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Sharing the Learning: Efficiencies Delivered Across Acute, Primary and Community Healthcare

posted 31 Jul 2019, 03:25 by Hollie O'Connell   [ updated 2 Aug 2019, 04:18 ]





31 July 2019 



We are pleased to publish a series of resources that encapsulate the unique outcomes and benefits realised by our members.  The collection of Efficiency Savings summaries have been developed to offer a concise overview across Primary, Acute and Community Care.

Each resource provides highlights of how Flo has delivered efficiencies in healthcare delivery based on evidence shared with us from members of the Simple Telehealth Community of Practice. 

Areas covered in the documents include;
 
Primary Care:
  • COPD
  • Asthma
  • Hypertension
  • Medication concordance


Acute Care:
  • Maternity
  • COPD
  • Asthma
  • Hypertension
  • Oncology
 

  • Medication concordance
  • Diabetes
  • Orthopaedics
  • Ascites management
  • Renal transplant
 
Community Care:
  • COPD
  • Children’s community nursing (enteral feeding weaning & BP monitoring)
  • Diabetes
  • Mental health
  • Wound care

Paediatric and Young Adult Member’s Network Launched

posted 30 Jul 2019, 06:01 by Hollie O'Connell






30 July 2019 



Paediatric and Young Adult Member’s Network Launched 


Over the years, Flo has supported many children and parents with their healthcare needs, with the benefits being enjoyed by both patients and clinicians.  Consequently, the Community of Practice is now seeing a sustained increase in clinical interest in this area.  Therefore, in support, we are extending the reach of our Condition Based Member’s Networks and launching a new area of interest for clinicians delivering paediatric and young adult services.  The network’s aim is to share and discover how other like-minded clinicians have been innovating with Flo, and the learning that has been created by this.  For an example of one of our other networks, please see here

To launch the Paediatric and Young Adult Member’s Network, we would like to take this opportunity to share with you an overview of some of the inspirational innovation that is being delivered across the Simple Telehealth Community of Practice.


Supporting Children and Young Adults with Type 1 Diabetes

One of the most sustained applications of Flo’s support is for patients with Type 1 diabetes.  Children and young people diagnosed with Type 1 diabetes can find adapting to and managing their condition particularly challenging, as it often happens at a time in their life of already increased physical, psychological and social change.  Much like with adult diabetes pathways, Flo is on hand to provide additional support to help children and young adults: engage with their health, feel more in control of their condition and improve their education early on via an accessible and effective tool; their mobile phone.  Flo has proven to be particularly effective within younger cohorts due to their familiarity with technology and the fact that they find that receiving simple SMS text messages is discreet, uncomplicated, and does not interfere with their wider use of their handset e.g. using data.

Two patients who have benefitted from Flo’s helpful messages are Naomi and Erin.  Naomi had struggled to manage her diabetes throughout her teens resulting in raised HbA1c and the development of diabetic bulimia due to concerns over weight gain.  But with Flo’s support she was able to significantly reduce her HbA1c, which improved her long-term health outcomes.  Similarly, Erin was struggling to manage her diabetes, and had been unfortunately previously admitted to hospital with ketoacidosis.  Following her admission, Erin was introduced to Flo and was also able to reduce both her HbA1c from 112mmol to 83mmol, and also the risk of long-term complications due to poorly controlled diabetes.



Supporting Early Years Practitioners to embed changes in their clinical practice

NHS Highland have integrated Flo as part of their “Words Up” initiative.  Words Up provides training to Early Years Practitioners, Teachers and Pupil Support Assistants to ensure that adult-children interaction is of a high quality to help to improve language and communication skills.  The team have harnessed Flo via a unique and interesting approach by providing support to practitioners in reinforcing key elements of their training.  Practitioners interact with Flo around the topics covered, which in turn refreshes and compounds the key messages shared during their training.   Practitioners are also asked how easy or difficult they are finding making changes, which allows them to reflect and seek additional support if needed.  To find out more about Words Up, take a look at this blog.

Improving Compliance with Inhaler Regime for Children and Young Adults with Asthma

For patients with asthma, ensuring compliance with inhaler regimes is key in controlling the condition and symptoms.  For younger children with asthma, parents or carers usually take on the responsibility for ensuring that inhalers are taken as prescribed which can sometimes be difficult due to the competing priorities of family life.  As a helpful prompt for parents, Flo has been recruited as a timely nudge to administer their child’s inhaler.  You can find out more by watching this short video of Dr John Alexander from the University Hospital of North Midlands talking about how Flo has been helping his patients and the benefits she brings to patients, parents and his team.


Children’s Community Nursing - Enabling Remote Enteral Feeding and Blood Pressure Monitoring

The Children’s Community Nursing Team within Shropshire Community Health Care NHS Foundation Trust developed two innovative pathways around supporting parents whose children undergo enteral feeding, and also those whose children require scheduled blood pressure monitoring.   Around enteral feeding, parents are prompted to send Flo their child’s weight, instead of having to arrange their schedule around a visit from a member of the Children’s Nursing team.  For children requiring BP readings to be taken at regular intervals, Flo prompts parents to take them and reply with the reading.  For both pathways, augmenting the patient’s normal shared management plan, if any child’s readings are outside of the desirable range, the Children's Community Nursing Team would be notified, and be able to take appropriate action.

The implementation of Flo into these pathways has benefitted both staff, children and their families.  For families, sending readings into Flo gives them the freedom to not have to plan around visits from the Children’s Nursing Team.  Flo also reassures them that if there is cause for concern, a member of the team can pick this up when reviewing the readings, and initiate any required action.  For clinicians, Flo is helping to reduce the number of home visits required by some patients, enabling them to better manage their caseload and allocate resources to other patients who may require additional support.

A summary report by Children’s Community Nursing Team found that across only 7 patients, a total of 795 clinical hours were saved, which released the same capacity as an extra 1.0wte nurse working for over 21 weeks.   To find out more about these pathways, take a look at the following blog.

Capturing the Benefits: Evidence-Based Hypertension Micro Business Cases

posted 18 Jul 2019, 03:38 by Hollie O'Connell





18 July 2019 


Developed from evidenced pathways across the Simple Telehealth Community of Practice, a series of short micro business cases are available in support of understanding the benefits derived from Flo’s integration.

The micro-cases are a resource for community members to use to demonstrate savings when using Flo compared to normal care, and also as a model to adopt for local engagement and planning.  The tables within the document are editable, so can be adapted to match your local costings or pathways. 

Please note: to edit and input your own costing values, double click on the table within the document which will open an editable Excel spreadsheet. Please be aware that any edits you make will be transferred to the Word document.


The new group of micro-cases focus on hypertension, including (Membership required)
Micro-cases are available within the Member’s Zone on our website.  If your organisation is part of the SSHC Community of Practice, but you are not able to access the Members’ Zone, please contact Hannah.Mountford@simple.uk.net or Kylie.Dentith@simple.uk.net to get you started.   If you would like to learn more about developing your own local micro-cases, please do not hesitate to contact one of the team.

Digitally Transforming Primary Care – Making it Happen at Scale

posted 27 Jun 2019, 01:20 by Hollie O'Connell   [ updated 28 Jun 2019, 01:47 ]




Karen Moore 
Advanced Capability Lead SSHC 


27 June 2019 






On Wednesday 19th June we were delighted to be invited to speak on the main stage at Facebook HQ in London for the “Digitally Transforming Primary Care – Making it Happen at Scale” conference, where Phil shared Simple Telehealth’s journey from its inception to the unique international Community of Practice we support today.

The event was hosted jointly by Facebook and the NHS Stoke-on-Trent and Staffordshire CCG Digital Nurse Ambassador Programme.  Who following a hugely successful pilot, were granted funding to embark on a series of action learning events to support the spread and adoption of technology and social media tools across Primary Care Networks in England.

The agenda for the day was led by Dr Ruth Chambers OBE, Clinical Lead for Technology Enabled Care Services in the Staffordshire STP, and offered valuable insight and practical advice for NHS Leaders, commissioners and clinicians about how technology and digital tools can be used at scale to support the care delivered to patients.

Delegates were also given the opportunity to ask questions of the Digital Nurse Ambassadors and heard from both clinical teams and patient groups across the UK who shared their enthusiasm and experiences; with examples of where they have been able to successfully incorporate technology in their local practice to improve outcomes, and engage with patients with education about their health and wellbeing.





Phil spoke about the need for a reality check before engaging with any of the thousands of digital ‘solutions’ being promoted for healthcare and talked about how today’s market is rife with ‘snake oil’.   He went on to encourage delegates to look for technologies with substantial independent evidence of efficacy and to be clear about how and why they will use digital.  Phil endorsed the Digital Nurse programme with it’s clear and uncomplicated agenda and it’s aim of helping patients to help themselves in the simplest of ways, which consistent with the researched evidence base behind Simple Telehealth, can consistently deliver better and faster clinical outcomes.

Ann Hughes, who is a Digital Nurse Ambassador from Stoke-on-Trent and is part of the team facilitating the National Action Learning Event programme, joined Phil for his session to share her own personal experiences of using Flo to support her patients.

Ann had an elderly patient who needed to have cataract surgery, however disappointingly the surgery was cancelled due to a high blood pressure reading taken at her pre-op appointment.  To determine whether this patient had hypertension or white coat syndrome, Ann signed her up to Flo and the patient sent in her BP readings.  With Flo, the patient’s BP was shown to be within the normal range which then enabled the surgery to go ahead despite the white-coat readings at pre-op.  “.. by the middle of the week I’d got enough readings to be able to print them off and fax them over to the pre-op team...and they did the operation based on those readings.”

More from Ann:

“.. I use Flo extensively in my practice… it’s just so easy to use and saves time..”

“.. the impact for this lady was massive… it changed her life.”

“.. that’s as simple as it is. It’s so easy to use, patients feel at home with it… and trust in it.“

We’d like to thank Facebook for their hospitality and congratulate Ruth and the team on a really fantastic day, hopefully the first of many!  You can find out more about the event and view the presentations from the day via this link Digitally Transforming Primary Care – Making it Happen at Scale Conference.


To keep up-to-date with the latest news, blogs and case studies in our community, you can follow us on Facebook @Simple Telehealth

Flo continues to grow: Mental Health

posted 21 Jun 2019, 05:42 by Hollie O'Connell




21 June 2019 


Mental health use and diversification with Flo maintains momentum into 2019 


Following on from our overview "Innovative Clinicians Drive 20x Growth in Maternity: Supporting Mums and Mums-to-be" clinicians continue to innovate with more patients being introduced to Flo for increasingly diverse applications.  In particular, the integration of Flo in mental health care has seen substantial growth in use and diversity.   Back in 2012, mental health application of Flo was divided roughly 30/70% between appointment reminders and medication reminders with positive outcomes demonstrated; take a look at the following case study and video for some of the work that has taken place within the community of practice.   However, since 2012, clinicians have built on these early foundations to apply Flo as a beneficial interactive tool to support patients receiving mental health care. 
 
Members of the Simple Telehealth Community of Practice have received recognition for their application of Flo in their delivery of mental health care.  In 2015, the Primary Care Mental Health Service in Tameside and Glossop were recognised as winners of a national Health Business Awards for Innovation in Mental Health, while in 2016 East London Foundation Trust were selected by The Health Foundation to be part of a £1.5 million innovation programme, focussing on integrating Flo to support mental health recovery and self-care for those with severe mental illness.

Newly Developing Areas

Flo’s use in mental health has continued to grow, and by 2017, the number of patients had increased by 16x those in 2012.   While such an increase is worth celebrating, the real change to note is the diversification in the innovative approaches that clinicians are developing to integrate Flo into their care delivery. While medication and appointment prompts make up around 9% of usage in 2017, a number of new applications are now in use.  These include:
  • Cancer support pathways – much of the care that patients with a cancer diagnosis receive focuses on treating the disease, however support pathways are now being used to provide care which supports the patient’s mental health in these difficult circumstances.
  • Mood monitoring – these are interactive pathways that allow clinicians to remotely monitor the mood of their patients based on the readings they send to Flo.  This means that clinicians are able to check the patient’s scores regularly and tailor care to patients, providing additional timely support if required.
  • Dementia and Mild Cognitive Impairment/Depression and Low mood – pathways have been introduced that offer support and information to patients with these conditions, which aim to support memory strategies and improve patient confidence and emotional well-being.  One example of this is North Staffordshire Combined Healthcare’s Autographer project.
  • Course/group support – pathways have been developed to support patients who are attending groups or taking courses to help them improve their mental health.  Flo supports patients throughout the length of the sessions by helping them to register and get started or attend their first session, reminding them when certain modules may be due or sessions are scheduled, as well as sending motivational messages which aim to consolidate their learning from their therapy.
  • Personalised interactive pathways - a number of pathways have been co-designed between the patient and clinician to maximise Flo’s personal nature. Clinicians have been working closely with their patients to design specific, meaningful responses, personal to each patient, that Flo will reply with dependent upon symptoms reported in real time.

Course & group support pathways

The latter group of pathways now accounts for almost 90% of the use of Flo within mental health.  They represent an increasing trend towards a holistic approach to mental health, aiming to treat the patient’s well-being as a whole.   For example, patients with depression have traditionally been medically treated via antidepressant medication, but many patients are now being referred to CBT courses or other talking therapies. These treatment pathways aim to address the root cause of any mental health issues the patient may have, and in doing so, encourage proactive steps to change the patient’s behaviour; Flo is now being used to maximise the impact of these treatments to further support and encourage positive actions by the patient.  For example, South Tyneside Foundation Trust have been seeing promising results using Flo to support patients who attend appointments with Gateshead Talking Therapies.

Health authorities are increasingly looking towards online courses to do this, as they are both time and cost efficient, as well as convenient for patients.  One such standout example being used by members of the Simple Shared community is “Beating the Blues”.
NHS Lanarkshire has had great success using Flo to further support those patients who they have been referred to “Beating the Blues”.   You can read more about their approach here. Lanarkshire’s success using Flo alongside the “Beating the Blues” programme has been noted, and community members from Powys are now looking to implement a similar approach to help patients with their mental health.  It is exciting to see community members sharing their success and best practise with members from other areas, as this continually improves services for patients.

A personalised approach to mental health with Flo:

Flo has also been used in Nottingham to support patients attending CBT sessions.  Patients joined a “Stress Spiral” pathway with Flo, where Flo would ask the patient how they were feeling, and then reply with a response dependent on this. For this pathway, the patients worked with their talking therapy clinicians to devise their own personalised stress spiral that identified certain personal behaviours as their anxiety and stress increased, and the responses Flo sent were also written by the patients.  Ensuring that Flo’s responses were personalised is an innovative approach, it made Flo’s replies even more impactful and helped patients to further reflect on their progress during therapy. 

East London Foundation Trust (ELFT) are another organisation who have incorporated Flo into their mental health pathways to great effect. Flo is used in ELFT’s REFRAME telehealth project, which aims to support patients with severe mental illness, including chronic psychosis, self-manage and maintain independence.   Flo prompts patients to take their medication as prescribed, as well as enquiring about their well-being indicators, which are personalised measures developed by the patient and clinician to recognise behaviours specific to the individual to indicate a decline in their mental health wellbeing.  Similar to the Stress Spiral protocol in use in Nottinghamshire, this personalised approach ensures that the messages have meaning and impact for each individual.  For more information about ELFT REFRAME, click here

Scotland Scales Up Flo with 1.2m investment

posted 7 Jun 2019, 06:05 by Hollie O'Connell




07 June 2019 


Scottish Health Secretary Jeane Freeman visits Hunter Health Centre in East Kilbride to formally launch Scale Up BP nationally across Scotland. Backed with £1.2m investment from the Scottish Government over the next 2 years. 

Measuring blood pressure is the third most common reason for attending primary care appointments in Scotland, with £1.2 million appointments every year.  During her visit, the Health Secretary had the opportunity to see Flo first hand and find out more from patients and clinicians about their experience.

This technology brings significant benefits to patients. It enables them to have more control over how they manage their condition, and greatly cuts down on the number of appointments they have to attend…
By investing in improved technology across health and social care, we can improve patients’ experience and outcomes, and free up capacity in the system at the same time.

Jeane Freeman - MSP, Cabinet Secretary for Health and Sport


Scale up BP is part of the wider Technology Enabled Care (TEC) Programme established in Scotland in 2015/16 and to date, more than 150 practices have used Flo to support patients requiring blood pressure monitoring either to diagnose hypertension, monitor BP or titrate medication, with over 10,000 patients benefiting so far.

Simple Shared Healthcare are thrilled to offer our congratulations to the NHS 24 TEC Programme along with all of the teams and clinicians who have been involved in the fantastic success of their Scale Up BP programme. 

We’re delighted that Flo with her #TotallyUnique methods and patented technology has already supported so many and we’re really excited to see her continue to offer support to many more patients across Scotland in the future, supported by this fantastic investment from the Scottish Government.

To find out more about the Health Secretary's visit you can access the full news item on the Scottish Government’s website here.

Urgent Care Coping: Supporting Patients with Severe Health Anxiety

posted 14 Mar 2019, 04:12 by Hollie O'Connell   [ updated 10 Jun 2019, 02:03 by Philip O'Connell ]





14 March 2019 


In June 2018, findings from the study ‘Helping Urgent Care Users Cope with Distress about Physical Complaints’, lead by Professor Richard Morriss of the University of Nottingham, were first presented and then subsequently published in January 2019.

The purpose of the study was to compare the clinical and economic outcomes of using remote cognitive behavioural therapy (RCBT) to treatment as usual (TAU) for repeat unscheduled care users with severe health anxiety.  Dr Sam Malins, Clinical Psychologist at Nottinghamshire NHS Foundation Trust, integrated Flo as an additional support tool to the RCBT group following their participation in the study.

What is Health Anxiety?
“Health anxiety is an anxiety condition that is often housed within the Obsessive Compulsive Disorder (OCD) spectrum of disorders.  Those affected by health anxiety have an obsessional preoccupation with the idea that they are currently (or will be) experiencing a physical illness.... the person experiencing health anxiety may fixate on any type of illness….  Those who are affected by health anxiety/illness phobia are convinced that harmless physical symptoms are indicators of serious disease or severe medical conditions.  For example, if a person experiencing health anxiety feels their chest is getting tight, they may believe that they are having a heart attack.  Those with health anxiety frequently misinterpret physical symptoms of anxiety as a sign of an impending physical health problem.” 


We were delighted to hear about Flo supporting the provision of RCBT in Nottinghamshire by providing additional support for participants in the study.  Following prompts asking how they were feeling, Flo interacted with participants around how they felt by sending personalised messages.  The messages were written by the participants themselves to maximise the impact of interactions.

The inclusion of Flo within the study aimed to reinforce positive changes made during RCBT sessions and to support long-term behaviour changes amongst those with Health Anxiety and as a result, reduce the number of contacts with unplanned/urgent care providers.

In total, 156 participants were recruited, half of whom received treatment as usual, while the other half received RCBT.  For those in the latter group, CBT sessions took place either by phone, or through a WebEx video call.  It was found that those in the RCBT had significantly improved outcomes for generalised anxiety, depression and overall health at 12 months when compared with those receiving treatment as usual.

The findings from this study were officially published in BMC Medicine in January 2019 and is available to download here (Membership required).

Community of Practice Members feature in new NHS Education for Scotland Workforce Stories

posted 28 Feb 2019, 02:27 by Hollie O'Connell





28 February 2019 


NHS Education for Scotland provides NHS Scotland health and social care staff with access to learning and practice support resources produced via its online e-learning platform TURAS.  Recently, a number of workforce stories have been produced to share the experience and knowledge of NHS Scotland staff across four key areas: Home and Mobile Health Monitoring, Telecare, Video Enabled Health Care & Digital Services and Mobile Health and Wellbeing Applications.

We are excited to share with you that five of our Simple Shared Health Care community members have been featured in the Home and Mobile Health Monitoring section:

  • Sharon Smith, Speech and Language Therapist - has developed Flo to engage with early years practitioners and staff, reinforcing key training messages about universal speech and language therapy to help them embed changes into their practice.
  • Mairi Wotherspoon, Lead Dietician - has integrated Flo to provide an ongoing dialogue with patients to provide motivation and confidence to manage their weight, helping them to think about changing behaviours and achieve better health.

National Year 3 Evaluation Report

posted 19 Dec 2018, 06:54 by Hollie O'Connell   [ updated 21 Dec 2018, 03:03 ]



19 December 2018 

"Towards Scaling Up Home and Mobile Health Monitoring 2015-2018" 



The Scottish Centre for Telehealth & Telecare (SCTT) have published their year 3 evaluation of Home and Mobile Health Monitoring (HMHM); We’re proud that Florence is formally evidenced as a significant contributor across Scottish Health Boards.

“ The most frequently deployed HMHM technology was Short Message Service [Florence] 

We are thrilled to be able to share this evaluation as an example of how Flo’s simple methodology and unique persona continues to improve patients lives.  The report also recognises the passion and commitment from Scottish Community of Practice members who are continuing to innovate with Flo, providing high quality care that supports increased self-management and personal responsibility for health.

The report takes an in depth look at how the HMHM programme has enabled health care innovation with technology to take place across Scotland, including the challenges faced, learning, and recommendations for continued scale-up and adoption.

This report draws on evidence and valuable experience from across the TEC Funded partners in Scotland and at national level and reaffirms the important foundations that our national work has delivered to date.

The report sets out key recommendations as to how we can continue to shape and inform our future national HMHM activities to support our scaling up efforts over the next few years to achieve wider population health benefits and support at scale service transformation.  

The evaluation compiled evidence from across 12 partners (Argyll & Bute, Ayrshire & Arran, East Renfrewshire, Glasgow City, Highland, Lanarkshire, Lothian, Midlothian, Tayside, West Dunbartonshire, Western Isles & West Lothian) against a specific set of year 3 outcome achievements:
  • Higher percentage of the population self-managing their health
  • Higher percentage increase in condition control
  • Optimised face to face contacts (if needed)
  • Improved access to services
Partner sites submitted evidence of how resources were being used efficiently and effectively, or how hospital admissions had been avoided. Importantly, patient and service user feedback is also included in the evaluation.
The report highlights evidence gathered where Flo has supported attainment of the desired outcomes. For example:
  • Data from all partners showed that the number of people using HMHM increased from 2,809 in year 1, to 15,765 in year 3. (Higher percentage of the population self-managing, supported by HMHM)
  • Local data from Ayrshire & Arran found that Flo supported patients starting online CBT, with 356 service users completing the first session, compared to 108 who did not use Flo. (Higher percentage increase in condition control, supported by HMHM)
  • A local patient survey from West Dunbartonshire found that 11 out of 12 patients with COPD said that they saw their GP less frequently after using Flo. (Optimised face to face contacts, if needed, supported by HMHM)
  • Local data from Highlands found that 120 people received twice daily responses from Flo after submitting their peak flow readings; they would not have had the same level of feedback without Flo. (Improved access to services, supported by HMHM).
  • Heart Failure nurses in Tayside reported 6 amber alert follow-ups, of which 4 led to unscheduled check-ups for patients who would have been a readmission risk if they had let their condition continue to deteriorate; Flo’s responses to patient data helped to avoid 4 potential re-admissions. (hospital admissions avoided by HMHM)
Local surveys, interviews and focus groups were also used to gather comments from patients and service users, and the feedback demonstrated that using Flo was a positive experience.

I like that Florence reminds me to do my BP. No improvement needed to the service – more like this are needed to take pressure off the NHS ” 

It was fantastic. It really reassured me because of my family history of high blood pressure

Some people felt that Flo had helped them to stay on track while others said it gave them reassurance, ‘like somebody’s looking over my shoulder just keeping an eye on things.

Having presented the evidence, the evaluation then goes on to further discuss scale-up and sustainability, with discussion of the implications and recommendations for next steps for the HMHM programme across Scotland as a whole.

Maternity Network proves a hit with Midwives

posted 29 Nov 2018, 06:20 by Hollie O'Connell




30 November 2018 


The Maternity Members Network was developed this year as an environment for clinicians to collaborate and share best practice developed locally through Flo’s implementation.  The network hosts quarterly calls facilitating members of the wider Simple Telehealth Community of Practice to come together for one hour to share and discuss their experiences, outcomes, ideas or queries to support their maternity patients.   The role of peer to peer conversations cannot be underestimated in igniting innovation; being able to chat to a like minded clinician who has already, or may be planning to introduce Flo into their pathway is a valuable part of any clinical redesign, and one that has underpinned the spread of pathways across the Community of Practice so far.


Each call sees a featured pathway or a team sharing their experience of introducing Flo to their patients around a specific maternity patient cohort.  Previous featured teams or pathways have been greatly received by the members of the network and the calls provide a foundation for further clinical collaboration and peer to peer learning. 





The network has so far heard from Janette, Antenatal and Newborn Screening Lead/ Senior Midwife Sonographer from City Hospitals Sunderland, part of the original team who developed the Pregnancy Induced Hypertension (PIH) and Gestational Diabetes Mellitus (GDM) pathways; to read more please click here.  Based on robust early evaluation, these pathways have spread beyond the North East and have now been adopted in several maternity units as a result of the teams innovation and commitment to innovation.  Karen McKillop and Ayleen Austin, both Midwives at County Community Hospital within NHS Highlands, also shared their experiences with Flo as a support to Foetal Movement Awareness for their Mum’s to be.  The aim of the pathway was to help women to be more aware of their babies movements.  NHS Highland’s foetal movement pathway was developed inline with current guidance practiced locally.  The team also incorporated bite size messages into Flo’s protocol that shared health promotion advice and also clinic appointment reminders.   The pathway commenced when mums to be reached 16 weeks of their pregnancy with Flo interacting through to 38 weeks.  50% of the team’s current caseload were being supported by Flo; patients fed back:
  • 82% of women said that Flo helped them become more aware of their baby’s movements
  • 92% of women felt that Flo’s messages helped them to attend their appointments 
  • 93% of women confirmed that they would recommend Flo to other women in the same circumstances

The calls begin with an overview of the previous call, which is an opportunity for those who were unable to attend, to receive an update and request more information if required.  This is then followed by a short update on new maternity pathways developed within the Community of Practice since the last call.  The focus is then handed over to the featured team, for them to share their experiences, outcomes and any challenges they have overcome so far.  There is also the opportunity for members to ask any questions or request more detailed information. 


The discussions are open to the group and are not limited to the featured team or pathway, any ideas or thoughts around maternity related conditions are welcomed.  The discussions on the call are a really good opportunity to collaborate with clinicians that may be in a similar position, but may be working in another part of the country.


Since the Maternity Members Network began a forum within the members section of our website, www.simple.uk.net has been developed to allow community members to leave questions or request for more information on specific maternity pathways.  This ensures that you do not have to wait until the next call to be able to ask your question and allows the conversation to continue.

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