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Liver disease places a huge burden on the health of the nation. One in nine of the UK population suffers from the condition. Liver disease accounts for 26,000 premature deaths and 100,000 years of lost life each year. It costs the NHS £6bn annually, fully 5% of its budget.
The trouble is, liver disease is often symptom-free. Most of those who die from it don’t see a doctor until it’s too late for treatment. One-off blood tests with raised markers of disease don’t set alarm bells ringing because clinicians can only be certain all is not well if they look at blood test results trended over time. Although the data is there if you know how and where to look, today’s healthcare IT systems weren’t built to help doctors identify those suffering from conditions like liver disease in this way.
In 2019, a clinician in Somerset shared his frustrations about undiagnosed liver disease with an expert in healthcare IT. They teamed up with their local Somerset NHS Foundation Trust and put in a bid to the National Institute for Health Research to address this issue. The NIHR funded their proposal.
As a result, this pioneering, three-way partnership has developed and launched an innovative, case-finding search engine called HepatoSIGHT. This simple tool can identify patients at risk of liver disease by analysing the results from all of the blood tests they have given throughout their lives.
Thanks to this partnership between expert clinicians, specialists in healthcare IT, and NHS know-how in Somerset, this is now changing. As a result of funding from the National Institute for Health Research, doctors can now access and review all the blood test results of patients in their area. The new HepatoSIGHT case-finding search engine from Predictive Health Intelligence enables GPs and clinicians to identify everyone who may be at risk, quickly and straightforwardly. The team has created it to be simple to use, requiring no manuals and no training. It’s designed to be as intuitive and easy-to-use as Rightmove or AirBnB.
Predictive Health Intelligence is changing how doctors find patients at risk but unaware of their condition – first in liver disease, and soon in other conditions, too. By unlocking how the NHS uses existing data to identify people with hard-to-spot conditions, this new case-finding search engine has the potential to prevent thousands of premature deaths each year. In this way, Predictive Health Intelligence can also significantly reduce what the NHS spends on treating silent killers such as liver disease. Even a one percent improvement would represent £60m the NHS could spend elsewhere.
The new HepatoSIGHT case-finding search engine from Predictive Health Intelligence. Improving the health of the nation, one preventable case at a time.
Tim Jobson is a Consultant Gastroenterologist and Fellow of the Royal College of Physicians who has a particular interest in liver disease. He is an alumnus of both Oxford and Cambridge Universities and subsequently undertook research leading to a PhD from the University of Nottingham. As a Consultant Physician he has also held a variety of senior management posts and has led a wide range of quality and service improvement projects both in the NHS and as an advisor to the independent sector. Tim has always believed in the potential of technology to improve healthcare, and has been the Clinical Lead for numerous IT projects in the last 15 years.
More recently he started working on the Somerset Liver Improvement Project, designed to improve the diagnosis and care of the large number of patients with liver disease. Research within this programme led to an improved understanding of how patients with liver disease could be diagnosed earlier by accessing and combining the results of previous blood tests. In partnership with former colleague Neil Stevens and his local NHS Trust, Tim led the grant application that gave rise to this pioneering project, where he holds the roles of Medical Director and Chief Investigator.
An Information Management professional by background with degrees in Psychology and Artificial Intelligence, Neil spent over 25 years in the NHS running clinical information systems to support operational Trust activity. Neil is passionate about the role technology can play in improving healthcare delivery. He has led many successful national and locally driven IT-enabled change management programmes and projects, to support significant improvements to healthcare delivery. Neil is driven by the need to support the development of interoperability between IT systems across Healthcare sectors and better use of information in support of healthcare delivery redesign.
Since moving into independent management consulting in 2011, Neil has undertaken a number of service reviews of IM&T and Informatics functions to ensure alignment between service delivery and organisational strategic and operational priorities. In addition to his management consulting roles Neil is a Non-Executive Director for the South West Academic Health Science Network and for Stalis Ltd – who specialise in data management in the health and social care setting. He was appointed as the Managing Director for Predictive Health Intelligence in August 2020 following the successful bid for research funding from NIHR.
Tim Jobson is a Consultant Gastroenterologist and Fellow of the Royal College of Physicians who has a particular interest in liver disease. He is an alumnus of both Oxford and Cambridge Universities and subsequently undertook research leading to a PhD from the University of Nottingham. As a Consultant Physician he has also held a variety of senior management posts and has led a wide range of quality and service improvement projects both in the NHS and as an advisor to the independent sector. Tim has always believed in the potential of technology to improve healthcare, and has been the Clinical Lead for numerous IT projects in the last 15 years.
More recently he started working on the Somerset Liver Improvement Project, designed to improve the diagnosis and care of the large number of patients with liver disease. Research within this programme led to an improved understanding of how patients with liver disease could be diagnosed earlier by accessing and combining the results of previous blood tests. In partnership with former colleague Neil Stevens and his local NHS Trust, Tim led the grant application that gave rise to this pioneering project, where he holds the roles of Medical Director and Chief Investigator.
An Information Management professional by background with degrees in Psychology and Artificial Intelligence, Neil spent over 25 years in the NHS running clinical information systems to support operational Trust activity. Neil is passionate about the role technology can play in improving healthcare delivery. He has led many successful national and locally driven IT-enabled change management programmes and projects, to support significant improvements to healthcare delivery. Neil is driven by the need to support the development of interoperability between IT systems across Healthcare sectors and better use of information in support of healthcare delivery redesign.
Since moving into independent management consulting in 2011, Neil has undertaken a number of service reviews of IM&T and Informatics functions to ensure alignment between service delivery and organisational strategic and operational priorities. In addition to his management consulting roles Neil is a Non-Executive Director for the South West Academic Health Science Network and for Stalis Ltd – who specialise in data management in the health and social care setting. He was appointed as the Managing Director for Predictive Health Intelligence in August 2020 following the successful bid for research funding from NIHR.
This is the NHS provider that delivers acute, mental health and community services across Somerset.
Musgrove Park Hospital, where acute services are delivered, serves a local population of around 340,000 people and up to 544,000 people for the specialist services it delivers. Services include inpatient, outpatient, emergency care, children’s and maternity services. It has a high dependency and intensive care unit, 16 operating theatres and numerous medical and surgical inpatient wards.
In addition, SFT has 13 Community hospitals across the county and provides both inpatient and a wide range of community-based health services to the people of Somerset and specialist community dental services to the County of Dorset. Mental Health services are delivered from our inpatient facilities as well as within the community and support all ages of people with a range of mental health problems whether they are mild, moderate or severe.
SFT has a very active Research and Development department which supports exploring new ways of working across all the areas of the services we cover. We have an emphasis on looking at how to support early detection of problems so that we can support early treatment and hopefully reduce the harmful impact on people’s lives that liver disease may cause.
Predictive Health Intelligence is a medical technology company who have developed a case-finding tool to identify hidden cases of liver disease. This helps to identify patients early, whilst treatment options are available, improving clinical outcomes and reducing the burden of late-stage liver disease on healthcare systems.
Predictive Health Intelligence is the result of a pioneering partnership between expert clinicians, specialists in healthcare information management, and NHS know-how in Somerset. It is funded by the National Institute for Health and Care Research.
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