GreenCare: Decarbonising the NHS through digital transformation of older adult health and social care

COVID-19对卫生和社会护理部门产生了前所未有的影响，增加了老年人和残疾人的社会隔离，特别是在少数民族和贫困社区，在这种情况下提供良好的护理是具有挑战性的。疫情带来的阻碍包括减少面对面咨询、忽视慢性病管理和非COVID紧急入院，以及恢复正常服务的严重积压。这不成比例地影响了老年人和少数群体的医疗保健服务，他们现在面临着更大的健康不良风险，通过加速功能衰退，导致福尔斯，这是老年人意外死亡的主要原因，每年花费NHS惊人的23亿英镑。NHS贡献了英国6.3%的碳足迹（27.1MtCO2e），24%来自建筑物，17%来自交通，是公共部门碳排放的最大贡献者，也是政府清洁增长战略的主要目标之一，到2050年实现净零排放。因此，COVID-19加重了本已不堪重负且不可持续的医疗服务的负担，面对快速老龄化的人口，迫切需要进行数字化转型以维持当前的护理标准。有强有力的证据表明，对老年人进行预防性物理治疗/运动干预可通过减少受伤/福尔斯来增加无残疾寿命。GreenCare提供了第一个以虚拟角色为主导的交互式远程理疗系统。创新的3D/4D机器视觉生物力学分析和业界领先的人工智能算法将用于精确测量关节位置和其他姿势特征，通过用户主导的移动界面设计实现按需性能评估和个性化运动干预，与初级保健电子健康记录共享数据。GreenCare直接解决了远程咨询和主动护理管理的必要性，最大限度地减少传染病传播，帮助NHS以可持续的方式重建COVID后的生活，延长老年人的独立生活，同时降低老年人护理NHS成本和根深蒂固的医疗不平等。减少面对面的门诊咨询（每次预约25- 100英镑和50 KgCO 2 e），并通过早期远程生理干预最大限度地减少可避免的住院（每次急诊入院1,600英镑和380 KgCO 2 e），为NHS节省14亿英镑和312 KtCO 2 e提供了潜力-NHS 2050年可持续目标的1.2%。

COVID-19 has had an unprecedented impact on the health and social care sectors, increasing social isolation amongst older adults and disabled people, particularly within ethnic minority and deprived communities, and providing good care in this situation is challenging. Repercussions from the pandemic include reduced face-to-face consultation, neglected chronic disease management and non-COVID emergency admissions, and severe backlog on resuming normal service. This disproportionately affects healthcare access for older adults and minority groups, who are now at even greater risk of succumbing to ill-health, through accelerated functional decline, leading to falls, which are the leading cause of accidental deaths in seniors costing the NHS a staggering £2.3Billion each year. The NHS contributes 6.3% of the UK's carbon-footprint (27.1MtCO2e), 24% from buildings and 17% from transport, is the largest contributor of public-sector carbon emissions, and one of the principal targets of the Government's Clean Growth Strategy to achieve Net Zero by 2050\. Hence, COVID-19 has increased the burden on an already overstretched and unsustainable health-service and digital transformation is urgently needed to maintain current care standards in the face of a rapidly ageing population.There is strong evidence that preventative physiotherapy/exercise interventions in seniors increase disability-free life years by reducing injuries/falls. GreenCare delivers a first-of-a-kind avatar-led interactive remote-physio system. Innovative 3/4D machine-vision biomechanical analysis and class-leading AI algorithms will be used to precisely measure joint position and other postural characteristics, enabling on-demand performance assessment and personalised exercise intervention via a user-led mobile-interface design, sharing data with primary care electronic health records.GreenCare directly addresses the necessity for remote consultation and proactive care management, minimising infectious disease transmission, helping the NHS to build-back post-COVID in a sustainable manner, prolonging independent living in seniors, whilst decreasing elderly-care NHS costs and entrenched healthcare inequalities. Reducing Face-to-Face outpatient-consultations (£25-£100 and 50KgCO2e per appointment), and minimising avoidable hospital attendances (£1,600 and 380KgCO2e per emergency-admission), through early remote-physio intervention offers potential for overall NHS savings of £1.4Billion and 312KtCO2e---1.2% of NHS 2050 sustainability targets.