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Report on the Exploratory on Smart Care in a Homely Setting Milne, Stephen and Rimpiläinen, Sanna This document reports the run of the Exploratory on Smart Care in a Homely Setting, organized by the Digital Health and Care Institute on May 4th, 2016. The purpose of the event was to understand the current landscape of care in homely settings and identify needs of citizens and carers for potential innovation. View resource Next item Previous item Home / Resources (Item) /

Towards a shared understanding of genuine co-design with people with lived experience: reflections from co-designing for relational and transformational experiences in health and social care in the UK Raman, Sneha and French, Tara Co-design is becoming a well-known term outside of the design domain, reflecting a growing awareness of the potential and value of applying a design-led process to address complex social and systemic issues. However, an increase in the adoption of ‘co-design’ methods has also led to multiple and sometimes conflicting understanding of what it means and how it is enacted in practice. ‘What does genuine co-design mean? What does it look like? And how does it make a difference?’ – we have been exploring these questions through our participatory design practice and research spanning over seven years. In this chapter, we share our learnings and reflections on genuine co-design, using examples to articulate characteristics of co-design and conditions for enabling genuine participation in the co-design process. We invite further dialogue with the wider practice and research communities to develop a shared understanding of what is (and what is not) genuine co-design. View resource Next item Previous item Home / Resources (Item) /

TITTAN Project Update and Workshop 2 Overview of Best Practices Rooney, Laura Summary of the TITTAN project to date. View resource Next item Previous item Home / Resources (Item) /

Related Projects Return to team Bobby Laing Graduate Innovation Intern Bobby is our Graduate Innovation Intern, providing marketing, communication, and administrative support across various key projects. His background includes a BA in Business Management degree from Glasgow Caledonian University and four years of experience in sales, marketing, and administration. Bobby has spent the last two years building his disability-inclusive fashion startup equipping him with a diverse range of skills he is putting to use, working as part of the communications team. Connect on LinkedIn Email Next team member Previous team page Team page

Supporting Health and Wellbeing: Can Smart Housing Help Revolutionise Health and Care? Morrison, Ciarán The research report explores the role of Smart Housing in supporting health and care in Scotland. View resource Next item Previous item Home / Resources (Item) /

Defining Digital Health Morrison, Ciarán Analysis of the definitions of digital health and the subthemes within it. View resource Next item Previous item Home / Resources (Item) /

Co-designing a digital directory of services French, Tara and Teal, Gemma Experience Labs provide a new way of working collaboratively within health and social care contexts in Scotland through a process of exploration, co-design and co-creation, and rapid prototyping of ideas. Bringing together academic, business, and civic partners, Experience Labs provide the opportunity for extreme collaboration in a safe and realistic environment. Through a series of design-led activities, which position the user at the centre of the design process, the Labs enable the trialling of ideas and co-design of sustainable health and social care solutions, together with end-users. This paper presents the findings of a design-led project to co-design a new directory of services application for the Scottish Ambulance Service. The Experience Lab aimed to explore and develop a basic prototype of a Directory App to support ambulance clinicians to consider alternatives to Accident and Emergency where appropriate and support initial small-scale testing. View resource Next item Previous item Home / Resources (Item) /

Related Projects Return to team Dave Moreton Consultant Support Dave is the Project Manager for the Digital Products and Services workstream within the Digital Lifelines Scotland programme and works as consultancy support for DHI. He has extensive experience in Project and Programme Management and previous work for DHI includes; Interim Programme Manager for the Rural Centre of Excellence for Digital Health & Care Innovation, and DHI Exchange Process Redesign. Prior to joining DHI Dave worked in Programme and Project Management in the Public and Private Sectors for over 30 years. Connect on LinkedIn Email Next team member Previous team page Team page

Related Projects Return to team Carrie Thomson Digital Lifelines Scotland Portfolio Lead Carrie is the Portfolio Lead for Digital Lifelines Scotland, a programme supported by the Digital Health and Care Directorate within the Scottish Government and managed by DHI. Carrie also leads the Chief Scientist Office Reducing Drug Deaths Innovation programme, and both programmes are focused on reducing the risk of death and harm for people who use drugs through digital solutions. This joint portfolio links to Carrie’s academic and NHS background in addiction services and draws on her experience from over 10 years at the National Institute for Health and Care Excellence (NICE) in the Office for Digital Health. An advocate for health and care innovation, she is interested in the role of digital solutions to improve the health outcomes for people who use drugs and to better meet people's needs across health and care. Connect on LinkedIn Email Next team member Previous team page Team page

Care 'In Place' (CIP) Care Home Assessment Tool (CHAT) Stages 1 & 2 Project impact Development of an adaptable clinical assessment tool for Care Homes and a service wraparound model Assets developed to support sharing of information between health and social care ​ This project aimed to rapidly develop and test the Care Homes Assessment Tool (CHAT) in at least two Health Boards/HSCP areas. CHAT supports staff in assessing, triaging, and accessing specialist clinical input for resident treatment. Return to projects ​ ​ This was a partnership project led jointly by DHI and Scottish Care, involving NES, NHS Lanarkshire, NHS Greater Glasgow & Clyde, DaySix and a number of care homes in the Lanarkshire and Glasgow areas. The principal objective was to rapidly develop and test a live implementation of the CHAT in at least two Health Board/HSCP areas to improve local operational decision-making in Care Homes, aid communication in situations where external clinical support is required and provide early notification of a potential viral outbreak within this sector. This project developed a care home assessment tool that supported staff to assess, triage and where appropriate access specialist clinical input for treatment of their residents during COVID-19. Stage 1 of the project was a Test of Change which produced a wireframe of a digital tool which was co-designed with citizens, service and clinical staff and stakeholders. This could be used to develop a web-based application (based on a Clinical Assessment Tool already developed by NES). Stage 2 was formally launched in July 2020 and involved the trial of the tool in a number of care homes in NHS Lanarkshire and Glasgow. Summary Partners ​ Impact & value A working prototype was implemented in two health boards, NHS GG&C and NHS Lanarkshire, with the tool initially being implemented in Cartvale Care Home (NHS GG&C) and Greenhills Care Home (NHS Lanarkshire) and later more care homes in NHS Lanarkshire. The number of assessments undertaken was low due to a number of factors including staff levels being impacted by COVID-19; outbreaks of COVID within the Care Home; staff recruitment and retention; prioritisation of the vaccine programme over symptom detection. The learning around the use of the assessment tool in care home settings and the sharing of information between health and care services was trailblazing at the time, and has produced a number of useful assets for future work around the challenges of care homes working collaboratively with NHS services. Furthermore, staff were very positive about the application’s capabilities and usefulness within the care homes and this was also recognised by the associated GP’s. Progress to date Resources Care Homes Assurance Tool (CHAT) Staff related to the project ​ Next steps Next project Previous project Projects index page

Type 2 Diabetes - Transforming the Diagnosis Conversation Project impact Early Self-Management: Redesigned diagnosis conversations for Type 2 diabetes aim to engage patients early, reducing complications and secondary care referrals Better Communication: The project emphasises improved communication between primary and secondary care to enhance patient experiences and reduce unnecessary referrals Key Outputs: Developed a market review, support recommendations, and a prototype tool to improve Type 2 diabetes diagnosis conversations Exploring person-centred approaches to diabetes care in partnership with NHS Lanarkshire to create a roadmap for future care. Return to projects Diabetes project hub DHI uniquely drives Diabetes Innovation in Scotland by collaborating with NHS, industry, academia, and individuals with lived experiences to advance innovation and funding opportunities. View hub By focusing on one key moment in the care journey - the conversation between the primary care health professional and the newly diagnosed type 2 patient - the DHI in partnership with NHS Lanarkshire aimed to understand how secondary care and primary care staff could work more collaboratively to improve self-management in the community and a more consistent approach. Through exploring and mapping current care experiences and identifying aspirations for future care, using co-design methodology, we identified opportunities to redesign the type 2 diabetes diagnosis conversation to support early engagement. Summary Partners Emerging insights have revealed several opportunities for improvement: • Engaging people in self-management at diagnosis to reduce later complications and referrals to secondary care • Improving communication between primary and secondary care to reduce unnecessary referrals and improve the person’s experience • Using technology to support citizen education and confidence to self-manage Impact & value A market research report was concluded to outline the current state of diabetes care and policy in Scotland and current emerging digital technologies to support diabetes care. The project also employed a participatory process including pop-up engagements in the community, interviews with people living with type 2 diabetes and primary and secondary care health professionals, a codesign workshop with health professionals and further engagements with people living with Type 2 diabetes to refine the concepts. Rich insights were generated on how people would like to be supported at the diagnosis stage, and how primary care staff can be supported by specialist staff to create more consistent person-centred diagnosis conversations. There were several key outputs from the project: the market review; recommendations around support for practice nurses; recommendations around diagnosis specialist group appointments, and the development of a prototype of the paper diagnosis conversation tool to support the discussion between patient and healthcare professional at the point of diagnosis of Type 2 Diabetes. Progress to date Resources Transforming the Diagnosis Conversation Report Staff related to the project Further engagement and scoping activity has taken place over the last 12 months, through DHI Simulation activity, to consider the potential digitisation of the tool prototyped in the DHI DSE. This work will be progressed through consultation with the National Diabetes Group. The insights gained through this project, and the DHI's other work in diabetes will inform future projects in this critical domain. Next steps Next project Previous project Projects index page

Living on the Edge: Design artefacts as boundary objects Johnson, Michael and Ballie, Jen and Thorup, Tine and Brooks, Elizabeth Design is being performed on an ever-increasing spectrum of complex practices. As a result, there is demand on the articulation of design’s application across disciplinary boundaries. This paper explores this context through acknowledging the retained role of design artefacts in engaging complex, collaborative contexts, and a developing understanding of boundary objects. This paper expands on notions of design artefacts as boundary objects by offering reflections on existing examples from ongoing design research in the context of health and care innovation. Through the process of framing a design problem, live models are developed as dialogical tools with collaborators to validate and inform design solutions. Such models are argued to act as boundary objects that are not static, but living artefacts open to ongoing scrutiny within the design context, offering an understanding of the value and practice of design artefacts in complex, collaborative contexts. View resource Next item Previous item Home / Resources (Item) /

Transforming Diabetes Care Through Innovation Savage, J. In Summer 2022, DHI conducted an online survey via SurveyMonkey as part of its diabetes portfolio to explore key challenges faced by NHS Scotland in diabetes care and to generate new ideas for digital innovations. This report presents an analysis of survey responses, which were solicited from health and care professionals as well as individuals with an interest in diabetes care. With 275 participants, key themes included person-centred care, mental health support, access to information and resources, and the integration of diabetes technologies, alongside diverse ideas for innovation spanning care models, digital connectivity, and self-management capabilities. View resource Next item Previous item Home / Resources (Item) /

Cost of Low Back Pain Rimpiläinen, Sanna This is a short research report on the economic cost of low back pain. Back pain can arise suddenly or gradually, often due to work-related factors like fixed positions or repetitive movements. Poor posture, uncomfortable positions, and awkward movements can also contribute. Low back pain, or lumbago, is the most prevalent type, with 95% affecting the lower back. Chronic low back pain is a frequent complaint in pain clinics. View resource Next item Previous item Home / Resources (Item) /

Summary of NHS Scotland (NHSS) procurement strategies Morrison, Ciarán Summarisation of documents of high importance for the business case. View resource Next item Previous item Home / Resources (Item) /

Digital Lifelines: DHI Discover and Define Raman, Sneha., Simms, Harriet. The DHI joined the Digital Lifelines programme in March 2022 with the aim of working with delivery partners, organisations delivering services, and people who use drugs, to collaboratively produce a future vision for digitally enabled services to better support people who use drugs. The final report presents an overview of activities and findings from the integrated ‘Discover and Define’ workstream. The report concludes with a synthesis of emerging insights and themes from different perspectives (lived experience, service, sector, policy and digital); and highlights key opportunities for digitally enabled services to support people who use drugs and have multiple, complex, and enduring needs to reduce risk of harm and live well in the community. This will inform the ‘Develop’ phase, to co-design future digital solutions and services. View resource Next item Previous item Home / Resources (Item) /

Emergent Themes from Consultation with Strategic Stakeholders Appendix 3 Digital Health & Care Institute & Wales, Ann This report summarises key themes emerging from interviews with strategic stakeholders across Scotland’s health and social care, about current state and future development needs for the specialist data, information and knowledge workforce. Associated with "Our Time to Shine" report. View resource Next item Previous item Home / Resources (Item) /

Evaluation of Ambulance Based Troponin Measurements: A Feasibility and Impact Pilot Study of the Utility of Pre-Hospital POC Testing of Cardiac Biomarkers on Patients Presenting with Acute Chest Pain Bluestein, Barry and Scotland, Susan and Nicoll, Gordon and Barclay, K. and Kim, Dongwoo and Lunts, Phillip and Baxter, Colin and Miller, George; Crooks, George, ed. This final report is a Summary of a Phase 1 Program to determine the feasibility and logistics of performing Cardiac Biomarker measurements in the ambulance setting with paramedics. Specifically the report presents the findings and a list of recommendations relative to the measurement of cardiac TnI (cTnI) from patients presenting with chest pain prior to and during transit to a primary care hospital (Borders General Hospital-BGH) via the Scottish Ambulance Service. (SAS). View resource Next item Previous item Home / Resources (Item) /

Spotlight on Careers in Digital Health and Care: Skills Heat Map Factsheet Rimpiläinen, Sanna and Morrison, Ciarán and Nielsen, Søren Lange and Rooney, Laura This factsheet presents the key point of the skills and capabilities analysis from the full report "Spotlight on Careers in Digital Health and Care", available from: https://doi.org/10.17868/69247. View resource Next item Previous item Home / Resources (Item) /

User Requirements for Comanaged Digital Health and Care Review Chute, Chaloner, French, Tara, Raman, Sneha and Bradley, Jay This study aimed to present a set of recurring user requirements and themes for comanaged digital health and care services derived from the body of co-design projects within a digital health and care program. This study aimed to enable people and organizations looking to reorient their approach to health and care research and delivery from a system-led and condition-specific approach to a more person-centric, whole-of-life model. This paper presents a set of 14 common user requirements that resulted from a review of co-design projects. The findings demonstrate overlapping and reinforcing sets of needs from citizens and care professionals related to how data are comanaged to improve care and outcomes. It highlights consensus around requirements for personal health storytelling, sharing data on care experiences and how this can support personalized guidance, visualize trends to support decision-making, and generally improve dialog between a citizen and care professionals. View resource Next item Previous item Home / Resources (Item) /