Making a difference and empowering patients
Academic spotlight: Ray Jones, Professor of Health Informatics
鈥淢y work is driven by doing what I feel is useful. I鈥檝e always wanted to make real change happen now.鈥
Making a difference and empowering patients are central themes of Professor Ray Jones鈥 career. His research has introduced new computerised systems for health services, established digital professionalism in nursing curricula, and now enables rural and ageing communities to adopt technology that supports their wellbeing.
Ray credits his interest in empowering patients through technology to Professor Tony Hedley, his professional mentor and PhD supervisor during his time at the Universities of Nottingham and Glasgow. Professor Hedley also gave Ray one of the first two positions in the UK with the title 鈥楲ecturer of Health Informatics鈥 in 1984.
鈥淭ony directed me towards looking at GP records, chronic disease, and how technology can help with empowering patients; that was his legacy,鈥 Ray says. 鈥淭hrough our work I felt the importance of giving people some control over their record. That has stayed with me all the way through my career.鈥
Read more: Now is the time for all patients to have access to their medical record
But Ray originally started on a very different path. Graduating from the University of London with a degree in maths and management studies, he joined the Defence sector working on how guided missiles track their targets.
鈥淭hat was where I saw the light, really,鈥 Ray says. 鈥淚 knew the work would either be successful and result in deaths, or fail and be a complete waste of money. In rejecting the Defence sector, I found my moment of truth of wanting to work in the health service.鈥
Since then, Ray鈥檚 research uniting computer sciences with health services has straddled the 鈥楾echnological Revolution鈥, from pre-internet days when funders 鈥榙idn鈥檛 believe patients would use computers鈥 through to digital personal assistants now appearing in almost every home.
It had been revolutionary when, in 1979, Ray developed the first computer system that printed medical summaries for patients with diabetes, GPs and hospitals. A decade later, he proved to funders that patients would use computers to access health information effectively by creating the Healthpoint Kiosk, an innovative touch-screen unit installed in pubs and libraries. Ray has authored an impressive publications list, with papers published in the prestigious British Medical Journal 鈥 鈥榤y first BMJ paper was a highlight for me鈥.
Ray joined the 抖阴短视频 in January 2002 as Director of Research for the Institute of Health Studies. Looking for ways to connect students and patients in learning, he created the Satellite Seminar series in 2003 that then inspired the idea of streaming content online.
鈥淲ith my colleague Dr Cito Maramba, we sort-of invented webinars. There weren鈥檛 off-the-shelf options available then; we developed a way to broadcast video on the web with a parallel chat room. I manually changed the picture between video and screen on hardware in front of me,鈥 Ray laughs at the memory. 鈥淚t sounds archaic now but it was novel for the time.鈥
The online streaming of events led to wider adoption of webinars, expanding the culture of using technology and cementing the importance of digital skills in the nursing curriculum. Ray also recognised that his students could be the 鈥榓gents for change鈥 as they entered the workforce, to close the now emerging digital inequality gaps for ageing and rural communities.
This ideology carries through even today, to his current eHealth Productivity and Innovation in Cornwall and the Isles of Scilly (EPIC) project. Funded by the European Regional Development Fund, it facilitates health technology developments, boosting quality of life and wellbeing by uniting patients, health services, and local businesses.
鈥淎t the root of my work is the drive for implementation,鈥 he says. 鈥淭o make real change happen now. It struck me how you could have high quality studies in high quality journals but still have little impact. With EPIC, we have a 鈥榙o first, publish later鈥 approach that isn鈥檛 typical in academia, but has already demonstrated positive impacts in the South West.鈥
The response to Covid-19 has seen huge strides in eHealth, including greater uptake of the digital solutions that EPIC has been working to introduce in remote areas such as online GP consultations and care robotics 鈥 鈥淭he pandemic has accelerated in months what I鈥檝e been trying to do for 40 years.鈥
Whereas the challenge used to be the lack of information available to patients, nowadays they face quite the opposite issue.
鈥淢y aim was always to democratise information, giving people the information they want,鈥 Ray says. 鈥淲e couldn鈥檛 have predicted in the 1970鈥檚 and 80鈥檚 how the tide of information has changed. The challenge now is educating people to question information and find evidence to inform their decisions, especially as the level of misinformation available also increases.鈥
Increased digital connectivity also has environmental benefits, a parallel interest Ray has maintained since first learning of climate change and environmental issues during his university days, then as a long-term supporter of Greenpeace and the Green Party. Reducing emissions and increasing sustainable practices in healthcare services has been a thread through his work.
"For my research to truly make a difference, it has to be sustainable in every sense. I may not be able to do a lot about the environment but I do what I can through eHealth. There is no human health without a healthy environment," he says.
As he reflects on his vibrant career, Ray recognises the importance of embedding his common themes 鈥 patient empowerment, remote accessibility, digital professionalism, and sustainability 鈥 into healthcare practices and health curricula.
My research needs to influence the next generation taking up the baton, so to speak, to become the champions for patient empowerment.
I鈥檒l feel that I have been successful if, after I have retired, my legacy will mean I am remembered but not missed.