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In 2008-2009, the Scottish Government initiated the "Shift the Balance of Care" policy, advocating for a transition of care from hospitals to community settings for more sustainable outcomes. This policy aimed to integrate health and social care services around the citizen, emphasizing a multi-disciplinary community care model. Further, the Chief Medical Officers' Annual Report in 2017 urged the adoption of predictive and proportionate care models, emphasizing citizen co-management and joint decision-making, departing from a paternalistic medical approach. < Return to resources Introduction to the Demonstration & Simulation Environment (DSE) Chute, Chaloner In 2008-2009, the Scottish Government initiated the "Shift the Balance of Care" policy, advocating for a transition of care from hospitals to community settings for more sustainable outcomes. This policy aimed to integrate health and social care services around the citizen, emphasizing a multi-disciplinary community care model. Further, the Chief Medical Officers' Annual Report in 2017 urged the adoption of predictive and proportionate care models, emphasizing citizen co-management and joint decision-making, departing from a paternalistic medical approach. View resource Previous item Next item

Charlotte StoneyResearch Associate < Return to team Charlotte Stoney Research Associate Charlotte is a design researcher with a background in architecture and environmental design, digital health, and community engagement. She specialises in participatory design and stakeholder engagement, leveraging collaborative methodologies to drive innovation, particularly in areas aligned with net zero healthcare and environmentally responsible health systems. Based in Forres, Moray, at The Glasgow School of Art’s Highlands and Islands campus, her work integrates human, environmental, and design perspectives to create sustainable digital solutions for rural communities. Charlotte is passionate about using design to inspire meaningful public engagement and to advance innovation in the digital health and care sector, with a strong focus on supporting more sustainable and net zero healthcare futures. Email LinkedIn Related Projects Next team member Previous team page Team page

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

This report is an international review and analysis of frameworks intended to support digital working by healthcare frontline staff. The purpose of this study has been to make sense of the different frameworks developed to support work in a digitally enabled context, specifically in healthcare; to understand who and what they are for, what their intended purposes and the shared elements across frameworks are. Finally, the report offers recommendations or guidance for when it might it be useful to develop another new framework to support healthcare staff working in a digitally supported environment, and in that case, what to take into account. < Return to resources How to navigate the digital shift in healthcare? An international review and analysis of frameworks used to support digital working by frontline healthcare staff Rimpiläinen, S., Bosnic, I, Savage, J. This report is an international review and analysis of frameworks intended to support digital working by healthcare frontline staff. The purpose of this study has been to make sense of the different frameworks developed to support work in a digitally enabled context, specifically in healthcare; to understand who and what they are for, what their intended purposes and the shared elements across frameworks are. Finally, the report offers recommendations or guidance for when it might it be useful to develop another new framework to support healthcare staff working in a digitally supported environment, and in that case, what to take into account. View resource Previous item Next item

In early 2022, the Government Digital Mental Health programme board provided feedback on a report emphasising further exploration of four innovation areas: Artificial Intelligence, Virtual Reality, Gamification, and Digital Phenotyping. This report delves into key organisations, leading countries, case studies, research literature, and significant findings within these emerging innovations through desktop research conducted via standard online search engines. It should be noted that the research methodology is limited to English-language publications, which may impact search results. < Return to resources Emerging Innovations in Digital Mental Health: A Deeper Dive Morrison, C. In early 2022, the Government Digital Mental Health programme board provided feedback on a report emphasising further exploration of four innovation areas: Artificial Intelligence, Virtual Reality, Gamification, and Digital Phenotyping. This report delves into key organisations, leading countries, case studies, research literature, and significant findings within these emerging innovations through desktop research conducted via standard online search engines. It should be noted that the research methodology is limited to English-language publications, which may impact search results. View resource Previous item Next item

Express Exploratories at the eHealth Scotland-conference in Glasgow on the 1-2 March 2016 with the purpose of exploring the Electronic Health Records. < Return to resources Exploratory Express on Electronic Health Records in Scotland Rimpiläinen, Sanna Express Exploratories at the eHealth Scotland-conference in Glasgow on the 1-2 March 2016 with the purpose of exploring the Electronic Health Records. View resource Previous item Next item

Cate GreenProduction Manager < Return to team Cate Green Production Manager Cate is a Law and Business LLB and Prince2 graduate with a passion for innovative project management. Prior to joining the DHI Design Team in 2014, Cate was a Civil Servant, working as Programme Manager at the Department of Energy and Climate Change (DECC) in oil and gas decommissioning, and licensing renewables infrastructure at Marine Scotland. Cate’s role within the DHI is to support the work of the DHI Design Team who carry out design innovation research embedded across the DHI project portfolio. She is based in Forres, Moray at The Glasgow School of Art's Highlands and Islands campus. Since joining the DHI, Cate has undertaken research on the challenges of planning in a dynamic and creative environment. She is interested in the positive impacts that participatory design has on wellbeing, communities and services in urban and rural environments. Email LinkedIn Related Projects Next team member Previous team page Team page

John MurrayProgramme Manager < Return to team John Murray Programme Manager John Murray is a contracted Programme Manager, supporting the work of the Rural Centre of Excellence (RCE) for digital health and care innovation in the Moray region. He is project managing the RCE LL1 (supported self-management) and RCE LL2 (long-term condition management) R&D demonstration projects and opportunity development flowing from this. John is an accomplished professional with extensive experience in programme and project management, research, development, and innovation. He has a diverse work background spanning roles at DHI, National Services Scotland, the Centre for Sustainable Delivery, consultancy, private sector and university R&D, university commercialisation, economic development, and company start-ups. His career goal is to help realise person-centred benefits and new capabilities through R&D change management. With his strong technical expertise, project leadership skills, and innovation-driven mindset, John is well-positioned to help DHI drive transformative initiatives and deliver impactful results. Email LinkedIn Related Projects Next team member Previous team page Team page

The North West Europe Interreg CHANCE Project, completed in May 2022, focused on Hospital at Home innovation for heart failure patients in the Netherlands, Germany, and Belgium. It developed SME capabilities, tested home hospitalisation platforms in three hospitals, and collaborated with DHI to establish global protocols. < Return to projects The NWE-Chance (Interreg NWE) and the Digital Innovation Hub Project impact Supports collaboration and knowledge exchange between SMEs and hospitals Ensures continuous growth of industry-hospital partnerships Delivers an Implementation Roadmap to replicate innovations in other regions and initiate similar projects and living labs The North West Europe Interreg CHANCE Project, completed in May 2022, focused on Hospital at Home innovation for heart failure patients in the Netherlands, Germany, and Belgium. It developed SME capabilities, tested home hospitalisation platforms in three hospitals, and collaborated with DHI to establish global protocols. The North West Europe Interreg CHANCE Project was completed in May 2022. The project focused on Hospital at Home innovation for heart failure patients with partners in the Netherlands, Germany and Belgium. The project brought stakeholders together to co-create the knowledge needed to enable innovation in-home care to happen in North-West Europe. The project contributed to developing SME capabilities and increasing their involvement in cooperative projects in the region. During the project, two SMEs and one larger company collaborated with three hospitals and two universities to develop and test a home hospitalisation platform. Pilots ran in three different hospitals to test the technical feasibility of the developed technologies and the organisational feasibility of home hospitalisation for heart failure patients. DHI led the Digital Innovation Hub for Home Hospitalisation (DIH) and collaborated with partners to establish protocols, developments and specifications enabling global collaborations in hospital-at-home activities across industry, health services and academia. Summary This Digital Innovation Hub was developed by DHI and was launched to: • Support the collaboration and knowledge exchange between SMEs and hospitals • Ensure continuity and growth of the collaboration between industry and hospitals • Deliver an Implementation Roadmap to multiply the innovations in other regions and initiate similar projects and living labs • Develop an infrastructure to enable knowledge sharing and collaboration to be replicable across other activities such as projects and disease groups of other areas of digital health and care. Impact & value The DHI project was completed in May 2022, after which the Digital Innovation Hub (DIH) transitioned into business as usual within DHI. Building on the success of the original project, DIH continues to support wider knowledge sharing across digital health and care communities, projects and engagement activity. This work has since expanded and now represents a core function of the DHI website. It supports a range of dedicated communities and initiatives, including the Digital Mental Health Innovation Cluster, the Rural Centre of Excellence and the Healthy Ageing Innovation Cluster, helping to connect people, share learning and accelerate innovation across the system. Progress to date Next steps Partners Project staff Resources Digital Innovation Hub for Home Hospitalisation (DIH) Previous project Projects index page Next project

Anna SturzakerInnovation Design Associate < Return to team Anna Sturzaker Innovation Design Associate Anna holds an MA (Hons) in History from the University of Edinburgh and has a background in youth work, supporting young people to overcome barriers to employment. She previously contributed to The Promise, co-designing improvements to the onboarding process at The King’s Trust, where she developed a strong interest in design and innovation and achieved a Professional Development Award in Service Design. Anna is a member of our design team and works on the SUMIT (Substance Use and Mental Health) project — an interdisciplinary, cross-border research initiative. She supports the participatory design processes centred on lived experience, helping to address structural barriers, enhance service access, and advance digital inclusion and health and social care transformation. Email LinkedIn Related Projects Next team member Previous team page Team page

Professor Gordon HushBoard Member (Glasgow School of Art) < Return to team Professor Gordon Hush Board Member (Glasgow School of Art) Gordon is Head of the Innovation School at Glasgow School of Art. He has led the Product Design department at GSA since 2007 and helped steer the emergence of Design Innovation as a subject of academic study at Masters level incorporating Service Design, Citizenship, Environmental Design and, with the University of Glasgow, International Management. Gordon is a Sociologist, with an interest in the way that design and innovation impact social change, and the means that designers have at their disposal to work with others to make such change tangible, testable and desirable. Email LinkedIn Related Projects Next team member Previous team page Team page

‘Next Generation Asthma Care’ aims to introduce a predictive and personalised care model, utilising next generation technology to track medication adherence and other contextual data, to inform preventative approaches to asthma care. DHI proposes that a service model that utilises digital tools and services - such as smart asthma inhalers that communicate directly with the cloud - could reduce cost and improve accuracy of data. We employed a participatory design approach to collaborate with key stakeholders including people who have lived experience of asthma, and health professionals who deliver care for people with asthma, in order to inform a future vision for asthma care. < Return to resources Next Generation Asthma Care Bruce, Angela, McIntyre, Don, Hepburn, Leigh Anne and Chute, Chal ‘Next Generation Asthma Care’ aims to introduce a predictive and personalised care model, utilising next generation technology to track medication adherence and other contextual data, to inform preventative approaches to asthma care. DHI proposes that a service model that utilises digital tools and services - such as smart asthma inhalers that communicate directly with the cloud - could reduce cost and improve accuracy of data. We employed a participatory design approach to collaborate with key stakeholders including people who have lived experience of asthma, and health professionals who deliver care for people with asthma, in order to inform a future vision for asthma care. View resource Previous item Next item

This project aimed to rapidly develop and test the Care Homes Assessment Tool (CHAT) in at least two Health Boards/HSCP areas. CHAT supports staff in assessing, triaging, and accessing specialist clinical input for resident treatment. < Return to projects Care 'In Place' (CIP) Care Home Assessment Tool (CHAT) Stages 1 & 2 Project impact Development of an adaptable clinical assessment tool for Care Homes and a service wraparound model Assets developed to support sharing of information between health and social care This project aimed to rapidly develop and test the Care Homes Assessment Tool (CHAT) in at least two Health Boards/HSCP areas. CHAT supports staff in assessing, triaging, and accessing specialist clinical input for resident treatment. This was a partnership project led jointly by DHI and Scottish Care, involving NES, NHS Lanarkshire, NHS Greater Glasgow & Clyde, DaySix and a number of care homes in the Lanarkshire and Glasgow areas. The principal objective was to rapidly develop and test a live implementation of the CHAT in at least two Health Board/HSCP areas to improve local operational decision-making in Care Homes, aid communication in situations where external clinical support is required and provide early notification of a potential viral outbreak within this sector. This project developed a care home assessment tool that supported staff to assess, triage and where appropriate access specialist clinical input for treatment of their residents during COVID-19. Stage 1 of the project was a Test of Change which produced a wireframe of a digital tool which was co-designed with citizens, service and clinical staff and stakeholders. This could be used to develop a web-based application (based on a Clinical Assessment Tool already developed by NES). Stage 2 was formally launched in July 2020 and involved the trial of the tool in a number of care homes in NHS Lanarkshire and Glasgow. Summary Impact & value A working prototype was implemented in two health boards, NHS GG&C and NHS Lanarkshire, with the tool initially being implemented in Cartvale Care Home (NHS GG&C) and Greenhills Care Home (NHS Lanarkshire) and later more care homes in NHS Lanarkshire. The number of assessments undertaken was low due to a number of factors including staff levels being impacted by COVID-19; outbreaks of COVID within the Care Home; staff recruitment and retention; prioritisation of the vaccine programme over symptom detection. The learning around the use of the assessment tool in care home settings and the sharing of information between health and care services was trailblazing at the time, and has produced a number of useful assets for future work around the challenges of care homes working collaboratively with NHS services. Furthermore, staff were very positive about the application’s capabilities and usefulness within the care homes and this was also recognised by the associated GP’s. Progress to date Next steps Covid-19 Projects The Digital Health & Care Innovation Centre (DHI) was commissioned and remains actively engaged in supporting the Scottish Government’s national response to the challenges of the Covid-19 pandemic through various related projects View Projects Partners Project staff Resources Care Homes Assurance Tool (CHAT) Previous project Projects index page Next project

This Executive Digest was the output from a Digital Health Uptake project webinar to explore the role of digital health technologies for people living with chronic diseases, with a particular focus on diabetes, the evidence frameworks that create the conditions for market acceptance of digital medical devices, and the most appropriate approach to evidence generation from the viewpoint of various stakeholders. < Return to resources DHU Executive Digest Reilly, Grant This Executive Digest was the output from a Digital Health Uptake project webinar to explore the role of digital health technologies for people living with chronic diseases, with a particular focus on diabetes, the evidence frameworks that create the conditions for market acceptance of digital medical devices, and the most appropriate approach to evidence generation from the viewpoint of various stakeholders. View resource Previous item Next item

Developing a digitally enabled universal service model to reduce type 2 diabetes-related risk < Return to projects Impact of the Prevent the Progress of Diabetes app Project impact A new information app and service model was developed to empower and enable individuals with diabetes and those at risk if diabetes to facilitate lifestyle change and improved weight management. This project supports the DHI Rural Centre of Excellence’s Living Lab for Supported Self-Management, focusing on digital innovations to promote community assets, cross-sector care, and personal data use for weight management and reducing risks of type 2 diabetes and cardiovascular disease. The new Prevent the progress of diabetes web and mobile app is now available for wider use across Primary Care and hosted on the National Right Decision Service Platform. Developing a digitally enabled universal service model to reduce type 2 diabetes-related risk This project is a collaborative endeavours between DHI as part of the Rural Centre of Excellence, NHS Grampian Weight Management Teams and Right Decisions Service, which currently offers a wide range of decision support tools for Health and Care Professionals and increasingly enables access patient facing decision support tools This project was conducted in three stages 1) Co-design and development of the app in collaboration with patients and healthcare professionals. 2) Piloting and evaluation of the app with support from healthcare professionals. 3) Recommendations for a service model for delivery at scale and maximising impact, accompanied by further evaluation. Summary Successful development and pilot of a co design information app specifically to support Diabetes Progress and Prevention Evaluation results concluded App easy to Access and 94% of those who used the app reported improved condition knowledge and suggests that use of the app alone combined with personal motivation was sufficient for a third of participants to reach the stage of making or planning behaviour change. Service delivery models offered insights into how NHS service can offer different “ Service Bundles” to better support the needs of individuals who have different levels of self-efficiency with respect to supported self-management Project was completed over 12 month period and concluded in November 2024. The evaluation report has now been published Impact & value Progress to date Further discussions are underway to make the Make the App available for use more widely across NHS Grampian.. Develop a roadmap for collaborative development with the DHI Weight Management Living Lab – completed by 2025. Further testing and development of the Service Model - how to maximise the use of and to maximise the benefits of the app in terms of patient safety, patient experience and service efficiency 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 Main report: Developing a Digitally-Enabled Universal Service Model to Reduce Type 2 Diabetes-Related Risk Report Annex 2: Initial Messages Report Annex 3: Report Annex 4: Dietitian calls - scores and freetext comments Previous project Projects index page Next project

This Evaluation Summary provides an accessible overview of the key findings from Phase 2 of the Digital Lifelines Scotland (DLS) programme (2023–2025). It highlights how digital access, skills training, and new technologies have positively impacted the lives of people at high risk of drug-related harm. The summary covers digital inclusion outcomes, improvements in wellbeing, reduced isolation, and enhanced access to vital services. It is designed for a wide audience, including policymakers, commissioners, frontline staff, and community partners. < Return to resources Evaluation of the Digital Lifelines Scotland (DLS) Programme – EVALUATION SUMMARY Perkins, A., Dumbrell, J., Livingston, W., McCluskey, S., Steele, S. This Evaluation Summary provides an accessible overview of the key findings from Phase 2 of the Digital Lifelines Scotland (DLS) programme (2023–2025). It highlights how digital access, skills training, and new technologies have positively impacted the lives of people at high risk of drug-related harm. The summary covers digital inclusion outcomes, improvements in wellbeing, reduced isolation, and enhanced access to vital services. It is designed for a wide audience, including policymakers, commissioners, frontline staff, and community partners. View resource Previous item Next item

Professor Margaret Whoriskey MBEHead of Innovation for Care & Well Being < Return to team Professor Margaret Whoriskey MBE Head of Innovation for Care & Well Being Professor Margaret Whoriskey has joined DHI as Head of Innovation for Care and Well-being. Margaret is leading a new programme of work that will strengthen DHI's role in supporting innovation for integrated care and well-being. Having previously been Head of the SG Technology Enabled Care Programme, Margaret will bring her substantial cross-sector and international experience to the role. “I am delighted to have the opportunity to work with the DHI and look forward to collaborating with partners in seeking opportunities for how innovation can support service transformation, address some of our key challenges and improve outcomes for people”. Email LinkedIn Related Projects Next team member Previous team page Team page

This project aims to enhance Diabetes self-management and education for Children, Young People, and Families (CYPF) by expanding DigiBete, a patient-led digital platform supporting over 40,000 UK users. After a successful pilot in 2022-2023, additional funding will allow further scaling across NHS Scotland until July 2026. < Return to projects DigiBete Scale up project Project impact Improving self-management, education and health outcomes in Children, Young People and their Families (CYPF) living with Diabetes through scaling up and promoting universal access to DigiBete – a multi award winning, patient led , clinically approved digital educational platform and App. Enabling and supporting the expansion and further scale up and adoption of DigiBete App across NHS Scotland benefiting up to 4000 CYPF with Diabetes . Expansion of benefits realised in Phase 1 evaluation in NHS Scotland , which showed use of DigiBete App with Clinics improves resource utilisation, care standardisation, and is both clinically and cost-effective. This project aims to enhance Diabetes self-management and education for Children, Young People, and Families (CYPF) by expanding DigiBete, a patient-led digital platform supporting over 40,000 UK users. After a successful pilot in 2022-2023, additional funding will allow further scaling across NHS Scotland until July 2026. This project aims to scale up the adoption and use of Digital App called DigiBete App for use for all Children Young People and families across NHS Scotland. Scottish Government working with DHI have put in place a national licence for universal access DigiBete until July 2026. Alongside, scaling up the use of Type 1 Diabetes Resources, Implementation will also focus on enhancing the update and use of Digibete Type 2 Diabetes Platform (https://www.youngtype2.org/) and newly launched Training and Educational Platform for Diabetes Education in Schools (https://diabetesinschools.org/) the duration of the project. Project is being delivery and led by DHI as part of the Diabetes Portfolio. Implementation is being supported through development of a DigiBete Champions Network and regular shared learning events. Summary This project is aligned with the Digital Health and Care Strategy and Diabetes Improvement Plan and DHI 10 year Strategy and supports : · reducing inequalities in health outcomes for children and young adults with diabetes through more equitable access to diabetes technology. · standardisation of remote educational resources on a “ once for Scotland” basis, reducing variation in care , releasing capacity, and providing a delivery model which could perhaps be utilised for other projects. · improving care for those transitioning from paediatric to adult care and addressing the poorer outcomes seen in this cohort. · Increase access to supported self-management ,improved condition control and reduction in unnecessary complications Impact & value Progress to date DigiBete Scale up is a live DHI project and will continue to be implemented In collaboration with NHS Scotland until July 2026. Evaluation outcomes and impacts of scale up progress will inform development of a business case for transitioning of funding for DigiBete into a Business-as-usual context. 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 Digibete BSPED poster Digibete website Using the App Video demonstration Previous project Projects index page Next project