SidM-Health : Social Infrastructure Demand Management : focus primary care healthcare planning

在不确定性、住房集约化和增长的背景下，规划医疗基础设施和服务是复杂的。根据NHS长期计划，政府将投资45亿英镑用于初级保健的提供和改造。因此，临床试运行小组（CCG）需要与地方政府公共卫生和规划机构密切合作，提供以患者为主导、以地方为基础的联合医疗规划。目前，地方一级的医疗服务规划过程非常耗时，需要从多个来源整理数据，缺乏将人口增长转化为对社区和服务的直接影响的方法。这限制了组织采取积极主动、反复和强有力的方法来规划和委托当地的医疗保健服务的能力。另一方面，可以进一步利用从新的住房开发项目中获得适当的社区基础设施税（CIL）的机会。该解决方案通过我们的数字平台SidM Systems提出。该平台获得了Future Cities Catapult的资助，成为英国PlanTech为基于地点的社会基础设施规划而设计的八大产品概念。SidM Health是SidM Systems的扩展，将通过在一个基于云的平台上对人口、住房和健康数据进行空间和预测分析，支持医疗保健规划的周期性阶段。该计划的主要创新范畴包括以病人为主导的数据驱动空间方法，以及以邻里（地方）为基础的医疗服务规划方法，有别于传统的以边界为基础的方法。该计划将包括以下阶段：确定人口空间增长的类型和即将建造的新住房，预测人口变化对个人服务和社区的直接影响，根据患者趋势和住房应用数据，为地方和战略卫生需求评估建立迭代空间证据库，以支持委托当地服务。完善和整合现有的NHS支持HUDU模型与SidM-Health，以评估新住房对医疗保健的成本影响和所需空间。该项目将侧重于初级保健的提供。总体而言，该项目旨在通过强大的需求评估来确保成本节约，有效性和效率，最大限度地利用新住房的CIL贡献，并支持CCG和地方当局优化以患者为主导的房地产和服务规划。

Planning for healthcare infrastructure and service provision in the context of uncertainty, housing intensification and growth is complex.Under the NHS Long Term plan the government is investing £4.5bn towards primary care provision and transformation. Hence the need for Clinical Commissioning Groups (CCGs) to work closely with local authorities Public Health and Planning bodies, to provide joint up patient-led and place-based healthcare planning, has never been greater.The current processes of healthcare service planning at the local level are time consuming, require data collation from multiple sources and lack methods that translate population growth to direct impact on neighbourhoods and services. This limits the ability of organisations to undertake a proactive, iterative and robust approach towards planning and commissioning of health care services for their local areas. On the other hand, the opportunity to acquire appropriate Community Infrastructure Levy (CIL) contributions from new housing development towards healthcare infrastructure, could be exploited further.The solution is proposed through our digital platform SidM Systems. The platform was awarded grant funding by Future Cities Catapult as UK's top eight PlanTech product concepts designed for place-based social infrastructure planning.SidM Health, an extension of SidM Systems, will support the cyclical stages of planning of healthcare through spatial and predictive analytics of population, housing and health data under one cloud-based platform. Its key area of innovation includes data driven spatial methodologies that are patient-led, and neighbourhood (place)-based as against traditional boundary-based approaches to health care service planning.The project will cover the following stages:identifying the type of spatial growth in population and upcoming new housing,predicting the direct impact of population change at the level of individual services and neighbourhoods, based on patient trends and housing applications dataproduce iterative spatial evidence base towards local and strategic health needs assessments to support commissioning of local services.refine and integrate the existing NHS supported HUDU model with SidM-Health to provide an assessment of cost implications and space provision required for healthcare due to new housing.The project will focus on primary care provision. The framework will be built to accommodate scalability to other forms of healthcare including secondary healthcare and pharmacies.Overall, the project aims to secure cost savings, effectiveness and efficiencies through robust needs assessments, maximise opportunities to benefit from CIL contributions from new housing and support CCGs and local authorities towards optimising patient-led planning of estates and services.