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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.

Florence joins her third NHS Test Bed programme

posted 5 Nov 2018, 01:49 by Hollie O'Connell   [ updated 6 Nov 2018, 00:34 ]

05 November 2018 

We are delighted to announce that after a successful pilot with heart failure patients, Florence has been chosen to be part of the NHS Test Beds programme at Royal Stoke University Hospital.

Florence's heart failure protocols, along with two other digital technologies will now be scaled up with the aim of further reducing A&E admissions of patients with chronic long-term heart failure through learning to self-manage their condition.

#NHS England #WMAHSN #NHS Test Bed #TotallyUnique

Evaluation of the use of Florence within NHS Highland

posted 25 Jul 2018, 01:05 by Hollie O'Connell

Joanna Gilliat 
TEC Project Support Manager 

Flora Jones 
TEC Project Support Officer 

25 July 2018 

NHS Highland covers a huge geographical area in the north of Scotland, much of it rural and very remote.   The Technology Enabled Care (TEC) team in NHS Highland has been using Florence since November 2015, and has enrolled over 2400 patients on Florence since then.  Patients with long term conditions such as COPD, Heart Failure and Diabetes are supported to self-manage by Florence, and patients with hypertension are diagnosed with Florence’s help, but that’s just the tip of the iceberg.  The essence of the approach to Florence in the Highlands has been innovation, with the TEC team responding to needs identified by clinicians, and developing a diverse range of Florence protocols.   In fact, NHS Highland probably has the most innovative range of Florence protocols of all our users. 

Keen to provide evidence of Florence’s effectiveness, the TEC team undertook a significant evaluation exercise early in 2018, resulting in a report on the “Evaluation of the use of Florence within NHS Highland” covering use of Florence to support patients with;
  • Asthma, 
  • Irritable Bowel Syndrome (starting the low FODMAP diet),
  • COPD,
  • weight issues,
  • suspected hypertension,
  • borderline personality disorder (attending a STEPPS class). 
In addition, a set of individual evaluation summaries of a further 16 Florence protocols were produced.
The evaluation methodology included;
  • analysis of usage statistics,
  • responses to evaluation questions included in the Florence protocols,
  • responses to evaluation surveys sent out by post,
  •  informal comments from clinicians,
  •  case studies,
  •  interviews with patients and clinicians.

Perhaps the most successful protocol developed by NHS Highland to date has been one used with severe Asthma patients, which has not only improved patients’ self-management and engagement with specialist services, but has also reduced A&E visits, hospital admissions and the need for outpatient appointments.  The protocol is also being used to objectively measure patients` response to biologic therapies and to monitor patients during steroid weaning.

That’s just one of NHS Highland’s innovative uses of Florence.   So – take a look at the evaluation reports and get a flavour of how Florence is being used to benefit patients in this remote and rural area.


“Go Flo Fridays” celebrated at Great Western Hospital

posted 20 Jul 2018, 07:19 by Hollie O'Connell   [ updated 3 Apr 2019, 08:38 ]

23 July 2018 

Great Western Hospitals’ Maternity Departement have recently celebrated their first anniversary with Flo helping expectant mums to monitor their blood pressure during pregnancy.  Both parents and hospital staff met in the delivery suite to celebrate and discuss the experiences with Flo during their pregnancies.  Local newspaper, The Swindon Advertiser, was invited to attend, and Flo and the staff at GWH were recognised for their achievements by being featured online by the newspaper. 

Flo has been received very well by staff and patients at GWH.   Sarah Feeney, used Flo during her pregnancy; 

It was a fantastic experience and I didn’t have to come to hospital as frequently as before, when the weather was bad I didn’t have to come in, and I was a lot less anxious at home when I was taking my blood pressure. It made me feel quite empowered to be able to do my blood pressure at home. ” 

Dr Nusrat Fazal, who has led Flo’s introduction over the past two years has been recognised for her work by being awarded the ‘Great Western Hospital Staff Excellence Award for Innovation in Practice’ at the award ceremony held on 22nd June 2018, as well as winning a poster competition at the Bristol Quality and Safety Conference, and being named runner-up for the best presentation at the South Western Obstetrical and Gynaecological Society Meeting 2018.  Nusrat led on the “Go Flo” project, which aimed to raise awareness of Flo across the organisation.  As part of this, when Flo was first introduced to the department, staff took part in “Go Flo Fridays” to promote Flo with expecting mums.

Nusrat commented;  

 Patient feedback is absolutely fantastic and we’ve had no adverse outcome. Midwives said how it gave them more confidence in safer monitoring and how to manage time more efficiently by replacing face-to-face appointment with FLO. ” 

Using Flo has also helped the maternity department to improve capacity.  So far, since the introduction of Flo 600 hospital appointments have been saved, with an estimated reduction in costs at GWH by around £67,000 a year.
Anne Webb, midwife at GWH has found using Flo to be fantastic for both patients and staff: 
Flo enables pregnant women to self monitor their blood pressure at home, which means less appointments for them at the hospital or with the community midwives. Using Flo saves with childcare, car parking costs, taking time off work. And everyone likes using their phone even if isn't for facebook!
Read the full article, or for more information contact Dr Nusrat Fazal: nusrat.fazal@nhs.net

Click image to enlarge

1st Pan-Staffordshire Simple Telehealth Action Learning Event

posted 19 Jul 2018, 07:46 by Hollie O'Connell   [ updated 19 Jul 2018, 09:05 ]

19 July 2018 

The 21st June 2018 delivered the first Pan-Staffordshire Simple Telehealth Action Learning Event at Yarnfield Park Conference and Training Centre.  The day focussed on igniting collaboration between local organisations and sharing the breadth of pathways now embedded across Staffordshire.   An important part of the day was to connect Staffordshire clinicians with wider members of the Simple Telehealth Community of Practice, open discussions around current and proposed pathways, share best practice, and offer the potential for future collaboration with organisations also innovating with Flo nearby.  The event was well attended by members of various local organisations, who were welcomed by Lisa Taylor from Simple Shared Healthcare (SSHC), before enjoying an afternoon of sharing best practice.

Professor Ruth Chambers OBE, Clinical Chair & Staffordshire STP’s Clinical Lead for Technology Enabled Care Services, opened the afternoon highlighting her vision for the role of TECs in meeting the changing needs within today’s NHS.  Ruth discussed common infrastructure challenges surrounding TECs applications, including purchasing costly equipment, technical infrastructure, patient access to broadband, and interoperability within NHS systems.  Professor Chambers highlighted to the audience examples of Flo as a sustained example of TECs where patients and clinicians are able to use everyday technology that is already accessible.  Ruth also shared copies of “Making Digital Healthcare Happen in Practice”1 amongst attendees.  The workbook is a practical guide containing advice and suggestions to improve ease of implementation with TEC solutions. 

Following on from Ruth, Lisa Taylor and Karen Moore from SSHC led a session “Making eHealth a Reality - Learning from the Simple Telehealth Community of Practice” discussing key lessons learned from delivery at scale, plus an overview of the Simple Telehealth Community of Practice and an update around the outcomes from Flo’s breadth of use nationally.

We were delighted to welcome Ann Hughes, a Practice Nurse and Clinical Telehealth Facilitator working in Staffordshire to share her insights.  Ann was accompanied by one of her patients, Michelle, who uses Flo to support her weight management following a diagnosis of diabetes.  Ann explained that Flo’s relationship with Michelle encouraged a feeling of support between face to face appointments and extended the impact of her discussions with Michelle which were held in the practice.  Michelle also explained that she enjoyed receiving Flo’s messages as it made her feel less alone and offered a feeling of support, so much so that when Michelle’s initial protocol came to an end, Michelle asked Ann if she could continue.  Michelle’s weight has now stabilised from an upward trend and Flo continues to support her with moving to her next phase of beginning to lose weight.

From hearing speakers on the day discuss examples of the impacts made around reduced HbA1c and anxiety, Michelle chatted about expanding her interactions with Flo to focus also on these areas.  Ann provided a wealth of knowledge from a practice nurse perspective and also through her facilitator role focussing on overcoming barriers that can present in primary care with a pragmatic approach to common perceived challenges.  Ann addressed a common question from clinicians around how they should introduce Flo to their patient, explaining that Flo is simply part of the normal nurse to patient conversation, and importantly that she describes Flo as an extension of her care, not an alternative.  Ann’s message to clinicians is to start small and build up confidence, reminding us that 

If you’re confident, your patient will be too ” 

Ann has shared her approach to implementing Flo in her RCNi Primary Health Care Journal column “Being tech savvy-enhances the care you give”.  Ann has also co-authored “You too can be a digital practice nurse champion” for June’s edition of Practice Nurse; which is available to view online for subscribers.

Kath Lloyd, Service Development Manager for Therapies and Health Sciences, and Vic Deakins, Head of Therapies and Health Sciences, both from Powys Teaching Health Board (PTHB) joined us via Skype and spoke to attendees about their learning from their first 18 months implementing Flo in Powys.  Vic and Kath discussed their approach to balancing shared learning from across the Simple Telehealth Community of Practice to use to engage with their clinical teams, then taking this learning into the development of local pathways.

This approach was used in the development of new pathways such extending the impact of their local diabetes education programme, motivating adherence to the pulmonary rehabilitation programme and reinforcement of strategies incorporated within “Confident Strides”, a local falls prevention programme. Vic and Kath have shared their insights in a recent blog available here

Cath O’Connor and Nicky Harrison, from Sheffield Teaching Hospitals Foundation Trust (STHFT), shared experiences from within their different clinical areas. Cath, a Clinical Specialist Respiratory Physiotherapist talked through her service evaluation to assess the feasibility of Flo’s support to patients who had experienced a recent hospital admission due to an acute exacerbation of their COPD as part of an existing early pulmonary rehabilitation programme.  To support this, Cath developed an interactive pathway to incorporate elements of support, motivation and engagement to ultimately increase patient adherence to their pulmonary rehabilitation exercise programme.  Cath explained that Flo’s role in being able to reassure patients, when appropriate, that it is safe to exercise based on their real time symptoms overcame common patient anxiety that exercise will trigger an exacerbation of their COPD, a known barrier to compliance.   Cath also commented that by Flo maintaining a connection once patients were at home, patients reported a sense of accountability to their clinician to complete the programme which motivated them to follow the programme.  Cath explained that the study concluded that Flo was found to be feasible in clinical practice and acceptable to service users and has submitted for publication; more detailed results show that:
  • Patients found Flo acceptable. 
  • Patients felt safe, supported, motivated to exercise
  • Patients felt more confident about self-managing their health. 
  • Some patients developed new skills in sending text messages that they now use in other areas of their lives, reducing their isolation.
Flo makes me do it, because I know I have to send in the values following exercise.
Oh she’s lovely! I can’t wait for her ringing me up in the morning!
To find out more about Cath’s work with Flo please click here.

Nicky Harrison, Community Matron from STHFT, followed on from her colleague Cath, sharing the story of a patient with poorly controlled diabetes that had ultimately resulted in the development of significant comorbid factors that had eventually led to the amputation of both of his legs.  Nicky explained that the patient’s character was known to be very private, and that overtime he had become disengaged with his healthcare needs.  Daily visits by his Community Matron to ensure that he took his medication had become a challenge and sometimes not even possible as the patient wouldn’t answer the door.  

The team reviewed the patient and identified issues around the personal importance of his privacy, the patient feeling disengaged due to him experiencing a reduced sense of control, and the impact of spiraling comorbidities relating to his diabetes.   The team also recognised that an alternative approach was required to support the worsening challenge of ensuring that the daily visits by his Community Matron were actually resulting in an improvement in his health.  The patient was introduced to Flo as an intervention to try to break this cycle, supporting the patient to regain some control via an approach that was more acceptable to him and opened up an opportunity for the patient to feel more involved and less out of control.  As a result, the patient’s HbA1c has now reduced from 120 to 64, Nicky also commented that his cholesterol has also reduced.  Nicky described how, because the patient is understandably feeling better than he had been, he is able to get out and about more and becoming less isolated as a result.   This demonstrates how Flo’s interventions can provide the opportunity to take a holistic approach to patient care and offer a tool for clinicians to unlock challenges with complex patients.

Dr Rauri Clark, Consultant Nephrologist at City Hospitals of Sunderland, presented via video call to share his experience of Flo’s role in helping to titrate medication, specifically tacrolimus, prescribed for patients following renal transplant surgery to help to reduce rejection of the transplanted organ.  Patients who have undergone transplant typically leave hospital a week later with several different medications, with different interactions, so ensuring a patient receives the correct dose is a vital element of patient safety.  Rauri led a trial including 14 patients, who received interactions with Flo around their dose adjustment, with the added motivation of patients being asked to reply to confirm they had read Flo’s message.  Flo had been recruited to provide an alternative to the existing approach of staff telephoning patients which demonstrated a 50% saving in clinical time.  Often patients were unavailable when staff phoned, requiring repeated attempts or the conversation became prolonged without adding an value from the interaction.  The pathway has now been successfully scaled up at Freeman Hospital in Sunderland, all 650 patients at the hospital were offered Flo, with 83% acceptance rate.  Rauri now plans to further share his learning to expand this model for tacrolimus titration to other hospitals in the area.

Our final speakers on the day were
 Iain Trayner, TECS Lead NHS Western Isles, and Morag Hearty, Programme Manager Lanarkshire Telehealth Programme, who also joined via video. Iain gave us an overview of how Flo was addressing issues of rurality for heart failure patients in the Western Isles.  Flo allows patients to monitor their condition at home, reducing the number of non-value add face-to face appointments, and lengthy journeys that would be required to visit their clinician for routine monitoring.  Furthermore, when patients do have to visit their clinician, both parties find that the clinical contact is more meaningful as the patients monitoring data is easily accessible, demonstrating how Flo can be beneficial to both patients and clinicians.  To hear more about NHS Western Isles’ use of Flo in various areas, please take a look at this video, or for an insight into a patient’s perspective of using “Bossy Flossie” for heart failure, please click here.

Morag then spoke to attendees specifically to share NHS Lanarkshire’s approach to both scale up and sustainability of use.  Morag explained that Flo was now implemented across 77 out of 104 GP practices across the region, as well as a further 36 groups in other areas across health and social care.   Morag also discussed NHS Lanarkshire’s Scale-Up BP Programme, which has seen over 2000 patients access Flo to be able to monitor their blood pressure at home, with evaluation demonstrating a saving of around 7000 practice appointments. To read more about Lanarkshire’s journey with Flo, please click here.

Singapore fact-finding mission focuses on pioneering digital care in South Lanarkshire

posted 22 May 2018, 05:56 by Hollie O'Connell

22 May 2018 

South Lanarkshire’s award-winning Telehealth team have been recognised by a Singapore fact-finding mission team for their experience and successful adoption of digital health and care.  To share experience and knowledge, the team from Singapore visited South Lanarkshire.  You can read how the visit went in this press release.

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