digitalhealth.london accelerator · digitalhealth.london accelerator dr. olivia festy & sheena...
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DigitalHealth.London Accelerator Dr. Olivia Festy & Sheena Visram NHS Digital Health Navigator
@oliviafesty & @Sheena_Visram
Oliviafesty & SheenaVisram
DH.L Accelerator Health Solutions
Diabetes
Chronic Disease
Self Care
LiveSmart
Remote Diagnostic
NHS Systems Knowledge Share
Sime
Remote Diagnostic
NHS Systems QI & Safety
Self Care Hospital Apt
Self Care GP Apt
Patient Facing Solutions NHS Based Solutions
DH.L GP Online Case Studies
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DH.L Solutions: • Online GP access: iPlato & Now Healthcare • Patient monitoring: Inhealthcare • 111 access: Sensely • Dietetics self care: Oviva Example of CCG collaboration: • NWL CCG Self Care
Patient Access:iPlato myGP App
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o Outreach to 12m people o Integrates patient data into the GP systems o £1m+ saving to CCG o 1700+ A&E visits avoided Functionality: o Book/Cancel Appointments o Medication reminders/adherence o Triage o Circle of Care o Vital signs monitoring o Promote service uptake (ie. Flu, smoking)
Patient Access: iPlato myGP App
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Improving Patient Online: Greenwich • 40 Practises- 25 trained • 77k messages- 10k+ new registrations
7% Would have
gone to A&E
75% Of GPs confident
using system
100% Users, guides helpful
70% Would have arranged
An apt with GP
Patient Access: Now Healthcare
Problem
Patient technical skill level
Multiple Accounts
Fraud/Medication abuse
Child & vulnerable adult
safeguarding
Cancer screening
Solution
User guides and Customer Support
ID verification process
ID verification & automated system checks
Risk ratings and Social services & Child
services reports
Process to arrange an appointment within
24 hours with NHS GP
Patient Access: Now Healthcare
INR self-test Chronic Pain 1.2m people on warfarin 17m out-patient apts/yr
o GP Apt 40%
o 64% 2nd care referrals
o PROMs & QOL
Awareness Making People aware of the app and how it can support them
Digital Inclusion Building a long standing partnership with Clinicians and Patients. Trust and confidence is key
Interoperability Getting “systems to talk to each other” and share information. Need early supplier engagement
Successes to date & hurdles faced + A realization it is possible - Digital health
care delivery for both patients and providers
+ Patient Trust is paramount. + Patients are enthusiastic about Olivia and
are USING the app
+ Over 1400 patients between 2 practices in Dudley are being supported by Nurse Olivia
+ Integrating and working with the NHS – talking the NHS language
Sensely – DigitalHealth.London
Learning Points / Tips
+ Baseline. Meet the experts – current users of the system you’re
looking to digitise
+ Prioritise Requirements. Keep it simple
+ Coordination – Get organised, set aside some budget
+ Remain committed
+ Engage patients, providers and clinicians early
+ Work with CCGs and review what has been done locally by the NHS. Localise your deployment plan and work on building standards
Oviva’s “Diabetes Support” DM2 structured education
Oviva ‘Diabetes Support’ solution The diabetes challenge in North
West London
• Diabetes prevalence: 7% in Central London to 11% in Brent CCG
• Diverse ethnicity: 53% White, 27% Asian, 10% Black, 5% Mixed
• 41% of type 2 diabetics achieved all 3 treatment targets (NDA 2014-15)
• Structured education attendance was 2% of c. 8,000 newly diagnosed, despite 67% referral rate (NDA 2014-15)
• Being tested in 5 NWL CCGs
• Initial engagement call, personal dietitian assessment, 8 week personal support and an exit call
• 88% uptake and 95% completion rate in 239 patients to date
• Proven clinical outcomes: 7% bodyweight loss and 12 mmol/mol HbA1c reduction at 12 months
• Main benefit: reducing demands on practice nurses
• Challenge: recruitment as GPs unfamiliar with programme
Our goal is to dramatically increase uptake and engagement in DM2 structured education
What has worked well in the past?
When has digital innovation met the
needs of your patients and why?
Lets Collaborate! Dr. Olivia Festy & Sheena Visram NHS Digital Health Navigator [email protected] & [email protected] @oliviafesty & @sheena_visram
Oliviafesty & Sheenavisram