Art makes you better

Andrew NugéeChief Executive, imagineear

MuseumNextJune 2014, Newcastle Gateshead

What I’ll cover today – and what you’ll take away

About imagineear

What is well?

Is there a problem?

How can art help?

The rhapsody project

So did it help?

What next?

So what for museums?

imagineear

Provides multimedia content solutions

Creates multilingual content, including archive and live audio

Publishes to smartphones and (our own) smart devices 

Works with sports venues, cultural sites and the healthcare sector

“Data is vital for … the construction of insight-rich business plans, the changing of organisational cultures to become more visitor focussed and, crucially, … to ensure that continual improvement … delivering a great visitor experience becomes [the] norm.”

Museums & Heritage Magazine Spring 2014

Imagineear regularly collects detailed usage data

And turns data to insight

Data to insight

Seeing exceptions in data patterns

What is well?

Health is not merely the absence of disease or infirmity

It is a state of complete

Physical Mental Social

well-being

From Constitution of the World Health Organization signed on 22 July 1946 by the representatives of 61 States, entered into force on 7 April 1948. Never subsequently modified

First line of defence; the NHS – a large beast

Every Day Is

10,500 GP practices2,300 hospitals150k beds

Over 1.7m people, incl: 370k nurses 40k GPs 20k ambulance staff

Every Day Does

25k emergency calls8k category A - life-threatening

650k patients treated300k are seen60k are seen in A&E

13k operations (in England alone)

Source: NHS Confederation, The NHS, Health and the Social Care Information Centre

How is it doing? Pretty well

Source: The Commonwealth Fund National Scorecard

The problem is one of cost

NHS budget for England next year £100bn £2bn shortfall £2bn transfer to the Better Care Fund 1/3 of NHS Trusts forecasting a shortfall this year

There is “a real risk” of hospitals running out ofmoney this year and next Chris Ham, CEO Kings Fund

“NHS is enduring the most sustainedbudget crunch in its 66 yr history” Simon Stevens, NHS England CEO

So what?

It turns out that integrating visual and performing arts

Induces significant differences in clinical outcomes Reduces amount of drug consumption Shortens length of stay in hospital Improves patient management promotes better doctor‐patient relationships improves patient mental health Contributes towards increased job satisfaction Enhances the quality of service

Source: Rosalia Staricoff PhD et al, based on research carriedout at Chelsea and Westminster Hospital from 1999 to 2002

Note to self

If we can employ art to reduce the average post-op hospital stays by just one day per person, we save

£225 per bed dayfor 13k operations per day

ie £3m a dayor £1bn a year

half of the NHS deficit

How does art help us get well?

Effect on pleasure/reward centres of the brain Releases dopamine, the ‘feel good’

neurotransmitter

Attention – the Hawthorne Effect We respond better when people pay

attention to us, regardless of what they are offering

Placebo Creates endorphins, natural pain killers Changes the patient's perception of pain

How does art help us get well?

Flow Intense focus on the Now Sense of control over the situation Experience intrinsically rewarding Altered sense of time Loss of self-consciousness

Art breaks barriers between healthy and sick Between normal life and hospital Between carer and patient

Mihaly CsikszentmihalyiProfessor of Psychology at the School of Behavioral and Organizational Sciences at Claremont Graduate University and

Co-Director of the Quality of Life Research Center

Rhapsody – a collaborative art project

Partnership between Chelsea and Westminster Health Charity Chelsea and Westminster Hospital Royal College of Music Arts Council England Eric Whitacre Imagineear TNF

Art trail – with a difference

Hospital with a difference Museum status since 2009 Over 1,000 artworks, most in

public atriums, including The Resurrection, by Veronese

Over 350 concerts annually

Rhapsody for patients, visitors and staff Music that engages the listener,

reflects the artwork’s message

Rhapsody Phase 1 – Music and Art

Rhapsody Phase 2 - Composition

15 new bespoke pieces chosen from over 250 applications Royal College of Music Royal Academy of Music Oxford University Cambridge University

6 months composition training by William Mival, Head of Composition at the RCM

Recorded at RCM earlier this year

Rhapsody Phase 2 - Isaac Ssebandeke

Rhapsody Phase 3 – the CD, the Apps

Did it help?

100% of patients were relaxed by the guides, 56% very much so100% of patients had boredom alleviated, 63% very much so100% of patients experienced a psychological lift, 27% very much so

“Without the Rhapsody audio guide, my patient stayed in bed. But now we are using the incentive of the music to go a bit further off the ward each day.” Darren Brown, Physiotherapist

And the one-day hospital bed target? Research to be completed Data appears to indicate … a one day reduction on average

What have we learnt?

The arts programme Helps patients return to health Is valuable to carers and visitors as much as patients Provides a common emotional platform, breaks barriers

NHS projects T…a…k…e T…i…m…e Experimental design, trials, focus groups, alternatives, testing, clinical

trials And this is nothing compared to apps that are classed as ‘medical

devices’

But the arts sector has the potential materially To enrich lives outside the museum To reduce cost and promote health

What Next – at C&W? Tackling pre-operative stress

14% of pre-op patients suffer from stressStress slows recovery, increases painPreliminary research shows music and art can help Lowers anaesthesia by 0.83mg/kg Lowers stress hormones 48% Reduces hospital stay by 1 day on average

What next more generally?

So join us!

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Save lives!

Thank you!

Andrew NugéeChief ExecutiveImagineear Ltd

andrewnugee@imagineear.com+44 20 3289 1416 (direct)+44 7785 368 971 (mobile)andrewnugee (skype)@andrewnugee