myJobCard: Mobile work and asset management with built-in form engine (#2249)

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Innovation 'Elevator Pitch':
Replace paper forms with digital forms, and integrate with time/material/asset mgmt. system.
Overview of Innovation:
Summary marketing video : https://www.youtube.com/watch?v=Li-zNgGm6FE

Boost Productivity, Workplace Safety and Reliability with "myJobCard".

“myJobCard” is a mobile Work and Asset Management application which integrates with SAP ERP and come with an inbuilt dynamic form engine.
“myJobCard” brings together best practice from our extensive experience of deploying Mobile Asset Management solutions, incorporates feedback provided by our customers, and leverages latest advancements in mobile technology.
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
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Innovation 'Elevator Pitch':
An expert-lead education platform for medical and dental professionals, providing crowd-sourced digital verifiable CPD and revalidation capabilities to improve patient care and administration for healthcare professionals and hospital trusts.
Overview of Innovation:
Medical professionals face a burden on managing their continuing education. To date, the methods of gaining CPD are largely book-based, rudimentary, expensive, fragmented and inconvenient. According to our market research, over 80% of dentists and medics surveyed wished to have a cheaper and simpler way to gain their CPD. Further to this, hospital trusts face great difficulties with CPD administration including revalidation, which is currently a largely manual based task in NHS trusts.
 
With over 95% of doctors and nurses owning a smartphone, there is an overwhelming need for a disruptive force to digitalise and advance this vastly under developed sector of professional education within one technological umbrella.
 
To solve these problems, we have been working with a large team consisting of 40 expert content writers, 5 experienced developers and several leading figures in NHS innovations to facilitate implementation within the wider healthcare environment.
 
With this great team, we have created the world's first innovative, simple and high-quality CPD education mobile app for medical professionals that crowdsources the way that expert-level content can be consumed and centralises all paperwork for the individual and HR trust.
 
An individual can gain all their CPD needs, directly accessing the expert knowledge pool of fellow medical professionals via our app, whilst enjoying the cheapest and easiest solution to do so from our market research*. An individual can save up to £130 each year on their required CPD hours from the MedicaliQ service, and hospital trusts will save an average of £10,000 annually. By creating an open platform for experts to contribute content, this will create a paradigm shift in the way that knowledge is gained and shared.

Further to this, we have created a breakthrough and simplified administration system for healthcare trusts to intelligently manage workforce-related issues such as revalidation and mandatory training, which is currently being piloted with the Manchester Hospital Trusts. 
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: 
Education, training and future workforce / Digital health / Innovation and adoption
Benefit to NHS:
Directly supports NHS workforce development

By crowdsourcing expert knowledge via CPD we aim to reduce the current CPD spend in terms of both administration time and in providing externally accredited courses (HR spend per staff on providing externally-accredited courses are estimated at £800/staff per module. This can greatly be reduced with our centralized pool of experts.  
 
Opportunity to deliver mandatory staff training through the education platform, encouraging greater autonomy in learning styles – can carry out training and revision both online and offline. All articles have an audio assist option with a variety of accessibility options to appeal to the wider learning taskforce.
 
We are piloting a breakthrough service with the University of Central Lancashire whereby the CPD courses offered within the app will also be academically certified as a qualification (PGCert, PGDip or Masters level), the first service of its kind in the UK.
 
The MedicaliQ platform can tie in with existing third-party educational resources and CPD providers to partner and add value to their educational offerings, allowing individuals to test and certify their knowledge in a unique collaborative environment.
 
Regular board meetings with advisory panel with divisional leads to direct key educational strategies

Content produced by senior practising clinicians and healthcare professionals within the NHS and private sector, ensuring a bank of expert-level knowledge disseminated for other clinicians
 
Management of workforce issues via our Revalidation program will help support individuals and trusts to streamline their administration requirements with the provision of approved and certified educational materials.

This dynamic educational resource will be available 24/7 and offline, and thus facilitates training in a cost-effective and immediate manner ensuring up-to-date knowledge for a better-informed workforce to improve patient outcomes and care. 
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
MedicaliQ will have a NHS-wide and global reach.

An improvement in skills and knowledge of clinicians to offer enhanced patient care to citizens of the West Midlands region.

Unique opportunity for the local industry to gain feedback in current medical practices from leading consultants and professors, via in-app feedback, for crowdsourced knowledge pooling.

More simple, affordable and efficient access to high quality education for clinicians in the region and across England.

Engagement with higher educational institutions in the West Midlands to supplement and deliver their medical educational courses via more innovative platform (via in-app integration – currently being trialed with UCLan).

A specialist advisory board will be set up in the Medical and Dental sectors with meetings held in the West Midlands 4 times per year.

Devolves development and delivery of medical-related educational programs and CPD from hospitals to individuals in conjunction with the current expert pool via regional organizations and professional bodies such as the Royal Colleges and regulatory authorities.

Potential to utilize the crowd-sourced nature of the platform to develop the services to devolve and facilitate individual clinicians to partake in primary care research across the West Midlands area.

Reduces the administrative burden on staff for CPD whilst opening access to high-quality continuing education to ensure up-to-date knowledge and optimised patient care.

Ability to convert your CPD earned in the app into a real-life qualification via our academic partners UCLan.

Affiliations with national conferences held at the NEC Birmingham to administrate their CPD.

MedicaliQ will immediately create new jobs in the local area to support production with an opportunity for the team to grow as the services develops.

Looking to develop a global training focus on e-education in the West Midlands.
Current and planned activity: 
The current concept of mobile-based education is proven with our world-leading student app, and signing up over 5,000 dentists onto our dental CPD app.
 
MedicaliQ has been accepted onto the Digital Health.London 2016 accelerator, a pioneering NHS accelerator program that works to bring new innovations into the healthcare ecosystem.
 
Our pilot with the Manchester Trust will help inform our plans to create a product that can scale to the standard administration protocols of a large NHS Healthcare provider.
 
In scaling the mobile product, we will create a third party system for existing CPD providers to provide content. General CPD material will first be provided for the average medical professional with a view to engage specialist interests, in partnership with our advisory board. We are then looking to integrate the product to offer CPD solutions to the wider allied healthcare professionals, such as paramedics and health care assistants.
 
NOTE: Please see attached business summary
What is the intellectual property status of your innovation?:
MedicaliQ Ltd owns all IP involved in the innovation. The brand names, ‘DentaliQ’ and ‘MedicaliQ’ have been trademarked as both image and text (see attached). 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
Simple
Regional Scalability:
Once developed, MedicaliQ can be scaled and adopted across hospitals and primary care providers in the West Midlands area for both individual based CPD and revalidation needs. Our pilot with the Manchester Hospitals trust will demonstrate how we may integrate such a solution from the HR personnel perspective, creating a streamlined system that can be scaled to any other hospital setting including the West Midlands. Our solution benefits both the individual clinician and the administration backend of hospitals, ensuring a two-pronged strategy. Distributing the platform via local GP surgeries to provide a similar service, via EMIS, will further provide scalability options in the region. There is a large focus towards a digital transition to care as part of Digital Birmingham’s agenda, so it would be concordant to roll the product out to other providers in the region. Hospital universities in the region will also benefit from the whitelabelled CPD package for their postgraduate students.
Measures:
There are three main outcome areas that impact is being measured against: individual clinicians, hospital trusts and contributing authors.
 
Individual clinicians: improving access and convenience to expert-lead education to enhance continuing education and promote self-learning. This ultimately leads to having more up-to-date knowledge and providing better patient care.
 
Hospitals: enhancing, digitalizing and streamlining the workforce administration methods for continuing education and revalidation to save clinical time and prioritise patient care.
 
Contributing authors: to provide authors with an opportunity to curate and disseminate their expert knowledge within a crowd-sourced environment to provide an independent income stream.
 
To support the above impact areas, we will be applying the following measures to gauge success of the innovation across both quantitative and qualitative aspects:
  • Number of monthly downloads
  • Monthly revenue
  • Profit margins
  • Number of purchased articles and repeat
  • Number of customers (and thus the market share)
  • The number of articles in our bank
  • User rating
  • User reviews
  • Time spent on app
  • Number of successful revalidation applications
  • Number of post-graduate student signups via University courses
Other measures across the broader aspects include:
 
Quality
Customer: number of purchased articles, repeat customers, user feedback/rating, time spent on app
Technology: reliability, accessibility, downtime
 
Safety
Customer: accurate educational content (verified by expert panel)
Technology: meets information governance standards, appropriate 2-step authentication procedures, back-up content
 
Cost
Customer: customer acquisition costs, amount paid per customer, amount earned by author’s per article
Technology: operational costs
 
People
Authors: quantity, engagement and submission rates; experience/qualifications
Adoption target:
The conservative business model assumes a national registered member accounting for 10,000 Year 1, 50,000 Year 2 and 100-200,000 Year 2. Our original DentaliQ product had 10,000 users register in the first month of launch in 2016. Assuming a 10% uptake by registered users for a paid-for CPD service, MedicaliQ will be viable by Q2 of Year 2.
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Innovation 'Elevator Pitch':
​LIAISE is a cloud-based platform that harvests information from publicly available and third party sources and auto-combines with your own spreadsheet data to identify accessible efficiencies 
Overview of Innovation:
In an ideal world, cash would be available for investment in new services and models of care.
 
In reality, however, almost all of next year’s fund - £1.8bn of it – will be spent on bailing out NHS providers in deficit, leaving just £339m to fund ‘transformation'
 
With this in mind and alongside the Lord Carter of Coles' report on Adjusted Treatment Cost (ATC) we have been conscious that Trusts need some help in unpicking what this all might mean for them.
 
The Health Service Journal analysis published on January 5th gave you a potential savings figure using reference costs.
 
Several observers have commented that they were expecting something a little more sophisticated. 
 
We’d like offer you a share of the benefits achieved with other NHS Trusts and public sector bodies by use of our LIAISE platform.
 
Others have commented how we have brought into clear view a number of savings opportunities that were hidden - even though they can be identified from a sophisticated analysis of publicly-available data and cross comparison to in house spreadsheet data
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: 
Wealth creation / Innovation and adoption / Person centred care
Benefit to NHS:
  • Avoid un-necessary consultancy costs
  • Unlock dead budget
  • Self supported business improvement
  • Accurate management information
  • Reduce spreadsheet dependency / and single points of failure
  • Reduce lost time (FTE days)
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
Reduction in bottom line costs without the need for outsourcing or redundancies
More available cash to pay for transformation and future health care system jobs
Current and planned activity: 
We have worked with Bradford District Care Trust, Heart of England NHS Foundation Trust and have proposals in with Sandwell and West Birmingham NHS Trust. Our ROI is between 3,000 and 10,000%. IE for every pound spent we will model £3 - £10k of savings
Demonstrations of capability provided;
  • St Andrews Healthcare – We have just undertaken a high level demonstration  benchmarking suggesting achievable targets of between £4 and 26 million which is representative of 2 – 14% against an income of £189m
  • Bradford District Care trust Estates Department - We have benchmarked the ED against direct comparators and demonstrated £140k to £2m which is representative of 1% and 14%
  • Heart of England NHS FT - We have benchmarked the ED against direct comparators and demonstrated  procurement savings of £910k and operational efficiencies of between £265k and £9m which would is equivalent to a 6400% ROI. Assuming £4.5m / 50% of savings are realised
What is the intellectual property status of your innovation?:
Fully owned by Alphafish associates
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Regional Scalability:

We are concentrating our efforts on sales in the UK with an initial focus on the NHS and specifically the 38,000 managers who have an immediate need to find efficiencies totalling £22bn with a government investment of £8bn. We will expand into the entire public sector and then beyond into the $2.7bn global market as defined by Gartner
 
Analysts to Discuss Business Intelligence Trends at Gartner Business Intelligence and Information Management Summit 2013, June 10-11 in Mumbai, India. Worldwide business intelligence (BI), corporate performance management (CPM) and analytics applications/performance management software revenue totalled $13.1 billion in 2012, a 6.8 percent increase from 2011 revenue of $12.3 billion, according to Gartner, Inc.

From the experience we have to date there is considerable opportunity for Cloud CIO in the UK before venturing to Europe and the East Coast of the USA. 
 

Measures:

We believe we can build a cost down business model that helps the NHS to reduce consultancy costs by 30%, saving the NHS a potential £100m million per year.

 

Adoption target:

Market Share – NHS managers only 
User licenses @ £2k (min 10 users)

  • 5% = £3.7m
  • 10% = £7.4m

Upsell 1, auto-combine own systems based on 50% of users @ +1k per pack 

  • 5% = £0.9m
  • 10% = £1.85m

Upsell 2, 30% professional services

  • 5% = £1.1m
  • 10% = £2.2m

Total

  • 5% = £5.7m
  • 10% = £11.9m
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Innovation 'Elevator Pitch':
Technology to assist older people living independently with declining cognition, who are at risk of hypothermia, dehydration, malnutrition and unattended falls.
Overview of Innovation:
Many older people want to live independently for as long as possible, causing anxiety for family and friends.  They are often in denial of their declining capacity, proud and won’t wear pendants. Especially with impaired cognition, many suffer from hypothermia, dehydration, malnutrition or unattended falls.  They are admitted to hospital needing longer treatment for poorer health outcomes and greater risk of transfer into a care home. 
 
To make sure that service users are warm, drinking, eating and moving around as normal, Kemuri checks every hour and provides actionable information and alerts for the families and carers.  It increases peace of mind in addition to better outcomes and reduced costs for services users, families and the public sector.
 
Kemuri looks like a Familiar Power Socket to the service user; no changes to life style, plug in kettle and microwave, not stigmatising, not intrusive and tamperproof.
 


Technically it is mains-powered, continuously monitoring five sensors and sending data via a mobile phone connection to the Internet.  It has internal battery back-up to report power loss. 
 
The Wellbeing Monitor App is designed for the families and carers of older vulnerable people who:
  • Want to live independently
  • Reject or forget pendant alarms
  • Deny declining capacity
  • Show symptoms of dementia
  • Remove things they don’t understand
  • Need daily monitoring
  
 
Predictive analytics check every hour for changes to patterns of motion and power usage.  If there are many changes, then alerts may be sent to families, carers or 24/7 response centres.
 
As stated by a Commissioning Manager at a County Council, “ ... this is a unique product ….  I think there’s potential here for both self funder and LA funding as a potential option that fills a gap that conventional telecare does not.”
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 / Clinical trials and evidence / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
The Kemuri Wellbeing Monitor is used the context of the care of older people living alone who are losing their ability to undertake Activities of Daily Living (ADL).  Research by the Institute of Ageing shows the range of pathways that people take before they are unable to live independently

Kemuri is effective when people are less mobile, possibly showing early symptoms of dementia.  They do not need, or welcome, daily contact and cannot, or will not, use pendant alarm systems.  They can be encouraged to continue living as actively as possible and maintain a reasonable quality of life for more years.  If people stay in the right hand side of the curve, average saving is £1900 per year.  People on the left hand side cost an extra £15,500 per year.

Kemuri’s hourly analysis of multiple sensor data enables people to gain insight into the risk of hypothermia, dehydration, malnutrition, unattended falls and power loss.  It is preventive telecare; unlike alarms that are reactive telecare.

The most common telecare service is the provision of pendant alarms.  Out of 1.6 million issued, 32% are never worn, only 8% are worn all the time, as prescribed.  These 500,000 unworn pendant alarms are ineffective for identifying falls, strokes or coma.  This wastes as much as £80 million per year.  Kemuri is passive telecare that continuously monitors ambient conditions and use of electrical devices e.g. kettles and microwaves.  

 
After an emergency admission into hospital, discharge to a residential care home is 2.5 times longer than discharge to independent living at home.
 

 
Including cost of stabilisation, treatment and excess bed days, this costs an average of £5000 more per non-elective hospital stay.  Preventive telecare with a wellbeing monitor and family intervention will help to minimise the number of patients suffering from hypothermia, dehydration, malnutrition and unattended falls.  People admitted in a healthier state are less complex to treat, have improved health outcomes and less likely to be readmitted.  
 
Kemuri is specifically designed for a cohort of older people who are often in denial of their declining ability.  Typically they won’t use their pendant alarms, reject wearable devices, have memory lapses and resist any changes to their normal routine.  Some may show other symptoms of the onset of dementia.  Many will be over 85 years old and not receiving regular visits from family or friends.
 
Initial Review Rating
2.80 (2 ratings)
Benefit to WM population:
West Midlands has a population of 5.6 million people covering an area of more than 5,000 square miles.  It is a region full of contrasts and diversity.  It includes the second largest urban area in the country (Birmingham, Solihull and the Black Country) yet over 80% of the area is rural.  It is the second most ethnically diverse region in the country after London.  There are probably 40,000 older people who might be suitable for passive wellbeing monitoring.  Many of these are admitted to hospital and may not be able to return to their own homes. 
 
Kemuri wellbeing monitoring can extend the period that older people can continue to live independently at home.  It avoids the stigma of wearables and unfamiliar sensors that can be damaged or removed.  A power socket is a very familiar device and installation does not require changes in patterns of normal behaviour.  They are easily installed into kitchens of sheltered accommodation.  Wardens or housing scheme managers can easily check wellbeing daily and avoid some of the tragic outcomes of unattended falls. 
 
Peace of mind is the greatest value for many families.  They can check daily, or even hourly, that people are living normally, fitting in with their own daily routines, from anywhere in the world.  They can be alerted if there are lots of changes that may give them concern.  Alerts can also be directed to 24/7 response centres.  They can confirm that domiciliary carers have provided drinks and meals at the time they were ordered.
 
Families spread over the world can be part of an older person’s care plan.  Social contact with the older person can be more directed and appear less intrusive.  You can ask if somebody had a nice day in the garden or slept well, in the full knowledge of activity in the kitchen at that time of day. 
 
Caring for older people is very time consuming and costly if professionals are used.  However, there are probably four times as many unpaid carers providing care on a voluntary basis.  There are also examples of people who have to give up their jobs in order to care for their vulnerable parents, this represents a loss to the local economy and taxable income.  Regular checks with the Kemuri well-being monitor could allow people to have more time for paid employment.  
Current and planned activity: 
After the completion of the Proof of Concept, Kemuri is now scaling up manufacture for B2B sales through accredited telecare service companies.  The first is Welbeing (Wealden and Eastbourne Lifeline), which has the telecare service contract for Staffordshire.  They have the capacity to install Kemuri anywhere in the Region.  Welbeing provides telecare for statutory bodies and self-funders.  The latter are increasing in number as many local authorities are reducing budgets for adult social care.
 
We are building batches of 100 units.  Many of the first batches can be made available for trials by health and social care clients.  Trials are necessary to collect evidence that preventive wellbeing monitoring does actually improve health outcomes and reduce time until discharge.   
What is the intellectual property status of your innovation?:
Kemuri has patents pending; GB1417259.7, effective date of 30 September 2014 and PCT/GB2015/000275, International Filing Date of 30 September 2015. 
 
Note that the patent applies to more devices than a power socket.  It covers the internal electronics and components, which could be incorporated into any equipment consuming significant amounts of power. 
 
Kemuri and KemuriSense are registered trademarks.  
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
2 years
Ease of scalability: 
2
Regulatory Approvals:
The product has been prototyped and progressing through the Certification process. EMC compliance has been achieved and final Safety report for CE certification is expected in Feb 2016. 
 
It is not a medical device since it only measures ambient conditions.
Regional Scalability:
The production of smart power sockets is scalable from batches of 100 to 1000 per month in the production facilities in Woking.  Larger volumes could be obtained by second sourcing the manufacturer in the UK or overseas.
 
The Web technology is cloud-based and can be very rapidly scaled by commissioning more servers and storage at very short notice. 
 
The installation can be performed by our telecare service partner, Welbeing.  They are a growing company with over 60,000 service users in NHS Trusts, Social Services, sheltered housing and care agencies throughout the UK, including the West Midlands.   They offer a nationwide telecare service with 24/7/365 monitoring facilities in a TSA accredited contact centre.  
 
Kemuri is building up the operations support as it is recruiting more engineering and IT staff.
Measures:
In co-operation with an academic research partner, we expect to plan the following measures:
 
Quality
  • Continuous reliable operation
  • Avoidance of false alerts
  • Recognising unattended falls, strokes or other episodes that result in a carer taking action that saved time and cost for medical intervention.
  • Peace of mind achieved for families and carers
  • Identifying trends that indicate the risk of hypothermia, dehydration and malnutrition.
  • Identifying activity at unusual times of day that lead to helpful family or medical intervention
 
Safety
  • Electrical safety of products after installation in kitchens.
  • Security of personal data and avoidance of data loss.
 
Cost
  • The cost target is £2500 for each older person involved in the trial.  This would include the costs of selection, installation, monitoring, service support and questioning families throughout the trial.  Note that this includes detailed data analysis, medical services, the final report and communications.
  • The final operational cost target is £2 per day, to include installation, Web services, smartphone apps, technical support and reseller profit margin.   
 
People
The target group for research is a cohort that has these attributes:
  • Reject pendant alarms
  • Deny declining capacity
  • Want to live independently
  • Show symptoms of dementia
  • Need daily monitoring
A percentage will be used as a control group who are not included in the Trial. Finding these people may require the inspection of medical and social care records, which will need approval by an Ethics Committee.  
Adoption target:
Assuming that there are 500,000 unused pendants in the UK, there are approximately 30,000 candidates for Kemuri wellbeing monitoring in a West Midlands population of 5 million.   
 
The reasonable viable number is 300 (1% of WM total) – with an expectation to grow to 12,000 service users within 5 years (20% of WM total).  
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