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![How best could MECS help your patients?
What would you [your patients] use it for?
What would be the benefits?
10 mins discussion, then group feedback](https://image.slidesharecdn.com/simplemecsforgaindv2-141120152425-conversion-gate02/75/Messaging-Support-for-People-with-Diabetes-Florence-Simple-Telehealth-17-2048.jpg)
Uploaded byPete Davies
Messaging Support for People with Diabetes (Florence Simple Telehealth)
The document discusses the implementation of the Simple Telehealth system (Florence) within NHS diabetes care, highlighting its benefits in patient engagement and monitoring. It emphasizes the system's accessibility, low cost, and potential to improve patient networks and integration of care. A clinical case illustrates how Florence facilitated a patient's journey towards seeking help for personal issues, demonstrating the system's efficacy in enhancing communication and support.
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Messaging Support for People with Diabetes (Florence Simple Telehealth)
- 2. NHS Simple Messaging Dr Pete Davies Consultant in Diabetes
- 3. Workshop program •What is Simple Telehealth (MECS)? • How can it help ‘Integration?’ • How could you put this to work for your patients? • Clinical case presentation
- 8. MECS Means Florence… NHS Florence SMS Simple Telehealth System SMS Messages which prompt action & advice Messages too Specialist Clinicians GP Practices Community and Specialist Nursing Public Health Smoking Pathway
- 9. MECS USPs Simple Easy to use Free to patients Cheap, NHS IP Customisable Widely applicable Automated
- 10. Mobile telecomms promotesocial inclusion Ubiquitous! “In 2000, 50% of UK adults said that they had a mobile phone – that figure now stands at 94%” • 82.7 million mobile subscriptions in UK • 49% UK adults use their mobile phone for internet • Tablet ownership 24% of UK households • 3G coverage now 99.1%
- 11. MECS makes forsocial inclusion by • Engaging people – Allows a power-shift • Activating people’s native capabilities – Let’s the customer add value • Helping you to know your patients better • Helping to build patient networks – An “engine for integration”
- 12. Future state: PatientCentered Diabetes Care within @SWB CCG Area • Specialist link teams continue to support Primary Care teams, including advice & guidance, but with increasing/better use of tech. • Built our relationship with patients through value-added processes and establishing patient/customer networks • Using new technology to directly support patient centred care, e.g. secured email, PHR, Skype, Florence etc.
- 13. Florence-MECS implementation •CCG use ‘pilot’ 2012-14 – Pockets of primary care use – Greater use by community respiratory team • Permission for SWBHT use November 2013 – Diabetes team (City and Sandwell sites) – 8 users – 50 patients – BP monitoring/weight management/medication reminder
- 14. Patients as agentsof integration
- 15. TECS vs MECS TECS “expensive boxes with flashing lights” Legacy of 3ML
- 16. TECS vs MECS MECS Simple, cheap, Engaging, Easy to customise
- 17. How best couldMECS help your patients? What would you [your patients] use it for? What would be the benefits? 10 mins discussion, then group feedback
- 18. 100.0 80.0 60.0 40.0 20.0 0.0 High Patient Satisfaction % recommend Confident about taking BP Preferred to SMS vs face to face User (patient) satisfaction levels Summer 2014 N=35 BP BP diabetes/CKD
- 19. It’s for BPmonitoring, right? Tales of the unexpected
- 20. Florence: Tales ofthe unexpected • 53 yr old woman, local authority manager • hyperthyroidism and hypertension – BP 186/98 – mother died of stroke disease aged 60 – Prescribed amlodipine – Decided not to take antihypertensive drugs – No side effects, but… – “I don’t want to be someone with a LTC needing to take tablets” – Enrolled in blood pressure monitoring protocol
- 21.
- 22. …but why wasBP rising again?
- 23. Flo has built-inPROMs
- 24. Next consultation… •We dealt with her medical issues • I asked if she’d received my text messages • Gradually, she opened up • Domestic abuse: physical, emotional & psychological • Physical abuse as a child • Her father battered her mother; in her eyes responsible for others premature death
- 25. The real story • Her husband works away from home, she dreads weekends • She would stop antihypertensive drugs as she wished to die; hoping she would succumb to stroke • Following our discussion, she was meeting with the emotional support team and considering accepting help Flo exceeded my expectations for how it could help me get to know my patients and their lives
- 26. A New Hope • Summer 2014 – Accepted help from Women’s Aid & Local Authority • Rehoused in new location • Regained her financial independence – Why Florence? • “It felt like I was talking to a real person. It felt safe to open up”
- 27. Florence-MECS Summary •Is available already, to you and your teams • Is free* to use, easy to use, and readily customised • If today you have thought of a job that Florence can do for you/your patients – You can begin tomorrow – Or at least, very soon • Great scope for this to help engage our workforce with digital health care – Its simplicity may help overcome adaptive change barriers Free* as in “free beer”
- 28. Thank you foryour attention! Now, any questions?
Editor's Notes
- #13 This model does not apply to the following groups, Pregnant Ladies, Patients with Renal disease, Patients with Vascular Disease, Children and those in Transition into Adult Services
- #22 In first week, BP dropped; using sms she confirmed she was now taking tablets
- #23 It didn’t last, so I used the mechanism to send an SMS and asked if she was dealing to the medication…
- #24 I noticed the alerts, but I was not sure what they meant. The background documents explained that she was reporting a high level of distres… I attempted to contact her by SMS to offer support
- #26 This was truly unexpected