Automation and a possible future for health and social care

As the DF programme winds down, this will be my final blog post. It takes some of the ideas that Sharon Davies and I first shared at the Housing Technology 2018 conference, and applies them to the wider field of social care.

The acquisition of the Dell Boomi integration platform has opened up a vast range of possibilities by allowing us to automate business processes based on things that have happened, or are likely to happen (this is known as event-driven architecture).

Before going into more detail, I am conscious that automation is often seen as a way of getting rid of jobs – anyone familiar with Kurt Vonnegut’s Player Piano knows how badly that might end, if taken to its logical conclusion! However, if new technology is used to add new capabilities, and to enhance human work (making it more effective and efficient, rather than simply replacing people) – that is where the real benefits of innovation are to be found.

The diagram below (large version here) shows how this could be applied to health and social care in the future.

ASC event driven architecture v0.5 2019-03-24

 

Connected digital health devices (for example, blood pressure monitors) transmit data to an IoT platform (essentially, a data storage area). The integration platform can be programmed with business rules which are triggered by changes in this data. These business rules create actions – these can be things like mobile notifications, health visits, cases and tasks.

A simple health scenario could be:

An elderly citizen takes their blood pressure every morning. The reading is uploaded to the IoT platform. The integration platform picks up the new data and writes it directly to their NHS patient record. As a result, the GP saves time which would otherwise be spent taking blood pressure and doing data entry.

A more complex health scenario could be:

A series of blood pressure readings indicate an increase of 20% in BP over one month. The integration platform notices the pattern and creates an appointment for the resident with a nurse practitioner to carry out further investigations. As a result, the risk of a stroke or heart attack for that citizen is greatly reduced – and of course, the cost of prevention is very much lower than the cost of treating someone with a stroke or a heart attack!

It’s easy to see the potential for savings just from these two examples. The transformation work currently taking place in adult social care at the council should be able to apply these principles to our excellent Carelink Plus service, among other areas, as it replaces older technology with newer, connected health and monitoring devices.

Finally, I just wanted to say that it’s been a pleasure and a privilege to work with such a lovely, talented and motivated group of colleagues, and I wish the council all the best for the (hopefully non-dystopian) future. If you’d like to keep in touch, you can find me on LinkedIn here.

 

 

 

 

 

 

And it’s goodnight from me…

My time at Brighton and Hove City Council is almost up. My last day is Thursday 28th March and I’ll be sad to go.

I expected to be here for three months working on an account for businesses. But I met some amazing colleagues doing user centred work and decided to stay on.

Hats off to you great people. Thanks to the Digital First originals (Ali, Annie, Beckah, Charlotte, Gary, Nora and Ollie) and all the talented individuals we met along the way. Peak DF was 31 people – too many to mention here – but I’m grateful to you all.

Charlotte, Annie and Nora setting up the original Digital First wall in Jan 2017

When I left the Government Digital Service, I wanted to work more closely with users. That’s definitely happened. By collaborating with real citizens, businesses and community groups we’ve been able to do good work.

I’m proud of the work I did as a Product Manager. I’m proud of the big projects we took on as a team. Things like:

  • reworking the systems that run the city’s bin collections
  • the application process for schools (hours of testing!)
  • rethinking Pest Control from the ground up
  • creating a new platform for managing the city’s volunteers
  • Design Dave’s awesome design system

It’s essential work that keeps Brighton & Hove moving. As a new team forms in April, I wish you all the very best.

For more of the same, I’m on Twitter.

Digital First values by Ivanka and team

The Local Government Digital Unconference

In Feb and March this year the Local Government Digital Collaboration Unit (LGDCU) ran 4 unconferences in the cities of Bristol, London, Coventry and Bradford. I attended the London one on behalf of Digital First.

The unconferences were designed to bring together professionals from the local government digital sector to discuss common challenges for people working in the sector. They were also put on to foster collaboration and to encourage more councils to sign up to the Local Government Digital Declaration (LGDD). The Declaration was launched in January 2018 and already has 145 signatories.

Before we broke out into groups to discuss topics suggested by the delegates the LGDCU project and technical leads talked about their goals. There was heavy emphasis on their role in facilitating collaboration and shared fundings.

The talks covered Local Digital Fund (LDF) support for digital collaboration projects, free GDS academy training credits for LGDD signatories, the 16 projects currently in flight (10 discovery, 6 alpha) under the Unit’s supervision and Pipeline as a place to open source and share builds. There was also a very cool talk by the digital guys from Barking and Dagenham on their Social Progress Index.

The topics that were covered in the breakout sessions can be seen in the following graphic.

LGUnconference.jpg

Too many to attend them all!

I chose to attend sessions on data and APIs, how to gain leader support for digital transformation, successful digital delivery and procurement decisions.

From a Digital First perspective it was great to hear other councils talking positively about the design pattern library we have created to guide our web and app builds and have now opened up for others to share.  It was also great to talk to Bloomberg’s smart city representatives who were very interested in our IoT housing sensor project.

Coming back to Brighton and Hove I felt enthused about what is happening in local government digital and will recommending that our council sign up to the Declaration at the earliest opportunity.

Follow LGDCU at LDGovUK and #fixtheplumbing #localdigitalfund