Weekly Newsletter - 26.09.2024

20% of UK GPs using AI tools and NHS Confederation urges action on health-related benefits

Digital Health

Health Policy

The NHS Confederation has responded to an IFS report showing a significant rise in health-related benefit claims in England and Wales. Matthew Taylor, chief executive, emphasised the link between NHS performance and economic benefits, noting that improving health services could boost the UK's GDP by £109-177 billion by 2029 and unlock £35-57 billion in fiscal revenue over the next five years.

Taylor highlighted the need for capital investment in the NHS, as outlined in the Darzi review, to enhance productivity. He called for cross-government collaboration on health policy, focusing on social determinants of health to support the prevention agenda. The Confederation welcomed the Secretary of State's commitment to economic growth through health investment.

Healthcare Innovation

As of September 2024, over half of acute trusts, totalling 75, have joined the NHS Federated Data Platform (FDP), surpassing the initial target of 71 trusts. This milestone, confirmed by NHS England, marks significant progress in transforming healthcare delivery and improving patient pathways. The FDP enables better data sharing and decision-making, enhancing patient care.

The rollout, which began in March, has now moved from the transition to the delivery phase. Trusts must adopt the platform within two years. The FDP supports various functions, including outpatient care and vaccination programmes, offering accurate, real-time data for strategic planning. An independent investigation acknowledged the FDP's promising impact, and NHSE has contracted KPMG to promote its adoption.

Healthcare Innovation

A recent survey by Uppsala University, published in BMJ Health and Care Informatics, reveals that 20% of UK general practitioners (GPs) are integrating generative AI tools like ChatGPT into their clinical workflows. The study, conducted in collaboration with Harvard Medical School and the University of Basel, involved 1,006 GPs and is the most comprehensive of its kind since ChatGPT's launch in November 2022.

The findings indicate that AI tools are primarily used for documentation (29%) and differential diagnosis (28%), highlighting their potential to reduce administrative burdens and support clinical decision-making. However, significant ethical and safety concerns persist, including the risk of errors, biases, and compromised patient privacy. The study underscores the urgent need for robust guidelines and training to ensure the safe and effective use of AI in healthcare.

Healthcare

Haris Shuaib, a consultant clinical scientist at Guys and St Thomas NHS Foundation Trust, highlighted a significant blockage in AI deployment within the NHS at the Digital Health Networks Exchange event.

He noted that while some AI deployment stages are functional, they are insufficient for widespread implementation. Shuaib emphasised the need for investment in people to ensure safe AI adoption and warned against drafting AI strategies without practical experience.

Shuaib presented a four-stage AI transformation playbook for NHS trusts, advocating for initial AI pilot projects, building in-house AI teams, providing broad AI training, and finally developing a comprehensive AI strategy. He also announced a strategic partnership between his startup, Newtons Tree, and Hexarad to enhance NHS radiology technology access. Lord Ara Darzi's independent review and The Health Foundation's report both underscored the urgent need for a concrete AI adoption strategy in the NHS.

Healthcare Policy

The Darzi review highlights the UK's lag in digital health investment, stressing the need for digital equity to improve NHS services. The NHS is described as a decade behind in digital transformation, with significant disparities in access to technology, particularly affecting underserved communities.

The review underscores the necessity of bridging the digital divide, noting that 1.7 million UK households lack internet access. To ensure equitable healthcare, investments must include free internet services in low-income areas and enhanced digital literacy programmes. Without addressing these issues, the digital health revolution may exacerbate existing health disparities.

Healthcare Technology

The panel discussion at HTN Now focused on digital trusts, innovation, and building effective digital teams. Georgie Duncan, Neill Crump, and Andrew Harrison shared insights from their respective roles, highlighting projects like electronic discharge advice notes, cloud analytics, and secure access to NHS systems. They emphasised the importance of integrating digital solutions to improve patient care and operational efficiency.

Successes included community diagnostic centres in Leeds and a maternity solution at The Dudley Group, which reduced postnatal documentation time by 78%. The panellists stressed the need for professional accreditation and continuous training for digital teams. They also discussed the importance of demonstrating the value of digital initiatives to senior decision-makers through real-life examples and frontline engagement.