Creation
Draft
Initial
Detailed
Accepted
Adoption
Idea Description
Supplementary Information
Innovation 'Elevator Pitch':
An online comprehensive emotional health assessment and development hub providing users with rich personalised data backed up with 8 development pathways to facilitate independent personal development of emotional strength & resilience
Overview of Innovation:
My Internal World (MIW) is a subscription web based emotional health environment that combines a unique, groundbreaking assessment plus rich personal data and education. This is connected to a supporting environment to build awareness, take action, track progress and ultimately support on-going, strong emotional health.
With its founding vision of making the world happier MIW will become your “emotional health in your back pocket” and in doing so will improve the lives of millions by making maintaining emotional health an ongoing regular habit.

The comprehensive 130 question assessment delivers a detailed data rich report to the member that is packed with education and personalised feedback on each of the 7 areas of emotional health that make up our internal world.
Theses areas covered are Stress, Outlook, Self Esteem, Physical, Meaning, Feelings and The Past. In the report each area receives a red, amber, green indicator to allow ease of navigation and decision making for which areas to address first.
Once the member has their personalised report they can choose to address whichever areas they feel are of the greatest importance to them in whatever order they choose. They do this by following any of the 8 developmental pathways which comprise of existing proven techniques and strategies in a series of educational and coaching videos that direct the member to develop themselves and their emotional health and strength. These are backed up by supplementary worksheets that can be downloaded and used to enhance the personal development experience.
Further development opportunities exist via members only book recommendations related to their subject interests and premium development articles that are only available within MIW
Members can reassess themselves using a full report once every 28 days to measure their progress and guide their future development.
Members can also self report and measure progress using the innovative daily check in facility with trend analysis available.
Features of this system include -
  • Comprehensive 7 element Assessment
  • Education general and tailored
  • Personalised feedback
  • Personal development tools designed for and linked to the assessment
  • Progress monitoring
  • Personal Dashboard - shows progress, areas working on, summary check ins & toolbox - see below -
  • Daily check in tool
  • Specialist book recommendations

It is the complete emotional health support that takes the user from I don’t know what’s wrong to I know I can cope and look forward.

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
Similar Content3
Innovation 'Elevator Pitch':
The MyCognition App is co-designed with patients and trialled with academics to monitor, prevent and treat mental well-being by measuring, monitoring and improving cognitive health.
Overview of Innovation:
Cognitive functioning (attention, episodic memory, executive function, working memory and processing speed) are tightly linked with mental health.  Research shows that cognitive deficits are significant predictors and major risk factors for mental illness e.g. depression, anxiety and stress. Poor cognitive health has a negative impact on our emotions, our coping strategies and tendency to ruminate and catastrophise. Alternatively, robust cognitive health contributes to building good psychological resilience, self-management and control, which are major protective factors for prevalent mental diseases. Cognition deficit affects all ages. It is manifest in young children and adolescents affecting school performance and mental well-being. It is also prevalent in preretirement populations where patients present with unexplained symptoms often categorised as psychosomatic.


MyCognition App provides digitally delivered assessment, cognitive training, coaching and behavioural change programmes. It is an easy to use and patient friendly app that can be used with any device. It is a fun and engaging App designed for all age groups for use in everyday settings.
The App has three programmes:
  1. MyCQ – a five-domain, 15 minute, cognitive assessment tool based on a clinically validated version.
  2. AquaSnap – a fun cognitive training tool, programmed by MyCQ to train all five cognitive domains. The training is personalised, designed to improve and boost an individual’s cognition where they have greatest need.
  3. A digitally delivered coaching programme to raise awareness of cognitive health and to educate and train people in healthy habits encouraging positive behavioural change.
The MyCognition App is a resource which patients can use remotely in their own homes, in residential stay or whilst in hospital. It is scalable across the whole patient community to support cognitive health. It can also be deployed in secondary care environments to support in-patient stays, occupational therapy and rehabilitation patients; and be recommended for use to patients entering step-down-care into the community, e.g. oncology and critical care.
 
The App also provides carers and professionals with personalised reports showing the cognitive health of individuals and of patient cohorts vs the general population, alerts on patients at risk and progression over time. We recommend patients and their family members/carers also use the App to encourage social interaction and shared experiences.
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 / Wellness and prevention of illness / Digital health / Person centred care
Benefit to NHS:
MyCognition offers a self-care digital solution to assess, monitor and treat mental health and well-being by addressing a person’s cognitive health. The MyCognition App improves cognitive function in as little as eight weeks and improves mental resilience and mental health symptoms across a range of mental health disorders. From studies with patients with conditions, such as Depression, Anxiety, Schizophrenia, Post-traumatic Stress Disorder, as well as Parkinson’s and cancer-related cognitive impairment.
 
MyCognition is a self-care solution that patients can use remotely in their everyday lives to help address their mental well-being. It is ideal for use in patient waiting to be refereed to NHS services where is there is extended waiting time. It is also suitable for patients in residential stay. It is scalable across the whole patient community to support cognitive health in a range of disease areas. It can also be deployed in secondary care environments to support in-patient stays, occupational therapy and rehabilitation patients; and be recommended for use to patients entering step-down-care into the community, e.g. oncology and critical care.
 
Evidence
MyCognition has led five years of research in clinics and local institutions, demonstrating the validity of the assessment and training paradigms adopted and the positive outcomes on users’ cognition, mental health, and consequent quality of life. MyCognition is collaborating with major international universities and clinics, such as Amsterdam Medical Centre (NL), Maastricht UMC+ (NL), UZA Antwerp (BE), McGill University (CA), UCL and the Royal Free Hospital Children’s School in London. We are running studies with patients with different mental health conditions, such as Depression, Anxiety, Schizophrenia, Post-traumatic Stress Disorder, as well as Parkinson’s disease and cancer-related cognitive impairment.
Initial Review Rating
4.00 (2 ratings)
Benefit to WM population:
MyCognition is committed to preventing and treating mental illness. Our strategy is aligned with the West Midlands Mental Health Strategy Boards recommendations in its 2017 report ‘Getting It Right First Time’ Prevention of Mental Illness. 
The 2017 Report by the West Midlands Mental Health Commission states that over 25% of the West Midlands population is suffering from mental illness. It highlights that people with an increased risk of developing mental health problems and/or for whom access to effective help is problematic are:
  • Unemployed people
  • People with long-term physical health conditions
  • Carers
  • Young children of school age*
  • Homeless people and people living in poor quality housing
  • People from Black, Asian and Minority Ethnic communities - Lesbian, Gay, Bisexual and Trans people
  • People with disabilities, including learning difficulties and sensory impairments
  • Young people leaving care
  • Survivors of sexual, emotional and physical abuse
  • People experiencing severe and multiple disadvantage.
*50% of mental health problems start before the age of 14 and 75% before 18
The aggregate economic and social cost of mental health problems in the WMCA is estimated at around £12.6 billion in 2014–15, equivalent to a cost of about £3,100 per head. With 28% being directly attributed to care costs of the NHS and Social Services costs. The employment costs are rising and equate to £4 billion per annum with human cost accounting for £5 billion. 
MyCognition have designed its technology to be integrated with NHS healthcare, social care, educational and workplace systems to help provide accessible self-care support for populations across the West Midlands. We wish to work with stakeholders to ensure there are as many community touchpoints for MyCognitions as possible. And provide adequate prevention and triage for at risk populations so they can reduce their risk of mental health development and deterioration.
MyCognition offers low cost personalised support to help these people deal with their mental illness. Offering them the opportunity to self-care, manage and reduce their symptoms and avoid ‘crashing’ in to the NHS for more serious and costly intervention. And more importantly lead productive and fulfilled lives.
Current and planned activity: 
Current:
MyCognition is working with several AHSNs evaluating the App in various clinical scenarios & patient pathways (rep. early 2019). Plans to roll out these clinical models with AHSNs’ support across the NHS.
 
Engaged in NHS test bed wave 2 programme and in discussions to test suitability for addressing mental health & wellbeing in schools, supporting referral to CAMS and adult mental health services, treatment of medically unexplained symptoms & diabetic self-care.
 
Running UK studies with NIHR, extending evidence base for MyCognition and also contributing to the global evidence base linking cognitive, physical & mental health.

Required:
Wish to test App & Platform’s performance in several clinical settings & pathways with West Mids. partners to generate additional data & build successful business models for NHS
  • like assistance with Procurement/Adoption & contracting with CCGs
  • further studies, seeking research partners to assist in NIHR funding proposals
What is the intellectual property status of your innovation?:
MyCognition is unique in the market place. We have full copyright of the code written for the app.

MHRA CE Marked Medical Device
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Co-Authors:
Read more
Hide details
Innovation 'Elevator Pitch':
Unique evidence-based app that teaches doctors & nurses to manage stress & avoid burnout. Designed specifically for, and with, NHS staff. The efficacy of Working Stress was proved by a Randomised Controlled Trial (RCT) with 227 NHS doctors in 2016.
Overview of Innovation:
Being a doctor or nurse can be extremely challenging and the negative effects of work-related stress are significant. They affect patient safety, sickness absence and job satisfaction. However, staff can learn to manage stress and develop resilience if they are given effective and practical support to acquire these skills.

Working Stress is a unique evidence-based App that offers this vital support, it teaches individuals to manage stress, grief and avoid burnout. Working Stress was developed specifically for NHS staff by leading psychologists in consultation with practicing doctors. Efficacy of the underlying interventions was proved by a Randomised Controlled Trial (RCT) with 227 NHS doctors in 2016:

Reduces:
  • Psychological symptoms such as anxiety, psychiatric morbidity and emotional exhaustion
  • Physical symptoms such as insomnia and changed eating habits
  • Maladaptive coping mechanisms such as alcohol and drug use
Increases:
  • Positive ways of coping with stress such as emotional support and humour
Working Stress offers clinicians 2 modules
  1. Managing Stress & Burnout – relevant to all clinical staff
  2. Dealing with Patients’ Death – for those particularly affected by the death of patients
A single 15-minute interaction with the App is effective. No other commitment is required. If Effectiveness = Adherence x Efficacy Working Stress is perfect for busy professionals and their employers.

The App works on any mobile device or PC. When offered to all clinical staff in a Trust, it can reduce the incidence of workplace stress across the organisation. Deploying Working Stress in a Trust is fast and efficient and the benefits are realised rapidly. Working Stress is a cost-effective way for the NHS to reduce workplace stress and its consequences. 

The benefits for individual clinicians are clear, the benefits for employers are potentially significant; healthy employees are more productive and provide a better and safer quality of care. Doctors who completed Working Stress in the RCT evaluated their organisation more favourably, saying that they receive the respect they deserve and that salary and work prospects are adequate.

Working Stress is an immediate intervention that teaches individuals to recognise and manage their own stress more effectively. No customisation is required and Working Stress is easy to deploy, easy-to-use, anonymous and cost-effective. It can be used during formal induction programmes for new employees and with existing staff at any time
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 / Education, training and future workforce / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
Work related stress accounted for 43% of all lost working days in 2014/2015 (Buckley, 2015; Beheshtifar & Nazarian, 2013). 37% of National Health Service (NHS) staff reported feeling unwell due to stress and pressure at work (The Picker Institute & National Health Service, 2015). Moreover, Goodwin et al. (2013) meta-analysis revealed a much higher percentage of health care professionals and NHS staff were suffering from a common mental disorder (psychiatric morbidity; 32%) compared with general population (19.1%).

Poor occupational health in the NHS is costly and puts patient safety at risk. For example, Boorman (2009) calculated that better staff health might be associated with up to a million extra working days a year and could save approximately £13.7 million a year to NHS as a whole. The cost of sickness absence alone has been estimated at £2.4 billion a year.

80% of NHS staff admit that their state of health has an impact on a patient’s care (Boorman, 2009). A number of systematic reviews and meta-analyses showed that occupational health is negatively linked to a patient’s care, satisfaction and safety outcomes (Boorman, 2009; Edwards, Burnard, Park, MPhil, & Edwards, 2003; Hall, Johnson, Watt, Tsipa, & O’Connor, 2016; Nahrgang, Morgeson, & Hofmann, 2011), leads to lower job satisfaction, poorer performance, work-life imbalance (Edwards et al., 2003), intention to leave an organisation and earlier retirement (Buckley, 2015; Taylor et al., 2007).

Our academic partners, Dr Caroline Kamau and Asta Medisauskaite, published Prevalence of oncologists in distress: Systematic review and meta‐analysis assessing occupational distress among oncologists. Their analyses showed that:
  • Up to 69% feel stressed at work
  • Up to 51% positive for depression
  • Up to 44% have sleep problems
  • 32% have a high level of burnout
  • 27% have psychiatric morbidity
In response to their own research Kamau & Medisauskaite designed 3 simple online interventions to help reduce levels of occupational distress and burnout. These interventions were tested with a Randomised Control Trial (RCT) Occupational Distress in Doctors: The Effect of an Induction Programme. The participating doctors (n=227) came from a range of specialities and seniority, including consultants. The Working Stress app has been built around these 3 interventions. The potential benefits are clear.
 
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
The impact of occupational health for the wider NHS and its patients have been investigated and documented. The potential benefits of improving occupational health for the wider NHS are clear. It can be assumed that the WM would derive identical benefits if Working Stress were offered to NHS clinical staff in the WM.

A number of systematic reviews and meta-analyses showed that occupational health is negatively linked to a patient’s care, satisfaction and safety outcomes (Boorman, 2009; Edwards, Burnard, Park, MPhil, & Edwards, 2003; Hall, Johnson, Watt, Tsipa, & O’Connor, 2016; Nahrgang, Morgeson, & Hofmann, 2011), leads to lower job satisfaction, poorer performance, work-life imbalance (Edwards et al., 2003), intention to leave an organisation and earlier retirement (Buckley, 2015; Taylor et al., 2007).

Poor occupational health in the NHS is costly. For example, Boorman (2009) calculated that better staff health might be associated with up to a million extra working days a year and could save approximately £13.7 million a year to NHS as a whole. The cost of sickness absence alone has been estimated at £2.4 billion a year.
Current and planned activity: 
Discussions about the Working Stress app are ongoing with NHS England, NHS Innovation, NHS Employers, NHS Resolution, MIND and a growing number of individual NHS trusts.

Working Stress is being offered to the clinical, occupational health and finance leadership within targetted NHS trusts. The intention is to create ongoing commercial relationships with NHS trusts whereby Working Stress is offered to all frontline doctors and nurses in a single programme to address immediate issues. Working Stress would then be added to formal inductions for all new staff members and also for existing staff who are facing a significant change their professional personal circumstances. Long-term sustained cultural change is the objective. 

NHS Practitioner Health Programme has confirmed a formal partnership and is working with Focus Games Ltd to develop a face-to-face group intervention to complement the Working Stress app. This is a board game.
What is the intellectual property status of your innovation?:
Intellectual property is wholly owned by Focus Games Ltd, the developers of Working Stress.
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Regional Scalability:
The app is very scalable. It can be easily deployed anywhere in the world.
Measures:
For individual clinicians the proven benefits of using Working Stress are:

Reduce:
  • Psychological symptoms; anxiety, psychiatric morbidity and emotional exhaustion
  • Physical symptoms; insomnia and changed eating habits
  • Negative coping mechanisms; alcohol and drug use
  • Root causes of Chronic Embitterment
Increase:
  • Positive coping mechanisms; emotional support and humour
  • Improved perception of employer and working conditions
The benefits for NHS employers, and wider society, are reasonably well-documented regarding reduced staff absenteeism, staff turnover and patient safety risks.
 
Adoption target:
Ideally all employers will recognise the benefits but this will take time. In year 1 we would aim to have 4 medium sized West Midlands Trusts contracted.
Read more
Hide details
Innovation 'Elevator Pitch':
Amaven is an online health, fitness and wellbeing profiling tool which measures, tracks and improves bio-motor abilities and prescribes evidence-based physical activity programmes to prevent and treat medical conditions and age-related diseases.
Overview of Innovation:
The Amaven programme adheres to up-to-date guidelines & best practise to deliver an effective & safe approach to caring for the wellbeing of older people. All our programmes have been designed by occupational therapists/physical activity specialists. One of our exercise programmes is based on the Otago exercise programme which has been proven to reduce falls and injuries from falls.


We follow guidelines from: CQC, DH, NICE falls guidance, Cochrane Reviews, Sherrington Effective Exercise to Prevent Falls Review, Public Health England, British Heart Foundation National Centre Research, FaME trial. 

Health, fitness & wellbeing profiling tool. We use health assessments to identify risks & create an in-depth health, fitness & wellbeing profile for individuals. Assessments are simple to do & can be carried out by family members, care workers/other professionals or Amaven Health Mentors. Regular assessments produce evidence of progress or deterioration, highlight risks & can lead to prevention of damage. Information can be shared via reports with individuals & organisations involved in their care.


Person-centred wellbeing programmes. Specific scores & indicators are used to inform a personalised activity programme that can be done safely at home or in other settings, either done individually or in a group all activities prescribed promote physical, social & emotional health to positively impact an individual's life. 

Individual health assessments provide practitioners with a complete picture of a person’s health helping to identify any risks & prevent potential injuries. Staff can discuss results with relevant professionals such as GPs if the person needs additional help. All information a person chooses to share is confidential unless they wish to share it further. They can log onto the Amaven platform at any time & view their wellbeing profile. 

Amaven is personalised to the needs of the individual & a personalised activity plan is generated to work on areas that need greatest attention. The programme also helps to create a wellbeing community in residential homes & group activity sessions help people to be more social. 

Staff will be fully trained to use the Amaven platform & receive on-going support (phone/email) if required, using the information gathered to work with the individual’s practitioners & family members to improve the delivery of care. 

Visit the website & learn more about our programmes for Independent Living, In-care, Low Back Pain & Parkinson's.
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
Benefit to NHS:
Early intervention is proven to reduce costs significantly.
 
Amaven is an online health, fitness & wellbeing profiling tool which measures, tracks & improves bio-motor abilities & prescribes physical activities to prevent & treat medical conditions & age-related diseases.
 
The programme is designed for older people to stay independent & allow them to live in their own homes & keep them out of hospitals & care homes. 
 
Falls remain a major cause of injury & death amongst the over 70s & account for more than 50% of hospital admissions for accidental injury. Hip fractures resulting from falls are reported to be the most serious type of injury, affecting approximately 60,000 people per year in the UK (Husk et al. 2008).  
  • 1/3 of all UK households are older households*
  • 3.5 million 65+ live alone (36% of all people aged 65+ in GB)*
  • 2 million people over 75 live alone*
  • There are 11.6 million people aged 65 or over in the UK*
  • Falls are the largest cause of emergency hospital admissions for older people & significantly impact on long term outcomes*
  • Falls account for up to 40% of ambulance call-outs to homes for people aged 65+ costing £115 per callout*
* Source Age UK, Later Life in the United Kingdom, June 2016
 
Amaven tracks progress to highlight impact, inform personal needs & deliver specific outcomes. Specific programmes for strength & balance have been shown to reduce the risk of falls by as much as 60 percent (Skelton, 2001).
 
The Amaven platform adopts a person-centred approach to wellbeing. The activity programmes have been designed to build resistance against conditions such as osteoporosis & dementia & improve the overall health & wellbeing of older people. 
 
Low back pain is a major health-care problem resulting in disability & often depression & job-loss. It is reported that 60-80% of the population suffer from low back pain.
 
For Parkinson’s, in addition to medications, there are some activities that may ease the motor symptoms of Parkinson’s, improve quality of life & increase adherence to the medication. There is also now scientific evidence to suggest that certain activities, including exercise, social connectedness & creativity may not only be therapeutic for Parkinson’s symptoms, but could alter the brain by creating new pathways of communication among brain cells & to create new cells.
 
Visit our website to learn more about the Amaven programmes for Independent living, In-Care, Low Back Pain & Parkinson's.
Online Discussion Rating
6.00 (1 ratings)
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
Demand pressures facing the NHS are increasing with emergency admissions crowding out elective admissions. Cost pressures facing the NHS include a growing and ageing population, the increasing prevalence of chronic conditions across all age groups, and the rising cost of delivering care.
 
Amaven is an online health, fitness and wellbeing profiling tool which measures, tracks and improves bio-motor abilities and prescribes physical activities to prevent and treat medical conditions and age-related diseases.
 
The platform is a cost effective and convenient tool that helps health practitioners to deliver outstanding care, keeping people independent in their own homes and out of hospitals and care homes.
 
National data shows that the number of hospital admissions amongst older people is increasing. Over the last 10 years hospital discharges (and therefore admissions) for those over 75 have been rising at a much faster rate than ageing trends in the population; almost four times faster (38% compared to 10%)*.
 
The growth in hospital readmissions has been higher still, up by 86% for those over 75. This national picture is supported by the results of research by Royal Voluntary Service: of 401 people over 75 who had been in hospital within the last 5 years, 13% had been readmitted within three months. * (* source:  Royal Voluntary Service)
 
Amaven will prescribe personalised activity programmes that promote physical, social, and emotional health to reduce the incidence of frailty and falls. Regardless of age or ability, personalised physical activities will be prescribed to either maintain or develop the key components of health, helping the individual stay active and self-sufficient into old age.
 
By supporting people effectively in the community, Amaven can help those with long-term health and care needs to stay out of hospital or residential care, thereby reducing costs to the NHS and social care by avoiding the need for more costly interventions whilst maximising outcomes for patients and service users.
 
Click here to watch how Amaven has helped the residents of St Johns Nursing Home in Bromsgrove. 
Current and planned activity: 
We would like to see greater regional awareness and adoption of the Amaven Exercise Medicine Programme, working in partnership with providers to focus on individual patient outcomes and to effectively embed technology enabled care to deliver services that are truly person centred. 
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
Simple
Regional Scalability:
Apart from initial training and support and ongoing email and telephone support, the programme is delivered through an online platform which is designed to be person centred. It will therefore be easy to provide across the region and further afield.
Measures:
The platform includes an assessment aspect which generates reports as and when the user/s require. Through regular assessments (3 months, 6 months, etc.) comparable data will be generated to identify and monitor the user's heath, using specific indicators such as risk of falls, strength, balance, cognitive function, etc.

Reports can be generated for an individual, a group or a whole setting or area, providing robust data for the user as per their needs and requirements.

As much of the programme is delivered through the platform it is very cost-effective and not labour intesive.

The aim of the programme is to identify, prevent or improve older people's well-being, specifically focussing on risk of falls and frailty.
Read more
Hide details
0
0
Votes
-99999

Created by

Share and Follow