• Over £7 million for seven new NHS Test Beds around the country
• Projects include the use of AI and machine learning to improve breast cancer screening and digital platforms enabling self-management for diabetes - Up to £2 million for new innovative treatments for conditions including colorectal cancer, heart disease and multiple sclerosis
• Estimated 500,000 patients helped and savings of £30 million for the NHS

Seven new NHS Test Beds including the East Midlands are being launched to tackle some of the biggest opportunities and challenges in health and care by testing combinations of innovations in real-world clinical settings.

This is the second wave of NHS Test Beds and once again the AHSNs will be providing support in their regions. East Midlands Radiology Consortium (EMRAD)

The new Test Beds are being provided with more than £7 million of Government funding, alongside match funding from industry partners.

Products for ‘rapid uptake’: Accelerated Access Collaborative

Seven innovative technology areas were identified by the AAC that improve patients’ lives but are not currently available to everyone who could benefit. This first batch of ‘rapid uptake’ products was selected by leaders in the health and care system, and includes a range of treatments for conditions such as cancer, heart disease and multiple sclerosis.

The products will be spread through the AHSN Network’s Innovation Exchanges, which match solutions to the needs of their local health and care systems.

"These programmes will fast track innovations from lab bench to patient bedside and help ensure that NHS patients continue to be the first to benefit from the life-changing treatments developed in this country.”

The four sites together receiving £5 million in funding from OLS are:

• Care City in London, which is bringing together market-ready diagnostics, smartphone applications and management tools to support patients with long-term conditions
• East Midlands Radiology Consortium (EMRAD), which is using artificial intelligence and machine learning to improve breast cancer screening
• Chelsea and Westminster NHS Foundation Trust, who will be providing patients with access to their digital health records with the aim of reducing missed appointments and duplication of clinical activity
• Royal Stoke University Hospital, who will be using new market-ready digital technologies to coordinate community-based clinical interventions for patients with heart failure, to reduce hospital re-admissions.

Three sites focussed on self-management of diabetes are together receiving £2 million in funding from NHS England:

• Greater Manchester Strategic Clinical Networks, who will be testing a one-stop digital platform (MyDiabetesMyWay) designed to help people self-manage their condition more effectively
• South West London Health and Care Partnership, who will be using a combination of new technologies to empower patients to take control of managing their condition
• North East Hampshire and Farnham Clinical Commissioning Group (CCG), who will be providing using digital solutions embedded within existing diabetes pathways in primary care to provide structured, ongoing self-management support for lifestyle change.

NHS Test Beds locations

Care City: Transforming how we find, treat and manage long-term conditions, London

To bring together market-ready diagnostics, smartphone applications and management tools to support patients with long-term conditions. Specifically, the site wants to overcome the key barriers in the adoption of these new technologies amongst i) patients, ii) staff and iii) organisational systems, by empowering junior members of the workforce to support staff and patients in their use.

EMRAD: Capacity, Confidence, Care - Using Artificial Intelligence and Machine Learning to support Breast Screening

• To test an AI tool developed specifically for breast cancer screening. This will help radiologists and breast units deliver a more accurate and efficient screening service, reducing unnecessary recalls and biopsies, saving the NHS significant costs, and cutting anxiety for patients.
• It will also test the use of AI tools to streamline operational aspects of the service, to ensure clinics and screenings are scheduled in the best way. In the longer-term, the project aims to develop new models for the safe and trusted use of AI across the NHS.

Chelsea and Westminster NHS Foundation Trust: Developing a Schedule for Unscheduled Care, London

• Patients will be given access to their health record, i.e. the scheduling of their appointments, the visibility of their waiting times, and the remote reporting of their health status. The aim is to reduce missed appointments and the duplication of clinical activity.
• The initial focus will be on specific urgent care pathways in cardiology and maternity, with a view to spreading effective interventions to new clinical pathways, integrations (including 111) and areas across the country.

Royal Stoke University Hospital: Listening to messages from heart failure, Stoke

• To help reduce hospital (and specifically A&E) admissions for patients with chronic long-term heart failure (HF). The project will combine three new market-ready digital technologies to coordinate community-based clinical interventions with patients who report deteriorating symptoms (before they require a hospital admission).
• It will also enhance patient knowledge and ability to safely ‘self-care’, via the targeted distribution of bespoke patient-education materials and referrals to appropriate third-sector services.

Greater Manchester Strategic Clinical Networks – will test a one-stop digital website (MyDiabetesMyWay) designed to help people self-manage their condition more effectively;

South West London Health and Care Partnership – will test a mixture of digital products to support healthcare professionals to help patients better manage their diabetes; and

North East Hampshire and Farnham CCG – will use new digital tools alongside existing diabetes care to support lifestyle change at every stage of a patient’s care.

Find out more about the Test Beds programme on the NHS England website here.

Accelerated Access Partnership ‘rapid uptake’ products

• Heartflow - A non-invasive personalized cardiac test that reduces the need for unnecessary procedures
• Placental growth factor (PIG-F) based testing for suspected pre-eclampsia - tests for early diagnosis of pre-eclampsia in pregnant women, which if unmonitored, can cause serious complications for mother and baby.
• PCSK9 inhibitors for treatment of primary hypercholesterolaemia and mixed dyslipidaemia - Cost-effective drugs that significantly lower cholesterol.
• High sensitivity troponin tests for early rule out of myocardial infarction (acute) - Diagnostic tests that detect whether or not a patient is at risk or previously had a heart attack.
• Quantitative faecal immunochemical tests for colorectal cancer - Diagnostic tests that reduce referrals for patients with suspected colorectal cancer.
• Cladribine (Brand name: Mavenclad) for treating highly active relapsing-remitting multiple sclerosis in adults - A drug for multiple sclerosis with a novel mode of action, high efficacy and a low treatment and monitoring burden
• Urolift for lower urinary tract symptoms of benign prostatic hyperplasia.