Digital Health Podcast - Royal Society of Medicine

This episode centres on the evaluation of digital health solutions. It features a conversation with Dr Saira Ghafur, Consultant in Respiratory medicine and co-founder of Prova Health.

Discussion topics include

- The different types of evidence required at different stages of product development

- The use of innovative approaches such as simulation to produce evidence for digital health technologies

- The importance of linking evidence and reimbursement and different international approaches that are being implemented to tackle this

This episode focusses on PIFU (patient initiated follow up) and how technology is helping to reimagine outpatient care pathways. It features a conversation with Tom Whicher, CEO and co-founder of DrDoctor

In this episode Giuseppe Sollazzo shares his insights from the NHS AI lab skunkworks programme - an initiative to find new ways to use AI for driving forward the early adoption of technology in the NHS.

Discussion topics include:

- The value of an open-source approach to AI development in the public sector

- The importance of being transparent about both successes and failures

- The role of MDT AI teams in the NHS and upskilling the workforce in relation to AI

More information about the skunkworks projects here: https://transform.england.nhs.uk/ai-lab/ai-lab-programmes/skunkworks/

This episode features a conversation with Dr Saddif Ahmed- Director of Clinical Safety and Accuracy at Flo Health, uncovering how femtech products are providing novel insights into women's health.

In this episode, we delve into the realm of AI regulation and its impact on the future of medical AI innovation in UK. Joining me is the esteemed Professor Stephen Gilbert, a medical device regulatory science academic.

During our discussion, we explore:

Relevant publicatons:

https://www.jmir.org/2023/1/e43682

https://www.nature.com/articles/s41591-023-02412-6
https://www.sciencedirect.com/science/article/pii/S2949761223000421

This episode features a conversation with Professor Colin Espie Professor of Sleep Medicine at the University of Oxford and co-founder and Chief Scientist at Big Health. It focusses on the topic evidence generation for digital therapeutics

Discussion topics include:

- Why evidence generation is so important for digital therapeutics

- The distinction between evidence-informed and evidence-based therapies

- The challenge of designing placebo controlled trials for digital therapies

Links to papers:

https://www.healthaffairs.org/do/10.1377/forefront.20220223.739329/

https://www.jmir.org/2023/1/e43682

This episode features a conversation with Dr Hugh Harvey- Managing Director at Hardian Health exploring the regulatory, ethical and logistical challenges involved in developing Large Language Models (LLMs) as medical devices.

Discussion topics include:

- A step-by-step guide to the regulatory approval process for LLM medical devices

- Should users be allowed to ask general purpose LLMs (like chatGPT) medical questions?

- What needs to change in current regulation in order for it to keep pace with recent AI developments

Blog posts mentioned in podcast:

Hardian Health blog by Hugh Harvey: https://www.hardianhealth.com/blog/how-to-get-regulatory-approval-for-medical-large-language-models

MHRA LLM blog post: https://medregs.blog.gov.uk/2023/03/03/large-language-models-and-software-as-a-medical-device/

RSM Ethics and Regulation for AI in health event: https://www.rsm.ac.uk/events/digital-health/2022-23/ter04/

This episode features a conversation with Dr Murray Ellender- CEO of eConsult. It explores how innovative digital triage tools are catalysing new ways of working and improving system efficiency within the NHS.

Discussion points include:

- Digital triage enabled primary & secondary care

- The concept of one unified 'digital door' across NHS services

- The future of AI-enabled triage