially very lucrative kind). Baker Botts’ experienced lawyers will describe with examples the different exits available to the successful entrepreneur, why it’s important to plan ahead, and what the plusses and minuses are of each type of exit. Essential knowledge if you hope to become rich from your hard work & dedication.
On 17th September, KPMG are holding a free all-day event entitled ‘Information Protection in Digital Health’ at (more…)