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A health and wealth story in equality

A health and wealth story in equality. Prof Terry Young, Brunel University on behalf of The Cumberland Initiative. Vision. Academics. Clinicians & clinical managers. Industry. Events. Permanent. Cumberland Initiative. Resource. Resource. Cumberland Institute. Impact. Impact.

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A health and wealth story in equality

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  1. A health and wealth story in equality Prof Terry Young, Brunel University on behalf of The Cumberland Initiative

  2. Vision Academics Clinicians & clinical managers Industry Events Permanent Cumberland Initiative Resource Resource Cumberland Institute Impact Impact To transform the quality and cost of NHS care delivery through … systems thinking. To secure significant economic stimulus through new products, systems and services.

  3. So what are the links? Cumberland Initiative To transform the quality and cost of NHS care delivery through … systems thinking. To secure significant economic stimulus through new products, systems and services. Cumberland Institute Find problems here Use the products & services that emerge in other sectors

  4. UK health and defence spending (£B) • R&D investment • Significant procurement • Cheap computers • Satnav for all • Ubiquitous displays • Mobile communications • The internet • Composite materials • Affordable air travel • Signal processing • Telemetry equipment US-UK defence sector See; D Sarewitz (2011) Science agencies must bite the innovation bullet Nature 471:137

  5. The knowledge access plane Enterprise systems Healthcare information-seeker Interpersonal communications management and synthesis Avison D and Young T (2007) Time to rethink health care and ICT? Communications of the ACM, 50 (6); 69-74 Connell NAD and Young TP (2007) Evaluating healthcare information systems through an “enterprise” perspective Information and Management 44 (4): 433-444

  6. What lies below the line? Healthcare information-seeker Interactive Interpersonal • Dialogue capture • Diagnosis capture • Joint decision making • Joint planning These really matter to healthcare because it is all about people • Natural language synthesis • Training support • To-database records • Comms management

  7. The people connection Jobs! People in employment tend to enjoy better health states than those outside of employment Value-adding jobs contribute to the economy – over and over again! Cumberland Initiative To transform the quality and cost of NHS care delivery through … systems thinking. To secure significant economic stimulus through new products, systems and services. Cumberland Institute Find problems here Use the products & services that emerge in other sectors

  8. The people connection High-value Jobs! People in employment tend to enjoy better health states than those outside of employment Value-adding jobs contribute to the economy – over and over again! More self-determination in health More value-add to the economy per job

  9. Can we map this out? • e.g. • Medically-triggered early retirees • Those with LTCs • Long-term unemployed • Mums on benefit • Carers! • People with impairment A new workforce www.bt.com • e.g. • Patients seeking appointment managers • Patients/Trusts seeking advocates • Different groups seeking new services • Trusts & GPs seeking admin services • Medical device companies • seeking • expert • users http://www.slivers.com/ • e.g. • Sit vac! Healthcare customers Service providers

  10. A new workforce What is on offer? • Lots of social media and e-networking • Relatively high rates of IT literacy • Time • Nous • Domain knowledge from bitter experience

  11. Can we map this out? Creates a problem A new workforce Solves a problem Opportunity? create new business odd hours isolation odd hours isolation Healthcare customers Service providers odd hours reach new customers

  12. A couple of putative examples The expert user • Skills: • Knows the system • Has a network in the system • Understands real problems from several angles The unemployed carer • Skills: • Invaluable! • Harder to access Both will struggle to exploit their skills in the current environment

  13. How might this play out? The unemployed carer The expert user • Manages a caseload as a mix of off-line, over-the-phone, and on-call activities. • Much of the scheduling done at odd hours • Takes on as much as she wants each week. • Case-management apps work on smart-phone • Charges for each completed case-task: £10-50. • Earns £350-1,000 a week. • Trained in: • Professional comms • Bespoke IS tools • Offers high value, advice on concepts and products. • Delivered by Limo to Customer • Trials technology in daily living using strict protocol • Provides a 50-page, structured report 10 days later. Subcontracts out copy editing. • Charges £8-20k per report. • Earns £50-150k p.a. • Trained in: • Assessment methods • Technical writing, etc.

  14. Could an IS infrastructure: Offer high levels of security, availability & reliability? Deliver the training to turn social savvy and experience into professional skills? major, major, challenges …within a workable tax system? Serve an entirely ad hoc workforce?

  15. Where next? Take mainstream employment models in a whole new direction Thank you

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