Healthcare
Roundup
 
30 September 2022
 
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Seven days in the NHS and health IT
Budget
Disastrous mini-budget raises spectre of swingeing cuts 
The week has been dominated by economic news, with the pound plunging and the Bank of England being forced to intervene in the bond market, following chancellor Kwasi Kwateng’s mini-budget last week (The Guardian). Markets have been spooked by Kwateng’s decision to borrow heavily to fund an energy price cap and tax breaks for the wealthy. Kwateng and prime minister Liz Truss have argued that the fiscal event will boost growth. But most economists think this is unlikely, so one or more of revised plans, interest rate hikes and spending cuts will be needed to restore stability.
 
Sir Charlie Bean, a former deputy governor of the Bank of England and member of the Office for Budget Responsibility, told SkyNews that cuts of as much as £50 billion a year could be required, which would mean “rethinking the boundaries of the state” and “moving away from our health service.” Some critics of the government think this is exactly what it wants to do. But in a string of tweets, Nigel Edwards from the Nuffield Trust warned an insurance model won’t necessarily improve quality or choice and could, in the absence of a commitment to social solidarity, lead to “a poor service for poor people.” 
Health IT
Higher inflation and transfer to social care hits NHS budgets
The NHS is already under increased financial pressure from rocketing inflation and unfunded pay rises. In a response to last week’s mini-budget, the Nuffield Trust calculated that while Rishi Sunak’s last Budget increased core funding by £30.5 billion over three years, inflation has reduced its real value to £14 billion. The Treasury has refused to re-open the comprehensive spending review ahead of the next fiscal event in November and has told public services to make ‘efficiency savings’ instead (Health Service Journal). The Treasury has also confirmed that the £500 million adult discharge care fund announced by health and social care secretary Therese Coffey last week will come out of existing NHS budgets.
Health IT
Bolton agrees digital transformation at risk from cuts and reorganisation
Simon Bolton, the chief executive of NHS Digital and chief information officer at NHS England, told the Healthcare Efficiency Through Technology show at ExCeL that funding for digital transformation could be at risk because of these financial crises. Speaking to conference chair Sam Shah, Bolton also acknowledged that the ongoing reorganisation of NHS England is likely to distract from delivery over the next few months. In the longer term, he said IT needed to re-focus on supporting Coffey’s abcd of ambulances, backlog, care, and doctors and dentists; and that he’d like to see “managed convergence” on fewer electronic patient record systems (Health Service Journal).  
Health IT
Orion Health first to conform to Core Information Standard
Orion Health has become the first company to be awarded a Professional Record Standards Body quality mark for conformance with the Core Information Standard (Digitalhealth.net). Orion Health liaised closely with the PRSB to work through the 1,600 lines of the standard, which defines the information that can potentially be shared between systems in different sites and settings and between the professionals working in them. Both organisations hope other suppliers will now follow suit, as this will make it easier for information to flow through the health and care system and to mature shared care records.
Health IT
Three integrated care systems work on shared care record
Three integrated care systems in the Midlands will combine to create a shared care record using InterSystems HealthShare. The Health Tech Newspaper says NHS Birmingham and Solihull, NHS Coventry and Warwickshire, and NHS Hereford and Worcestershire will collaborate on the project, building on an existing system for mental health called MERIT. The programme is huge in scope, covering six local authorities and 365 GP practices, as well as acute and mental health trusts, the local ambulance service and HM Prison Birmingham. The aim is to create a unified health and social care record to support appropriate and timely care.   
Health IT
Health IT news: E-obs first for East Lothian hospital; Cambric launches image transfer app
East Lothian Community Hospital has become the first in Scotland to run e-observations using its InterSystems TrakCare electronic patient record. A project team has been working with NHS Lothian’s e-health team on the project for two years (East Lothian Council news release). Cambric Systems has launched a product called Archie to enable GP practices and clinics to securely send images to specialist services for remote diagnosis and advice. GPs can take images on a smartphone, and send them into their referral system, after which they are wiped to protect patient privacy. Cambric is looking for GPs to trial the software.
Health IT
App news: NICE approval and university trials for Parkinson’s disease and children’s asthma
More than 100,000 patients with Parkinson’s disease will be prescribed smartwatches and apps on the NHS, following a decision by the National Institute for Health and Care Excellence to recommend five wearable devices to monitor symptoms, remind patients to take medication, and monitor the effectiveness of treatment plans (The Times, £). Researchers from the University of Plymouth, King’s College London and Queen Mary University London have been given a £1.9 million grant to examine how well two commercial products, Wheezo and Propellor Health, help children to manage asthma (University of Plymouth news release).
Is health tech boring? Not with the right communications…
Highland Marketing Blog
Highland Marketing co-founders Mark and Susan Venables have been working with health tech for a long time. Recently, they’ve seen signs that there’s a growing perception that this is a sector with limited appeal; something the right communications approaches can help to dispel.
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