SHINE AWARD The Health Foundation’s model of innovation Our working definition of innovation is: ‘[T]he creation and implementation of new processes, products, services and methods of delivery, which result in significant improvements in outcomes, efficiency, effectiveness or quality’ (Mulgan G and Albury D (2003). Innovations in the public sector. London: Cabinet Office) The scope of Shine awards will be innovations that fall within levels 1 to 3 of our model of innovation. Level 1 innovations are those approaches which have no previous history in any context – they are genuinely novel. Level 2 innovations are based around the transfer into healthcare of an approach from another sector such as another public service body or another industry. Level 3 innovations are those which stem from the transfer of approaches into the UK healthcare sector. This can be a transfer into the UK healthcare sector from overseas healthcare systems, or the application of an existing approach within a new healthcare context, eg an approach that is well established within adult care but is new to paediatrics. Approaches that are at level 4 stage of development will not be considered. In addition, Shine awards will not support the following types of innovation: the development of new drugs the development of new devices and other technologies the development of new surgical techniques the testing of new drug dosages and delivery methods (although new drug delivery methods which require a change in the healthcare system, eg a shift in the setting in which the drug is - delivered, self-administration support packages or new monitoring tools, would be within scope).Unlike other forms of technology, e-health developments will fall within the scope of the award. Like all other proposed innovations, e-health technologies must promise not only to improve efficiency, but also to improve at least one other aspect of the quality of care (see section 2). To be eligible for Shine awards, e-health technologies need to support a new way of delivering care or organising services; they should facilitate the achievement of the aims of this round of the scheme. The area of ‘e-health’ is defined as the health services organisation and societal approach to health and health services which results from the introduction of, and increasing access to, new digital technologies, including the internet, other computerised networks and telemedicine or distant healthcare facilitated by new digital technologies (NIHR Service Delivery and Organisation Programme).1 What stage of innovation will Shine support? We are seeking proposals that are at a particular stage of innovation. We expect that horizon scanning, issue/needs analysis and option generation will have been completed and that the idea is ready for first prototyping, that is, that it is ready for real-life testing and development. We expect that, during the course of the 12 months of the award, the work undertaken will consist of: - 1 putting the approach into practice on a small scale (prototyping) gathering evidence about its impact and effectiveness repeatedly developing and refining the approach in the light of the evidence collected if the evidence merits it and time and resources permit, testing how easy it is to adapt the approach to a second setting, recognising the need for adaptation and tailoring to local circumstances. www.sdo.nihr.ac.uk/ehealthholdingpage.html 2