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m-libraries: information on the move September 2012

Widening access & stimulating innovation: opening up NHS information for creative

mobile applications

Bob GannDirector of Partnerships & Strategy

www.nhs.uk

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Health information is one of the web’s most popular topics

When faced with a symptom:

• 75% of patients research their condition online before seeing doctor

• And 70% go online afterwards to learn more

Having found health information online:

• 55% changed their lifestyle or health behaviour

• 52% made a self-diagnosis

• 49% started an over the counter treatment

Study commissioned by Google

from research company OTX

Reported on CNN Health 4 October 2010

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Not just information – people want to transact too

27%

42%

35%

36%

32%

31%

10%

1%

2%

2%

4%

10%

40%

43%

Look up health information

Ask for a repeat prescription

Book GP, hospital or clinicappointment

Communicate with you healthprofessional

View or add information to healthrecord

Record your needs in advance ofappointment e.g. disability

Record how you want to be treated ifyou can't make your own decisions in

the future

Do/ have done

Would like to do

NHS Choices Omnibus household survey August 2012

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Going mobile

More mobile phones than people in the world

23% of online surfing via mobile device (40% of visits to NHS Choices)

50% of iPhone users have used their phone to make a health related search

Mobile Advertising Insights Report: Health and Dating Using the iPhone Greystripe., February 2010

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Apps explosion

Over 600,000 apps available – average of 65 per mobile deviceMore time spent using apps than on web

Medical, health & fitness apps on Apple App Store

13,000 health apps for consumers

Consumer health apps for Apple iPhoneMobiHealth News Report, September 2011

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Mobile ways of working – increasing convenience & reducing cost in NHS • SMS appointment reminders

significantly reducing did not attends (Portsmouth Hospitals)

• Remote scheduling and records access for community staff (NHS Calderdale)

• SMS test results for sexual health services (NHS Isle of Wight)

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Mobile in developing world

More mobile phones in Africa than in USA

Ten years ago 100,000 phone lines in Nigeria – today 100m mobile phones

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Simple, ingenious SMS solutions saving lives

30% medicines in developing countries are fake

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Crowd sourced cities – responding topublic emergencies

What a hundred million calls to 311 reveal about New York

Wired 1 Nov 2010

• Multi-channel 311 service allows citizens to report problems - & services (& other citizens) to respond• Builds rich knowledge base of citizen concerns• Twitter knows first – early alert to emerging health problems

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At first NHS Choices developed its own At first NHS Choices developed its own productsproducts

• Mobile version of www.nhs.uk

• SMS to find my nearest GP, pharmacist, accident department

• Patient feedback pilot via SMS

• Healthy living apps

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Power of Information Strategy:space to innovate

While Government should provide a core set of information, it cannot try to provide everything to everyone.

Within specific areas, there are already organisations, often in the voluntary sector, which can provide better-targeted information. The Government will be clear about what will need to be provided centrally, giving others space to innovate.

Beyond this core information provided nationally by Government and creating the right environment to support the development of an information market, the state will not intervene in the information market unless it is necessary to prevent a significant negative impact on outcomes, equalities or efficiency

The power of information Department of Health, May 2012

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Syndication for partners to add value & extend reach

Social networks

NHS & local authorities

Media

Occupational health

Simple free APIs350 active partners

Over 80m additional visits a year

Other countries

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Health ChoicesWindows, IOS, Android

Increasing take up by apps developers

Healthy LivingBlackberry

Wellnote – DarziIOS

Pocket Healthios

My tablet time

Platforms:

Health AZWindows, Android, Nokia

NHS West MidlandsIoS

Find Health ServicesNokia, Blackberry

EMISIOS,Windows , Android

13 Mobile Apps10 CompaniesAll Free

NHS NEWSios

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Assuring quality

Do we need a different approach from any other sort of content?

Does European Medical Device Directive apply?

Do we need health apps store?

www.happtique.com

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Stimulating innovation & economic growth

• Value to the UK economy of releasing free data estimated to be in the region of £6bn a year• US alone could derive more than $300bn annually in new value from healthcare related data• Profitability of all SMEs could be improved by 5%

Implementing the transparency agenda. Public Accounts Committee, 2012

McKinsey Global Institute

Competitions, hack days, innovation showcases

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Our approach to the role of government in today’s information market

• Produce core set of authoritative national content when this is best done once and shared

• Provide simple, free to use feeds for all to re-use & add value

• Provide opportunities for ideas stimulation and match-making

• Curate and quality assure the best examples

• Stand back and let creative developers widen access & stimulate innovation

bob.gann@dh.gsi.gov.uk

Twitter: @Bob_Gann