Professor Alka Ahuja

National Clinical Lead for Technology Enabled Healthcare in Wales

@AlkaSashin

What’s Occurring in Wales?

#VideoConsultations

The National Video Consultation (VC) Service?

• Funded by Welsh Government• Accessible across health and social care• A Healthier Wales• Safe and secure way to see patients - ‘Attend Anywhere’• TEC Cymru hosted by ABUHB• “CWTCH” as an exemplar

#VideoConsultations

Video Consultation – Different settings

• Primary care • Secondary care• Community care• Care homes• Other settings…..

#VideoConsultations

Primary care/OOH Service

• Almost 90% of GP surgeries live• More than 3000 consultations • Out of hours service and 111 service

“Would be great if these could be done more often once lockdown restrictions have been lifted. I didn't have to spend time away from work, I saved on fuel and time for travelling

to the surgery”

#VideoConsultations

Secondary and Community care

• Secondary Prioritisation tool• COVID wards, Palliative care, Hospices, Frailty, Haematology, ITU,

Mental Health, CAMHS….• Podiatry, SALT, Physiotherapy….

“Our first VC was with a couple in their 70’s….His wife expressed huge relief that we saw the foot wound and guide her with his care”.

#VideoConsultations

55% female patients (P)69% female patients (S)

42% male patients (P)28% male patients (S)

GP LocationHome 7% Work 93 %

<12 13-17 18-24 25-44 45-64 >65

16%30%

7%9%

7%5%

31%41%

24%9%

15%6%

Time 8062 mins

Travel 3875 miles

Carbon 1030 co2

1988

1024

318

Clinical & Evaluation Update

3% other/PNTS (P/S)

Sec Care LocationHome 34% Work 66%

Overall Star Rating 4 out of 5

F2F Prevention87% (Primary) & 75% (Secondary) VC prevented a F2F appointment

Primary

Secondary

Survey ResponseOver 1300 responses

#VideoConsultations#VideoConsultations

Care Homes

• Partnership with Digital Communities Wales• Training and equipment to care homes• Vulnerable, high risk and isolated individuals• Virtual ward rounds by GP• All Wales Care Home- Digital Cwtch

“It was easy and I’m not the most tech savvy. The GP sent the link which is now

saved onto the tablet……..it was all seamless.”

#VideoConsultations

Other settings

• Prisons• Schools- postvention clinics• WAST• Police/MHA assessments• Dentistry• Optometry• Pharmacies

“Using this technology in schools following a serious incident allowed young people to receive almost immediate access to CAMHS”

#VideoConsultations

Groups

• Running groups for more than 5 years• SALT, Dietician, OT, Education, Psychologist etc.• Support parents/carers of children and young

people with autism • Partnership- education, social services & 3rd sector

“People able to ask questions”

“Excellent opportunity for parents”

“Time saving and access to busy people”

#VideoConsultations

What is the CWTCH Model?

• CWTCH (Connecting with Telehealth to Communities and Hospitals for Healthcare) funded by the Health Foundation in 2019

• Endorsed by the Royal College of Psychiatrists in Wales

https://www.rcpsych.ac.uk/about-us/responding-to-covid-19/responding-to-covid-19-guidance-for-clinicians/digital-covid-19-guidance-for-clinicians

#VideoConsultations

“Our team have used for communication with families of critically ill patients…allow us to build close relationships and trust with families who are unable to visit and puts a human face

on interactions and allows real-time updates. We couldn’t provide the service without it“

#VideoConsultations

#VideoConsultations

@cwtchgwent@teccymru

THANK YOU

Cwtch Gwent

https://digitalhealth.wales/tec-cymru