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Idea Description
Supplementary Information
Innovation 'Elevator Pitch':
Medelinked is a secure mobile and online health platform that empowers you to take control of your health and sharing your health and wellness information with your trusted healthcare providers.  
Overview of Innovation:
Medelinked is leveraging mobile technology and the cloud, aiming to increase health care efficiency and effectiveness. Medelinked Health Cloud and API is the leading platform already powering some of the best mHealth applications allowing developers to create a series of new applications that deliver real health benefits to the end user and healthcare professionals. 
Using Medelinked, individuals are able to create a health profile online that is secure and connect and share their health record with their network of trusted health partners and providers (including doctors, dentists, physiotherapists, trainers, insurers, clinical researchers). Managing all their health data in one place helps individuals securely track and monitor improvements easier and quicker and share vital data with their healthcare providers to ensure they have access to their latest health data. This enables them to provide the best possible care and it keeps the individual in control of their own health.
Medelinked Account Features:
  1. Add key personal details and list medical conditions, medications, allergies and vaccinations, together with your next of kin details
  2. Add contact details for all the important health professionals you interact with in order to communicate directly with your GP, receive health advice in real time and chat by secure email, voice, text, video and instant messaging.
  3. Create an emergency record that can then be accessed by emergency first responders with its needed most
  4. Upload and store scans, x-rays and other medical reports and test results
  5. Connect your health devices (smartwatches, fitness trackers, blood pressure monitors and blood glucose monitors) to enable seamless streaming of data into your account. Set alerts, monitor and share progress with your support network
The benefits of a Medelinked account is that it allows the patient record to travel with the patient and with this innovation a number of benefits follow. We anticipate better clinical outcomes, greater co-ordination, fewer adverse incidents and cost savings for the NHS as a result of better adherence and compliance with drug regimes, early recognition of signs of illness and increased patient engagement. 
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)
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Overview of Innovation:
Medelinked is a UK-based global consumer health platform that helps consumers take control of the management of their health and wellness. Medelinked puts the patient at the centre of their care, through the democratisation of personal medical and genomics data around the patient to deliver greater personalised precision medicine.
 Medelinked gives them one place to build their personal health record, connect it to health systems anywhere in the world and share what they want, when they want , with who ever they want. We have open APIs that empowers our partners to build on what we have developed and individuals to engage in their health.  Consumers can share selected content with their trusted healthcare providers, track wellness parameters and have vital information in their emergency record section, including conditions, allergies and medications which are available to support them in emergencies, at home and abroad. Through the Medelinked platform, users can link favourite health and fitness apps, devices and sensors into their own Medelinked PHR account to seamlessly store, view, analyse and share their results. This enables us all to have all our health data contained in one, secure place, available 24 hours a day. 
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Innovation 'Elevator Pitch':
Kaido is a digital health and wellbeing platform that empowers people of communities to make better educated lifestyle choices. 
Overview of Innovation:
With the health service under huge pressure, we must move towards a more proactive approach to healthcare. Individuals are now looking online for help and inspiration about how to look after their health. But with conflicting content and generic apps, even wearable technology that gives users lots of data but no indication of context, the internet is not a reliable, educational resource.
 
Kaido is a powerful, digital, academically endorsed platform that will put trusted, meaningful and user-friendly health and wellbeing content at the users fingertips. By delivering the right information, in the right way, at the right time, Kaido will empower people of communities to make informed and sustainable lifestyle choices. Kaido was created from the desire of professional practitioners working in elite sport and academia to share their knowledge with a much wider audience and provide a trusted and regulated source for health and wellbeing information.

Kaido's agnostic platform is a second generation software as a service (SaSS) offering in the mHealth and health analytics space. It seeks to leverage capabilities of existing sensory devices and combine it with expertise across Physical, Nutrition and Mindset to give added value both to the consumer and business subsidiary. 

There are three aims for Kaido:

1) To educate people of communities to make better educated lifestyle choices.
2) To enable people with long term health conditions to better manage their care.
3) To empower the next generation of academic and clinical research.

Kaido will build a picture of a users health and wellbeing by pulling data from mobile phones, wearable technologies (like the Apple Watch or Fitbit), visual recognition, social media streams, and from inside the platform using input functions and questionnaires. Then using the very latest artificial intelligence technology, combined with the team’s expertise, it will serve up bespoke information to provide:

- Knowledge: To help the end user to understand the WHY as well as
the WHAT and HOW when it comes to their health and wellbeing.

- Insight: Kaido will use past and present data to show how new
behaviour is positively impacting other areas of a user’s health.
Reinforcing behavioural change is key for long term commitment.

- Opportunity: Kaido will send prompts and opportunities to make
positive changes, either inside the platform itself or within the users
community.

 
Stage of Development:
Trial stage - Trial stage to prove that the idea actually works as intended
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 / Person centred care
Benefit to NHS:
As is highlighted in the NHS Five Year Forward View (FYFV) a cultural shift in approach to health and wellbeing to a more preventative model is critical in ensuring the future of the NHS. This effects the UK in a number of ways; from the future health of millions of children, to deciding how money is distributed.

The use of technology systems and data is at the core of the FYFV. It highlights how the use of data and technology will transform outcomes for patients and citizens. As described in the summary above, the Kaido platform will seek to provide users and healthcare providers, where applicable, with data driven services and outcomes. Through the accessing of personalized services and reports, this will enable individuals to take more responsibility for their own health and wellbeing which should reduce unnecessary burden on NHS services.

As was highlighted by Justin Varney of Public Health England at a recent health innovation summit, changes in behavioural patterns are likely to contribute more than 40% in helping to prevent premature deaths. In addition, it is estimated that if the public were fully involved in managing their health and engaged in preventative activities it would save the NHS £30bn per year. 

The long term vision for Kaido is a truly agnostic platform that allows data exchange and input from clinicians and academics giving them a greater level of insight and a further understanding of how behaviour effects the development of long term health conditions. In addition, pharmaceutical companies are looking for hard quantifiable readouts of the effectiveness of drugs on health and wellbeing rather than just patient reported outcomes measures. This is critical in informing future health outcomes as we move towards a more consumer driven wellbeing model. 

 
Initial Review Rating
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Benefit to WM population:
A consumer driven approach to health is an integral part of improving economic outcomes within the West Midlands region. This is largely down to reduced patient demand and thus stress on services. By empowering people of communities to take control of their own health it is hoped that people will become less dependent on the health services and are likely to be healthier for longer. 

A way of assessing patient engagement in this way is known as the Patient Activation Measure (PAM). Kaido makes a positive contribution to PAM. As is highlighted by the Kings Fund patients who are less activated have costs approximately 8% higher than more activated patients in the baseline year and 21% higher in the subsequent year. This is true of even the most disengaged populations.

For the NHS, a more engaged and healthy population is likely to lead to lower patient demand on primary services, subsequently allowing clinicians to focus their care in areas that truly need it; increasing clinical capacity, driving efficiencies, and improving patient outcomes.

In addition a positive shift in approaches to health impacts on the local economy and businesses. A healthier workforce is a more engaged workforce, thus there would be a positive impact on absenteeism but more importantly presenteeism. A healthier workforce is likely to be more productive, driving business efficiencies and consequently financial outcomes for the business. Kaido has had conversations with a number of health insurance providers who have eluded to the fact that health data would allow them to calculate more accurate insurance premiums. This would give economic value both to the insurer as a result of fewer claims but also the end user as a result of a more informed premium / reward for their pro-active approach to health. 
 
Current and planned activity: 
Kaido has just finished development of its agnostic backend platform and subsequent data aggregation capability. The next step is to run a research trial to give a model data set to allow the data scientists and content team to create the predictive analytics capability. To do this we have engaged our partners on the Serendip programme inside iCentrum to provide a captive audience and also have ongoing discussions with a wearable manufacturer with regard to device deployment. Kaido is currently in talks with three academic partners to support the research trial and our ongoing development activity as well as clinical groups inside Birmingham Hospitals. Kaido is already working with the team at the WMAHSN and EIT health as part of its involvement on the Serendip incubator inside iCentrum, and Bethan Bishop from NHS Heart of England Foundation Trust. Following completion of the user trial and subsequent feedback Kaido will produce its first minimum viable product for market testing. 
What is the intellectual property status of your innovation?:
Kaido owns all intellectual property involved in the innovation and is exploring patent opportunities of the algorythms for the second development stage. 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
3
Regional Scalability:
The Kaido trial with Public Health Birmingham is an example of how Kaido could be adopted across the West Midlands region. This trial involves Kaido, Public Health Birmingham and other local partners for example the local GP surgery distributing the platform. Distribution is via an internal intranet system that is available to residents as a result of the free Wifi they are taking advantage of. A number of towns/ cities are adopting a more digital approach as part of Digital Birmingham’s digital city agenda so it would be very easy to roll out similar models in different regions. In addition, we are hoping that our trial with Barclays, Npower and Centro will set a precedent for corporate implementations that will help with the roll out across the commercial sector. We have not yet implemented the platform in other areas of the country due to the stage of development we are currently at. 
Measures:
At the business level adoption of the platform on scale will be a primary outcome measure. This is expanded further below. At an individual user level, Kaido recognises that significant health improvements will only be recognised over a period of time and that listening to user feedback is critical during our proof or market stages. Kaido has an in built feedback mechanism into beta versions of the platform and it is our intention to work with both users and businesses to ensure we create product solutions where there is a real and identifiable problem/need. During our Public Health Birmingham implementation, the Active People Survey provides a baseline data set that Public Health Birmingham has presented us with. Future versions of this survey will identify whether improvements have been made from a health perspective. At the user level there are a number of objective and subjective measures of increased understanding within the platform. These will be largely behavioural changes tracked inside an individual users platform and we will have anonymized data to show this. 
Adoption target:
For the running of our research project target adoption is 500 of a distribution of 4000 people thus a 25% adoption from our target audience. This will give a sufficient level of data to create the minimum viable product equipped with artificial intelligence capability. 
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Innovation 'Elevator Pitch':
Yecco is a fully digital telehealth & telecare self-management platform for monitoring all aspects of a person’s past & real-time health status. Our products also allow environmental monitoring & home automation to enable full remote care & support.
Overview of Innovation:
Yecco brings new & exciting ways of data sharing as the trend moves towards patients managing their health & taking control of their health data.

Our solutions facilitate self-management of chronic conditions & can help to reduce emergency readmissions to hospital. In 2012-13 more than 1 million emergency readmissions within 30 days of discharge cost an estimated £2.4 billion.* Yecco can be used to support hospital discharge as it monitors the safety & health of a person living when back in their own home. 



View our video & see how Yecco can support a patient with Diabetes & COPD – https://www.youtube.com/watch?v=vMBFoaKy--g

Yecco’s own private, social network allows its patients, health & care professionals to share medical & device information with any connection they wish, enabling consumers, health & care professionals to share real-time medical & device data. It can be used at home, work, care settings, medical & care facilities.

Features include:
  • Share medical data with chosen family, friends & clinicians
  • Ability for another person to manage your profile
  • Create & send group messages & on your timeline
  • Keep a check on your health in real time using the Yecco medical devices or add readings manually
  • Add thresholds to alert chosen connections 
  • Store personal, medical & medication information
  • Built in calendar & reminder support
  • Video to stay in contact/facilitate remote consultations
  • Message facility
  • Task planner
  • Group connection
  • Educational content
  • Response questionnaires    
Yecco medical devices can measure vital signs with accuracy & precision using Bluetooth to automatically connect to an iOS or Android device(s) using the Yecco App for a simple & effortless measurement in real time.

The Yecco multi-function sensor offers power & flexibility that’s not been available before in a home sensor. Paired with the Yecco App & through the use of the Yecco Docking Station it can automatically detect abnormalities in physiological data, alerting chosen connections on the Yecco network.
 
The multi-function sensor can connect directly to the WIFI network. Features include the ability to activate the camera on the mobile device to investigate alerts.

  • Motion detection
  • Door & window open or closed status
  • Smoke detection
  • Carbon monoxide detection
  • Temperature & humidity
  • Add separately & plug in:
    • Bed occupancy sensing pad
    • Enuresis pad (to detect for moisture in a bed or chair)
    • Rechargeable battery
There is the option to keep a check on your health using the Yecco Wearable Watch.
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
Benefit to NHS:
Rising demand for services, combined with restricted or reduced funding, is putting pressure on the capacity of local health and social care systems.
 
The NHS spends around £820 million a year treating older patients who no longer need to be there.
 
(Source: https://www.nao.org.uk/wp-content/uploads/2015/12/Discharging-older-patients-from-hospital-Summary.pdf)
 
Yecco Pro App
 
Yecco Pro is a licensed cloud-based interface that enables organisations to remotely monitor multiple patients.
 
Yecco Pro gives medical professionals multi patient monitoring with real time data for early intervention. Powerful threshold and notification options assist all professionals to give improved patient outcomes and increased safety.


Features include:
  • Receives real time data for early intervention
  • Interface for clinician to patient communication
  • Set thresholds to assist in disease management and early intervention for improved patient outcomes and safety
  • Set alerts / notifications
  • Group patients
  • Filter and create reports (CSV)
  • Video conference calling
This modular platform enables Yecco to add other 3rd party modules or interface to Electronic Patient Record system or data contextualisation platforms that enable intelligent triage and diagnosis across a range of data sources


Yecco's product are currently being used by Surrey and Boarder Partnership testbed that is monitoring the health and wellbeing of patients that have mild o moderate levels of dementia. The aim of the project is to assist clients in monitoring and reduce the burden on front line NHS services. (GP’s appointments, health work home visit and hospital re-admissions). The health and wellbeing reading take form the Yecco devices is being monitor in partnership with the KSSAHSN/University of Surrey. http://www.sabp.nhs.uk/tihm/partnership. Currently awaiting health economics stats and data from project.
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Initial Review Rating
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Benefit to WM population:
The past few decades have seen significant improvements in life expectancy, however, rising longevity brings increasingly complex & chronic health conditions, placing substantial demands on health & social care services.
 
At the same time services are experiencing significant financial pressure & need to find ways of lowering costs while maintaining or improving the quality of care provided.
 
This requires new ways of working in order to meet increasing demand & deliver care that is safe & cost‑effective while reducing reliance on hospital & institutional based care.
 
Technology can help to support these new ways of working.
 
When hospital discharge goes wrong it comes at significant cost both to individuals & to the health and social care system. In 2012-13 there were more than 1 million emergency readmissions within 30 days of discharge costing an estimated £2.4 billion. Source: http://bit.ly/2sKBn1p


The number of older people in England is increasing rapidly, by 20% between 2004 & 2014 & with a projected increase of 20% over the decade to 2024. Hospitals have also experienced increases in the number of emergency admissions of older patients, by 18% between 2010-11 & 2014-15. Older patients now account for 62% of total bed days spent in hospital.
 
The relative growth in numbers of older people is important. The number of older people with an emergency admission to hospital increased by 18% between 2010-2011 & 2014-15 (compared with a 12% increase overall).
 
While NHS spending has grown by 5% in real terms between 2010--11 & 2014-15, local authority spending on adult social care has reduced by 10% in real terms since 2009-10.  Source: http://bit.ly/2tuy9we
 
Yecco is an innovative solution that monitors the safety & health of a person living in their own home or in a care setting.  This combined telehealth & telecare solution can enable health & care providers to meet the health & social care needs of individuals in their charge.
 
By using Yecco technology to monitor if a person is physically safe, for example that they have not left the cooker on or had a fall, as well as critical indicators such as blood pressure or blood oxygen levels to indicate that they are not medically at risk can improve user’s quality of life & reduce long-term health care costs.

Yecco can help to keep people safe in their own home & reduce the number of unnecessary hospital visits, increase confidence in users to manage their own health & alleviate the pressures & concerns of caregivers.
 
Current and planned activity: 
We wish to work with regional health & care providers & WMAHSN's Patient Safety Collaborative & Care Home Network. We also wish to explore if our technology can be used to support Mental Health Services, possibly to monitor & support patients coming off medication.
 
Our products are being used by Surrey & Boarder Partnership testbed to monitor the health & wellbeing of patients with mild to moderate levels of dementia. The project's aim is to assist clients in monitoring & reduce the burden on front line NHS services (GP appts, health work home visit & hospital re-admission). The health & wellbeing readings taken from Yecco devices is being monitored in partnership with KSSAHSN/University of Surrey.
 
We previously demonstrated our products & services to EMAHSN & are currently involved in the Falls Prevention tender (EMAHSN led). Yecco products & services have been purchased by Neath & Port Talbot Borough Council to monitor & support regional LD clients (awaiting deployment date).       
What is the intellectual property status of your innovation?:
Yecco has developed its software and applications and retains the IP to this. It also owns IP in some of the hardware products developed in-house (sensors and IoT gateways). Some 3rd party integrated products (such as generic medical devices for vital sign monitoring are not Yecco IP). These products are in the process of being further protected. 

Yecco is currently in use in the NHS England IoT testbed with Surrey and also within other local authorities. Our products comply with the required data model, structure, coding and security requirements that have been dictated. We are also working with established telecare and telehealth organisations where compliance is required / requested to various standards and integration with 3rd party alarm management systems.
 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
2
Measures:
Yecco are currently involved in Surrey and boarder partnership NHS foundation trust testbed programme for monitoring patients with mild to moderate dementia. The project is currently ongoing. yecco have requested information relating to the impatch of the project and health economic details. As soon as this information has been published yecco willl add this information into the meridian system 

    
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