Digital health innovations
We are actively seeking proven digital innovations that improve the health of people in the region and raise the quality, efficiency, safety and cost-effectiveness of delivering healthcare.
We are particularly interested to hear about innovations in the following categories:
  • Health maintenance - supporting people in maintaining their physical and mental wellbeing,
  • Prevention - alerting patients, carers or professionals when there are signs that things aren’t going well, and an intervention can prevent crises or emergencies
  • Access - providing more convenient and cost-effective ways for patients and professionals to interact. (e.g. remote monitoring or virtual consultations).
  • Learning and education - delivering information and knowledge to patients about their health or condition, or to professionals to support their continuous professional development
  • Pathways - providing tailored information to patients, carers and professionals on services to signpost people to the most appropriate place.  Ideally, this could be enhanced with real-time information about capacity.
  • Research - using digital tools to promote involvement in research & clinical trials, to streamline the capture of informed consent, and to capture research data more efficiently and conveniently.
  • Integration - tools that enable the secure, appropriate sharing of information between organisations (e.g. GPs and hospital clinicians) and sectors (e.g. NHS and Social Services) to allow patients to receive seamless care.
  • Data Visualisation - innovative ways of presenting information in a meaningful way to enable more informed decisions by patients and professionals.  This may involve aggregating data from different sources, reporting tools or graphic visualisations such as heat maps.

Ideas (Publish, Detailed Submission)

Innovation 'Elevator Pitch':
Complicated and laborious document production processes become easier to manage through intelligent workflow software that remembers and organises information with built-in reporting to manage production targets.
 
Overview of Innovation:
Epro Scrik is a third generation dictation, forms and documentation management mobile technology solution, designed by clinicians.
 
The solution uses a unique combination of structured data, dictation, templating, speech recognition and usability to revolutionise clinical correspondence and document production workflows for clinicians saving time and money. 
 
Scrik then leverages these a second time to enable clinicians to access and search patient documentation and notes quickly, presenting information in the fastest, most convenient way possible.
 
Complicated and laborious document production processes become easier to manage through intelligent workflow software that remembers and organises information with built-in reporting to manage production targets.
 
The solution is fully interoperable and very flexible. It can enhance legacy EPRs and integrate with legacy PAS systems. It can be combined with Epro’s wider group of clinical functionality for clinical workflow, patient journey and document management to help NHS trusts improve patient safety, increase efficiencies and achieve a paperlight working environment.
 
 
With Epro Scrik, you can:
 
  • Create templated clinic letters with just five clicks.
 
  • Make more informed medical decisions with greater access to current and historical information
 
  • Reduce risk of clinical errors by facilitating more legible, complete and accurate information
 
  • Meet your document delivery targets through faster letter production
 
  • Make better use of staff time and skills by removing or automating repetitive tasks
 
  • Save money on paper, printing and postage
 
  • Improve coordination and correspondence with other care providers, such as GPs
 
  • Increase clinical efficiency with speedy, consistent access to patient information at the point-of-care
 
 
 
Core features:
 
  • Capture clinical information with industry leading digital dictation, speech recognition and snippet technology
 
  • Enable mobile working for clinicians
 
  • Chronological view of historical patient information
 
  • View, manage and schedule clinic appointments
 
  • Integrate with / record SNOMED coded patient allergies information
 
  • Full visibility of patient admissions, transfers and discharges
 
  • Safeguard patient information by specialty or department
 
  • Electronically distribute documents to GPs and other care providers
 
  • Powerful reporting functionality
 
Links seamlessly with patient administration systems Import ad hoc documents 
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: 
Wealth creation / Digital health / Patient and medicines safety / Person centred care
Benefit to NHS:
Video case study: Transforming clinical correspondence performance at Taunton and Somerset
Watch the video here: youtube.com/watch?v=uCJpF86jslo
Anticipated outcomes:
 
Epro worked with Taunton & Somerset NHS Foundation Trust to transform its clinical correspondence. The trust reported improved patient experience (due to speedier communication), decreased stress among staff, faster clinical access to patient letters, reduced clinical errors, and compliance with audit and access requirements.
  • £1.1m of secretaries’ and clinicians’ time
  • £11K on administrative costs £4.3K spend on printing
  • 96% reduction in letter transcription backlog
  • 100% compliance with 7 day letter delivery CQUIN

£4.3K spend on printing
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
We are launching a telemarketing campaign on the 6th June across the West Midlands offering a FREE of Charge Paperlight Clinic to any NHS Trust in the West Midlands.
Current and planned activity: 
We are launching a telemarketing campaign on the 6th June across the West Midlands offering a FREE of Charge Paperlight Clinic to any NHS Trust in the West Midlands.
What is the intellectual property status of your innovation?:
IP is with Epro only
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Keli Shipley 04/06/2017 - 22:43 Publish Login or Register to post comments
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-99999
Innovation 'Elevator Pitch':
MyHomeReach is a digital platform that addresses Isolation, Medication Adherence, Chronic Disease Mngt and Maintenance of living environment. It provides personalized services key for the individual while delivering efficiencies to the care giver.
Overview of Innovation:
People want to age in the familiarity of their own homes. They want to continue with their daily routines while maintaining their independence in a safe and secure environment, in a way that contributes to their well-being and quality of life.
MyHomeReach™ enables independence with the reassurance that family, friends, and health care professionals are only one touch away, reducing stress and concern of isolation. This unique solution makes it easy, affordable, and convenient to connect a care recipient with their community i.e. care professionals, family members and social services.
Both formal and informal care givers are able to continuously interact, monitor wellness, record service, and react to alerts. Anyone that is important as a ‘care provider’ can be included in the community of care.
MyHomeReach™ enhances independent living with the comfort that assistance is only a touch away
Desktop/Tablet Application:
MyHomeReach™ makes it easy to manage calendars, share important information. The important resources, services, and community connections you need to age at home in a safe and secure environment are unified in this revolutionary approach to empowering independent living.
MyHomeReach™ simplifies connection to the network of care, medication & appointment reminders and the co-ordinating of schedules.
 
The Mobile Application:
MyHomeReach™ is also available on the go for Care Recipient and CARER via smartphone. In addition to the standard features the phone will have Personal Emergency Response (PERS) capability. Being lost, isolated or confused just press HELP. MyHomeReach™ will raise an alert and send details of your location making it easier and quicker for assistance to be received.
Connect with credentialed service providers so that seniors living independently have a trusted community-vetted resource for transportation, home improvement and service, plumbing, electricians, grocery delivery and other daily assistance
 
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 / Education, training and future workforce / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
Improved more efficeny delivery of service; 
•Reduced reliance on manual processes, with increased secure and robust automation of information collection, sharing and analysis to free up resources.
•Streamlining offices processes allowing more focus on client care
Initial Review Rating
3.80 (1 ratings)
Benefit to WM population:
Improved client experience;
•Clients will become active participants in their health care journey and be better informed on their treatment options which increases their engagement and understanding of their care
•Family and Friends engaged
•Ensuring better carer / client matches
•Ensure client concerns are heard and issues resolved via a quality tracking system
Current and planned activity: 
No current engagement with NHS
What is the intellectual property status of your innovation?:
There is no IP
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
Simple
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Paul Mooney 26/09/2016 - 16:59 Publish Login or Register to post comments
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-99999
Innovation 'Elevator Pitch':
GroundVision provides the next generation of patient observations, and a range of dashboards, including our specialised Rapid Detection and Response (RADAR) view, to enable an efficient, proactive response to the deteriorating patient.
Overview of Innovation:
Over 6,000 people die every year in hospital as a result of “failing to rescue” a deteriorating patient. GroundVision provides a simple and cost effective system to record and calculate EWS (Early Warning Score) and a variety of other observations and assessments, from Bristol Stool to Fluid Balance, at the patient bedside to ensure that deteriorating patients are quickly and accurately identified.

As well as the ability to record patient observations at the bedside, GroundVision provides a variety of specialised views for different departments of a hospital:

Ward View
Displays information and observations about all patients on a ward.
 
Critical Care View
Displays information and observations about all patients in the Trust, with filtering capabilities, enabling searches for groups of patients (e.g. those that are deteriorating).
 
Infection Control View
Displays information about Bristol Stool Samples and infectious patients, enabling better control of infection outbreaks.
 
Ops Team View
Displays all side rooms in the hospital, with information about their occupancy, including a reason and priority for the isolation of a patient.
 
Dashboard View
Allows users to create customisable reports/graphs about a wide range of patient and observation related information.
 
RADAR (Rapid Detection And Response) View
Provides a view that shows all deterioration patients within their “score banding” who have not been responded to. The solution also graphically shows their health trajectory enabling healthcare staff to intervene before the patient triggers. This real-time view can be displayed via tablet, desktop or electronic whiteboard onsite or remotely.

Our solution has been developed alongside nurses, so it is easy to use as well as being low cost. It can be used on any device and accessed remotely as well as on site.
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: 
Digital health / Patient and medicines safety / Person centred care
Benefit to NHS:
GroundVision can provide a variety of benefits to the NHS:
  • Reduction in patient mortality
  • Reduction in hospital length-of-stay
  • Reduction in time taken to record/calculate Obs/EWS
  • Improvement in the accuracy of EWS calculations
  • Increased levels of clinical attendance
  • Increase compliance with hospital protocols
  • Reduction in the number of unexpected cardiac arrests
  • Fewer admissions to ICU
  • Reduction in the number of ICU days
  • Reduction in the number of infection outbreaks
As well as this, it brings the NHS one step closer to being paperless.
Initial Review Rating
3.80 (1 ratings)
Benefit to WM population:
It can help NHS organisations within the West Midlands area by improving patients safety and patient outcomes.
Current and planned activity: 
We have been engaged with Surrey and Sussex Healthcare NHS Trust, co-developing our solution alongside them and providing pilot projects, rolling out our solution to several wards.

We are also currently engaged with other NHS organisations within that area, such as Kent Community Healthcare NHS Foundation Trust.

We will continue to engage with as many NHS organisations as we can as well as continuing to develop our solution, to increase the wealth of observations and assessments that we have available to contribute towards improving patient safety.
What is the intellectual property status of your innovation?:
Simply Clever Ltd (trading as GroundVision) own the intellectual property 100%
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
3 years +
Ease of scalability: 
2
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Anonymous 12/01/2017 - 17:24 Publish Login or Register to post comments
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-99999
Innovation 'Elevator Pitch':
Coordinate high quality palliative care.
Overview of Innovation:
Patients reassured their urgent care plan preferences are shared with appropriate health professionals after Epro develops End of Life care plans for a Global Digital Exemplar.

The challenge

The final stages of life with a terminal illness can be a lonely and anxious time. Healthcare professionals provide as much support as possible, and it is essential that top class specialist palliative care spans hospitals, community and hospices. Faster, more effcient ways to coordinate high quality end of life care are required for the growing number of people in need of specialist palliative care.

NHS England says recording patients’ wishes around the last days of life, and making them available to medical staff and carers is vital for patient experience improvements. To achieve this, one Global Digital Exemplar (GDE) embarked on a project to record this information digitally and make it available in a standardised, easy-to-access way.

The solution

The GDE NHS trust wanted to record End of Life care preferences and make them available throughout its hospital and in the community. The trust asked Epro to design and implement a standalone solution which linked the End of Life care plan to the current installed Epro system.

The document is updated by staff throughout the patient’s admission in hospital and records information such as an individualised care plan, a hospital escalation plan, advice for community care, information about medication and discharge. The notes are available for medical staff to action, anywhere and anytime in the hospital. The End of Life note integrates with, and can be automatically distributed with the discharge summary to the GP. 
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 / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Results

The End of Life note functionality was developed by Epro within just four months. This followed a user-centred approach with several iterations of testing and design enhancements to ensure it met the requirements of clinical users. The solution delivers the following benefits: 
  • Patient preferences accessible throughout the hospital regardless of department or specialty
  • Time savings for staff searching for patient preferences and information
  • Information about End of Life preferences available on re-admission
  • Distribution of appropriate information to the GPs via the discharge summary
  • Flexibility in information collection, avoiding delayed discharges
  • Information can be collected at different times during an admission
  • Local con guration of information fields reduces risk of loss, and supports carrying forward relevant data, whilst tracking and updating user preferences such as language choice
  • Audit and monitoring – ability to review a list of patients discharged without completed forms, or missed review dates
  • Seamless integration to existing EPRs, meaning users do not have to log in twice 
Initial Review Rating
3.00 (1 ratings)
Benefit to WM population:
Results 

The End of Life note functionality was developed by Epro within just four months. This followed a user-centred approach with several iterations of testing and design enhancements to ensure it met the requirements of clinical users. The solution delivers the following benefits: 
  • Patient preferences accessible throughout the hospital regardless of department or specialty 
  • Time savings for staff searching for patient preferences and information 
  • Information about End of Life preferences available on re-admission 
  • Distribution of appropriate information to the GPs via the discharge summary 
  • Flexibility in information collection, avoiding delayed discharges 
  • Information can be collected at different times during an admission 
  • Local con guration of information fields reduces risk of loss, and supports carrying forward relevant data, whilst tracking and updating user preferences such as language choice 
  • Audit and monitoring – ability to review a list of patients discharged without completed forms, or missed review dates 
  • Seamless integration to existing EPRs, meaning users do not have to log in twice
Current and planned activity: 
EoL currently implemented in one NHS Trust with Global Digital Exemplar Status (GDE) 
 
The trust already uses many of our solutions and wanted to extend its capability with easy access and an audit trail of the agreed care plan with the patient to help medical staff ensure the highest standard of care by putting patient wishes first.”

Dr Francesca Leithold, Head of Professional Services, Epro
 
Access tailor-made clinical software

We have a strong history of designing bespoke software solutions that meet NHS trusts’ speci c clinical work ow, electronic document management and interoperability challenges.

Get in touch to see how our development team, led by a former clinician can help you today. 
What is the intellectual property status of your innovation?:
Epro holds all rights to the EoL intellectual property   
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
2
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Keli Shipley 04/07/2017 - 11:38 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
We have a fully developed managed service ready to provide connectivity to mobile screening vans; automatically wirelessly transfer images to hospital PACS; remove outdated paper based processes and transform the metrics of breast screening.
Overview of Innovation:
For 25 years mobile breast screening vans have operated in isolation from Hospital HQs. Every day hard drives full of patient images are transported by taxi, courier, or most commonly fully trained radiographers between the van and hospital. Appointment lists are closed well in advance to allow them to be physically transported to the van and they are therefore outdated by the time they arrive. Clinical and administrative notes are made on paper which is also physically transported before the notes are transcribed into application software. Targeted turnaround time between screening and result has been 14 days for over 25 years.

​Our managed service revolutionises this process and can reduce the steps involved from 42 to 21.

​We transmit images directly from the van to hospital PACS in as little as three minutes. We make appointment systems live on the van and synchronise them with HQ. We create access to clinical applications so that all notes can be entered directly at point of need. We provide on board access to email, internet and intranet which has never been provided before.

​We give the HQ real time visibility to the van enabling them for the first time ever to see that staff have arrived safely and that screening has commenced on time. Our service can transform the metrics of screening and open the doors to radical overhaul of efficiencies and turn around times for results. We can remove all paper based systems and transform the reading and reporting process.

​All of these things can be achieved to deliver a better working environment, more efficiency, greater flexibility, better data accuracy and much improved data security and could normally be funded by cost savings that the service itself will generate.

We need help to accelerate the pace of adoption.
Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
WMAHSN priorities and themes addressed: 
Wellness and prevention of illness / Digital health / Innovation and adoption
Benefit to NHS:
  • Improved throughput on existing capital equipment
  • More flexible service at point of need
  • Improved accuracy by removing transcription errors
  • Better working conditions for radiology staff
  • Reduced risk of data loss
  • Improved management information
  • Better work processes
  • Removal of paper based processes
  • Opportunity to reduce the anxious waiting period between screening and results
Initial Review Rating
3.40 (1 ratings)
Benefit to WM population:
The Breast Screening Programme (BSP) is one of the largest and most important screeniong programmes in the UK. The benefits of regular screening, early detection, and faster treatment are well proven and documented. Our service enables operators of the programme to bring their service into the 21st Century. The benefits shown above are extensive and far reaching and would impact directly in the service provided to the women of the West Midlands who would find the service more flexible, more accurate and more secure.
Current and planned activity: 
Two mobile vans operated by UHB are already contracted to our service. We now need to expand to the other operators in the West Midlands. We have a fully developed demonstration trailer that we can bring to any site. It would be great to have a fully documented case study on our service anda way into becoming an appproved supplier to the NHS. We need help.
What is the intellectual property status of your innovation?:
We need to investigate the potential for IP in our software.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
Simple
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David Osmond 01/06/2016 - 19:08 Publish Login or Register to post comments
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-99999
Innovation 'Elevator Pitch':
Virtual Teleconsultations for LTC management 
Overview of Innovation:
Hailadoc is a cloud-based secure clinical communication system that 
enables health professionals to connect, communicate and collaborate with patients virtually ( web/app based system) through messaging, file/ photo/ image sharing and video chat. Hailadoc was designed and developed by a team of clinicians with business and technical experts. 
 
The Vision
 
The Hailadoc vision is to enable a virtual outpatient experience so that patients receive care whenever possible through their mobile phones. The problem in healthcare which Hailadoc helps to solve is inefficient care due to unnecessary clinic appointments requiring in-person hospital attendance. Many appointments for “routine follow up” could be avoided if clinical advice was communicated to patients at home via their mobile phones or computers.

Value Proposition

Advances patient centred care:
Provides readily accessible communication channel between health professionals and patients
Continuous connection with patients to ensure patients follow treatment plans
Facilitates closer medication management
 
Increases access to care:
Brings healthcare to those who find it difficult to travel
Enables providers to deliver quality care at a lower cost
Reduced travel costs for patients and health professionals
More efficient patient load management for health professionals
Timely monitoring of patient in the community
 
Reduced unplanned hospital admissions
Improves treatment compliance through faily monitoring and earl care tream intervention
Increase chance of addressing problems before becoming acute

Benefits
Older person and informal carers
  • Enables independent living in own home for longer
  • Peace of mind for both informal and professional carers
  • Supports daily routine decision making for better patient management
  • Greater sense of safety, security and comfort enabling older people to feel in control of their lives
 
Health and Care commissioners
  • Optimises outpatient clinic utilisation for new patient consultations and complex patients 
  • Routine monitoring and timely response decreases acute hospital admission
  • Supports integrated care plans
  • Reduces cost of care through fewer home check visits.
  • Reduces length of inpatient admission by facilitating speedier hospital discharge,
 
Information Governance
We are in the process of certifying as NHS IG Toolkit Compliant Level 2
Our current track record within the NHS has involved clearing Information Governance at 2 large NHS trusts.
Data encryption meets NHS data security standards
Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Digital health / Innovation and adoption
Benefit to NHS:
Reduces the number of face-to face consultations - Reducing cost
Reduces the need to use follow up consultations for clonica space- increasing the throughoput of first consultation aand therefore lowering RRT / increasing percentage of patients meeting RTT standard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
Initial Review Rating
4.20 (3 ratings)
Benefit to WM population:
Teleconsultations is becoming increasingly established as the future for consultation practice. It is recognised that a large proportion of follow up care ( which makes up 70%) of outpatient appointments, does not require face-to-face engagement. A secure communication channel  between doctors and patients to share discuss on going management will ensure aptients are provided wiith a more accrate 
Current and planned activity: 
We are currently in discussion to deliver an asynchronous teleconsultation service at a leading London hospital .
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
2 years
Ease of scalability: 
2
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Nina 13/07/2017 - 16:11 Publish 1 comment
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-99999
Innovation 'Elevator Pitch':
More people die of SUDEP (Sudden Unexpected Death in Epilepsy) than in house fires every year.
 
Every home has smoke detector, so why shouldn’t all epileptics have a device that alerts people close by so that they can provide assistance when needed?
Overview of Innovation:
Embrace is the world’s 1st system for seizure detection based on analysing multiple physiological data sensed at the wrist.



Should someone with Epilepsy experience an ‘unusual event’, such as a convulsive seizure, an alert will be sent via their smartphone to parents, friends or caregivers, summoning immediate help. Additionally, a caregiver can also wear a 'companion' Embrace. When the two Embraces are within range (e.g. in nearby rooms), the 'companion' Embrace worn by the caregivers will vibrate to alert them.

The Embrace watch has received awards for its design & innovative technology. The watch monitors Electrodermal Activity (EDA), also known as Galvanic Skin Response (GSR), which is autonomic data that is activated by regions deep in the brain involved in emotions such as fear, anxiety & excitement.
 
Embrace watch also functions as a sleep monitoring & activity tracking device.
 
What else do Embrace sensors monitor?
Embrace comes with an app called Mate. Mate combines events that are entered manually with events that are sensed by Embrace. Mate helps see how patterns of sleep, autonomic stress, skin temperature and physical activity may interact with seizure events. (NB: initial release of Mate app features rest and activity information, while features like autonomic stress monitoring, are still in development and will be added later). For example, if there are an increased number of absence seizures when stress levels have been high and sleep has been irregular, then these can be tracked to see if changing these patterns reduces the number of seizures.
 
Embrace and Alert app system for seizure detection is for investigational use only. The system is currently not clinically proven to detect seizures. Evidence of seizure characterization using the technology in Embrace has been gathered in a number of clinical trials since the initial discovery of skin conductance changes during a seizure was published in 2012. Empatica is currently conducting clinical trials to evaluate seizure detection of generalised tonic clonic seizures (GTCS) using the Embrace watch & Empatica Alert app.
 
The automatic physiological data logging provided by the Embrace system is valuable when someone experiences a seizure as they may not remember what has happened themselves. A diagnosis is often based on finding out what happened to the individual before, during and after a seizure.
 
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 / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
The number of people in the UK diagnosed with epilepsy has risen sharply in recent years. There are around 65 million people living with epilepsy in the world, with an estimated 600,000 people in the UK.
 
Every day in the UK, 87 people are diagnosed with epilepsy. Only 52% people with epilepsy in the UK are seizure-free.
 
During 2013, 1,187 people in the UK with epilepsy died earlier than expected (premature death). Some of these deaths could have been prevented. A clinical audit of epilepsy deaths in 2002 found that 64 per cent of adult deaths and over half of child deaths were possibly or probably avoidable.
 
Epilepsy is misdiagnosed in 20-30% of cases: most commonly, non-epileptic conditions are incorrectly diagnosed as epilepsy. Up to 40% of children referred to a tertiary clinic do not have epilepsy.  In 2004, the National Institute for Clinical Excellence (NICE) estimated the direct costs of epilepsy misdiagnosis (including inappropriate treatment, but not including individuals’ lost productivity from misdiagnosis) to be between £130m and £190m per year (NICE (2004) Epilepsy, second consultation, Appendix G).
 
Limiting the rate of misdiagnosis will help to reduce the risk of teratogenicity in wrongly diagnosed patients and will prevent patients wrongly diagnosed with epilepsy from facing, for example, unnecessary restrictions in employment and in other areas of life. Better diagnostic services are also likely to reduce any treatment gaps or inequalities, and, through encouraging independent living, improve the rate of employability for people with epilepsy. Finally, patients will have a greater choice of treatment options and a greater sense of empowerment
 
Epilepsy is an ambulatory-sensitive condition, meaning that better management in the community or primary care setting can effectively avoid unnecessary visits to the emergency department and non-elective hospital admissions.
 
Prevention of 15 admissions to hospital would Save the salary of a single epilepsy nurse
Estimate from National Audit of Seizure Management in Hospitals 2 (NASH2)
 
In 2009, there were 13 million prescription items of anti-epileptic drugs dispensed in the community in England, at a net ingredient cost of £300 million (NHS Information Centre Prescription Cost Analysis 2009. The net ingredient cost is the cost of the drug before discounts, not including any dispensing costs of fees).
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
Epilepsy affects 54,000 people in the West Midlands (Source Birmingham City Council May 2016). The economic and social costs of managing this cohort is very significant.
 
Gaining control of one’s epilepsy not only saves direct health related costs in terms of fewer emergency or longer term hospital admissions, but also enables individuals with epilepsy to continue working and maintain their independence.
Current and planned activity: 
Current activity:
The Embrace device was only recently launched in the UK in November 2016. Currently clinical trials are taking place in the USA.
https://support.empatica.com/hc/en-us/sections/200817625-Seizure-Characterization-Clinical-Trial-monitoring-with-Embrace
 
We have taken orders from a number of Local Authority Assistive technology departments and are keen to engage further with the NHS.

Planned/future activity:
The published trial results cited above were from predicate devices. We need to collect more data using the Embrace and Alert app to complete the medical and FDA certification processes before we are able to make any claims regarding seizure detection performance of this system.
 
We are very keen to work more closely with any West Midlands network that provides support to people with Epilepsy or Autism.
 
What is the intellectual property status of your innovation?:
Patents Held by Empatica – further info available upon request.

The device is currently being fast tracked through FDA approval.

It also holds - Certifications:  CE Mark, FCC CFR 47 Part 15,  RoHS.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Ben Carter 19/12/2016 - 13:34 Publish Login or Register to post comments
0
0
Votes
-99999
Innovation 'Elevator Pitch':
Currently Continuing Healthcare Assessments are often paper and phone based, involving multi-disciplinary teams across different organisational silos. Our intuitive Continuing Healthcare tool transforms the CHC & DST process for safe and better care.
Overview of Innovation:
The current process of Continuing Healthcare Assessments is often paper and phone-based and involves the co-ordination of multi-disciplinary teams across different organisational silos.
 
A lack of transparency in the assessment process can lead to unnecessary delays. One team’s uncompleted task can halt the entire process; whether it be because of admin delays on missing paperwork, incomplete assessment information or delays in communication. 
 
Delays, lack of progress and poor visibility cause considerable distress to patients and their families as they wait for funding assessment, decision and care provision.
 
NHS England has introduced new quarterly CHC reporting in order for CCGs to monitor performance as many fail to achieve the National Standard turnaround of more than 80% of eligibility decisions within 28 days. On the reward side, NHS England has made the annual achievement of the National Standards for CHC subject to a valuable Quality Premium.
 
Continuing Healthcare assessment transformation starts right here.
 
CHC2DST eliminates paper from the Continuing Healthcare assessment process.  It provides a single point of entry for assessments into your organisation. From Day 1 you begin to control the CHC workload and workflow, rather than the other way around. Through the elimination of paper and the automation of communications between process stakeholders, CHC2DST provides CHC leaders with the transparency they require to improve their service levels.
 
CHC2DST increases the productivity of stakeholders within the CHC assessment process, reducing time spent on low-value admin tasks and allowing them to focus their time, knowledge and skills to drive improvements and generate value into other Continuing Healthcare areas. 
 
With CHC2DST user organisations are able to configure the solution to the assessments, permissions and workflows that suit their local situation.
 

 
Benefits of CHC2DST
  • Improve the assessment services to patients and carers and staff
  • Improve communication across stakeholders
  • Improve decision making speed and accuracy
  • Reduce Delayed Transfers of Care numbers
  • Improve work allocation and follow-up scheduling
  • Improve accuracy and retrieval of completed CHC Checklist and DST
  • Reduce legal appeals through better record keeping
  • Reduce processing costs by eliminating inefficiencies
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: 
Digital health / Innovation and adoption
Benefit to NHS:
NHS continuing healthcare (CHC) is a package of care provided outside of the hospital that is arranged and funded solely by the NHS for individuals aged 18 years and older who have significant ongoing healthcare needs. When someone is assessed as being eligible for CHC, the NHS is responsible for funding the full package of health and social care.
 
Funding for ongoing healthcare is a complex and highly sensitive area, which can affect some of the most vulnerable people in society and those that care for them.
 
The Continuing Healthcare Checklist and the Decision Support Toolkit assessment process is inundated with paper-based forms filled out manually by health and social care professionals. As a result, professionals at the centre of the CHC process struggle to synthesise the information from the reams of paper they receive adding to unnecessary discharge delay.
 
CHC2DST is an end to end digital administration and assessment solution for CHC. It digitises and automates data collection and processing of CHC & DST. We have been able to demonstrate the potential for huge savings in the CHC assessment procedure. Savings are generated by both a reduction in administrative burden and a reduction in the delayed transfer of care. 
 
Implementation of our CHC2DST solution will provide efficiency benefits & savings across the health and care system. 
  • Cost saving for a CCG on average is around £300,000 for administration time, faxing, paper copying and postage costs. 
  • Saving to a Local Authority by improving transparency and speed of assessments will enable the improved efficiency of staff time and provide improved visibility for social workers of the cases being assessed.
  • The government and NHS target is to get through the process in 28 days and over 50% of the cases do not meet this target. Implementing our CHC solution will provide improved communication/transparency to family members and reduce the time taken for the assessment process. Families should get answers quicker and the Health system will come closer to achieving their 28-day target.
To realise the benefits the CHC2DST can bring to your organisation, download our free full economic assessment, simply visit our website, enter your details and then submit – click here.
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
NHS England has put CCGs’ execution of the Continuing Healthcare process under the spotlight.  NHS Leaders want to drive up productivity by eliminating inefficiencies in the Continuing Healthcare. On a macro level, NHS England is setting out to save £855 million across CHC delivery by 2020/21. Improving the speed accuracy and consistency of access to CHC will be important in achieving this goal.  
 
From an operational perspective today, they believe challenges in CHC assessments are contributing to unnecessary Delayed Transfers of Care in the acute system, with too many full assessments being conducted in an acute setting. Additionally, many CCGs are failing to achieve the National Standard for the turnaround of more than 80% of eligibility decisions within 28 days.   
 
Continuing Healthcare assessment transformation starts with CHC2DST.
 
CHC2DST is easy to use and intuitive, eliminating paper from the Continuing Healthcare assessment process. Through the elimination of paper and the automation of communications between process stakeholders, CHC2DST increases the productivity of stakeholders within the CHC assessment process, reducing time spent on low-value admin tasks and allowing them to focus their time, knowledge and skills to drive improvements and transform the CHC & DST process for safe and better care.



At least 16 days can be taken out of the of the current process using CHC2DST’s digital solution.
 
The CHC business case is an example of the efficiency benefits and potential cost savings that you could realise by implementing the CHC2DST into your hospital and CCG. To discover more and download our free economic assessment, simply visit our website, enter your details and then submit – click here.

Current and planned activity: 
CHC is under the spotlight from many areas including NHS England, the Public Accounts Committee, National Audit office and has been identified as a major workstream for NHSE with a strategic Improvement Programme to 2019 set up.
 
The Quality Premium incentive for CCGs also features CHC heavily (17% of total award). Many policy levers are now in place to attempt to deliver widescale transformation on the service.
 
We would like WMAHSN’s support to assist with engagement of our target audience CCG’s to help to scale our innovation to further the region’s improvement in quality and performance for CHC.
 
What is the intellectual property status of your innovation?:
IP is held by IEG4 for the code used in developing the software application. NHS IG governance toolkit 14 approved, deployed on the Microsoft Azure could service which achieves the highest accreditation for security.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
2
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Charles MacKinnon 21/05/2018 - 14:13 Publish Login or Register to post comments
0
0
Votes
-99999
Innovation 'Elevator Pitch':
‘Uber’ for the NHS. Hospitals crate shifts & push them to only the relevant candidates. Those interested apply with a single click. Hospital admins award the shift to the best candidate. When the job is done both sides leave feedback.
Overview of Innovation:
Megalist is a staff management platform.
The single biggest threat to the NHS is the staffing crisis which affects every other aspect of the NHS.
The is no reason why a large organisations like an NHS Trust with thousands of employees can not share employees to load balance their staffing needs. For example ITU nurses covering A&E.
The only reason for not doing that is that the NHS does not have the infrastructure to do such a thing - to load balance staff between departments, sites, hospitals or even Trusts.
It’s time to rethink the old model.
An NHS employee is an NHS employee and there is no reason that if the have the necessary skills that they wouldn’t be able to cover shifts in a different position in the NHS.
The agencies have been providing the NHS with this integrated infrastructure and charging a very hefty price for it and in all fairness delivering a mediocre service at best.
Megalist provides an innovative solution of a distributed staff management system.
Instead of one secretary calling and emailing everyone and then emailing or calling the agency who emails and calls the staff on their books and they email and call back to the agency who emails and calls the secretary who finds the consultant or the nurse in charge and they vet the agency worker and then they call and email the agency who calls and emails the doctor or nurse who might have taken another job already.
Megalist is a distributed staff management platform - meaning that many people have admin rights: senior doctors, senior nurses, site managers, secretaries, rota coordinators, departmental manages, night mangers and so on. They can all create a shift and push it directly to the relevant people who get the offer directly on their phone and who can respond with a single click.
Hundreds or even thousands of people can be notified in seconds and relevant candidates can be found in minutes not hours or days.
The admin awarding the shift has a lot more information at hand - feedback from previous shifts, how many shifts the candidate worked in the past and where, full electronic resume, photo, relevant documents in our document exchange and much more.
The main benefits are admin staff spend significantly less time finding staff and can do other tasks. Agency spending is cut drastically and having a fully staffed department means increased patient safety, increased patient satisfaction, increased employee satisfaction and thus higher productivity.
 
 
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: 
Education, training and future workforce / Innovation and adoption / Patient and medicines safety
Benefit to NHS:
The main benefits are admin staff spend significantly less time finding staff and can do other tasks. Agency spending is cut drastically and having a fully staffed department means increased patient safety, increased patient satisfaction, increased employee satisfaction and thus higher productivity.  
Initial Review Rating
4.20 (2 ratings)
Benefit to WM population:
Same as above but for the local polulation. 
Current and planned activity: 
We have ran a successful pilot in St. Thomas' A&E - for doctors only - SHOs and Registrars and in the 34 months which we were developing the platform we covered from them 1142 shifts. 

If you extrapolate that: 

Agency average margin £10 / hour / shift
Average shift 10 hours 

£3,4k / month / deparment / role (eg. doctors)
£40k / year / deparment / role (eg. doctors)

If an average department has 3 roles - doctors, nurses and nursing assistants, but most have more
And an average hospital has 10 departments but most have more 

Than the savings easily exceed £1M annualy.


Please see a short 60 second animation that explains the concept in more detail:

https://vimeo.com/232833427

And some testimonials from real end users.

https://vimeo.com/238748695/f23f1c6ce3
https://vimeo.com/239816983/781e206e76
https://vimeo.com/239817899/ed97fc21fe
https://vimeo.com/239818102/dfdad9f6ff

We are looking for help to get into and NHS Trust. 
What is the intellectual property status of your innovation?:
It is fully owned by Megalist Limited
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
Regional Scalability:
Appart from building our system we have build an adjacent system that stress tests our main platform and we have tested it to 5,000,000 users without any problems. 

We are ready to scale regionally and nationally. 
Measures:
We have proven that we can cover 40-65% of shifts that are posted trough Megalist. We would like to scale this and provide safer staffing levels across other NHS Trusts. 
Adoption target:
Ideally we would like to get the first paying NHS Trust on board - provide value for them and than with that scale regionally and nationally across the entire NHS. 
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Anonymous 09/11/2017 - 21:50 Detailed Submission Login or Register to post comments
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0
Votes
-99999
Innovation 'Elevator Pitch':
Sometimes it’s hard to prove impact. Risk Tracker helps organisations providing preventative services to record their work & demonstrate success. Provided free for anyone to use (under open license) Risk Tracker is for use on desktop & mobile devices
Overview of Innovation:
Risk Tracker is a powerful tool for managing clients and demonstrating outcomes. Designed to record information without getting in the way of the service you provide, it requires collection of a minimal amount of information from clients, but provides you with the flexibility to customise.
 
One of the key challenges for organisations who provide preventative services is connecting your clients’ progress with the complex range of National Outcome Frameworks. Inside Outcomes continuously maintains the policy environment to ensure that your reports will always reflect the most recent National Outcome Frameworks and, as the Frameworks evolve, we keep you up to date with the impact this will have on your day-to-day operation.
 
We have collated a database of issues that are common to preventative services. The system has been designed to support care navigation services by providing a quick tool to record client notes, measure outcomes and store files.
 
The Inside Outcomes Risk Tracker tool helps organisations to:
  • Record the common issues that clients present to services
  • Measure changes in those issues over time
  • Demonstrate the impact organisations have had in an evidence based way
  • Measure the impact organisations have had against National Outcome Frameworks
We have created a series of custom Risk Maps that reflect the issues clients commonly report, and aligned them with the public health life course. These Risk Maps cover diverse issues such as financial planning, housing and wellbeing, because we know the complexity of individual circumstances has an impact on your ability to provide services.

Our Risk Maps cover: We are also able to tailor risk maps to reflect service specific needs such as:-  
We also provide the facility to run anonymised open data reports that highlight social need in a particular area. Because we used a standardised format for recording the issues that people present we can aggregate data across multiple agencies to create a powerful, live commissioning tool.
 
We provide Risk Tracker free for anyone to use. We provide it under an open license so that you can run it in any way you want or even adapt the code for your own uses. You can access the code repository on our Github site. You can access the Risk Tracker manual here.
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: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Health is influenced by a range of social, environmental and economic factors which are beyond the remit of the health sector.
 
Health services, social care and housing are all focused on delivering better outcomes at lower cost to public purse and finding ways of improving the effectiveness and better understanding the value of preventative services.
 
Risk Tracker measures the impact of organisations against national outcome frameworks, supporting them to translate the things they do into the outcomes that commissioning bodies are measured against.
 
Commissioners need to identify what services are required to deliver improvements in the prevention, diagnosis and treatment of physical and mental illness in their local population, Risk Tracker provides important data to identify top priorities and opportunities for transformation.
 
It helps commissioners to identify sub groups within their population and consider service requirements across the system, creating the person-centred services patients want and need.
 
Risk Tracker is a useful tool for analysing population data and identifying those who would gain most from the services and interventions being considered, commissioners then use this information to plan, deliver and monitor services for their local population.
 
When contracting for services, commissioners are looking for positive social outcomes, which have a lasting impact with benefits for patients that can be clearly demonstrated.
 
With Risk Tracker, information is used to improve services and influence commissioning decisions. Through recording client issues in a common format Risk Tracker allows the outcomes from disparate services to be compared and contrasted. For example, the cross over in issues that the clients present to substance misuse services, mental health services and housing associations mean that data can be aggregated together.

As all data is stored in a single, secure, compartmentalised system we can create aggregated, anonymised maps of social need. The live data that can be produced records social need and is an essential tool in commissioning services against evidenced social need.
 
Investing in prevention and better health outcomes can be part of the solution to the challenges of increasing levels of need along with shrinking budgets. Effective preventative interventions can reduce health and social care costs and the need for welfare benefits. Better health can also enhance resilience, employment and social outcomes.
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
Risk Tracker helps commissioners to plan services which meet national standards and local ambitions, by combining knowledge of existing service performance and population needs.
 
Commissioners traditionally do not have access to live local data. Having the ability to extract accurate data on health and wellbeing needs for a particular area supports a flexible approach to commissioning against need.
 
The methodology that underpins our system encourages services to carry out a whole person assessment.  This means exploring the range of issues that might be present in an individual’s life. Through identifying a range of interdependent issues, services can integrate how they work around an individual and improve their outcomes.
 
An important component of planning for transformation is recognising where services may
need to be decommissioned. Risk Tracker can help to identify where less effective approaches to service delivery are to be found. With a good understanding of how a service is currently operating commissioners can identify potential opportunities for innovation and improvement.
 
With Risk Tracker commissioners can develop service specifications that focus on paying for services which produce improved outcomes for their patients, rather than reimbursing providers for activity.
 
Risk Tracker will provide commissioners with the information they need to develop a vision of future service provision that will improve the health & wellbeing of individuals and communities in the West Midlands.
 
We provide Risk Tracker free for anyone to use. We provide it under an open license so that you can run it in any way you want or even adapt the code for your own uses. You can access the code repository on our Github site. You can access the Risk Tracker manual here.
Current and planned activity: 
Risk Tracker is a cloud based system & is constantly going through development as services identify new functions. We are currently exploring developing risk maps to support refugees & asylum seekers, people with disabilities, carers & suicide prevention.

Our next significant software release will incorporate individual access to records & the ability for clients to move their records from one agency to another. We believe that a person-centred approach to improving health & wellbeing requires the ability for individuals to manage their own records.
 
We would like WMAHSN to help to scale up Risk Tracker across the WM region. It is provided free of charge under an open license & users can run it in any way they want, even adapt the code for their own uses. By using WMAHSN’s network to promote this opportunity, WM commissioners can develop service specifications that focus on paying for services which produce improved outcomes for patients rather than reimbursing providers for activity.
What is the intellectual property status of your innovation?:
Inside Outcomes own the full IP for the product but release it for use under an open source license. 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Regional Scalability:
The Risk Tracker system has been built to be delpoyed at scale. The system can manage an unlimited number of organisations, and projects within organisations. The platform the system is built on is designed to dynamically utilise server capacity in line with the number of organsations using it. 
Measures:
The prinicple outcome we are aiming for is to be able to produce live data on social need for an area. 
Adoption target:
We are looking at opportunities to support neighbourhood working in line with strategic objectives of the West Midlands Combined Authority. The Risk Tracker system has been designed to set a basis for metrics in disaparate organisations and be used to integrate services using a common format of data collection. 
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Darren Wright 05/09/2017 - 16:35 Detailed Submission Login or Register to post comments
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0
Votes
-99999
Innovation 'Elevator Pitch':
Clinical decision making improved via proactive digital remote monitoring. Together driving cost efficiencies, improving patient outcomes & avoiding hospital admissions. (CE Class 1a: data server sits within HSNC:  proven ¯ 67% admissions: scalable)
Overview of Innovation:
CliniTouch Vie is a digital health solution that reduces unnecessary hospital admissions.
 
CliniTouch Vie is a locked-down tablet with integrated 3G for intensive monitoring, education & empowerment with integrated direct messaging & video support.  Dynamic care plans & evidence-based algorithms enable automatic triage for healthcare teams.  Fast & simple to implement for the most at-risk patients. 
 
Launched in 2016, system is CE marked & MHRA approved. An evidence based digital health platform that clinically supports patients to better manage their condition. It has the flexibility to be adapted for data analytics & clinical decision-making support in chronic disease management (eg COPD, heart failure & diabetes), frailty & assisted discharge programmes for ambulant & non-ambulant patients
 
Clinical & economic evidence has been generated from trials with 300 respiratory patients [Ghosh et al, 2016, https://doi.org/10.12968/bjhc.2016.22.3.123]. Our evidence based digital solution increases patient access to care & promotes greater clinician-patient collaboration for the 15million people with LTCs. It drives timely, proactive intervention, minimising need for more acute costly care enabling sustainable long-term outcomes success
 
USPs:
Evidence based: Study published in the British Journal of HC Management showed 67% reduction in unscheduled COPD admissions & saving of £2,278 per patient pa. (NB: programme continues to deliver same level of savings)
 
Patient-centred: Personalisation of goals, metrics & parameters makes system truly patient centred providing real-time remote monitoring closer to home to improve patient experience & outcomes whilst generating savings
 
Secure & integrated: Data server sits within HSNC enabling it to push-pull data securely between healthcare provider & service users. Includes bespoke integrated secure video-conferencing platform with end-to-end encryption, allowing remote monitoring of medical conditions, improving quality of life & avoiding unnecessary admissions
 
Flexible Modular Architecture: Enables clinically validated question sets re: symptoms, to be easily tailored to specific therapy areas for qualitative data collection
 
Tiered Service: no upfront costs to NHS on PAYG basis:
- Digital platform integrated into existing healthcare pathways
- Light touch triage service informing local health teams of urgent priority patients for interventions
- Fully-Managed digital platform and nurse-led service providing triage & interventions
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 / Wealth creation / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
CliniTouch Vie has proven benefits and can be scaled up easily across the wider regions:
  • improved patient outcomes:
  • 67% reduction in COPD emergency admissions;
  • 13% improvement in CAT score
  • 97% of patients using CliniTouch Vie will further reduce distress and discomfort from conditions exacerbations
These were supported by:
  • improved access to healthcare: 24/7 access to healthcare, average 110 interventions per patient per annum (500% increase)
  • targeted and personalised health interventions: 7,250 personalised clinical interventions (data from 66 patients over 12 months)
  • data analytics: real-time clinical dashboards for clinical teams to prioritise patient needs; prioritised only 38% of patient clinical recordings required intervention within a 24-hour period
 

 
Patients are educated and supported to interpret the data to gain an improved understanding of their health status.CliniTouch Vie:
  1. Educates patients: supporting people to make health life choices through improving the understanding of their disease and self-management skills
  2. Enhances care for patients with chronic conditions: informing and engaging patients as part of NHS prevention agenda and creating a patient-provider collaboration
  3. Provides data analytics: making more targeted and personalised health interventions, by using disease specific algorithms to differentiate when one patient’s history or recent environmental exposures indicates a higher likelihood of flare up than another
  4. Improves patient safety: providing real time clinical and well-being data to identify early warning signs of health deterioration, medication adherence and self-management education
  5. Reduces hospital activity: providing real time management of high risk patients to prevent admissions
  6. Supports early discharge: providing hospital level diagnostics and monitoring in the home, enabling early discharge and can be used for remote clinical support post-surgery or in care-home settings
  7. Delivers workload efficiencies: supporting better patient self-management, reducing need for direct interventions and enabling staff to focus on priority patient care
  8. Offers locality wide cost savings: reduced demand leads to reduced NHS activity
 
Initial Review Rating
5.00 (2 ratings)
Benefit to WM population:
The West Midlands priorities that CliniTouch Vie can address are:
  • P2: Long Term Conditions: whole system, person centred approach
  • P4: Wellness, healthy aging and prevention of illness
  • P8: Digital Health
 
Our vision is for CliniTouch Vie to contribute towards and support the West Midlands wider vision to develop a worldwide reputation for delivering healthcare through digital technologies, proven to deliver sustainable improved outcomes and create wealth.  We have already demonstrated that it can deliver on all fronts with high risk COPD patients and is being adopted for Heart Failure, Diabetes, Cancer and Frailty pathways.  With an ageing population, often with co-morbidities, it can be used to support a more patient-centric approach to health care services in the region.
 
CliniTouch Vie supports health and wealth benefits as is a flexible, real-time remote monitoring solution, facilitating earlier discharge, prevent readmissions, reduce risk of future exacerbations and improve self-management through our inbuilt education resources.  CliniTouch Vie delivers a proactive approach to tackling symptoms, preventing exacerbations and slowing health deterioration, resulting in reduced NHS costs.  The system has an extensive data collection of medical, lifestyle, biometric and daily activity.
 
Targeting patients who are at risk or have multiple hospital admissions could significantly reduce the NHS costs to the region as well as freeing up clinic and nurse time to manage a wider caseload more efficiently. With a more collaborative, integrated, patient centred approach, utilising proven remote digital health, the West Midlands could see a potential reduction in admissions by 60%+.
 
CliniTouch Vie is a locked-down tablet, with integrated 3G for intensive monitoring, education and empowerment with integrated direct messaging and video support.  Our dynamic care plans and evidence-based algorithms enable automatic triage for healthcare teams. 
 
The tablet comes in an easy to carry case with the peripherals and can be handed to the patient at home, in clinic or upon discharge and is linked directly to the clinician web-based management portal.  Data within CliniTouch Vie tablet is stored securely within the cloud and hosted on the N3.  This makes CliniTouch Vie easy to scale due to its low technology and estates requirement, whilst delivering a high quality clinical service.
Current and planned activity: 
Current:
Spirit Digital is part of Spirit Health Group and can provide one of the most comprehensive range of solutions to support patients of all ages, IT capabilities & levels of disease severity across a wide range of conditions e.g. respiratory, cardiovascular, diabetes, cancer, frailty.
 
Spirit is establishing research collaborations with academic institutions around evidence generation for AI and machine learning. This includes collaboration on a bid to the European Space Agency to further develop the technology using satellite data.

Planned:
Spirit Digital seeks WMAHSN support ta assist with introductions and marketing of CliniTouch Vie to local CCGs. 
 
Our planned NHS engagement activity programme for the next 12 months will be through a variety of channels:
  • Direct engagement with CCGs and community Trusts
  • Application to Digital Accelerator programme
  • Case study development & sharing
  • Presentations at national conferences
  • Creating user (clinicians & patients) video footage to share with CCGs
What is the intellectual property status of your innovation?:
We hold the IP for the technology and digital health algorithms.  We collaborate with Midlands based businesses, healthcare providers and universities and retain all IP for products and services.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
2
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Emma-Jane Roberts 21/06/2018 - 12:25 Publish Login or Register to post comments
5
1
Votes
-99999
Innovation 'Elevator Pitch':
Crowdsourcing the most appropriate referrals to improve pathways and promote integration. Using whole person assessment to enable to agencies to work together more efficiently around an individual. 
Overview of Innovation:
Referral Tool app has been designed to quickly identify local organisations that you can refer clients to. It’s been created to complement any data system you use, entirely focusing on improving the quality of referrals.

The system works through carrying out a brief whole person assessment. This involves talking to the client and trying to assess the full range of issues that they are looking for help and support with. Using our simple Risk Maps these issues can be quickly recorded.

Both clients and workers are presented with a succinct list of appropriate referral agencies for the issues identified. Through creating a holistic approach to providing help and support agencies can tackle those complex issues that require joint working, therefore, improving outcomes. 

We have created this to be used across a local area with all of the organisations using it to crowdsource the most effective agencies to help resolve problems. As agencies understand the issues they are best placed to resolve they can manage which clients are referred to them. This dispersed system of management means no one agency is required to keep data up to date. As a result, this is a sustainable system created to reduce central management costs. 

Every agency can customise the system to reflect the sort of issues that their clients present. Which means the assessment process is simplified to focus on the things that are most important to the person in front of you and can be carried out in a matter of minutes. 

Designed to focus on services such as social prescription or community navigation, Referral Tool can be easily used by any agency that carries out face to face client work. 

As all issues raised are recorded in the same format, Referral Tool also generates open data reports to identify patterns of social need in an area. This can be used to inform commissioners on where the most pressing commissioning needs are. 

Referral Tool is released under an Open License for anyone to use in any way that they want.
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:
As many people present to service with complex issues it is rare that a single agency can resolve all issues. Where issues are interdependent on each other then it is essential that agencies work together coherently to support an individual. Referral Tool provides an easy method  to identify relevant local agencies and how to make a referral.

This avoids many of the problems of service directories as there isn't a need to keep the referral data up to date, this is manged by agencies. It also does not require someone looking for referral agencies to second guess how to search for agencies 

As all data is collected in the same format Referral Tool can also produce geographical maps of need to demonstrate where commissioning priorities should be set. 
Initial Review Rating
3.40 (1 ratings)
Benefit to WM population:
The WM population benefit on a number of levels. More integrated services mean that they do not have to seek help from a wide range of sevices. A seamless referral process is less likely to discourage people from taking up services they are offered. 

As Referral Tool can generate live data on local need then commissioners have an evidence base for how they can target services to address local need. 
Current and planned activity: 
We are currently using Referral Tool across Sandwell but this is voluntary sector promoted activity rather than via the NHS. 
What is the intellectual property status of your innovation?:
We own the intellectual property of our Referral Tool product but make it available to anyone under an open license.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Regional Scalability:
This tool can be easily scaled across the West Midlands region. We are in the process of rolling it out across Sandwelll. The Sandwell roll out has been fully funded and can be used by anyone in that area. For the best outcomes the tool functions in local authority areas in order to ensure that referrals and pathways are most appropriate to clients and patients. 
Measures:
We are guaging success by measuring penetration within face to face services where the tool is being implemented. This can be easily measured through the way the tool creates open data maps of social need in a given area. 
Adoption target:
We are looking to implement the Referral Tool in each local authority area in the West Midlands. 
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Darren Wright 16/05/2017 - 16:49 Detailed Submission Login or Register to post comments
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Innovation 'Elevator Pitch':
Our online workshop helps women from all backgrounds in all demographic areas to access positive, factual information to support their birth choices using evidence-based information that can be updated as and when new guidance is released.
Overview of Innovation:
The Real Birth Company’s mission statements are ‘to provide relevant, up to date, evidence based antenatal information that is delivered with a positive attitude’ and ‘to impart our knowledge with confidence to empower women and their birth partners at this very special time’.
 
We have achieved this with our RCM accredited antenatal education training programme that has been developed into an online e-learning antenatal resource for women birthing in the UK & is available in several languages. This e-learning resource is a birth physiology workshop full of important information that supports UK practice & enables women to understand the reasons behind their care, whilst supporting them to make informed choices in labour.


Antenatal education is essential to helping women form opinions & make choices in regard to their pregnancy & birth. There are various types of antenatal education. Hospital accessible antenatal education is dependant on resources, demographics & availability of staff to name a few. Lots of these classes use traditional methods of teaching with limited time to discuss at length the physiology.
 
The Real Birth online workshop is easily updated & uses evidence-based information from NICE, WHO, RCM, RCOG & others. It is holistic, culturally sensitive & can be accessed from anywhere by computer, tablet or mobile phone.
 
The innovation of creating a multi-lingual online e-learning workshop came from the positive birth results that were consistent with women & their partners who had attended a specifically designed positive birth workshop.
 
The workshop was created using techniques that help graduate students revise for exams, this learning technique has been integrated into the imparting of positive birth physiology. The use of non-threatening language & positive birth information helps to normalise birth & reduce fear. When fear is reduced in labour the benefits for both mother & baby are both psychological & physiological.
 
Barriers to effective antenatal education can include:
  • time pressures for antenatal classes
  • finding midwives who feel comfortable giving antenatal education
  • update & training costs
  • availability of classes
  • limited spaces for face to face classes
  • cost of interpreting services/availability of interpreters
  • birth terminology used
  • women being unable to attend for social or demographic reasons
Our online workshop works to address these barriers to help women from all backgrounds in all demographic areas to access positive, factual information.

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: 
Digital health / Innovation and adoption
Benefit to NHS:
The Real Birth online workshop is an easily accessible form of evidence-based antenatal education (updated as evidence changes) that is interactive, informative & fun to use.
 
The Better Births Maternity Review says that all women should have access to information to enable them to make an informed, non-bias choice.

Making Normal Birth a Reality states ‘evidence-based information for women about factors that make a normal birth with good outcomes for the mother & baby more or less likely, presented in a format which they understand so that they can plan for the kind of birth they want & make informed decisions’ is an essential part of birth preparation.

WHOs new recommendations on reducing unnecessary births by C-section recommended ‘Health education for women is an essential component of antenatal care’ by using childbirth education workshops that include partners to support women & address fear of birth with methods such as understanding birth physiology, our workshop helps to address unnecessary interventions in labour.

Women with access to antenatal education have a higher chance of normal birth & a more positive birth experience that can help in the postpartum period.
 
The workshop follows a researched learning technique. Written in a style that enables users to learn & retain the information more effectively leading to confidence & understanding of birth.
 
Accessed from 25 weeks of pregnancy via a unique coded card issued by the healthcare provider, users work through 1 module at a time before accessing the next to ensure the workshop is comprehensible. Within the modules are questions, diagrams & carefully designed non-threatening animations.
 
Each language has been translated by first language speakers to ensure the terminology is understandable & animations are culturally respectful whilst explaining a journey of birth. NICE Pregnancy & Complex Social Factors list barriers for women who speak no or little English that include lack of interpreters & knowledge of the maternity service. Our workshop helps address such barriers. NICE also say that with this group of women other methods such as online video clips & audio information should be used.

  
 
Our workshop is factually based giving true & correct information & techniques to practice for labour along with the best positions & why. It addresses subjects like the reasoning behind recommendations for skin to skin & looks at how this can help aid mental health for both parents in the postnatal period.
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
Antenatal education has a role to play in improving knowledge of, and preparation for parenthood and can lead parents to be, to adopt a range of healthy behaviours that affect pregnancy and birth, improving outcomes and the mother’s experience of birth.
 
The Real Birth Company is committed to supporting all women to access up to date and evidence-based information relating to their birth. We believe that all women should have access to this information and have produced the e-learning modules in several languages to help tackle health inequalities.
 
Tackling health inequalities in infant mortality and infant and maternal health, will not just improve health outcomes today, but lay the foundations for sustainable, long-term improvements in health.
 
At 5.5 deaths per 1,000 live births, the West Midlands has the poorest infant mortality rate in England [2014 data].  The infant mortality rate takes into account the total number of live births and so provides a more accurate indication of trends than just analysing the number of deaths in infancy over time. The West Midlands rates are significantly higher than the England average. (source)
 
Poorer mothers-to-be often do not attend antenatal classes. Almost three-quarters of pregnant women on low incomes do not attend antenatal classes according to new figures. Nearly half are not even offered them on the NHS. (source)
 
The Real Birth Workshop was created because we believe that all expectant parents should have access to positive birth information. It is beneficial for pregnant mums and their birth partners to have positive help with their birth preparation. We support all birthing choices because we believe in empowering women with the right information when they need it.
 
A report by the National Childbirth Trust (NCT) Preparing for birth and parenthood report surveyed 928 expectant parents (first-time mothers and fathers) attending antenatal courses. The research found that while only 3% of women said they felt confident about birth before attending an antenatal course, afterwards 98% said they felt confident or fairly confident. Similarly, among fathers-to-be surveyed, just 1% said they felt confident about birth before their course; afterward 97% felt confident or fairly confident.
 
The Real Birth Online Workshop provides parents to be with the education they need to manage and reduce maternal anxiety leading to improved coping strategies, greater partner support and a better birth experience.
Current and planned activity: 
We believe the workshop shows decreased admission in the latent phase, decreased use of analgesia & an increase in women having a positive birth experience.

We need champions who can apply for NIHR funding with us to pilot The Real Birth Online Workshop with women using their NHS maternity services.  
 
A number of languages are currently active, we want to include more to help all women access valuable antenatal education. Being able to access our online workshop provides antenatal education to women who may otherwise be unable to attend classes for various reasons including social, cultural & demographic.
 
Many proactive measures are being taken to address perinatal mental health. We believe a positive birth experience doesn't depend on mode of birth but choice, understanding & involvement in decision making & empowerment in pregnancy & labour.
 
Our programme can have a positive effect on women’s birth experiences & her birth partners & assist with informed choice & understanding of birth.  
What is the intellectual property status of your innovation?:
100% IPO The Real Birth Company Limited
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
N/A
Ease of scalability: 
Simple
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Zoe Wright 09/01/2019 - 11:00 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
Cera is a multi-award winning, technology-enabled homecare provider. Our technology allows us to respond and deliver tailored care within hours of an enquiry, while empowering our care-workers to deliver the highest standards of care.
 
Overview of Innovation:
Cera is a digital disruptor of the home care space, with in-house and proprietary technology. We have created a platform able to i) create digital care reports whereby during a carer visit, carers log information on their smartphone using our platform, with health and behaviour data on the user, which allows for metrics to be monitored and better care to be delivered – this data is also accessible to family members and healthcare professionals permitting much better connected services; ii) use of artificial intelligence based on the data collected by carers, to predict if users are going to experience health deteriorations such as their blood pressure worsening or the onset of a urine infection, based on subtle signals that carers may have logged – this allows us to escalate a service user’s care should they be at high risk of deterioration, or contact their doctor more proactively, potentially preventing adverse health events or the need to go to hospital; iii) use of an artificial intelligence chatbot – Martha – that provides decision support to carers based on questions they ask. The chatbot aims to transfer some of the knowledge and experience which established carers possess to carers with less experience; by doing this, we aim to make care more consistent.

Cera has provided hundreds of thousands of care hours with a 95% satisfaction rating, and is growing at an average of 25% a month. It has received over £13 million of funding from investors such as Kairos Ventures, Kima Ventures, David Buttress (former CEO of JustEat), Paul Wilmott (leads digital globally for McKinsey), Charles Songhurst (former Global Head of M&A at Microsoft) and Peter Sands (former Chairman of Davos). It has been recognised by the Government's Cabinet Office as a role model for innovative businesses partnering with the public sector, and Sir Nick Clegg recently joined the company. Cera has received a number of awards including the Most Outstanding Digital Health Innovation of the Year, the LaingBuisson Dementia Care Award, the Best London Home Care Company at the Social Care Awards 2018.
 
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 / Education, training and future workforce / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
We are the pioneer of innovative care delivery and have been widely recognised as the UK’s leader in transforming the sector. So far we have delivered hundreds of thousands of care sessions with a 95% satisfaction rating. Crucially, we are often able to start care within 24 hours when requested; this is markedly faster than other companies who take 3-4 weeks, and means that healthy people do not need to stay in hospital waiting for their care to be arranged.
We are developing a Artificial Intelligence platform that utilises data collected by carers to predict if users are going to experience health deteriorations, such as their blood pressure worsening or the onset of a urine infection. This allows us to escalate a user’s care should they be at high risk of deterioration, or contact their doctor more proactively, potentially preventing adverse health events. We are also developing an artificial intelligence chatbot that provides decision support to carers based on questions they ask. The chatbot aims to transfer some of the knowledge and experience which established carers possess to carers with less experience.

At present, clinical doctors are not involved in the active review of our clients’ data. However, there are several members of our clinical care team that review reports from each care visit through our digital care platform. Furthermore, using our digital care platform - where data is stored and viewable - it is possible for us to allow GPs and hospital doctors to access the information relating to their own clients. This would be after authenticating themselves on our platform and be possible through our portal website. We are exploring partnerships with Clinical Commissioning Groups which would allow these data sharing partnerships to be made possible.  ​
 
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
We are offering a better experience for our carers, who are offered flexible working and are empowered using technology, translating to an annual carer retention rate of over 90%. We achieve that by paying them up to 50% more than industry average, and supporting their learning via a combination of in-class and online teaching. Our e-learning platform, Learning Pool, has been very successful in engaging our carers to further their knowledge, improving the overall standards of care we provide.  

The care workers are periodically in touch with family members and are certainly aware of important care-related matters through the family members before they begin care. Care workers and family members always have the option to contact each other immediately through Cera Care at any time. Family members can access the visit reports completed by care workers through our portal as soon as they are completed - we believe this gives them a level of transparency that is simply not possible without a digitised solution. We have a comprehensive and clear consent process which all clients must sign before we deliver any care. The scope of this consent covers data capture by care workers, data storage on our platform and processing such as this for the purpose of improving patient care.
 
Our machine learning algorithm is also a work in progress - currently in prototype form. It uses data from the client’s care plan (past medical history, medication, important disabilities, care schedule) and visit reports captured by visiting care workers (mood, nutrition, hydration, activity level, sleep, bowel movements) to attempt to predict when clients are at high risk of experiencing a deterioration in their health. Currently it has an AUC ROC of 0.72. As we collect more data, we will continue to improve its performance. Since we have not operationalised this prototype, we do not require ethics approval and it is not considered a medical device because it does not offer medical diagnostic capability nor does it actively conduct treatment. If we decided to use it to inform our care workers’ practices - we can register it as a Class I device.
Current and planned activity: 
In 2018 we have delivered NHS CCG funded care with the following CCGs: Lambeth, Tower Hamlets, Haringey, Enfield, and previously had partnered with CCGs including Brent, Harrow and Hillingdon, and East London Foundation Trust, in addition to marketing in NHS hospitals including: Central Middlesex, West Middlesex, Northwick Park, Royal Marsden, Whittington and Barnet & Chase Farm and a Marketing Agreement with BMI hospitals across London. NHS 111 is exploring a collaboration with Cera. One potential outcome of this would be to permit the integration of data records from Cera into the 111 service
What is the intellectual property status of your innovation?:
We own IP for our Digital Care Platform and algorithm
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
3 years +
Ease of scalability: 
3
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Sara Sliwinska 09/07/2018 - 16:00 Publish 2 comments
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Innovation 'Elevator Pitch':
Kemuri portable K-Sockets have a 500% return on investment in one year. Use them to accelerate hospital discharge of elderly or frail people into reablement by social services.
Overview of Innovation:



Kemuri K-Sockets are power sockets with multiple sensors that continuously measure:
  • Movement of people in the kitchen;
  • Electrical power for kettles, microwaves or toasters;
  • Room temperature;
  • Power supply.
They send data via the Internet via GSM mobile phone communications.  Kemuri software learns patterns of normal activity and analyses Activities of Daily Living (ADLs) every hour.  As soon as the system identifies too many changes from normal, it automatically alerts people who need to respond to possible risks.  Responders can be families, carers or 24/7 alarm response centres.

The WebApp gives evidence of reablement of the service users.  It gives confidence to responders who have been given informed consent to view the data.  For example:
  • Wandering or unattended falls: Kemuri alerts non-return to kitchen;
  • Nutrition & Hydration: Kemuri alerts risk of dehydration or malnutrition;
  • Engaged the Community: Kemuri apps are free to authorised family, carers or voluntary sector;
  • Active in the home: If people can eat, drink and move around in warm surroundings – then they are performing key ADLs.
Portable K-Sockets are allocated to discharge teams as part of the normal hospital discharge process. Families or other carers have to respond to alerts and determine the action to be taken.  The devices are re-allocated to patients every 6 weeks. Thereafter fixed K-Sockets can be installed in kitchens as wellbeing monitors. 



The cost is less than £500 per year, and the notional saving on bed days is approximately £400 per day.  By using a unit eight times per year, more than £3200 budget is released for more patients.  This represents more than 500% return on investment in one year.  This must be worth a trial in the region.  Additional benefit can come from reduced re-admissions.

Surrey County Council have awarded a grant of £50,000 for measuring the reablement process and subsequent wellbeing monitoring.
Stage of Development:
Evaluation stage - Representative model or prototype system developed and can be effectively evaluated
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Two areas of immediate benefit are the saving of excess bed days for non-medical reasons and the avoidance of re-admission. 
  • Many elderly and frail people cannot be safely discharged from hospital without a period of reablement by family members or professional domiciliary carers.  The NHS typically funds this for a maximum of six weeks – at lower cost than the occupation of a hospital bed.  After assessment and transfer of care to social services, continuous monitoring by K-Sockets permits safe discharges a day or more earlier.  This eases the problems of Bed Managers seeking to release beds for new patients.
  • During reablement, automatic alerts warn of unusual changes of activity.  They could indicate the risk of unattended falls, dehydration, malnutrition of hypothermia; all costly to the NHS.  Appropriate action could avoid the need for re-admission.  
Kemuri is designed for both family carers and 24/7 response services.  Portable K-Sockets require zero installation time and do not require broadband.  Monitoring and machine learning starts within minutes and any people with consent for data sharing can immediately view the data or receive alerts.
 
Longer-term benefits come from wellbeing monitoring after reablement.  Portable K-Sockets can be replaced by fixed K-Sockets.  The data analysis could reveal medical problems, such as UTIs, and preventive action could avoid more costly treatments.    
Initial Review Rating
3.00 (1 ratings)
Benefit to WM population:
Most older people want to return to their own homes as soon as possible after treatment.  Unfortunately, for some independent people, they cannot be discharged because there is no care provision at home.  Perhaps they have no local family or friends.  Consenting to reablement monitoring by K-Sockets could accelerate their discharge and improve health outcomes. 

Families also obtain peace of mind, whether they live locally or at great distances.  At any time of day, people can be alerted to possible problems and respond appropriately.  Most frequently it may only require a reassuring phone call.  On other occasions it could be an unattended fall or medical event that needs clinical action.  Earlier treatment leads to better health outcomes.

It may be possible to reduce the costs of domiciliary care with more-timely and less frequent visits. 
This is an example screen:


A green day shows normal activity.  An amber day shows more changes from normal activity – but may not be cause for alarm.  Red days are alerted during the day and are a call for action.  Viewers can drill down to more detail, and the screen below could indicate the risk of hypothermia.

K-Sockets are invaluable as passive monitors to supplement active telecare devices, such as pendant alarms.  The latter are not worn continuously by 90% of the people who have them and they need reasonable cognition to use them when necessary.  K-Sockets are not stigmatising and do not require any change of lifestyle.

For more information and downloads see http://www.kemurisense.com


 
Current and planned activity: 
Cornwall Council is trialling 20 portable K-Sockets for reablement.  In one case, an alert was sent to a family member before they knew about an unattended fall.
 
Surrey County Council have awarded a grant for TECS Innovation.  The plan is to supply 40 portable K-Sockets for reablement and then supply 100 fixed K-Socket to vulnerable people for six months.  Social Care will perform assessments as part of their normal case management.  An anonymised log of each service user should provide evidence of the bed days saved.  Statistics of readmission or transfer to full-time residential care can be compared to current averages.
 
Many K-Sockets are operational in small trials and some are still operational after years of use in private houses and housing association properties.  They could collect data for several years in long-term trials for clinical trials, such as for drugs for relieving the symptoms of dementia.
What is the intellectual property status of your innovation?:
Kemuri has patents pending; GB1417259.7, effective date of 30 September 2014 and PCT/GB2015/000275, International Filing Date of 30 September 2015. 
 
Kemuri, KemuriSense, K-Sockets and K-Fobs are registered trademarks. 
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Regional Scalability:
K-Sockets can be produced in batches of 100 to 1000 from a factory in Woking.  If demand rises, second sourcing could be obtained in the WM region.
 
Web services are cloud-based and rapidly scaled at short notice.  Surrey has the largest scale implementation, which should peak at 140 units.  Scale-up should start by engaging with hospital discharge units and reablement teams.  Services to self-funders and Local Authorities can be scaled up by using the larger telecare service companies who provide other equipment and 24/7 call centres. 
Measures:
Quality
  • Alerting the risk of unattended falls, dehydration, malnutrition and hypothermia;
  • Continuous reliable operation
  • Avoidance of false alerts
  • Identifying unusual activity that may indicate need for medical intervention, eg for UTIs or TIAs.
 
Safety
  • Responding to alerts in time to minimise poor health outcomes;
  • Reduction in re-admissions.
 
Cost
The cost of deploying a portable K-Socket is less than £500 per year.  If this saves an average of one excess bed day per month, then the notional return on investment will more than 500%. 
 
People
The target service users are older people awaiting discharge from hospital who:
  • Need initial support from reablement teams;
  • Live independently and do not normally have daily visitors;
  • Can respond to phone calls;
Responders to alerts may be family members, carers or 24/7 response centres.
 
Ethics
Service users must give informed consent for data sharing with approved people such as practitioners, domiciliary cares and family members.
Adoption target:
West Midlands has a population of 5 million.  Engaging 1000 suitable service users per year is a reasonable target.  100 portable K-Sockets is a minimum viability level.  If successful, then growth to 10,000 service users is practical.   
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Leonard Anderson 10/10/2018 - 09:10 Detailed Submission Login or Register to post comments
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