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

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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 – https://www.youtube.com/watch?v=vMBFoaKy--g

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.
 
(Source: https://www.nao.org.uk/wp-content/uploads/2015/12/Discharging-older-patients-from-hospital-Summary.pdf)
 
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. http://www.sabp.nhs.uk/tihm/partnership. 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: http://bit.ly/2sKBn1p


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: http://bit.ly/2tuy9we
 
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): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
2
Measures:
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':
Feeliom prevents anxiety & depression by helping people stay in touch. Our mobile app's unique Sensory Language tackles loneliness, enabling emotional expression without the need for words, and generates continuous insights into wellbeing using AI.
Overview of Innovation:
Feeliom is a mobile app that empowers people to intuitively express emotions through technology; without the need for words. It does so by emulating our sense of touch.

Touch plays a prominent role in sharing emotions. and has many positive effects on health. A gentle stroke can increase the release of oxytocin and serotonin, which improves wellbeing and positively regulates affection and social behaviour.
 
A science known as haptics lies at the intersection of touch and technology. By blending haptics with sound and visual feedback, Feeliom creates a tangible representation of how we feel that can be easily shared with others.

Not only does its patented Sensory Language create an immersive communication experience, Feeliom allows us to quantify and analyse a single emotion across over 10,000 data points.

This quantitative data is brought together with Artifical Intelligence (AI) to analyse feelings shared on a continuous basis. This enables Feeliom to contextualise emotions across the entire spectrum of one’s wellbeing; determining variance, trends and profundity of risk for mental health problems on a personalised basis.
 
These insights are subsequently used to help the individual gain a continuous understanding of their mental health/wellbeing, including recommendations for improvement, and to proactively connect them with the appropriate care: Whether that’s from family and friends, colleagues at work or healthcare professionals.


                                                                       
There are several modules within Feeliom that can be used to communicate emotions, enabling the app to gain an evermore well-rounded understanding of one’s state of mind. These lie in stark contrast to the verbal methods for sentiment analysis upon which most methods currently rely.

Feeliom will help to identify symptoms of stress, anxiety & depression and prevent them, however, all diagnoses must be carried out by a qualified professional. Patients may allow healthcare professionals to access their data in real-time, particularly in the case where the app plays a supportive, as opposed to a preventive role.

Specific Applications:

1. People with impaired verbal communication - such as those with learning disabilities or dementia - often face disproportionately higher rates of depression linked to loneliness. Feeliom overcomes this through touch.

2. An emerging body of evidence demonstrates that depression and physical disorders, including diabetes, are commonly comorbid making it an increasingly important clinical and global health issue.
Stage of Development:
Evaluation stage - Representative model or prototype system developed and can be effectively evaluated
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 / Clinical trials and evidence / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Depression and anxiety are two of the heaviest burdens on health in the UK and worldwide. The effects of depression and anxiety cost the UK £32 billion each year and, while depression accounts for 33% of the burden of disability, it attracts just 2% of Public Health Spending. According to the King's Fund, only 0.1% of NHS spending on Mental Health services in 2007 went towards prevention, despite the fact that it represents good pay-back in the long-run both for people’s health & wellbeing and for NHS finances. In the case of suicide prevention, for every £1 spent, the return on investment from such interventions is estimated to be around £39. Prevention is the only way to achieve lasting change in mental health and end the stigma, particularly in the case of depression; the greatest risk factor for suicide. Overcoming stigma is at Feeliom's core, enabling people to self-express without the need for words.

In most parts of the UK, waiting lists for therapy are over nine months, or there is no waiting list at all because there are no therapists. As a result, patients are often provided with medication prescribed by the GP but do not receive sufficient counselling to tackle the roots of the problem.
 
Tackling depression and anxiety, particularly from a preventive perspective, requires we overcome one of the few subjects more stigmatised than mental health: Loneliness. Marked cross-sectional associations exist between loneliness and Common Mental Disorders (CMDs), including depression and anxiety for people of all ages.

Feeliom bolsters people's primary care networks to prevent mental health problems, creating both efficiency and financial savings downstream. Friends, family, work and GPs play a key role in reducing loneliness and preventing anxiety & depression by providing value in the form of healthy social relationships where people do not feel embarrassed to admit their feelings.

Not only does Feeliom support people by strengthening their relationships with others, but also by bettering their self-understanding; enabling them to take proactive mental healthcare into their own hands.

Feeliom reduces the burden on the healthcare system through prevention and, in more severe cases, supports people throughout their treatment. By seamlessly integrating health into communication, continuous insights into wellbeing that may otherwise have never been accessible provides professionals with a deeply personalised and broad perspective from which to diagnose and treat.
Initial Review Rating
4.40 (2 ratings)
Benefit to WM population:
The population of the West Midlands is particularly diverse with people from a range of different cultural backgrounds. Often, in the western world, BME populations suffer from a higher incidence of mental health problems than most. In the case of refugees, care is of critical importance.

Feeliom's Sensory Language, based on our sense of touch, provides a unique, cross-cultural approach to the prevention of mental health problems. It overcomes the verbal barriers people so often face when expressing emotions, particularly when they are not speaking their native tongue.

Beyond this, whilst cultures struggle to overcome social stigma around the subject of mental health, Feeliom makes it a thing of the past by merging our wellbeing seamlessly with one's everyday communication. By placing emotions at the centre of how people stay in touch, this creates a sense of empathy amongst individuals, as well as between patients and healthcare professionals who may find linguistic barriers affecting their practice.

Many people, particularly from Asian backgrounds, prefer to take an informal care approach for their loved ones; especially when it comes to caring for dementia in the elderly. Whilst this is admirable, the effect it has on informal carers' mental health and wellbeing is shocking, with over 80% of carers admitting to feeling alone. Feeliom's solution does not focus on supporting individuals, its entire function is based on community. The network effect of communication at its core, provides a valuable resource for these people who are especially vulnerable and yet often entirely overlooked as they fight to protect their loved ones.

In 2009 the West Midlands had the highest proportion of children aged under 16 of the nine English regions, 19.4 per cent compared with an England average of 18.7 per cent. With 50% of mental health problems developed before the age of 18, and 75% before the age of 24, it is critical that when we talk about prevention we are creating something for children too.

Feeliom's sensory interface and free space for self-expression are ideal for children who are, by comparison, more open to new methods for communication. Much of Feeliom's advantages lie in its approach: It is meant to be both intuitive and fun. Mental health has never been viewed in such a light before and, when it comes to bringing children on board, Feeliom sets itself apart by putting interactive engagement at the heart of its solution.
Current and planned activity: 
Feeliom is working with Imperial College London and University College London to carry out clinical trials of its mobile app.

We wish to undertake trials with West Midlands Trusts and would welcome a conversation with interested parties.

We are partnering with Trusts such as Surrey & Sussex Healthcare NHS Trust to define key targets and disseminate Feeliom, so far this will be done through 3 core channels:

1. Providing inpatients with a simple way to stay in touch with their loved ones & preventing mental health problems amongst the inpatient population
2. Providing nurses with a dashboard overview of the wellbeing of their inpatients
3. Providing NHS employees with Feeliom as a preventive tool for their mental health

We are continuously developing Feeliom's mobile app and interface for professionals further. And so with the help of NHS Trusts and learnings from different populations, we will work alongside our partner Trusts to tailor solutions to them and the people they support.
What is the intellectual property status of your innovation?:
Feeliom patented its unique Sensory Language in the UK in 2017.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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