I will be speaking at #WHIS16 London on 25 June 2016

The World Health Innovation Summit (WHIS) now moves to the Royal College of Obstetricians and Gynaecologists on the 24th & 25th June 2016. This follows the success of the inaugural WHIS summit that took place in Carlisle, Cumbria in March of this year (23.7 million twitter impressions achieved).

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WHIS is an unique and innovative forum in that it supports our health services by bringing communities together to innovate and share knowledge to improve health care for all.

The World Health Innovation Summit aims to bring all members of our communities together to support and help our health services by providing a platform for us to come together as a community to innovate and share knowledge so we all benefit.

As with the first Cumbrian summit, the London event has a range of expert patient innovators, clinical leaders, health commentators, academics and members of the business community speaking and working with members of the community to inspire innovation in healthcare.

I sadly was unable to make it up to Cumbria in the end, due to unforeseen circumstances, but my ‘here’s one I made earlier’ specially prepared talk on innovation and dementia was shown (and received good feedback).

#WHIS16 Innovation as a response to dementia from Shibley Rahman on Vimeo.

The programme is as follows.

#WHISLondon16

Programme Day 1 – 24th June 2016

9.00am Registration & Networking

10.00am Welcome Gareth Presch, Founder

10.05am Opening Address Dr Amir Hannan, Chairperson

10.10am Olive O’Connor, Patient Innovator

10.40am Deirdre Munro, Founder Global Village Network & Soni Cox, Counsellor MBACP Accred. Supervisor. Creator & Director of My Way Code

11.30am Coffee Break

11.45am Prof Minesh Khashu

12.25pm Jacque Gerrard, Director & Joy Kemp Royal College of Midwives

1.00pm Steve Turner, MD & Founder Turn up the Volume “Patient led Clinical education”

1.30pm Lunch

2.15pm Panel Discussion Women’s Health Chair Deirdre Munro

Soni Cox (Global Mental Health), Chris McBrearty (Medical Leader), Hriitu Rana (India), Asia Omar (Sudan), Sally Godwin, Jacque Gerrard, Joy Kemp RCM Global Midwifery , Prof Minesh Khashu (Health Systems), Carmel McCalmont (Student Twinning), Natalie Corden (Student Leader), Martyn Blacklock (Wellbeing)

3.00pm Manjit K Gill, CEO – Binti Period

3.30pm Coffee Break

3.45pm Prof Glenn Roberts, Quality & Innovation Kings College London

4.15pm Carmel McCalmont, Head of Midwifery UHCW

4.45pm Founder Gareth Presch

4.55pm Closing Remarks Dr Amir Hannan Chairperson

 

Day 2 – London 25th June 2016

9.00am Registration & Networking

9.30am Welcome Gareth Presch, Founder

9.35am Opening Address Dr Amir Hannan, Chairperson

9.40am Dr Alyaa Gad, afham.TV

10.10am Paul Watson, Children’s Mental Health Nurse (special interest military children)

10.45am Martyn Blacklock, WHIS KIDS & WHIS at Work

11.30am Coffee Break

11.45am Briefing sessions  – Guest Speakers (Mummy’s Star, SilverFit and more)

12.30pm Panel Discussion Solution focused – Special Guest Chair

1.00pm Lunch

2.00pm Dr Chris McBrearty, CEO Strive Clinic

2.40pm Christiana Gardikioti, Founder Meraki People

3.15pm Coffee Break

3.30pm Hala Jawad, Community Pharmacist

 

4.10pm Dr Shibley Rahman, Author

 

4.50pm Carrie Jackson, Director, England Centre for Practice Development

5.20pm Sanchita Islam, Artist, Writer, Film maker

5.40pm Closing Remarks Dr Amir Hannan Chairperson
#togetherweinspire ‪#‎WHIS‬ ‪#‎togetherweinsprie‬

 

You need to ask the right questions to get the right answers

Idea concept with row of light bulbs and glowing bulb

Idea concept with row of light bulbs and glowing bulb

I think the worst aspect of the term ‘innovation’ is the term itself. For me, it more often than not conjures images of gimmicks and the snake oil salesmen of these gimmicks.

But there’s a certainly a place for ways in which people can be motivated to take an interest in his or her own health. There needs to be, nonetheless, an informed debate; for example, a healthy “health check” is no guarantee that you won’t succumb to some malady within a few years time.

I’ve known people to run a full distance on a cardiac treadmill in a hospital, with no monitored changes in heart function, only to drop dead seconds later in the hospital car park.

Nonetheless, most definitions of innovations are quite broad, and are generally doing things differently or doing different things.

It’s often said by physicians that the vast majority of a reliable diagnosis can be taken from a good history of symptoms. That I believe to be supremely the case for dementia.

I am not going to bombard you with the predicted million people living with dementia in the UK, as quite frankly if it’s your mum living with dementia that should be good enough for you to take an interest.

The question, “Have you had trouble with your memory?”, is likely to engender a lot of false positive responses as a diagnostic screening tool for dementia. A better one would be possibly, “Have you had trouble with memory but feel that your mood has been quite good?” But even this question would not be ‘fool proof’ as people can live with both dementia and depression.

There is a good ‘push’ argument against supporting a status quo in the current approach to dementia. That is, it is overly reliant on a medication solution, when the vast majority of drug research work in this area has resulted in failure. This ‘promissory hope’, of “one last push”, is needed to keep the general public engaged with this mission, and certainly helps the surpluses and profits in the short term.

Indeed, many of the arguments for ‘barriers to innovation’ can cut both ways. For example, it might be the case that in these economic challenging the times the last thing you’d want to do is to take a massive punt on redesigning diagnostic care services for dementia. Or, on the other hand, you might take the view that there’s nothing to lose.

The need for innovations to be ethical and accountable has become increasingly important under the umbrella term ‘responsible innovation’. Not all dementia is Alzheimer’s disease, and yet we are led down the Alzheimer’s path continually by the media. If there were a ‘biomarker’ for Alzheimer’s disease which was very specific and sensitive, and inexpensive to get the results of, would this information help you?

The answer is possibly – but if this were coupled with a private insurance system, you could also find your insurance premiums going through the roof, even if you were to have forty years of healthy living ahead of you.

Certainly the more expensive the investigation doesn’t make it more fool-proof. I’ve known patients with a clear diagnosis of frontal dementia who’ve had plum normal investigations including state of the art MRI scans. And likewise people with radiological atrophy on MRI who don’t have dementia.

I see innovations in dementia as a tool in dementia diagnosis, support and care, but only if used responsibly. Otherwise more noise can be added to the signal, as was clearly the case for incentivising primary care to run case finding tests for dementia. The very predictable unintended consequences that the number of false positive diagnoses of dementia also shot up, although ignorance is possibly worse than fear.

Ask any corporate strategist about the future and he or she will always tell you some of it is about turning threats into opportunities. For me, if you cut through the shill and waffle, an intelligent way to redesigning dementia care isn’t a bad idea, even if I would not necessarily start from here.

 

 

 

This is the talk I will be giving for #WHIS16, the World Health Innovation Summit in Cumbria, on innovation as a societal response to dementia.