Shrewd Single Health Resilience Early Warning Database A

Shrewd Single Health Resilience Early Warning Database A Real Time, Single Version of the Truth

Shrewd BACKGROUND & APPROACH

Background and position today • TS formed in 2009 following H 1 N 1 pandemic • Spun out of JV with the Uo. G 2012 • 7 years of R&D and testing • Went to market 2 years ago • Covering 14% of NHS, 30 CCGs in negotiation with a further 34 • Self funded from revenue, no borrowing, no debt, no investment • Ethical/socially conscious • Won on to the National Innovation Accelerator (NIA) & Digital Health London Accelerator

Shrewd OUR APPROACH

Our approach & Objectives • Grew out of the H 1 N 1 pandemic of 2009, Urgent and emergency care system is fragmented, no organisation is an island • Started with research into why public sector systems fail • RED LINE- Everything we do is driven by co-production (NHS, social care and patients) • What will success look like : – – – • • show the whole health and social care picture be in real time be easy to read and understand provide a single version of the truth predict TOMORROW Roll out must be at pace to maintain momentum, enthusiasm and buy in Underpin what we do with research and evidence of impact Fundamentally, we turn data into real time, ‘actionable’ intelligence! When you have great data in real time you can……. .

Shrewd SYSTEMS: What you can do with great data

How We Help Wait. Less Escalation Strategic Resilience See system pressure in 3 seconds 3 clicks to detail Use tech to manage your whole system All in real-time In your Pocket Cut out teleconferences Automate winter reporting

Shrewd Resilience

How We Help Wait. Less Escalation Improve Performance: Manage resources in real-time Buy 6 -8 hours on existing processes Whole system Easy to use APP Allows front line teams to respond quickly See what has been deployed in real time Strategic Resilience

Shrewd Escalation Communication through your smartphone

How We Help Reduce A&E Attendances Better Care for Patients An App for Patients Geo – locates you Combines real time waiting times, patients waiting with traffic & travel Wait. Less Strategic Escalation Resilience

An APP for Minor Emergencies Ø 145, 000 uses in first 12 months Ø Review of evidence and impact by EK CCGs, Uo. G and Behavioural Insights Team Ø Reduction of 11% of A&E attendances to MIUs Ø Reduction of 5% of Minors attendances across EK Ø Loved by patients & 1 Panto Dame (99. 96% satisfaction) Ø Discussions ongoing with 111

How We Help A real-time urgent care dashboard Whole System Wait. Less Strategic Escalation Resilience Takes capacity and demand information from all providers Evidence Grip and control of Urgent Care issues using real-time data

Shrewd SYSTEMS: What you can do with great data

NHSE Strategic whole system view of Kent, Surrey and Sussex with automated reporting

Shrewd SYSTEMS: Can we predict tomorrow?

The Future of Prediction/AI/ML weather, air uality etc!

Prediction models applied to indicator Wait to be seen (minutes) in A&E _ MFT

Our learning in 2 quotes! “Failure is the opportunity to begin again more intelligently. ” – Henry Ford “its amazing what can be achieved if you don’t care who gets the credit” - Benjamin Franklin

Shrewd QUESTIONS?