What Is Potential for Open Innovationto Benefit Dermatology?

The Scottish Innovation Network and Cluster (Health and Social Care)

Open Innovation Health & Social Care

What is Potential for Open Innovationto Benefit Dermatology?

Thursday 17th March 2016

13.00-16.00

Stirling Court Hotel, Stirling University

Open Innovation and Dermatology

Hosted by the National Collaborative for Dermatology.

The Challenge

Skin health in Scotland is supported clinically by several disciples across primary and secondary care and led by specialists based from acute hospital locations. While service quality is high the demand for skin health is growing and is anticipated to continue to grow in the future but service supply is unlikely to increase at the same speed.

The dermatology sector of the NHS had identified, through a series of pre-workshop discussions around the Dermatology specialty determined current and future issues arising from increased patient load and identified core areas of focus for potential innovation including initial screening, referral and triage of dermatology patients from self-presentation through primary healthcare, to the Dermatology speciality

Innovative solutions are therefore required to ensure the current supply can continue to meet the growing demand.

Areas to consider

Can we redefine the process for identification of need, referral and referral management to optimise fact to face clinical interactions that make better use of scarce Dermatologists time? This may include better selection of patients based on clinical indicators, triage processes redesign, remote photography and assessment, better use of skills mix

What is the opportunity to increase capacity that continues to ensure successful patient encounters? Can we replacesome existing face-to-face direct clinical care session with digital sessions to increase the number of possible consultations? Can we change triage process that will enable increased service capacity?

The NHS in Scotland has spent a considerable amount of time and resource already in trying to address this challenge- see details via However this has not led to the scaled adoption of the type required by Dermatologists and the health care system.

Open Innovation

The Scottish Government is committed to Open Innovation as one method of growing the economy and accelerating the adoption of new innovations into Scotland’s public and independent services. Scotland’s Economic policy places innovation at the heart of delivering prosperity and better public services.

There are three main innovation routes in health and social care in Scotland. Innovations originating in health and social care services, innovations originating in industry/academia/stakeholder communities and innovations created jointly through Open Innovation processes.

Open Innovation is taken to mean;

The process of creating and implementing ideas in collaboration with other organisations and stakeholders to create new products processes or methods to deliver benefitsthat could not otherwise have been achieved alone, or enabling them to be achieved more quickly, cheaply or efficiently

Open Innovation in a variety of forms is already being used successfully in: EU projects including Horizon 2020; academic led Innovation Centres in strong collaboration with industry; Health Innovation Partnerships; Board Innovation Programmes; and competitions such as the recently announced SBRI in Diabetes. Many are financially incentivised and most focus on concept development, early prototype testing, market entry and adoption.

The NHS and Social Care Innovation Network and Cluster form part of the national cross sector Open Innovation Programme led by Scottish Enterprise which offers business and academic facilitation for Open Innovation projects.

Examples of Open Innovation in the UK;

Niteworks

Bluelightworks

Institute for Collaborative Working:

NHS Scotland-SBRI

Getting Started

The national Collaborative would host an Open Innovation project via a host Health Board(s). This involves inviting others into an open space to jointly find a solution to a key challenge. In health and social care it may be that Open Innovation leads to solutions that:

Create something new and better

Substitutes an existing service/device/process with something better

Amplifies something working well in one sector/area in a new area

Modifies existing behaviours to achieve transformation e.g. decrease demand by providing an alternative way of meeting needs

Open Innovation Sessions

Governance

Existing procurement and partnership working arrangements will be used with the additional input of Scottish Enterprise advisers.

British Standard 110000 for business collaboration will apply.

Typical Participation

5 Members from relative NHS service or existing network/collaboration

5 Open Innovation Network Members

Minimum of 5 Industry Leaders

Scottish Enterprise and technical advisers

Facilitation

Facilitation will be jointly provided via NHS National Services Scotland, Scottish Enterprise and the University of Strathclyde

Stage 1 -Workshop 1: Assessing Open Innovation Potential

1. Introductions and Ground Rules (cluster member)
2. Service overviewand core issues(challenge sponsor)
3. Understanding of the unmet need

What are the real issues and what will happen if we don’t fix it?

How is unmet need currently overcome and what issues does that bring?

Why do we not have a solution in place, what has stopped us addressing this?

Why is this a priority for Health and Wellbeing?

Outcome:

Clarity on the service and its challenges

Clarity on the impact if nothing is done to resolve this

Understanding of the barriers to addressing the service challenges

Understanding of the service priority in line with other service challenges

1. Insight Review

Having focussed on and understood the unmet need from the user/customer perspective do any of the participants have alternative views or different perspectives about the unmet need or have specific proposals which might solve the need before more detailed work is undertaken? Is there any specific insight which may address this problem now?

Outcome:

Participant questions answered

Ensure there are no known solutions already available

Alignment of the group around the challenge and area of focus for innovation

1. Creating the challenge proposal

In small working groups (2x service specialist, 2x open innovation member, 2x industry) consider what the approaches could be taken to address the unmet need. At this stage cost, resources and other barriers should be set aside, the focus should be on what the Open Innovation challenge should be and the areas of focus including:

Overall description of the challenge

How to target the challenge

Who to target the challenge to

Description of parameters of the challenge including any known barriers

Outcome:

Review all challenge ideas, test them with the other groups, aggregate ideas where possible and select the best ones

1. Prioritise

As a large group prioritise the best 1 or 2 ideas

Determine who needs to be involved in the next stage

Identify the barriers that will need to be removed

Agree actions, owners and next step

Outcome:

Draft challenge and action plan for stage 2.