Data Analytics to support better mental health and care
How can the NHS make better use of data analytics to improve mental wellbeing, to drive improvement in delivering mental health services, and optimise users' experience and outcomes?

We are looking for innovations that are already available or could be adapted to better inform decisions that affect peoples' mental wellbeing, to improve service design and delivery and to enable people to take more control over their mental health. 

Ideas (Publish, Detailed Submission)

Innovation 'Elevator Pitch':
Hy is a voice controlled, ear worn audio & biometric wearable for communication & wellness which can be worn all day and features an AI plugin architecture allowing tracking, analysis and interraction.
 
Overview of Innovation:
Hy is a pair of in-ear headphones, connecting to a host Bluetooth device to provide music, handsfree communication and notifications.
It also features biometric and inertial measurement features, allowing it to process information about the wearer and their environment.
In combination with its companion software, Hy will offer unprecedented features in a device of this type, binaural ambient recording, 3d positional audio, and an artificial assistant which acts intelligently - taking notes, retrieving search data, and much more - based on sensor data, time, location and, most powerfully - the context of the last few seconds of voice.
These features cannot be fully realised with any existing headphone design. Currently available headphone and earbud designs require the ear canal to be blocked in order to produce audible low frequency sound, as the acoustics of the ear canal result in high-pass filtering above 500Hz.
Because of this, current designs are by necessity bulky, intrusive and uncomfortable, with the added inconvenience of blocking out important sounds in the world around you, such that you must remove them to hear the world around you.
Hy is a Behind-The-Ear / Receiver-In-Canal package as typified by modern hearing aids, but with a radical, full-spectrum, in-ear driver which doesn't affect your natural hearing, removing the either/or nature of existing headphones.
As it’s worn all day, Hy is able to monitor the users health and wellbeing continuously.  The companion AI will be able to detect elevated stress levels and recommend the appropriate steps. Hy is the first step in our vision of a happier, healthier smartphone free world in which we can communicate and share information in a more humane fashion.

 
Stage of Development:
Trial stage - Trial stage to prove that the idea actually works as intended
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Hy has the potential to provide substantial cost savings to the NHS, specifically in preventative medicine and outpatient monitoring. In addition to this Hy has many applications for use by NHS staff in the delivery of patient care and training, by acting as both a communication device, organiser and personal assistant. There are also significant hygiene benefits to reducing the use of smartphones in clinical environments. 
Initial Review Rating
2.00 (2 ratings)
Benefit to WM population:
The statistics for mental and physical health in the West Midlands area are deeply troubling. We've seen a significant rise in depression in recent years and with nearly 10% of the population (and rising) diagnosed with diabetes, the wellbeing of our population is increasingly resembling a state of emergency. Our device is specifically tailored towards improving health and wellbeing through stress reduction, promotion of mindfullness, meditiation and excercise as well as raising awareness of healthy diet and lifestyle options. We want Hy to improve the way we communicate and interact with each other, in both the real and digital world. Within the professional sphere, Hy has the potential to maximise productivity and efficiency of the workforce. This would have the knock on effect of improving the quality of life for everyone in our community. 
Current and planned activity: 
Hy has been conceived as the first product in a complete ecosystem of wearables we are developing, each one designed specifically to supplant the functions of the anti-social smartphone. Our ambition is to put the humanity back into technology by building hardware that takes into consideration the holistic wellbeing of the user.

We are currently attempting to raise a minimum of £50k over the next 3 months in order to complete a fully operational prototype of Hy. This will enable us to to demonstrate the full capabilities of our innovation to investors in order to raise the further £750k needed to bring the product to market.    
What is the intellectual property status of your innovation?:
Patent Pending
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
2 years
Ease of scalability: 
3
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Anonymous 23/10/2018 - 12:09 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
Prodlytic is a low cost, scalable tool to provide analytics and insights into how users are using your software and Apps or to investigate big NHS datasets.
Overview of Innovation:
Prodlytic – Analyses information via auto-tracking everything your users do (Staff or patients) whilst using your App or software. No more guesswork, coding, or painful waiting around for data to instantly understand user behaviour, problems with navigation or software, assisting you to make better, faster decisions about the user or your software.

Prodlytic supports instant retroactive analysis, each time a user interreacts with the Software/App the event/action is logged. Thus all events are recorded from the time when ‘Prodlytic’ is added to a system up to the last tracked interaction is displayed.

Thus from adding one line of code to your products and you can answer:
  • When did the user login/sign up to use or access our product/service?
  • How many active minutes do they spend with us? Or how long did it take a user to enter an answer or respond?
  • Where do they spend the most time? Where do they spend the least? What proxies predict this behaviour?
  • How did they navigate or in what order did they select items?
  • How does their behaviour change over time? Are the delays to answering questions, taking long or this changed since last time?
  • When or where do they stop using our service? Highlighting the potential for a follow up or possibly needs a red flag to the clinical team?
 This technology has been used by leading car manufacturers to understand how their in car entertainment (ICE) is being used and by TV set top box providers to understand viewing and selection habits.
 
Hence are you making the most of your user data?

Do you Analyse the usage of your Apps or software.
We can provide information in a simple to understand way from your existing software tools and systems via Dashboards and reporting systems. To improve patient support and engagement to understand where they and staff have difficulties or delays in using your software. Which will help you in either amending and improving the systems and processes or indicate that the user needs help – training or medical.
 
Thus allowing greater efficiency and user satisfaction.
 
We can help you look at what kind of data do you have and what kind of data should you have? Our products can deliver a data strategy or AI (Artificial Intelligence) / ML (Machine Learning) strategy to supercharge your data-informed organisation.
 
Prodlytic offers these tools out of the box, cheaply and scalable.
 
Thus helping organisations turn data into actionable insights
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Advanced diagnostics, genomics and precision medicine / Clinical trials and evidence / Digital health / Innovation and adoption
Benefit to NHS:
The Prodlytic tools allows a NHS organisation or clinical team to understand the issues in using or engaging with a digital platform and will give an insight into their users. Whether that’s to:
  • Identify patient and staff usage – when and how often and for what purpose
  • Understand issues related to using the software.
  • Identify patients that may be indicating clinical problems or changes to their condition due to the usage analytics. Such as:
    • Delays in entering data and changes over time to this behaviour e.g.: If the App asks ‘How are you feeling?’  and they take a long time to indicate ‘OK’ or significantly longer than previous then this may indicate that things are not OK or they are struggling to answer. 
Thus patients can be flagged for investigation or intervention, prior to them calling or recognising that their condition has changed. Leading to improved outcomes and potentially saving money where intervention has ensured that an A&E visit or other catastrophic event has been avoided.
Costs related to the time for staff or patients to use software can be noted and any sticking points highlighted for review. 
Greater values can be gained from insights into use and external effects etc. and related costs can be achieved by combining data from multiple sources, or aggregation of data from different systems, analysis of complex information into meaningful reports or dashboards.

We are aware this will require gaining various NHS data governance permissions to do this work and will work with organisations to ensure they are fully compliant.

Note: This Meridian submission is only looking at single data sources, additional benefits can be gained from multiple data sources or utilising it within data repositories.
Initial Review Rating
3.00 (2 ratings)
Benefit to WM population:
Better data-informed decision making leads to better clinical outcomes for WM patients - and a better working experience for NHS staff both outcomes will lead to cost savings.

The true value and range of actual benefits will depend upon the number of applications and systems Prodlytic is applied to.
Current and planned activity: 
Not NHS active at present 
 
We are looking for organisations to work with to demonstrate the value and benefits of our technology in improving the users experience, the performance of their software and to gain insights into the valuable information they have and have access to but have not yet realised it. 
 
By using our analytics to spot trends in an automated way, we could help prevent patients mental health deteriorating, saving repeat visits, reducing costs and improving patient experience.
What is the intellectual property status of your innovation?:
Proprietary closed-source codebase owned by D4Software with some open-source contributions published and more planned.

Prodlytic follows industry best practise and is subject to regular third party security audits. Our codebase is totally private. Open-source contributions to some parts of the system are correctly licenced where applicable.
 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Will Grant 05/04/2018 - 15:35 Publish 1 comment
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Innovation 'Elevator Pitch':
SaccScan - a tool for rapid, accurate & affordable diagnosis & clinical management of major psychiatric disorders. Identifies eye movement abnormalities to objectively diagnose illnesses such as schizophrenia, bipolar disorder & severe depression
Overview of Innovation:
The Diagnostic Problem
Delivering an accurate and timely diagnosis remains one of the most pressing challenges of modern psychiatry. 1 in 4 adults suffer from mental ill health during their lifetime but around 50% of cases are misdiagnosed. There are still no objective diagnostic tests to validate the decision. Diagnosis and clinical management are based solely on the patient’s history, symptoms, and behaviour. Treatments are available that allow patients to resume normal functioning in society but clinicians struggle to make accurate diagnosis, match therapy to condition and provide timely care.
 
It is common in psychiatry to find that symptoms are insufficient to give a clear diagnosis and a lengthy consultation period of several years may be necessary. Delays in receiving a diagnosis can significantly impede delivery of the most effective treatment plan, exposing the patient to risk of further deterioration in well-being, reduction in quality of life leading to job loss, family breakdown, and self-harming.
 
Ultimately the wider economy shoulders the burden from loss of economic output, commitment of healthcare resources, and out-of-pocket expenses incurred by patients and their families.
 
SaccScan is a novel eye movement test, designed as an assistive point-of-care tool for diagnosis and clinical management of psychiatric disorders.
 
Using high specification eye tracking technology, and access to a proprietary clinical reference database, the diagnostic tool utilises eye-movement abnormalities as objective clinical diagnostic biomarkers for illnesses such as schizophrenia, bipolar disorder and severe depression. The test can be completed within 30 minutes in a standard consulting room. A shorter version of the test is being developed for use in primary care settings to assist with differential diagnosis of psychosis from mood disorders, better informing referral of serious mental illnesses to secondary care services.
 
SaccScan not only reduces the overall cost of managing psychiatric illness but will improve patient outcome.



A Step Change for Psychiatry
SaccScan has been demonstrated to detect schizophrenia with better than 95% accuracy (> 90% sensitivity & specificity) and has been extended with the same precision to bipolar disorder and major depression illnesses. No brain imaging, serology or DNA test approaches this level of performance (sensitivity, specificity and repeatability).
Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Wealth creation / Clinical trials and evidence / Digital health / Person centred care
Benefit to NHS:
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
The benefits of early intervention
It is widely accepted that early intervention in psychosis services not only produces better outcomes but is also cost effective.
 
Primary care - nearly 500,000 people are on GP registers for a serious mental illness. (Care Quality Commission (June 2015), Right here, right now)
 
The demographic inequalities in the prevalence and risks associated with mental health problems are reflected in treatment. People who are white British, female or in mid-life are more likely to receive treatment, while people in black ethnic groups have particularly low treatment rates. People with low incomes are more likely to have requested but not received mental health treatment.
Current and planned activity: 
Current
Research and clinical validation towards CE marking through NHS Grampian, Lothian, Tayside, Glasgow & Greater Clyde with Scottish Borders and clinics in Peterhead & Fraserburgh added in April 2017 targeting >1,000 patients & controls.
 
SBRI contract to survey 50 GP surgeries as part to scope introduction of test in primary care

Planned
  • Seeking trial sites in the WM region to pilot the test in clinical settings to support CE marking
  • Ongoing refinement of the value proposition for clinical adoption and to support service user involvement by NHS e.g. final design of diagnostic report template
  • Dr M. Kumar (Consultant Psychiatrist) and ward staff at the Sth Staffs & Shropshire NHS Foundation Trust, has expressed interest in becoming a lead pilot site in WM region for clinical validation studies.
  • Wish to develop projects with MoD on PTSD using SaccScan technology. Require funding to set up St George’s Hospital as field trial site in collaboration with Clinical Trial Unit at Keele University
What is the intellectual property status of your innovation?:
Currently developing technical file for CE mark class I submission.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
2 years
Ease of scalability: 
Simple
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Madhu Nair 11/04/2017 - 16:45 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
ConCERT-D is an integrated clinical & research solution designed with Dementia leading clinical experts specifically for the treatment, identification & management of dementia patients, providing results and medication management. 
Overview of Innovation:
ConCERT-D displays captured mental assessment scores for tests including the Mini Mental State Examination (MMSE) in a graphical way enabling Clinicians to relate fluctuations in scores with events that would have happened in the meantime

The medication module allows Clinicians to keep track of the patient diagnosis, prescribed drugs, related side effects, allergies and other conditions. The in-built drug formulary is specially geared towards dementia patients. The accumulative anticholinergic cognitive burden (ACB) is automatically calculated allowing Clinicians to take better decisions, ultimately reducing the risks of cognitive impairment & death

The medication module enables Clinicians to check the dosages for antidepressants and anti-psychotics being taken by the patient as a percentage of the maximum dosage set for these medications

A Research Register for Clinicians to inform Clinical practice
The ability to easily identify patients and carers that match a clinical trial’s participation criteria provides a highly effective tool to increase participation in research. Researchers can build the appropriate participation criteria for clinical trials in ConCERT-D. The system can automatically report on patients that are eligible for participation in studies

Once a patient is identified the clinical researchers speaks to their carers for advice. In some cases internal background checks, tests and screening are carried out. If a patient is found to be suitable and willing to take part he/she is enrolled onto the clinical trial. On the other hand if found unsuitable the reason why is logged and the patient is automatically excluded from subsequent participant searches for that trial

ConCERT-D facilitates accreditation in programs including as The Memory Services National Accreditation Program (MSNAP) allowing hospitals to benchmark their services against national standards and provide quality assurances. MSNAP also enables staff to ensure they are making a meaningful difference to people’s lives as well as supporting implementation of national clinical excellence guidelines. ConCERT-D supports Clinicians to capture MSNAP information during interactions with the patient & then generate reports with the information gathered

These reports allow the identification of trends, assessment of completeness & are of great use for assessors when rewarding accreditation. This functionality can be adapted to other similar accreditation programs
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Wealth creation / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
Standard  ConCERT-D Features
  • Easily displays results and key information for Clinicians on dashboards.
  • Allows Clinicians to keep track of the patient’s diagnosis, prescribed drugs, side effects, allergies, investigations, chronic conditions and lifestyle.
  • Enables Clinicians to relate fluctuations in assessment scores with events (medical, trial participation, etc.) that happen to the patient between assessments.
    This would be used to assist with identifying those about to go into Crisis
  • Reporting allows identification of trends within cohort and helps to manage consent better.
  • Automatically calculates the accumulative anticholinergic cognitive burden for drugs the patient is currently taking
  •  In-built drug formulary is specially geared towards dementia patients, where drugs includes the ACB scale 
  • Allows Clinicians to check the dosages of antidepressants and antipsychotics as a percentage of the dosage set for these medications
  • Allows the R&D department to list eligible participants and to manage consent for new or ongoing clinical trials that were never approached to take part in research. 
    • Linking people with dementia with high quality research has historically been very problematic. Registering an individual’s interest has proved very effective in earlier pilot work with DemReg but the new ConCERT-D system will allow us to embed the register fully in clinical practice as it acts as both a Research Register and an Electronic Patient Record. This will allow even more people to gain access to the high quality dementia research we undertake. 
      Dr Craig Ritchie - Honorary Consultant and R&D Director, WLMHT, Senior Lecturer, Imperial College London
  • Captures and manages consent by patients and carers
    Would  assist with the requirement for multi agency collaboration and gaining access to appropriate information to facilitate Crisis Care or data analytics
  • Facilitates accreditation in programmes such as MSNAP (Memory Services National Accreditation Programme)
Attached please find cost and financial benefits documents as a validation and evidence of time and cost savings.
 
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
Campaign Features
Whilst assisting the treatment and management of Dementia Patients the in a truly integrated clinical and research solution,  the software to provide reports to support the identification of trends that would assist with / facilitate a solution to the Meridian Challenges ‘Data Analytics to support better mental health and care’ and ‘Mental Health Crisis Care’ in providing a solution or stepping stone to provide ‘predictions of when a crisis is likely to occur’ as well as other aspects that are listed e.g.
  • Alerting Clinical & Mental Health professionals when risks of crisis are elevated
  • New ways for users to interact with care professionals through our presenting of valuable and up to date information - Service Transformation
  • Access for West Midlands service users, carers this level of access could be developed along with the other requirements outlined within the campaign. Many of these can be supplied via integration with our management tools and platforms.

6PM ConCERT-D solution would support the requirements within the ‘Data Analytics to support better mental health and care’ and ‘Mental Health Crisis Care’ campaigns.

With ConCERT-D and the other 6PM product suite including ‘Lilie’ (Sexual Health), Climate-HIV (HIV management tool), StrokePad, by utilising the mental health aspects and those aspects of these conditions that may have a bearing on their mental condition and subsequent reactions etc. These solutions would be enhanced with other products including CareSolutions™, a powerful data management and processing engine to enhance the Information Management environment related to Mental Health Crisis Care.
 
These solutions could either stand separately supporting these regional clinical areas or be bundled together to provide faster, appropriate care that safeguards patients and whilst answering may of the challenges mentioned with two or more of Meridians campaigns as indicated above.  
 
A secondary affect to adopting 6PM solutions would be to strengthen our position not only with UK but with the UK team, which is based within the West Midlands. We could see the 6PM UK team expanding with our products get a stronger foundation in the UK. 6PM would support the delivery and any potential development or customisation of solutions to accommodate regional and multi-agency requirements.
 
Current and planned activity: 
Currently
6PM is  currently supplying software solutions to 24 NHS trusts with a variety of healthcare products, including r the sexual health product ‘Lilie’ that is currently used by over 15,000 sexual health and HIV professionals throughout the UK
 
ConCERT-D has been operational at West London Mental Health Trust (WLMHT) since July 2014.Curent

Planned / required activity
  • Procurement / Adoption of our products: -  Require additional acute and community and specialist clinic sales and marketing products to CCGs and specialist clinical groups dealing with Dementia. Fully integrated with JDR to increase joint sales.
     
  • Evaluation / Validation / Clinical Trial – Would like to gain additional validation seeking a trial centre of this product (or any others).
     
  • Campaign Solution Developments Interested to hear and discuss how 6PM current solutions can be used or developed to meet ‘Meridian Campaigns’.
What is the intellectual property status of your innovation?:
ConCERT-D is jointly owned by 6PM Group & West London Mental Health Trust
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
2
Regional Scalability:

Yes ConCERT-D can be scaled across a region.  It is a multi-tenant solution able to take a number of tenants (i.e. trusts) in one hosted solution where each tenant can have a number of sites.  Permissions allow for different options with regards to visibility of patient information between trusts.  The administration function of the system is managed centrally.   

Measures:

There is c.670,000 people living with dementia this is expected to double over 30 years. Only 40% of people with dementia receive a formal diagnosis, according to the Alzheimer’s Society two-thirds of people with dementia are cared for in the community.The ability exists to consolidate & enhance patient data already captured by clinical staff in existing primary/mental health software clinical applications. ConCERT-D is able to enrich dementia patient data & create a virtual electronic dementia patient record combining research tools. Additional clinical benefits is the ability to use real time patient data in clinical practice increasing quality of patient care. Issues include maintaining isolated dementia patient data within separate clinical software applications & not consolidated with research data, rather than in a seamless integrated solution to inform improvements in clinical practice by organisation, network & region or across England/UK.
 
ConCERT-D improves patient clinical outcomes by improving the data points on which the research is based. By collecting additional patient data from existing mental health solutions to integrate with clinical trials research, the research findings become more robust.
 
1 Additional patient data captured on specific medications management/prescribing allows patterns of reaction & clinical diagnosis to be monitored by fluctuations in assessments scores with events, this then allows for trending analysis
2 Research, by the selection & monitoring of patients for various clinical trials to be consented & monitored for adherence to accreditation programmes as MSNAP
3 To have collective “one stop” enriched combined dementia patient data (database) which can be extended across other organisations, networks, regions & UK
4 Analytical reports & patient search facilities for extending clinical trials & cohorts of patients including query database with ‘what-if’ options to understand clinical factors & trends leading to Dementia

Adoption target:

N/A

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Daphne Tabone 29/02/2016 - 18:30 Detailed Submission Login or Register to post comments
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Chris Dyke commented on Hy 5 weeks 4 days ago
Hy has been moved from Initial Submission to Publish 6 weeks 5 days ago
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Sam Bhatt voted on SaccScan point-of-care tool for diagnosis and clinical management of major psychiatric disorders 1 year 11 weeks ago
SaccScan point-of-care tool for diagnosis and clinical management of major psychiatric disorders has been moved from Initial Submission to Publish 1 year 28 weeks ago

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