- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Tuesday, July 14, 2015

Reflections: Digital Health Summit and Exhibition Salford, UK

As posted previously I attended this summit on the doorstep in Salford. I took a days leave to attend which was well worth it. I've no slides as yet so the notes below may change.

The value lies in the combination of programme sessions, seminars in the afternoon and an exhibition. The first session Intelligent Linked Data- What it Means for Patient Centred Care was three in one with presentations and Q&A by Mike Farrar, Dr Mark Davies, and Prof. Simon Jones. Together they highlighted linked data, the need to join and integrate data sources and services, to facilitate the best evidence based care along the patient's (and carer's) journey.



social care

population health

What I did enjoy was the way empathy was contrasted with science. Now, this is what it is about and we've still not got this right. Parity of esteem is (left and) right there plain to see.

Outcomes and population health were also stressed as the question was posed: What is the NHS about?

I got the impression of distinct silos in the way that hospital, community and social care contributes to epidemiological modelling, this problem was raised by two speakers I think. Prof. Jones spoke about this and annualised budgeting and how other industries use push, but accentuate pull. Q&A brought up standards, which in a way have been dealt with in most quarters [ :-) ], transparency, skills in the public (I scribbled 'LITERACY!' at this point). The audience were invited to offer their take on the state of play: mindsets, leadership++, narrative, journey, health AND social care.

Adam Crevald on health and social services talked about Nottinghamshire and efforts in integration and obtaining an holistic view of patient information and data. As the person's journey unfolds what are the triggers and how can commissioning and procurement make the difference that includes efficacy and efficiency.

It is one thing to connect with people on social media but another seeing them speak in person. Lord Victor Adebowale [Turning Point] was informative, entertaining and provocative. His reference to systems and services struck a chord (h2cm above), especially in the specific contexts of Turning Point and substance misuse. As Lord Adebowale said, there is a need for patient infrastructure to support access and timely sharing of data. There seems to a dichotomy in people seeing that people do have smartphones, while others confirm a digital divide. I can at least see patient infrastructure and the orientation of staff (and the self-care agenda) as being supported in part by Hodges' model.

David Haslam's [NICE] session "Too much? Too many? Too soon?" was fascinatingly up-to-the-minute informed by recent literature and figures, such as:

Epidemiology of multimorbidity and implications for healthcare, research, and medical education: a cross-sectional study

The rising tide of polypharmacy and drug-drug interactions: population database analysis 1995–2010

Residential care had a mention. A key point from Mr Haslam was that NICE's guidelines are -Guidelines. Not tramlines.

I'd opted for seminar choices 'D' and 'E' and was allocated 'F'. When a Wildcamp was announced I headed that way. Basically it was an open discussion and publicity for September's Health and Care Innovation Expo. In the discussion I pointed out the need for socio-technical approaches to projects and how we continue to miss learning from the lessons of history.

The broad ranging and vibrant exhibition was an opportunity to take health IT's temp and it is surely on the rise, but far from feverish (thank goodness).

Once again many thanks to Salford University and more offerings after the summer. A shout out too to the sponsors and supporting staff involved, a great job - delivered.

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