Ignore Palantir’s political opponents and look at the data: this technology helps patients

cityam

Jul 30

(Photo by Carl Court/Getty Images) It’s all very well for a country that can’t build a railway, a reservoir or a functioning hospital discharge process to congratulate itself on its scepticism, but ...

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A government programme shows signs of working. Its opponents, who objected on political grounds before a line of code was written, go looking for a study. A think-tank obliges. A newspaper amplifies. And a country that struggles to build a railway, a reservoir or a functioning hospital discharge process congratulates itself on its scepticism.This week it is the turn of Optica to face this merry-go-round. Optica is a discharge tool built by an NHS body, North of England Care System Support, on the NHS Federated Data Platform, supplied by Palantir. The Health Foundation, a respected think tank that does serious work, published an analysis finding “no noticeable improvement” in discharge delays from using Optic","collect":0,"end_time":0,"defaultTopTitle":"cityam.com","property":[],"viewcount":null,"language":"en","relate_stocks":{"LU1861559042.SGD":"日兴方舟颠覆性创新基金B SGD","BK4585":"ETF&股票定投概念","PLTU":"2倍做多PLTR ETF-Direxion","IE00B19Z9Z06.USD":"Legg Mason ClearBridge - US Aggressive Growth A Acc USD","PTIR":"2倍做多PLTR ETF-GraniteShares","EYES":"Corgi Data & Surveillance ETF","BK4547":"WSB热门概念","PLTW":"PLTR周配息ETF-Roundhill","BK4613":"AI应用软件","PLTY":"PLTR期权收益策略ETF-YieldMax","PLTR":"Palantir Technologies Inc.","GUNZ":"Tuttle Capital Self Defense Index ETF","PLTZ":"2倍做空PLTR ETF-Defiance","PLTI":"REX PLTR Growth & Income ETF","IE00B19Z9P08.USD":"LEGG MASON CLEARBRIDGE US AGGRESSIVE GROWTH \"A\" (USD) INC","AIPI":"REX AI EQUITY PREMIUM INCOME ETF","IE00B894F039.SGD":"Legg Mason ClearBridge - US Aggressive Growth A Acc SGD-H","BK4588":"碎股","LU1861558580.USD":"日兴方舟颠覆性创新基金B","SHLD":"Global X Defense Tech ETF","PLT":"Defiance Leveraged Long Plus Income PLTR ETF","PLTA":"ProShares Ultra PLTR ETF","IGV":"北美软件ETF-iShares","PLYY":"GraniteShares YieldBOOST PLTR ETF","PLTD":"1倍做空PLTR ETF-Direxion","BK4023":"应用软件","IE00BZ9MQY76.HKD":"FTGF CLEARBRIDGE US AGGRESSIVE GROWTH \"A\" (HKD) ACC","BK4543":"AI","PLTG":"2倍做多PLTR ETF-Leverage Shares","PLOO":"2倍上限加速PLTR ETF-Leverage Shares"},"translate_title":"忽略 Palantir 的政治对手，看看数据： 这项技术帮助患者","themeId":null,"isJumpTheme":false,"ttsUrl":"https://static.tigerbbs.com/37dadfff785b0b7bbf5320dc9bba3c04","symbols_score_info":{"PLTU":0.6,"PLT":0.6,"PLTR":1.95,"PLTG":0.6,"PLTD":0.6,"PLTW":0.6,"IGV":0.6,"PLTI":0.6,"EYES":0.6,"PLTZ":0.6,"PLTA":0.6,"GUNZ":0.6,"AIPI":0.6,"PLOO":0.6,"PLYY":0.6,"PLTY":0.6,"PTIR":0.6,"SHLD":0.6},"content_text":"(Photo by Carl Court/Getty Images) It’s all very well for a country that can’t build a railway, a reservoir or a functioning hospital discharge process to congratulate itself on its scepticism, but the Health Foundation is wrong – Palantir’s NHS tool works, says Louis MosleyThere is a ritual in British public life. A government programme shows signs of working. Its opponents, who objected on political grounds before a line of code was written, go looking for a study. A think-tank obliges. A newspaper amplifies. And a country that struggles to build a railway, a reservoir or a functioning hospital discharge process congratulates itself on its scepticism.This week it is the turn of Optica to face this merry-go-round. Optica is a discharge tool built by an NHS body, North of England Care System Support, on the NHS Federated Data Platform, supplied by Palantir. The Health Foundation, a respected think tank that does serious work, published an analysis finding “no noticeable improvement” in discharge delays from using Optica.The Health Foundation found this because it seemingly doesn’t understand what the tool was designed for, and therefore which patient cohort to base its study on.\n\nHospitals discharge two kinds of patient. Most discharges are simple: the ward sends someone home and there is no care to arrange. The guidance says these cases should move fast, and they generally do. But complex discharges are different. These are typically patients who have spent weeks in hospital. Someone must book them a care home place, order equipment, arrange transport and brief a district nurse. This required coordination across the NHS, the local authority, independent providers and charities. These patients are fewer in number, but they wait the longest.\n\n\n\n\n\n\nFree Thinking - City AM Opinion Newsletter\nGet weekly sparky insight and expert commentary on markets, entrepreneurship and innovation from City AM’s Opinion Editor, delivered every Saturday.\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nJudge us on resultsJonathan is the kind of patient Optica was built for. “When I suffered life-threatening complications following a rare abdominal cancer, I wanted to get straight to hospital,” he says. “But once I started feeling better I just wanted to recover at home. The hospital and social care teams could all see and update my data so they could work together to see if they could discharge me more quickly.”In a whole-hospital average, Jonathan vanishes. For long-stay patients like him, NHS England‘s analysis shows a 14.1–14.9 per cent fall in delay-days using Optica. Even when NHS England reran the Health Foundation’s own, different, method — but restricted to that same long-stay population — it still showed a positive effect.Two different ways of counting land on the same conclusion: a real impact, even if the two methods disagree on its size.\n\nThe wider platform should be judged the same way. Trusts using its theatre tool have recorded 110,000 additional operations since they began using that tool. Similarly, Trusts using its cancer tool have seen a 6.8 per cent improvement against the 28-day diagnosis standard. The programme holds a green delivery rating, one of 30 among more than 200 major government projects, and is forecast to return £5 for every £1 spent.Can we prove no other factor moved those numbers? No. And we say so in writing: since the statistics regulator’s review, every figure the programme publishes carries a causal caveat. Elsewhere, the benefits of virtual wards or electronic patient record systems, for example, carry none. And where a rigorous test of Optica has been run, the benefits held: an independent Imperial evaluation of the theatre tool found it improved theatre use.Software cannot conjure a care home bed. Where social care capacity is the bottleneck, no technology can fix that. What ours does is make the problem visible: who is waiting, why, and where the blocker sits, so discharge teams stop losing days to spreadsheets and chasing by phone.This is about patients: elderly and vulnerable people getting home sooner and in better health. We will keep backing the clinicians and care coordinators who arrange that care every day.","kind":"highlight","is_publish_news":true,"is_publish_highlight":false,"is_publish_live":false,"is_publish_wemedia":false,"editions":null,"column":"","sentiment":"0","news_tag":"","news_rank":0,"isVideo":false,"video":null,"symbols":[],"gpt_button":0,"need_auth":false,"need_login_tip":false,"code":"91000000","status":"200"}}}