FLORENCE SIMPLE TELEHEALTH Carol Turner, FLO STH Project Manager Explain my role and background at this point as an introduction

What is Flo Simple Telehealth ? NHS owned Uses patients own mobile phone/landline/Tell Flo App Simple cheap biometric devices Free for the patient to use 3 main uses: - Records vital signs and other readings Reminders e.g. medication/ADL/appointments Motivational/Advisory messages Does not require frequent monitoring by Clinician Onus is on patient to follow Flo’s advice Designed initially for self-care management of LTC’s- Hypertension, Diabetes, COPD/Asthma Over 2700 patients enrolled on Flo (as of end of Dec 15) -30000 nationally- since its inception in Nov 2012 Age range (6– 98 years) 90+ services live Mainstreamed service April 2015 VHA exchange Virtual ward rounds in conjunction with Skype

Benefits Simple to use Bespoke- can be individualized and personalized New commissioning strategy- outcome based not bums on seats! Simple to use Bespoke- can be individualized and personalized Increased monitoring of patients but no increase in Clinician workload Reduction in unnecessary appointments- reduction in follow-ups/telephone consultations Improved re-admission rates Better use of staffing Remote care management Improves appropriateness of treatment/referrals (management plan, lifestyle and medication) Improved patient compliance to treatment Telehealth appointments to reduce clinic time Encourages self-care- vision of the FYFV Reduces patient anxiety Reassures the “worried Well”

Protocols in use in Acute COPD/Asthma/Sleep Apnoea Heart Failure Diabetes/Paediatric diabetes Pre op (hypertension, INR and medication reminders) Gynaecology surgery post op discharge support Post colorectal surgery discharge support Stroke early supported discharge team Physiotherapy support Pregnancy Induced Hypertension/ Gestational Diabetes Pain Management Orthopaedic THR/TKR12 month Follow up appointments

Flo and the Epilepsy Team ‘Live’ with Flo since February 2015 Patients using Flo = 13 Main benefits for the team – Improving medication adherence Increased monitoring of seizures Audit trail Patient/carer reassurance Medication Compliance Seizure Diary Patient satisfaction

Example Messages A quick reminder to take your medication. Text back TAKEN when taken or FORGOT if you haven't taken it. Thanks, Flo. That's great, Thanks, Flo. It is important for your health that you take your medication as directed. Thanks, Flo Hi, it's Flo. Have you had a seizure today? Text # 1 for yes or # 2 for no. Thanks That's great, Thanks, Flo. Please remember to record any seizure in your seizure diary and bring it to your next appointment. Thanks, Flo

Here you can see a list of all your Patients and also select My Groups which will show you patients within your team. You will also see at a glance any alerts.

Audit Trail via messages box

Ability to Transfer or Discharge or Mark as deceased patient from Flo via ‘Edit Patient’