1. SMS Core Clinical Summary Direct to the Patients’ Mobile Phone Ron Neville

2. It’s about people

3. Agent system technology An agent is communicative, autonomous, acts according to instructions with other agents to form a society An agent is communicative, autonomous, acts according to instructions with other agents to form a society Agent systems replicate ‘real world’ scenarios and create a ‘virtual world’ to speed up, automate and syncronise communication Agent systems replicate ‘real world’ scenarios and create a ‘virtual world’ to speed up, automate and syncronise communication

4. Examples E bay E bay The Barcelona fish market The Barcelona fish market Air traffic control Air traffic control Power utility supply and demand Power utility supply and demand

5. Medical potential…. Guided web browsing and ‘blog feeds’ Guided web browsing and ‘blog feeds’ Transplant matching Transplant matching Long term health condition support Long term health condition support Clinical trial support Clinical trial support Physiological monitoring Physiological monitoring Access to care Access to care Access to personal health data Access to personal health data

6. WWWestgate Appointment scheduling Appointment scheduling Repeat Prescription Re- ordering Repeat Prescription Re- ordering Clinical Enquiries Clinical Enquiries Summary of Case Records Summary of Case Records Results service Results service

7. SMS Appointments Request 24/7 Request 24/7 Negotiation Negotiation 48 hour reminder 48 hour reminder 2 hour reminder 2 hour reminder Evaluation Evaluation

8. SMS Repeat prescriptions 24/7 ambulatory requesting (when the pills run low) 24/7 ambulatory requesting (when the pills run low) Automatic reminder Automatic reminder Collect direct from pharmacy Collect direct from pharmacy Evaluation Evaluation

9. SMS results service SMS initiated at time of investigation SMS initiated at time of investigation Receipt Receipt Notification of result or of availability of result Notification of result or of availability of result

10. SMS clinical summaries Core clinical spine direct to mobile phone Core clinical spine direct to mobile phone Available anywhere, anytime Available anywhere, anytime Request when needed, no need to store Request when needed, no need to store Evaluation Evaluation

11. SMS Clinical summaries: Patient experience so far LREC consented patient group LREC consented patient group Curiosity not clinical need Curiosity not clinical need Summary has to be accurate Summary has to be accurate “pleasant surprise” “pleasant surprise” “not a big deal” “not a big deal” “thanks” “thanks”

12. The Future? The Future? SMS results service – ‘plug and play’ for GPs and patients SMS or WAP core clinical summary Support for long term health conditions

13. It’s about people And attitude………..

14. Thanks CSO CSO CalicoJack.co.uk CalicoJack.co.uk Westgate Medical Practice patients and staff Westgate Medical Practice patients and staff SCIMP SCIMP