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