How can design help deliver better health services?

What can design do to help improve our nation's health?

Addressing: Competitiveness in industry, Design Innovation in Public Services

A hospital bed

Design Council

Reduce healthcare associated infections

A recent BBC poll showed that Healthcare Associated Infections (HCAIs) were the public’s biggest NHS concern, ahead even of waiting list length and quality of care.

HCAIs are infections acquired from hospitals and healthcare centres. Infections like the two most high profile, MRSA (Meticillin-Resistant Staphylococcus Aureus) and C.difficile (Clostridium Difficile). 

Items like telephones, pens, bathroom fittings, keyboards, television sets, manual handling equipment, children’s toys, uniforms, the bed making process, over-bed tables, door handles and bed or side rails can all harbour infections.

This doesn't mean HCAIs can't be stopped. The government's Health Protection Agency said in September 2008 that cases of MRSA had halved between 2004 and 2008 and that initiatives like deep-cleaning of wards and a recent bare-below-the-elbows policy have been making a significant impact.

To develop better products to tackle HCAIs, the NHS Purchasing And Supply Agency (PASA), the Department of Health (DoH), the NHS itself and its suppliers have all come together to form the HCAI technology programme. The initiative brings together the nation’s designers, scientists and healthcare experts to develop design-led innovations, creating working prototypes of ward-based equipment, furnishings, appliances, systems and communications initiatives which have been specifically designed to help improve HCAI figures.

The Design Council is co-ordinating a £25,000 challange to the UK’s design and manufacturing community. The money is there to help design and prototype new furniture, equipment or services for hospital wards that help reduce HCAIs. The Design Bugs Out challenge was launched on 2 September 2008 when the Chairman of the judging panel, Richard Seymour, revealed what he and his fellow judges will be looking for.

 

Improve the lives of Alzheimer's patients

Research for Alzheimer100Dementia currently affects 750,000 people in the UK and an expected 1.8m by 2050 - the majority of these cases will be Alzheimer’s disease. Alzheimer 100 investigates the every day problems experienced by Alzheimer’s patients and carers and seeks to design new products and services that tackle these problems.

Communication designers Think Public have teamed up with Alzheimer’s Society branches all over the North East for an innovative pilot that will improve the lives of those with dementia and their carers through design.

Make sexual health services more accessible

Newspaper headlines on sexual healthSexual health clinics can be so unwelcoming that people who need to visit them don’t. Health consultancy Design Options worked with Gateshead Primary Care Trust to design ways to make sexual health screening and treatment services easier to access and use. The aim of DaSH (Design and Sexual Health) was to come up with a system where people are seen by the service within 48 hours of contact, and where the treatment path is clear and suits the user’s needs.

Following consultation with over 1200 health professionals and members of the public DaSH has resulted in a design proposal for Gateshead Primary Care Trust’s new sexual health service. This is the first time sexual health service design has been tackled in this way, and it’s hoped the end result will provide a good example of how things can be done to other services both nationally and internationally. You can download the recommendations from DaSH on the Dott 07 website

Encourage people to lead more active lives

One of the Kent Activmob groupsLack of activity - and related conditions such as obesity, heart disease, high blood pressure and hip problems – has become a major challenge for the NHS. By the time we get older, the effects of these issues are felt more acutely so it is important to try to develop more active lifestyles.

During the five month RED project, a radical new approach to activity emerged: a service that does not offer or prescribe activity, but instead supports groups of people to organise it for themselves. Activmobs is a new way people can stay healthy by organising and motivating themselves to do the activities they like. You can find out more in our case study.

Help people with diabetes

Managing diabetesDiabetes is a chronic condition, which, with the right support, can in most cases be managed although not completely cured. The central issue both for sufferers and the health system is to find sustainable (and cost-effective) ways to manage the disease into the long term.

Working closely with a group of diabetes sufferers and health care professionals in Bolton, the design team developed a deck of ‘needs’ cards for patients to communicate their feelings, experiences and needs, and proposed the involvement of an independent adviser to help manage their condition – a diabetes ‘life coach’. You can read more in our case study.

With the support of Bolton Primary Care Trust, the health care professionals involved in the Design Council’s health project have formed a group called BOND (Bolton New Deal) to help drive a new diabetes healthcare agenda for the community, and to undertake a more in-depth pilot of the prototypes developed in the diabetes project. Read more in our update on this story.

 

We want to hear your views on design and health. You can add your comments – and read others’ views – on our Perspectives page

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The story so far...

September 2008

Design Bugs Out challenge to furniture and equipment designers is launched. £25,000 will fund a winning designer's ideas for hospital equipment or services that reduce healthcare associated infections.

February 2007 – present

Alzheimer 100 explores and documents the experience of those with dementia and their carers, and aims to address the key problems around the services currently available.

July 2006 – January 2007

DaSH looks at the accessibility of sexual health services and how design can make the services more effective and approachable for hard-to-reach groups.
You can download the recommendations from DaSH on the Dott 07 website.

2004/2005

Design Council's RED team prototypes new preventative health services to help older people to stay fit in Kent and, with staff and patients in Bolton's Diabetes Network, co-creates new systems for people to self-manage diabetes more effectively.

YOUR PERSPECTIVES ON THIS ISSUE

Richard Seymour

Director, SeymourPowell

 

Quote: 'There’s a good way of looking at Design Bugs Out. It’s probably the most important thing you can do this year, or maybe in your entire career, is to tackle as a designer this issue or issues of this type. This is people’s lives we’re talking about here. It’s not about how pretty the cruet is or what shape the damn car is, it’s about life and it’s about savings lives. So, I think that’s the right agenda. In my book, design is making life better for people. So lets do it'

Alan Johnson MP

Secretary of State for Health

 

Quote: 'Although the chances of acquiring a healthcare associated infection are relatively low, when a patient does it is extremely distressing for them, their family and the NHS staff treating them. Infection is also costly. On average, it adds three to ten days onto a patient’s length of stay in hospital, and for Clostridium difficile (C. difficile) that stay will be even longer. Financially it can cost between £4,000 and £10,000 more to treat a patient with an infection' ... 'What we need to do is equip the NHS with the tools it needs to take on the problem of healthcare associated infections and win.'
Nick Morton, Design Council

Nick Morton

former Design Council project leader

 

Quote: The normal model for public services is that they are provided, managed and maintained by public bodies. Activmobs turns this model on its head, with activities being instigated by individuals and supported by the council - this requires a completely different way of thinking.