Dynamic Health Systems Ltd (DHS) was formed
in January 2010 to design build and launch a service that supports the millions
of people who live with long-term conditions (chronic illnesses) in a way to both
significantly improve health outcomes as well as reduce service utilization. Improving
health outcomes to give patients an opportunity for a better life, improving
service utilisation to give the health systems the potential to deliver better
outcomes and at the same time a financially sustainable life. This service is
In the UK and other
OECD countries there is major pressure to improve how health care is delivered.
Gradual improvement will not be sufficient to combat the budgetary pressure of
increasing expectations, increasing age and reduced financial means. A step
change is required on many fronts. In particular in the UK in recent years much
effort and resource have been spent on leveraging the productivity enhancing
capabilities of ICT and bring about change.
The conclusions drawn in the Wanless report
are still valid today and are confirmed by current Department of Health policy
documents and reports. Much has been improved but the step change still eludes
Over the past 7 years, we built up
experience with encouraging patients into self-caring in a supported way. To
date over a 1000 patients are now looking after themselves better in this way.
A closely tracked cohort of 50 patients showed both improved wellbeing and a
marked reduction in NHS service utilisation. The results were published and now
more than GP 20 practices are implementing this style of care planning for
Policy from across Europe and in other
countries, clinical and operational studies and our own experience with
patients and with designing solutions for services emboldened our resolve to
create something outstanding for patients. DHS understands the UK national
policy to enable self-care. We have played a part in its formulation and the DH
has divided to include it in the national QIPP strategy. Now the policy has been rolled out nationally.
In our view, DHS' VitruCare is a vital
component of the new proposition. It completes the suite of Managed Care and
Monitored Care services available today, with Self Care as the keystone. It
puts the patient at the centre, in control and achieves enduring engagement, a vital ingredient for patients co-creating care.
Our partnership with health care providers,
academia and technology companies such as Sue Ryder, Salford University, TPP, Microsoft and Robert Bosch and sponsorship by SBRI have
given Dynamic Health Systems a flying start in creating and evaluating the
VitruCare service. DHS is a member of the Microsoft Partner Network.
People of Dynamic Health Systems
The expertise of the leading members of DHS
is equally distributed among practicing clinicians, business transformation and
systems design. These very different perspectives come together to produce
innovative solutions that challenge the assumptions of the status quo while at
the same time being practical and tested in our own clinical areas.
Dr Richard M Pope MD FRCP. Clinical
Director for DHS
Diabetes/Endocrinology, Director of Innovation and past Medical Director at
Airedale NHS Trust. In this role he collaborated with Dr Ali to orchestrate
primary and secondary care resulting in patient self-confidence, improving
outcomes while reducing service utilisation. Drs Ali and Pope published first
stage results in the Health Services Journal. Dr Pope was involved from the
very beginning with the modernisation of information technology in the NHS.
As Clinical Director, Dr Pope is
responsible for the clinical design of the solution. Building on his experience
with tele-consultations in prisons around the country and in collaboration with
Dr Ali the effect of engaging the patient for self-care, he seeks to improve on
the outcomes achieved by also raising health outcomes in terms of vital sign
and symptom improvements.
Prof. Shahid M Ali BSc. MB., Ch.B., PhD. FICR. For DHS he serves as GP Specialist and Director of Integrated Care
General Medical Principal with the Phoenix Medical Practice, Professor of Digital Health at the University of Salford, Specialist in Cardiodiabetes
and Clinical Lead Primary Care, Strategic Health Authority, West Yorkshire,
member of the National LTC Board.
Dr Ali takes responsibility for ensuring
the solution design is practical and operational in a general practitioner
environment. With his commissioning perspective, Dr Ali ensures the VitruCare
solution brings value to the wider responsibilities of the healthcare service
delivery organisations, such as CCGs in England. Having already achieved
significant progress with introducing care planning for patients living with long-term conditions, Dr Ali has built up
a cohort of patients with whom to delivery a substantial improvement with
VitruCare over and beyond patient engagement.
Follow Prof Ali on twitter.
Dr Carolyn Wilson BA, MA, PhD. KTP Research Associate for DHS and Salford University
Dr Wilson has a background in behavioural psychology and experience of research into post-purchase technology use by older adults. She obtained her PhD from Durham University in May 2014.
She is employed by Salford University and DHS as part of a Knowledge Transfer Partnership (KTP) to analyse the effectiveness of VitruCare as a tool for the self-management of health. Her role is to complete an 18 month longitudinal research project, collecting both qualitative and quantitative data on users of the system. Dr Wilson's long term aim is to develop effective evaluation methods that measure the satisfaction levels of patients and clinicians and implement these methods to assess the peformance of the digital services provision, thus establishing the evidence base for providing care in this new way of working.
Gillian Elsey, BA, Transition and Realisation
Ms Elsey leads DHS' clinical staff training and support to transition clinical teams into the new way of working. Leading patient groups is an important feature to create the enthusiasm and motivation in the clinical team and amongst patients.
She has an extensive background in behavioural psychology, including several years in clinical practice supporting people with alcohol and substance misuse issues.
She subsequently led the establishment of a recruitment company, Allied Healthcare, in the North of England. This successful company supplied nursing and other care professionals to both NHS and private sector clients. Before this she had a carer as a sales and marketing director with a national hotel chain
Ms Elsey has worked with people who have diabetes and associated complex care needs and more recently she has worked as a member of the community nursing teams in North Yorkshire, where she developed her skills in supporting people approaching the end of life. She has developed a deep understanding of working practises in primary care.
Using her broad based experience, she has developed an engagement and training approach that helps patients and clinical colleagues both begin using and realising the value from VitruCare.
Dr C Douglas Muir, BEng, PhD, MBA. CTO for DHS
Dr Muir has many years of experience of large-scale complex business systems design in several technology intensive global industries, most recently of the European Fusion for Energy programme. His experience of applying modern Information Technology to large-scale challenges is essential to the design and development of the solution. Dr Muir takes responsibility for the technology roadmap, solution architecture and delivery of the VitruCare release roadmap. He gained his MBA from Cranfield University.
A Schulte, MBA, Managing Partner of DHS and Service
Schulte served as Director of Innovation
and as Business Transformation Practice Head in one of the largest
and system integration corporations and created breakthrough solutions
achieve significant operational improvements that gave rise to contracts
valued at hundreds of millions. His focus on health in recent
years yielded a new concept for serving patients living with long-term
conditions. He has more than 20 years of programme and design management
experience on innovation projects, delivering transformational results
and patent applications by multinational corporations. Early work was
fluid dynamics and stress analysis for critical industrial systems.
partner with Dynamic Health Systems, Mr Schulte brings service concept
innovation as well as the international perspective. He selects and manages the
technology partners to bring the solution to world class. Mr Schulte has 4
decades of international experience, starting early by being educated in four
countries. Mr Schulte has worked and lived in many European countries and in
the USA. He gained his MSc from Delft University of Technology and his MBA from
Ashridge Business School.