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Innovation 'Elevator Pitch':

My Possible Self is a digital self-help programme with exclusive content that is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks.
Overview of Innovation:
My Possible Self, which has been delivering emotional health and wellbeing services since 2009, is launching a digital self-help programme, using content which is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks.
The application uses clinically proven content adapted from the myCompass online programme developed by the internationally recognised, Black Dog Institute (BDI) in Australia, linked with the University of New South Wales. The institute is globally renowned as a pioneer in the identification, prevention and treatment of mental illness and the promotion of wellbeing.
The BDI content has been clinically proven to reduce depression, stress and anxiety in just eight weeks, based on the Australian equivalent of the PHQ and GAD-7 questionnaires. This outcome supports the objectives of the Future in Mind, Five Year Forward View for Mental Health and Mental Health System Strategy Board (Birmingham) ‘Getting it Right, First Time: Prevention of Mental Illness’ strategies, which together aim to improve resilience, mental ill-health prevention, early intervention and accessibility.
The application supports real-time self-monitoring of mental health symptoms across three core areas – problem thoughts, feelings and behaviours – and provides 24/7 access to evidence-based, skill-building modules and other self-help resources. These are made up of cognitive behavioural therapy, interpersonal therapy, problem-solving therapy and positive psychology tools. The user journey is personalised according to the responses.
It will be launched into the App Store, Google Play and online in September 2017.
We gave a demonstration of the prototype to Norman Lamb MP, the former health and care minister. He said: “Digital innovations in mental health care have massive potential, and this is an app that uses clinically proven forms of therapy. I am confident that My Possible Self can help people to improve their mental wellbeing, come through difficult times, and improve their overall quality of life. It could also help to reduce reliance on NHS services which we all know are under strain. It is exactly the sort of preventive measure we should be looking at.”
My Possible Self can help prevent the development of mental health problems and get help earlier for young people, adults and older adults starting to suffer poor mental wellbeing.
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
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Innovation 'Elevator Pitch':
My Possible Self is the first of its kind in the UK: a personalised digital self-help programme with exclusive content that is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks.
Overview of Innovation:
My Possible Self, which has been delivering emotional health and wellbeing services since 2009, is launching a digital self-help programme, using content which is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks. 

The application uses clinically proven content adapted from the myCompass online programme developed by the internationally recognised, Black Dog Institute (BDI) in Australia, linked with the University of New South Wales. The institute is globally renowned as a pioneer in the identification, prevention and treatment of mental illness and the promotion of wellbeing. 
The BDI content has been clinically proven to reduce depression, stress and anxiety in just eight weeks, based on the Australian equivalent of the PHQ and GAD-7 questionnaires. This outcome supports the objectives of the Future in Mind, Five Year Forward View for Mental Health and Mental Health System Strategy Board (Birmingham) ‘Getting it Right, First Time: Prevention of Mental Illness’ strategies, which together aim to improve resilience, mental ill-health prevention, early intervention and accessibility.  
The application supports real-time self-monitoring of mental health symptoms across three core areas – problem thoughts, feelings and behaviours – and provides 24/7 access to evidence-based, skill-building modules and other self-help resources.  These are made up of cognitive behavioural therapy, interpersonal therapy, problem-solving therapy and positive psychology tools. The user journey is personalised according to the responses. 
It will be launched into the App Store, Google Play and online in September 2017.
We gave a demonstration of the prototype to Norman Lamb MP, the former health and care minister and prominent mental health campaigner. He said: “Digital innovations in mental health care have massive potential, and this is an app that uses clinically proven forms of therapy. I am confident that My Possible Self can help people to improve their mental wellbeing, come through difficult times, and improve their overall quality of life. It could also help to reduce reliance on NHS services which we all know are under strain. It is exactly the sort of preventive measure we should be looking at.”
My Possible Self can help prevent the development of mental health problems and get help earlier for young people, adults and older adults starting to suffer poor mental wellbeing. 
 
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 / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
My Possible Self is based on content that is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks. As such, it can support the range of initiatives at a national, regional and local levels to improve mental health and wellbeing.

Importantly, My Possible Self can ease pressure on short-term Improving Access to Psychological Services (IAPT) services. 

The Five Year Forward View for Mental Health notes the NHS needs a far more proactive and preventative approach to reduce the long-term impact for people experiencing mental health problems and for their families, and to reduce costs for the NHS and emergency services. My Possible Self offers NHS commissioners and service providers the opportunity to deploy at scale an accessible and personalised digital self-help programme to increase resilience, prevention and early intervention. 

The Future in Mind strategy aims to provide better support for young people experiencing mental health problems. My Possible Self is based on content for those aged 18 and over. The company would be delighted to have the opportunity to work with commissioners service providers, education and other organisations working with children and young people in the West Midlands to co-design an application for younger groups.  

The West Midlands Academic Health Science Network’s April 2017 report on the prevention of mental illness calls for a model of care that is measurable, effective, scalable and achievable. My Possible Self meets this challenge with a tried-and-tested and personalised digital self-help tool. 

My Possible Self will help the NHS to use its limited resources more effectively, allowing commissioners and service providers to focus their efforts on people who need help the most. It can also be a useful asset for NHS employers to support the wellbeing of staff and contractors. 
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
The West Midlands population suffers worse-than-average mental health. The National Psychiatric Morbidity Survey identified 23.8 per cent of all adults in the region with some kind of mental health problem, compared with 23 per cent in England.

According to the University of Birmingham, as well as the social cost of poor mental health, there is an economic price to be paid. Mental health problems cost the region an aggregate of £12.6bn in 2015.

Research has shown that mental health issues costs UK employers nearly £26bn per year - or just over £1,000 for every employee in the workforce. Giving staff access to MPS could improve staff productivity, reduce absenteeism and lower staff turnover.

My Possible Self can offer hope and practical help to those suffering from anxiety, stress and mild-to-moderate depression, by providing a personalised digital self-help programme based on content that is clinically proven to improve conditions within eight weeks. 

Investing in My Possible Self will generate social and economic returns for communities in the West Midlands. 
 
Current and planned activity: 
My Possible Self is preparing to launch its digital self-help programme via mobile app and browser experience in September 2017.  The company is keen to work with NHS commissioners, service providers, education, third sector organisations and employers of all shapes and sizes in the West Midlands to establish My Possible Self as a force for good in the region.

It was founded in 2009 by Joanne Wilkinson whose daughters Hana and Fleur have now joined the business.  They are passionate about helping as many people as possible. 
What is the intellectual property status of your innovation?:
We have licensed the BDI's MyCompass programme and have developed this programme into our own web/phone app, in which we own the branding and the copyright we have created in creating the website/app.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Innovation 'Elevator Pitch':
My Possible Self is a digital programme available online or via a mobile app consisting of 14 proven self-help modules. Data provided by patients integrates with existing NHS systems, enabling remote monitoring with clinical support.
Overview of Innovation:
My Possible Self
A digital self-help programme for mild to moderate stress anxiety and depression.

About My Possible Self​
  • My Possible Self is a digital programme which is available online or via a mobile app.
     
  • The programme consists of 14 proven self-help modules and additional features which use effective cognitive behavioural therapy, interpersonal therapy, problem solving therapy and positive psychology.
     
  • The data provided by patients integrates with existing clinical systems including SystmOne, EMIS Web and Vision. This allows healthcare professionals within primary, secondary and community care to track and monitor progress to make early intervention where necessary.
     
  • My Possible Self has been proven by the University of New South Wales, Australia to significantly reduce stress, anxiety and depression after just 8 weeks.
.How does My Possible Self work?
  • GPs can register patients to the My Possible Self programme. My Possible Self is effective in enabling GPs to better understand patients’ needs, monitor patients while waiting referral to Improving Access to Psychological Therapies (IAPT) and for stable patients to monitor their condition.
     
  • Patients referred to My Possible Self are provided with a ‘token’ which they use to register their details on the online tool or app. Each token will last one year.
     
  • Patients complete questionnaires which direct them to the most appropriate modules where they are able to actively track their thoughts, feelings and progress. This data is automatically made visible to their GP.
     
  • GPs are able to track and monitor patients progress and use this data to inform the appropriate care going forward, which may be to continue with My Possible Self self-monitoring or referral to therapy.
How can My Possible Self benefit the NHS?
  • My Possible Self can be incorparated with existing pathways.
     
  • Enables rapid access to mental health services available to patients 24/7.
     
  • Assists in providing integrated mental health care, enabling the sharing of data across primary, secondary and community care.
     
  • Better informs decisions about patient care and enables GPs to make early intervention if a patient’s condition deteriorates.
     
  • Empowers patients to manage their own health and care.
     
  • Offers an additional approach to reach patients who have not engaged with primary care before.
     
  • Easily scalable across the wider NHS.
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 / Digital health / Innovation and adoption / Person centred care
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
N/A
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Innovation 'Elevator Pitch':
TPT is a new delivery platform for CBT offering easily accessible pre-recorded therapy sessions using a customised interactive phone system. Patients call TPT free - anytime, anywhere. Healthcare providers reduce treatment costs & cut waiting lists
Overview of Innovation:
TPT is a personalised, guided self-help psychological therapy delivered over the telephone in a range of pre-recorded modules for the treatment of mild to moderate anxiety-based mental health problems. It uses modern telephone technology to achieve vastly reduced costs with no waiting lists and is designed for use in NHS primary or secondary care settings.

Easy to prescribe, easy to use
TPT is available 'on prescription' to patients from their GP or other healthcare provider. The therapy can then be regularly accessed by the service-user making a simple free telephone call. An interactive, intelligent computer controlled telephone system using voice recordings of therapeutic scripts and questionnaires will then guide the service-user through a psycho-education, treatment and recovery programme that is responsive to the patient's individual presentation and circumstances. Patients will typically complete the programme in 8 to 12 weeks.
Instant access
Psycho-education, guidance and structured self-help for managing their condition are available to service-users wherever they are and at all times of the day and night. This immediacy of access is of particular benefit to patients with conditions that require help managing situational responses to emotional and environmental triggers or developing and maintaining impulse control strategies.
 
Choice of treatment modules for different presentations
A range of TPT modules is available for the treatment of different mild to moderate anxiety-based mental health problems such as generalised anxiety disorder, OCD and agoraphobia. Although each module is written with the specific presentation in mind there is a broad commonality of structure. A typical TPT module will have some of the following elements delivered by spoken scripts and using targeted questionnaires:
  • Introduction to anxiety and its effects
  • Description of the symptoms and causes
  • Psycho educational quizzes and self assessment measures
  • A range of anxiety management strategies
  • Instant-access session for managing acute symptoms
  • Cognitive techniques for overcoming negative thinking
  • Text messages which are sent to service-users to give feedback, reinforcement and reminders
  • Tailored sessions to inform and support friends and family
For a quick introduction to TPT, its operation and its benefits visit our 3 minute video at: https://vimeo.com/145905041
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Lower costs
  • TPT costs are 80% less than the cost of a course of therapy by a psychological wellbeing practitioner
  • No need for staff training or regular patient supervision by a therapist
  • No extra capital investment
  • Secondary prevention reduces need for further treatment
  • Reduction in demand for consultations by 'revolving door' patients
Instant access
  • Presenting service-users can leave the consulting room with a prescription giving immediate access to a suitable treatment offered in the 'language of their thoughts'.
  • Ease of use – familiar telephone dial in system for patients to access the session they require.
  • Help is available 24/7 whenever the patient needs support
Cuts waiting lists
  • High-level IAPT and secondary care services are freed up for more seriously ill service-users
Reduced dependency
  • Opportunity to reduce risk and cost of service-user dependency on prescription drugs
Reduced benefits bill
  • Patients can get back to work without deteriorating on a waiting list for other treatments
Fully translatable for the BAME community:
  • TPT modules can be translated once and used by many, reducing the cost for conventional translators
Meeting the Government agenda
In the face of growing numbers of people with common mental health problems and in an environment of increasing costs and reduced budgets the Government is directing commissioners to look for new ways of improving accessibility to treatment. TPT falls in line with many of these objectives, such as:
  • Cost reductions in the NHS
  • Increased patient choice
  • Flexible delivery of services
  • Access by minority groups
  • Use of new technology
  • Innovation programmes
Quality Assurance
The Cognitive Behavioural Therapy delivered by TPT is well researched, evidence-based, and commonly practiced in the NHS. The therapy scripts have been peer reviewed. The technology of the delivery platform has been exhaustively tested to ensure reliable operation in the face of intensive and unpredictable use.

Performance metrics
Standard reports showing patient outcome and experience measures are available from the database which manages TPT. Healthcare providers can monitor their consumption of TPT licences. Cornard Healthcare is happy to work with clients on their reporting requirements in the light of user experience.
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
Prevention of Mental Health Problems
We believe that TPT can address the needs identified under the ‘Prevention of Mental Health Problems’ campaign. It is a simple, easy-to-use delivery platform which gives patients with mild to moderate mental health problems instant access to CBT and gives healthcare providers a cost-effective and flexible treatment option.
TPT is designed to teach people coping strategies for mild to moderate mental health problems. This, in turn, will improve the lives of the friends and family who are supporting them.
Using TPT in a primary care setting such as the Sandwell Model will reduce the burden on GPs and, by improving access to cost-effective treatment, will improve the mental health of the population. With only a few mouse-clicks during a consultation, GPs and other healthcare professionals log in online, prescribe a unit of TPT and print a simple two-page user-guide for the patient to take away.
The modular nature of TPT means it can be tailored to the needs of the population across the West Midlands, thus reducing the number of people directly and indirectly affected by mental health problems. Cornard Healthcare can work with healthcare providers and with commissioners to develop modules to best address the specific needs of the region.
The confidentiality of the TPT delivery platform for CBT and its ready translatability make it specially well suited to the diverse multi-ethnic and multi-cultural population groups in the West Midlands where language barriers and the stigma associated with mental health problems can prevent  patients from accessing the services they need.
Patient data protection
There is no personal data stored within the system as all patients are only referenced via their unique ID number.
Delivery Costs
The cost to the prescribing healthcare organisation is in two parts:
  • The prescribing licence for the organisation
  • A service-user licence for each 12 week course of treatment. These are pre-purchased in blocks by healthcare organisations.
Cornard Healthcare is happy to discuss favourable terms for early-adoption sites.
Patient Cost - None
TPT is free at the point of use. There is no cost to the patient as this covered by the service-user licence, so those on low income or benefits do not need to use valuable mobile credit or incur large telephone bills.
Current and planned activity: 
Cornard Healthcare is currently working with MIND in Suffolk who are using the TPT system to help their clients. The pilot study has already shown the system to be easily accepted and used by patients, popular with clinicians and reliable in use.

Required activity:
  • Procurement / Adoption of TPT across the West Midlands Trusts within both primary and secondary care settings
  • Feedback from clinicians and patients on how to develop the service to best suit the needs of patients and providers


 
What is the intellectual property status of your innovation?:
IP held and owned by Cornard Healthcare Limited.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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