A recent analysis of the health economic burden of wounds highlighted that ~2.2 million wounds were managed by the NHS in 2012/2013 requiring annually 18.6 million practice nurse, 10.9 million community nurse, 7.7 million GP and 3.4 million hospital outpatient visits. The annual NHS cost of managing these wounds is £4.5-5.1 billion (~4% of the entire NHS budget). We propose to develop a wound dressing incorporating inexpensive optical fibre sensors (OFS) which will monitor whether a wound is healing, whether healing is not progressing and whether a wound is infected. The proposed sensors have been developed and validated by our team in laboratory tests thus greatly reducing project risk. The new dressing could have a significant impact on NHS costs and patient care. It will enable clinical interventions to take place promptly but only when required, thus improving wound care and reducing the number of NHS appointments. Studies will involve clinic based evaluation followed by a community based study of patients with chronic wounds. Design, regulatory, statistics and health economics expertise will help to support development of a valuable, safe tool that is acceptable to patients and clinicians.

The UK's textiles and clothing industry makes a significant contribution to the economy employing over 130,000 individuals and is experiencing resurgence with production rising by 2.5% over the last two years to a value of £9.1 billion. E-textiles are an emerging and enabling technology with broad potential applications in many areas such as clothing, home furnishing, workwear, sports, medical, architecture and automotive. The e-textiles market is forecast to grow from $100 million to $5 billion by 2027. E-textiles can also be used in many other emerging areas such as wearable technologies and IoT. This proposal is to create an E-textiles Network community to bring academia, industry and end users together to identify research challenges and catalyst the collaboration to address these challenges. The e-textiles network will ensure widely dissemination and knowledge exchanges using variety of mechanisms. In particular, the annual two-day conference will bring the community together to disseminate the research findings and engage with industry and end users. While network will be co-ordinated by the University of Southampton, the priorities and activities will be driven by a steering board with balanced representation from a range of other universities, companies, end users and policy makers. The success of the proposed network will ensure the UK keeps its leading role in the innovation and manufacturing of e-textiles.

This network will focus on developing the next generation of advanced technologies for rehabilitation, targeting musculoskeletal, cardiorespiratory, neurological and mental health conditions. It will be connected to the new £70 million National Rehabilitation Centre (NRC), a major national investment in patient care, innovation and technology, due to open to patients in 2024. The NRC is being co-located with the specialist £300m+ Defence Medical Rehabilitation Centre on the Stamford Hall Rehabilitation Estate so that the two centres can benefit from the sharing of a wealth of knowledge, expertise and facilities. This EPSRC networkplus is therefore an exceptionally timely opportunity to capitalise on this significant investment, actively involving the UK Engineering & Physical Science community in this initiative and embedding technology innovation at the earliest stage. Advances in medicine have resulted in a significant increase in survival rates from trauma and injury, disorders and disease (acute and chronic). However, survival is often just the start, and the higher rates have led to an increase in rehabilitation needs, involving many patients with complex conditions. Technology has an increasingly important part to play in rehabilitation, to support a limited number of skilled healthcare professionals, reduce hospital stays, improve engagement with rehabilitation programmes, increase independence and improve outcomes. Speeding up recovery and helping patients get back to work and life has considerable personal, social and economic impact. This network will bring together researchers, healthcare providers, patient & user groups, industrial partners and supporting organisations (e.g. policy makers, charities) to develop a world-class research community and infrastructure for advanced rehabilitation technologies. By connecting new innovative technologies and advanced materials with our growing understanding of mental and physical health, this network will support the provision of novel, transformative, affordable solutions that will address current issues, allowing patients to lead more independent and fulfilling lives and reducing the burden on limited NHS resources. Supported by a core membership of experts from the rehabilitation field, this network aims to introduce researchers who are not typically involved in rehabilitation technology research into a network of rehabilitation experts. Central to the grant will be a series of Grand Challenge Blended Workshops and supported conversations designed to identify critical areas for research, with funding for feasibility projects to build those collaborations and drive forward innovation. The network will explore multimodal approaches that target both physical and mental rehabilitation. Technology innovation will focus around three key areas: 1) advanced functional materials, 2) patient-specific devices & therapy, and 3) closed loop measurement and rehabilitation.