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This paper presents the findings of design research activity undertaken with Macmillan. The research undertaken aimed to explore lived experiences of delivering and accessing services, offering an opportunity to better understand how these practices work and capturing any challenges or opportunities to inform future models of care. This activity also aimed to generate insights around how digital innovation might support the future delivery of services to support the development of a digital outcome. < Return to resources Artificial Intelligence for Improved Cancer Care Hepburn, Leigh-Anne This paper presents the findings of design research activity undertaken with Macmillan. The research undertaken aimed to explore lived experiences of delivering and accessing services, offering an opportunity to better understand how these practices work and capturing any challenges or opportunities to inform future models of care. This activity also aimed to generate insights around how digital innovation might support the future delivery of services to support the development of a digital outcome. View resource Previous item Next item

This 4-year, €6 million Horizon Europe programme includes NHS Highland, the University of Edinburgh, and the University of Strathclyde. It aims to replace up to 75% of optical colonoscopies with Camera Capsule Endoscopy (CCE), enhancing patient experience and hospital efficiency by using AI to streamline diagnostics and reduce errors. < Return to projects AICE Europe Project impact Development and validation of a New Patient Reported Experience Measure for CCE AICE aims to revolutionise large bowel investigations by integrating AI algorithms AICE aims to transition from optical colonoscopy to AI-supported CCE, providing faster and more accurate diagnoses, benefiting patients and healthcare systems This 4-year, €6 million Horizon Europe programme includes NHS Highland, the University of Edinburgh, and the University of Strathclyde. It aims to replace up to 75% of optical colonoscopies with Camera Capsule Endoscopy (CCE), enhancing patient experience and hospital efficiency by using AI to streamline diagnostics and reduce errors. This is a 4-year programme funded by Horizon Europe with an overall value of 6 million Euros. There are three Scottish Partners as part of the consortium; NHS Highland, University of Edinburgh and University of Strathclyde. Millions of people across Europe undergo optical colonoscopy (OC) every year. OC is often associated with discomfort, complications, and sick days, which affect patient acceptability, and is a heavy burden on the capacity levels of European hospitals. Camera Capsule Endoscopy (CCE) is a new innovative technology with the potential to replace up to 75% of all OCs. Importantly, CCE has been shown to be preferred by patients, has a lower complication rate, and can be performed out of the hospital. As such, this has huge potential for both patients and hospitals. However, the diagnostic process of CCE includes a time-consuming manual reading done by trained personnel and is expensive and prone to human error. We aim to resolve these challenges by incorporating AI into the patient pathway and giving patients an alternative to OC. Summary The aim of AICE is to enable the application of a complete AI Image diagnostic pathway for large bowel investigations by validating Artificial Intelligence Algorithms (AIA) supported camera capsule endoscopy (CCE). By adding artificial intelligence for image analysis and a new remote system for data capture handling and fast reporting, the objective is to eliminate the current medical, technical, and economic barriers to the transition from OC to CCE, hereby benefitting both patients and healthcare systems. AICE builds on existing AI research algorithms developed in Denmark which will be validated and harnessed in NHS Highland as a regional test bed. Impact & value DHI are working alongside University of Strathclyde to support the delivery of work packages focused on design and development of a patient facing digital tools. The wider programme is on track to end in March 2026. Funding from AICE will secure a Service Design Research associate within DHI to work in collaboration with UOS Research Team and Investigators over the duration of the project. In addition, in kind support from the Service Development Manager in DHI is being provided to support strategic alignment with the Scottish SCOTCAP Programme and scale up opportunities beyond this R&D phase. Completion of work packages to support the wider programme. Progress to date Next steps Partners Project staff Resources AICE Europe website Previous project Projects index page Next project

Chaloner ChuteChief Technology Officer < Return to team Chaloner Chute Chief Technology Officer Chal leads on DHI’s technical strategy and is responsible for the way we support and deliver technical innovation, by applying systems thinking and methodologies in support of the DHI innovation model. He is devoted to the idea that citizens can be empowered to take an active role in their own well-being. Chal believes that digital health offers the tools to achieve this, and the DHI has the fresh perspective necessary to reconceive the relationship between the citizens and those who might care for them. He brings a range of skills including a Master’s in Healthcare Management & Leadership and a Master’s in Public Health Policy: Health Systems. He has spent seven years working in digital innovation, seven years working in Scottish Government public policy and healthcare service delivery and has led the design, development, integration and roll-out of many digital health and care services with several now in use at scale across Scotland. Email LinkedIn Related Projects Next team member Previous team page Team page

NHS Education for Scotland (NES) is the national health board with statutory functions for providing, co-ordinating, developing, funding and advising on education, training and workforce development for the NHS and in partnership with SSSC for social care staff. It is a national organisation with a significant regional presence in Scotland. NES is a leader in educational design, delivery and quality assurance. Utilising the very best in technology enabled learning, organisational and leadership development, workforce and learning analytics and digital development, across the entire health and social care workforce and in every community in Scotland, NES will help to facilitate staff to be supported, skilled, capable, digitally enabled and motivated to deliver improved outcomes. Visit Partner's website Previous Item Next Item

Design innovation aims to tackle complex societal challenges through new design practices and bespoke methods of engagement (McAra-McWilliam, 2012). Creative collaboration is a core aspect of design innovation practice, involving diverse stakeholders including academic, business, and civic partners, and importantly end users within the design process. Consequently, the focus of design has shifted from the artefact or outcome to the design of an open and participative process that relies on the direct contextual insight of participants, their creativity and lived experience, and is inclusive of a multiplicity of perspectives. Through examples, we discuss the tools, artefacts and activities that support participants to meaningfully engage with ideas, and strategies for curating groups and managing collaboration. We share design learning regarding engagement and the resulting impact on people, processes, and outcomes, and consider how this approach may be applied in other contexts to foster engagement. < Return to resources Fostering engagement through creative collaboration Teal, Gemma and French, Tara and Hepburn, Leigh-Anne and Raman, Sneha Design innovation aims to tackle complex societal challenges through new design practices and bespoke methods of engagement (McAra-McWilliam, 2012). Creative collaboration is a core aspect of design innovation practice, involving diverse stakeholders including academic, business, and civic partners, and importantly end users within the design process. Consequently, the focus of design has shifted from the artefact or outcome to the design of an open and participative process that relies on the direct contextual insight of participants, their creativity and lived experience, and is inclusive of a multiplicity of perspectives. Through examples, we discuss the tools, artefacts and activities that support participants to meaningfully engage with ideas, and strategies for curating groups and managing collaboration. We share design learning regarding engagement and the resulting impact on people, processes, and outcomes, and consider how this approach may be applied in other contexts to foster engagement. View resource Previous item Next item

Shirley SharpOffice Manager & Personal Assistant to the CEO < Return to team Shirley Sharp Office Manager & Personal Assistant to the CEO Shirley provides comprehensive office management and professional PA/ administrative services to our Chair and CEO. She contributes to the overall efficiency and effectiveness of the DHI, ensuring that all duties are carried out with the appropriate degree of tact, confidentiality and responsibility. Shirley has over 30 years’ experience working within the Public sector, most of this with frontline services within the NHS, providing effective and efficient support to Chief Executives and Senior Directors with operational responsibility across the acute secondary care sector. Email LinkedIn Related Projects Next team member Previous team page Team page

The report presents a high-level review of patient-centred Electronic Health Records for NHS Grampian. The report showcases 13 case studies on the design of person-centred electronic health records as used by multidisciplinary health and care teams. < Return to resources Person-Centred Records: A High-level Review of Use Cases Rimpiläinen, Sanna The report presents a high-level review of patient-centred Electronic Health Records for NHS Grampian. The report showcases 13 case studies on the design of person-centred electronic health records as used by multidisciplinary health and care teams. View resource Previous item Next item

DHI uniquely drives Diabetes Innovation in Scotland by collaborating with NHS, industry, academia, and individuals with lived experiences to advance innovation and funding opportunities. < Return to projects Diabetes Portfolio Project impact DHI partners with NHS, industry, and academia to drive diabetes innovation by engaging key stakeholders and advancing new technologies DHI develops digital solutions for self-management, prevention, and personalised care to improve diabetes outcomes and ease healthcare pressures DHI shapes future diabetes care through market research, knowledge exchange, and scalable, digitally-enabled service models DHI uniquely drives Diabetes Innovation in Scotland by collaborating with NHS, industry, academia, and individuals with lived experiences to advance innovation and funding opportunities. DHI is uniquely positioned within Scotland through its impactful collaborations with NHS, Industry, and academia to enable and support the acceleration of Diabetes Innovation. Our innovation model and approach, offer a means for real collaboration with health and care professionals, policymakers, industry, academia, and people with lived experience of diabetes. We work in collaboration with key stakeholder to push innovation ideas and technologies and support innovation challenges and funding opportunities. Summary Our work stretches from undertaking market research and hosting knowledge exchange opportunities, to developing new service and technology simulations in our DHI Exchange. Through our project management capabilities, we work with partners to design and deliver digitally-enabled scalable service model and next-generation services. We are working to share, adopt, develop, and implement innovative ways of improving health outcomes for people with not only Type 1 and Type 2 diabetes, but all forms of diabetes with an emphasis on supporting self-management prevention, and personalised care models to minimise the impact of diabetes on their lives, and the pressure that puts on the health and care system. We are working to research, design and develop and implement innovative service models and technologies to improve health and wellbeing outcomes for people with diabetes. We are also prioritising innovation to support self-management, lifestyle, weight management, prevention and early identification through the use of digital technologies that will transform how services are delivered in the future. Impact & value Progress to date Next steps Diabetes project hub DHI uniquely drives Diabetes Innovation in Scotland by collaborating with NHS, industry, academia, and individuals with lived experiences to advance innovation and funding opportunities. View hub Partners Project staff Resources Disrupting Diabetes Care Delivery Transforming diabetes care landscape through innovation: A person-centred approach Previous project Projects index page Next project

Kara MackenzieProject Co-ordinator < Return to team Kara Mackenzie Project Co-ordinator Kara provides support to our project portfolio, with a focus on approved projects. She ensures all projects run smoothly, milestones are achieved, and partners get the most out of their collaborations. She keeps our network updated on all potential funding matters including signposting and supporting funding applications. Email LinkedIn Related Projects Next team member Previous team page Team page

This report, commissioned by the Scottish Government's Diet and Healthy Weight Team, provides an overview of digital solutions supporting healthy weight management and type 2 diabetes prevention in the UK in 2021. While no novel solutions were identified, existing options align with Scottish standards and are ready for potential adoption, with examples like the Oviva solution being tested in NHS Tayside. However, further assessment is needed to ensure interoperability with NHS Scotland's infrastructure. < Return to resources Digital Solutions Supporting Healthy Weight Management and the Type 2 Diabetes Prevention Framework Morrison, C. This report, commissioned by the Scottish Government's Diet and Healthy Weight Team, provides an overview of digital solutions supporting healthy weight management and type 2 diabetes prevention in the UK in 2021. While no novel solutions were identified, existing options align with Scottish standards and are ready for potential adoption, with examples like the Oviva solution being tested in NHS Tayside. However, further assessment is needed to ensure interoperability with NHS Scotland's infrastructure. View resource Previous item Next item

This report provides an overview of current digital solutions utilised for managing mental health conditions, referencing relevant Scottish Government policies and conducting a market analysis of available products and services for prevention, diagnosis, and treatment. While various digital tools and platforms are in use across England and Scotland, their identification proved challenging, suggesting a lack of visibility that could hinder access and understanding for citizens, especially concerning services outside of the NHS. < Return to resources Review of Current Use of Digital Solutions for Mental Health Morrison, Ciarán This report provides an overview of current digital solutions utilised for managing mental health conditions, referencing relevant Scottish Government policies and conducting a market analysis of available products and services for prevention, diagnosis, and treatment. While various digital tools and platforms are in use across England and Scotland, their identification proved challenging, suggesting a lack of visibility that could hinder access and understanding for citizens, especially concerning services outside of the NHS. View resource Previous item Next item

This paper presents a rationale for design within the context of health and care innovation, framing the visualisation of complex contexts as the critical underpinning for meaningful and sustainable change. It is no longer the domain of the designer to respond individually to a challenge. Instead, it is recognised that for innovation to be meaningful, it must instead be designed with and by instead of for. To this end, perspectives engaged must extend across transdisciplinary boundaries and include key stakeholders. < Return to resources Visualising Complexity in Health and Care for Meaningful and Sustainable Change Hepburn, Leigh-Anne This paper presents a rationale for design within the context of health and care innovation, framing the visualisation of complex contexts as the critical underpinning for meaningful and sustainable change. It is no longer the domain of the designer to respond individually to a challenge. Instead, it is recognised that for innovation to be meaningful, it must instead be designed with and by instead of for. To this end, perspectives engaged must extend across transdisciplinary boundaries and include key stakeholders. View resource Previous item Next item

Janssen commissioned DHI and the University of Strathclyde to explore using digital technologies to measure individual interactions with their environment, focusing on prostate cancer. The project aimed to develop a methodology to assess daily functioning and the impact of medicines, determining their value to health and care providers. < Return to projects Project ValMed (Stages 1 & 2) Project impact Insights into using digital technology to understand the impact and value of particular medicines on individual patients The project specifically addressed prostate cancer as the first use case Benefits in tracking health outcomes were demonstrated by adopting digital health transformation Janssen commissioned DHI and the University of Strathclyde to explore using digital technologies to measure individual interactions with their environment, focusing on prostate cancer. The project aimed to develop a methodology to assess daily functioning and the impact of medicines, determining their value to health and care providers. Janssen commissioned DHI in collaboration with the University of Strathclyde to identify how digital technologies can be adopted and adapted to measure the interaction of an individual with their environment. This was to enable the development of a methodology that measures the day-to-day functioning of the individual to ultimately allow the project team to understand the impact of medicines on the individual and to ascertain the value to the health and care providers of that medicine. The project specifically addressed prostate cancer as the first use case, using digital technology to understand the impact and value of particular medicines on individual patients. Summary By adopting digital health transformation approaches were able to be able to demonstrate benefit by: Identifying how data can track health outcomes Supporting Realistic Medicine Enabling outcome measurement in medicine assessment Improving the sustainability of healthcare Helping address health inequalities Impact & value The project completed a first phase which resulted in an academic landscape review with clear recommendations on how digital could assist in monitoring medicine and wellbeing for prostate cancer. The second stage was completed and a Proof of Concept specification was completed in June 21. The project has now been closed. Progress to date Next steps Partners Project staff Resources Previous project Projects index page Next project

Co-design is becoming a well-known term outside of the design domain, reflecting a growing awareness of the potential and value of applying a design-led process to address complex social and systemic issues. However, an increase in the adoption of ‘co-design’ methods has also led to multiple and sometimes conflicting understanding of what it means and how it is enacted in practice. ‘What does genuine co-design mean? What does it look like? And how does it make a difference?’ – we have been exploring these questions through our participatory design practice and research spanning over seven years. In this chapter, we share our learnings and reflections on genuine co-design, using examples to articulate characteristics of co-design and conditions for enabling genuine participation in the co-design process. We invite further dialogue with the wider practice and research communities to develop a shared understanding of what is (and what is not) genuine co-design. < Return to resources Towards a shared understanding of genuine co-design with people with lived experience: reflections from co-designing for relational and transformational experiences in health and social care in the UK Raman, Sneha and French, Tara Co-design is becoming a well-known term outside of the design domain, reflecting a growing awareness of the potential and value of applying a design-led process to address complex social and systemic issues. However, an increase in the adoption of ‘co-design’ methods has also led to multiple and sometimes conflicting understanding of what it means and how it is enacted in practice. ‘What does genuine co-design mean? What does it look like? And how does it make a difference?’ – we have been exploring these questions through our participatory design practice and research spanning over seven years. In this chapter, we share our learnings and reflections on genuine co-design, using examples to articulate characteristics of co-design and conditions for enabling genuine participation in the co-design process. We invite further dialogue with the wider practice and research communities to develop a shared understanding of what is (and what is not) genuine co-design. View resource Previous item Next item

The Digital Health & Care Innovation Centre (DHI) is a pivotal force driving NHS reform and transformation in health and social care. Positioned centrally within Scotland's innovation ecosystem, DHI facilitates collaboration between commercial, academic, and healthcare sectors to expedite research and innovation adoption, leveraging its robust delivery history to support the goals outlined in its 10-year strategy. < Return to resources DHI 10 Year Strategy 2024 – 2033: Transforming great ideas into real solutions MacKenzie, M., Hughes, J The Digital Health & Care Innovation Centre (DHI) is a pivotal force driving NHS reform and transformation in health and social care. Positioned centrally within Scotland's innovation ecosystem, DHI facilitates collaboration between commercial, academic, and healthcare sectors to expedite research and innovation adoption, leveraging its robust delivery history to support the goals outlined in its 10-year strategy. View resource Previous item Next item

Recent studies within the UK have indicated that there is a need to incorporate patient stories into health records, to improve quality and continuity of care. This is particularly important when treating people with multiple long‐term health conditions (multimorbidity), whose health stories can be particularly complex. The objective of the study was to understand the goals and requirements of people with multimorbidity for digital health storytelling tools. The findings indicate that people living with multimorbidity would use health storytelling tools to understand and reflect on their journeys, convey their experiences to others and advocate for themselves against scepticism. Future research could explore other areas such as collaborative health storytelling or the technical implementation of tools. < Return to resources Patient co-design of digital health storytelling tools for multimorbidity: A phenomenological study Cummings, Marissa, Bradley, Jay and Teal, Gemma Recent studies within the UK have indicated that there is a need to incorporate patient stories into health records, to improve quality and continuity of care. This is particularly important when treating people with multiple long‐term health conditions (multimorbidity), whose health stories can be particularly complex. The objective of the study was to understand the goals and requirements of people with multimorbidity for digital health storytelling tools. The findings indicate that people living with multimorbidity would use health storytelling tools to understand and reflect on their journeys, convey their experiences to others and advocate for themselves against scepticism. Future research could explore other areas such as collaborative health storytelling or the technical implementation of tools. View resource Previous item Next item

The £5m Rural Centre of Excellence for Digital Health and Care (RCE), funded by the UK Government and managed and delivered by the Digital Health & Care Innovation Centre (DHI), aims to advance Scotland's digital health agenda and support economic recovery. It includes a Demonstration & Simulation Environment (DSE) in Elgin and Living Labs for innovation collaboration across Moray. < Return to projects Rural Centre of Excellence for Digital Health and Care Innovation in the Moray Region Project impact 12 simulations and 5 Living Labs 2-4 Significant inward investments and 30-50 high value jobs created Enhancement of existing local health and care/digital-related certified courses to include digital health and care-related modules The £5m Rural Centre of Excellence for Digital Health and Care (RCE), funded by the UK Government and managed and delivered by the Digital Health & Care Innovation Centre (DHI), aims to advance Scotland's digital health agenda and support economic recovery. It includes a Demonstration & Simulation Environment (DSE) in Elgin and Living Labs for innovation collaboration across Moray. The Rural Centre of Excellence for Digital Health and Care Innovation (RCE) is a £5M project funded by the UK Government through the Moray Growth Deal. Delivered by Scotland’s National Digital Health & Care Innovation Centre (DHI) and focussed on the Moray local authority area, the initiative plans on becoming a key driver of the country-wide digital health & care agenda being promoted in Scotland and as a critical component of the remobilisation and economic recovery strategy. Summary The primary aim of the RCE is to generate inward investment and high-value jobs in the region under the umbrella of the growth deal, in addition, co-creating digital assets will benefit health and social care services and citizens too. The RCE consists of an infrastructure and 5 living labs (projects) that will deliver assets capable of standalone adoption. The significant impact, however, on health and social care services and the user experience comes from the sum of these parts across the full health and care journey through a unique and innovative integrated approach. In addition, we have a skills strand aiming to create additional education opportunities to support the transformation of health and social care. This work looks at various aspects of Skills & The Future Workforce through the development and provision of courses and skills, including supporting Living Lab methodology and technical testing. Impact & value Living Lab 1 - Supported Self-Management and Living Lab 2 - Long-Term Conditions Co-Management (NHS) are being developed over three consecutive campaigns in partnership with the NHS diabetic and dietetic services, focusing on those living with type 2 diabetes and high BMI. The first R&D campaign will allow participants to access recommended diet and lifestyle management via the community connections platform and link them to community services such as Moray Leisure Centre (MLC) for targeted support. Campaigns 2 and 3 will develop digital tools to link those being supported by MLC with the dietetic (LL1) and diabetic (LL2) clinical teams via a PDS as required. Living Lab 3 - Care in Place aims to support easier access to social care services for both unpaid carers and frail older people being cared for, through access to a directory of local and national services, support and information in one place, which can be linked to a Personal Data Store (PDS): data can be reused to refer to services without the need for patients to retell their story. This workstream has now completed development of the first phase of the Community Connections platform and the PDS and will now move this to real-world testing. Progress to date Living Lab 4 - Smart Housing/Communities and Living Lab 5 - Mental Well-being are currently in the early stages of development. These initiatives are set to advance significantly over the next 12 months, with focused efforts on defining project objectives, engaging key stakeholders, and securing the necessary resources. The goal is to rapidly accelerate their progress, ensuring that both Living Labs deliver impactful innovations in their respective areas, contributing to the broader goals of enhancing smart housing solutions and improving mental well-being within communities. As these projects evolve, they will involve extensive collaboration with industry partners, researchers, and community representatives to ensure that the solutions developed are practical, scalable, and address real-world needs. Next steps RCE live hub DHI identified 4 key areas of focus to support the remobilisation of health and care services in Moray. Learn more Partners Project staff Resources 140225 Smart Housing Proof of Concept FAQs 140225 Smart Housing Proof of Concept Call - Industry Engagement Q&A Session (session 1) 140225 Smart Housing Proof of Concept Call - Industry Engagement Q&A Session (session 2) 230322 - Introducing the RCE on-demand video 230322 - Introducing the RCE slidedeck 230322 - Introducing the RCE post-event write up What is the Moray Growth Deal YouTube video My Moray website - Moray Growth Deal Full Moray Growth Deal official press release Moray Rural Centre of Excellence for Digital Health and Care Innovation Launch press release Blog from Karim Mahmoud on his thoughts on the Moray RCE launch event Previous project Projects index page Next project

This report presents recommendations for a sustainable service vision for Gastroenterology in Greater Glasgow and Clyde. The recommendations are the results of three design-led workshops with GGC regional stakeholders, facilitated by the DHI design team. The report presents the supporting background information and illustrations of the DHI processes undertaken across the three workshops. The report concludes with a summary of key recommendations and associated timelines, including proposed improvements to the service which could support changes to the service model(s). < Return to resources NHS Greater Glasgow & Clyde: Gastroenterology Brooks, E., Binnie, C., Blank, L., Porteous, A., Schauberger, U., Smith, P., Watchorn, T. This report presents recommendations for a sustainable service vision for Gastroenterology in Greater Glasgow and Clyde. The recommendations are the results of three design-led workshops with GGC regional stakeholders, facilitated by the DHI design team. The report presents the supporting background information and illustrations of the DHI processes undertaken across the three workshops. The report concludes with a summary of key recommendations and associated timelines, including proposed improvements to the service which could support changes to the service model(s). View resource Previous item Next item

In the UK, three out of five people are expected to become caregivers, yet research highlights significant challenges, termed "carer burden," affecting caregivers' health and wellbeing. This high-level horizon scanning research explores available digital solutions in Scotland and the UK aimed at supporting caregivers, addressing both formal and informal care needs. < Return to resources A Review of Digital Technology Solutions to Support Caregivers Thomas, J. In the UK, three out of five people are expected to become caregivers, yet research highlights significant challenges, termed "carer burden," affecting caregivers' health and wellbeing. This high-level horizon scanning research explores available digital solutions in Scotland and the UK aimed at supporting caregivers, addressing both formal and informal care needs. View resource Previous item Next item

Summarisation of documents of high importance for the business case. < Return to resources Digital transformation strategy Morrison, Ciarán Summarisation of documents of high importance for the business case. View resource Previous item Next item