Diabetes Prevention
How can people have a better understanding of diabetes and its risks, knowledge of the things they can do to avoid developing diabetes, and support to stay healthy? 

Ideas (Publish, Detailed Submission)

Innovation 'Elevator Pitch':
Liva helps people prevent and reverse chronic diseases and manage lifestyle challenges by scaling meaningful human relationships using technology. At the same time, Liva drives efficiency and reduces costs for healthcare providers and payers
Overview of Innovation:
Liva Healthcare is a proven solution provider for NHS England, Healthier you, Digital Diabetes Prevention Programme pilot. 
  • An advanced yet intuitive digital platform fully approved for use with the NHS (a service user app (front end), and a dashboard command (backend) for health coaches)
  • A patient centric approach in platform and programme design
  • An expert coaching team with significant experience in impacting lifestyle change
  • Individualised coaching services delivered predominantly digitally, but with a differentiating, relationship-building face-to-face Initial Assessment.
  • A structured education approach encompassing a modulated library of content with individualised lifestyle advise, provided by a leading general practitioner in diabetes management.
  • An evidence-based and approach to behaviour change and diabetes management.
  • Strongly governed clinically by frameworks and evidence-based care pathways. 
  • A proven and effective team of experts who ensure optimal standards of implementation.
  • An attractive solution that is economically sustainable with staged fee structures linked to continued engagement.
  • Clinically proven, with users maintaining 7kg of weight loss after 20 months and €2,000+ savings in societal costs per year per diabetic. 
  • Scalable and efficent with more patients to be handled with less resources. 
Liva has achieved success through refining and adjusting the programme based on clinical evidence, coach feedback and patient evaluation.  We base the programme and all of its interventions on the acknowledgement of the reality of people’s lives, working on their terms, not ours.
  • Liva’s design philosophy is about intuitive solutions, easy to understand and use, even for non-digital natives.
  • It offers access across all popular platforms such as iOS and Android in addition to any computer or tablet. It has been particularly important for us to design with lower socio-economic groups in mind so - for example - dietary tracking can be done via simple photographs of meals rather than calorie counting. The same intelligence applies to the option of sending video messages as an alternative to text options in order to lower a barrier for usage.
  • Liva has established protocols to deliver appropriate levels of intervention based on need with specific emphasis around fluid, rolling engagement monitoring and to help service users get back on track and recover their progress if newly developed behaviours are disturbed. 
To find our more please visit: www.livahealthcare.com
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Wellness and prevention of illness / Clinical trials and evidence / Digital health / Innovation and adoption
Benefit to NHS:
Tackling chronic diseases
Liva Healthcare tackles chronic lifestyle diseases such as Type 2 diabetes, obesity and heart disease by connecting patients with a personal health coach through an app to track and monitor the patient’s health goals. The app is based on strong evidence that has shown lifestyle interventions, delivered digitally, can lead to long-term lifestyle change. These changes can prevent the onset, and even reverse the diagnosis, of lifestyle diseases such as Type 2 diabetes.
 
Digital innovation for the NHS
Liva Healthcare helps NHS prevent Type 2 diabetes. The NHS chose Liva as a provider for the pilot of the digital stream of its Healthier You: NHS Diabetes Prevention Programme, whereby GPs can refer patients at risk of developing Type 2 diabetes to use the Liva app. Patients using this service have already been reporting weight loss of up to 14Ibs in weight in under 8 weeks, improved health and some are no longer pre-diabetic! 

Driving change through the power of relationships 
Liva Healthcare's innovative platform has been built with both patients and healthcare professionals in mind. For digital health to be effective, research has shown algorithms aren’t enough. Liva Healthcare’s service is built on the evidence that creating close relationships between healthcare professionals and their patients can lead to long-lasting behaviour and lifestyle change. Liva Healthcare’s technology therefore facilitates healthcare professionals in doing their jobs, rather than aiming to replace them.
 
Driving efficiency and patient outcomes
Liva Healthcare can demonstrate fantastic real-world results for patients and healthcare services.
  1. Liva Healthcare’s platform enables more patients to be handled with less resources. Using the Liva Healthcare service, health professionals are able to work with up to 400 patients without impacting patient outcomes.
  2. On the Liva programme, clinical research found Liva users maintained 7kg of weight loss after 20 months.
  3. The Liva Healthcare solution has been found to create €2,000+ savings in societal costs per year per diabetic.
Liva offers a turn-key solution with a flexible deployment approach adaptable to local CCG needs and requirements. 
 
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
The convenience of digital and powerful tech combined with the motivating power of frequent human-to-human interaction​.

Critical Success Factors in preventing Type II Diabetes

Patient-centric thinking to deliver accessible technology and expertise
It is in the experience of Liva that changing behaviour requires a patient-centric approach, hence why we have made this the primary goal of both the coaching platform and service user programme including the app. We find it of crucial importance to: -
 
  • Establish a relationship of trust and empathy between service user and health coach
  • Set realistic goals
  • Support continuous motivation
  • Provide supporting education
  • Ensure that all touch-points between service user and health coach are as simple and intuitive as possible. 
Liva has achieved success through refining and adjusting the programme based on clinical evidence, coach feedback and patient evaluation.  We base the programme and all of its interventions on the acknowledgement of the reality of people’s lives, working on their terms, not ours.
  • Liva’s design philosophy is about intuitive solutions, easy to understand and use, even for non-digital natives.
  • It offers access across all popular platforms such as iOS and Android in addition to any computer or tablet.
  • It has been particularly important for us to design with lower socio-economic groups in mind so - for example - dietary tracking can be done via simple photographs of meals rather than calorie counting. The same intelligence applies to the option of sending video messages as an alternative to text options in order to lower a barrier for usage.
  • The programme can be made available in any language for a diverse population wherey English isn't necessarily their first language
  • Highly trained lifestyle coaches are recruited to match the demographic area being served.
  • Liva has established protocols to deliver appropriate levels of intervention based on need with specific emphasis around fluid, rolling engagement monitoring and to help service users get back on track and recover their progress if newly developed behaviours are disturbed. 
Current and planned activity: 
Liva Healthcare - over the course of 16 years - has provided more than 140,000 service users individualised programmes for sustained, lifestyle improvement. Since July 2016, Liva Healthcare has established a UK presence, and formed an operational, nationwide network of health coaches with extensive experience of digitally-delivered behaviour-change techniques. In addition, Liva Healthcare is a proven solution provider for NHS England, Healthier you, Digital Diabetes Prevention Programme pilot. Currently bidding with face to face partners for the National Diabetes Preventon Pilot and continues to provide the lIva 
What is the intellectual property status of your innovation?:
Liva Healthcare has complete ownership and proprietary use of all:  
  • Technology 
  • Content
  • Evidence of cliincal outcomes in assocations with leading institutions.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
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Simon Pickup 01/10/2018 - 15:14 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
The Sound Doctor is the leading source of film and audio patient information in the UK, offering a coherent and authoritative learning programme encouraging effective self-management of diabetes.
Overview of Innovation:
The Sound Doctor's unique self-management library includes 60 short films covering all aspects of living with diabetes. The material is of exceptionally high quality and offers a structured programme of education, which can be a lifelong companion for people living with the condition. 

The aims of The Sound Doctor self-management programme are:
 
1. To reduce the number of avoidable admissions (and readmissions) to hospital
2. To reduce the need for face-to-face contact with clinicians (and to improve the quality of meetings which do take place)
3. To improve medicines management and compliance with medications
4. To improve the quality of care for patients (and patient experience of their care)
5. To help people get the most out of life through effective self-management

The diabetes library
Developed after consultation with Diabetes UK, leading clinicians and patient groups, the films offer detailed and practical advice about diet, activity, medicines, blood glucose monitoring and many other aspects of living with diabetes. The material is motivational, positive and reassuring. We include interviews from healthcare professionals that people will come across in the course of their journey, including consultants, GPs, podiatrists, dietitians, psychologists, specialist nurses, pharmacists and Diabetes UK. There is also reassuring advice from people living with diabetes about taking day-to-day control.

Your healthcare team in your pocket, available 24/7. The advice you need when you want it.

The films specifically address the causes of diabetes, the long and short-term complications and risks and more than half of the films detail steps that people can take to take ownership of the condition, improve their lifestyle and reduce the risks of complications. A list of content is available.

The Sound Doctor has a proven and demonstrable role in improving self-management, and has been exceptionally well received by patients.

The films are extremely well reviewed by healthcare professionals and other experts and, in evaluations, users overwhelmingly report increased knowledge and confidence as well as fewer visits to the GP and fewer hospital admissions. We have evidence that people change their attitudes and behaviour towards diet and exercise. We also know that the films improve people’s satisfaction with, and experience of, their care.
The Sound Doctor is currently being used in a number of CCGs and Hospital Trusts around the country as well as community pharmacies.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Digital health / Person centred care
Benefit to NHS:
Diabetes costs the NHS £10bn every year – mainly due to complications which can be avoided or delayed through effective education. People with diabetes are more likely to be admitted to hospital and have longer stays.
 
Those with diabetes may see their healthcare team only once or twice a year so effective self-management driven by effective information is essential.
 
The Sound Doctor library is not an ad hoc series of films touching on a few subjects that might be of interest to someone with diabetes. It is a comprehensive, structured education programme that can be a companion for life.
 
An evaluation carried out in West Leicestershire in December 2016 among long-term users of The Sound Doctor found:
 
96% of users understood their condition better
98% learned new information about their condition
96% felt more confident about managing their condition effectively
88% had a better understanding of their medicines (10%not applicable)
93% have changed their self-management technique
98% found The Sound Doctor easy to use
99% found it a useful addition to their healthcare
 
Crucially:
 
92% of users reported fewer visits to their GP
62% said they had been to hospital less often
 
 
Why The Sound Doctor?
 
80% of the cost of diabetes is spent on complications. The Sound Doctor films aim to reduce the likelihood of developing complications by delivering effective advice on diet, activity, medicines management, blood glucose monitoring, HbA1c and other aspects of  self-management including specific films on looking after your feet and eyes that can directly reduce the likelihood of amputation and blindness. There are sixty films in all. 
 
Self-management is the key to reducing the costs of treating many long-term conditions in a testing financial climate. The Sound Doctor is a class-leading information product that can achieve this.
 
“The quality of the product is, in my experience, unmatched anywhere in the world.”
Dr Charles Alessi, Senior Adviser Public Health England
 
 ROI
 
Costs are reduced in various ways including GP appointments at an average cost of £25 and hospital admissions for foot ulcers and amputation, dialysis, cardiovascular disease, sight impairment and neuropathy. Other benefits are derived from decreasing the number of bed days in hospital and increasing attendance and productivity at work.

For more information please contact Rosie Runciman: rosie@thesounddoctor.org (Tel) 01285 850887
Website: www.thesounddoctor.org
Initial Review Rating
5.00 (2 ratings)
Benefit to WM population:
All the benefits outline above apply equally to the West Midlands population. This is a versatile and scalable product which has been adopted in several CCGs and hospital trusts around the UK. 

We are particularly keen to develop our product and produce new material for and in the West Midlands as a local company benefiting from the Serendip programme at iCentrum.
Current and planned activity: 
When funds permit, The sound Doctor intends to continue producing new libraries of films addressing other conditions. In particular we plan a comprehensive package of films covering stress, anxiety and depression; alcohol; further musculo-skeletal conditions and weight management.

We are open to discussion on co-producing further, localised material on diabetes to reflect the West Midlands population more accurately.
What is the intellectual property status of your innovation?:
The Sound Doctor owns all IP in all products. Material is generally licensed to clients on an annual or monthly basis (min 12 months) and allows access for up to 100,000 users
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
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Dominic Arkwright 26/05/2017 - 11:15 Publish 1 comment
5
1
Votes
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