Mental Illness Prevention
How do we prevent the development of mental health problems and get help earlier for children, young people, adults and older adults starting to suffer poor mental wellbeing?  

Ideas (Innovation and adoption)

Innovation 'Elevator Pitch':
Early identification lies at the heart of the Mental Illness Prevention strategy. PredictX’s proven machine learning model for identification of not school ready children forms the basis for wider application.
 
Overview of Innovation:
The “Get It Right, First Time” program is an ambitious effort to transform the mental health treatment to focus more on early diagnosis and intervention. The benefits of early intervention are clear and well documented. PredictX (PX) believe that we can the application of Machine Learning (ML) based systems improves the identification of at-risk individuals, especially children.

At Essex CC, we developed and deployed a working ML system to identify children and households where the children had a higher probability of not being school ready. As the report states, “ the most productive and cost-effective element of any prevention of mental ill-health strategy will be during a child’s early years.”  The PX school readiness model has proven to be effective in the early identification of not school ready children - beyond previous methods. The system not only identifies at-risk children for early intervention but also indicates the most impactful intervention for a locality.

The PX model not only applies to school readiness but is a flexible framework that adapts to new use cases and available data to solve other similar challenging issues. The model uses data from housing, education, social care, police, health, benefits, and population can use this data for applications beyond school readiness. For instance, early work suggests that the model will be effective predicting domestic abuse - another causal precursor of childhood mental health issues. Because such a wide range of data is accessed, the model is resilient to sparse or missing data from any particular data source.

We believe that the school readiness model is one branch among several that leads to a much more holistic and accurate identification of individuals, families, and locations at risk of mental health issues. Moreover, the model can be tuned to further identify those who would be positively impacted by intervention thus aiding the most effective resource allocation of the intervention team.

The model has the further advantage of having real-world analogues and explainability.  This means that the model will aid the experts by identifying the key causal factors most prevalent in a particular locality, thereby systematically aiding the work with Schools and Education to identify the most critical vulnerabilities and risk markers for mental illness and aiding building the most impactful preventative resilience and wellbeing practices.

Please see:https://youtu.be/3J2S82vjb8U
 
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 / Advanced diagnostics, genomics and precision medicine / Wellness and prevention of illness / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
The Five Year Forward View for Mental Health (2016) states that “the future health of millions of children, the sustainability of the NHS, and the economic prosperity of Britain all now depend on a radical upgrade in prevention and public health.” Further it warns that the circumstances since the Wanless review published 12 years ago has become worse. “Mental health problems account for a quarter of all ill health in the UK. Despite important new developments in mental health research it receives less than 5.5 per cent of all health research funding. Latest figures suggest that £115 million is spent on mental health research each year compared with £970 million on physical health research.”  The paper also clearly articulates the importance of Innovation to tackle current and future challenges. In particular , “We see a pivotal role for digital technology in driving major changes to mental health services over the next five years”. Better prevention tools based on AI and Machine Learning is inline with this thinking.

Twelve years ago Derek Wanless’ health review warned that unless the country took prevention seriously we would be faced with a sharply rising burden of avoidable illness. That warning has not been heeded -and the NHS is on the hook for the consequences.”

One of the few silver linings to commencing this work today rather than a decade ago is that the AI technologies to deliver advanced risk identification capability is fully proven now whereas twelve years ago, the technology was nascent if it existed at all.  Therefore the ability to execute the goal of the “Get it Right, First Time” agenda is now feasible with excellent ROI.
 
Initial Review Rating
4.40 (2 ratings)
Benefit to WM population:
According to Mental Health In The West Midlands Combined Authority, a report commissioned by the  West Midlands Mental Health Commission,  Nearly a quarter of adults living in the WMCA are experiencing a mental health problem at any one time. The report also documents that the 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 of population.

Clearly these challenges and the significant benefits for addressing these challenges are key drivers behind the initiatives already in place in the region.

Identification of at risk individuals, especially children must go hand in hand with the infrastructure to intervene for maximum impact. The work by the West Midlands Academic Health Science Network (WMAHSN) supported by Forward Thinking Birmingham to construct the Proof of Concept program that incorporates partners across health and social care, education and policing, as well as community resources suggests that the program will have the resources and focus to execute the intervention strategies.

The effectiveness of the ML model depends on the access to data. Part of the success of the Essex School Readiness project is the buy-in of the different service areas to share their data to achieve the overall aims of enabling a prevention-based service culture.  West Midlands is ahead with forward thinking localities already sharing data across social care and health. This is a promising position from which extension of data sharing to include education, environment and other key information can develop.

From a PredictX perspective, there is already good working relationships with many of the local authorities in the region including integrated social care data - one of the key elements of the ML model.

This work has been performed in collaboration with the Midlands and Lancashire CSU. The close and strategic working relationship established over many years between PredictX and the Midlands and Lancashire CSU will help to ensure that projects are executed per agreed scope and delivered on time and on budget.
 
Current and planned activity: 
PredictX works with the NHS at several levels currently. We work directly with Provider Trusts such as UCLH supplying them with advanced analytic solutions. We also work with CCGs and STPs focusing on advanced analytics that need to integrate social care and health information. We also work with Local Authorities and regions such as the School Readiness system with Essex CC.

We also have a strategic partnership with the West Midlands CSU working to serve their CCG members as well as investing in research and development efforts to apply Artificial Intelligence and Machine Learning techniques to address challenges the sector faces. This partnership has recently been codified with the launch of the Midlands and Lancashire Innovation Partnership - a partnership of the CSU, private sector and academia working together to deliver advanced, AI-enabled solutions.
 
What is the intellectual property status of your innovation?:
IPR is 100% the property of PredictX with no conflicts. We are happy to co-create new IPR with the sector and share the innovation
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
2
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Keesup Choe 30/05/2018 - 10:57 Publish 1 comment
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2
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-99999
Innovation 'Elevator Pitch':
GASP online is a fully moderated, collaborative online learning community for school children. It supports the mental health prevention agenda through access to information, signposting services and encouraging engagement.



 
Overview of Innovation:
GASP online provides a safe online space allowing children, teachers and organisations to learn together. By setting challenges and introducing new topics, it connects children, schools and experts from all over the UK. It takes down the walls of the classroom to brings a whole new dimension to learning.
 
All the content is moderated by a team of educational experts, ensuring that the space is entirely safe for users. As a digital innovation, this offers the opportunity to support to schools to scale their ‘prevention agenda for mental ill health’ enabling earlier intervention(s) at relatively low cost.
 
The child-centred communities enable professionals to host preventative information, deliver solutions, gather opinion and hold conversations in a safe, moderated environment. This integrated, approach provides a one-stop community where any issue which may impact upon a child's mental health can be discussed and advised upon such as housing and finances.
 
The communities give children help and information and signpost to services. Importantly they also give children of all ages a voice and empowerment in an environment that informs, inspires and encourages aspiration to drive confidence and resilience in future generations.



It can significantly widen the reach of NHS services impacting on cost-effectiveness.  GASP online (5-11) allows multiple stakeholders involved in the health and education of a child to work together in a variety of ways. The community offers opportunities to educate and inform users and provide long term preventative solutions.

They also provide healthcare professionals a permanent place to offer support and advice to teachers and support staff who often don’t know where best to turn.

As a STEM (Science, Technology, Engineering and Mathematics) learning platform focussed on aspiration  GASP can also help to tackle the upcoming skills gap in the health sector.
 
Taking a long-term approach, the NHS can attract the talent they will require to address the future clinical skills gap by developing a careers platform, engaging with children from when they start school to when they leave.
 
Developing a NHS skills pathway can create real social change and empower an effective future workforce.
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:
At least 10% of children and young people are thought to suffer from anxiety, depression, self-harm, eating disorders or other mental health conditions. The numbers of under-18s seeking and receiving NHS care have soared over the last decade.
 
The government’s plans to tackle the mental health crisis among young people are based on three key elements: a teacher at every school and college becoming its designated lead for mental health; help for schools from new mental health support teams; and the guarantees of help within four weeks. Source: The Guardian
 
In a joint report, the Commons health and social care and education select committees criticise the plans as unambitious and inadequate given the fast-rising need for care and too reliant on already overworked teachers. Source: The Guardian
 
GASP offers opportunities to help to transform a failing mental health system. The projects and topics shared throughout the site encourage children to develop critical and higher order thinking skills. The space allows teachers to share best practice and save time.
 
In supporting the recommendations of the Five Year Forward View for Mental Health (2015)
they enable a true joined up approach to support the future health of millions of children. It enables partnerships between schools, communities and employers. Overwhelmingly the flexibility of the portals underpins the reports’ findings - enabling promotion of resilience, prevention, early intervention, measure engagement and impact.
 
Free at entry point for state schools and home learners there is no barrier to entry.
 
In building a one-stop hub for children, we are creating an environment that empowers young people to participate, innovate and contribute to society. By empowering learners to be self-sufficient we can drive important messages and support directly to learners wherever they live. This allows the NHS to drive targeted information to this audience accessible at any time, in and out of school.

Education, voice and self-awareness lie at the core of our communities - joined up thinking, prevention and proactivity are central to our aims
Initial Review Rating
3.40 (2 ratings)
Benefit to WM population:
Poor mental health costs the region £3,000 per person in the Midlands area. Mental health issues are impacted by poor housing, low socio-economic status. This is combined with Birmingham having the youngest population in Europe. (Eurostat 2018). The Wonder Why Society and Bridgr communities provide a pathway for the NHS to work directly with schools and children throughout compulsory schooling, developing a digital preventative care pathway.
 
GASP can be used to support and introduce online learning in any subject. It can be used to set homework, encourage debate, facilitate high level thinking and extend classroom learning. It enhances digital skills, teaches online safety and embeds technology in to the curriculum.
 
We have a partnership with a Prevent agency who provide specialist support via the platforms for children to ask questions about things they might feel are embarrassing, difficult or confusing. We also have resources for teachers to use in the classroom that cover mental health, resilience, spiritual, moral, social and cultural (SMSC) and British Values.
 
Online safety is our number one priority. In order to ensure a safe environment, we comply with all of the recommendations outlined by The UK Council for Child Internet Safety (UKCCIS) and support the Think U Know campaign.
 
Nothing is published on our site until it has been checked by one of our qualified education moderators.
 
Upon joining, children agree to follow our online safety rules. Just by using the site children are naturally learning digital skills, online safety and ‘netiquette’. Anything that is submitted that is against our online safety code or causes any concern will be reported back to the school DSL.
 
GASP online moderating staff have been DBS checked and undertaken safeguarding training. We have a Safeguarding Policy and an appointed Safeguarding Lead.
 
 
Current and planned activity: 
From a mental health perspective, GASP online gives children a safe place, a voice and easy access to information that’s useful to them.
GASP online wishes to introduce measured testing to assess wellbeing, resilience and mental health issues. This will help us to quantify and qualify how we support young users and validate evidence gathered in initial trials.

Aspiration assessment
The platform encourages aspiration. We also seek advice and guidance on how this can be measured.

 
Currently our support service is open Monday to Friday from 9am – 4pm. To provide continuous support to children we wish to create a 24/7 support service and would like to work with regional health stakeholders to explore a potential referral pathway(s) / digital therapies that can be used out of school hours and during school holidays.
 
Funding is required to develop the 24/7 support service and we would welcome partners who could submit joint applications to bids / funding competitions.
What is the intellectual property status of your innovation?:
Edrev Ltd . Trademark pending. Copyright automatic. There is a licence between the 2 companies
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
3
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Samantha Fisher 22/05/2018 - 15:13 Archived Login or Register to post comments
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)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Digital health / Innovation and adoption
Benefit to NHS:
£9.49 billion was planned to be spent by CCGs on mental health services in 2016/17 – up from £9.15 billion in 2015/16. This amounts to 13.1% of planned CCG spending, up from 12.5% in 2015.16 Figures for individual CCG areas can be found using NHS England’s Mental Health Five Year Forward View Dashboard.  This does not account for all spending on mental health services, because specialised mental health commissioning is the responsibility of NHS England rather than CCGs.
 
Independent research shows that the use of the software is associated with emotional and cognitive responses, reductions in psychological distress and building of empathy and insight.
 
ProReal tailors its services to a wide range of organisations and service user needs to help them to find the right digital solution to accelerate change and improve engagement.
 
ProReal’s avatar-based therapy is a flexible and cost-effective solution. Having completed two research studies funded by SBRI Healthcare (an NHS England funded initiative to develop products that address unmet health needs) it has been proven to be effective with adults and young people. Click here for more information. As at March 2018, South London and Maudsley NHS Foundation Trust and Mersey Care NHS Foundation Trust are using/have commissioned ProReal for use with service users.
 
The software has been designed to be very easy to use - most clients learn how to use it in the first 5-10 minutes. For those using it with others in their work, most people require 15-20 hours of training, much of which is practice time. Online training is delivered via three webinars, reading material, reflective practice/assignment work and a formal assessment at the end. Face-to-face training is also offered for groups.
 
A suitable laptop or desktop computer (Windows or Mac are fine), an unrestricted internet connection and permission to install the software on your device is required. ProReal can be accessed 24/7 online via a secure login providing flexibility, convenience and increased access for clients to do self-help online.
 
ProReal provides many benefits from accelerated insight to better engagement of all which help to reduce costs.

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 & Asian Minority Ethnic communities, ranging from 2.3% in Cannock Chase to 42% in Birmingham.
 
Nearly a quarter of adults living in the WMCA are experiencing a mental health problem at any one time. The risks of poor mental health are not uniformly distributed across the WMCA population. They are influenced by social, economic & physical environmental factors & social inequalities in particular.
 
The aggregate economic & 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 of population.
 
Mental ill health is estimated to cost the NHS nearly £2 billion a year in the WMCA. Only about half of this represents the direct costs of treatment & care for people with diagnosable mental health problems. The other half arises mainly because large numbers of people with long-term physical conditions such as diabetes & asthma, also suffer from depression or anxiety & this greatly increases the costs of physical health care.
 
Following the successes of the use of our software in commercial settings we had long been of the opinion that it could be beneficial in a healthcare capacity as well. To begin our investigation of this theory we secured funding from NHS England’s SBRI Healthcare programme as part of their initiative to find new technology solutions to unmet mental healthcare needs. This ‘Phase 1’ contract allowed us to conduct a pilot study using the ProReal software with a small group of adult offenders who were residents of a therapeutic wing of a category B prison in the north of England.
 
Over the course of 7 weeks our therapeutic intervention at this Serco managed prison consisted of 6, hour-long, group sessions lead by a qualified counsellor on the prison staff who we trained in the use of the ProReal software.
 
Results indicated that using our software improved participants’ capacity to elicit emotional responses & initiate further cognitive processing – both fundamental aspects of improved mental health. The study also produced good preliminary indications that using the ProReal software helps reduce psychological distress & improve general wellbeing. In addition participants reported enhanced levels of self-expression, new insights, development of empathy & the ability to build stronger relationships.
 


Current and planned activity: 
We would like to connect with the WMAHSN Mental Health Innovation Network to help to drive the adoption of ProReal across the region.
 
If you would like copies of our completed evaluation reports or to find out about our ongoing research please contact us.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
N/A
Ease of scalability: 
2
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David Tinker 23/03/2018 - 18:23 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
Unique evidence-based app that teaches doctors & nurses to manage stress & avoid burnout. Designed specifically for, and with, NHS staff. The efficacy of Working Stress was proved by a Randomised Controlled Trial (RCT) with 227 NHS doctors in 2016.
Overview of Innovation:
Being a doctor or nurse can be extremely challenging and the negative effects of work-related stress are significant. They affect patient safety, sickness absence and job satisfaction. However, staff can learn to manage stress and develop resilience if they are given effective and practical support to acquire these skills.

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

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

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

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

Working Stress is an immediate intervention that teaches individuals to recognise and manage their own stress more effectively. No customisation is required and Working Stress is easy to deploy, easy-to-use, anonymous and cost-effective. It can be used during formal induction programmes for new employees and with existing staff at any time
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
Work related stress accounted for 43% of all lost working days in 2014/2015 (Buckley, 2015; Beheshtifar & Nazarian, 2013). 37% of National Health Service (NHS) staff reported feeling unwell due to stress and pressure at work (The Picker Institute & National Health Service, 2015). Moreover, Goodwin et al. (2013) meta-analysis revealed a much higher percentage of health care professionals and NHS staff were suffering from a common mental disorder (psychiatric morbidity; 32%) compared with general population (19.1%).

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

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

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

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

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

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

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

Reduce:
  • Psychological symptoms; anxiety, psychiatric morbidity and emotional exhaustion
  • Physical symptoms; insomnia and changed eating habits
  • Negative coping mechanisms; alcohol and drug use
  • Root causes of Chronic Embitterment
Increase:
  • Positive coping mechanisms; emotional support and humour
  • Improved perception of employer and working conditions
The benefits for NHS employers, and wider society, are reasonably well-documented regarding reduced staff absenteeism, staff turnover and patient safety risks.
 
Adoption target:
Ideally all employers will recognise the benefits but this will take time. In year 1 we would aim to have 4 medium sized West Midlands Trusts contracted.
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Andy Yeoman 28/09/2017 - 10:13 Detailed Submission Login or Register to post comments
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Innovation 'Elevator Pitch':
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Overview of Innovation:
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Stage of Development:
Trial stage - Trial stage to prove that the idea actually works as intended
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
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
N/A
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Suzanne Edwards 12/07/2017 - 17:00 Archived Login or Register to post comments
Innovation 'Elevator Pitch':
Our Game Based Learning platform, could be easily deployed to support the WM Mental Health community - parents, carers, teachers, clinical staff, in early recognition, intervention and prevention, especially for early intervention of young people.
Overview of Innovation:
Our Game Based Learning platform has a unique difference over 'other' digital / serious games providers. Our platform provides the ability to easily change, update and amend game experiences, so that any investment in an experience is extended to address an organisations ever changing requirements. Our platform allows a Game Based Learning experience to be developed in under 10 days and can be changed / updated in minutes. The platform is available 'locally' or in the Cloud and can be deployed on Tablets, PCs or via the Internet. We have already successfully worked with and developed a number of games within the Healthcare Industry - namely around the subject of 'Stop the Pressure' - Pressure Ulcer training for Tissue Viability professionals.

We believe that our Game Based Learning platform could be deployed to assist the Mental Health community to drive communication, early intervention and help with prevention of Mental Health - especially within the area of young people, as a Game Based Learning experience is un-intrusive, engaging and enjoyable, thus suiting the demographics for the younger generation.

Game Based Learning, provides an engaging conduit to deliver knowledge in an enjoyable format, games generally result in players relaxing and engaging in the defined subject. This creates a learning platform that is open to all levels of intelligence and education, providing an level playing field for the overall audience.
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 / Digital health / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
The 'Future in Mind' report commissioned by the NHS, clearly discusses the benefits of early intervention relating to mental health, especially for the younger population. To achieve early intervention successfully, the whole 'mental health' community must be involved - peers, parents, teachers, friends, professionals etc. Applio believes that a proof of concepts - Game Based Learning experience, would greatly assist in breaking down the barriers in the 'openness' and 'discussions' relating to this difficult subject. Games have the ability to really engage an audience, provide an enjoyable way to discuss a subject, break down perceived barriers and drive engagement within the younger community - they are after all, already playing digital games!
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
Delivering a proof of concepts Games Based learning platform as a trial within the West Midlands Mental Health arena, would provide the West Midlands with the required analytics required to measure the impact of what we are proposing. Should the analytics prove to be beneficial, then the West Midlands would benefit in relation to the whole Mental Health community being able to successfully communicate, provide early intervention and improve prevention in the younger generation of the West Midlands. This could then be showcased to the greater community of the NHS.
We believe that the proof of concepts would only require approximately 20 to 25 days of time from Applio, obviously we would require input from experienced practitioners, which we estimate to be between 3 and 6 days.
Current and planned activity: 
We have already provided Game Based Learning experiences to the NHS in partnership with WMAHSN, we created two experiences relating to 'Stop The Pressure' - Pressure Ulcer training for Tissue Viability professionals. One experience was 'story' based - about a patient called Angela Smith. The other a competitive team vs. team experience that contained numerous questions and scenarios addressing the very technical issues of Pressure Ulcers. The games were played at team meetings and the feedback was excellent:

‘What a great way to learn, really enjoyable and engaging’
‘So much better and engaging that listening to a PowerPoint presentation’

Applio would recommend as next steps that we arrange in partnership with the NHS a 2hr workshop with a relevant Mental Health professional to hold initial discussions that would provide Applio with enough information to develop a 'demo' game experience, this would prove the technology and provide the foundation to drive this initiative forward.
What is the intellectual property status of your innovation?:
Currently Applio is in discussions with an IP specialist firm, which is looking into the applicability of IP for our Games Based Learning platform.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Tony Chamberlain 11/07/2017 - 15:55 Publish Login or Register to post comments
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