Mecs for leadership conference swbh final
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Messaging Enabled Care Services
Dr Pete Davies
NHS England TECS Clinical Advocate
Technology-enabled Care Services
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Workshop program
• What is MECS?
• How can it help ‘Integration?’
• How could you put this to work for your patients?
• Clinical case presentation
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NHS Florence SMS Simple Telehealth System
SMS
Messages which prompt action & advice Messages too
GP Practices
Specialist Clinicians
Community and SpecialistNursing
Public Health Smoking Pathway
MECS Means Florence…
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Simple
Easy to use
Free to patients
Cheap, NHS IP
Customisable
Widely applicable
Automated
MECS USPs
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Mobile telecomms promote social inclusion
• 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%
“In 2000, 50% of UK adults said that they had a mobile phone – that figure now stands at 94%”
Ubiquitous!
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MECS makes for social 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”
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Future state: Patient Centered 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 centered care, e.g. secured email, PHR, Skype, Florence etc.
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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
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Patients as agents of integration
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TECS vs MECS
TECS “expensive boxes with flashing lights”
Legacy of 3ML
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TECS vs MECS
MECS
Simple, cheap,Engaging,Easy to customise
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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
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It’s for BP monitoring, right?
Tales of the unexpected
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Florence: Tales of the unexpected
• 53 yr old woman, manager working in social housing– 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
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Support helped…at first
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…but why was BP rising again?
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Flo has built-in PROMs
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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
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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
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A New Hope
• May 2014
– Accepted help from SandwellWomen’s Aid
• Relocation
• New identity & job
• Regain her financial independence
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Florence-MECS Summary
• Is available already, to you and your teams• Is cheap, 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
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Thank you for your attention!
Now, any questions?