'Navigator' - An innovative approach to mobilise our FiY1 doctors during this emergency crisis.

“Navigator”——在这场紧急危机中动员我们的 FiY1 医生的创新方法。

• 批准号: 54466
• 金额: $ 9.52万
• 依托单位: MEDPLAY LTD
• 依托单位国家: 英国
• 项目类别: Feasibility Studies
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=54466
• 关键词: Navigator; innovative; approach; mobilise; our

The COVID-19 pandemic has caused the NHS workforce to be stretched beyond reasonable demands. One method of relieving this workload was for the UK Medical School Council to fast-track final year graduated medical students to qualified doctors. These newly qualified Foundation Interim Year 1 (FiY1) doctors are a valuable resource and will be completing low-risk procedures and clerking.The potential problem is effectively utilising this unprecedented FiY1 role in a way that truly alleviates the extra workload for current NHS staff. Maximising time and resources of experienced clinical staff is key to fighting this pandemic. The novelty of the FiY1 role invites inevitable uncertainty, worry and communication issues between current medical staff and FiY1 doctors. We predict this will potentially lead to an inherent inefficiency within the healthcare system that the NHS cannot afford during a pandemic (e.g. work flow, burden on supervision roles and coordination between staff). Our proposed mechanism addresses the current workload during this pandemic.Our service (Navigator) will replace the need of face-to-face coordination of new FiY1s by supervisors; in real-time, FiY1 doctors can be requested to wards by other staff members for specific duties they are competent in. This not only frees-up time for experienced staff to focus on other work but also maximises the efficiency of the FiY1 doctor. For patients, this means faster diagnosis and treatment speeding up the patient pathway and less time in hospital; for staff this means a more productive workday. We envision FiY1 doctors flowing between wards across the hospital, meeting demand in clinical settings quicker than ever before - once one task is completed the FiY1 can simply open our application and move onto the next clinical duty. To enhance their performance with this technology, we will digitalise responsibility of work through weekly work reports that can be submitted to their clinical supervisors. There is no patient data transferred and staff details are anonymized, so there are no data protection or security issues. We are facilitating the paperless NHS agenda and reducing face-to-face communication which can be complicated during a pandemic.The necessity to stream-line workflow is more vital than ever in the current healthcare climate. We have reinvented the way medical staff will liaise with FiY1 doctors during this difficult time, and we hope also doctors and students of the future. Patients will also be the beneficiaries of a more responsive NHS service.--ADDITIONAL INFORMATION HERE-- We have completed Beta Phase Testing of Navigator and the product is currently being audited and stress-tested professionally with plans for further digital certification. The Extension for Impact will allow us to complete a full comprehensive research and development assessment, meeting national guidelines for digital implementation, we estimate to be completed by January 2021. Hence, the Extension for Impact will enable us to excel the product to be officially prepared for widespread implementation across NHS England. This includes user research, communication interoperability, data security and information governance.Our business model currently stands on the framework that we are expecting through our implementation and trial license fees to gain us a revenue that we can sustain the development of the project through. Our business strategist has provided us with a blueprint of how to engage in discussions with hospital executives and shown us at length how to successfully complete the NHS tendering process. He has also provided us with access to his well-established networks, that include a range of high-profile healthcare professionals and entrepreneurs that we can engage in discussions to launch internationally, only once the product is officially licensed in a few hospitals and develops a stronghold in medical education in the UK. After this extension this will be our last phase of product development. After this will be executing national commercialisation through the business model developed within the first quarter of this project with our business strategist.

COVID-19大流行导致NHS的劳动力超出了合理的需求。减轻这种工作量的一种方法是英国医学院理事会快速跟踪最后一年毕业的医学生到合格的医生。这些新获得资格的基金会中期第1年（FiY 1）医生是一个宝贵的资源，将完成低风险的程序和办事员.潜在的问题是有效地利用这一前所未有的FiY 1的作用，真正减轻了当前NHS工作人员的额外工作量的方式.最大限度地利用经验丰富的临床工作人员的时间和资源是抗击这一流行病的关键。FiY 1角色的新奇引发了当前医务人员和FiY 1医生之间不可避免的不确定性，担忧和沟通问题。我们预测，这可能会导致医疗保健系统内在的低效率，NHS在大流行期间无法承受（例如工作流程，监督角色的负担和工作人员之间的协调）。我们建议的机制解决了当前疫情期间的工作量。我们的服务（导航器）将取代由主管面对面协调新的第一财政年度医生的需要;其他工作人员可以实时要求第一财政年度医生到病房执行他们胜任的特定职责。这不仅为经验丰富的员工腾出时间专注于其他工作，还最大限度地提高了FiY 1医生的效率。对患者来说，这意味着更快的诊断和治疗，加快患者的治疗速度，缩短住院时间;对工作人员来说，这意味着更有效率的工作日。我们设想FiY 1医生在整个医院的病房之间流动，比以往任何时候都更快地满足临床环境的需求-一旦完成一项任务，FiY 1可以简单地打开我们的应用程序并进入下一个临床任务。为了利用这项技术提高他们的表现，我们将通过每周工作报告将工作责任数字化，并提交给他们的临床主管。没有患者数据传输，工作人员的详细信息是匿名的，因此没有数据保护或安全问题。我们正在推动无纸化NHS议程，减少面对面的沟通，这在大流行期间可能会变得复杂。在当前的医疗环境下，简化工作流程的必要性比以往任何时候都更加重要。我们已经重新设计了医务人员在这个困难时期与第一财政年度医生联系的方式，我们希望未来的医生和学生也是如此。患者也将成为更敏感的NHS服务的受益者。其他信息在这里-我们已经完成了导航器的Beta阶段测试，该产品目前正在进行审计和压力测试，并计划进一步的数字认证。影响扩展将使我们能够完成全面的研究和开发评估，符合国家数字实施指南，我们预计将于2021年1月完成。因此，扩展影响将使我们能够超越产品，正式准备在NHS英格兰广泛实施。这包括用户研究、通信互操作性、数据安全和信息治理。我们的商业模式目前基于我们期望通过实施和试用许可费为我们获得收入的框架，我们可以通过这些收入来维持项目的发展。我们的业务战略家为我们提供了一个如何与医院高管进行讨论的蓝图，并详细向我们展示了如何成功完成NHS招标过程。他还为我们提供了访问他建立良好的网络，其中包括一系列知名的医疗保健专业人士和企业家，我们可以参与讨论，以便在国际上推出，只有当该产品在几家医院获得正式许可并在英国医学教育中建立据点时。在这次扩展之后，这将是我们产品开发的最后阶段。在此之后，将通过与我们的业务战略家在该项目的第一季度内开发的商业模式执行全国商业化。