DigitalHealth.London Accelerator Dr. Olivia Festy & Sheena Visram NHS Digital Health Navigator

@oliviafesty & @Sheena_Visram

Oliviafesty & SheenaVisram

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We match -make We Collaborate

We sign-post We Showcase

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

Remote Patient Monitoring: Inhealthcare

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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

Screenshots: Oviva app

Home screen Dietitian profile Weight tracker Activity tracker Personal goals

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

Understanding the challenges ahead in primary care A co-design approach

What gives you energy and what do you value?

What do you want more of?

Is this something that digital health technologies can help to provide?

What has worked well in the past?

When has digital innovation met the

needs of your patients and why?

What are the challenges

and barriers to implementation?

How must it be in the future?

What does good look like?

Lets Collaborate! Dr. Olivia Festy & Sheena Visram NHS Digital Health Navigator Olivia.festy@nhs.net & sheena.visram@digitalhealth.london @oliviafesty & @sheena_visram

Oliviafesty & Sheenavisram