Recommendations for genomics made in Topol Review
The Topol Review has been launched outlining a vision of a digital future for the NHS using the latest technologies across the themes of genomics, digital medicine, and AI and robotics.
Recommendations from the Genomics Panel of the report include the establishment and development of new frameworks, more training for the workforce to become more genomics literate, and that genomic and data analytics become more prominent in undergraduate curricula.
Led by California-based cardiologist, geneticist, and digital medicine expert Dr Eric Topol, The Topol Review an independent review commissioned by the secretary of state for health and social care and produced by Health Education England (HEE).
It was commissioned by former health secretary Jeremy Hunt to establish how the NHS workforce should use new technologies going forward. The report follows the publication of the NHS Long-Term plan last month, with the executive summary of the Topol Report suggesting that within 20 years, 90% of NHS will require some element of digital skills.
The focus was on how the workforce can use existing and new technologies in a bid to make the service more efficient and allow healthcare professionals to spend more time treating their patients.
As outlined in the interim report, the report is guided by the principles of: including the patients as partners and informing them about health technologies; a workforce that has expertise and guidance to evaluate new technologies and; adoption of new technologies should enable more staff to care.
Dr Eric Topol said: “Over the next twenty years three changes will inevitably happen: more and more people will have their genome sequenced; patients will generate and interpret much more of their own health data at home; and the speed, accuracy and scalability of medical data interpretation from artificial intelligence will grow exponentially.
“These developments will change patients’ lives, change how clinicians work and change how healthcare services are delivered. This is happening now and the NHS is ideally placed to take it further, faster and wider if we act to give our staff the skills and knowledge they need to make them the norm across the NHS.”
Telemedicine, smartphone apps, sensors and wearables for diagnostics and remote monitoring, automated image interpretation using AI, interventional and rehabilitative robotics are all among the top 10 digital healthcare technologies that are projected to impact on the NHS workforce from 2020 to 2040.
A vast amount of the recommendations from the advisory boards relate to safeguarding patient data as well as being accessible for clinicians, and giving staff the required training in order for the workforce to be equipped to deal with new technologies.
The Digital Medicine and AI Robotics Panel recommended: “The NHS should create or increase the numbers of clinician, scientist, technologist and knowledge specialist posts with dedicated, accredited time, with the opportunity of working in partnership with academia and/or the health tech industry to design, implement and use digital, AI and robotics technologies.”
As part of its recommendations, The Organisational Development board recommended that the NHS should support collaborations between the service and industry to improve the workforce’s skillset, and to work with other stakeholders to review regulation and compliance requirements for new digital healthcare technologies.
Health and social care secretary Matt Hancock said: “Technology must be there to enhance and support clinicians. It has the potential to make working lives easier for dedicated NHS staff and free them up to use their medical expertise and do what they do best: care for patients.
“Technology will make the NHS the best in the world and I want everyone who works in the health and care system to be empowered to embrace it – from porters to pathologists, surgeons to social care workers.”
Full recommendations from the Genomics Panel:
The citizen and the patient:
- The NHS, in partnership with relevant regulatory bodies, should establish a clear, robust framework by which healthcare professionals use genomic data, which safeguards confidentiality, and inspires the support of and confidence of citizens and the wider community.
Healthcare professionals:
- All healthcare professionals should receive core training in genomic literacy to help them understand the basis, benefits and ethical considerations associated with genomics.
- Lifelong training should be available to healthcare professionals with emphasis on continuing support in this rapidly evolving field, including access to dynamic ‘justin-time’ digital updates and online genomic information resources.
- Accredited genomic training for healthcare professionals should be established in key clinical specialties to incorporate genomic testing and genomic counselling into their practice.
- Capacity should be built within the NHS Genomic Medicine Service through support for specialist healthcare professionals including genomic counsellors, clinical scientists and specialists in genomic medicine
Health system:
- An attractive career pathway should be developed for bioinformaticians, including expansion of Higher Specialist Science Training for clinical bioinformaticians
- A framework for genomic leadership should be developed across clinical specialties and primary care settings to encourage and disseminate best practice and to simplify patient referral systems.
- Academic institutions should ensure genomics and data analytics are prominent in undergraduate curricula for healthcare professionals, and that there should be expansion of undergraduate capacity in genomics, bioinformatics and data science.