1. Telehealth innovation Dr Ruth Chambers Phil O’Connell RCGP June 2011 1 Regional Innovation Fund 2010 WINNER 2011 WINNER 2010 WINNER Global Messaging Awards 2011 WINNER

2. 2 GP Perspective Challenge Innovation Cost Saving ? Time Saving ? Improving patient's quality of care ? Integrated Pathway ?

3. 3 Telehealth equipment in patients’ homes Select for COPD, heart failure, other Non-clinical triage Alert parameters Evaluation? Mobile phone texting interaction Hypertension, Asthma, Contraception Website –sharing of information Focused problems eg poor blood pressure control What did we try ?

4. 4 Is it working? Challenge: yes – clinicians engaged in 14 practices Innovation: yes – new use Cost Saving: probably Time Saving: possibly Improving patient's quality of care: probably Integrated Pathway: yes – helping interaction with community nursing

5. NHS Telehealth Innovation 5 compliance monitoring behaviour change

6. Inside the NHS industrial scale quality and productivity improvement 6 quick and easy very low cost COPD, CHF, new hypertension, hypotension, diabetes type 1, dementia, vascular cognitive impairment, sexual health, retinopathy, medication compliance, diabetes type 2, medication titration, orthopaedic, pulmonary fibrosis, cervical smear, smoking cessation, speech therapy, carers wellbeing, mental health behaviour, long term hypertension, asthma, alcohol support, weight management, early hospital discharge, outpatient therapy, acute specialist follow up, long term monitoring, prothrombin time, oximetery review, asthma, depot injections, pregnancy, pain management, physiotherapy, palliative care, learning disability, oncology, neuropsychology, DNA management, CKD ….. unlimited conditions

7. Inclusive approach genuine benefits for everyone involved 7 self management + GP decision support Personal and empowering Massive and fast scalability Year 1 ROI universal acceptance + pragmatic quantifiable business cases Patient | DoH| SHA | PCT | Acute | Community | GP | Nurse | Commissioner QOF assist NHS owned not for profit

8. increased productivity + quality inclusive + available to everyone low cost + high ROI www.stoke.nhs.uk/simple WINNER 2010 WINNER Global Messaging Awards 2011 WINNER WINNER 2011 Regional Innovation Fund 2010