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Digital Health and Care Institute: Scottish Diabetes Policy and Market Report Morrison, Ciarán The report presents the current (2018-19) diabetes policy in Scotland and analyses the current and emerging digital health technology market for diabetes care. The report has been produced in collaboration with NHS Lanarkshire. View resource Next item Previous item Home / Resources (Item) /

Canadian Journey to a National Electronic Health Record Rimpiläinen, Sanna This report details Canada's journey towards its national Electronic Health Record (EHR) system from 2001 to 2015. This involved choosing hub-and-spoke repositories over decentralised, point-to-point exchange systems like Estonia did. Canada's approach also includes strategic investment by Infoway, shared governance with deputy ministers of health, and collaborative efforts to administer federal funds, reducing long-term costs and implementation time. View resource Next item Previous item Home / Resources (Item) /

NHS Greater Glasgow & Clyde: Trauma & Orthopaedics Brooks, E., Binnie, C., Blank, L., Porteous, A., Schauberger, U., Smith, P., Watchorn, T. This report presents recommendations for a sustainable service vision for Trauma and Orthopaedics in Greater Glasgow and Clyde. The recommendations are the results of three design-led workshops with GG&C regional stakeholders, facilitated by the DHI Insights team. The report presents the supporting background information and illustrations of the DHI processes undertaken across the three workshops. The report concludes with a summary of key recommendations and associated timelines, including proposed improvements to the service which could support changes to the service model(s). View resource Next item Previous item Home / Resources (Item) /

Scottish Access Collaborative Specialty Series Report Porteous, A., Blank, L., Schauberger, U., Smith, P., Brooks, E. A key strand of the Scottish Access Collaborative (SAC)’s work is the delivery of the Specialty Sub-Group programme, in which a range of experts in clinical specialties undertake a cycle of design-led workshops with the support of the Digital Health & Care Innovation Centre (DHI). DHI was commissioned to design workshops aimed at producing high-level mapping of each clinical area and identifying clinically led and patient-centred sustainable improvements. The findings from these workshops will form the basis of a speciality-led Access Collaborative programme delivering solutions to help scheduled care services sustainably meet the challenges of the future. View resource Next item Previous item Home / Resources (Item) /

Digital Mental Health: Findings of a Desktop Horizon Scan for Global Leaders & Digital Innovation Opportunities Morrison, C. To address challenges outlined in Scotland's 'Mental health transition and recovery plan' (2021), a national Digital Mental Health Programme Board has been initiated, aiming to leverage previous innovation experiences to identify new opportunities. In 2021, the Digital Health and Care Innovation Centre (DHI) received funding to establish and lead a Digital Mental Health Innovation Cluster, fostering collaboration and knowledge exchange across various sectors. This report conducts a horizon scan of global leaders and best practices in digital mental health, identifying emerging technologies to support the cluster's work, excluding solutions previously researched by DHI to avoid duplication and focus on innovation. View resource Next item Previous item Home / Resources (Item) /

SCOTCAP Project impact First Innovation Partnership used to drive innovation scale up in NHS Scotland 4500 CCE Tests now completed in Scotland as part of core service offering Scottish project which created UK collaboration opportunities and responsible for driving forward CCE update in NHS England SCOTCAP, a DHI-led programme, developed a scalable national model for Colon Capsule Endoscopy (CCE) as a GI diagnostic test in Scotland. It enabled early community screening, reduced hospital referrals, and involved NHS Highland, NHS Grampian, and NHS Western Isles. Endorsed by the 2018/19 Programme for Government. Return to projects ​ ​ The Scottish Capsule Programme (SCOTCAP) was a service, technical and business transformation programme for DHI which delivered a scalable national service model; a roadmap outlining future options and a case for investment for the national scale-up of Colon Capsule Endoscopy (CCE) as a GI Diagnostic Test in Scotland. SCOTCAP was regarded as an integral part of the national redesign of outpatient gastroenterology services as it enables early and effective screening in the community, avoiding unnecessary referrals for hospital outpatient appointments. SCOTCAP was endorsed by the Programme for Government 2018/19 and was an evaluation project involving three participating Health Boards - NHS Highland, NHS Grampian and NHS Western Isles. Summary Partners This service innovation has: Enabled early and effective screening in the community Reduced the total cost of gastrointestinal diagnostics, avoided unnecessary referrals for outpatient appointments Eliminated unnecessary travel for patients Delivered an Innovation Partnership Framework to support innovative procurement for Public Services in Scotland One of the unique business innovation aspects of the project was the creation of Scotland’s first Innovation Partnership procurement contract. This enabled commissioning bodies to “partner” and work collaboratively with private sector companies to both develop and test a new service within the community. Significantly, these services could be rolled out across Scotland without the need for further procurement. In addition, this project tested and refined the business model working with the industry partner ‘Corporate Health’, to create a successful managed service and secure further inward investment and economic development in the North of Scotland. An evaluation was embedded within the CCE service rolled out across the three Health Board Regions and was a multicentre service evaluation of patients (presenting with GI symptoms to their GP and patients waiting for colonoscopy). The evaluation was to explore the efficiency, acceptability and effectiveness of a new Managed Service Delivery Model when deployed across three Health Board areas across the North of Scotland. This evaluation report was successfully delivered by University of Strathclyde academics with some key recommendations and observations for the next stage. Impact & value Successfully fulfilled all SCOTCAP Phase One deliverables including delivery of a Service Evaluation of CCE in Scotland reaching over 450 patients and corresponding Service Evaluation Supported partners by increasing Service Readiness Levels; undertaking a series of one-to-one interviews and insight driven service design workshops with SCOTCAP stakeholders to capture key learning from the Innovation phase to further inform the service and business case. Produced an interactive Service Model Blueprint and Report to support the next phase of implementation, the ‘Adoption Phase’. This Service Blueprint could be used in the next phase to co-produce a Change Pack and enhance Patient Information, to enable wider, national roll out of the CCE service delivery model. The SCOTCAP Programme was shortlisted for the Life Sciences Partnership Collaboration Award and won the 2019 Scottish Digital Health and Care Innovation Award, recognising excellence in this domain and partnership working with the service and industry. SCOTCAP was successfully transferred to Centre for Sustainability in 2022 with a view to embedding into Business as usual. Progress to date Resources Medtronic EMEA pillcam colon capsule animation SCOTCAP Service Model Evaluation Scottish Health Technology Group (SHTG) reports - Second-generation colon capsule endoscopy (CCE-2) for the detection of colorectal polyps NHS Scotland Evaluation Of Colon Capsule Endoscopy PDF SCOTCAP - Scotland's Colon Capsule Endoscopy Service PDF SCOTCAP Implementation Support Pack PDF Colon capsule endoscopy - an innovative method for detecting colorectal pathology PDF Process Evaluation of a new Colon Capsule Endoscopy (CCE) Service in North of Scotland PDF SCOTCAP Clinical evaluation protocol v2.0 Staff related to the project ​ Next steps Next project Previous project Projects index page

My Cancer MAI Care - applying gaming theory to redesign the patient cancer care journey and services Project impact Desktop application developed to support a tailored support package for persons affected by cancer (PABC) Application offers a tailored referral service to the patient ​ Macmillan Cancer Support commissioned DHI and Abertay University to develop a visual tool using gaming theory and AI to identify support needs of People Affected by Cancer (PABC). The tool analyses characteristics and similar cases to offer personalised care and resource planning, with interfaces for patients and health professionals. Return to projects ​ ​ Macmillan Cancer Support commissioned the Digital Health & Care Innovation Centre (DHI) in collaboration with Abertay University to apply gaming theory combined with Artificial Intelligence (AI) to develop a visual tool to show the service and support needs of People Affected by Cancer (PABC). The tool looks at the characteristics of PABC and the types of support that people in similar circumstances with similar characteristics have benefited from. The tools then collate a more tailored service offer of support for PABC. This tool has both patient and health professional-facing interfaces to enable better planning and utilisation of resources and a more personalised service for patients and carers. Summary Partners The user-friendly tool will enable Macmillan staff to: • Offer a tailored referral service to the individual • Better plan and utilise resources effectively • Offer a better and more personalised service to PABC The project has produced a desktop version of the tool Impact & value ​ Progress to date Resources Staff related to the project ​ Next steps Next project Previous project Projects index page

Related Projects Return to team Cate Green Production Manager Cate is a Law and Business LLB and Prince2 graduate with a passion for innovative project management. Prior to joining the DHI Design Team in 2014, Cate was a Civil Servant, working as Programme Manager at the Department of Energy and Climate Change (DECC) in oil and gas decommissioning, and licensing renewables infrastructure at Marine Scotland. Cate’s role within the DHI is to support the work of the DHI Design Team who carry out design innovation research embedded across the DHI project portfolio. She is based in Forres, Moray at The Glasgow School of Art's Highlands and Islands campus. Since joining the DHI, Cate has undertaken research on the challenges of planning in a dynamic and creative environment. She is interested in the positive impacts that participatory design has on wellbeing, communities and services in urban and rural environments. Connect on LinkedIn Email Next team member Previous team page Team page

Related Projects Return to team Shirley Sharp Office Manager & Personal Assistant to the CEO Shirley provides comprehensive office management and professional PA/ administrative services to our Chair and CEO. She contributes to the overall efficiency and effectiveness of the DHI, ensuring that all duties are carried out with the appropriate degree of tact, confidentiality and responsibility. Shirley has over 30 years’ experience working within the Public sector, most of this with frontline services within the NHS, providing effective and efficient support to Chief Executives and Senior Directors with operational responsibility across the acute secondary care sector. Connect on LinkedIn Email Next team member Previous team page Team page

Interoperability: what’s it all about? Rooney, Laura The quantified self movement has seen a surge in wearable devices like the popular FitBit, allowing users to monitor vital signs such as blood pressure and heart rate in real-time. By 2019, over half a billion wearables are projected to be in use globally, with a significant portion dedicated to health tracking. However, the integration of data from devices like FitBit into health records is still lacking. View resource Next item Previous item Home / Resources (Item) /

Our Time to Shine: Empowering the Data, Information and Knowledge Workforce as a Driving Force for Digital Health and Care Digital Health & Care Institute & Wales, Ann This report summarises the outcomes of a scoping study of the Specialist Data, Information and Knowledge workforce across Scotland’s health and care. It draws together the results of a literature review, mapping of current capability frameworks, stakeholder interviews, a national survey and roundtable consultation. It aims to inform implementation planning for the Workforce Capability Domain of the Digital Health and Care Strategy , and development of the informatics capability within Public Health Scotland. Part 1 of this report presents the major conclusions from the study as a basis for moving forward: * Key overall message. * Three priorities to create a growth mindset to realise the full potential of this workforce. * Recommendations for development – including quick wins and longer term development. Part 2 provides more detail on the study approach and results which underpin the overall conclusions. This section includes project sponsorship, policy context, methodology and key points about current state and challenges for this workforce. View resource Next item Previous item Home / Resources (Item) /

Structured Education and Digital Learning for Diabetes Care in Scotland Morrison, Ciarán This report reviews current diabetes policy in Scotland, and analyses the current and emerging digital health technology market for diabetes care in 2019. View resource Next item Previous item Home / Resources (Item) /

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

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The Data Lab funding finder Finding the right funding can be challenging. To simplify the process, DHI has partnered with The Data Lab to provide you with their funding finder tool. This tool is designed to help you navigate the UK funding system using advanced data and AI, making connecting with relevant opportunities directly from our site easier. Find funding Funding The Digital Health & Care Innovation Centre (DHI) is dedicated to promoting funding opportunities that drive collaboration and innovation in digital health and social care. Here, you will find The Data Lab's funding finder tool to streamline your search for UK funding opportunities, as well as information on our Master's Scholarship funding. Master’s scholarships The Digital Health & Care Innovation Centre (DHI) offers Master's Scholarships to support a talent pipeline and nurture future leaders into the sector. Once you secure a spot on a relevant course, contact your course organiser who will apply for the scholarship on your behalf. Access master's funding Home / Funding /

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Digital transformation strategy Morrison, Ciarán Summarisation of documents of high importance for the business case. View resource Next item Previous item Home / Resources (Item) /

Emerging Innovations in Digital Mental Health: A Deeper Dive Morrison, C. In early 2022, the Government Digital Mental Health programme board provided feedback on a report emphasising further exploration of four innovation areas: Artificial Intelligence, Virtual Reality, Gamification, and Digital Phenotyping. This report delves into key organisations, leading countries, case studies, research literature, and significant findings within these emerging innovations through desktop research conducted via standard online search engines. It should be noted that the research methodology is limited to English-language publications, which may impact search results. View resource Next item Previous item Home / Resources (Item) /

Impact of the digital transformation of health and care Understanding the different categories of the workforce impacted by digital transformation in health and social care is crucial to tailoring the development of appropriate skills and capabilities. ​ DHI categorises this workforce as: Who they are: This group includes all those directly involved in patient care and service delivery, such as clinicians, social workers, public health professionals, as well as management and support roles. ​ Skills needed: These staff members require digital skills to effectively use digital tools and solutions in their daily work. Training focuses on enhancing their ability to interact with digital health and social care platforms, electronic health records, and other digital tools that facilitate direct care and service management. Frontline health and social care workforce Who they are: This category comprises software developers, engineers, programmers, UX designers, product owners, cyber security experts, and others involved in creating and maintaining digital solutions. ​ Skills needed: While deeply technical, this group also benefits from soft skills and transferable skills such as communication, teamwork, and problem-solving. These competencies are essential for ensuring that digital solutions are user-friendly and effectively meet the needs of end-users in health and social care settings. Technical workforce Who they are: This group includes data analysts, data scientists, business intelligence professionals, and clinical informaticians who manage and analyse the vast amounts of data generated by digital health and social care solutions. ​ Skills needed: Advanced digital, data analytics, and informatics skills are crucial for this workforce. They also require soft skills to ensure that insights generated from data are communicated effectively and can inform decision-making in clinical health and social care settings. Groups 2 and 3 are align with the Digital, Data and Technology job (DDaT) categories. For further reference and a deeper understanding of roles and competencies in the Digital, Data, and Technology (DDaT) professions within the Scottish government context, you can visit the official DDaT profession page. Specialist knowledge, information, digital, and data workforce Home / Impact of the digital transformation /