WINNER 2011 Global Messaging Awards 2011 Telehealth innovation WINNER Dr Ruth Chambers Phil O’Connell RCGP June 2011 WINNER 2010 WINNER Regional Innovation Fund 2010
GP Perspective • Challenge • Innovation • Cost Saving ? • Time Saving ? • Improving patient's quality of care ? • Integrated Pathway ?
What did we try ? • Telehealth equipment in patients’ homes • Select for COPD, heart failure, other • Non-clinical triage • Alert parameters • Evaluation? • Mobile phone texting interaction • Hypertension, Asthma, Contraception • Website –sharing of information • Focused problems eg poor blood pressure control
Is it working? • Challenge: yes – clinicians engaged in 14 practices • Innovation: yes – new use • Cost Saving: probably • Time Saving: possibly • Improving patient's quality of care: probably • Integrated Pathway: yes – helping interaction with community nursing
compliance monitoring behaviour change NHS Telehealth Innovation
Inside the NHSindustrial scale quality and productivity improvement COPD, CHF, new hypertension, hypotension, diabetes type 1, dementia, vascular cognitive impairment, sexual health, retinopathy, medication compliance, diabetes type 2, medication titration, orthopaedic, pulmonary fibrosis, cervical smear, smoking cessation, speech therapy, carers wellbeing, mental health behaviour, long term hypertension, asthma, alcohol support, weight management, early hospital discharge, outpatient therapy, acute specialist follow up, long term monitoring, prothrombin time, oximetery review, asthma, depot injections, pregnancy, pain management,physiotherapy, palliative care, learning disability, oncology, neuropsychology, DNA management, CKD …..unlimited conditions quick and easy very low cost
Inclusive approachgenuine benefits for everyone involved self management + GP decision support Personal and empowering Massive and fast scalability Year 1 ROI universal acceptance + pragmatic quantifiable business cases Patient | DoH| SHA | PCT | Acute | Community | GP | Nurse | Commissioner QOF assist not for profit NHS owned
Global Messaging Awards 2011 increased productivity + quality inclusive + available to everyone low cost + high ROI www.stoke.nhs.uk/simple WINNER WINNER 2011 WINNER 2010 WINNER Regional Innovation Fund2010