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Idea Description
Supplementary Information
Innovation 'Elevator Pitch':
Dr Julian is an innovative mental healthcare platform that aims to increase accessibility of mental healthcare. We connect patients to mental healthcare professionals by secure video/audio/text using a calendar appointment booking system.
Overview of Innovation:
We empower patients allowing them to see who they want to see when they want to see them where they want to see them and how they want to see them, they can choose who they want to see from a list of available therapists and can filter via issue (depression/anxiety etc)/ language/ therapy type/ date/time, therefore finding the therapist that meets their needs. They then book with the therapist on the system and then have the appointment on the system. They therefore can have the appointment from wherever they want so long as they have Internet access.

Notes are then stored securely on that patients profile on the system.

Patients take assessments on the system in line with NHS data requirements, which are stored on the patient’s profile.

Patients have access to their assessment results through their dashboard at any time and they can use the platform for taking and viewing assessments i.e. GAD7 and PHQ9 both during and post NHS treatment including the ability to book further appointments privately.

The platform can store any communication between the patient and therapist in regard to advice and suggestions that they may make in regard to treatment and which are available to the patient at all times.

We can create unique customised sub portal domains we call ‘tenancies’. This can be branded to the NHS trust and have a customised registration form and patient’s notes template. This allows customisation to help NHS staff. We are currently being used in IAPT services with an 80% recovery rate as compared to the NHS under 50%, we are also being used by a number of corporate organisations providing mental health for their employees and could be used by the NHS to help their staff.

We assign therapists to the individual tenancies so that only these show up. This way if an IAPT provider only wants CBT therapists currently working within IAPT they can have this. If they want a pain psychology service we only upload the pain psychology therapists to this tenancy.

A trust could use its own therapists for this platform or could utilise our network providing out of hours and weekend appointments and at periods of high demand.

We can assign admin permissions to NHS staff to onboard patients to the system, see and download the patients notes/ registration/ assessments. When a patient is onboarded they can be assigned a set number of appointments, which is editable.

We have integrated with the PRISM system to allow automatic upload of this data into NHS IAPT systems.
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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Innovation 'Elevator Pitch':
We connect people with a mental crisis to practitioners using a smartphone in an instant. Irrelevant of culture, language, or geography, instant access to counselling will be swiftly available, affordable and secure.
Overview of Innovation:
The launch of TOSPS (The One Stop Psychotherapy Shop) as an online secure platform from which therapy can be both sought & delivered lends itself to a real opportunity to revolutionise the way face-to-face crisis mental health therapy is delivered to people in need, in any location via the introduction of a crisis care platform.
It is vital that people have an opportunity to be assessed as quickly as possible before a crisis point is reached, therefore the development of a minimum interaction app to compliment the TOSPS web site is vital to ensure that people in (or approaching) a crisis are connected to a therapist quickly.
Background applications can enable complicity with NHS, Local Authority & 3rd sector mental health service provider’s requirements & interact with the digital systems records, booking systems within one application. An affordable application that is nondependent on any particular proprietary platform.
Early detection trigger guidelines allow quick diagnosis & referral to treatment for the client. Alerts to service users, carers & professionals when risks of crisis within individuals are elevated, prompting a call from a therapist or practitioner where applicable.
This app ensures that getting help & or treatment is as simple as ordering a pizza, To assist users, all of our registered therapists display our unique “on-line” light showing that they are available right now to provide instant help. The app can analyse stress triggers & alert people to potential looming issues, & seek early prevention treatment & can link to applications such as iHealth & S Health.
Payment modules can be adapted for pre-booked appointments or after event payments. Some people may wish to approach things methodically & be directed to the Mother web site, others who are in advanced crisis can be connected to immediate help via the app. The security protocols are already developed to reach current IGSoC compliance HIPAA & peer to peer security is established.
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: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Reduce waiting time within the NHS by providing a pool of therapists across all sectors and specializations to be available at all times for emergency crisis intervention therapy and early diagnostic triggers.
Doctors and emergency services would have a central point of call with said pool of therapists who are available to provide face to face online counselling sessions in real time, day or night .
Reduction of waiting time has a positive effect on the reputation of local NHS facilities. The introductions of a central point of contact for therapy online would complement and provide the newer and more modernised NHS with a natural extension to its future modernisation programs in the deliverance of new methods for client access to crisis therapy, using the technologies the public already use on a day to day basis, phones tablets etc.  
Early intervention will reduce cost of treatment in the short and long terms. People can effectively access counselling from home thereby freeing up seats and room occupation.  Effectively the client pays for their own cyber space as opposed to the costs of the provision of therapy rooms and space.
Emergency room on call crisis mental health teams can see a relief from the growing numbers of people needing mental help assistance in the A & E. A triage type system implemented directing those in need of counselling either direct to a practitioner online or to a hospital department will streamline priorities. Cancellation time loss can be recycled. Run over time can be reduced as the client’s portal closes as soon as the session allocated time has finished. 
Safety to staff and clients is enhanced as there is no physical presence. Holiday and sickness schedules would no longer impact on the availability of counsellors, The pool of available therapists can expand and decrease to meet demand.
Geographic boundaries are removed and a greater pool of therapists are available. Therapists with free time can instantly be available to work. Language skills and multicultural issues can be less hindrance, as availability of specialized counsellors with extra skill sets can be found instantly.
Emergency triage of crisis mental health care can be portable, particularly in suicide situations. A seamless way to integrate private and NHS staff to provide counselling in times of public crisis and emergencies such as acts of terrorism or acts of God will be in place. 
Initial Review Rating
4.40 (2 ratings)
Benefit to WM population:
The West Midlands is a densely populated area; the residents are very diverse, multicultural with wide ranging needs. 
TOSPS has counsellors and therapists with a wealth and bounty of specialisms bringing with them an abundance of different language skills, English to Swahili, African, Asian, and European languages, a wide range of backgrounds, cultures, skills and knowledge would open counselling up to ethnic minorities who might shy away from help due to cultural inhibitors, fear of violence, shame or adversity.
The availability of therapists to meet their own cultural requirements without fear of prejudices is a key for some minority groups.  
The system caters for multiple needs, the 24/7 availability means that shift workers or people who experience crisis at all times of day and night will have access to someone who will help them.
Interactions with the app, intentional or unintentional, can act as a conduit to signpost people in crisis to the correct people for help. The socio-economic effect on work place downtime figures will improve as time away from work travelling to and from appointments can be removed.
Calibration with the Police and other social help associations like suicide watch will offer a portable crisis care that will assist them in their roles on the ground. The domino effect of assisting individuals take control of their mental health will filter through to the family environment.
Push notifications will remind people of follow-up appointments, and assure them that their practitioners have been notified of current or prior episodes.  
Large exhibition centres and train stations will be able to send push notification advising mentally vulnerable people registered on the system what to do in times of crisis, terrorism.  Alleviation of waiting times within NHS will promote a real improvement which will be noted by the people.  The app will empower those who often feel powerless and deliver an element of control back to those patients and can act as a buddy system bringing comfort to the mentally ill.  
A more settled and happy community who will support their NHS when they can see or hear that real progress has been made in the reduction of waiting times and costs to their NHS.  Instant access gives them control and boosts confidence. Portability of the app means counselling can be physically brought to the client any place. 
Current and planned activity: 
To grow the numbers of therapists currently registered to provide counselling online both mainstream and crisis care intervention to a start headcount of 400 therapists initially. This would provide scope to have 6 teams of 66 therapists online in 4 hour shifts across a 24 hour period. Training is already underway to ensure that each therapists IT equipment is cyber safe and certified on an  annual basis to protect data and patient confidentiality.
To develop a single point TOSPS app that can deliver all the benefits previously detailed whilst allowing the NHS to track patient costs / usage / progress automatically and work on a NHS agreed pricing and invoicing schedule for covered therapy. Additional therapy could be purchased directly by the patient or family members to supplement NHS treatment and referral fees could be offered back to the NHS to fund research into the benefits of online therapy to further promote the services and reduce overall costs of care
What is the intellectual property status of your innovation?:
TOSPS own all the rights to the name TOSPS and the delivery platform. The TOSPS app will be owned by TOSPS and their developer Proxicon who will continue to develop and maintain the app. 
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
Regional Scalability:
The model can be classified as Simple scalability : 
Measures:
Due to the nature of the service we will be able to provide in depth reporting on the number of referrals received which have had a successful outcome in terms of delivery, we will be in a position to deep dive data which will show the number of therapeutic hours being delivered over any given time period and relate these back to specific NHS referrals.
We also believe that by engaging with NICE and IAPT and inviting them to independently monitor the quality of service and outcomes, we can confidently report on the successes and the learnings as TOSPS moves forward with the NHS.  TOSPS.com will also commit to working with other external agencies within the NHS and beyond to further understand the outcomes of its service with a view to continued development its services, feedback will be essential not only from clients but also from referring partners and charitable organisations.
 
Adoption target:
Currently the infrastructure to deliver this service is in a state of readiness; We believe that in order to launch effectively for WM NHS we will need in the region of 400 additional therapists. We will need some support from the NHS in the form of internal marketing to NHS therapists and referring agencies,
Rejection Reason:
Suitability of model to NHS
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Innovation 'Elevator Pitch':
Xuper Clinic is a unique patient booking and video consultation solution which promotes efficient healthcare. Our end-to-end solution can integrate with any system, including wearable technology and external diagnostic tools.
Overview of Innovation:
Xuper Clinic is a perfect combination of an appointment booking system and a video consultation platform, which has been designed to streamline patient and doctor interaction. It is designed to enhance the communication and collaboration for all parties involved by saving them time and money.
Our solution allows organisations to customise their workflows and narrate what the end product will look like and how it will work for them. It also provides an end-to-end solution within healthcare, where trusts can use the platform to not only book their patient appointments, but also use the same platform to conduct encrypted and highly secure video consultations. It allows the patients to log into their consultation(s) with a onetime use pin, ensuring that the platform remains secure from unwarranted access. Our platform allows the healthcare organisation to define the data they hold, enabling it to remain consistent with the rest of their systems and any protocols in place. As for Xuper, all of the patients data remains anonymous, we simply maintain information on the platforms usage, such as hours in use and healthcare areas it is being used in. It also has the capability to integrate with existing Patient Appointment Systems (PAS) to ensure a seamless process.
Xuper Clinic is also designed to integrate with external diagnostic tools such as digital stethoscopes for further collection of data, continuity of care and feasibility. Most importantly, the platform integrates with market leaders in wearable technology, Fitbit, which allows consultants to track their patients’ sleep, physical activity and calories burnt for health monitoring purposes.
Current software’s which exist in the market for telemedicine, solely provide a platform for video consultation or telemedicine, however, lack a more thorough or end-to-end solution for continuity of care.
Stage of Development:
Ideas stage - Early concept and ideas stage
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:
The biggest benefit of Xuper Clinic to the NHS is the amount of time – and therefore money – it will save as it will allow clinicians to join patient consultations remotely. All of Xuper Clinic’s features were designed to maximise Healthcare Professionals’ efficiency and save them as much time as possible.
Xuper Clinic has a waiting room feature that allows patients to wait in a ‘virtual queue’ whilst clinicians are in video consultations. Once the clinician has finished their virtual consultation, they are able to see the queue, see how long patients have been waiting for, and connect to the patient of their choice. 
If a clinician is running late or is unable to make a certain appointment, they can let their patient know and reschedule the appointment, reducing the build-up of back log for the Trust and lowering the number of people in the waiting room.
By transitioning to a virtual platform for consultations or by deploying Xuper Clinic within the NHS, we are/Xuper Clinic is also preventing the spread of various infections to and from patients and reducing the number of Healthcare Associated or Hospital Acquired Infections.
Furthermore, specialists often have to travel a lot to see a number of patients. This is a big waste of time and money when you could have the exact same consultation from your own office or on the move. Xuper Clinic removes the need to travel as you can connect to your patient no matter where you are.
Clinicians can also maximise their efficiency by sharing documentation, such as patient information, securely and easily over the platform.
Initial Review Rating
3.00 (1 ratings)
Benefit to WM population:
As a patient, the whole process of getting seen by your Doctor or GP is time consuming and can be extremely challenging. Xuper Clinic will allow patients to be seen much quicker because it maximises clinician’s efficiency by allowing them to see a much higher number of patients in a shorter length of time, as compared to face to face consultations. Traffic The time spent in waiting rooms or queues will also be lowered because the clinicians can get to the consultations in a click of a button.
Most people find it difficult to go visit their GP due to personal or work-related circumstance for e.g. they can’t take time off from work or have to look after their kids; Xuper Clinic will allow patients to join their consultations from the comfort of their home, as long as they have a device with an internet connection. 
Being in the comfort of your own home is a very appealing benefit to the population because they will feel safer and more comfortable, therefore allowing the doctors to get more detailed information to diagnose them properly. This also prevents them from getting ill or acquiring infections from other people/patients.
Xuper Clinic also allows the clinic to send timely reminders to their patients; having the ability to send out email or phone reminders means fewer patients will miss their appointment, ensuring that people take charge of their own health and not delay their healthcare needs.
Current and planned activity: 
We work in a number of areas within the NHS, providing UK based, secure, cloud based video meeting spaces in a variety of situations, predominantly multi disciplinary team meetings.  However, the exciting area of growth is in the provision of video enabled one to one consultations, augmented by an optional concierge service to administer the process and the ability to integrate supporting documentation and data from third party sources, e.g. wearable devices. Current projects are focused on provisioning healthcare consultations from non clinical environments, e.g. home.  Note that this extends to both the clinician and the patient, creating a cost effective and efficient service.  Areas of care include, GP consultations, mental health, COPD and diabetes.
What is the intellectual property status of your innovation?:
We are currently working with an outsourced development team who are developing the platform for us; we own 100% of the development and IP rights and have an in-depth agreement in place, arising to and from work done on and in relation to the platform, along with a complete access to the source code.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
2 years
Ease of scalability: 
2
Rejection Reason:
Person has left the company
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