MAGIC Pre-Commercial Procurement : Impact on Post Stroke Rehabilitation Julie-Ann Walkden Nicola Moran Deputy Commissioning Clinical Physiotherapy Lead Belfast & Specialist in Stroke Regional Stroke Network Belfast Health & Social Coordinator Care Trust MAGIC-PCP Co-ordinator HSCB julie-ann.walkden@hscni.net 7 th June, 2019 KUOPIO Nicola.moran@belfasttrust.hscni.net
• Mobile Assistance for Groups & Individuals within the Community – Stroke Rehabilitation • Horizon 2020 - PHC-27 PCP call – “Self -Management of Health & Disease & Patient Empowerment Supported by ICT” http://magic-pcp.eu This Project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under grant agreement No 687228
Mobile Assistance for Groups Individuals within the Community - STROKE REHABILITATION cod. 687228 - H2020-PHC-2015 – http://magic-pcp.eu/ What is MAGIC? MAGIC – Mobile Assistance for Groups & Individuals in the Community. MAGIC is a European wide Pre-Commercial Procurement (PCP) focused upon creating innovative technology; Transforming services for people post stroke to improve physical function and personal independence Buyers Group Project support Observer states Project funded in the framework of Horizon 2020 DG for Communications Networks, Content and Technology Sustainable and Secure Society - Health and Well-being -
PCP Enabling Innovation in Health & Social Care Northern Ireland & Italian Healthcare • Driving targeted change to:- • Address real & defined issues • Help more service users with less resource … efficiency • Be more effective • Allow creativity to shine … co -creation between industry and frontline practitioners • New solutions for a new era EUROPEAN COMMISSION DG Communications Networks, Startup Europe Summit 2019
Phases 1 & 2 Combined in SBRI
Our Goal… • To develop new, innovative technology based solutions that improve physical function and thus personal independence, within the first six months following the onset of stroke.
Our Consortium…
Our Buyers Group
Mobile Assistance for Groups Individuals within the Community - STROKE REHABILITATION cod. 687228 - H2020-PHC-2015 – http://magic-pcp.eu/ What impact does MAGIC aim to achieve? Buyers Group Project support Observer states Project funded in the framework of Horizon 2020 DG for Communications Networks, Content and Technology Sustainable and Secure Society - Health and Well-being -
Mobile Assistance for Groups Individuals within the Community - STROKE REHABILITATION cod. 687228 - H2020-PHC-2015 – http://magic-pcp.eu/ How will MAGIC achieve this? Supplier engagement MAGIC Service User Consortium perspective MAGIC Clinical External advice/ co- Experts creation Trust Staff Buyers Group Project support Observer states Project funded in the framework of Horizon 2020 DG for Communications Networks, Content and Technology Sustainable and Secure Society - Health and Well-being -
Worldwide Interest…
This is the Procurement of Innovation… -Exclusion Criteria, - Selection Criteria - Compliance Criteria Validation CAG Meeting Voluntary eTendersNI standstill (in Website PCP) SBRI/ PCP Awarding The Call for contracts to ‘x’ Call for Tender ( CfT ) number of Document Successful Tender Companies BSO Procurement Manager - Damien.Lavery@HSCNI.NET
Pre-Commercial Procurement (PCP) Process Map 1. Procurement Decision Process (Overview) Problem Identified Analysis & Investigation Solution not on the market or Severely Pre-existing Solution Available Restricted Pre-Commercial Procurement Existing Frameworks (PCP) (R&D Only) Open Tender - Open / Innovation Partnership Restricted Negotiated Tender - Direct Award Contract Competitive Dialogue, CPN
2. Pre-Commercial Procurement (PCP) Process Flow – Phase 1
EC fund 70% of MAGIC…
Mobile Assistance for Groups Individuals within the Community - STROKE REHABILITATION cod. 687228 - H2020-PHC-2015 – http://magic-pcp.eu/ What has MAGIC completed to date? February 2017 8 successful suppliers from across Europe were awarded MAGIC Phase 1 contracts to design solutions. All 8 suppliers were assigned a Go-To Clinician in a Northern Ireland Trust and in Italy for their expertise to assist in prototype design. June 2017 Suppliers showcased their final Phase 1 solutions to the Buyers Group and Italian Clinicians in Chieti, Italy. November 2017 4 of the 8 Phase 1 suppliers were awarded a Phase 2 contract and started prototype development: Buyers Group Project support Observer states Project funded in the framework of Horizon 2020 DG for Communications Networks, Content and Technology Sustainable and Secure Society - Health and Well-being -
Mobile Assistance for Groups Individuals within the Community - STROKE REHABILITATION cod. 687228 - H2020-PHC-2015 – http://magic-pcp.eu/ November 2017 - Suppliers started Phase 2 Prototype development. Each supplier was assigned a Go-To Clinician and a Trust Research Manager for advice with trial planning. April 2018 - Suppliers showcase Phase 2 solutions in Chieti, Italy to the Buyers Group and Clinicians April 2018 - Phase 2 close October 2018 - Phase 3 commence with 3 successful suppliers participating for 18- months. Feasibility Study/ to-scale field trial January 2019 – First post-stroke patients recruited Buyers Group Project support Observer states Project funded in the framework of Horizon 2020 DG for Communications Networks, Content and Technology Sustainable and Secure Society - Health and Well-being -
CLINICAL AND PATIENT ENGAGEMENT IN
Clinical challenge in stroke rehabilitation : • Evidence based • Cost effective • Dose • Intensity • Engage patients • Opportunity for practice • Enriched environment • Support self management • Optimise outcome • Workforce constraints • Resource issues •
Could it be Mobile Assistance for Groups & Individuals within the Community – Stroke Rehabilitation • Innovative use of technology. • Self management approach. • Cost effective solutions • Address shortfall in therapy provision. • Meet the needs of stroke survivors
CLINICIAN INVOLVEMENT PATIENT PATIENT
Clinical / Patient Engagement Phase ‘0 ‘ • Initial meeting in Italy to understand PCP process , gain insight delivery of stroke care in Italy • Engagement events in with stroke clinicians & stroke survivors in Ulster University , local stroke groups e.g. physiotherapy exercise group , • Invest NI afternoon & industrial engagement events. • Presentations at NIMAST and Irish Physiotherapy Conference • Call for tender • Physiotherapists , Occupational Therapist and SLTS undertook appraisals of the proposed solutions ( 52 in total)
Clinician feedback Phase ‘0’ • Emphasised resource constraints affecting levels of care. • Issues around access to specialist equipment and technologies. • New solutions must be affordable and cost-effective and increase opportunity for practise and intensity . • Monitoring and feedback function. • Technologies need to be accessible and portable. • Different functionality & skill levels of stroke survivors to be considered (e.g., dexterity, repetition, task specific ) • Different effects of stroke and therapeutic requirements i.e meeting visual needs, communication needs , cognitive difficulties
Stroke survivor feedback Phase ‘0’ • Desire to manage their own recovery. • Want feedback on their progress. • Have appropriate stroke specific activity and exercise • Improve performance. • Ease of use technology • Gain more control over their day-to-day living • Survivors and carers felt needed better information for navigating care system & and dealing with recovery.
Clinicians role in Phase 1 &2 • Face to face engagement with clinicians and commercial solutions • Describe the challenge and educate companies about stroke rehabilitation • Explain evidence base and the essentials must do’s for successful outcome • Explore potential risks and adverse incidents • Advocate for our patients and determine essential components of a solution • Able to influence, advise , potentially modify technological solution
Phase 3 Camlin ARC-Intellicare • ARC-Intellicare is a machine-learning- based wireless platform • Personalise rehabilitation routines. • Provide continuous monitoring and give performance feedback during both exercise programs and Activity of Daily Living (ADL). • Consists wearable inertial sensors for upper, lower limb and postural monitoring, a tablet and a software platform, with a simple, gamified and straightforward usability.
Tech4Care – Magic Glass • Utilises augmented and virtual reality (AR / VR) • Enables patients to perform optimal physical and cognitive rehabilitation at home, by means of serious games grounded in the mirror-therapy approach
Corehab-WeReha • WeReha is an innovative medical device to rehabilitate stroke patients • Involves wearable sensors, monitor and biofeedback for total body exercises and “smart objects” for upper limb rehabilitation
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