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Four types of infrastructure

For the initial setup phase of the demonstration environment, we have used the experience from our first three years of activity to identify four infrastructure groupings. Proposed infrastructures must fall within one of these four needs, to:

1. Build trust in the distributed collection and use of data

  • Build trust in citizen or non-statutory (distributed) sources of data
  • Allow people to build their own digital footprint
  • Empower people to build their own consent model

2. Develop citizen centred communication methods to support co-management

  • Create new people centred communication channels
  • Create ways for the people to use their data to activate levels of the health and care service
  • Use people's data and preferences to balance clinical outcomes and overall wellbeing.

3. Use automated risk assessment to develop both preventative and management by exception care models

  • Move to a preventative model powered by people's data
  • Automate remote monitoring based risk assessment to allow detection at an early stage
  • Use consent models to make anonymised data available to planners and researchers

4. Develop decision support infrastructures that support the best possible decisions by all parties

  • Provide real-time insight derived from analytics about practice and quality of care
  • Suggest diagnoses, treatment and preventative approaches based on best practice
  • Predict likely outcomes based on previous patterns of activities and outcomes for people
  • Curate and publish quality assured content and knowledge making it available via APIs
  • Platforms to host and manage certified mobile apps and decision support resources
  • Create infrastructures that allow easy development and delivery of patient/person specific decision support tools
  • Enable dynamic, open interfaces for free flow of data and evidence between different elements of decision support architecture and to and from external systems.



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