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

Ideas (Wealth creation)

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
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Neomi 29/11/2017 - 02:40 Sign Posted 2 comments
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
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Julie Robinson 06/10/2017 - 16:32 Sign Posted 2 comments
Innovation 'Elevator Pitch':
Intensive,home self treatment of many chronic medical conditions involving muscles, circulation and joints using a unique muscle stimulator  is  safe, well tolerated,  effective,  inexpensive and supported by  high quality clinical evidence.
 
 
Overview of Innovation:
Neuromuscular Electronic Stimulation (NMES) therapy represents a unique treatment  modality  for  intensive “self care” of chronic conditions where  therapist  assisted   hospital or clinic  based  conventional treatment might be disruptive, prohibitively expensive and often ineffective. With 6 FDA indications this therapy is widely adopted in the USA.
 
Conditions suitable for  treatment  include Arthritis, rehabilitation after SCI, TKA, THA, Stroke and  others. Treatment of wounds, and avoidance of DVT using electrotherapy are both currently under review by the Cochrane Collaboration.Recent research has shown that Sarcopenia can be reversed with improvements  in ambulation and  balance which may enable and  prolong  self–sufficiency.
 
For optimum effectiveness home self- treatment  should  be well  supervised  and in order to enable supervision we can provide a web based “Virtual Clinic “. This establishes a  reassuring “circle of care” around the patient and allows  ongoing contact between clinicians and patients.
 
The Neurocare™NC2000  (FDA and CE certified)  intended  for this project is a safe, non-invasive Neuromuscular Electronic stimulator (NMES). Its unique electronic design allows high powered (for full muscle involvement) stimulation at very low current (for comfort and safety).
 
It differs significantly from conventional NMES systems in that it recruits both “active” and “inactive” or injured muscle fibres, strengthening and re-educating the muscle by simulating exercise using a higher maximum output (300volts+) whilst only producing less than 10 milliamps of current. Devices can be purchased or rented.
 
With minimum familiarisation patients can self-treat with the Neurocare™ NC2000  reducing the need for lengthy and costly stays in hospital or clinic. A therapy simple  to operate and well tolerated means that treatment episodes with the Neurocare™  2000 in the self-care setting can be more frequent and intensive thereby promoting faster relief from symptoms and  full recovery . 
A recent article on  treating diabetic ulceration and other complications of diabetic foot and a  list  of clinical evidence for NMES treatment for the above and many other  chronic conditions  is available on request from Neurocare Europe Limited.
 
Effective, low cost therapy, patient self-administered, allows intensive treatment at a time convenient to the patient and delivers major treatment cost reduction for HCAs and greatly improves HRQoL  for the patient.
 

 
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 / Education, training and future workforce / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
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Benefit to WM population:
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Current and planned activity: 
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What is the intellectual property status of your innovation?:
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Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
N/A
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Patricia Forrester 19/09/2017 - 18:49 Archived 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
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Martin Hogg 18/05/2017 - 13:40 Sign Posted Login or Register to post comments

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