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How technology and apps can help drive
people powered health and care A third sector insight from end of life care and men’s health
Martin Tod
Chief Executive, Men’s Health Forum
Why men’s health?
19.6%
Male deaths – under 65
12.0%
Female deaths – under 65
Source: ONS 2014
W a n g Y et al. BMJ Open 2013;3:e003320 ©2013 by British Medical Journal Publishing Group
Working-age men less likely to visit GPs
Man MOT • ‘Online personalised health
information, advice and support
resource to empower men to take
control of their health’
– Funded by Department of Health
Innovation, Excellence & Strategic
Development Fund -
Personalisation and Choice of
Care and Support
• Co-created with men
Man MOT – how men use it
57% 32%
11%
Health information
Mobile
Desktop
Tablet66%
25%
9%
Chat
Man MOT – how GPs use it • Standalone app
available on PC and
Mac
Man MOT – what they say • Why men use it
– Reassurance – Specific, professional advice from an
authority figure – Context for GP consultation – Second opinion – verifying health
advice
• Overcomes barriers – Taking time away from work – The inconvenience of arranging a GP
appointment – Feeling anxious about interacting with
the GP including; • Not having enough time to fully discuss
concerns with the GP – often men wait until they have more than one concern before visiting the GP
• Being unable to adequately express themselves during the GP consultation
– Not wanting to waste GP time
Man MOT – what they say • 1,500,000 views of our health
information
• 1,718 chats
• 1,754 email conversations
Man MOT – challenges • Sustainable funding model
– Sponsorship
– Commissioning
– Occupational health
• Cost, capacity & targeting
– Lowering cost of reaching the men in most need
• Continuously improving quality
Men’s Health Forum • www.menshealthforum.org.uk
• www.manmot.co.uk
• office@menshealthforum.org.uk
• 020 7922 7908
• 32-36 Loman Street, London, SE1 0EH
Sue Ryder – VitruCare A Digital Health Service pilot project
Maintaining choice, support and connection at the end
of life.
Claire Pearson (Sue Ryder)
Richard Pope (Dynamic Health Systems) September 2015
• Communicate with everyone who supports me
• Catch me on a low day and support me
• Clinical priorities may not be my priorities
• Have to keep repeating my story
• Don’t want to wait for a doctors appointment want to talk to someone immediately
• One can write up how one wishes to die, but along the way one can change one's mind
• Helpful to be able to ask questions and get answers in real time eases the worry
• Emotional support can also come from a peer, not a professional, who is qualified by life
Why? What people said
Going Digital Starting point: VitruCare Individuals - self caring but connected
Maintaining connection and clinical support
Early pilot: user based testing
Using a tablet to work with VitruCare
Exploring VitruCare at home using a Smart TV
Experiencing the digital services
Personalised - prescribe Digital Tools , appropriate for the person and their current situation
Profile
A means of introducing myself
Identify and communicate with my personal care network
• appointments and ordering repeat prescriptions.
• messages with clinical team - reporting/managing symptom control-
physical, psychological and emotional.
• local information - directories of services.
• health information
• a place to describe preferences, choices and care plans.
• blogs from care professionals
• sharing and reflecting with family/carers
• primary care IT links (eg SystmOnLine)
• self management of concurrent LTCs
• …
Wide range of services,enabling access to
• accessed through a clinical system
• allows direct access to the patient – view or send messages
• information can be completed and updated by/with the patient
• allows work efficiencies - prioritize workload, based on real time information
from the patient
• provider/commissioner intelligence
The Health Care Professionals’ Workspace
• “I can get things off my chest.”
• “You know, some of the things I’ve written on VitruCare I have never told anyone before, mostly because nobody asks. Doctors and Consultants don’t realise how draining it is to keep on repeating my story. I feel tired easily, I forget, I simply don’t have the energy.”
• “It frustrates me when the Doctors don’t seem to know me (with the exception of current GP).”
• “I think the more information doctors, nurses and consultants know about me, it can only be a good thing. It saves repeating myself, giving me more energy for things I want to do.”
Patients’ Comments
• “Having the opportunity to document how I feel reduces stress, I don’t
have to remember everything.”
• “I can see real advantages, especially if my GP and Consultants can see
my entries, especially when I have long periods between contacts, especially at the hospital.”
• “I often forget things which I later think are important, its too late then
because I won’t see the hospital again for a long time.”
• Currently deploying across 3 locations
• The expected technical and operational challenges…
• Qualitative feedback to date is powerful
particularly around the ability to reflect and share…
• Formal evaluation underway (University of Salford)
• Aim to recruit 250 users in total
• Likely to conclude in mid 2016
• Project funded by NHSE via the SBRI programme (Health Enterprise East)
State of the Pilot
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