Qlic Tablet Stand with Charging Facilities (#2088)

Idea Description
Supplementary Information
Innovation 'Elevator Pitch':

We know that time in the NHS is precious, why waist time plugging in and charging devices when you can simply place the device on our stand. Don't lean over a tablet for lengthy periods; use our stand to alleviate posture issues, aches and pains.
Overview of Innovation:

Qlic is a Universal tablet stand with charging capabilities. Qlic has several models; cable suitable for both apple and android tablets, simply plug the charging cable into your device and plug the power supply unit to the wall. Our QI patch receiver can enable most devices for wireless charging. Insert the connecter to the charging point on your device, stick the patch to the rear and pop your tablet or phone back into its case (compatible with cases up to 5mm thick).

 Qlic was designed to save time for tablet users as well as to provide a more ergonomically suitable solution for people who use mobile devices on a daily basis.

​We believe that as mobile devices become more and more popular within care settings Qlic will help to support the working environment within NHS trusts.

​Qlic was originally developed to support the learning environment within schools and has proven to be very popular within educational settings (please see our product video - https://www.youtube.com/watch?v=Cepvxf07oU8).

After looking into the NHS and the use of mobile devices we thought that Qlic would be ideal for NHS settings as well. Not only will Qlic save time and effort, you won't need to think about charging the device as simply placing the device on the cradle will enable charging to begin. We looked at the use of mobile devices and thought that our stand would be ideal on nurses stations, for use by clinical leads, office staff, ambulances and drug trolleys as our stand can also be permanently fixed to surfaces. 

​We would like to find out the type of tablets/ mobile devices and the type of protective cases currently used to ensure that our stand is suitable for all. We would also like suggestions on where you think our product would be most suitable for use? Where would Qlic make your life easier?  

Stage of Development:
Evaluation stage - Representative model or prototype system developed and can be effectively evaluated
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Innovation 'Elevator Pitch':
We believe that without massive intrusion, or changing the way our loved ones want to live life, the 3rings platform can harness the power of the Internet of Things to provide protection and safety to our ageing loved ones.
Overview of Innovation:
A ‘Thing’ is a small device or sensor that sends information over the internet. 3rings works with a range of Things (sensors) that passively monitor a person’s daily routine, from a simple plug through to the Amazon Echo which can be used to create a unique safety net of care. Start off with a simple plug that lets you know the person you care for is up and about and add new Things as needed.
With 3rings it’s simple to include family, friends and other carers in your circle of trust. 3rings gives daily reassurance by sending emails and messages to the 3rings App as well as timely alerts by text or calls when changes in behaviour could be cause for concern.
The 3rings Portal allows you to stay informed and up-to-date regarding the person you care for. The connected Things or 3rings Plug enabled appliance lets the 3rings Platform know each time activity is sensed and current information is displayed so you know that things are OK. If no signal has been received you will be alerted.

 The 3rings Plug turns an existing appliance such as a kettle, microwave or TV into a simple sensor. You can set flexible rules that suit the person you care for, for example “I expect mom to make a cup of tea between 9 and 11 each morning”.  Your 3rings Plug will alert you if that cup of tea isn’t made, directly to your smartphone, tablet or computer. The 3rings Plug lets your 3rings Portal know each time a connected appliance is turned on/off via its in-built ‘mobile phone’. The 3rings Portal listens for the message, which it expects between the times that you have set to let you know the person you care for is active and OK, or if no signal has been received you will be alerted.
A range of Things is available that can let you know, for example, if the person you care for is living in an environment which is too cold or equally too hot, motion sensors can be placed around the home to give a clear picture of activity, supporting healthcare professionals to plan the right level of care that may be required. Activity sensors allow for the monitoring of fridge and microwave doors, if no activity is seen on the fridge, microwave or the food cupboard it may suggest that the person you care for is not eating properly enabling early intervention and sensors can also be attached to doors to detect activity.
The 3rings Cloud Portal lets you decide when to check the 3rings Things and Plug for activity and who should be notified for alerts.
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 / Education, training and future workforce / Wealth creation / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Despite considerable efforts to plan hospital discharges well, emergency readmissions within 28 days of leaving hospital run at around 15% for people aged over 65 in England and overall numbers are rising.   Improving support for older people at home, either to prevent hospital admission (or readmission) or to facilitate discharge when they are ready to leave hospital – is key to patient flow. (Source: http://bit.ly/2tN2KIA)
There can be limited understanding of what happens over the entirety of the period of time between the original spell in hospital the 28 or less days in the community. Monitoring patients effectively after hospital discharge can aid healthcare teams to recognise early warning signs and intervene before an emergency readmission becomes necessary.
Using 3rings technology, patients who have been discharged can be monitored more closely and interventions put in place at an earlier stage to help to prevent readmission. 3rings sensors are battery-powered, and can be mounted anywhere you'd like to know what's going on.
The information delivered by the sensors provides valuable information for care professionals to assess a person’s care needs. With tools available such as our PAL (Pattern of Active Life) you can easily understand what is happening when, helping you to plan the best way to care.
Sensors connect wirelessly to a 3rings Hub (a small box with one or two aerials) installed in the home, that work with or without an existing internet connection. The 3rings sensors are powered by small ‘coin’ batteries with a normal life of around 12 months. Up to 50 3rings sensors can be connected to a single hub, so they can work equally well in a community housing scheme or an individual's home.
All 3rings sensors can work individually or in groups of the same or different types to allow you to build the safety net of care that is needed to support a person in their own home.
As the number of people aged 60 and over is projected to increase from 14.9m in 2014 to 21.9m by 2039, and as part of this growth, the number of over-85s is estimated to more than double from 1.5 million in 2014 to 3.6 million by 2039 (source: http://bit.ly/1kXa3DA) the provision of more support for older patients returning home safely after a hospital stay will reduce the risk of readmission to hospital.
3rings technology can also be used to support hospital discharge for a number of conditions, for example stroke and hip/knee replacement.
Benefit to WM population:
Hospitals with higher than expected readmission rates are subject to a financial penalty.  Factors outside the hospital’s control include patients’ age, gender, race, number of previous admissions, clinical conditions, discharge destination, access to primary care, and length of stay (Billings et al., 2006; Howell et al., 2009; Lyratzopoulos et al., 2005; Weinberger et al., 1996; Holland et al., 2005; Camberg et al., 1997). (Source: http://bit.ly/2tmsEQ4)
3rings technology can help the region’s NHS in avoiding, or reducing to a minimum, readmission following discharge from hospital for certain types of patient co-horts.
If a person does not recover well, it is more likely that they will require hospital treatment again within the 30 days following their previous admission, thus, readmissions are widely used as an indicator of the success of healthcare in helping people to recover.
In the West Midlands (2010/11) there were 497,022 observed hospital discharges with 61,129 observed readmissions (source: https://indicators.hscic.gov.uk/webview/)
There can be limited understanding of what happens over the entirety of the period of time between the original spell in hospital the 28 or less days in the community. Monitoring patients effectively after hospital discharge can aid healthcare teams to recognise early warning signs and intervene before an emergency readmission becomes necessary.
Using 3rings technology, patients who have been discharged can be monitored more closely and interventions put in place at an earlier stage to help to prevent readmission. 3rings sensors are battery-powered, and can be mounted anywhere you'd like to know what's going on.
Current and planned activity: 
We would like to see greater regional awareness of technology to support hospital discharge and would like to work with regional health providers to focus on supporting patients in their home to reduce readmission rates and to use technology enabled care to deliver services that are truly person centred. 
Return on Investment (£ Value): 
Return on Investment (Timescale): 
1 year
Ease of scalability: 
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Overview summary:
The Secure Clinical Image Transfer app (SCIT app) was developed at University Hospitals Birmingham NHS Foundation Trust (UHB), and was officially launched at the Trust in February 2017.

The aim of the project was to create a secure app for use on mobile phones, which allows clinicians to take clinical photos in a secure way. The images taken and some identifiable patient data are then stored off the device into the secure UHB network. Once the image has reached the hospital system it automatically attaches the image to patient’s records.
Challenge identified and actions taken :
In 2013 challenges arose concerning the risks of clinical staff using their own mobile devices to photograph patients during out-of-hours and in emergencies when professional medical photographers were not available.

At the same time a ‘Do It Yourself’ camera, managed by the Medical Illustration department, continued to be returned containing images that could not be matched to a patient as standardised operating processes were not being followed correctly.

SCIT was designed to address the issues outlined above, and continues to provide a simple solution. The secure app available for both Apple and Android allows clinicians to take photos of patients and have them immediately stored off their device in a secure UHB network. Once the image is taken SCIT does not allow the image to be viewed on the mobile device and instead clinicians can view images only once they are passed to the Image Management System (IMS) which is accessible via the electronic patient record. Images are never available on the device even if the device is lost or stolen. As the app does not allow any access to the images on mobile devices or independent cloud systems, it therefore conforms to the NHS governance criteria and data protection.
Impacts / outcomes: 

The SCIT app is designed to be simple, straightforward and above all safe, and there are many positive outcomes from its development outlined below:
  • The app ensures that when the Medical Illustration team are not available, clinical images can still be taken of patients in a secure manner. It allows clinicians to send images to patient records which can be reviewed by other clinicians via the Clinical Portal
  • The SCIT console gives a real-time view of all user activity, provides a control mechanism to authorise new users, monitors activity, and assesses the quantity of images and data flow

  • SCIT has allowed for faster patient diagnoses and consequently quicker treatment plans
  • The SCIT app is unique as it only allows images to be taken and sent to the patient record system without them being accessible on any device 
    • This also makes it ideal to be developed into a patient app to avoid patients sending on their own clinically sensitive images through insecure and unsuitable electronic routes which is occurring regularly, especially in dermatology
  • There is no cloud involved, which means that the image is transmitted directly from the device to a Trust server, therefore making it secure enough for the NHS.
There are many other benefits of adopting the SCIT app:
  • The app can be used on clinicians’ own mobile devices or tablets to securely take and sent clinical images
  • The app works with iOS, Android and Blackberry
  • The app is fast and hassle free
  • The app eliminates the risk of sending un-secured images and protection from large fines for non-compliance on clinical information governance issues
  • Military level encryption means patients’ images are always secure
  • The app streamlines diagnosis, improves efficiency and reduces paperwork
  • The app can be used offline in areas where wifi connectivity is poor
  • The console monitors all activity and provides robust audit trails every time the app is used.
Which local or national clinical or policy priorities does this innovation address:
The SCIT app has been utilised at UHB and other NHS trusts such as Coventry and Warwick NHS Trust, who purchased the SCIT app in 2017 and have adapted it to link with their secure Wi-Fi network, to provide vital evidence at the most appropriate part in the care pathway. It supports safer working practices, telemedicine, teledermatology, remote community- based working and addresses the current data protection and information governance risks. In addition 30 other organisations are also enquiring about SCIT Version 2, ranging from Dermatologists, Trauma specialists, GPs and the Information Governance groups.
Supporting quote for the innovation from key stakeholders:
Jane Tovey UHB Medical Illustration Services Manager: The SCIT app will enable the NHS to securely capture clinical images and send them direct into the patient’s electronic record. The encrypted data package is monitored to ensure it is delivered to the correct patient notes and all parts of the pathway are safe and auditable.”

Chris Coulson UHB Consultant Ear, Nose and Throat Surgeon: “Whilst we all know that a picture can speak a thousand words, the majority of clinical findings are currently recorded by hand drawn pictures, or by text. The SCIT app will give clinicians the ability to document visual findings using photography, which can then be securely uploaded into the patient records. This will undoubtedly lead to an improvement in patient care, using the cameras on mobile devices most of us carry around every day.”
Plans for the future:
We are already in the planning stages of SCIT Version 3, which will include bar-code scanning to speed up patient data entry, the ability to take small video clips and confirmation emails that will hold direct links to the Trust’s IMS. These can only be opened on a secure networked computer within the Trust but could speed up image sharing.
Tips for adoption:
If you would like to learn more about the SCIT app then visit our website and try out the free demo: www.scit.nhs.uk

Or you can simply contact the SCIT administration team on:  SCIT@uhb.nhs.uk
Contact for further information:
Contact the SCIT administration team on:  SCIT@uhb.nhs.uk
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Innovation 'Elevator Pitch':
Exercise is the best medicine! The FABS Training Programme for older adult exercise tackles the consequences of physical inactivity as people age, increasing flexibility and mobility to improve everyday life.
Overview of Innovation:
We all understand the importance of moving more and sitting less when it comes to living a healthy and fulfilling life. As we age this becomes even more important as our lives tend to become more sedentary which then leads to ‘inflammageing’ and many long-term health conditions. The FABS Training Programme, developed by Move it or Lose it! in partnership with the Centre for Healthy Ageing Research at the University of Birmingham combines Flexibility, Aerobic, Balance and Strength exercises in every class, providing the four vital components of older adult fitness as per CMO guidelines. This is made up of exercises that are safe, enjoyable, effective and accessible to everyone whatever their ability, and can be done seated or standing. FABS classes ensure age or ability are no longer barriers to an active lifestyle. The aim of the class content is to increase strength and muscle density to reduce sarcopenia, improve balance to reduce the risk of falls, increase aerobic capacity to enable individuals to be more active and increase flexibility and mobility. Via a blended approach of online learning and practical training, we train exercise instructors to become specialists in fitness for the over 60s enabling them to work with the fastest growing demographic in the UK. We have practical days scheduled for Birmingham, London, Manchester and Newcastle, with Edinburgh and Bristol coming in due course. The programme launched in March 2016 and has more than 90 instructors undertaking it to date. The aim is to train 1000 instructors who can deliver FABS classes within their local communities to combat social isolation, physical inactivity and cognitive decline and provide opportunities for fun and friendship for our fastest growing demographic; older people. By training 1000 instructors the programme also generates wealth by creating 1000 small businesses with a licensing model similar to Zumba. Move it or Lose it! Exercise DVDs have been tried and tested. The video stars in all our DVDs are not actors, but real people who have health conditions and mobility problems. They have improved their lives through the Move it or Lose it! Exercise routines and they want to inspire others to do the same. Move it or Lose it! DVDs are endorsed by Professor Janet Lord, Director of the MRC-ARUK Centre for Musculoskeletal Ageing Research at University of Birmingham as an ideal resource to aid active ageing. View our Exercise DVDs – http://www.moveitorloseit.co.uk/our-dvds/
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 / Education, training and future workforce / Wealth creation / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
The consequences of physical inactivity as we age are not just associated with movement problems and ill health, but also social issues. This often leads to feeling isolated resulting in depression which can lead people into a downward spiral and consequently their loss of independence. Professor Janet Lord, Director of the Centre for Healthy Ageing Research at University of Birmingham and adviser for the recent BBC One Programme ‘How to Stay Young’ says, “Exercise is the best medicine. We can reduce our risk of heart disease, some cancers, diabetes, obesity, arthritis and osteoporosis by up to 50% by simply getting people to move more and sit less.” The programme has been recognised by the NHS and is currently involved in a trial with COPD patients for Birmingham Cross City CCG. Patients will be monitored in aspects of biopsychosocial health with the aim of rolling out the sessions across the NHS. From this 12 week COPD trial we will have a clear understanding of the benefits. We anticipate that general health will improve, in terms of physical function and mental well-being. This in turn will keep patients away from GP surgeries and hospitals for longer periods, thus reducing, or even preventing treatment costs. Education of self-management techniques will also contribute to this. The results will also be used to form the basis of a scientific research study which aims to reduce the effects of illnesses and long-term health conditions linked to inactivity in older people – such as diabetes and heart disease.
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
The class members benefit from improvements in their health, reducing their risk of heart disease, some cancers, diabetes, obesity, arthritis and osteoporosis. Move it or Lose it! assists with the development of practical solutions to improve levels of physical activity in older people. This increase in activity has an economic impact for the NHS by improving physical and mental health, the cost of treatment needed for conditions associated with declines in health such as sarcopenia, osteoporosis and arthritis will be reduced. The FABS Training Programme provides job opportunities in the West Midlands. FABS Instructors will benefit from using an established brand in Move it or Lose it! that will help them to build their own business of exercise provision to the over 60s.
Current and planned activity: 
We are currently engaged in a 12-week trial with the NHS, providing exercise as an intervention for COPD patients. This is taking place within the Birmingham Cross City CCG. We require academic support surrounding data evaluation to assist us to demonstrate the effectiveness of the exercise programme in terms on NHS financial savings and improved patient outcomes. We are looking to expand our team of inspirational instructors and trainers so they can get everyone experiencing the fantastic benefits of Move it or Lose it! and FABS across the UK! Instructors receive continual support through The Exercise Network (T.E.N) aiding their knowledge and delivery. By building this network of exercise instructors Move it or Lose it! are helping older people and those with disabilities across the UK to get active to help them age well. If you are passionate about helping older people to live life to the full then find out more here - http://www.moveitorloseit.co.uk/careers/why-join-our-team/
What is the intellectual property status of your innovation?:
The FABS logo is registered trademarked. Content relating to FABS and it's materials are copyrighted.
Return on Investment (£ Value): 
Return on Investment (Timescale): 
Ease of scalability: 
Regional Scalability:
The FABS Training Programme is highly scalable due to eLearning platform, allowing many people to undertake the programme simultaneously. We can then offer multiple practical assessments dates at a central Birmingham location (as well as other venues nationally) for 20 instructors at a time. This would allow for rapid expansion of the programme in the West Midlands area.  The model that has been developed is a sustainable business model which ensures that income is generated from licensing, training and ongoing support.
The aim of The FABS Training Programme innovation is to train 1000 specialist exercise instructors to the over 60s. The success of the innovation will be measured against achieving this goal.
The quality of The FABS Training Programme is measured through its recognition by industry regulators such as Active IQ and UK Active. This is also ensured via the company’s – Move it or Lose it – Quality Assurance Policy.
Move it or Lose it also has a Safety Policy and Equality and Diversity Policy to ensure the people training with us, the tutors and customers are kept safe and are treated with respect. 
Adoption target:
We would like to implement FABS classes within CCGs giving GPs the opportunity for physical activity and social prescription within their own practice to treat conditions such as COPD, diabetes and more.  The AHSN Network could provide crucial links to CCGs to raise the profile of FABS within local communities and Local Commissioning Networks.
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