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Related Projects Return to team Gabriele Rossi Design Technologist Gabriele is a Design Technologist and UX Designer. His interests range from creative coding to user interface design and user testing. Gabriele is a philosophy graduate from the University of Sheffield and has also obtained a Master’s degree in IT at the University of Glasgow. He spent a year in Singapore at NUS studying eastern philosophy, and philosophy of science & technology and deepening his knowledge of Mandarin Chinese, which he acquired a few years prior while teaching English in China. Gabriele started his career as a software developer working for a small software company in Edinburgh. He then moved to Hong Kong to pursue a role as a UX designer, working for a technology and travel company. After this experience, he decided to come back to Scotland, a country he loves and hopes to contribute to making it even better. Connect on LinkedIn Email Next team member Previous team page Team page

Interaction Space: Older Adults and in-Home Systems Blom, Jeroen and French, Tara and Teal, Gemma This paper discusses important considerations when developing assistive technology with and for older adults. Two case studies demonstrate the use of Experience Labs to engage older adults in a participatory design process in the early stages of development of novel sensor systems. Firstly, we present the ‘Interaction Space’ as a holistic way to model and understand interaction between people, products, technology, and environments when developing complex systems. It is argued that looking at the interaction between older adults and technology benefits from a holistic view of the Interaction Space in which primary and secondary users are continuously acting together with the technology. We then highlight considerations when developing technology systems with participants who are not confident technology users, to design meaningful spaces for critical reflection and creative collaboration. We conclude that the Experience Lab approach enables a better understanding of the impact of the proposed technologies. View resource Next item Previous item Home / Resources (Item) /

Developing a Design Brief for a Virtual Hospice Using Design Tools and Methods: a preliminary exploration Taylor, Andrea and French, Tara and Lennox, Jeni and Keen, Jeremy Providing equitable access to specialist palliative care, regardless of diagnosis or geographical location, with relatively limited resources and an ageing population, will become increasing difficult for all hospice services. This paper describes the development of a Design Brief for a Virtual Hospice using design tools and methods. The project began by observing Hospice staff and their interactions with patients. Three User Personas were then created based on data gathered through interviews with a small number of patients and professionals. Each Persona’s progress through the Highland Hospice service was visualised on a User Journey Map in the form of insights and opportunities, with five key themes emerging. The final step involved producing a Design Brief that synthesised the research findings in the form of a plan for creating, prototyping, and testing the Virtual Hospice. View resource Next item Previous item Home / Resources (Item) /

The Right Decision Support Service (RDS) Project impact Over 180 web and mobile decision support tools 1,777,077 unique users registered; 10.4 million page views in 2023 alone In 2023, 93% saw an impact on evidence informed practice The Right Decision Service (RDS) is Scotland’s national decision support service for health and social care. Funded by the Scottish Government and owned by Healthcare Improvement Scotland, RDS provides digital tools for safe, timely healthcare decisions based on validated evidence and patient-centred outcomes. Return to projects ​ ​ The Right Decision Service (RDS) is the national decision support service for Scotland’s health and social care. It was endorsed and funded by the Scottish Government as the platform for delivery of the national decision support programme. The RDS was significantly developed at DHI over a number of years. It secured funding from the Scottish Government to develop a platform to support decision-support products and the development of new products to support clinical services across the country. Healthcare Improvement Scotland (HIS) took on the national ownership role for the Right Decision Service in 2023. The mission of the RDS is to be the Once for Scotland source of digital tools which enable staff to make safe, timely decisions ‘on the go,’ based on validated evidence and outcomes that matter to people. The RDS is a change agent for the delivery of value-based health and care. It brings together evidence from: validated research, practice experience, and the lived experiences of patients and service users, embedding this evidence in decision-ready formats through RDS tools such as web and mobile apps and electronic care records. Summary Partners Adoption at scale as a business-as-usual service: the RDS is embedded as a core enabler of health and care delivery in the majority of Scottish NHS Boards and a growing number of health and social care partnerships. This embedding in mainstream service delivery is now consolidated through the transition of RDS from its innovation phase in DHI to HIS as a mainstream business-as-usual service. Growing impact in the form of savings in time and resources, improved safety and quality of care, workforce skills and improved processes. These are underpinned by widespread usage across sectors and strong policy mandates for national delivery. Scottish Government Digital Health and Care noted that this “is the first example of a digital health and care programme that has been trialled and piloted with our partners, through to mainstream delivery led by a national NHS Board, and highlights the success of our collaborative approach.” 12 of the 14 territorial boards, 6 health and social care partnerships, 4 national NHS Boards, 3 national social care organisations, 8 national programmes and 3 third sector organisations are using the RDS to deliver decision support tools that support their priorities. Impact & value The RDS continues to be developed by Healthcare Improvement Scotland (HIS). At the point RDS was transferred to HIS, it had progressed hugely. The Right Decision Service received official recognition in the form of the 2022 Digital Public Services Award. This award is granted in collaboration by Holyrood Communications, Scottish Parliament and Scottish Government, for a digital public sector innovation that has delivered measurable impact in the past year. RDS has helped to release practitioner time and the optimal use of resource. In a survey of 36 RDS implementation leads across 12 organisations conducted in January 2023, .77% confirmed that RDS tools are enabling better use of available resource. .64% report that RDS tools are saving staff time 62% state that RDS tools have reduced costs. “Streamlining access to guidance and evidence-based decision support so that it is instantly accessible when and where clinicians need it.” RDS has also led to improved safety and quality of care: 79% of RDS implementation leads indicate that RDS tools are already improving patient safety in their organisations. 74% advise that RDS tools have improved quality of patient care, and 65% indicate that they are driving up consistent evidence-based practice. This work is being taken forward by Healthcare Improvement Scotland Progress to date Resources Right Decision Service website How does decision support work? Decision support for chronic pain management Decision support for co-morbidities and polypharmacy Diabetes with hypertension: decision support for self-management and stratifying risk, based on citizen-generated and clinical data Staff related to the project ​ Next steps Next project Previous project Projects index page

Open-source Data Analysis and Machine Learning for Asthma Hospitalisation Rates Chute, Chaloner and Rooney, Laura and Buchanan, Bill and Smales, Adrian and Hepburn, Leigh Anne Long-term conditions in Scotland, which include diseases like asthma and COPD, contribute significantly to healthcare utilization and mortality rates. Asthma, characterized by variable symptoms and airflow limitation, lacks a precise understanding of its triggers. This paper proposes using open-source datasets and machine learning to estimate asthma hospitalization rates with a high level of accuracy, aiding in predictive modelling with an 86.67% success rate. View resource Next item Previous item Home / Resources (Item) /

Transforming healthcare through design-led innovation French, Tara and Teal, Gemma The Experience Lab provides a safe, collaborative environment which replicates real life practice within which to trial ideas and engage in design-led activities. These activities place the user at the centre of the design process. This paper will illustrate the Experience Lab through a case study of a project which explored and developed a new concept system for assisted living to support and empower older adults to live independently at home for longer. The Experience Labs provided the opportunity to user-test the initial concept by developing and validating a solution with users. The design-led approach aimed to deliver requirements for the system that were firmly user driven. The Labs provided a safe and realistic environment through which the Lab team helped users explore the concept and share their feedback and ideas for improvement through activities including experience interviewing, workshops, and role-play. View resource Next item Previous item Home / Resources (Item) /

Exploratory on e-Prescription in Scotland Wood, Aaron and Rimpiläinen, Sanna This document describes an all-day Exploratory event held for the National Services Scotland (NSS) Practitioner Services team Friday 1st April 2016. View resource Next item Previous item Home / Resources (Item) /

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

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) /