Digital Technology for Improved Access to Psychological Therapies (IAPT)
How can digital technologies assist in the assessment, diagnosis and treatment of psychological problems in primary care within Adult Improved Access to Psychological Therapy (IAPT) services?

Ideas (Education, training and future workforce)

Innovation 'Elevator Pitch':
MyCognition improves: 
the effectiveness of psychological therapies services,
supports those waiting to access services,
supports long-term follow up,
& helps reduce relapse.
IAPT staff too benefit from improved mental resilience & better job performance.
Overview of Innovation:
MyCognitionPro is an innovative mobile app and reporting platform to monitor and build mental resilience, improve mental health and boost productivity. We focus on measuring the root cause of behaviours and the single biggest risk factor for mental health, 'cognition'. In the NHS we are deployed to identify long-term conditions patients and staff most at risk of developing severe mental illness or burnout with our personalised intervention providing treatment and continuous support. The platform is interoperable with other platforms and monitors and reports changes in cognition and mental resilience.
 
Our app has three programmes:
  1. MyCQ a clinically validated, 15 min assessment, that measures and tracks a person’s cognition across 5 key domains.
  2. AquaSnap a personalised algorithm cognitive training game to increase mental resilience and boost productivity.
  3. A Healthy Habits Builder to coach and sustain positive behaviour change.
In the IAPT setting MyCognition;
  • will improve the quality of referral pathways with a time and cost effective evaluation of patients most at risk,
  • support patients on waiting lists for IAPT services so their mental resilience is maintained,
  • improve cognitive states thus increasing the effectiveness of psychological therapies services,
  • and post treatment maintain good mental health and help reduce relapse.
Our solution is regulated by the MHRA and CE marked as a medical device; and approved by NHS Digital and ORCHA. It is evidenced from over 50 studies and feasibility pilots in depression, schizophrenia, OCD, PTSD, MCI, Parkinson’s, diabetes and breast cancer. It is currently deployed by GPs in long-term conditions and available for digital therapeutics referral through the EMIS App Library in London and is part of the NHS Good Thinking programme for the mental health of Londoners. It is promoted by the East Midlands AHSN's Digital Health Accelerator 2019-2020 Programme.
 
As well as patient healthcare, our app has supporting evidence for use by IAPT staff. Like patients, they too will benefit from building their mental resilience to deal with the pressures of their roles and simultaneously protecting  their mental health. Boosting their cognitive abilities will improve productivity and job performance. All of which is good if you are the employer concerned about employee job satisfaction and staff retention.

Click on our link: https://mycognition.com
 
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
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:
MyCognitionPro is new digital solution that has the potential to be of considerable positive impact clinically and financially. It is considered to be not only an alternative  therapeutic intervention to address patient choice. But also, a means to improve the effectiveness of IAPT per say. With ‘effective referral and sustained recovery’ being the aim of the clinical pathway. MyCognitionPro improves equitable access to services, and ensures that patients most at risk of severe mental illness receive prompt support, by measuring and risk profiling their cognitive health state.
Those lower risk patients awaiting treatment can benefit from MyCognitionPro  preventing worsening of mental health condition. Whilst priming their cognitive abilities will mean that subsequent treatment or therapy is likely to be more effective and have a greater chance of success. Used in conjunction with therapy will deliver higher success rates and reduce relapse rates. Post therapy, MyCognition is an important solution to support patients’ recovery helping to reduce the potential for relapse. Monitoring data is useful to detect changes in mental resilience and determine if patients are experiencing early relapse. The efficiencies gained make for considerable savings and improvements in the cost effectiveness of therapies. Just as MyCognitionPro works for patients it also meets the needs of IAPT and NHS staff. With the added benefit of improving cognitive performance and productivity enabling them to perform better at work and stay in their role happily for longer. 
There is no limit on how often a user uses the applications functionality. However, we do expect minimum usage in order to demonstrate efficacy. Each patient/employee is registering for a year’s subscription to the application’s full functionality. Our low cost pricing is per user on a volume discount pricing model. We provide providers with either a charged model to administer the service or free self-administration access to the platform. Either require no additional overheads, treatment rooms, travel costs or other traditional overheads seen within the NHS. 
We are in a unique position of being able to measure, track and alert changes in cognitive state and mental resilience. Data and systems can be integrated into EHR systems providing powerful insight when combined with physical health data. Which in itself can be used in clinical research to develop improvements in mental health care.
GDPR compliant and ISO certed.
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
MyCognitionPro is scalable to benefit population in the East and West Midlands enabling them to access land utilise local IAPT services more effectively from ‘Referral to Recovery’ by
1. Improving patients’ access to the IAPT service, making sure patients most at risk of severe mental illness receive prompt support, by measuring their cognitive health state with MyCQ;
2. Preventing worsening of mental health conditions in patients on waiting list, by regularly monitoring their cognitive health with MyCQ and providing them access to our intervention AquaSnap, to improve their mental resilience;
3. Supporting patients over the entire therapeutic journey by strengthening cognitive functioning with AquaSnap, thus improving compliance and the effectiveness of response to psychological therapies services;
4. Supporting patients’ recovery and reducing the potential for relapse post therapy with access to the MyCognition app. Allowing them to monitor, strengthen and consolidate their mental resilience and prevent them to fall back in an illness state.
 
Just as MyCognition is suitable for referred or self-referral patients. It will also meet the needs of IAPT and other NHS staff struggling with the demands of their role and worried about their mental health and mental resilience. MyCognitionPro has the added benefit of being proven to improve productively and job performance. For employers this will help prevent staff ‘burnout’, improve productivity, job satisfaction and staff happiness and improved retention.
 
Results from clinical trials and real world studies report significant improvements, following AquaSnap training, in cognitive functioning, mental health, quality of life and psychosocial functioning, including ability to work and academic achievement, household, social activities, private activities and relationships. 
 
MyCognitionPro has the potential to make a positive change to the current patient mental health services for East and West Midlands population, as well as providing support for staff mental health and well-being.
 
You can view the MyCognition explainer video here:
https://www.youtube.com/watch?v=u1QqifDOdZ4

As well as a video by Professor John Harrison who explains in more detail why your cognition is important to your mental health here:
https://www.youtube.com/watch?v=W_RImzcfdEw

We have attached an overview of how we currently support the NHS.
 
Current and planned activity: 
The MyCognition App was launched in 2018 and now that it is approved and regulated, as a medical device, is on the NHS suppliers list and G-Cloud 11, is AHSN supported and is becoming established in the NHS commercially we are focusing on its use in IAPT care.
We are actively engaging with several NHS mental health commissioners of IAPT care across England to introduce it into their IAPT service provision. With particular focus on the east midlands region since we are a digital health partner in the East Midlands Digital Health Accelerator 2019-2020 Programme and will be working with them to commercialise MyCognitionPro in IAPT services in their region.
We want to work with commissioners and third party IAPT providers like Ieso, to enhance and improve the effectiveness of existing and new contracted patient psychological therapies services across the region and nationally. And develop services for IAPT and NHS staff who are struggling with their mental health and mental resilience. 
 
What is the intellectual property status of your innovation?:
Our IP sits over our software code, our methodology of assessment and training, our algorithms and personalised treatment and lastly the coaching aspects of our application. Powered by 20,000 data points.
MyCognition has patents pending in Europe and Canada.
 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Co-Authors:
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Martina Ratto 10/10/2019 - 13:48 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
Florence is a sophisticated digital platform used to deliver personalised, targeted behavioural psychology-based messaging, interacting with patients as the friendly non-judgemental  persona, “Florence” through familiar and accessible SMS texts. 
 
Overview of Innovation:
The NHS owned “Simple Telehealth” methodology on which Florence is based, has challenged clinical thinking about the role and effectiveness of messaging in healthcare, delivering better & faster clinical outcomes by improving patients’ motivation, engagement & adherence to their best practice healthcare regime.

100,000+ patients on from inception, Florence continues to stand out by consistently producing independently evaluated positive results across wide-ranging clinical applications irrespective of patients’ age, ethnicity, socio-economic background or clinical setting.

With an active not-for-profit Community of Practice & extensive independent evidence base including multi-region economic evaluation, Florence has already been applied within mental health cohorts targeting local needs & priorities, some examples here http://www.simple.uk.net/system/app/pages/search?scope=search-site&q=mental+health

The integration of Florence into a psycologyical therapies pathway at King's Mill Hospital, Nottingham has been shortlisted for 2019 HSJ "Innovation in Mental Health" award "Enhancing psychological therapy for cancer and palliative care patients and relapse prevention: a digital health intervention" I am happy to introduce you to the Clinical Psychology Lead, Dr Sam Malins for an independent discussion.

The Simple Telehealth methodology is based on simple, interactive, practical & academic behaviour change principles designed to deliver a low cost approach for the NHS.  It is the intelligent mixture of the almost invisible technical platform, subtle methods and psychology that invoke responses from patients akin to engagement with their own clinician that results in such high satisfaction and efficacy.  The methodology balances the needs of the clinical community with the everyday needs of patients & their aspiration to carry on life as normally as possible despite having a condition that needs regular and consistent management. 

Florence allows clinicians to design specific protocols for large cohorts or an individual patient, where a patient’s health will benefit with improved health literacy or improved adherence to a shared clinical management plan.  Once enrolled, interactions can be personalised to suit the complex needs of an individual patient or left to follow templated best practice guidance, such as for diagnosis of hypertension. 

Florence creates a genuine partnership between professionals and patients, moving towards shared responsibility for health
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 / Advanced diagnostics, genomics and precision medicine / 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:
Patients increase their motivation and engagement in the shared management of their mental health and consequently improve their clincial outcomes, faster. Whether this be in becoming more compliant with medication, putting into practice new techniques learned through face to face contact or many other applications, by following clinical guidance more thoroughly and developing what become sustained behaviour changes, both the patient and NHS benefit. As an example NHS Highland report that they improved the CBT Beating the Blues programme completion rate by 30% with Flo wrapped around.
  • Reduction in the likelihood of crisis episodes as a result of non compliance
  • Reinforcement of management strategies which help patients cope with symptoms
  • Can provide clinicians with additional insight into patients’ subjective measurement of their mental health condition to inform clinical sessions
  • Improved risk reduction for modifiable risk factors
  • Reduction in costs to the NHS associated with additional clinical sessions required as a result of a prolonged treatment pathway due to previous non compliance
  • Reduction in DNA rate where poor engagement increases likelihood of non attendance
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
Florence provides a low cost and scalable opportunity for population health coverage targetted at solving local challenges where improved engagament and adherence would impact on both the patient and service. Flo requires the patient to have only a basic mobile phone so is accessible and familiar and has high levels of patient and clinician acceptance. Flo is free for patients to use in the UK.
Mental health cohorts where supported by Flo feedback signifcant quality of life improvements as a result not only of becoming more compliant with treatment regimes but also of not feeling alone, feeling supported and connected to their clinician when the go about their day to day lives.
Improved mental health has significant, known benefits to other social ascpects of both personal lives and contribution to society. 
Current and planned activity: 
Flo is currently commissioned by NHS organisations to support their patients and services according to local challenges. Once commissioned, support is included to develop pathways integrating Flo targetted at local priorities or to access the learning from existing applications withi the Simple Telehealth Community of Practice. Critically, being part of the Community of Practice means uses need to be evidence based so the design of uses, evidence and sharing studies and evaluation is key to the whole community.  The culture is that it is as important to share what doesn't work as what does work and how that has been achieved. Our primary objective is to invest in organisations for the long term to continually increase their capabilities to ensure patients and the organisation benefit from evidence based implementations for the lowest possible cost.  Our commitment to do the right thing for the right reasons for the benefit of patients.
What is the intellectual property status of your innovation?:
The NHS Stoke-on-Trent owned Simple Telehealth methodology including patent GB2483829, encompasses the design and methods to implement and exploit a sophisticated digital platform to deliver personalised, targeted behavioural psychology-based messaging, interacting with patients as a friendly, non-judgemental  persona
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
2 years
Ease of scalability: 
4
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Lisa Taylor 08/10/2019 - 16:47 Publish Login or Register to post comments
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1
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Innovation 'Elevator Pitch':
Read&Write is our Productivity and Literacy support software for all. The range of features available in the Read&Write toolbar means that everyone in each organisation can benefit from using to enhance their  workplace experience.
Overview of Innovation:
Read&Write can assist all neurodiverse staff with dyslexia, vision impairments, English as a Second Language (ESL), cognitive deficits or low literacy skills to read and understand pieces of text including training manuals, lengthy reports and emails. It can convert text to speech and also allows the user to scan documents which can be read aloud. All documentation can be made into MP3 files creating alternative formats. It has an enhanced spell checker, picture dictionary, word prediction and the ability to identify homophone errors such as their/there. Read&Write also has a research tool which allows the user to collect information from various sites/sources and create a report with full Harvard bibliography.
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 / Education, training and future workforce / Wealth creation / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Key benefits of having Read&Write:
  1. Greater understanding of company policies and procedures
  2. Enhanced career and professional development
  3. Improved workplace communication and integration
  4. Increased staff retention and confidence to recruit from a wider pool
  5. Helps staff to meet their full potential
  6. Reduces stress and absenteeism
  7. Raises the status of the organisation as supporting Best Practice
  8. Reduces time/costs involved in reasonable adjustments
  9. Ability to create alternative formats to help meet the Accessible Information Standard (AIS)
  10. Helps Trusts achieve the aim of a paperless NHS

Read&Write is compatible with numerous existing IT systems and allows for cross-platform support (microsoft, google chrome, mac and ipad)
It is also totally user friendly and really customisable - we designed the software with help and advice from the British dyslexia association and the British assistive technology association. Every user can adjust the toolbar settings to meet their own individual needs and requirements.
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
Read&Write can help support all NHS staff within the West Midlands and improve staff retention in this sector - ultimately creating a happier healthcare workforce and therefore resulting in better patient outcomes.
Read&Write can help the following groups and positively affect the statistics around these.
10% of the population has dyslexia
Average Reading age in the UK is 11 years old
20% of the population have low literacy
30% of doctors and 40% of Nursing staff speak English as a second language.
Current and planned activity: 
 
Currently engage with the NHS through events, webinars and campaigns, but also by reaching out to the E&D/HR departments within each organisation in order to arrange a meeting for a demo and a presentation with the wider board of decision makers.
Immediate plans are to host a Health literacy webinar in October, to attend the Excellence in Healthcare event in November and to focus on contacting the GDE’s and the Fast Followers.
What is the intellectual property status of your innovation?:
Any and all IP is wholly owned by Texthelp
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
2 years
Ease of scalability: 
3
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Aidan Kelly 04/10/2019 - 17:50 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
BrowseAloud is our online accessibility tool which makes website content practically accessible for people with a variety of Neurodiverse conditions such as dyslexia, low literacy, English as a second language and visual/cognitive impairments.
Overview of Innovation:
BrowseAloud is a simple piece of Javascript code that is placed within the CMS of a URL. Once we activate that URL in our system, the BrowseAloud toolbar will appear and be usable within an hour or two. The end user can easily adjust the settings of the toolbar features for their own requirements, such as reading speed, screen mask colour etc. It works on most CMS systems such as Wordpress and is also available in a condensed version for mobile phone usage, which provides Text to speech and Translation support. The actual customer of BrowseAloud will be given access to the BrowseAloud customer portal in which they can determine various things such as where BrowseAloud sits on their site and how it appears to the end user, as well as a number of other things.
It contains a range of features. There are two options for Text-to-speech, “hover to speak” mode means that the software will read the sentence of paragraph that the mouse cursor is hovering over, whereas “Speak the current selection” will read a selected or highlighted section of text. The text is also Highlighted in Yellow and blue contrast, to aid people with dyslexia and also with tracking issues. You can translate the webpage content into over 100 different languages, 40 of these languages have an accompanying voice and therefore the content can actually be read aloud in those languages as well, providing really strong support for people with English as a second language. MP3 Maker easily converts the written text into Audio format so the user can listen to the information at a later date instead of having to spend the time reading it. The Digital Screen mask feature helps with visual impairments, low vision and visual stress, you can even enter a RGB code for a specific colour tint that works for you. The Screen mask feature is very customisable, really benefiting the end user as best as possible. Text Magnifier enlarges the Text across the top of the screen in a sort of Karaoke style banner that also allows reads the text out loud and highlights it in the yellow and blue contrast, great for the elderly population and those with low vision. Simplify provides a means of helping those that struggle with cognitive load issues. Enabling them to make text heavy or image heavy web pages much cleaner. With Simplify, the user can strip back any images and get a concise summary of what that webpage is trying to get across, without changing or creating any new information itself.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
BrowseAloud can benefit NHS organisations in various ways. It can help Trusts to meet their AIS requirements and other web accessibility requirements such as the EU Web accessibility directive.
However BrowseAlouds features can also have great cost saving benefits for the NHS. For example, BrowseAlouds translation ability means that Health information providers can save money on third party translation services and the fact that it works in online PDF files means that Trusts that provide online versions of their patient information leaflets are totally covered for their diverse patient population (In our experience, Trusts have in some cases paid between £500 and £1,000 to have a single document translated by a third party). As well as this there is also the ability to save on third party audio generation and communicate via MP3 audio files with patients, the MP3 maker easily converts the information into audio format, so patients who prefer audio format or with a visual impairment or low vision, may listen to the information instead of reading it.
Furthermore, implementing BrowseAloud onto the website can help Trusts gain a favourable CQC rating and we also have the ISO-27001 certificate for information and data security meaning that we comply with the highest standards and are a safe company to work with.
 
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
BrowseAloud can help support the West Midlands as its features and benefits can benefit the entire regions population to gain access to their health information in alternative accessible formats. The West Midlands is made up of large and culturally diverse cities such as Birmingham but also has a wide geographical reach with plenty of rural and more isolated areas. BrowseAloud can cater for the large populations of the cities with its translation functionality but can also care for those harder to reach patients that are more remote by providing them with more alternative and accessible formats for consuming their health information.
Current and planned activity: 
Currently engage with the NHS through events, webinars and campaigns, but also by reaching out to the communications departments within each organisation in order to arrange a meeting for a demo and a presentation with the wider board of decision makers.
Immediate plans are to host a Health literacy webinar in October, to attend the Excellence in Healthcare event in November and to focus on contacting the GDE’s and the Fast Followers.
What is the intellectual property status of your innovation?:
All IP is wholly owned by Texthelp Ltd
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
Simple
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Aidan Kelly 04/10/2019 - 17:39 Publish Login or Register to post comments
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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
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Wellness and prevention of illness / Education, training and future workforce / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
The areas we cover are not in themselves diagnosed mental health conditions but they are contributory factors that input to many mental health conditions that the NHS treats such as anxiety, depression, eating disorders, loneliness and anger management to name just a few.
This means that by using My Internal World (MIW) patients will improve their emotional strength, reduce their likelihood of developing mental illness and improve their physical recovery rates.
(Around 30 per cent of all people with a long-term physical health condition also have a mental health problem, most commonly depression/anxiety (1). ... The effect of poor mental health on physical illnesses is estimated to cost the NHS at least £8 billion a year (2). The Kings Fund)
There will be additional benefits to the NHS of reduced costs of buildings as less space is needed to service the needs of less patients presenting with issues.
There is an obvious related benefit to the NHS if they choose to use this for their staff emotional health and wellbeing in terms of reduced absence and sickness ( average annual sickness absence rate of 4.2% for all NHS hospital staff, 4.5% for nurses, and 5.5% for ambulance workers. 2016/2017)
There is a final virtuous circle of NHS staff role modelling healthy emotional health practices to all they work and  interact with.
The Kings Fund Report - Bringing Together Physical and Mental Health stated that “Our earlier analysis indicated that between 12 per cent and 18 per cent of all NHS expenditure on long-term conditions is linked to poor mental health – most commonly in the form of depression or anxiety disorders, which if left untreated can significantly exacerbate physical illness and drive up the costs of care (Naylor et al 2012). This form of multi-morbidity affects around 4.5 million people in England;
they experience significantly worse health outcomes as a result.”
Given the acknowledged link between mental and physical health means that patient outcomes will inevitably improve as a result.
In summary adopting this system could positively impact bottom line costs in terms of mental health provision, staff sickness and absence and provision of services for those suffering multimorbidity issues and improved patient outcomes.
 
Initial Review Rating
2.60 (1 ratings)
Benefit to WM population:
In 2017, a study was commissioned by the West Midlands Mental Health Commission, a task force set up by the West Midlands Combined Authority (WMCA), to assess the current costs of mental ill health and current service provision across the region. It was led by the Health Services Management Centre at the University of Birmingham in partnership with the Centre for Mental Health. 
The study found the financial impact of poor mental health on the West Midlands region to be over £12 billion per year, including nearly £2 billion a year as a direct cost to the NHS – equivalent to more than £3000 for every person living in the area.
This is likely to comprise of reduced sickness and absence from work, reduced reliance on social care and benefits payments and reduced reliance on physical and mental health services in the NHS.
In short, an emotionally healthy population in the West MIdlands will be more productive, happier and wealthier leading to the West Midlands regaining its rightful place as the economic heart of the United Kingdom
 
Current and planned activity: 
Given the early stage development nature of our service (dues to launch phase one end of October 2019) we have had no engagement with the NHS. We have had discussions with equity investors which is what caused us to self build this minimum viable product. Future iterations with have enhanced technology, gamification and increased reporting ability built in.
Current development support requirements would be to convert this to full app technology and test and measure full ability to improve outcomes for users in the short, medium and long term.
 
What is the intellectual property status of your innovation?:
IP is owned by Hapiness Quotient Ltd and is trademarked as both Happiness Quotient and My Internal World
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
2 years
Ease of scalability: 
4
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Julian Hall 30/09/2019 - 15:38 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
GRiST is a web-based mental health risk identification and safety management service. It works alongside assessors to evaluate risks and formulate care plans for service users based on expertise developed over 17 years.
Overview of Innovation:
GRiST (www.egrist.org), is a web-based system designed to assess and manage mental health and wellbeing, including risks of suicide, self-harm, self-neglect, vulnerability, and harm to others. Developed by cognitive and computer scientists at Aston University over a period of 17 years, it was recently spun out into its own company, eGRiST Ltd.

GRiST allows IAPT practitioners to work collaboratively with service users on improving mental health and wellbeing. It integrates patient data, mental-health practitioners’ expertise and empirical evidence to support comprehensive clinical risk evaluations, formulations and safety plans. The built-in machine learning algorithms working on a million separate risk assessments from trained clinicians, enables it to flag up areas of concern and point people to the most appropriate resources for addressing them. These can be configured to their local availability within each IAPT service as well as to the specific life circumstances of each service user.
 
Service users also have access to a self-assessment version, myGRiST. It allows them to see how their plans and interventions are impacting their mental health and wellbeing on a continuous basis. The reports produced can be shared with IAPT counsellors if agreed, to help both parties ensure care plans are working and to focus therapies on the most important concerns.

The goal is co-creation of mental health that encourages services users to monitor and manage their own wellbeing. It was the original intention for developing GRiST: to disseminate expertise where it does not exist and empower people to identify and address their own mental health issues. People are thus connected to mental health services without having to rely exclusively on face-to-face appointments, which creates the opportunity for more effective use of resources.
 
The GRiST innovation has been adopted by a number of mental-health NHS Trusts, charities, and private organisations. It currently holds almost two million individual risk judgements in 400,000 completed assessments from 200,000 patients. These assessments cover all ages and the complete care pathway, from screening to full and focused repeat assessments. Versions have been developed for IAPT in primary care through to specialist forensic services and learning disabilities. All assessments are easily accessible at any point on the care pathway so that IAPT practitioners, for example, can see a person’s full GRiST history wherever it was recorded.
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 / Education, training and future workforce / Clinical trials and evidence / Digital health / Person centred care
Benefit to NHS:
GRiST allows for the advanced discovery of mental health issues, which leads to better, earlier interventions. This can prevent mental health issues from escalating and reduce costs by, for example, decreased use of hospital facilities due to suicide and self harm attempts and fewer emergency-service calls. It also helps improve general mental health and wellbeing, which means people are more likely to remain in work or live at home rather than in full-time care.

GRiST is not just a questionnaire; it models the intuitive knowledge and reasoning processes used by mental-health practitioners to capture information on areas relevant to mental illness as they naturally arise in conversation. This encourages a collaborative and free flowing assessment that helps the patient feel valued and respected. Collaboration is enhanced by the self-assessment version, myGRiST, which lets patients update their own record remotely at any time. These self-assessments can be shared with IAPT services so that staff can identify issues without having to wait for appointments and prioritise time for those with potentially higher risk factors. It reduces the load on primary care services without leaving people vulnerable.

GRiST can be fully integrated with existing care record systems, which is already the case for RiO, Carenotes, Salesforce, and IAPTus. IAPTus is currently used by 70% of all IAPT services and has over 20,000 registered users across England, all of which are potentially able to access GRiST. It gives them a chance to improve risk governance without having to change their information technology or patient records.

Machine learning algorithms in GRiST accurately predict risk judgements. Significantly, if an individual clinician judges the risk level to be low when GRiST predicts it to be high, the likelihood of a suicide attempt increases by a third. This shows that GRiST can help reduce the probability of suicides by detecting potential errors in judgements. Practitioners are able to reflect objectively on the answers they have given and revisit the assessment or provide reasons for why they feel their judgement differs. Legitimate exceptions to the general template will build a portfolio of special cases that will detect people at risk when their general profile looks similar to others who are not at risk.
Initial Review Rating
4.80 (2 ratings)
Benefit to WM population:
In the WM, GRiST is used by Worcestershire Health and Care NHS Trust (WHCT) and Birmingham Children’s Hospital, as well as independent services. We are working with Birmingham City Council (BCC) on improving adult social care with the use of GRiST particularly for older adults in the community. It helps care services assess mental health and wellbeing needs and links carers with older adults to ensure their health and safety is maintained on an ongoing basis. Simple versions of myGRiST that automatically alert carers have already been developed and pilots are underway with a large provider of independent living villages in Birmingham.

At the other end of the age range, our EduGRiST version for schools and universities is being configured to meet the specific needs of young people in education. It addresses increasing concerns about student mental health by identifying the issues and directing students to the most appropriate resources, from peer support and self-help groups, through to institutions’ own counselling services and primary care as necessary. This ensures people access the right help at the right time, reducing load on services to which they are unnecessarily referred and ensuring their problems are addressed before they escalate.

Increasing access to GRiST by IAPT services provides continuity of care for patients with assessments in secondary care, such as for those in WHCT and BCC.  This has already been accomplished in Cumbria where IAPTus and RiO both have GRiST and can share the assessments across service boundaries. An important benefit is with discharge planning. Many risk episodes occur when people leave secondary care and return to the community because the risk context and resulting care packages are so different. GRiST projects risk evaluations into the community and produces a more accurate discharge plan that can include patients conducting self-assessments with myGRiST. The local IAPT service could form part of the monitoring process and help prevent untoward incidents at this particularly vulnerable time.
 
The greatest general benefit is that people can engage with IAPT services more effectively by managing therapeutic regimes through GRiST. They can record their activities within myGRiST and see how interventions are impacting the areas of concern. The results ensure counsellors maintain the most appropriate treatments and encourage collaborative co-creation of health where the service users take active control of their therapy.
Current and planned activity: 
We are currently engaged with NHS Trusts, IAPT services, third sector organisations, and private hospitals, all of which use one or more versions of GRiST. The NHS organisations in particular have scrutinised and approved the security and governance arrangements for GRiST. The servers are currently held in Aston University but we plan to move them into approved cloud services within the next year.

Although we are accessible via IAPTus, we are looking for better integration through more sophisticated information flows and decision support. Accessing outcome data in IAPTus, for example, will validate the advice within GRiST as well as provide a holistic picture of care for both counsellors and service users. 
 
We also want to increase adoption by front-line services such as the police, fire and 111 services, all of whom have expressed an interest in GRiST and could benefit from an interface with IAPT services.
What is the intellectual property status of your innovation?:
IP is owned by EGRiST Ltd and Aston University.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
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Dan Stepney 24/09/2019 - 14:26 Publish Login or Register to post comments
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-99999
Innovation 'Elevator Pitch':
CheckWare for digital clinical assessment & remote patient monitoring in Mental Health, Physical Health and Long-Term conditions. Automates the delivery, scoring, comparison and reporting of over 1,200 authorised assessments (all IAPT)
Overview of Innovation:
CheckWare – a brief summary
 
  • CheckWare is for Healthcare organisations that want to offer secure, digital clinical assessment and remote patient monitoring in Mental Health, Physical Health and Long-Term conditions
 
  • CheckWare delivers secure eHealth solutions that automate the delivery, scoring, comparison and reporting of over 1,200 authorised clinical assessments and tests. (including all IAPT assessments)
 
  • CheckWare makes it possible for patients to participate digitally in their own treatment through self-reporting.
 
  • By replacing paper-based procedures, CheckWare securely increases treatment efficiency and proves clinical outcomes
 
  • CheckWare is the only solution for the digital automation of clinical assessment and PROM and to have the digital rights to over a thousand clinical assessment tests and outcome measures.
 
  • CheckWare digital assessment tests and questionnaires are already used within a clinical environment, community or clinical research.
 
  • The data collected is automatically and immediately available for clinical, patient or research reporting and feedback and for proof of outcome measures.
 
  • CheckWare can, where appropriate, empower the patient (or parent) to “self-report” between clinical appointments – allowing clinicians to prioritise waiting lists or be automatically informed of any patient health changes or deteriorations.
 
  • CheckWare provides the ability to create assessment pathways to reflect working processes, and to assist in patient interaction.
 
  • Additionally, CheckWare can be used to automatically set goals, provide reminders, feedback and content (text, video, URL etc).
 
  • The CheckWare system has a secure open API (Application Program Interface) – and has been integrated into multiple different EPR and PAS systems
 
  • Aggregated data can be exported from the system for either reporting or research (SPSS format if required) – or could be viewed on the on-line clinical dashboards
 
  • The CheckWare system is secure - compliant with HL7 and with IG / NHS Toolkit standards and resides on the N3 NHS Network.
 
  • CheckWare has been licenced in multiple NHS organisations and in over 360 organisations throughout Europe.
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 / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Prove outcome measures through aggregated data, reduce use of paper based assessment tests, automatically score and report at point of care, prioritise waiting lists, automatically alert and react to patient health changes. prevent unnecessary clinical appointments, automate any royaly payments due.
Initial Review Rating
4.40 (2 ratings)
Benefit to WM population:
Prove outcome measures through aggregated data, reduce use of paper based assessment tests, automatically score and report at point of care, prioritise waiting lists, automatically alert and react to patient health changes. prevent unnecessary clinical appointments, automate any royaly payments due.
Current and planned activity: 
Already engaged (in a small way) with the NHS - need assistance to broaden our engagement and customer base a
What is the intellectual property status of your innovation?:
IP is wholly owned by CheckWare
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
Simple
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Anonymous 03/09/2019 - 14:27 Archived Login or Register to post comments
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Votes

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)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Education, training and future workforce / Wealth creation / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:

Workforce provision. NHS can struggle to recruit therapists. As the platform has no barriers of location of the therapist as they work from home it can utilise a workforce nationally and even internationally improving workforce provision and efficiency. It also brings those who may have taken a break from the NHS e.g. Maternity leave the ability to come back and work and provide for flexible working with the therapist putting up availability when it suits them to work.

Cost saving could save the NHS £29 million per annum if only 10% of current NHS face to face mental health appointments were undertaken using video technology. Our Cost for step three patient per appointment £60 NHS national average £100-160 (unit costs of social care).

Dr Julian reduces time taken off work by patients by allowing therapy appointments to be undertaken at the convenience of the patient around their life-style/work 24/7 therefore providing a benefit to the UK economy.

Dr Julian can assist with periods of high demand utilising our network of therapists nationwide and providing 7 day 24/7 help.


By utilising our platform we are able to create huge efficiency in the system and be 1/3 of the cost of traditional models of care. It enables us to utilise a national workforce  of therapists and enable patient choice of who they want to see and when. As therapists work from home it also provides out of hours appointments, is much better for them and allows them to work more efficiently via the platform. As assessments are undertaken on the platform that link with NHS systems it again makes the system more efficient as patients can undertake the assessment before the session maximising their therapy time with the need for minimal admin input as the system does most of the admin.

It also allows patients to see a leading expert in a particular area if they need potentially globally and allows them to be matched to the most appropriate therapist for them. We have already shown better clinical outcomes than standard practice with huge patient satisfaction.

It also helps those patients who may struggle to leave the house/ who are in remote areas and those that cant speak english as allows them to choose a therapist that can speak their language including sign language therefore helps ethnic and minority groups all they need is access to the internet which is ever improving.
 
Initial Review Rating
5.00 (2 ratings)
Benefit to WM population:
Dr Julian is currently being used in Thurrock, Lancashire on an going commercial contract and in Pilot with Oxleas, Milton Keynes and North London. It is gaining momentum with other IAPT services.

In a recent review of outcomes of our longest standing contract in Thurrock IAPT service we have delivered:

Improved recovery rates our recovery rate is 70%. The NHS average is 50%. Patient gets choice of therapist and therefore finds the right therapist for them, fast access to therapy at a time that suits them and from home.

Reduced DNA (did not attend) rates as the platform is built around patient choice. Our DNA rate is 5% as compared to the previous and NHS average over 20%.

Fast access to therapy reducing distress, symptomatology and negative thoughts/thoughts of self-harm. We have appointments available on the same day and all patients are able to book at a time of their choice within 2 weeks of receiving referral.

Dr Julian helps those house-bound and those who find it difficult to travel to appointments by allowing therapy appointments from wherever the patient finds them convenient such as their own home.

Dr Julian improves patient satisfaction as patients feel more comfortable accessing therapy from an environment they are more comfortable in with near 100% user satisfaction rating.

 
Current and planned activity: 
We are currently contracted with Thurrock Inclusion IAPT service, Lancashire Minds Matter with regular patients referred to us per month between 10-20 and increasing. This was post successful pilots with these two trusts. We are in pilot with Milton Keynes and Oxleas IAPT services with plans for longer term provision with them. We are in coversations with multiple other trusts who would also like to use our services due to the very positive word of mouth feedback from the other trusts. 
What is the intellectual property status of your innovation?:
We own all our IP 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
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Dr Julian Nesbitt 23/08/2019 - 10:46 Publish Login or Register to post comments
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-99999

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