julie-ann walkden nicola...

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MAGIC Pre-Commercial Procurement : Impact on Post Stroke Rehabilitation

Julie-Ann Walkden

Deputy Commissioning Lead Belfast &

Regional Stroke Network Coordinator

MAGIC-PCP Co-ordinator

HSCB

Nicola Moran

Clinical Physiotherapy Specialist in Stroke

Belfast Health & Social Care Trust

7th June, 2019 KUOPIO

mailto:[email protected]




• Mobile Assistance for Groups & Individuals within the Community – Stroke Rehabilitation

• Horizon 2020 - PHC-27 PCP call – “Self-Management of Health & Disease & Patient Empowerment Supported by ICT”

http://magic-pcp.eu This Project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under grant agreement No 687228

http://magic-pcp.eu/



Project funded in the framework of Horizon 2020 DG for Communications Networks, Content and Technology Sustainable and Secure Society - Health and Well-being -

Mobile Assistance for Groups Individuals within the Community - STROKE REHABILITATION cod. 687228 - H2020-PHC-2015 –


Buyers Group

Project support Observer states

What is MAGIC?

MAGIC – Mobile Assistance for Groups & Individuals in the Community. MAGIC is a European wide Pre-Commercial Procurement (PCP) focused upon creating innovative technology; Transforming services for people post stroke to improve physical function and personal independence




PCP Enabling Innovation in Health & Social Care Northern Ireland & Italian Healthcare • Driving targeted change to:-

• Address real & defined issues

• Help more service users with less resource … efficiency

• Be more effective

• Allow creativity to shine … co-creation between industry and frontline practitioners

• New solutions for a new era

EUROPEAN COMMISSION DG Communications Networks, Startup Europe Summit 2019

Phases 1 & 2 Combined in SBRI

Our Goal…

• To develop new, innovative technology based solutions that improve physical function and thus personal independence, within the first six months following the onset of stroke.

Our Consortium…

Our Buyers Group




Buyers Group


What impact does MAGIC aim to achieve?







Buyers Group


How will MAGIC achieve this?

MAGIC

Supplier engagement

Service User perspective

Clinical advice/ co-

creation

Trust Staff

External Experts

MAGIC Consortium




Worldwide Interest…

This is the Procurement of Innovation…

SBRI/ PCP Call for Tender

The Call for Tender (CfT) Document

eTendersNI

Website

Validation

-Exclusion Criteria,

- Selection Criteria

- Compliance Criteria CAG Meeting

Voluntary standstill (in

PCP)

Awarding contracts to ‘x’

number of Successful Companies

BSO Procurement Manager - [email protected]


Solution not on the market or Severely

Restricted

Existing Frameworks

Open Tender - Open /

Restricted

Negotiated Tender -

Competitive Dialogue, CPN

Pre-Commercial Procurement

(PCP) (R&D Only)

Direct Award Contract

Innovation Partnership

Problem Identified

Analysis & Investigation

Pre-existing Solution Available

Pre-Commercial Procurement (PCP) Process Map

1. Procurement Decision Process (Overview)

2. Pre-Commercial Procurement (PCP) Process Flow – Phase 1

EC fund 70% of MAGIC…




Buyers Group


What has MAGIC completed to date?

February 2017 8 successful suppliers from across Europe were awarded MAGIC Phase 1 contracts to design solutions. All 8 suppliers were assigned a Go-To Clinician in a Northern Ireland Trust and in Italy for their expertise to assist in prototype design. June 2017 Suppliers showcased their final Phase 1 solutions to the Buyers Group and Italian Clinicians in Chieti, Italy. November 2017 4 of the 8 Phase 1 suppliers were awarded a Phase 2 contract and started prototype development:







Buyers Group


November 2017 - Suppliers started Phase 2 Prototype development. Each supplier was assigned a Go-To Clinician and a Trust Research Manager for advice with trial planning. April 2018 - Suppliers showcase Phase 2 solutions in Chieti, Italy to the Buyers Group and Clinicians April 2018 - Phase 2 close October 2018 - Phase 3 commence with 3 successful suppliers participating for 18-months. Feasibility Study/ to-scale field trial January 2019 – First post-stroke patients recruited




CLINICAL AND PATIENT ENGAGEMENT IN

Clinical challenge in stroke rehabilitation :

• Evidence based • Cost effective • Dose • Intensity • Engage patients • Opportunity for practice • Enriched environment • Support self management • Optimise outcome • Workforce constraints • Resource issues

•

Could it be

Mobile Assistance for Groups & Individuals within the Community – Stroke Rehabilitation

• Innovative use of technology.

• Self management approach.

• Cost effective solutions

• Address shortfall in therapy provision.

• Meet the needs of stroke survivors

CLINICIAN INVOLVEMENT

PATIENT PATIENT

Clinical / Patient Engagement

Phase ‘0 ‘

• Initial meeting in Italy to understand PCP process , gain insight delivery of stroke care in Italy

• Engagement events in with stroke clinicians & stroke survivors in Ulster University , local stroke groups e.g. physiotherapy exercise group ,

• Invest NI afternoon & industrial engagement events.

• Presentations at NIMAST and Irish Physiotherapy Conference

• Call for tender • Physiotherapists , Occupational Therapist and

SLTS undertook appraisals of the proposed solutions ( 52 in total)

Clinician feedback Phase ‘0’

• Emphasised resource constraints affecting levels of care.

• Issues around access to specialist equipment and technologies.

• New solutions must be affordable and cost-effective and increase opportunity for practise and intensity .

• Monitoring and feedback function.

• Technologies need to be accessible and portable.

• Different functionality & skill levels of stroke survivors to be considered (e.g., dexterity, repetition, task specific )

• Different effects of stroke and therapeutic requirements i.e meeting visual needs, communication needs , cognitive difficulties

Stroke survivor feedback Phase ‘0’

• Desire to manage their own recovery.

• Want feedback on their progress.

• Have appropriate stroke specific activity and exercise

• Improve performance.

• Ease of use technology

• Gain more control over their day-to-day living

• Survivors and carers felt needed better information for navigating care system & and dealing with recovery.

Clinicians role in Phase 1 &2

• Face to face engagement with clinicians and commercial solutions

• Describe the challenge and educate companies about stroke rehabilitation

• Explain evidence base and the essentials must do’s for successful outcome

• Explore potential risks and adverse incidents

• Advocate for our patients and determine essential components of a solution

• Able to influence, advise , potentially modify technological solution

Phase 3 Camlin ARC-Intellicare

• ARC-Intellicare is a machine-learning-based wireless platform

• Personalise rehabilitation routines.

• Provide continuous monitoring and give performance feedback during both exercise programs and Activity of Daily Living (ADL).

• Consists wearable inertial sensors for upper, lower limb and postural monitoring, a tablet and a software platform, with a simple, gamified and straightforward usability.

Tech4Care – Magic Glass • Utilises augmented

and virtual reality (AR / VR)

• Enables patients to perform optimal physical and cognitive rehabilitation at home, by means of serious games grounded in the mirror-therapy approach

Corehab-WeReha

• WeReha is an innovative medical device to rehabilitate stroke patients

• Involves wearable sensors, monitor and biofeedback for total body exercises and “smart objects” for upper limb rehabilitation

Its like a virtual therapist

I like getting feedback about how well I am doing the exercise

Quite good, although after use for a while it becomes a bit repetitive

I’m a bit stronger ..and can do more things with my arm

I like getting stars when I do the exercises .It really motivates me

I’ve noticed that his ease of moving his arm has improved, so if we can get it (system) working all the time

Sometimes sensor doesn’t calibrate and screen freezes

This is brilliant . Everyone (stroke survivor) should have one.

Enabled me to set the pace and timing of exercises & engage with them to complement the work of physiotherapist. I think it is excellent Its like having a physio or

fitness coach on hand anytime I need them I love it .It has helped me with my rehabilitation even with some bugs in the system.

Issues with set up, freezing, connectivity

Interactive, engaging , easy to follow

Real time feedback, motivational

Increased intensity and dose

Objective change in body function and activity

System constraints

Culture gap

Working across countries

Technical issues

Cognitive & language needs of patients

Develop technology with patients for patients

Influence and innovate design , functionality and usability of future solutions.

Sharing the learning

Improving outcome for patients

CH

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OP

PO

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Personal Reflection

• Invaluable experience of gaining understanding of other health organisations across Europe, the technological advances and potential solutions for patients

• Ability to influence the design of future technologies to improve userability and acceptability specifically for & with stroke survivors

• Opportunity to augment current levels of therapy with technology to improve outcome .

• Understand procurement process and PCP

• Sharing the learning

• Excellent opportunity to work across a wide range of sectors outside traditional boundaries of health & social care , i.e Invest NI, business , public health authority, industry , research, private sector, other countries .

• Success of project lies in co- production & engagement with stroke survivors, carers and clinicians alongside research & industry .

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