NHS Innovation Accelerator (NIA)
The NHS Innovation Accelerator, or NIA, supports uptake and spread of proven, impactful innovations across England’s NHS, benefitting patients, populations and NHS staff.

Ideas (Mental Health: recovery, crisis and prevention)

Innovation 'Elevator Pitch':
ChatHealth is a messaging helpline to enable service users to securely contact a healthcare professional, supporting timely, confidential access to help.
Overview of Innovation:
ChatHealth is a safe and secure text messaging service that helps families and young people get in touch with healthcare professionals. First developed by school nurses at Leicestershire Partnership NHS Trust (LPT), ChatHealth supports greater efficiencies within public health community nursing teams, with individual nurses able to provide for a greater number of service users. It is cost effective and uses technology millennials are familiar with, providing confidential and timely access to
healthcare. People who need health advice and support do not need to wait for a nurse visit and the service is completely anonymous meaning it reaches out to often seldom-heard and vulnerable groups.
  • Available to nearly two million young people in England.
  • Available to the parents/carers of nearly 80,000 new-born babies a year.
  • Increased service reach/access - delivering 100 additional contacts every month.
  • Overcomes the stigma of face-to-face discussion of sensitive issues.
  • Reaches more underserved groups - 1 in 5 male users compared to 1 in 10 in face-to-face clinics.
ChatHealth can help teams to deliver more contacts with existing resources. At any time, just one health care professional can handle all messaging enquiries from an entire population, usually only impacting around 0.5WTE capacity. At a combined cost of £10k (salary and product licensing) less than a WTE post, a single healthcare professional can support a population of 85,000 service users and deliver 50 contacts p.c.m. These low-cost additional contacts eliminate unnecessary face-to-face contact (more resource intensive, more costly to taxpayers). They say it would take four more staff to deliver the same number of additional contacts face-to-face, costing £150k.
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 / Innovation and adoption
Benefit to NHS:
ChatHealth is an efficient way of working for teams that are already stretched, for example one duty nurse can support large populations of people, within existing capacity, delivering up to 100 additional contacts every month. Working in more traditional ways, it would require the appointment of two additional nurses to improve reach to the same level. With the assurance of safety and security in place, ChatHealth offers the followinf benefits to the NHS:
  • More contact from more new service users across a broader range of issues. This is particularly relevant for certain “hard to reach” demographics, such as adolescent males, who are more likely to ask for health advice and help by sending a message compared with traditional forms of service access.
  • ChatHealth is a sustainable solution. Environmentally, it reduces travel, particularly in rural areas where nurses might otherwise drive up to 90 minutes to visit a particular school.
  • Due to how ChatHealth changes the model of delivery, resources can be better allocated and promote more effective spend of taxpayers’ money.
  • Strengthens and complements the universal face to face support offered by Public Health/School Nurses and Health Visitors through a digital offer which could be integrated with other services such as CAMHS, Speech and Language Therapy, nutrition and dietetics.
  • Improved access to healthcare for more children and teenagers/parents and carers who would be to engage directly with health professionals.
Initial Review Rating
5.00 (2 ratings)
Benefit to WM population:
Evidence shows that young people sometimes feel more comfortable and confident relaying sensitive issues via mobile technology rather than a face-to-face discussion with a healthcare professional whilst busy parents especially value its convenience. 

The ChatHealth platform is predominantly used by community health teams supporting universal care. The majority of enquiries relate to emotional and mental wellbeing, including adolescent self-harming and low mood and maternal mental health. Some of these kinds of contacts can be significant from the point of view of safeguarding
vulnerable service users and the ChatHealth model helps to safeguard risk. Other regular types of enquiries relate to adolescent sexual health, or new parents enquiring about infant health and development.

Children, young people and families in the West Midlands can expect to gain the following benefits:
  • Improved and more convenient access to the specialist community public health nursing service.
  • Children & young people can contact public health/school nurses during the school holidays.
  • Improved response to need which will lead to earlier intervention.
  • Improved, quick and easy access to health advice and support for children, young people and their families.
  • Swift response to text messages within the core hours of service delivery.
  • User friendly/age appropriate resources that are localised.
  • Targeted provision for more vulnerable young people and adults that may find it difficult to access services.
  • Extends service provision to service users that may have not previously accessed the service.
  • Transcripts of the messages can be copied over to the EPR where a service user has been identified, enriching the patient record. Anonymous transcripts can be downloaded as pdf’s and stored in a secure drive.
Current and planned activity: 
Around 38 NHS Trusts and organisations have adopted ChatHealth, they receive ongoing support for their licences. We are also in discussion with several organisations who are interested in adopting ChatHealth.
What is the intellectual property status of your innovation?:
All intellectual property is held by Leicestershire Partnership NHS Trust.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Laura Serra 09/05/2019 - 16:31 Publish Login or Register to post comments
5
1
Votes
-99999
Innovation 'Elevator Pitch':
Mush is a free app and social network for mums. It enables mums to instantly become part of their local mum community, to seek advice, arrange meet-ups and to make friends for life.
 
Overview of Innovation:
Mush was created by two mums, Sarah and Katie, who met in a rainy playground and bonded over the challenges of having two children under two and a shared feeling of isolation from the shift in their lives since becoming parents. It turns out they weren't alone in feeling like this. 92% of mums admit to experiencing intense bouts of loneliness, and 1 in 4 suffer from poor mental health through pregnancy and after birth. They knew just how transformative this new friendship had been for their mental health and wellbeing. They wanted to create an easy and fun way to find local mum friends, and Mush was born.

Mush ignites communities for all mums, placing a 24/7 support network at their fingertips. Users create profiles and can find other mums going through the same thing, to reach out to for advice and support, to arrange meet-ups and to spark friendships. Friendships that for hundreds of thousands of mums have become a complete lifeline. 

Our 'Topics' allow users to engage with one another and gain real advice from fellow parents around specific subjects, anything from: pregnancy to breastfeeding to being a single parent. Furthermore, Mush takes a unique place in the parenting landscape by providing an honest, safe and friendly voice to its community. Our Guides, written by top journalists who also happen to be parents, provide a funny, non-judgemental take on the everyday trials of parenthood. 

Every month 100,000 mums in the UK use Mush. What this means to our users is that wherever you are in the country, there are local mums waiting to meet you. Used by the Government as one of the Case Studies in their first ever 'Loneliness Strategy', Mush is helping to connect communities together again to quash the sobering statistics around maternal mental health and loneliness. We believe that no mum should feel like they're doing it alone.

 
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:
Midwives and health visitors are overstretched and due to societal shifts in working and living more of us are living further away from support networks that would historically have been on hand during the process of children rearing. The statistics around poor maternal mental health are staggering, with 1 in 4 mums currently affected. The NCT described the "hidden half", where half of mums surveyed had suffered mental ill health, but only half of that number had sought help. This and ongoing care is costing £8.1 billion every year. 

Mush is directly facilitating connections and friendships during the days and the night-feeds. For the 92% of intensely lonely mums, this opportunity to connect is vital and is not readily accessible on current platforms. A study by The Mental Health Foundation found that 43% of mums cited loneliness as the trigger for their postnatal depression. This is where Mush steps in and provides value to healthcare professionals who want to hand over a safe, friendly community for mums to become part of.
 
Initial Review Rating
4.40 (2 ratings)
Benefit to WM population:
We're accesible to any mum in the West Midlands area and already have a large number of mums in this area on Mush. What that means for WM, is that a new or expectant mum can sign up and immediately see a huge number of nearby mums who are going through the same thing to reach to out to, chat to and meet-up with. 80% of all posts by users on Mush receives comments, so they could also be confident thart burning questions to do with their baby or themselves would get answers and support. We are a ready-made network, and famous for being the friendliest online, so within an hour of being a part of Mush, WM mums would feel part of a new, kind community.
Current and planned activity: 
We are in a period of growth around the UK. Our scaling ambitious are to make sure every new and expectant mum knows about Mush. This means that our community is growing rapidly, with thousands of new mums joining every day. Creating even more opportunities to find friends and pool advice from your local mum commnuity
What is the intellectual property status of your innovation?:
n/a
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
2 years
Ease of scalability: 
Simple
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Saskia Roddick 11/03/2019 - 17:11 Publish Login or Register to post comments
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Innovation 'Elevator Pitch':
FREED is an innovative, evidence-based care package for 16 to 25-year-olds with an eating disorder of up to 3yrs duration. It reduces waiting times for treatment, tailors treatment to the needs of young people, and improves outcomes at low cost.
Overview of Innovation:
Eating disorders are severe mental disorders with high levels of disability and mortality. The first 3 years offer a critical window for achieving recovery. Beyond this, outcomes are much poorer.
 
FREED (First episode Rapid Early intervention for Eating Disorders) is an innovative, evidence-based, specialist care package for 16 to 25-year-olds with a first episode eating disorder of less than 3 years duration. FREED overcomes barriers to early treatment and recovery and consists of a service model (incorporating rapid screening and assessment protocols) and a care package that can be adapted to service needs (including print and electronic patient resources that specifically attend to the needs of young people and their families). It was developed to be compatible with any existing evidence-based eating disorder service, and complements rather than replaces existing eating disorder treatments.

FREED was developed at the Maudsley hospital (South London and Maudsley NHS Foundation Trust) with support from The Health Foundation and has since been scaled to 3 additional sites in London and Leeds. These cover a population of approximately 7 million from urban, sub-urban and rural catchment areas. The Maudsley has provided a consultancy model with access to protocols and tools plus expert coaching in implementation and ongoing supervision.
 
Evaluation data show that FREED reduces waiting times for treatment by approximately 50%, compared to matched audit patients. It also improves treatment uptake (100% with FREED vs. 73% with audit) and, once in treatment, mean symptom scores for FREED patients reduce below clinical cut-points by 6 months. For patients with anorexia nervosa, 60% of FREED patients may be expected to reach a healthy weight by 12 months vs. 17% of audit controls. 
 
FREED is also low cost, as all implementation material is available free of charge. The cost to services is that for a band 7 FREED champion, at 0.6FTE (£20k/yr) for a large service seeing 100 FREED patients/year. In-year savings are feasible due to the 35% reduction in day-care and inpatient care seen with FREED compared to treatment as usual / audit data. This translates to a cost of £112k per 100 patients seen through FREED. Modelling analyses suggest longer term savings of £2-5 per £1 spent, due to reduced treatment re-presentations and early achievement of full recovery.
 
FREED is scaling around England in 2018 with support from the NIA.
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 / Innovation and adoption / Person centred care
Benefit to NHS:
Available data show improved clinical outcomes at reduced cost (please see prior section for details).

Standard waiting times for eating disorder treatments for adults routinely exceed 6 months, and it is established that patients waiting for treatment tend to deteriorate and become at higher risk of a chronic disorder course. FREED addresses this.
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
Available data show improved clinical outcomes at reduced cost (please see prior section for details). FREED was co-designed with patients and carers and we are consulting with patient representatives around the country.
Current and planned activity: 
FREED has received support from The Health Foundation and NHS Innovation Accelerator. We are working with AHSNs around the country as well as specific clinical services and service user groups/charities.
What is the intellectual property status of your innovation?:
No intellectual property copyrights - we are sharing materials.
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
1 year
Ease of scalability: 
Simple
Regional Scalability:
We have already successfully scaled FREED from the South London and Maudsley NHS Foundation Trust to Central and North West London NHS Foundation Trust, North East London NHS Foundation Trust, and Leeds and Yorkshire Partnership NHS Foundation Trust. In so doing, we have gained experience with implementation and helping teams adhere to the core principles of FREED whilst also making necessary adaptations to local requirements. FREED now serves a population of over 7 million from urban, semi-urban and rural areas and has been delivered by professionals with a variety of training backgrounds.

Our Leeds partner site has also scaled FREED to two further services in Yorkshire, providing evidence for the regional scalability of the model.

The Gloucestershire all ages eating disorder service (2gether NHS Foundation Trust) is confirmed as an additional, new partner site for 2018 with training occurring in April. Discussions are underway with a further 3 sites around the country.
Measures:
We will measure waiting times for assessment and treatment, the percentage of patients who take up treatment and the percentage of patients who complete treatment, as well as those that need inpatient or day care treatment on top of outpatient work.

Pre and post-treatment measures will be conducted as part of routine clinical assessment processes but we are asking all partner sites to use the following 3 well-established and well-validated measures for this; the Eating Disorder Examination-Questionnaire; CORE measure of depression and anxiety; and Clinical Impairment Questionnaire. We will also monitor changes in Body Mass Index.

Outcomes with FREED will be compared to pre-existing, baseline outcomes for each service. We will undertake the audit evaluation of these baseline outcomes, with support and consent from services.
Adoption target:
All adult eating disorder services offering evidence-based treatment are potential adoption sites. The specific goal for 2018 is to scale FREED to 8 new sites, 2 from each of the regional England teams.
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Karina Allen 19/03/2018 - 17:45 Detailed Submission Login or Register to post comments
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Innovation 'Elevator Pitch':
ORCHA is the world’s largest Health App library ORCHA has been designed to offer local targeted app stores to engage populations and to support professionals to recommend the best apps to their patients.

Overview of Innovation:
ORCHA, the Organisation for the Review of Care and Health Applications, is an SME specialising in the rapidly developing world of health and care mobile applications and related digital health services. The medical and wellbeing app market is growing fast, offering the prospect for clinicians and patients to better monitor, report and manage multiple health challenges. Apps exist and are in development for a wide array of users, ranging from solutions that remind and assist people with essential activities, to approaches that monitor key physiological parameters to improve management of multi-morbid long term conditions and to improve quality of life through enabling social interaction.


 
There is growing evidence that apps can improve outcomes for populations and patients, however, there is currently little independent review to ensure their effectiveness, safety or value to users and professionals. This limits user and professional confidence, the growth of app businesses, and also constrains the opportunity for the UK population to take advantage of apps to address major health demographic issues while potentially reducing load on public resources. The sheer scale of emerging apps in health and care also actively inhibits the use of these services, as patients, carers and their health and care professionals struggle to find the right solutions. Finding a clear and trusted pathway through these congested waters is a critical enabler of any wider digital health strategy.  ORCHA provides the solution. It delivers a clear and robust approach to the review, validation and dissemination of these services and through this core capability creates an attractive powerful and multifaceted digital health hub that patients, carers, health and care professionals and developers themselves are all able to utilise to drive this critical agenda.
 
The ORCHA platform has been designed to consist of multiple ‘white labelled’ variants, which are all driven by a common repository of review information and associated data. Through this approach it is possible to create solutions targeted for particular geographies, conditions or cohorts, enabling the key ORCHA components to be seamlessly integrated into existing public facing and professional facing solutions.
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 / Wealth creation / Digital health / Person centred care
Benefit to NHS:
The key benefit of the ORCHA solution is to individual patients & citizens in supporting them to find solutions they can trust to improve their health & wellbeing & in also supporting clinical professional groups across health & care providers, who wish to recommend, prescribe & clinically implement apps.  We have hundreds of GPs, clinicians & carers who are using this feature to prescribe apps to their patients & clients. For example, we are working with in primary care where local practices are using the system to recommend the best smoking cessation app to their patient lists known to smoke. We are also working with care assistants who prescribe apps as a part of health checks & we are working with Mental health services, where patients are provided with an app at their GP appointment & along the IAPT or CAHMs pathway. Here apps have been seen to reduce patients need for therapy, drugs & have also been used to achieve better outcome measures across the whole pathway.
 
The ORCHA tool is the first scalable assessment of health-apps, enabling clinicians to recommend & end-users to benefit from apps of guaranteed quality & safety. Through research-oriented design, ORCHA enables clinicians & commissioners to provide solutions in areas of unmet need, gauge the opinions/experiences of users & evaluate impact of services against patient-level outcomes. By making evidence central to activities, ORCHA is slowly transforming mHealth, from a largely uncertain prospect, to a valued tool in the armoury of clinicians & patients alike; mitigating risks & improving the likelihood of TECS embedding themselves as valued components of clinical pathways.
 
ORCHA are:
  • Increasing the availability of evidence-based services to those otherwise unable to fully benefit from face-to-face services, enabling care from home & helping the NHS maintain ‘equal access for equal need’
  • Increasing trust among those using & commissioning app-based services, by informing users of the risks & benefits of over 3,500 health-apps to date
  • Working with East Lancashire, West Lancashire, Bolton & Salford health economies to ensure those quitting smoking, still receive adequate support following the reduction or withdrawal of funding for smoking cessation support
Initial Review Rating
3.40 (1 ratings)
Benefit to WM population:
The key benefit of the ORCHA solution is to individual patients and citizens in supporting them to find solutions they can trust to improve their health and wellbeing and in also supporting clinical professional groups across health and care providers, who wish to recommend, prescribe and clinically implement apps.  We have a growing number of GPs, clinicians and carers who are using this feature to prescribe apps to their patients, and clients.
 
We work at regional and local level to activate populations to access a local library of health apps to support their health or health needs, activate patients through their trusted professional and upskill the professionals communities with a wide range of apps and the ability to prescribe these solutions to create a digital health offering which is reportable, managed and governed.
 
We also support health and care app developers. ORCHA not only provides these individuals and organisations with a ‘route to market’ outside the very crowded and commercially challenging confines of the various major app stores, but it also provides an environment for solution improvement, collaboration and the creation of critical interfaces that not only drive greater interoperability between complimentary solutions, but also starts to enable the creation of shared standards and common protocols around key issues such as data privacy and control.

ORCHA are:
  • Highlighting that working in schools is a viable & sustainable approach to activating young people & their families to use health-apps for health promotion; with the average child registering with ORCHA subsequently recommending 6.4 apps to others, 61% resulting in a download
  • Supporting KS4 students in raising awareness of taboo subjects including sexual/mental health through the use of apps. Students are now using ORCHA to extend their advice to include additional apps (not just period trackers) to attendees of the shool based clinic
  • Enabling North West London CCG to identify barriers to implementing TECS, promote efficiency & extend the effective reach of existing care; gaining user feedback to overcome these barriers & realise the benefits of TECS across North West London
  • Demonstrating, through our academic research published in BMJ:Evidence-based mental health, that contrary to popular belief, app quality is not correlated with both prior download figures & user-review scores, providing prospective app-users with useful information to minimise blind faith in popular apps[3].

 
Current and planned activity: 
Health app activation is a real challenge for health care systems. The ORCHA Solution enables customisable App Libraries that can help you to promote reviewed Apps to a specific population. These tailored App Libraries, “ORCHA Microsites” have been designed to enable them to be configured to meet your specific requirements. ORCHA Pro-Account works with the Microsites & is in essence a prescribing solution for health/care professionals. The service supports organisations that have commissioned App Licenses (an increasing trend) to manage the distribution of licenses by their staff & the ProAccount provides the core infrastructure for managing & monitoring Health App prescribing more broadly. The act of recommending an App via the Pro-Account feature is a key tool where individuals are 10 times more likely to respond positively to a prompt from healthcare professionals than if they arrived on the site via a direct search. Engaging clinical communities is a core feature of our solution.
 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
2
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Liz Ashall-Payne 27/02/2018 - 13:54 Publish Login or Register to post comments
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