Creation
Draft
Initial
Detailed
Accepted
Adoption
Idea Description
Supplementary Information
Innovation 'Elevator Pitch':
As experts in digitising clinical pathways, we empower patients and clinicians through our virtual outpatient clinic platform. Our work at Barts demonstrated 3x reduction in DNAs and 10 additional patients seen per 4-hour clinic.
Overview of Innovation:

Ortus-iHealth has developed a downloadable app for your smartphone and tablet. Within the app, the patient and carers can do the following:
  • Video Consultations
  • Record symptoms and health statistics
  • Set reminders for taking medicines
  • Manage appointments
  • Set tasks to achieve health goals
  • View clinic letters in a centralised place
  • Receive specific health-related information, research and more
  • Patient satisfaction surveys


All this data is then available to the clinician for review through an accompanying web portal. PROMS and PREMS questionnaires with actionable data analytics are easily generated. Finally, the portal allows for a secure, excellent quality virtual consultations to take place, from anywhere and at any time.

Please use this link for a video of the patient experience and see the attached user manual for a sense of the clinician portal and workflow. Please also feel free to use the following dummy logins to try it for yourself:

Patient Login
Email test+wmahsn_patient@ortus-ihealth.com
Password 16May2003
Access Web, iOS, Android

Clinician Login
Email test+wmahsn_clinician@ortus-ihealth.com
Password 16May2003
AccessWeb

Support Staff Login
Email test+wmahsn_support@ortus-ihealth.com
Password 16May2003
AccessWeb
All data is held on a secure server in the UK Cloud. Our product is data protection compliant and up to date with the latest information governance standards as set out in the latest DSP toolkit.
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)
Similar Content2
Innovation 'Elevator Pitch':
Patients instantly receive digital letters straight to their smartphone and can confirm/cancel/rebook with 1 click. NHS Trusts are reporting 51% postal cost savings and automation frees staff of repetitive tasks. Translation options in 99 languages.
Overview of Innovation:
Patients can access their digital appointment letter anytime, anywhere and with no paper, print or postal costs, NHS Trusts are reporting cost savings of over 50%!

The solution is inclusive to all demographics, so if the digital letter is not accessed within 24 hours, a postal letter is automatically sent. Staff love it too; their time is no longer wasted on inserting envelopes and coordinating post and can focus on patient care.

Access from: Smartphone, tablets and desktops

Digital letter features:
  • Provides all hospital appointment details including date, time and location
  • Patients can confirm, cancel or rebook with 1 click and responses are reported back to the Trust instantly, freeing up slots for waiting list patients
  • The appointment can be added directly into patient’s digital calendar as a further reminder prompt
  • Attach clinic specific instructions, essential reading and hospital information
  • Patients can add speech, reading and translation options in 99 languages to letter content
  • Delivery is instant: in some instances, patients receive postal letters with little notice until the scheduled appointment and are unable to arrange time off without significant disruption e.g. work, child minding
  • Can include a barcode/QR code to enable patients to self-check in for a smoother arrival process for staff and patients
  • Interactive home to hospital Google map with live travel info to reduce on the day delays
Trust benefits
  • Significant postal cost savings reported between 40-51% from the reduction of postage, paper and automation of manual admin tasks
  • Trackable communications: the Trust obtain a digital receipt that the patient has opened the letter
  • Multi language audio and text options reduce accessibility barriers and Trust translation costs
  • Links to online content can be included within the letter, rather than posting out e.g. newsletter, saving £100,000’s more in postal costs.
  • Fully automated: the intelligence recognises who to send a digital letter to and automatically follows up with a postal letter if not accessed within 24/48 hours
  • Missed appointments reduce with patients receiving appointment communications in time to arrange attending. 
Explainer video

In 2 minutes, Henry explains all the benefits of receiving a digital letter for his upcoming NHS appointment.
https://youtu.be/yHLEMTgeCHM

 
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: 
Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
  • Significant postal cost savings reported between 40-51% from the reduction of postage, paper and automation of repetitive admin tasks
  • Assurance that patients are receiving appointment communications.  Digital letter delivery is instant and trackable. This also negates issues with lost letters or letters arriving too close to the appointment date, which is a big contributing factor to missed appointments.
  • Multi language audio and text options reduce accessibility barriers and Trust translation costs
  • Links to online content can be included within the letter, rather than posting out e.g. newsletter, saving £100,000’s more in postal costs.
  • Fully automated: the intelligence recognises who to send a digital letter to and automatically follows up with a postal letter if not accessed within 24/48 hours without staff invovlement
Initial Review Rating
3.40 (1 ratings)
Benefit to WM population:
  • Improved patient experience: patients receive hospital communications by their preference, those less confident with technology will still receive a postal letter 
  • Fully inclusive, with the ability to convert digital letter content in to 99 different languages and have it read out aloud!
  • More convienent: patients can convey appointment intentions with a click of a button and check details anytime and anywhere
  • A real time travel map is included within the letter to help avoid on the day travel delays and keep treatment on track
Current and planned activity: 
The platform will continue to evolve and the next stages include:
  • Past & future appointments – patients will have the ability to register enabling them to receive all letter communication in one area.
  • Automated patient appointment scheduling – patients will be able to choose an appointment time that is suitable for them.
  • Chat & iChat – the patient will be able initiate chat conversations with a booking centre agent, nurse or clinician. Through the implementation of AI there will also be the ability to automate some conversations.
  • Virtual Appointments – via the portal patients and trusts will be able to schedule virtual appointments decreasing more costly face to face interactions
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Regional Scalability:
Please describe how the innovation could be scaled across the WM region. Have you implemented at scale in any other regions?
Measures:
What outcomes are you hoping to achieve and what are the measures that you will use to gauge the success of the innovation and how will these assessments be made? Please ensure that you have quality, safety, cost and people measures.
Adoption target:
What are the targets for adoption across the WM and what are the minimum viability levels?
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Innovation 'Elevator Pitch':
ProReal was built using 3D gaming technology, this evidence-based immersive platform helps people create a visual representation of how they experience a situation so they can explore different perspectives, visualise futures & solve problems
Overview of Innovation:
ProReal’s innovative technology provides its users (clients, service users, patients) with a safe, secure & confidential visual way to describe how they experience the world. With support & facilitation users can label strong feelings & name issues, as well as articulate hopes & concerns all of which are critical for building resilience & supporting recovery.

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

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

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


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

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

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

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


 
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
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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