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There is an urgent, unmet need for reliable, intelligent systems that can monitor patient condition in the home, and which can help patients manage long-term conditions. Delays in recognition of the changes in physiological state worsen outcomes and increase healthcare costs. The ASPIRE programme uses chronic obstructive pulmonary disorder (COPD) as an exemplar, which affects over 210 million people globally. This condition costs the National Health Service over £800 million each year, over half of which is spent treating patients in hospital, rather than caring for them in their homes.

Aims and Objectives

This programme aims to develop 'intelligent' systems for people to use in their own homes, by wearing lightweight healthcare sensors that can track vital signs and fuse the information with data from the patient's encounters with GPs and hospital care. These systems can then monitor COPD signs and symptoms in their own homes, spotting when the condition is worsening early on as delays in spotting changes in long-term conditions like COPD are bad for patients, and increase the cost of their healthcare.

We propose to develop an "intelligent" home-based system, with smart algorithms embedded within lightweight healthcare sensors, to overcome these limitations. Our novel work will incorporate next-generation machine learning algorithms to combine information from healthcare sensors with information from GP and hospital visits. This will enable the system to learn "normal" health condition for individual patients, with knowledge of other conditions from which they may be suffering, and which can then make recommendations to the patient concerning self-management of their condition. This work will include close working with world-leading clinicians to ensure that the recommendations provided by the system are correct for the individual patient.


Andrew Farmer

Heather Rutter, Veronika Williams

David Clifton, Peter Watkinson, Julie Derbyshire, Lionel Tarassenko, Peter Watkinson, M Osborne, S Roberts



Oxford Health NHS Foundation Trust, Oxford University Hospitals NHS Trust, University of Oxford Department of Primary Health Care Sciences, Microsoft, Oxehealth Limited



University of Oxford (Nuffield Dept of Primary Care Health Sciences/, Department of Biomedical Engineering)


Funded by

EPSRC (The Engineering and Physical Sciences Research Council)


The ASPIRE programme is being piloted by Oxford University Hospitals NHS Foundation Trust.