Common Approach To Children’s Health (CATCH) (#2302)

Creation
Draft
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Idea Description
Overview of Innovation:

Common Approach To Children’s Health (CATCH) is a free-to-users healthcare app aimed at parents (and carers) of children aged 0-5. CATCH utilises a unique method of NHS Choices or custom information delivery that builds confidence in self-care and the knowledge to recognise when medical treatment is required.

CATCH has helped to reduce A&E attendances and GP Visits in the Cheshire East region of the UK. Cheshire East CATCH users were surveyed and a majority (52%) of participants, who required medical attention for their child, have used CATCH to self-care for their child rather than using an emergency service. Similarly, a majority (64%) reported that the app helped to treat their child at home instead of using GP services.

Early Eastern Cheshire CCG cost findings are in line with the user survey and for the four months to 31 January 2016/17 show that the number of 0 to 5 year olds discharged from A&E with nothing but basic information and advice was 538 or 155 fewer than for the same four months in 2015/16 – before the app was launched. The figures cover all A&E departments in which Eastern Cheshire children were seen, not just Macclesfield District General Hospital.

CATCH is ready to scale and has been taken up by the Innovation Agency and Halton CCG. This version 2 of the app will be unique in allowing supported CCGs to have complete control over the information held by their section of the app. The service also includes online marketing and an admin site that delivers analytics on a per postal-destrict basis that conforms to Information Governance rules.

To view more information, videos and download the app for iOS or Android go to the website...
http://catchapp.co.uk

And watch the video...
https://youtu.be/G3bFBlC8l8M
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Innovation 'Elevator Pitch':
Common Approach To Children’s Health (CATCH) is a free-to-users healthcare app aimed at parents/carers of children aged 0-5. The app gives users confidence to know when their child needs medical treatment or when self-care would be more appropriate.
Overview of Innovation:
The concept of a Cheshire East health app was originally borne out the council's Annual Report of the Director of Public Health, 2013/14 which among other findings determined that large numbers of young children in Cheshire East are being taken to A&E & are sent home with advice rather than treatment.

There could be many reasons why A&E attendance for children aged 0-4 in Cheshire East is higher than the national average but one explanation could be that some parents lack the confidence & knowledge to self-care when appropriate.

To remedy this Public Health Cheshire East, NHS Eastern Cheshire CCG & NHS South Cheshire CCG came together to jointly commission the CATCH app.
Users of the app create a profile for their child/ren to receive regular guidance & advice tailored to suit them as they grow. Once the child’s information is inputted to the app the Home section will provide users with NHS guidance that is highly relevant to their child’s age.
 
The Learn section contains a multitude of health information that is split by age, e.g. ‘0-6 months’ or ‘4-5 years’ to help parents & carers determine which information is relevant to their child. Learn also includes sections such as ‘Making your home safe’ & ‘Parents corner’.
 
Information about what to do in an emergency, such as if a child swallows a battery or button can be reviewed at any time, ensuring parents & carers are prepared if a health emergency were to occur. General announcements for subjects like seasonal advice, local news & health warnings can also be received.
 
The app contains highly localised information about healthcare services/support groups available in the region and an explorable map of local health services such as GPs, dentists & pharmacies. Users can set timely reminders about key health dates such as childhood immunisations.
 
The Emergency section contains information about emergency situations, such as allergic reactions, how to help a choking child & head injuries. The idea is for users to review this section when they have some free time rather than during an emergency itself, meaning they will be more confident to take action should an emergency occur.
 
CATCH uses NHS approved advice, better informing users on a range of conditions by providing advice from a trusted source - directly from NHS choices.
 
To view more information, videos and download the app for iOS or Android go to the website...
http://catchapp.co.uk

And watch the video...
https://youtu.be/G3bFBlC8l8M
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Digital health
Benefit to NHS:
NHS Digital reports that in 2015-16 children aged 0-4 had a higher number of A&E attendances than other age groups.  In fact, NHS Digital’s headline figures for A&E Attendance shows an increase in the number of patients aged 0-4 attending A&E going from 1,874,132 in 2014-15 to 2,054,092 in 2015-16.
 

 
 By preventing unnecessary attendances at A&E for the 0-4 age group it will enable A&E departments to free up vital capacity to deal with those patients with immediate needs, this in turn will demonstrate efficiency savings.
 
The main benefits of CATCH from a health professional’s point of view are:
  • Parents and carers are more confident to provide self-care for their children
  • A common approach to children’s health is promoted, in that parent, grandparents, carers and health professional are all being provided with the same, clinically sound information which is up-to-date and approved by doctors in the region
  • Ultimately pressure on local NHS services is reduced and unnecessary A&E attendances are reduced.
CATCH has helped to reduce A&E attendances and GP Visits in the Cheshire East region of the UK. Cheshire East CATCH users were surveyed and a majority (52%) of participants, who required medical attention for their child, have used CATCH to self-care for their child rather than using an emergency service. Similarly, a majority (64%) reported that the app helped to treat their child at home instead of using GP services.

Early Eastern Cheshire CCG cost findings are in line with the user survey and for the four months to 31 January 2016/17 show that the number of 0 to 5 year olds discharged from A&E with nothing but basic information and advice was 538 or 155 fewer than for the same four months in 2015/16 – before the app was launched. The figures cover all A&E departments in which Eastern Cheshire children were seen, not just Macclesfield District General Hospital.
Initial Review Rating
4.40 (2 ratings)
Benefit to WM population:
NHS Digital: Number of A&E attendances in each provider by age group, 2015-16 shows there were 316,303 A&E attendances in the 0-9 age group in the West Midlands region.

The CATCH app reduces the number of parents visiting A&E who have understandable anxieties about their children’s health, often stemming from not knowing what else to do when their child is ill. The CATCH app offers guidance and reassurance for parents to provide self-care for their children at home, without visiting the hospital.

The reduction in A&E visits by this patient group will reduce the pressure on local NHS services. By preventing unnecessary attendances at A&E for the 0-5 age group it will enable A&E departments to free up vital capacity to deal with those patients with immediate needs, producing efficiency and monetary savings the WM A&E providers.
Current and planned activity: 
CATCH is ready to scale and has been taken up by the Innovation Agency, Halton CCG, Cheshire East CCG, Cheshire South CCG, Vale Royal CCG, Knowsley Public Health and Liverpool CCG. The app will be unique in allowing supported regions to have complete control over the information held by their section of the app. The service also includes online marketing and an admin site that delivers analytics on a per postal-district basis that conforms to Information Governance rules.
What is the intellectual property status of your innovation?:
Wholly owned by Damibu Ltd
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
Simple
Co-Authors:
Regulatory Approvals:
CATCH does not require any regulatory approval.  However, Damibu are registered with the Information Commissioners Office (ZA276533) and with the Department of Health’s Information Governance Toolkit (8JP11)
Regional Scalability:
CATCH is commissioned for all CCG/LA areas within Cheshire and Merseyside.
As of February 2018, CATCH is delivered in Cheshire East, Cheshire South, Halton, Vale Royal, Liverpool, St. Helens and Knowsley, with the remaining CCG/LA areas going live by May 2018.
Measures:
The overall aim is the reduction of inappropriate use of NHS services.  CATCH focuses on A&E, because 1) the project originated from a review of A&E usage at Macclesfield hospital. 2) In part, via the coding within the A&E tariff system, the reason for children attending A&E can be determined, were as this is much hard for GP visits.  Although, both the trusts and the surgeries can see the benefit in what CATCH does.
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Overview of Innovation:
WaitLess is a free to download App which allows  people with minor injuries to select the location which will get them access the quickest treatment facility. It combines live feeds from A&E departments and all types of Urgent Treatment Centres showing the number of people waiting and waiting time in the department. The App combines this with travel time to the location and expresses both wait and travel as a single figure. It draws on live feeds from A&E departments and all types of Urgent Treatment Centres
It has reduced attendances at A&E departments in the pilot area by 5% and transferred 11% of minor injury attendances to MIUs, which typically have significantly shorter waiting times.
Waitless was designed as part of the Vanguard New Care Model and adopted by the National Inovation Accelerator programme for 2018 as best practice nationally.
Most A&E attendances are from self-presenting patients, attending A&E with conditions that are associated with minor injuries, ailments and minor emergencies which can be seen in other departments like the Minor Injuries Unit or the Urgent Care Centre. Various studies, undertaken both locally and nationally recognise that many patients could be treated more quickly closer to home.
It is designed by patients, for patients. It removes facilities that are closed, or that will be closed before you can reach them.
Since its launch in east Kent, Transforming Systems have tracked a significant reduction in minor A&E activity. Our observations have been confirmed as statistically significant by the University of Greenwich and the Behavioural Insights Team.
 Benefits
Reduction in “A&E minors” attendances by 11% against an end of year target of 5%. On days where there is significant pressure on majors, it is common for waiting times in minors to increase. As waiting times increase in one facility, patients choose other locations with lower waits. This spreads activity more proportionately across the system, giving pressured A&Es much needed time to recover. Studies show patients commit quickly in an emergency to a venue of care. Providing information that is easy for patients to access and understand at the point of decision enables them to make an informed decision about the best place to access care. In most cases, patients access care closer to home with lower waiting times.
Read more
Hide details
Overview of Innovation:


WaitLess is a free to download App which allows  people with minor injuries to select the location which will get them access the quickest treatment facility. It combines live feeds from A&E departments and all types of Urgent Treatment Centres showing the number of people waiting and waiting time in the department. The App combines this with travel time to the location and expresses both wait and travel as a single figure. It draws on live feeds from A&E departments and all types of Urgent Treatment Centres
It has reduced attendances at A&E departments in the pilot area by 5% and transferred 11% of minor injury attendances to MIUs, which typically have significantly shorter waiting times.
Waitless was designed as part of the Vanguard New Care Model and adopted by the National Inovation Accelerator programme for 2018 as best practice nationally.
Most A&E attendances are from self-presenting patients, attending A&E with conditions that are associated with minor injuries, ailments and minor emergencies which can be seen in other departments like the Minor Injuries Unit or the Urgent Care Centre. Various studies, undertaken both locally and nationally recognise that many patients could be treated more quickly closer to home.
It is designed by patients, for patients. It removes facilities that are closed, or that will be closed before you can reach them.
Since its launch in east Kent, Transforming Systems have tracked a significant reduction in minor A&E activity. Our observations have been confirmed as statistically significant by the University of Greenwich and the Behavioural Insights Team.
 Benefits
Reduction in “A&E minors” attendances by 11% against an end of year target of 5%. On days where there is significant pressure on majors, it is common for waiting times in minors to increase. As waiting times increase in one facility, patients choose other locations with lower waits. This spreads activity more proportionately across the system, giving pressured A&Es much needed time to recover. Studies show patients commit quickly in an emergency to a venue of care. Providing information that is easy for patients to access and understand at the point of decision enables them to make an informed decision about the best place to access care. In most cases, patients access care closer to home with lower waiting times.
Initial Review Rating
3.50 (1 ratings)
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