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

2. 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) 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

3. 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”

4. 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

5. 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

6. 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

9. 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.

11. Audit Trail via messages box

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