The Health Innovation Platform

Multi-disciplinary teaching of all staff involved in maternal emergencies-including guards and drivers-reduced maternal mortality by up to 70% – the Malawian DoH wants it upscaled throughout Malawi.

One to one boot camp style surgical training. The model I learned during my visit to Zambia and Kenya have been used in the following settings.1. Training Foundation Year 2 (FY2) Doctors – I used a similar model to set-up a hands-on training course for FY2s. I felt that exposure to surgical procedures is limited before embarking on a core surgical training post. I designed a 2-day course for 24 FY2s with 4 modules (urology, orthopaedics, general and vascular surgery) of 4 hours duration. This was well received by the deanery and for nearly 6 years we have delivered the course.2. Specialist Training in Urology for European Residents – The success of the Boot Camp in the UK setting attracted educators from Europe to visit and observe our course.

Stre@mline – innovative IT integrating Patient Care, Safety & efficient Health Service Delivery particularly in resource-limited situations contributing significantly to Universal Health Coverage.

Strengthening community mental health care through Health Surveillance Assistants

An Apple IPAD platform of around 250 videos, textbooks, manuals and presentations on maternal, neonatal and child healthcare has been developed and in collaboration with MOHSW and WHO is going to be used for continuing medical education throughout Liberia.

The RCPCH East Africa ETAT+ project results were shared at the August 2014 International Congress of Tropical Pediatrics at KICC, Nairobi in a one day pre-congress workshop dubbed- HEALTH SYSTEMS RESEARCH/RCPCH PARTNERSHIP: ETAT+ and innovations on understanding and improving Health.

Radio jingles were developed and broadcasted by 8 stations across Sierra Leone to raise awareness about epilepsy. An informational video broadcast on television and on video advertising boards in busy areas.

Using a range of tools to raise public awareness of health risks associated with alcoholism including radio broadcasts and call-ins, talks at churches. Breaking down stigma surrounding alcoholism by using informal messaging and neutral places to break ground. Could be used as a model for the NHS to change perceptions around seeking medical help for addiction.

THE LAMRN project aimed to develop a sustainable research network for midwifery to increase skills and quality service provision. Midwives have commented that LAMRN has made them see practice differently by giving them the confidence to question the status quo. 8 midwives out of the 120 trained who have contributed meaningfully to these guidelines and/or evidence of clinical innovation. Over 2 years, 39 research projects have been developed in a range of topics. This has the potential to be brought to the UK as an innovation. Small, local or thematic groups working together on research projects and developing ideas to improve care quality.

“Innovating Midwives into Research” seeks to harness the power of research through partnership with clinicians to identify research priorities, design and co-production to improve women’s health. In the UK, it is known that patients have better outcomes in institutions that are research active and I would like to help lead a cultural change among clinicians in this regard to make research available to all. The potential benefits of this innovation project are vast and would include key engagement and empowerment of midwives (and potentially other healthcare workers), the institution, the overall health system including women, their families, and therefore their communities and wider society.

An Artificial Intelligence smartphone app to improve the accuracy of cervical screening in LMICs.

Developed a scalable model for strengthening family medicine in resource-limited environments.

Multi-disciplinary approach to stroke management; conferences, presentations and talks.

Training current mental health inpatients as Peer Support Workers and engaging them as key participants in Income Generation and Skills Development projects

As maps have been replaced by satnavs, we have developed a decision support technology called MedNav which replaces guidelines with real time auditory and visual clues to guide emergency workers.

We have developed health education dramas and documentaries in 2 Ugandan languages to address misconceptions about the contraceptive implant, and so to increase uptake.

Contraception, community and grey crowned cranes; harmonising family planning and environmental efforts to improve lives in South West Uganda.

This project contained multiple examples of innovation. A new bed-frame system was designed and prototypes assembled and trialed on the ward. Mosquito nets provided in the ward suspended from the ceiling were difficult to use. Development and trial of an IT system “Stre@mline” for patient safety, diagnostics and medication labels. Also being supported by a grant from the Uganda National Council for Science & Technology. Introduction of Mobile Hand Wash stations to improve hand washing and infection control practices.

Clinical audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change.

Training program for the Ugandan Blood Transfusion Service. Took a range of formats including online videos, equipment management and monitoring programs.

Training program for medical students in the Remido mobile camera. The camera is user-friendly and can be operated from an iPhone. As most students have smart phones they found it easy to learn and manage and were able to take high-quality retinal images.

Unlike traditional pill organizers which organize medication according to times taken, Page Pill organizes medication according to medication type. This has two huge benefits both to the end user, or the dispensing pharmacy where relevant: Monthly medication are organized in minutes, while dose and medication changes are made in seconds.

A two year collaboration between representatives from Moi Family Medicine Faculty and Registrars in Kenya and PCI on a primary care programme has led to the development of an innovative project to support Family Medicine doctors to fulfil their potential as promoters of primary care.

Psychoeducational films for child and adolescent mental health in LMICs.

A structured, integrated nutrition program that can be adopted without significant resources or specialist input, allowing low- and middle-income countries (LMICs) to tackle inpatient malnutrition.