X-Lab – Disruptive Innovation in e-Health Disruptive Innovation: The National Pathology Exchange (NPEx) Owen Johnson Senior Fellow School of Computing University of Leeds X-Lab – Disruptive Innovation in e-Health

Disruptive Innovation?

Disruptive Innovation? Christensen, Clayton M., Richard Bohmer, and John Kenagy. "Will disruptive innovations cure health care?." Harvard business review 78.5 (2000): 102-112. Disruptive Innovation?

X-Lab Disruptive Innovation in e-Health Formed in 2006 as by staff and graduates from the University of Leeds. Co-located with the Leeds Institute for Health Sciences on the University of Leeds campus Three directors, eighteen staff (11 developers, support, design, business analysis, management and business development) Almost all staff have first class degrees from School of Computing Either a small SME or one of the most talented teams of software developers associated with the NHS Sector Solution Backed by Status Pathology NPEx The Health Informatics Service Live since 2009. 20% of UK market. Patient Reporting QTool The University of Leeds Live since 2011. First to market. Patient Records PPMP Leeds Teaching Hospital Trust Live since 2013. First open source.

X-Lab Innovation Cycle Deployment Development Innovation X-Lab – National Innovation Awards 2010

Pathology in the UK NHS 800m pathology tests per annum – Department of Health – Digital First (2014) 7 times over capacity – Carter Report 2008… Capacity = 5,600m Demand is rising BUT… Local Buyers are “locked in” to inelastic local supply so market forces cannot achieve best value Rivalry is limited to local geographic region Processes are expensive, slow and clinically unsafe when use paper

How to Disrupt? LAB A ? LAB B LAB C A single National Digital Hub for the NHS Every lab digitally connected to every lab Processes Processes User skills User skills Coding standards Coding standards LAB A ? LAB B LAB C

A national lab to lab exchange for all laboratory disciplines. From any lab, to any lab.

2009 Laboratory to laboratory exchanges within Greater Manchester Pathology Network 9

Dave Johnson ,Trafford General Hospital “X-lab’s system is extremely effective and efficient. We have been using it for processing Chlamydia tests and the reduction in turnaround has been dramatic – in fact, now in a best-case scenario we can get test results back within a day. The reporting process is seamless, largely automated – and paper-free. It has increased efficiency and accuracy and is of great benefit to clinicians and patients.”

www.NPEx.nhs.uk

Disruptive?

Where we would like to go: A Digital Stock Exchange for UK Pathology The ability to buy and sell pathology capacity across the UK to give the best value, finest quality service to the NHS

NPEx Roadmap Transport Integration Laboratory Results Portal Benchmarking Exchange – buying and selling capacity RFID in Sample Tubes

X-Lab – Disruptive Innovation in e-Health Disruptive Innovation: The National Pathology Exchange (NPEx) Owen Johnson Senior Fellow School of Computing University of Leeds X-Lab – Disruptive Innovation in e-Health