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

Ideas (Digital health)

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 

    
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Alex Jadavji 12/10/2017 - 17:01 Sign Posted 1 comment
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':
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
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Dominic Arkwright 30/05/2017 - 11:51 Sign Posted Login or Register to post comments
Innovation 'Elevator Pitch':
Reduce bed blocking and improve ward care by enabling ward access to digital data upon admission of personal knowledge of the patient including This Is Me, My Passport and Risk data, and assist with step down process and therapy.
Overview of Innovation:
ReMe supports dementia, older people, carers and families and accompanies the person across their care journey. ReMe was trialled and co-produced by dom care, care homes and in wards.

A new breed, we’ve christened ReMe ‘Activity Based’ software, to differentiate from care planning. For patient knowledge and the ability to enhance care comes from activities, not data input. By using algorithms to source bespoke internet images, music and videos and define a profile it’s possible to deliver more person-centred care. At ReMe’s core are activity tools that learn about the person, such as reminiscence and cognitive therapy, and enable discovering calming content for acute care strategies. ReMe stores life stories, preferences and interests and connects with a care circle, as well as creating automated activity reports which can be sent to the user's family.

Around this person-centred care core are business tools each care sector’s needs. Therefore, ReMe achieves an ROI by assisting in client acquisition, care assessment, acute care planning, management and paper reduction, activity creation, scheduling and data collation, whilst providing family and admin reporting. With cross care sector data connectivity and real portability, ReMe becomes part of a dementia acute care strategy.

For care in the community, ReMe’s free with premium subscriber services. With self-management, connectivity, entertainment and activities and by generating data, ReMe supports daily care, celebrates a life, strengthens family links and tackles agitation, depression and isolation, becoming a highly-personalised resource and recourse.

ReMe is used currently in the following care sectors.
  • For dom care, ReMe improves care, client engagement, reports and generates extra revenue through selling extra hours based on a wellbeing and family connected value added service.
  • For care homes, ReMe helps families engage in the care process, carers use tablets productively, reduces paper and enhances activities, therapy and reporting. ReMe improves care and saves money.
  • For hospitals, ReMe is a low-cost means to better know the patient; that improves admission, through digital connection to the care home and dom carer providing access to knowledge of the patients’ ‘day before’ care profile. ReMe enhances person centred care, patient wellbeing, reporting and stepdown.
ReMe is easily adopted with no legacy software or training needs.
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 / Digital health
Benefit to NHS:
RemindMeCare (ReMe) delivers savings for the NHS through its care in the community self-management functionality reducing admissions, an improved admissions process (i.e. Digital This Is Me, Risk and My Health Passport), enhanced in-ward care, reduced medication and more informed step down.

ReMe provides connectivity with care homes, domiciliary care, day care centres and families, and enables better knowledge of the person to be used in person-centred care delivery.

Continuity of bespoke, tech advanced activities and therapies, that enhance patient wellbeing, engagement, person centred care and acute dementia care, generate improved patient outcomes, reduced agitation, medication and drugs costs, as well as better informed step down and earlier discharge.

Increased availability of personal and risk data reduces risk (and possibly litigation), resort to medication and wellbeing decline, so ReMe aims to reduce bed days.

ReMe supports improved family visits and overnight stays through the provision of familiar content and entertainment.

Automatic care activities recording, for CQC/admin reporting and research is available.

Evidence of value is shown only by the demand and positive feedback received from care homes, LA’s, hospitals and families nationwide but will be formalised shortly.

ReMe addresses the Next Steps NHS Five Year Forward View; by reducing A&E/GP visits, making patients information available to clinicians; enabling prescribing apps to help people manage their own health, addressing loneliness and aiding carer respite and assisting LA requirements regarding services provision and monitoring.
 
We’re pioneering this connected care approach in conjunction with SWLCC 5-year strategy, focussing on care quality, safety and cost savings, addressing the defined challenges of avoiding hospital admission, supporting ‘Community services to meet the highest standards and working more closely with primary care, mental health, acute hospital services and social care’. Our participation in the Better Care funded Croydon APA project defines ReMe’s role in the budget shift from hospitals to the integration of health and social care, through the coordination of care. Critically, ReMe addresses recommendations by NICE to focus on person centred and family care support through engaging consumers with a user-friendly product that promotes self-management of illness including long term conditions.
Online Discussion Rating
5.00 (1 ratings)
Initial Review Rating
4.20 (2 ratings)
Benefit to WM population:
RemindMeCare delivers support for older people and people with dementia, their carers and families and which is portable and usable by their carers, from home to domiciliary, live-in, day care, residential and ward care. ReMe was developed with people in the NHS and trialled in wards and care homes.

ReMe is a new breed we’ve christened ‘Activity Based’ software to differentiate itself from care planning software. For knowledge of the person and the ability to enhance care is derived from activity provision, not from data input.
By providing self-management tools and engaging activities and by generating data, ReMe supports daily care, celebrates a life, strengthens links with family and tackles agitation, depression and isolation. ReMe becomes a daily highly personalised resource and recourse for those people involved in care.

ReMe’s suite of person-centred care algorithm based activity tools enhance care and are the constant core across all care sectors, and continually learn about the person wherever they may be. ReMe’s the only system that offers bespoke reminiscence and cognitive therapy by sourcing images, music and videos that are unique to the user and so enables discovering calming content for acute care strategies. ReMe stores life stories, preferences and interests with carers and a care circle, as well as creating automated activity reports which can be sent to the user's family.

Wrapped around this person-centred care core are business tools that address the needs of each care sector encountered by the person, including those common to all such as CQC reporting and family engagement.
RemindMeCare goes further, achieving an ROI for care businesses and wards by assisting in care assessment, acute care planning, management and paper reduction, activity creation/scheduling/planning and data collation, whilst providing family, admin and regulatory body reporting. With cross care sector data connectivity and real portability, ReMe becomes part of a dementia acute care strategy for whichever care sector at any time is caring for the person. For the ward, ReMe offers access to the vital knowledge of ‘the day before’ care profile of the admitted patient and the benefits that enhanced person centred care can deliver.

Usable on any platform and with encrypted data, ico compliance (G Cloud pending), ReMe has addressed information governance and digital security.

Please view videos (https://www.remindmecare.com/business/ward/ )
Current and planned activity: 
ReMeApp: self-management care tools that assist maintain care in the community, improve the ability of carers to deliver bespoke care and connect the person with their care circle and with their community; to reduce resort to GP and A&E through enhanced care circle engagement. Dementia care training is included and partnerships with Dementia Pathfinders and Worcester University will be extended achieve delivery.

ReMeData: Integration with Care Planning systems; ie with patient’s systems (such as CMC) and others as required.ReMeGP: GP Connectivity. Through remote connectivity tools GP’s can remain engaged, be better informed but on a remote basis. The intended result is less resort to disturbing surgery visits. GP connectivity will be release in 2018.

ReMeComm: self-management care tools for those cared for in the community, that match the person cared for with local community activities (A partnership pending with Worcester University, CarersUK, MeetingDem and others.
What is the intellectual property status of your innovation?:
We are the sole owners of our IP
.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Simon Hooper 22/05/2017 - 10:03 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
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Martin Hogg 18/05/2017 - 13:40 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
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sally Singh 10/05/2017 - 12:18 Archived Login or Register to post comments

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