In research published in the journal Evidence Based Mental Health, a team at the University of Liverpool found that many mental health apps and online programmes lack "an underlying evidence base, a lack of scientific credibility and limited clinical effectiveness".Simon Leigh, co-author of the study, argues that apps should be "well-informed, scientifically credible, peer reviewed and evidence based"."The rate at which apps come out is always going to outweigh the rate at which they can be evaluated.Mental health apps have grown in popularity at a time when psychological services have faced an increased demand and decreased resources.Many people find it hard to access services because of geography, because of mental ill health, because of physical disability.We've also found that, in the 50% of cases that do get to a GP, they're not able to guide mental health problems adequately."
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p The NHS has a rotten reputation when it comes to technology.At Davos in January last year, NHS England CEO Simon Stevens announced seven innovation testbeds that will take a different approach to tackling the impending health crisis.Two of the testbeds focused on Internet of Thingstechnology, with Surrey and Borders partnership NHS Foundation Trust using smart devices to help people with dementia stay at home longer and West of England's Academic Health Science Network developing a diabetes digital coach.The other five testbeds weren't as prescriptive: in North East London and in Lancashire and Cumbria, testbeds were looking to support older people with dementia; Heywood, Middleton and Rochdale NHS was working with Google's Verily on prediction and prevention techniques; Sheffield was looking to help people with diabetes, hypertension and other long-term condition treat themselves at home; and the Birmingham and Solihull project was developing tools for managing mental health.That's only expected to increase as demographics skew older, with the number of people 75 or older up by 89 per cent since the mid 1970s.As long term illnesses affect more people – as of 2013, there were 3.2 million people with diabetes – that's expected to increase to four million within the decade.
We have grown so accustomed to vast collection of our personal data and breaches of our privacy by both government agencies and private companies that new revelations no longer come as a surprise.These records from the U.K. s National Health Service NHS apparently include such details as a person s full name, HIV status, results of pathology and radiology tests, past drug overdoses, and logs of their hospital stays, including who visited them and when.In fact, the agreement states that pseudonimisation is not required, and besides, even anonymized data may be used to reveal private information.However, the company s secrecy and lack of oversight are of grave concern.When it acquired the artificial intelligence startup DeepMind two years ago for a reported $650 million, Google promised to set up an ethics board to deal with the issues of artificial intelligence.Founded by three brilliant young scientists, the company was in the news recently because a deep learning algorithm AlphaGo it had developed beat a human Go champion — no doubt, an impressive achievement.
The importance of the service means that any IT decisions about how it is run must be carefully thought through.CBR spoke to Ian Trenholm, CEO, NHSBT, and Anthony Evans, digital service manager, NHSBT, about the technology it is using.Before a move to Microsoft Azure almost two years ago, NHSBT had been using its own in-house service to manage all of its systems, but while they were stable, they struggled to deal with spikes in demand and were un-flexible."So if a celebrity goes on breakfast news and says, 'I'm very grateful for a blood transfusion', then people immediately try and go online and book a blood donation appointment.This month two NHS trusts were fined £365,000 for leaking information about thousands of NHS staff and hundreds of patients with HIV.NHSBT has architected its systems so that its on-premise estate manages some of the data that is very sensitive, but it has a secure high speed link between its internal database and the digital service that users see.
Tweet us at @TelegraphTech with your suggestions.Currently, the UK s National Health Service NHS is conducting on of the largest lung cancer screening efficacy trial on 12,000 people, to find out how much money it could save by screening high risk smokers with the Oncimmune test.The European IPO winterIt s been a particularly barren quarter for European IPOs.Startups are going public later in the cycle because of the glut of private money.It's not just to raise capital, but also to raise its profile to attract new institutional customers, Hamilton–Fairley says.This week, it announced it had signed up three new US distributors for its lung cancer test.
Epileptic seizures are the result of excessive electrical discharges in the brain.Brain implants and apps have been developed to warn of oncoming seizures.An EEG reading is at the heart of a reliable diagnosis, says Françoise Thomas-Vialettes, president of French epilepsy society EFAPPE.The diagnosis can take several years and is often imprecise.At least two hospitals in France – the Centre Hospitalier Régional Universitaire de Lille and the Hospices Civils in Lyon – are already set to try out the outfit in July and August.The smart outfit could also help in developing countries.
The Thunderer reports how the NHS buyers continued to acquire drugs at eye-gouging prices, using prices set by the marketing middleman, when much cheaper alternatives could have been acquired.We learn that the price of Welldorm, an insomnia drug, rose from £12.10 a pack to £138.56 between late 2014 and this month, an increase of more than 1,000 per cent.The paper informs us of what it calls a loophole .Generic drug prices are negotiated on the open market, and as a huge buyer, you might think that the NHS was in a position to drive a hard bargain.But what if my newsagent asked me for £10 for a packet of Polos, and each time he did this, I agreed?Would we really need to bring plug the Polo loophole by passing a new regulation?
In 1946, a British scientist named James Douglas embarked on an ambitious research project: He wanted to study every single baby born in the country in one week, March 3-9.But that was just the beginning of his story, as Helen Pearson explores in her new book "The Life Project: The Extraordinary Story of 70,000 Ordinary Lives," which looks at Britain's incredible history of long-term, large-scale medical studies.After the initial survey in 1946, Douglas and other scientists were able to revisit 5,362 of the 13,687 mothers originally surveyed, and once or twice every decade another survey went out.Today, about 3,000 of the tracked babies are still alive — they just celebrated their 70th birthdays this spring.The timing was fortuitous: When these babies were born, World War II had just ended and the National Health Service was about to be created.They were just in time for punch card computing to make the first big data studies possible, and they became the first generation to live with obesity on a large scale.The 1946 cohort is still teaching doctors incredible things about human health, as Pearson explains in her fascinating book.Keep reading to see some of the most important insights gleaned from 70 years of studying these 5,362 former babies.View As: One PageSlides
One of these is Chris Wittle, the founder of telehealth startup MyMed.It reveals that such savings are particularly pronounced in rural areas that use telemedicine to connect up emergency departments with doctors at much larger hospitals.It suggests that even once the costs of installation and maintenance are considered, the savings work out at around $4,662 per use on average.Our previous work showed that telemedicine was good for kids, families, and providers, but we didn t really address the cost issue, the authors say.Now we know, not only does it improve quality, safety, and satisfaction, but it also saves money.Indeed, the AI system was found to be both more accurate and considerably faster and therefore cheaper than human based triage services.
On the private messaging front, NHS staff informally using messaging apps like WhatsApp to quickly share information has previously been suggested as a risk to patient data confidentiality.Critics, such as health data privacy group MedConfidential, have questioned why so much patient identifiable data is being shared for an app targeting a single condition.Responding to some of these critical questions put to it by TechCrunch, the Royal Free Trust once again asserted the app is for direct patient care — providing the following statement to flesh out its reasoning:The vast majority of our in-patients will have a blood test and Streams would monitor the kidney function of every one of those patients for signs of deterioration, alerting clinicians when necessary.In addition to analysing blood test results, the app allows clinicians to see diagnostic data and historical trends that may affect treatment, and in doing so supports effective and rapid patient care.Given the envisaged breadth of the five-year collaboration between DeepMind and the Royal Free, as set out in their MoU, the fact the Google-owned company has been afforded access to such a wide range of healthcare data looks far less surprising — owing to the similarly wide range of products the pair envisage collaborating on in future.It s also worth pointing out that the NHS Information Governance Toolkit, which was completed by DeepMind last October after it signed the data-sharing agreement with the Royal Free, is a self-assessment process.
A new laser treatment which helps to manage men with enlarged prostates has been approved by National Institute for Health and Care Excellence NICE for the NHS to use.The condition can make it difficult for men to pass urine and lead to repeated urinary tract infections.At present, the NHS uses TURP which is a hot looped wire which cuts away at tissue.The prostate produces a thick, white fluid that s made into a thinner liquid by a protein called prostate-specific antigen PSA .The liquid is then mixed with sperm, produced by the testicles, to create semen.If the prostate becomes enlarged, it can place pressure on the bladder and urethra the tube through which urine passes .
The United Kingdom could play a significant role in helping India build hospitals and clinics in smart cities, according to the National Health Service NHS chairman Sir Malcolm Grant.The UK has developed some of the most innovative healthcare services and systems in the world over the past seven decades of NHS.I hope that our visit will help write a new chapter in the history of India s health services, both in the private sector and in the government s ambition to provide universal healthcare.Grant is part of a trade venture comprised of 23 British companies and NHS trusts, looking into potential health partnerships in North India.Bringing in experts from the UK might help alleviate some of the budget concerns, by providing more effective and efficient systems to smart cities.NHS executives know all about managing budget cuts too, in the past six years the Conservative government has been cutting off billions of pounds in health funds to try and balance the economic books, and still the NHS remains one of the highest rated health services in the world.
Requests submitted during outage are stuck in limbo, we're toldPhoto by ShutterstockThe issues affecting the NHS electronic prescription service EPS which began on Monday 6 June have still not been fully resolved, despite supplier Cegedim anticipating they would be completed over the weekend.As we reported last week, the EPS went TITSUP after system supplier Cegedim's Message Broker, which manages the transfer of electronic prescriptions prescribed by doctors through the NHS Spine to pharmacies using the Cegedim pharmacy patient medication record systems, experienced a service interruption.Internal NHS incident logs of the incident seen by The Register reveal that the issue was recorded as a Higher Severity Service Incident HSSI with a severity rating of 1.As part of this process, the incident must be reported to the HSCIC Service Bridge who will help manage it through to resolution by ensuring enough resources are applied to it.Following the resolution of an HSSI, the supplier has a limited time to provide HSCIC with an HSSI Report including the scope, impact, resolution activities, root cause and preventative actions, our source informed us.It is possible for General Practices and pharmacies to work around the backlogs in the system by ringing the GP and asking them to resend a new prescription while agreeing not to dispense the original one which has already been sent and then return it on the EPS when it does eventually come through, but this process is, in the words of our source, a bit of a ballache.
Photograph: Graham Turner for the GuardianMillions of people will receive devices and apps free on the NHS to help them manage conditions such as diabetes and heart disease in an major drive to use technology to reduce patient deaths.He wants people who already use apps such as Uber or Airbnb to show the same willingness to embrace digital technology that could alert them to the possible onset of a stroke, heart attackor deadly infection.He is creating a new tariff , the money a hospital receives for a course of treatment, that will offer them an incentive to make greater use of innovation and technology.It helps those with chronic obstructive pulmonary disease, such as emphysema and bronchitis, to manage their condition on their smartphone or tablet.He will voice frustration that, while Britain has played a key role in medical innovations such as IVF and organ transplants, it has been too slow to adopt technology as a key means of helping patients to manage illnesses and stay as healthy as possible.The NHS has a proud track record of world firsts in medical innovation.
NHS England is recruiting for a director of digital experience for £131,000, part of a major digital rebrand of the health service.It will involve "Identifying services across the entirety of the NHS portfolio where digitisation will dramatically improve patient outcomes or enable organisations".Back in February, National Health Secretary Jeremy Hunt promised a £4.2bn investment to "bring the NHS into the digital age," part of an attempt once again by the department to force the service to go paperless.Next month the Health and Social Care Information Centre is to be rebranded as NHS Digital in a bid to build "build public recognition, confidence and trust".Critics might observe that trust is something NHS England is in need of building, given the ongoing controversy around private companies such as Google potentially having access to anonymised health records under Care.data.The closing date for the receipt of completed applications is Friday, 24 June 2016.
Patient records from an old NHS Primary Care Trust have been found by people who purchased secondhand office furniture on eBayA couple, who bought second-hand office furniture on eBay, discovered records relating to psychiatric patients from a former NHS Trust administrative body in a filing cabinet, in what is seen as an extremely rare case of a physical data breach.This followed the introduction of the Health and Social Care Act 2012, which got rid of all Primary Care Trusts and transferred their responsibilities to 211 new clinical commissioning groups.The cabinet in question contained 60 pages of documents that included in-depth details of patients' histories of sexual abuse as well as suicide attempts.Black Country Partnership NHS Foundation Trust, which now has jurisdiction over the area, says it is now investigating the issue.The facts of the case are not yet clear."We take patient confidentiality very seriously and apologise for any distress this has caused."
The new computer system has been delayed yet again to give the NHS time to train staffA project aimed at updating the NHS 24 telephone helpline has been hit by a delay that will push rollout back to the end of next year, following previous bugs that forced an original launch date of October 2013 to be called off.The latest problems mean that the NHS Future Programme rollout will not occur until at least four years than originally scheduled, and will be more than 50 percent over budget, according to the NHS current estimates.The NHS has made more than one attempt to bring the system online, but one effort was cancelled due to system crashes that forced staff to resort to pen and paper to handle calls.Earlier this year a scheduled June launch was delayed until later in the summer after a bug caused the system to display blank screens.NHS 24 is now planning to phase in the system for certain services beginning this summer, followed by its introduction across a full range of services in one health board area to ensure that it is functioning properly, before a nationwide roll-out by the end of 2017.
London-based healthcare startup Network Locum, which has built a staffing platform and workplace management software targeting the UK s National Health Service NHS , has closed a £5.3 million $7M Series B funding round, led by UK fund BGF Ventures.The startup was founded by a former McKinsey and NHS consultant, Melissa Morris, back in 2011 after she saw an opportunity to undercut fees being charged by recruitment agencies via a matching platform to help fill temporary staffing vacancies.Network Locum is both workplace management SaaS and a marketplace of locum staff.The platform uses several criteria to match locums with vacancies, according to Morris, including their location, whether a particular doctor has worked at a particular hospital/GP surgery before, and the doctor s searching intent — so things like the type of work they were searching for.There are huge amounts of manual work that goes into staffing, using agencies and also via full time employees who work within hospitals and GP practices acting like in house recruiters.Most of this work can be automated and when you add a layer of intelligence you can match clinical staff with shifts quickly, cheaply and fill substantially more shifts, adds Morris.
DeepMind made a name for itself by building a computer that beat the world champion at Go and freaked everyone out but now it s moving on to a project more likely to help the common man: diagnosing blindness.DeepMind has teamed up to work with the National Health Service, England s publicly funded healthcare system, to develop an algorithm that can better predict eye disease—including eventual blindness—from just looking at a scan of the eye.The NHS will share a million anonymous eye scans with DeepMind, who will train the machine to detect subtle signs that something is wrong.An ophthalmologist contacted DeepMind after reading about how it taught itself to be good at Atari games, and realized that it might also be good at other types of image recognition.This is the second NHS partnership, after an earlier one where DeepMind technology is used to monitor kidney health.But it s not the only company trying to apply machine learning to healthcare.
Google and the U.K. s government health service have partnered to study whether computers can be trained to spot degenerative eye problems early enough to prevent blindness.Google DeepMind, the London-based artificial intelligence unit owned by Alphabet Inc., announced a research partnership today with the National Health Service to gain access to a million anonymous eye scans.DeepMind will use the data to train its computers to identify eye defects.The aim is to give doctors a digital tool that can read an eye-scan test and recognize problems faster.Earlier detection of eye disorders related to diabetes and age-related macular degeneration could allow doctors to prevent loss of vision in many people, according to a statement by DeepMind Tuesday announcing the project with the Moorfields Eye Hospital NHS Foundation Trust.Google acquired DeepMind in 2014 to expand its artificial intelligence capabilities.Co-founded by child chess prodigy Demis Hassabis, the firm specializes in machine learning, the increasingly important area of technology where algorithms allow computers to learn and figure things out on their own.DeepMind has taught computers how to defeat a champion of the complex strategy game Go and play Atari s classic 1970s video game "Space Invaders."Separately, DeepMind has announced the creation of a health care review board to scrutinize its work with the NHS.
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