Health and Social Care Robotics Simulation Centre (HSCRSC)

英国的医疗和社会保健面临着来自人口老龄化和医疗保健改善的长期挑战，以及来自新冠肺炎和等待治疗的患者积压的短期挑战。英国国民健康保险制度是世界上最大的雇主之一，在英格兰拥有约140万全职相当于(FTE)的员工。工资账单占总预算的近45%。医院、精神卫生服务机构和社区服务提供者报告称，FTE工作人员短缺近8.4万人，其中3.8万人是护士。额外资金已经达成一致，但如果卫生和社会护理的效率没有重大变化，我们永远也赶不上。所有形式的“数字”必须在这一变化中发挥主导作用，但英国，尤其是英国国民健康保险制度，在实施基于技术的变化方面没有良好的记录。大部分健康和社会护理都是，而且应该继续由人来提供，但有许多活动可以由机器人安全、高效地进行。还有一些机器人可以与**人类**一起工作，帮助以更高的标准完成任务(外科机器人在NHS中的使用程度已经很有限)。然而，在许多领域，机器人和机器人可以发挥更大的作用，在适当的时候，在没有监督的情况下工作，例如搬运、储存、清洁、消毒、图像分析(X光、扫描等)。简单地将技术直接从研究实验室转移到临床和社会护理已经失败了很长一段历史。需要的是一个中间的“试验场”阶段，在这个阶段，新的机器人技术可以由真实的用户(患者、工作人员等)进行试验和测试。我们建议将来自医学、护理、医疗保健专业人员、患者、工程师、建筑师、律师和金融的专家团队聚集在一起，以完全模拟医院和社区疗养院的形式，为世界上第一个健康和社会护理机器人测试和评估中心制定详细且完全计算成本的规范。这将使SBRI知道在获得进一步资金的情况下可以开发什么样的设施。我们预计该中心的资本基础设施费用约为50 GB。新中心必须具有足够的灵活性，以适应机器人技术的新发展，并将其引入现有和未来的保健和社会保健基础设施。

Health and social care in the UK face long-term challenges from an ageing population and improvements in healthcare, and short-term challenges, from COVID-19 and the backlog of patients awaiting treatment.The NHS is one of the world's largest employers with around 1.4 million full-time equivalent (FTE) staff in England. The wage bill makes up nearly 45% of the total budget. Hospitals, mental health services and community providers are reporting a shortage of nearly 84,000 FTE staff, 38,000 of these are nurses.Additional funding has been agreed but without a major change in the efficiency of health and social care we will never catch up. "Digital" in all its forms must play a leading role in this change, but the UK, and the NHS in particular, does not have a good track record in implementing technology-based changes. Much of health and social care is, and should continue to be, delivered in person, but there are many activities that could be undertaken safely and much more efficiently by robots.There are also robots that work **with** humans, helping to perform tasks to a higher standard (Surgical robots are already used to a limited extent in the NHS). However, there are many areas where robots and robotics could play a much larger role and, when appropriate, work unsupervised, for example, portering, stores, cleaning, disinfection, image analysis (X-rays, scans etc).Simply transferring technology directly from the research laboratory to clinical and social care has a long history of failure. What is needed is an intermediate "proving ground" stage where new robotic technology can be tried and tested by real users (patients, staff etc.) in a realistic environment (hospital and community) but without the pressures and risks of direct introduction into health and social care.We propose to bring together a team of experts from medicine, nursing, healthcare professionals, patients, engineers, architects, lawyers and finance to produce a detailed and fully costed specification for the world's first Health and Social Care Robotics Testing and Evaluation Centre in the form of a fully simulated hospital and community care home. This will inform SBRI what type of facilities can be developed with further funding. We anticipate the capital infrastructure costs for the centre to be approximately £50M.It is essential that the new centre is sufficiently flexible to adapt to new developments in robotics and their introduction into both current and future health and social care infrastructure.