6 August, 2016 - 11:18WellBrum (#2099)The budgets being prepared now by councils show that soon in many communities there will be no money for anything except adult social services. It’s not just libraries and swimming pools that will go - it is many core wellbeing services including for young people, safety, transport, homelessness, addiction, and a lot more. The impact on communities will be huge - so where is the safety net?
In 2014 the Chief Economist of the Bank of England released figures showing that the total amount of volunteering in the UK is equivalent to 10% of all paid hours worked, which has an economic and social value of at least £100 billion per year. However, community groups struggle to engage with public services, with each other, and with the public. Councils could mitigate the impact of austerity by helping their communities release more value from volunteering. Even for a small community, just a small improvement in the effectiveness of volunteering is worth millions of pounds per year - and can make a huge difference to local wellbeing.
WellBrum is based on Town Digital Hub - a non-profit cloud platform that allows councils to create online “collaboration plans” for helping members of the public achieve personal goals related to each wellbeing Issue they face (Activity, Eating, Helping, Meeting, Learning, Work, Safety, Transport, Drugs & Alcohol, and Culture). The stakeholders in each collaboration plan are your local council, community groups, and usually some businesses - they use the hub to show what they provide to help you reach your wellbeing goals. You can rate and review their contributions, and include the ones you find useful in your personal "wellness plan".
That’s it - collaboration plans are simple, effective, and usually most of the information required to create them already exists. But the value is huge in addressing wellbeing, especially in a time of austerity - both from enabling service providers to reduce gaps/overlaps in provision, and from enabling the public to use local services to achieve their personal wellbeing goals.
And increasing wellbeing not only saves money for health and social care but has major impact on local regeneration and resilience. WellBrum can help provide a safety net for austerity by unlocking the massive value of community initiatives and integrating them together with NHS and council services into holistic personal wellness plans.
For more information, see http://bit.ly/tdh-psycap.
3 August, 2016 - 17:08Rosie Runciman (#2094)The Sound Doctor is the leading provider of film and audio content for patients in the UK. Our content is thought to be unmatched in quality, range and production values and evaluations show it works by changing behaviours.and improving outcomes to help people get the best out of life with long term conditions.
Our films are endorsed by leading charities and adhere to NICE guidelines.
Conditions covered are COPD, Diabetes, back pain, dementia and weight management surgery. A large series on heart conditions including cholesterol and hypertension, will be made shortly.
There are over 250 films in our library so far and it is constantly growing.
We also create animations. We have a range of health and wellness short animations which are now being used in pharmacies and GP surgeries around the country.
In addition, the team also devised and produce Health Today, a national radio programme for NHS England – nhs.uk/healthtodayradio
We have evidence that patients with diabetes, for example, have changed their attitudes towards diet and exercise as a result of watching our films. People with COPD are more confident about dealing with exacerbations at home. We also know that across all conditions they are considered a valuable part of people’s health care and improve patient experience.
The aims of The Sound Doctor, and there is evidence of this as well, are:
1. To reduce the number of avoidable admissions (and readmissions) to hospital
2. To reduce the need for face to face contact with consultants, physicians, nurses, physiotherapists and others (and to improve the quality of meetings which do take place)
3. To address the issue of co-morbidities by creating a multi-condition library
4. To improve medicines management and compliance with medications
5. To improve the quality of care for patients (and patient experience of their care)
6. To help people get the most out of life through effective self-management
The Sound Doctor was founded by Dominic Arkwright and Rosie Runciman.
Dominic worked as a reporter at the BBC for more than 20 years, mostly on Radio 4 's Today Programme as well as Newsnight and PM. He also presented discussion programme 'Off the Page' and 'The Call' on Radio 4.
Rosie Runciman also worked at the BBC for more than 20 years on Radio 4's Today programme, Newsnight, Radio 5 Live and at The World Service. She was Editor of Newshour and Assistant Editor at Five Live.
3 August, 2016 - 13:59Airsonett Air4: Homebased treatment using Temperature Laminar airflow to treat allergic asthma and eczema (#2093)Air4 is a unique, innovative medical device which uses Temperture Laminar Airflow (TLA) technology to protect patients with severe allergic asthma and eczema, from exposure to allergens and other airborne particles (pollens, housedust mite and animal danders etc.) that are in and around the bed at night whilst they sleep. The device has no side effects and can therefore be used for adults and children.
Air4 is installed in the bedroom alongside the bed; air is drawn in the device from the room where it is filtered and cooled to 0.5-0.8 degrees centigrade lower than the ambient temperature. As cool air is heavier than room temperature, gravity ensures the air gradually descends without an excessive breeze or draught creating the patients breathing zone; due to the density of the air in the breathing zone airborne allergens are unable to penetrate and therefore the patient sleeps in an allergen free zone.
In reducing the airborne allergens the device has shown in clinical trials that is has reduced exacerbations and the number of hosptial admissions; it has reduced day and night time symptoms in patients and improved quality of life (health related) and has shown to reduce the number of days off work/school.
Air4 has a Medical Technology Innovation briefing from NICE stating the device is clinically and cost effective.There is also an Innovation Medical Technology Overview from Helath Improve Scotland showing the device is clinically and cost effective compared to standard treatment.
Using the Air4 in adults or children who are still symptomatic despite maximum inhaler treatment; can avoid long term side effects from oral corticosteroids as well as the regular hospital visits from other treatmenst
2 August, 2016 - 09:06TAPREVENT - long term condition multi-morbidity monitoring and coaching (#2089)http://www.therapyaudit.com/TA/TAPREVENT.mp4
TAPREVENT is a software-based monitoring and coaching solution for patients living with long term conditions. It comprises the established and proven TAMONITOR 'control centre' software used by clinicians or administrators and the new MyDocInPoc (MDIP) app-based solution for patients. Using the two systems together enables clinicians to enroll their patients on monitoring and coaching programmes, and patients to send vital signs readings to their clinician for automatically checking and, if necessary, escalation by TAMONITOR. In addition appropriate coaching and advice can be provided to patients as warranted by rules set up by the clinicians within TAMONITOR. The knowledge base facility within TAMONITOR enables clinicians to build a resource of advice that can be automatically and/or manually sent to patients in response to their submitted readings.
TAPREVENT is initially developed to support people living with diabetes, as part of a project in China. The TAPREVENT capability will enable additional LTCs to be added to both TAMONITOR and MDIP, so that patient with multi-morbidities can be supported from within the one MDIP app.
TAMONITOR also has a workflow capability which focuses 'practitioners' (clinicians and/or administrators) on the jobs they need to attend to that day. This enables performance monitoring of the practitioner.
TAPREVENT is based on the proven TAMONITOR monitoring system used in some NHS hospitals for over 17 years. The inclusion of MDIP extends the collection of vital signs to patients, providing an important element of self-care and self-management. Although the system has been built in response to specific requirements from China, the system should be easily transferrable to the NHS. THERAPYAUDIT welcomes involvement from NHS clinicians and patients in evaluating this new approach.
1 August, 2016 - 10:43Qlic Tablet Stand with Charging Facilities (#2088)
Qlic is a Universal tablet stand with charging capabilities. Qlic has several models; cable suitable for both apple and android tablets, simply plug the charging cable into your device and plug the power supply unit to the wall. Our QI patch receiver can enable most devices for wireless charging. Insert the connecter to the charging point on your device, stick the patch to the rear and pop your tablet or phone back into its case (compatible with cases up to 5mm thick).
Qlic was designed to save time for tablet users as well as to provide a more ergonomically suitable solution for people who use mobile devices on a daily basis.
We believe that as mobile devices become more and more popular within care settings Qlic will help to support the working environment within NHS trusts.
Qlic was originally developed to support the learning environment within schools and has proven to be very popular within educational settings (please see our product video - https://www.youtube.com/watch?v=Cepvxf07oU8).
After looking into the NHS and the use of mobile devices we thought that Qlic would be ideal for NHS settings as well. Not only will Qlic save time and effort, you won't need to think about charging the device as simply placing the device on the cradle will enable charging to begin. We looked at the use of mobile devices and thought that our stand would be ideal on nurses stations, for use by clinical leads, office staff, ambulances and drug trolleys as our stand can also be permanently fixed to surfaces.
We would like to find out the type of tablets/ mobile devices and the type of protective cases currently used to ensure that our stand is suitable for all. We would also like suggestions on where you think our product would be most suitable for use? Where would Qlic make your life easier?
27 July, 2016 - 15:24Community created Emergency, Critical and Advance Care Plans (#2085)MyDirectives.com and MyDirectives mobile gives every consumer the opportunity to record their digital voice for free. The service uses structured forms, video and audio messages to create high quality documents that health professionals trust to use to make best interest decisions. The service then encourages people to share their wishes with people they trust to support them in a crisis or if they cannot speak for themselves. Thos "agents" are sent education packs and urged to have conversations. Then MyDirectives works with local health economies to integrate the consumer's wishes with primary, secondary and local authority databases/electronic health records so the consumer knows their voice will always be accessible. For health professionals this also means they can be confident they are looking at the most up to date views of their patients, know who can speak for the patient and what their goals and objectives are. This approach is human and highly disruptive. It leads to better and quicker decision making and can be scaled through MyDirectives' API to the whole community. MyDirectives is a not just for profit company that charges health economies for marketing and integration. The benefits of this pro-active approach are significant cash releasing savings that we can evidence. An indication of how much this approach might save a health economy is a bill currently going though both houses of the US Congresss that proposes to give every US citizen on medicaid and medicare £75 in return for creating a digital emergency, critical and advance care plan. MyDirectives has been life for four years and is used by individuals in 34 countries around the world. We are now looking for our first health care partner in the UK. We want a partner who can work with us to set up a UK integration network with the GP suppliers, the summary care record and the organ donor list and an adoption strategy using GP suppliers, secondary care providers, E-referrals, the organ donor register and NHS Choices. We believe we can create a national system of adoption and retrieval using the NHS existing infrastructure. The end result will be a cost effective mechanism for recording and retrieving a patient's voice.
21 July, 2016 - 13:50TPT - Telephone Psychological Therapy - uses guided self-help audio scripts to deliver immediately accessible personalised CBT. (#2077)TPT is a personalised, guided self-help psychological therapy delivered over the telephone in a range of pre-recorded modules for the treatment of mild to moderate anxiety-based mental health problems. It uses modern telephone technology to achieve vastly reduced costs with no waiting lists and is designed for use in NHS primary or secondary care settings.
Easy to prescribe, easy to use
TPT is available 'on prescription' to patients from their GP or other healthcare provider. The therapy can then be regularly accessed by the service-user making a simple free telephone call. An interactive, intelligent computer controlled telephone system using voice recordings of therapeutic scripts and questionnaires will then guide the service-user through a psycho-education, treatment and recovery programme that is responsive to the patient's individual presentation and circumstances. Patients will typically complete the programme in 8 to 12 weeks.
Psycho-education, guidance and structured self-help for managing their condition are available to service-users wherever they are and at all times of the day and night. This immediacy of access is of particular benefit to patients with conditions that require help managing situational responses to emotional and environmental triggers or developing and maintaining impulse control strategies.
Choice of treatment modules for different presentations
A range of TPT modules is available for the treatment of different mild to moderate anxiety-based mental health problems such as generalised anxiety disorder, OCD and agoraphobia. Although each module is written with the specific presentation in mind there is a broad commonality of structure. A typical TPT module will have some of the following elements delivered by spoken scripts and using targeted questionnaires:
- Introduction to anxiety and its effects
- Description of the symptoms and causes
- Psycho educational quizzes and self assessment measures
- A range of anxiety management strategies
- Instant-access session for managing acute symptoms
- Cognitive techniques for overcoming negative thinking
- Text messages which are sent to service-users to give feedback, reinforcement and reminders
- Tailored sessions to inform and support friends and family
21 July, 2016 - 09:15FREMS Neurovascular Rehabilitation: effective innovation for the treatment of peripheral neurovascular complications (#2076)FREMS is the result of research dedicated to realise a non pharmacologic system able to treat vascular and neurological diseases such as diabetic neuropathy.
FREMS is a new-generation biocompatible electrical neurostimulation. The healing effects of FREMS occur through a direct and indirect action on the biological control systems and especially in the autonomic system.
FREMS works thanks to a series of two-phase, asymmetrical and electrically balanced electrical pulses: a “simultaneous modulation’ of pulse Frequency, Amplitude and Duration. FREMS is an innovative, proven and easy-to-apply treatment method against pain.
FREMS is delivered via Aptiva and Satellite medical devices with dedicated transcutaneous electrodes for clean and simple application without side effects. The treatment involves a series of 30 minute daily sessions over a few weeks that can be performed both at hospital or at home.
As demonstrated by studies performed in recent years, FREMS delivers pulse sequences that can significantly increase the release of plasmatic growth factors. The analysis of systemic blood samples in diabetics and non-diabetics, taken before, during and after FREMS neurostimulation, has shown increases in the levels of VEGF and other angiogenetic growth factors.
For painful chronic leg ulcers FREMS significantly promotes epithelisation and decreases pain levels after as little as 36-48h with no side-effects. It has long-lasting effects which can be seen 2 months after the end of treatment and significant accelerates healing times.
For various etiologies of chronic leg ulcers FREMS can be a valid method of healing chronic cutaneous ulcers with significant reductions in area and depth a few weeks after commencing FREMS. The treatment increases the quality of assistance and the quality of life of the patient.
For painful Diabetic neuropathies FREMS provides safe and effective treatment for neuropathic pain in diabetics and can modify some functionality parameters of the peripheral nerves such as an increase in tactile sensorial perception and in the speed of conduction of the motor nerve. The clinical effects persist at the 4 month follow-up.
For arteriopathy FREMS has significant effects on diabetics with PAD; increase in oxymetric values at the 3-month follow-up; increase in walking distance free of pain at the 3 month follow up; improvement in the characteristic parameters of the endothelial system.
12 July, 2016 - 14:18Safeguarding Adults Training and Development (#2061)Safeguarding Adults, Mental Capacity and Deprivation of Liberty Safeguards are mandatory training for all staff working with vulnerable adults across the health and social care economy. As this inevitably requires large numbers of staff, organisations are constantly being challenged with meeting the training compliance needed. This training is also required every 3 years.
This flexible training package is designed to meet the training needs of various organisations who have statutory obligations in this area. The training package includes:
- Safeguarding adults level 1 raising awareness
- Safeguarding adults level 2 alerter/referrer
- Safeguarding adults level 3 section 42 enquiries/case conference
- Mental Capacity Act introduction
- Mental Capacity Act in practice
- Deprivation of Liberty introduction
- Deprivation of Liberty in practice
- Specialist modules on
* modern day slavery and human trafficking
* Female genital mutilation (FGM)
* Domestic violence
These training modules can be delivered via:
- E-learning package including anonymised real patient story videos developed by the Trust
- Face-to-face for more advanced training
- Bespoke training individually costed
- Educational material such as booklets, posters, leaflets
All educational and training material can be customised to include the receiving organisation's branding and logo.
More bespoke services include:
- Organisational Review of existing safeguarding processes ,policies and procedures
- Develop safeguarding plan based on gap analysis
- Policy Development
- Risk Assessment, Care planning, report writing , Court reports
- Individual management reviews for SAR’s Domestic Homicide reviews
- Audit Evaluation and Implementation Plan
- Organisational preparation for CQC Inspections
- Organisational quality, risk and governance assurance
8 July, 2016 - 15:38The FABS Training Programme (#2057)We all understand the importance of moving more and sitting less when it comes to living a healthy and fulfilling life. As we age this becomes even more important as our lives tend to become more sedentary which then leads to ‘inflammageing’ and many long-term health conditions.
The FABS Training Programme, developed by Move it or Lose it! in partnership with the Centre for Healthy Ageing Research at the University of Birmingham combines Flexibility, Aerobic, Balance and Strength exercises in every class, providing the four vital components of older adult fitness as per CMO guidelines. This is made up of exercises that are safe, enjoyable, effective and accessible to everyone whatever their ability, and can be done seated or standing.
FABS classes ensure age or ability are no longer barriers to an active lifestyle. The aim of the class content is to increase strength and muscle density to reduce sarcopenia, improve balance to reduce the risk of falls, increase aerobic capacity to enable individuals to be more active and increase flexibility and mobility.
Via a blended approach of online learning and practical training, we train exercise instructors to become specialists in fitness for the over 60s enabling them to work with the fastest growing demographic in the UK. We have practical days scheduled for Birmingham, London, Manchester and Newcastle, with Edinburgh and Bristol coming in due course.
The programme launched in March 2016 and has more than 90 instructors undertaking it to date. The aim is to train 1000 instructors who can deliver FABS classes within their local communities to combat social isolation, physical inactivity and cognitive decline and provide opportunities for fun and friendship for our fastest growing demographic; older people. By training 1000 instructors the programme also generates wealth by creating 1000 small businesses with a licensing model similar to Zumba.
Move it or Lose it! Exercise DVDs have been tried and tested. The video stars in all our DVDs are not actors, but real people who have health conditions and mobility problems. They have improved their lives through the Move it or Lose it! Exercise routines and they want to inspire others to do the same.
Move it or Lose it! DVDs are endorsed by Professor Janet Lord, Director of the MRC-ARUK Centre for Musculoskeletal Ageing Research at University of Birmingham as an ideal resource to aid active ageing.
5 July, 2016 - 10:03The Smartinhaler™: Addressing the problem of medication adherence with an innovative digital health solution (#2051)Poor medication adherence is one of the leading issues in the management of asthma and is thought to account for 34% of all asthma deaths (Royal College of Physicians, 2014) and treatment adherence to inhaled corticosteroids could reduce hospitalisation by 60% (Williams et al., 2004).
Smartinhaler™ (by Adherium Ltd) is a digital health solution to improve medication adherence in patients with chronic respiratory diseases. This is how it works: Smartinhaler™ clips onto an existing prescription inhaler. Once installed, the Smartinhaler™ device (1) periodically remind patients to take their medication, (2) records the date and time of inhaler use (independent of patient action), (3) transmits patient usage data to a mobile device and into Adherium’s cloud-based servers for patients and/or clinicians to review, and (4) provides warnings when the data indicate the patient’s disease may be escaping control.
The benefits of the Smartinhaler™ have been validated by independent clinical research. Four randomised controlled trials have shown consistent improvement in asthma medication adherence, ranging from 144% to 180% in children (Chan et al., 2015; Morton et al. 201X) and 33.3% to 58.7% in adults (Charles et al. 2007; Foster et al., 2014). Subsequently, the three studies measuring clinical outcome have demonstrated improved patient health as indicated by a reduction in oral corticosteroid use, reliever medication use, emergency room visits, lost school days and asthma morbidity score (Foster et al., 2014; Chan et al., 2015; Morton et al., 201X).
Audiovisual reminders markedly improve adherence to inhaled corticosteroids and thus increase health outcomes, whilst tracking reliever use may allow early detection of severe exacerbations (Patel et al., 2015). Furthermore, the objective nature of electronic adherence data enables an open and honest discussion about adherence and the barriers encountered by the patient. In turn, through HCP (or parental) intervention, this results in practical solutions to better manage asthma and or COPD.
The Smartinhaler™ platform was designed with patients in mind. In the development of the Smartinhaler, we’ve consulted patients and medical professionals to produce a user-centred system that facilitates good medical practice as well as empowering the patient.
For a list of references please visit our website: http://www.smartinhaler.com/outcomes/
4 July, 2016 - 10:52Service Redesign for Secondary Fracture Prevention (#2050)The Fracture Liaison Service (FLS) care model enables secondary fracture prevention through identification of low trauma or fragility fractures by means of dedicated case finding, with assessment and treatment of osteoporosis where appropriate. This model has been replicated across the UK since April 2015 with the support and expertise of the National Osteoporosis Society. A team of specialist development managers with clinical and commissioning experience is currently working with 167 sites (to date) to support new service development (50), or quality improvement of existing services (78). Preliminary results from an analysis of the effectiveness of these services in preventing secondary fractures indicate a significant positive difference between sites with an FLS, and those without.
Operating in a tough economic climate with health budgets tightly constrained, investment in new services must demonstrate both a solid evidence-base and a strong business case. There is strong evidence that investment in FLS results in improved quality of care and financial savings in health and social care. The NOS has produced a suite of online resources to support FLS development and improvement. A comprehensive FLS Implementation Toolkit supports providers and payers in the commissioning process and is provided free of charge.  Users can create a compelling, evidence based business case without the need for advanced skills in costing, modelling or other health economic techniques. The SDT is also available at any stage throughout the implementation process to support clinical pathway or business case development. Advice is available regarding outcome measures and performance indicators, as well as effective data collection for service evaluation. This service is provided free of charge.
To date, 9 new FLS have been commissioned (8 new services and 1 augmented service). These new services represent FLS provision to an additional cumulative population of nearly three million people, which could prevent more than 1000 hip fractures over 5 years. This in turn represents gross savings across health, social care, and community services of £17.3m (service costs typically run at less than 40% of the gross benefit). The Implementation Toolkit https://www.nos.org.uk/health-professionals