1. Healthy Apps Healthy Data Healthy People Healthy Apps Healthy Data Healthy People

2. Personalised Health and Care 2020 Using Data and Technology to Transform Outcomes for Patients and Citizens Providing citizens with access to an assessed set of NHS and social care ‘apps’

3. National Information Board – Nov 2014 NATIONAL INFORMATION BOARD 3

4. Enable me to make good health & care choices Overall Objective

5. Self-Care and Prevention: We will deliver the online services that patients need to take control of their own care, which will reduce the pressure on front line services.

6. The apps market is not working - wisdom of the crowd is not an effective filter Professionals not ready to recommend Commissioners not confident to invest Organisations making high quality apps need reason for doing so NATIONAL INFORMATION BOARD What is the rationale for app assessment? Study of 47 smoking cessation apps (Abroms et al, 2013)

7. NATIONAL INFORMATION BOARD Considerable challenges Encouraging innovation Thorough, considered, adaptable & streamlined Deliver proven digital applications Building Trust Will the Health care system choose apps over existing measures Will citizens have confidence in them Controlling Costs Scale of demand Throttle quantity of assessment Tension All apps welcome All risk levels Looking for indicators of quality Prioritised segments only Higher risk only Robust evaluation

8. Value Proposition NATIONAL INFORMATION BOARD Not a regulatory process Identify and promote the best apps in health & social care Provide a benchmark for the quality of app development in healthcare Not all apps assessed in same way: proportionate use of resources Most comprehensive assessment likely for high impact / high risk apps Outcome must be highly accessible and integrated – assessment accompanied by advice, promotion, implementation tools

9. https://www.gov.uk/government/uploads/system/uploads/attachmen t_data/file/442833/Work_Stream_1_2.pdf

10. NATIONAL INFORMATION BOARD Phased assessment Stage 1 Technical: Privacy, Accessibility, Technical stability, Interoperability Safety: Reliability of content used Algorithm/ calculations Usability: Usability best practice Stage 2 Stage 3 Impact / value: Clinical safety Reach: usage, access Impact: o Effectiveness o Cost saving o Patient factors Stage 4 Self assessment + some external validation Crowdsourcing Business case for Stage 4 Independent assessment AP P Guide on how to generate evidence for digital

11. Privacy & Security Safety Interoperability Open Data Accessibility Usability Technical Stability Effectiveness Stages 1 & 2 Self Certification Team of Experts will ‘Peer Review’ the self certification answers & the app Peer Review

12. No specific app regulations Relevant laws, regulations and codes include: – Contract & Sale of Goods – Confidentiality – Negligence – Product Liability Directive 85/374 – General Product Safety Directive 2001/95 – Information Society Technical Standards Directive 98/34 – Electronic Commerce Directive 2000/31 – Privacy & Electronic Communications Directive 2002/58 – Misleading & Comparative Advertising Directive 2006/114 – Bribery Act 2010 – ABHI Code 12 Julian Hitchcock Denoon

13. Stages 3 & 4 Stage 3 Review of Business Case Effectiveness Cost Benefit Business Case for Stage 4 Stage 4

14. Tariff for Technology Apps “One thing we are announcing today is that, from April next year, we will add a piece to the national tariff system specifically for new med tech innovations that have been shown to be cost-saving or help patients with supported self-management.” E.g. AF, COPD New Announcement

15. Julie.Bretland@ourmobilehealth.co.uk 07799133598 @ourmobilehealth Julie.Bretland@ourmobilehealth.co.uk 07799133598 @ourmobilehealth

16. Update on Changes in detail Changes to HSCIS _ Changes to Safety/Security & Privacy Voluntary code on privacy 30 apps lined up for trial – stages 1 & 2 Work taking place on 3 & 4 How nice is deciding to evidence efficacy – writing them all up DIB – Digital Innovation Briefing _ NICE lining itself up to produce that as produced for ALiveCor Only talk about whats in the public domain – Include Wearables & other devices SOSQR - Summary Care record in scanning – summary care record – will come up in langugage of country – will give drugs & any proceedures & notify of next of kin & location via GPS & Map & Phone number of person scanning apps Pain Sense –