ProReal: avatar-based, virtual-world platform helping people communicate & improve their lives by accelerating insight & change (#2836)

Idea Description
Supplementary Information
Detailed Submission Data
Innovation 'Elevator Pitch':
ProReal was built using 3D gaming technology, this evidence-based immersive platform helps people create a visual representation of how they experience a situation so they can explore different perspectives, visualise futures & solve problems
Overview of Innovation:
ProReal’s innovative technology provides its users (clients, service users, patients) with a safe, secure & confidential visual way to describe how they experience the world. With support & facilitation users can label strong feelings & name issues, as well as articulate hopes & concerns all of which are critical for building resilience & supporting recovery.

Independent research shows that the use of the software is associated with emotional & cognitive responses, reductions in psychological distress & building of empathy & insight.

The ProReal platform helps people create a visual representation of how they experience a situation so they can explore different perspectives, visualise futures & solve problems. Clients enter a secure, virtual landscape & add avatars & props to create representations of real-world scenarios.

Clients experience increased self-awareness & rapid empathy building leading to improved relationships. Costs are reduced by enabling faster & more effective change & communication without the need to travel. Its use is associated with significant reductions in stress & self-criticism & is being used by a growing number of health & social care organisations.

ProReal features:
  • Avatars: unlimited number of avatars available
  • Symbols: a selection of symbols/props to represent various aspects of a client’s world (eg elephant, minefield, clock, mirror etc)
  • Environment & sessions: naming function provides meaning & context
  • Views & functionality: views from avatars & roaming camera provides different perspectives
ProReal benefits:
  • Faster & more effective change
  • Actionable insight
  • Reduces costs
  • Increases self-awareness, self-confidence & self-expression
  • Increases engagement
  • Associated with reductions in stress & self-criticism
  • More effective communication of vision, priorities & values
  • Rapid empathy building & improved relationships & trust
  • Convenient
  • Secure, password protected login & encrypted data

ProReal continues to work with clinicians & academics & in particular NIHR MindTech to explore the use of its software with a range of disorders & clients including adults with personality disorder, young people with anxiety, depression, trauma & eating disorders.

Our product development is underpinned by extensive & ongoing clinical & corporate research & end-user input.

This means the benefits of our software are evidence-based by independent & rigourous evaluation & meet the needs of our users. Discover more about our evidence-base here.

Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
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Innovation 'Elevator Pitch':
Yecco is a fully digital telehealth & telecare self-management platform for monitoring all aspects of a person’s past & real-time health status. Our products also allow environmental monitoring & home automation to enable full remote care & support.
Overview of Innovation:
Yecco brings new & exciting ways of data sharing as the trend moves towards patients managing their health & taking control of their health data.

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

View our video & see how Yecco can support a patient with Diabetes & COPD –

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

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

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

  • Motion detection
  • Door & window open or closed status
  • Smoke detection
  • Carbon monoxide detection
  • Temperature & humidity
  • Add separately & plug in:
    • Bed occupancy sensing pad
    • Enuresis pad (to detect for moisture in a bed or chair)
    • Rechargeable battery
There is the option to keep a check on your health using the Yecco Wearable Watch.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Digital health
Benefit to NHS:
Rising demand for services, combined with restricted or reduced funding, is putting pressure on the capacity of local health and social care systems.
The NHS spends around £820 million a year treating older patients who no longer need to be there.
Yecco Pro App
Yecco Pro is a licensed cloud-based interface that enables organisations to remotely monitor multiple patients.
Yecco Pro gives medical professionals multi patient monitoring with real time data for early intervention. Powerful threshold and notification options assist all professionals to give improved patient outcomes and increased safety.

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

Yecco's product are currently being used by Surrey and Boarder Partnership testbed that is monitoring the health and wellbeing of patients that have mild o moderate levels of dementia. The aim of the project is to assist clients in monitoring and reduce the burden on front line NHS services. (GP’s appointments, health work home visit and hospital re-admissions). The health and wellbeing reading take form the Yecco devices is being monitor in partnership with the KSSAHSN/University of Surrey. Currently awaiting health economics stats and data from project.
Online Discussion Rating
4.00 (2 ratings)
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
The past few decades have seen significant improvements in life expectancy, however, rising longevity brings increasingly complex & chronic health conditions, placing substantial demands on health & social care services.
At the same time services are experiencing significant financial pressure & need to find ways of lowering costs while maintaining or improving the quality of care provided.
This requires new ways of working in order to meet increasing demand & deliver care that is safe & cost‑effective while reducing reliance on hospital & institutional based care.
Technology can help to support these new ways of working.
When hospital discharge goes wrong it comes at significant cost both to individuals & to the health and social care system. In 2012-13 there were more than 1 million emergency readmissions within 30 days of discharge costing an estimated £2.4 billion. Source:

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

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

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

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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.
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: 
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.

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): 
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
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Innovation 'Elevator Pitch':
Elemental’s Social Prescribing platform is an easy to use, cloud-based, responsive platform that enables community referrals to be implemented, measured and delivered across numerous health and social care scenarios.
Overview of Innovation:
Elemental Software, is a Tech For Good company with the purpose of engaging & empowering people & communities towards better health outcomes. This involves creating meaningful connections between people & their communities to address the wider determinants of health & to reduce health inequalities.

Elemental’s approach in reaching more people & connecting them into community-based programmes & services such as walking groups, healthy cooking courses & mindfulness sessions led them to create a platform that gives health & social care providers ease, peace of mind & quality assurance in making, receiving & reviewing community referrals otherwise known as Social Prescribing.

The team at Elemental has been at the forefront of mobilising communities towards better health, education & employment for the past 30 years combined. Their experience led them to see that despite millions of pounds being spend on preventing conditions like obesity, diabetes & depression the challenge remained in engaging those most at risk. Chronic conditions are rising & so too are the costs. Elemental know that involving someone in creating their own health risk prevention plan is key to empowering them towards living better quality lives.

With The Elemental Platform you can:
  • Facilitate more people accessing & engaging in Self Care Programmes in your area
  • Reduce the amount of time between referral & first engagement
  • Connect different stakeholders in your area (VCSE, Health/Social Care & communities) providing more choice for what matters to the individual
  • Provide performance related metrics & analysis around referral activity across teams, locations & types of healthcare establishments
  • Minimise the risk of people ‘opting out’ of programmes
  • Develop the capacity of your workforce across multiple sites
  • Reduce administrative tasks & free up more time to support individuals
  • Measure the progress & impact of programmes
Despite all of our best efforts we tend to work in separate silos. We can’t all be expected to know everything that’s happening in someone’s local community. Whether you are a resident, GP, social worker, commissioner, social prescriber or community provider we don’t always have the time to source information & make connections that positively impact on someone’s life. We could do this alone, but it wouldn’t be as effective. By connecting resources, people, programmes, partners & strategies we can support those in need so that no-one is left behind.

To view our video click on the image.

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 / Digital health
Benefit to NHS:
Interest in social prescribing, where patients are referred to local, non-clinical community services such as walking clubs or self-help groups is on the increase across England. There is growing recognition of its potential to help meet the ambitions of the Five Year Forward View & of sustainability & transformation partnerships to support people in managing their own care.
Social prescribing enables GPs, nurses & other primary care professionals to refer people to a range of local, non-clinical services. It is estimated that around 20% of GP appointments are for ‘non-medical’ needs which is as frustrating for GPs as it is for patients as a 10-minute consultation producing a medicine prescription is often not appropriate.
Social prescribing enables a GP or other healthcare professional to refer a patient to an organised scheme which usually involves link workers or navigators taking time to understand what the patient’s needs & goals are & helps them to access appropriate services.
The Elemental Platform helps to address the challenges surrounding reducing health inequalities making it easier to help communities to get the support they need to address the issues beyond clinical needs that impact on their health & wellbeing.
Elemental connects all key stakeholders from the GP to Link Workers, the providers & the patients.
Platform features:
  • Referral generation: via browser on a desktop, mobile device or within specific Clinical Systems. Referrals can be made within 45 seconds to link workers & sent instantly. Referrals are tracked, viewed & analysed
  • Health risk analysis: helping individuals to better understand their health risk & track their health risk status using validated monitoring tools
  • Social prescription generator: referring individuals to a range of quality assured community-based lifestyle interventions
  • Attendance tracker: facilitate, track & measure attendance rates of individuals across multiple community-based lifestyle intervention providers
  • Health impact measurement: track an individual’s health & wellbeing improvement journey in real time & in line with identified health risks
  • Enhanced directory of services: enables accredited VCSE providers to create & edit database of venues, interventions & allocate appropriate facilitators
  • Aggregate reports: provides accurate comparative epidemiological information to facilitate greater reporting between CCGs, local authorities, Housing Associations & VCSE organisations to benefit entire communities
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
There are an estimated 4.032 million people in 2014-15 living in the West Midlands Combined Authority (WMCA). The population is culturally diverse, with over 22% from Black and Asian Minority Ethnic communities, ranging from 2.3% in Cannock Chase to 42% in Birmingham.
Over half of the population of the WMCA live in the 20% most deprived areas in England. There are links between insecure housing, financial stress, mental health and child development, which influence on life chances and social mobility.
Data from the ONS subjective wellbeing survey points to wide variations between West Midlands Local Authorities with rates of wellbeing that are below the national average for Wolverhampton, Birmingham and Coventry and above average for Sandwell.
Social prescribing has been identified by Simon Stevens, CEO of the NHS, as one key way in which the NHS can change from “a ‘factory’ model of care and repair” to one that focuses on much wider individual and community engagement (Five Years Forward View, NHS England, 2014 – henceforth referred to as the Stevens Report). Social prescribing is a way of linking patients in primary care with sources of support within the community, usually provided by the voluntary and community sector, offering GPs a non-medical referral option that can operate alongside existing treatments to improve health and wellbeing.
Social Prescribing is recognised for the benefits it can bring for patients. These include better quality of life, improved mental and emotional wellbeing, and lower levels of depression and anxiety. It also has the potential to reduce patients’ reliance on NHS services, easing pressure on accident and emergency wards and hard-pressed GPs.
A social prescriber does not prescribe the solutions, but provides the environment in which the person can consider their options and help form their own plan of action. Elemental know that involving someone creating their own health risk prevention plan is key to empowering them towards living better quality lives.
By connecting resources, people, programmes, partners and strategies, we can support those in need so that no-one is left behind.
The Elemental Platform simplifies and streamlines the process of referring individuals from a GP to social prescribing hubs in the local area which could support and connect individuals and their community.
Current and planned activity: 
Currently we have been engaging with the key social prescribing leads in NHS through the Social Prescribing Network. We have been attending events across the UK engaging in Social Prescribing discussions and sharing knowledge. We have a strong footprint in Northern Ireland and would like to raise the profile of our Social Prescribing Platform and support Social Prescribing initiatives in England. We also lead a Social Prescribing Hour via twitter every Wednesday 8-9pm encouraging Social Prescribing discussions.
Our planned activity is to engage with a number of key stakeholders in the region and we require WMAHSN’s support in identifying relevant contacts in order to hold initial conversations.
Return on Investment (£ Value): 
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
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