Self Care
Do you have an innovation that could be adopted quickly to deliver improvements in the field of self care?  
 

Ideas (Wellness and prevention of illness)

Innovation 'Elevator Pitch':
Multi Award Winning “Neo-Slip” aid to apply Anti-embolism stockings (TEDS) Designed by a nurse & proudly made in the UK.
Overview of Innovation:
Developed by Registered Nurse, Multi Award Winning Neo-slip® is a novel, innovative yet practical solution that aids application of compression stockings (TEDS).

Low friction Neo-slip® design creates a smooth foundation with a lubricious effect, on which to slide TEDS in place. Available in color-coded sizes, Neo-slip® enhances the comfort of application which enhances the comfort for patients. 

Neo-slip is easy to implement in a ward situation with improvements in patient experience. The use of Neo-slip improves patient safety, as the use of Neo-slip replaces the need for nurses to use plastic bags to ease application of compression garments (as many nurses do). 

Having won 21 awards and an appearance on BBC’s Dragons Den, this is a good quality British made innovation.

To see Neo-slip in action click on the image below.

 
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 / Innovation and adoption / Person centred care
Benefit to NHS:
 Using a device to help with the application of anti-embolism stockings, often called thromboembolic deterrent stockings (TEDS), can potentially facilitate greater adherence to the use of stockings, and potentially reduce the risk of deep-vein thrombosis (DVT). 


Guidance from the National Institute for Health and Care Excellence (NICE) (2010) recommends that, when patients are discharged with anti-embolism stockings, they understand the benefits of wearing them and the need for daily hygiene removal
 
In a 2015 study in a London trust was undertaken, where 35 nurses were interviewed. 
Most of these 35 staff were involved in changing, measuring and applying stockings on a 
regular basis. Fourteen spoke of the time it took to put stockings on and 32 spoke of difficulty in application: ‘it is a massive struggle’ and ‘it requires all my strength’. One of the main issues appeared to be pulling the stockings up over the patient’s heel. 


On average without the Neo-slip device the application of stockings took between 65 and 120 seconds. 
Neo-slip enhances patient experiences and increases patient safety (potential skin damage and infection control issues if a plastic bag is used). 

Online Discussion Rating
6.00 (1 ratings)
Initial Review Rating
3.80 (2 ratings)
Benefit to WM population:
Anyone receiving care and support within an NHS hospitals will value independence highly, as it brings with it dignity, control, self-esteem, and fulfillment. When caring for an elderly person, whether in a hospital or in their home, independence is key to ensuring happiness and improving the quality of life.
 
It is therefore imperative that in a care setting such as a hospital or visiting district nurses (in the patients home) will encourage independence as much as possible, in all aspects of life and daily activity.
 
This means enabling and supporting the person in your care to maintain an active mind and body as much as possible, within their abilities, whether that is something as simple as applying their own stockings or making a cup of tea.
Current and planned activity: 
Neo-slip is currently being used in 34 hospitals across the UK.  We plan to expand by attracting the attention of those who need to wear anti embolism or compression stockings and the hospital nurses or carers and relatives.
We will embark on a Marketing Campaign that is invested in the current Social Media Marketing Environment. The campaign will be designed to increase awareness of the way in which utilising our product will improve the quality of life.

Our new website is due to launch in January 2018 and we plan to create a variety of information leaflets.  We are developing posters to provide to the hospitals and we have a sales team who will facilitate the introduction of Neo-slip into new ward areas.
What is the intellectual property status of your innovation?:
Registered design, pending patent and trademark
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
Read more
Hide details
Neomi 29/11/2017 - 02:40 Sign Posted 2 comments
Innovation 'Elevator Pitch':
Yecco is a fully digital telehealth & telecare self-management platform for monitoring all aspects of a person’s past & real-time health status. Our products also allow environmental monitoring & home automation to enable full remote care & support.
Overview of Innovation:
Yecco brings new & exciting ways of data sharing as the trend moves towards patients managing their health & taking control of their health data.

Our solutions facilitate self-management of chronic conditions & can help to reduce emergency readmissions to hospital. In 2012-13 more than 1 million emergency readmissions within 30 days of discharge cost an estimated £2.4 billion.* Yecco can be used to support hospital discharge as it monitors the safety & health of a person living when back in their own home. 



View our video & see how Yecco can support a patient with Diabetes & COPD – https://www.youtube.com/watch?v=vMBFoaKy--g

Yecco’s own private, social network allows its patients, health & care professionals to share medical & device information with any connection they wish, enabling consumers, health & care professionals to share real-time medical & device data. It can be used at home, work, care settings, medical & care facilities.

Features include:
  • Share medical data with chosen family, friends & clinicians
  • Ability for another person to manage your profile
  • Create & send group messages & on your timeline
  • Keep a check on your health in real time using the Yecco medical devices or add readings manually
  • Add thresholds to alert chosen connections 
  • Store personal, medical & medication information
  • Built in calendar & reminder support
  • Video to stay in contact/facilitate remote consultations
  • Message facility
  • Task planner
  • Group connection
  • Educational content
  • Response questionnaires    
Yecco medical devices can measure vital signs with accuracy & precision using Bluetooth to automatically connect to an iOS or Android device(s) using the Yecco App for a simple & effortless measurement in real time.

The Yecco multi-function sensor offers power & flexibility that’s not been available before in a home sensor. Paired with the Yecco App & through the use of the Yecco Docking Station it can automatically detect abnormalities in physiological data, alerting chosen connections on the Yecco network.
 
The multi-function sensor can connect directly to the WIFI network. Features include the ability to activate the camera on the mobile device to investigate alerts.

  • Motion detection
  • Door & window open or closed status
  • Smoke detection
  • Carbon monoxide detection
  • Temperature & humidity
  • Add separately & plug in:
    • Bed occupancy sensing pad
    • Enuresis pad (to detect for moisture in a bed or chair)
    • Rechargeable battery
There is the option to keep a check on your health using the Yecco Wearable Watch.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Digital health
Benefit to NHS:
Rising demand for services, combined with restricted or reduced funding, is putting pressure on the capacity of local health and social care systems.
 
The NHS spends around £820 million a year treating older patients who no longer need to be there.
 
(Source: https://www.nao.org.uk/wp-content/uploads/2015/12/Discharging-older-patients-from-hospital-Summary.pdf)
 
Yecco Pro App
 
Yecco Pro is a licensed cloud-based interface that enables organisations to remotely monitor multiple patients.
 
Yecco Pro gives medical professionals multi patient monitoring with real time data for early intervention. Powerful threshold and notification options assist all professionals to give improved patient outcomes and increased safety.


Features include:
  • Receives real time data for early intervention
  • Interface for clinician to patient communication
  • Set thresholds to assist in disease management and early intervention for improved patient outcomes and safety
  • Set alerts / notifications
  • Group patients
  • Filter and create reports (CSV)
  • Video conference calling
This modular platform enables Yecco to add other 3rd party modules or interface to Electronic Patient Record system or data contextualisation platforms that enable intelligent triage and diagnosis across a range of data sources


Yecco's product are currently being used by Surrey and Boarder Partnership testbed that is monitoring the health and wellbeing of patients that have mild o moderate levels of dementia. The aim of the project is to assist clients in monitoring and reduce the burden on front line NHS services. (GP’s appointments, health work home visit and hospital re-admissions). The health and wellbeing reading take form the Yecco devices is being monitor in partnership with the KSSAHSN/University of Surrey. http://www.sabp.nhs.uk/tihm/partnership. Currently awaiting health economics stats and data from project.
Online Discussion Rating
4.00 (2 ratings)
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
The past few decades have seen significant improvements in life expectancy, however, rising longevity brings increasingly complex & chronic health conditions, placing substantial demands on health & social care services.
 
At the same time services are experiencing significant financial pressure & need to find ways of lowering costs while maintaining or improving the quality of care provided.
 
This requires new ways of working in order to meet increasing demand & deliver care that is safe & cost‑effective while reducing reliance on hospital & institutional based care.
 
Technology can help to support these new ways of working.
 
When hospital discharge goes wrong it comes at significant cost both to individuals & to the health and social care system. In 2012-13 there were more than 1 million emergency readmissions within 30 days of discharge costing an estimated £2.4 billion. Source: http://bit.ly/2sKBn1p


The number of older people in England is increasing rapidly, by 20% between 2004 & 2014 & with a projected increase of 20% over the decade to 2024. Hospitals have also experienced increases in the number of emergency admissions of older patients, by 18% between 2010-11 & 2014-15. Older patients now account for 62% of total bed days spent in hospital.
 
The relative growth in numbers of older people is important. The number of older people with an emergency admission to hospital increased by 18% between 2010-2011 & 2014-15 (compared with a 12% increase overall).
 
While NHS spending has grown by 5% in real terms between 2010--11 & 2014-15, local authority spending on adult social care has reduced by 10% in real terms since 2009-10.  Source: http://bit.ly/2tuy9we
 
Yecco is an innovative solution that monitors the safety & health of a person living in their own home or in a care setting.  This combined telehealth & telecare solution can enable health & care providers to meet the health & social care needs of individuals in their charge.
 
By using Yecco technology to monitor if a person is physically safe, for example that they have not left the cooker on or had a fall, as well as critical indicators such as blood pressure or blood oxygen levels to indicate that they are not medically at risk can improve user’s quality of life & reduce long-term health care costs.

Yecco can help to keep people safe in their own home & reduce the number of unnecessary hospital visits, increase confidence in users to manage their own health & alleviate the pressures & concerns of caregivers.
 
Current and planned activity: 
We wish to work with regional health & care providers & WMAHSN's Patient Safety Collaborative & Care Home Network. We also wish to explore if our technology can be used to support Mental Health Services, possibly to monitor & support patients coming off medication.
 
Our products are being used by Surrey & Boarder Partnership testbed to monitor the health & wellbeing of patients with mild to moderate levels of dementia. The project's aim is to assist clients in monitoring & reduce the burden on front line NHS services (GP appts, health work home visit & hospital re-admission). The health & wellbeing readings taken from Yecco devices is being monitored in partnership with KSSAHSN/University of Surrey.
 
We previously demonstrated our products & services to EMAHSN & are currently involved in the Falls Prevention tender (EMAHSN led). Yecco products & services have been purchased by Neath & Port Talbot Borough Council to monitor & support regional LD clients (awaiting deployment date).       
What is the intellectual property status of your innovation?:
Yecco has developed its software and applications and retains the IP to this. It also owns IP in some of the hardware products developed in-house (sensors and IoT gateways). Some 3rd party integrated products (such as generic medical devices for vital sign monitoring are not Yecco IP). These products are in the process of being further protected. 

Yecco is currently in use in the NHS England IoT testbed with Surrey and also within other local authorities. Our products comply with the required data model, structure, coding and security requirements that have been dictated. We are also working with established telecare and telehealth organisations where compliance is required / requested to various standards and integration with 3rd party alarm management systems.
 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
2
Measures:
Yecco are currently involved in Surrey and boarder partnership NHS foundation trust testbed programme for monitoring patients with mild to moderate dementia. The project is currently ongoing. yecco have requested information relating to the impatch of the project and health economic details. As soon as this information has been published yecco willl add this information into the meridian system 

    
Read more
Hide details
Alex Jadavji 12/10/2017 - 17:01 Sign Posted 1 comment
Innovation 'Elevator Pitch':
Providing GPs with a practical solution to help patients identified with mild/moderate frailty through a specialist exercise intervention delivered in the GP surgery.
Overview of Innovation:
Move it or Lose it delivers a specialist exercise programme which includes the cornerstones for healthy ageing - flexibility, aerobic, balance and strength (FABS). Evaluations of the FABS programme have shown improvements in functional mobility, levels of independence, high adherence levels and long-term behaviour change.
 
As collaborating partners with The MRC-ARUK Centre for Musculoskeletal Ageing Research at University of Birmingham, this brings together academic research translated into practical application. It is far more than just an exercise intervention as participants are supported to increase physical activity levels with home-based exercises away from the class setting along with motivational instructors to help frailer older adults to overcome barriers.
 
In England, 12% of the over 65s are living with moderate frailty and 35% with mild frailty. These individuals are frequent users of services across health and social care with higher levels of unplanned hospital admission or care home admission. However evidence shows these adverse outcomes could be avoided through early identification and intervention to reduce frailty levels. (Mytton et al, 2012)
 
GPs may be able to identify frailty but then need to offer a solution. As appointment time is limited, being able to offer an evidence-based programme to improve mobility, strength and balance – and one that is delivered on site – provides a cost-effective and convenient solution for busy doctors.
 
The FABS Training Programme has proven to be successful for COPD patients and has been commissioned by Birmingham CrossCity CCG. Evaluations show:
  • improved functional mobility to within normal age-related range with a reduction in physical frailty from ‘mildly frail’ to ‘managing well’
  • increased leg strength to within normal community dwelling range which is associated with health-related quality of life
  • adherence levels of 66% (traditional pulmonary rehab 50%)
  • high levels of enjoyment and self-reported long-term behaviour change
Also an independent evaluation by Royal Voluntary Service for their ‘Active Moves’ pilot showed a shift from poor to moderate function with 22% reported feeling less lonely after a twelve-week intervention.

The programme is ideally suited for frailty and with a network of specialist teachers, is also ready to scale.
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 / Wealth creation / Clinical trials and evidence / Person centred care
Benefit to NHS:
By encouraging people to be more active and reduce their risk of illness, falls and frailty, the FABS intervention has proved to be cost-effective and appeals to those who normally avoid exercise. At each session, Instructors ask for patient feedback either as anecdotal evidence captured in a notebook or by identifying how they feel physically and mentally using a simple traffic light metric.
 
Patients reported feeling “better/happier/more active” which can also be seen in this video showing the positive health outcomes the FABS intervention had on patients from GP surgeries across Birmingham. (filmed at Woodgate Surgery, Birmingham)
 
This video shows Dr Ciaran Woodman, GP in the Northfield Alliance (Northfield Medical Centre, Birmingham) explaining why they chose the FABS programme ensuring it was commissioned by Birmingham Cross City CCG.
 
Patients reported requiring less medication (e.g. exacerbation packs, steroids) during the 12 week programme. The education & support sessions also gave opportunities for peer support, sharing tips & advice for healthy lifestyle choices in terms of smoking cessation, nutrition, sedentary behaviour etc.
 
Bringing 10-12 patients together at one time allows practice nurses to give flu jabs in a time-saving and cost efficient way.
 
The Cuppa routine shows 4 easy exercises that can be done in the time it takes to make a cup of tea in their own home.
 
Reducing  frailty through resistance & balance training leads to a lower incidences of falls, allowing older people to live more independently, potentially delaying admission to nursing or residential care & reducing emergency hospital admissions.
 
The ‘Stay on your Feet Programme’ in New South Wales, Australia showed the following benefits:
  • 22% lower incidence of self-reported falls in intervention area compared to control community.
  • 20% decrease in fall-related hospitalisations
In UK falls cost NHS £2billion pa for patients hospitalised as a result of a fall. If a 20% reduction could be achieved in fall-related hospitalization across the NHS that would result in a cost saving of up to £9billion over the next 15 years (this doesn’t include associate benefits such as preventing nursing home or residential care admissions)



Patient teaimonials
 
Online Discussion Rating
5.50 (2 ratings)
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
The Chartered Society of Physiotherapy calculates benefits of offering preventative physiotherapy for older people with cost savings for a selection of CCGs as follows:
 
Recognising that the FABS programme is not physiotherapy per se, research demonstrates that the programme could deliver similar benefits. E.g. both aerobic and resistance training target specific components of frailty and trials combining these 2 modalities have demonstrated the most promising outcomes treating frailty. At the molecular level, exercise reduces frailty by decreasing muscle inflammation, increasing anabolism, and increasing muscle protein synthesis.
 
Based on available studies, an individualised multicomponent exercise programme that includes aerobic activity, strength exercises and flexibility is recommended to treat frailty. 1
 
In NHS Birmingham CrossCity CCG preventative physiotherapy for older people could lead to:
1,399 fewer falls
£2,345,124 cost savings
(without intervention, projected 12.4% more care home admissions due to falls by 2020).
 
NHS Birmingham South and Central CCG preventative physiotherapy for older people could lead to:
354 fewer falls
£582,405 cost savings
(without intervention, projected 14.5% more care home admissions due to falls by 2020).
 
NHS Solihull CCG preventative physiotherapy for older people could lead to:
599 fewer falls
£980,053 cost savings
(without intervention, projected 15.8% more care home admissions due to falls by 2020)
 
NHS Sandwell and West Birmingham CCG preventative physiotherapy for older people could lead to:
875 fewer falls
£1,435,743 cost savings
(without intervention, projected 16.4% more care home admissions due to falls by 2020)
 
NHS Dudley CCG preventative physiotherapy for older people could lead to:
860 fewer falls
£1,369,521 cost savings
(without intervention, 17.7% more care home admissions due to falls by 2020)
 
Ref: 1 Interventions for Frailty
Fielding RA, Sieber C, Vellas B (eds): Frailty: Pathophysiology, Phenotype and Patient Care.
Nestlé Nutr Inst Workshop Ser, vol 83, pp 83–92, (DOI: 10.1159/000382065)
Current and planned activity: 
Current: Engaged with the NHS through our tried & tested COPD programme. Initial discussions began with Dr Woodman and Dr Saunders from Northfield Alliance. Since spoken to Dr Sarin at Kingstanding LCG and Mrs Hargun, ACE Practice Manager for the North East Network, Birmingham.
 
Following a successful pilot study our FABS exercise programme has been commissioned by Birmingham Cross City CCG across the region and has already seen uptake for use across 49 GP practices. The classes have so far been adopted in 13 hub practices which also bring together patients from nearby practices. 

Planned: Seeking an innovative and receptive GP to pilot the FABS exercise This would further validate the use of FABS as a part of a frailty toolkit and a simple and practical solution for GPs. We wish to demonstrate the benefits of our services to CCGs to scale adoption.
 
Our service is tried, tested and successful for COPD and we are now looking to replicate the model for another high cost LTHC – frailty
 
What is the intellectual property status of your innovation?:
FABS is a registered trademark of Move it or Lose it Limited. 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
2
Read more
Hide details
Julie Robinson 06/10/2017 - 16:32 Sign Posted 2 comments
Innovation 'Elevator Pitch':
The Sound Doctor is the leading source of film and audio patient information in the UK, offering a coherent and authoritative learning programme encouraging effective self-management of long-term conditions.
Overview of Innovation:
The Sound Doctor self-management library includes more than 300 short films and animations covering diabetes, COPD, dementia, heart failure and other conditions. The material is of exceptionally high quality and offers a structured programme of education, which can be a lifelong companion for people living with a long-term condition.

The aims of The Sound Doctor self-management programme are:
 
1. To reduce the number of avoidable admissions (and readmissions) to hospital
2. To reduce the need for face-to-face contact with clinicians (and to improve the quality of meetings which do take place)
3. To improve the quality of care for patients (and patient experience of their care)
4. To help people get the most out of life through effective self-management

The self-management library

Developed after consultation with key charities, leading clinicians and patient groups, the films offer detailed and practical advice about taking control of a long-term condition. There are between 40 and 60 films on each condition, including interviews with all the healthcare professionals that people will come across in the course of their journey. There is also reassuring advice from people living with each condition about taking day-to-day control. The Sound Doctor puts your healthcare team in your pocket, available 24/7.

Examples
With diabetes we cover diet, activity, medicines, blood glucose monitoring, risk factors and complications among many other aspects of living with diabetes. In the COPD library breathlessness, anxiety, exacerbations, breathing control and inhaler techniques form the basis of a structured package on all aspects of the disease.
In each case the material is motivational, positive and reassuring. 
 
Evidence and testimony
The Sound Doctor has a demonstrable role in improving self-management, reducing the need for face-to-face contact with healthcare professionals and hospital admissions. In addition it has been exceptionally well received by patients.

The films are extremely well reviewed by healthcare professionals and other experts and, in evaluations, users overwhelmingly report increased knowledge and confidence as well as fewer visits to the GP and fewer hospital admissions. We also know that the films improve people’s experience of their care, 99% willing to recommend them to others with the same condition.

The Sound Doctor is currently being used in several CCGs as well as Hospital Trusts and community pharmacies. 
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Effective self-management of long-term conditions is a core component in reducing costs and improving outcomes.
 
The Sound Doctor library is not an ad hoc series of films touching on a few subjects that might be of interest to someone with a long-term condition. It is a comprehensive, structured education programme that can be a companion for life.
 
An evaluation carried out in West Leicestershire in December 2016 among long-term users of The Sound Doctor found:
 
96% of users understood their condition better
98% learned new information about their condition
96% felt more confident about managing their condition effectively
88% had a better understanding of their medicines (10%not applicable)
93% have changed their self-management technique
98% found The Sound Doctor easy to use
99% found it a useful addition to their healthcare
99% would recommend The Sound Doctor to others with a similar condition
 
Crucially:
 
92% of users reported fewer visits to their GP
62% said they had been to hospital less often
 
The Sound Doctor films are designed to reduce the need for face-to-face contact with clinicians and to reduce the number of hospital admissions and re-admissions.
 
ROI
 
Costs are reduced in various ways including GP appointments at an average cost of £25 and hospital admissions. One COPD exacerbation avoided can save, on average £1,960. Our films focus on medicines management, inhalers techniques and recognising and coping with exacerbations. Other, intangible, benefits are derived from decreasing reliance on social care through increasing the independence of users.
 
In general, other costs can be reduced by:
 
  • Fewer complications of diabetes
  • More people living independently at home (reducing costs of social care)
  • Fewer bed days in hospital
  • Better adherence to medications and effective use of inhalers
  • Fewer referrals for physiotherapy caused by back pain
 
Testimony from users is exceptionally positive.
 
Why try The Sound Doctor?
 
Self-management is the key to reducing the costs of treating long-term conditions in a testing financial climate. The Sound Doctor is a class-leading information product that can achieve this.
 
“The quality of the product is, in my experience, unmatched anywhere in the world.”
Dr Charles Alessi, Senior Adviser Public Health England

For more information please contact Rosie Runciman: rosie@thesounddoctor.org (Tel) 01285 850887
Website: www.thesounddoctor.org
Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
All the benefits outline above apply equally to the West Midlands population. This is a versatile and scalable product which has been adopted in several CCGs and hospital trusts around the UK. 

We are particularly keen to develop our product and produce new material for and in the West Midlands as a local company benefiting from the Serendip programme at iCentrum.
Current and planned activity: 
When funds permit, The sound Doctor intends to continue producing new libraries of films addressing other conditions. In particular we plan a comprehensive package of films covering stress, anxiety and depression; alcohol; further musculo-skeletal conditions and weight management.
 
We are open to discussion on co-producing this and other material with CCGs, hospitals or local authorities in the West Midlands
What is the intellectual property status of your innovation?:
The Sound Doctor owns all IP in all products. Material is generally licensed to clients on an annual or monthly basis (min 12 months) and allows access for up to 100,000 users.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
Read more
Hide details
Dominic Arkwright 30/05/2017 - 11:51 Sign Posted Login or Register to post comments
Innovation 'Elevator Pitch':
We enable employers to provide a one stop support package for employees in times of need. They phone a single phone line to access support for issues inc. emotional support, managing physical & LTC's and providing signposting to local services 
 
Overview of Innovation:
What is BackPack?
Backpack enables employers to provide a one stop support package for their employees in times of need.
Employees phone a single phone line to access support for a range of issues including emotional support, managing physical and long term conditions and providing signposting support to local services offering support in a range of areas including managing finance, debt and other issues. 
The BACKPACK Online Portal
Clients log in with their membership reference to access;
 
Information on;
  • Long Term condition management
  • Local information to support
  • How to access BACKPACK services
 
Access to;
  • Self-Diagnostic forms
  • Quizzes and exercises
  • Checklists
  • Webinars and video information
  • Useful articles and Blogs
 
What Support Is Provided?
Lifestyle Support around long-term conditions- diabetes, HIV, other
Emotional Support 
 
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 / 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:
People with mental and physical health conditions will learn to self manage and are less likely to present to primary or secondary care. This will reduce the pressure on services.
This early intervention model, which follows the Preventative Model will reduce demand on the health and social care ecosystem.
We will evaluate the project outcomes. 
We will share best practice
Proactively identify needs through the 'on-boarding' triage programme
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
We seek to improve the physical, social and mental well-being of the WM population
People in the WM will recive fast and easy access to personalised care at the early stages of their needs
People will be able to access information 24 hours a day, 7 days a week- at a time to suit them
People will grow their capacity to self manage their own condition or that of the people they care for.
Easy access to mental health resources will help to prevent conditions escalating, improving the recovery time.
Deliver value to the client form first contact through proactively identifying needs at the 'on-boarding' triage programme
Current and planned activity: 
We plan to pull on all our strengths to deliver this innovative programme;
Health Exchange's current triage system used to deliver a holistic well being service for NHS
Citizen Coaching's online course delivery and impact measurement framework. Citizen is a member of Living Well Consortium- delivering IAPT (Improving Access to Psychological Therapy) inteventions.
Our indepth knowledge of the employee assistance market 
Our multi-channel approach to well-being services, blending online and physical interventions
I-SE's strength in taking social enterprises to the market place and operationalising new concepts

 
What is the intellectual property status of your innovation?:
BACKPACK (TM) This will be a collaboration between Health Exchange, I-SE (Initiative for Social Entrepreneurs) and Citizen Coaching. We seek advice on how to progress this. All three busineses are social enterprises.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Read more
Hide details
Martin Hogg 18/05/2017 - 13:40 Sign Posted Login or Register to post comments
Innovation 'Elevator Pitch':
Amaven is an online health, fitness and wellbeing profiling tool which measures, tracks and improves bio-motor abilities and prescribes evidence-based physical activity programmes to prevent and treat medical conditions and age-related diseases.
Overview of Innovation:
The Amaven programme adheres to up-to-date guidelines & best practise to deliver an effective & safe approach to caring for the wellbeing of older people. All our programmes have been designed by occupational therapists/physical activity specialists. One of our exercise programmes is based on the Otago exercise programme which has been proven to reduce falls and injuries from falls.


We follow guidelines from: CQC, DH, NICE falls guidance, Cochrane Reviews, Sherrington Effective Exercise to Prevent Falls Review, Public Health England, British Heart Foundation National Centre Research, FaME trial. 

Health, fitness & wellbeing profiling tool. We use health assessments to identify risks & create an in-depth health, fitness & wellbeing profile for individuals. Assessments are simple to do & can be carried out by family members, care workers/other professionals or Amaven Health Mentors. Regular assessments produce evidence of progress or deterioration, highlight risks & can lead to prevention of damage. Information can be shared via reports with individuals & organisations involved in their care.


Person-centred wellbeing programmes. Specific scores & indicators are used to inform a personalised activity programme that can be done safely at home or in other settings, either done individually or in a group all activities prescribed promote physical, social & emotional health to positively impact an individual's life. 

Individual health assessments provide practitioners with a complete picture of a person’s health helping to identify any risks & prevent potential injuries. Staff can discuss results with relevant professionals such as GPs if the person needs additional help. All information a person chooses to share is confidential unless they wish to share it further. They can log onto the Amaven platform at any time & view their wellbeing profile. 

Amaven is personalised to the needs of the individual & a personalised activity plan is generated to work on areas that need greatest attention. The programme also helps to create a wellbeing community in residential homes & group activity sessions help people to be more social. 

Staff will be fully trained to use the Amaven platform & receive on-going support (phone/email) if required, using the information gathered to work with the individual’s practitioners & family members to improve the delivery of care. 

Visit the website & learn more about our programmes for Independent Living, In-care, Low Back Pain & Parkinson's.
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
Benefit to NHS:
Early intervention is proven to reduce costs significantly.
 
Amaven is an online health, fitness & wellbeing profiling tool which measures, tracks & improves bio-motor abilities & prescribes physical activities to prevent & treat medical conditions & age-related diseases.
 
The programme is designed for older people to stay independent & allow them to live in their own homes & keep them out of hospitals & care homes. 
 
Falls remain a major cause of injury & death amongst the over 70s & account for more than 50% of hospital admissions for accidental injury. Hip fractures resulting from falls are reported to be the most serious type of injury, affecting approximately 60,000 people per year in the UK (Husk et al. 2008).  
  • 1/3 of all UK households are older households*
  • 3.5 million 65+ live alone (36% of all people aged 65+ in GB)*
  • 2 million people over 75 live alone*
  • There are 11.6 million people aged 65 or over in the UK*
  • Falls are the largest cause of emergency hospital admissions for older people & significantly impact on long term outcomes*
  • Falls account for up to 40% of ambulance call-outs to homes for people aged 65+ costing £115 per callout*
* Source Age UK, Later Life in the United Kingdom, June 2016
 
Amaven tracks progress to highlight impact, inform personal needs & deliver specific outcomes. Specific programmes for strength & balance have been shown to reduce the risk of falls by as much as 60 percent (Skelton, 2001).
 
The Amaven platform adopts a person-centred approach to wellbeing. The activity programmes have been designed to build resistance against conditions such as osteoporosis & dementia & improve the overall health & wellbeing of older people. 
 
Low back pain is a major health-care problem resulting in disability & often depression & job-loss. It is reported that 60-80% of the population suffer from low back pain.
 
For Parkinson’s, in addition to medications, there are some activities that may ease the motor symptoms of Parkinson’s, improve quality of life & increase adherence to the medication. There is also now scientific evidence to suggest that certain activities, including exercise, social connectedness & creativity may not only be therapeutic for Parkinson’s symptoms, but could alter the brain by creating new pathways of communication among brain cells & to create new cells.
 
Visit our website to learn more about the Amaven programmes for Independent living, In-Care, Low Back Pain & Parkinson's.
Online Discussion Rating
6.00 (1 ratings)
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
Demand pressures facing the NHS are increasing with emergency admissions crowding out elective admissions. Cost pressures facing the NHS include a growing and ageing population, the increasing prevalence of chronic conditions across all age groups, and the rising cost of delivering care.
 
Amaven is an online health, fitness and wellbeing profiling tool which measures, tracks and improves bio-motor abilities and prescribes physical activities to prevent and treat medical conditions and age-related diseases.
 
The platform is a cost effective and convenient tool that helps health practitioners to deliver outstanding care, keeping people independent in their own homes and out of hospitals and care homes.
 
National data shows that the number of hospital admissions amongst older people is increasing. Over the last 10 years hospital discharges (and therefore admissions) for those over 75 have been rising at a much faster rate than ageing trends in the population; almost four times faster (38% compared to 10%)*.
 
The growth in hospital readmissions has been higher still, up by 86% for those over 75. This national picture is supported by the results of research by Royal Voluntary Service: of 401 people over 75 who had been in hospital within the last 5 years, 13% had been readmitted within three months. * (* source:  Royal Voluntary Service)
 
Amaven will prescribe personalised activity programmes that promote physical, social, and emotional health to reduce the incidence of frailty and falls. Regardless of age or ability, personalised physical activities will be prescribed to either maintain or develop the key components of health, helping the individual stay active and self-sufficient into old age.
 
By supporting people effectively in the community, Amaven can help those with long-term health and care needs to stay out of hospital or residential care, thereby reducing costs to the NHS and social care by avoiding the need for more costly interventions whilst maximising outcomes for patients and service users.
 
Click here to watch how Amaven has helped the residents of St Johns Nursing Home in Bromsgrove. 
Current and planned activity: 
We would like to see greater regional awareness and adoption of the Amaven Exercise Medicine Programme, working in partnership with providers to focus on individual patient outcomes and to effectively embed technology enabled care to deliver services that are truly person centred. 
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
Simple
Regional Scalability:
Apart from initial training and support and ongoing email and telephone support, the programme is delivered through an online platform which is designed to be person centred. It will therefore be easy to provide across the region and further afield.
Measures:
The platform includes an assessment aspect which generates reports as and when the user/s require. Through regular assessments (3 months, 6 months, etc.) comparable data will be generated to identify and monitor the user's heath, using specific indicators such as risk of falls, strength, balance, cognitive function, etc.

Reports can be generated for an individual, a group or a whole setting or area, providing robust data for the user as per their needs and requirements.

As much of the programme is delivered through the platform it is very cost-effective and not labour intesive.

The aim of the programme is to identify, prevent or improve older people's well-being, specifically focussing on risk of falls and frailty.
Read more
Hide details
Tania Swift 12/05/2017 - 12:37 Sign Posted Login or Register to post comments
Innovation 'Elevator Pitch':
ACTIVATE YOUR HEART (AYH) is an online self-management Cardiac Rehabilitation (CR) programme that has been designed by cardiac rehabilitation specialists and patients at the University Hospitals of Leicester NHS Trust.
Overview of Innovation:
The ACTIVATE YOUR HEART (AYH) programme can be offered as an alternative way of delivering cardiac rehabilitation that is time and location independent.AYH was launched in November 2012 and is currently part of routine clinical care within the UHL NHS Trust.
The aim of the programme is to help people with coronary heart disease to manage their condition more effectively. It provides advice and support for individuals to make lifestyle changes and reduce their risk factors for coronary heart disease. Progress is monitored throughout by a CR specialist. AYH is password-protected and only those registered can access the programme. There is a mobile version of AYH. Over the last several years we have tested the acceptability and effectiveness of a web based approach to CR as an alternative to our hospital based programme
Patients proceed through four stages, each stage comprising specific tasks and individualised exercises. Interactive elements allow patients to record and monitor their weight, stress levels, smoking habit and exercise levels. Automated goals are generated based on the patient’s risk factor profile, such as the need to lose weight, stop smoking or exercise more.

The AYH web-based programme collates the following information; activity/exercise levels, stress levels, smoking cessation, goals (generated and own goals – achieved/not completed), how many log ins, how many questions to the ‘ask the expert’ link or forum.
Process outcomes
Uptake will be monitored and completion rates for
  1. Self-management programme offered in the community (closer to home)
  2. Uptake of cardiac rehabilitation (AYH website)
Value outcomes
  1. Improved quality of care for patients with cardiac disease
  2. Reduced A&E presentations for chest pain
  3. Reduced follow up appointments for chest pain
  4. Reduced readmissions rates for chest pain.
 
Patient & Public involvement - Two patients from our Patient and Public Involvement Group were asked to help develop our online cardiac rehabilitation programme. Both patients made a very positive contribution to the development of AYH, helping with the design and testing of the programme.
 
Very positive patient feedback "It has provided focus through its goals - and discipline in changing eating and exercise habits which I believe will be maintained in the future. An invaluable service - thank you."
 
Increased uptake to CR programme. There is a proposed ‘best practice tariff’ for patients diagnosed with MI.
 
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 / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
The benefits of Cardiac Rehabilitation (CR) are well established (Domain 1 of the NHS Outcomes Framework), although uptake remains disappointingly low at 50% (NACR report 2016). The NACR report acknowledged that ‘more should be done to support these options as part of the menu of approaches offered by programmes, as this can only help to improve uptake and adherence to CR’. The report also suggested that’ greater innovation in the mode of CR delivery, aligned with core evidence based components, should be undertaken by providers and commissioners to capture the large group of patients that are presently not taking up the offer of CR’.

ACTIVATE YOUR HEART (AYH) web-based CR programme was developed an alternative approach to providing support to patients with the diagnosis of Coronary Heart Disease (CHD) but with remote supervision. AYH is an online self-management Cardiac Rehabilitation (CR) programme that has been designed by cardiac rehabilitation specialists and patients at the University Hospitals of Leicester NHS Trust. Our initial development was supported by a Shine Innovation award from the Health Foundation. AYH is also documented in the National Institute for health and care excellence (NICE) website; https://www.nice.org.uk/sharedlearning/maximising-access-to-a-cardiac-rehabilitation-service-through-service-redesign-and-an-innovative-web-based-approach-activateyourheart

 The AYH web programme also addresses the British Association for Cardiovascular Prevention and Rehabilitation (BACPR) core components for change which includes; Lifestyle/cardio-protective therapies/psychosocial health/risk factor management, health behaviour change,exercise performance (Physical activity, risk factors, psychosocial, anxiety & depression and quality of life.
 
During our local Care Quality Commission (CQC) review AYH was highlighted under the heading of ‘Innovation, improvement and sustainability’, they also identified that there was a positive working culture at Glenfield, and innovative practices, particularly in cardiac and respiratory rehabilitation’.
 
Benefit to WM population:
AYH provides patients with an alternative choice to conventional cardiac rehab programme, one that better suits their lifestyle needs. The AYH Cardiac Rehabilitation programme is able to promote self-management, influence physical, psychosocial, and behavioural changes in a low to moderate risk group of patients.
Following a pilot study that we conducted using AYH, we found that 65% of patients who were enrolled on to the AYH programme would not have attended any other Cardiac Rehab programme. Uptake to cardiac rehabilitation within our trust is approaching 65%, well above the national average.
AYH programme has the benefit of being able to produce reports however data collection would continue via the local department specific database.
Staff would receive direct training from Cardiac Rehabilitation team within University Hospital of Leicester NHS Trust and have on-going telephone/email support in relation to patient and website queries for the year (Mon-Friday).
Activate your Heart provides patients with choice and a location and time independent rehabilitation service.
Over the last several years we have tested the acceptability and effectiveness of a web based approach to CR as an alternative to our hospital based programme, see evidence below;
Evaluating the Interactive Web-Based Program, Activate Your Heart, for Cardiac Rehabilitation Patients: A Pilot Study. Brough C, Boyce S, Houchen-Wolloff L, Sewell L, Singh S. J Med Internet Res 2014;16(10):e242 URL: http://www.jmir.org/2014/10/e242/ doi:10.2196/jmir.3027
Exploring the experience of using a web-based cardiac rehabilitation programme in a primary care angina population: a qualitative study. Reena Devi, Christine Carpenter, John Powell, Sally Singh. International Journal of Therapy and Rehabilitation | Vol. 21 | No. 9 | pp 434–440
A Web-Based Program Improves Physical Activity Outcomes in a Primary Care Angina Population: Randomized Controlled Trial, Devi R, Powell J, Singh S; J Med Internet Res 2014;16(9):e186, URL: http://www.jmir.org/2014/9/e186, DOI: 10.2196/jmir.3340, PMID: 25217464, PMCID: 4180351
Current research:
 
A Web-Based Cardiac REhabilitatioN Alternative for Those Declining or Dropping Out Of Conventional Rehabilitation: The WREN Feasibility Study. Two site blinded RCT. NIHR RfpB funded study.
 
Development of a web based rehabilitation module for those with Chronic Heart Failure.
Current and planned activity: 
AYH web-based programme has been developed for many years. It was re- launched in its current format since November 2012 where it has been embedded into the clinical service. Therefore we can offer years of expert knowledge of the site alongside our specialist clinical knowledge.
The AYH web-based CR programme is now being utilised by Trusts within the NHS to include; Forth Valley and Lothian, Leeds and Lincoln (research trial).Therefore training for the website has been delivered to a number of individual Trusts.
What is the intellectual property status of your innovation?:
Cardiac rehabilitation, University Hospitals of leicester NHS Trust own the licence for AYH web-based CR programme.
UKFast owns and operates all its datacentres and internal procedures independently.We have a sub contract with HARK 2 who maintain and update the websites.
All software management and support would be managed by UHL NHS Trust and HARK2.
Return on Investment (£ Value): 
medium
Return on Investment (Timescale): 
6-12 mon
Ease of scalability: 
Simple
Read more
Hide details
sally Singh 10/05/2017 - 12:18 Archived Login or Register to post comments

Active Campaigns