Introduction to Attend Anywhere

Yvonne LeathleySenior Improvement Adviser

Aims

• Introduction to Video Consulting

• Results to Date

• Use Cases

• Care Home Project

• Q&A

Video Consulting 3 Components

Attend Anywhere platformResource CentreSupport for adoption

Key Components – Attend Anywhere

Easy to useNothing to installNo need to authenticateWorks across a range of devicesLow(ish) bandwidth

Key Components – AA resource centre

Key Components –Support for adoption

Clinician Dashboard

Clinician Overview

Video Consulting

https://www.youtube.com/watch?v=wqD9gxJFaFo

https://www.youtube.com/watch?v=ed5Rb9Bcs-k

https://www.youtube.com/watch?v=AWDJMFE__88

Results to Date

Activity

0

100

200

300

400

500

600

700

800

Consultations Active Waiting Areas Meetings Active Service Providers

Jan-Mar 17 Apr-Jun Jul-Sept Nov-Dec Jan-Mar 18 Apr-Jun 18

Brunton Place Surgery FV Diabetes Clinic Respiratory Waiting Area for Western Isles

Bonnyrigg Health Centre Ophthalmologist and Ophthalmology Rheumatology

Leven Medical Practice GP Practice XXX NHS Borders - Orthopaedics Clinic

Penicuik Medical Practice Moffat High Street Surgery Diabetes

Howden Health Centre Moffat Church Place Surgery Orkney GP Dounby

NHSG Digestive Disorders Annan Greencroft North Surgery Balfour Outpatients - Orthopaedics

NHS Grampian Waiting Room 1 D&G Out of Hours Service Orkney Speech & Language Therapy

NHS Grampian waiting area 2 Newton Stewart Cairnsmore Medical Practice Alzheimer Scotland

Old Machar Medical Practice Video Waiting Room Demo Waiting Area DEMO mPower Waiting Area

NHS Grampian Waiting Room 2 Sleep Medicine Service Bluebell Perinatal Service

NHS Grampian Waiting Area 3 Dermatology CrossReach Perinatal Service

Stonehaven Medical Practice Video Waiting Room Carers Centre Project CrossReach Counselling Tom Allan Centre Glasgow

Skene Medical Practice Video Waiting Room 1 Dumfries and Galloway Advocacy Service CrossReach Counselling Lothians

Peterhead Medical Practice Video Waiting Room Support in Mind Scotland CrossReach Counselling Moray

Aberlour Medical Practice Video Waiting Room NHS Highland Clinical Pharmacy Telehealth Service CrossReach Counselling Inverness

Danestone Medical Practice Video Waiting Area test trainng Fife Employment Access Trust

NHS Grampian Neurology Video Waiting Area Revive MS Support Rape Crisis Grampian

ARI ICU Waiting Area Physiotherapy Dermatology Outpatient Department,

IBD MS Specialist Nurse eHealth Test

(Demo) Health service for NHS GGC MS Specialist Physiotherapist General Surgery

health records test Counselling

test training Alternative Therapy

NHSGGC QEUH MND Speech and Language Therapy

QEUH MND WAITING AREA 1 Speech & Language Therapy -Children & Young People

MND Waiting Area Occupational Therapy - Children and Young People

User Feedback

98% of people said they would ‘use it again’

Patient Travel Savings

• 27 bus / train journeys

• 23 taxi rides

• 210 car journeys

• 19 flights

• 18 ferry crossings

• 12 patient transports

2

Average 75 mile round trip12% of journeys paid for by health board

Benefits0 50 100 150 200 250 300

Saved travelling

Did not have to take time off work

More convenient

Did not have to take someone with me

Because of my condition, it was safer / easier

Saved me money

Took less time

Did not have to arrange childcare / care of a relative

I did not have to wait as long for an appointment

Other

0 10 20 30 40 50 60

I could not see the other person properly

I could not hear the other person properly

I need two appointment rather than one, as I still need to see them face to face

A face to face consultation would have been better for me

I could not find somewhere private to make my call

It cost me money

It used up too much of my data allowance

It was too complicated

My appointment took longer to arrange

Other

Disadvantages

Western Isles Respiratory

Revive MS Support

Highland Home Dialysis

Care Home Project

Telemedicine Service Consultant, Specialist nurse and therapy out

patient appointments delivered remotely to

prisons across the country

Teleconsultation by secure video link

between nursing and residential homes and

the Airedale Digital Care Hub.

Providing clinical consultation not algorithm

based approach like 111.

Hub based at Airedale Hospital staffed by

team of senior clinicians 24/7

Triage and assessment of all requests for

GP visits in hours (enhanced service)

Fully managed technical service utilizing

bespoke lap tops with HD cameras and with

4G SIM or Broadband

Patient Outcomes

8,626 , 90%

924 , 10%

Patient remained in place of residence (incl. reported death)

Ambulance request for patient

26,714 , 74%

2,197 , 6%

1,166 , 3%

3,445 , 9%

2,821 , 8%

If patients did not have the telemedicine service what would they have done?

Caller would have called theirGP (%)

Caller would have attendedA&E or called an ambulance(%)

Caller would have contactedcommunity nursing service(%)

The caller advised they wouldnot have contacted analternative healthcare provider(%)Not applicable (%)

Intention

Service development

• Planning with partners in Borders, Lanarkshire and Dumfries and Galloway to provide out of hours urgent care service

• Undertake a trial

• Evaluate the service and

review the data

• Agree next steps

Progress

• Borders – trial scheduled to commence November

• Dumfries and Galloway – engagement with partners underway

• Lanarkshire have VC provision to around 1000 beds. Moving to Attend Anywhere for clinical consultations.

More Information

www.sctt.org.uk/attendanywhere

yvonne.leathley@careinspectorate.com