Introducing New Technologies Into The NHS In Scotland
A Practical Guide for Industry
[mc id=”817″ type=”file”]Introducing New Technologies into the NHS in Scotland[/mc]
Introducing New Technologies Into The NHS In Scotland
A Practical Guide for Industry
[mc id=”817″ type=”file”]Introducing New Technologies into the NHS in Scotland[/mc]
By Lyndsay Moss
WANT to lose weight? There’s an app for that. In all the things your mobile phone can help you with, healthy eating is now among them.
Scottish researchers have developed the DietPhone application to help make it easier to collect detailed information and monitor food intake.
They believe it will help people control their eating habits, improve their health and free up time for dieticians and doctors to see more patients.
The team behind the app, from Queen Margaret University in Edinburgh, believes it could also help people with eating disorders such as anorexia, and be useful for weight-conscious sportspeople.
Read the full article about the DietPhone application
Early results from a pilot study suggest that telemedicine-based care could help improve treatment for geriatric depression, according to a presentation at the annual meeting of the National Association of Home Care and Hospice, Healthcare IT News reports.
Thomas Sheeran, a clinical psychiatrist at Rhode Island Hospital, led the study and presented its findings.
The project integrated evidence-based depression care with existing telehealth programs in Florida, New York and Vermont.
Researchers started the study at the Cornell Homecare Research Project at Weill Cornell Medical College and completed the project at Rhode Island Hospital in collaboration with the University of Vermont’s Telemedicine Program.
When the study began, 19 patients met the full criteria for major depression with a mean depression severity score in the “markedly severe” range, Sheeran said. He added that during the follow-up to the study, mean depression severity scores were in the “mild” range.
Sheeran said that most of the elderly patients involved in the study reported that they:
12 October 2010
The Government should do more to help people find trustworthy health websites and use online health services safely and effectively, says a new report on the ethics of ‘personalised healthcare’. The Nuffield Council on Bioethics warns that whilst online health information and services are convenient to use and extend choice, they could mislead, confuse or create unnecessary anxiety for the people who use them.
To minimise these potential harms the Council is calling on the Government to set up an accreditation scheme for online health record providers, for DNA testing and body scanning services to be better regulated, and for doctors to receive training on advising patients who use the internet to look for health information and to buy medicines online.
“The internet is now often the first port of call for people to find out more about their health. People need to know where they can get accurate health information, how to buy medicines online safely, and how any personal information about their health posted online might be used,” said Professor Christopher Hood, chair of the Working Party that produced the report.
The report also looks at direct-to-consumer personal DNA testing services that claim to predict your risk of developing diseases in future, and body scanning services which are offered to healthy people as a check-up. These services are promoted and can be booked online.
“The results of personal DNA testing and body scanning are often hard to interpret, unreliable and may cause people unnecessary anxiety,” says Professor Hood. “Better regulation is needed to ensure people are fully aware of the limitations of these services.”
The report, which considers a range of new technologies and services that are promised by their providers as offering more ‘personalised healthcare’, makes a number of recommendations for policy. In each case, the need to protect people from harm and the need to protect people’s personal information is weighed up against the need to give people freedom to make their own choices.
Health information websites
“We recommend that all websites offering health information and advice should state where the information originates and what it is based upon, who wrote it, and how the author or organisation is funded. Advertisements for medicines and products should also be clearly distinguished from other types of information,” said Professor Hood.
The Council concludes that the best websites for people to use when looking for health advice are based on high quality peer-reviewed research, from independent not-for-profit organisations, and are independently evaluated and continuously updated.
It says the NHS websites and the websites of the National Institute for Health and Clinical Excellence (NICE) generally meet these criteria.
In 2009 an Oxford Internet Survey found that in 2007 and 2009, 68% of British internet users had used the internet to look up health information.
The Council endorses Great Britain’s registration scheme for online pharmacies but recommends that the Government should make more information about it available, as people don’t always know that the scheme exists.
“Britain is leading the way when it comes to online pharmacies and patient safety, but there is nothing stopping people buying medicines from internet pharmacies based in other countries that are not regulated in the same way,” said Professor Nikolas Rose, one of the authors of the report.
“If you choose to buy medicines from a website that is not certified in the same way as registered online pharmacies in the UK, you risk buying harmful, fake or low quality products. You could also miss out on advice from doctors and pharmacists about adverse effects and interactions with other medicines you may be taking.” added Professor Rose.
The Council recommends that the UK registration scheme should be mirrored elsewhere in order to restrict the sale of medicines, including antibiotics, over the internet.
In 2008 approximately two million people in Great Britain were regularly purchasing pharmaceuticals online, both with a prescription from registered UK pharmacies and without prescriptions from other websites. A 2009 survey found that more than one in seven adults asked had bought a prescription-only medicine online without a prescription.
Online health records
Online health record services such as Google Health and Microsoft HealthVault allow people to create an account for storing information about their current and past health problems. The full versions of these services enable people to share their data with doctors and other service providers, although this is only offered in the US at present. The NHS currently intends to offer people in England an online summary of their health records through its HealthSpace website.
“These services could give people a convenient way of taking more control of their health records. However, it is paramount that people are fully aware of how their personal information is going to be stored and used before they sign up,” said Professor Hood.
The Council recommends that Governments should set up an accreditation system for online health record providers to improve transparency and standards on how personal information is stored and used. Companies should also establish systems to safeguard the confidentiality of data if they change ownership or go into administration.
Direct-to-consumer personal genetic profiling services
Direct-to-consumer personal genetic profiling services are often marketed online to healthy people as a way of finding out their risk of developing serious conditions such as diabetes, heart disease, Parkinson’s disease and some cancers, through the analysis of a DNA sample they provide.
“Commercial genetic profiling services may seem to be providing more choice to consumers, but the test results can be unreliable and difficult to interpret and they are offered to people with little or no genetic counselling or support” said Professor Rose.
“People should be aware that other than prompting obvious healthy lifestyle choices such as taking more exercise, eating a balanced diet and reducing alcohol consumption, the tests are unlikely to inform them of any specific disease risks that can be significantly changed by their behaviour.”
Currently there is no overarching system of regulation for personal genetic profiling. The Council says that claims that these services are leading to a new era of ‘personalised healthcare’ are overstated and should be treated with caution. It recommends that regulators of these services should request more evidence from companies to back up the claims they make about the predictive value of their tests.
Direct-to-consumer body scans
The report also considers direct-to-consumer CT, MRI and ultrasound body scans as a form of ‘health check-up’ for people without pre-existing symptoms.
Whole body CT scans carry serious physical risks from the radiation involved. The Council says that the commercial sale of whole body CT scans as a health check for people without prior symptoms of illness should be banned, as any potential benefits do not justify the potential harms caused by the radiation.
The scans may be hard to interpret and they often show up ‘abnormalities’ which are actually harmless, but which could lead to undue anxiety or further tests or treatments which carry risks. The report also recommends that GPs should receive specific training on giving advice to patients about direct-to-consumer body imaging services, and about making referral decisions on the basis of these tests.
Published Date: 10 October 2010
By Lyndsay Moss
NURSES in Scotland are “overloaded” with paperwork which is stopping them caring for patients, leaders of the profession have warned. The Royal College of Nursing (RCN) said evidence suggested administrative tasks take up two-thirds of nurses’ time at work.
In a manifesto ahead of next year’s Scottish elections, the organisation said the situation could get worse with planned cuts in the number of administrative staff in the NHS.
The RCN is calling for an urgent review of paperwork so that nurses can spend more time with patients. It also called for more action to protect and encourage whistleblowers reporting workplace problems, as well as ensuring the most vulnerable groups in society were not hit hardest by public sector cutbacks.
The Scottish Government said it wanted nurses to have as much time as possible to care directly for patients. The RCN said that while some clinical paperwork was necessary, far too much non-essential admin was being done by nurses.
“Nurses of all levels and from all areas of health and social care tell us that they are overloaded with paperwork and administrative tasks,” the document says.
The 2010 BCS Health Scotland Annual Conference was held this year in the highest of high tech arenas, the futuristic Glasgow Science Centre.
Almost 200 delegates and exhibitors shared conference presentations from speakers from all around the world. The Conference also provided a showcase of the very best eHealth projects in Scotland including the winners of the NHS Scotland eHealth awards.
The exhibition area showcased eHealth products from over 20 vendors with a further 15 stands on the upper floor giving public sector information from organisations such as the Royal College of Surgeons of Edinburgh, the Scottish Government eHealth Directorate and the NHS Scotland National Information Services Group.
The conference started on Wednesday 22nd September with keynote speakers giving presentations on eHealth as seen from the perspective of governments in Canada, Saudi Arabia and Sweden. There were then various presentations from speakers on such topics as ‘Telehealth in Africa’, ‘Quality improvement in eHealth in America’ and ‘eHealth in Malaysia’. The day closed with a champagne reception for vendors, presenters and delegates held in the main exhibition hall.
On the second day the conference focussed on topics such as the ‘Welsh Individual Health Record Infrastructure’, the ‘Scottish Patient Safety Programme’ and ‘Monitoring Access to Clinical Systems’.
The day closed with the declaration of the winners in the NHS Scotland eHealth awards for 2010. The judges for these awards were drawn from the exceedingly knowledgeable pool of field experts in the UK. The award winners were as follows:-
Best NHS Scotland IT Service Delivery Team which was awarded to the project lead team at NHS Greater Glasgow and Clyde team for their Strathclyde Electronic Renal Patient Record project.
Best NHS Scotland eHealth initiative supporting quality improvement of patient service or outcomes which was awarded to the NHS Ayrshire and Arran team for their project entitled ‘ eHealth systems to support clinical outcomes measurement and service improvement’.
Best NHS Scotland use of innovative IT for Patient Care which went to the team from NHS Highland with their ‘Telehealth for Long Term conditions in Argyll and Bute’ project.
At the close of an extremely busy and successful conference the Chair of the BCS Health Scotland Specialist Group, Dr Paul Woolman, was pleased to announce that the 2011 conference will be held in mid September at the Royal College of Surgeons of Edinburgh.
EXCLUSIVE: Helen Puttick, Health Correspondent
18 Sep 2010
When John McGregor suffered a major stroke and lost the use of his right leg, he never stopped believing he would walk again.
After months in hospital, he could manage to walk 50 yards but suffered “drop foot” – paralysis of the muscles that lift the foot, causing the toes to drag along the ground.
Now Mr McGregor has become the first person in Scotland to be fitted with a device that raises his foot for him.
The wireless system includes a leg cuff, which straps below the knee, containing two electrodes that stimulate the muscles. A sensor placed in the shoe, underneath the heel, switches on the electrical stimulation as the leg is raised to take a step, bringing up the toes. When the foot is lowered, the sensor turns the stimulation off, allowing the foot to lie flat.
With the help of the device, called the Wireless Ness L300, Mr McGregor, originally from Paisley but now living in Edinburgh, can walk for a mile.
He said: “The L300 has given me much more independence. I can now put it on and take it off by myself and I wear it from the early morning to the late evening. My style is much more natural and my stability has greatly improved, particularly when walking uphill and on flat ground. I can actually go for 40-minute walks.”
Mr McGregor, a cosmetic surgeon, had just retired from the NHS and was still treating private patients when he suffered the stroke in July 2007.
Despite his medical background, he did not realise what had happened. He rang helpline NHS 24 and was advised to see a GP the following morning.
When he saw his doctor he could still use his legs, but the weakness increased. He remembers lying in Edinburgh’s Western General Hospital unable to feel his right-hand side, being unhappy yet surprisingly calm.
Read the full article about this bionic device HERE
The health and social care partnership, Orkney Health and Care has launched a telehealth service using advanced solutions from Tunstall Healthcare to enhance healthcare delivery for patients with long-term conditions, such as chronic heart disease and chronic lung disease.
Telehealth enables patients with long-term conditions to measure their vital signs in their own homes, helping to reduce the need for them to travel to health centres for routine check-ups. This is also aimed to benefit healthcare providers in NHS Orkney, where the rural geography means that GPs and nurses often need to visit patients by ferry.
By remotely monitoring patients’ vital signs on a daily basis, it is hoped that telehealth will reduce avoidable travel and help ensure the best use of health resources.
Telehealth deployments across the UK have shown that daily health monitoring helps patients to understand their condition, reduce anxiety, and ultimately prevent unnecessary hospital admissions. In addition, increased communication with patients via the phone helps to promote a more preventative approach to the management of long-term conditions.
Keith Farrer, NHS Orkney consultant nurse and clinical lead for long-term conditions, said: “We are already using video consultations for patients that have a number of different long term conditions, and telehealth is the next step for helping other patients with long-term conditions. Due to our rural locality I expect to see telehealth reduce the need for patients to travel to their health centres for regular checkups therefore reducing the burden of travel. It will also help some patients to better understand how to manage their illness.”
Orkney Health and Care is using Tunstall’s icp integrated care platform, including mymedic and icp triagemanager, which are designed to support integrated, fully managed and patient-centred care. The patient simply uses the solution to measure their pulse, blood oxygen rate, weight, temperature and are asked a series of health related questions.
This information is automatically transferred either by traditional landline connections or over GPRS mobile networks. Voice and visual prompts help guide the patient through their health session making it easy for any user.
The data is then automatically collected by NHS Orkney’s clinical staff in real time. This makes the process easier for patients to manage, and also ensures that healthcare staff get instant access to the results, enabling them to monitor the patient’s condition daily to provide timely, preventative care when needed.
Orange today announced the launch of its second new service specifically aimed at the UK healthcare sector. The Orange Health Gateway allows hospitals, doctors’ surgeries and pharmacies to use mobile communications to transform patient services and become more efficient through a selection of two-way messaging modules.
The Orange Health Gateway can help every healthcare organisation get messages to patients and employees quickly and easily, whether to remind them of upcoming appointments, improve the communication of test results, speed up the resourcing of replacement nurses or improve patient adherence to medication. The applications are available through a simple, secure web environment, which allows mobile technology to become an integral part of the way healthcare providers communicate with patients and employees.
Orange Health Gateway powered by iPLATO
The Orange Health Gateway is available as a series of modules that can be selected to meet healthcare customers’ specific needs.
The Appointment Reminders module enables organisations to send timely, personalised appointment reminders to patients and manage cancellations and confirmations, which could reduce the number of wasted appointment slots by up to 38%1. With missed appointments estimated to be costing the NHS £790 million per year2, this module alone could lead to savings of £300 million per year. Appointment Reminders has a very low start-up cost and can be deployed within days.
Additional Messaging modules from the Orange Health Gateway can also enable healthcare providers to:
Michael Lawrence, Head of Corporate Propositions at Orange UK said, “Orange Health Gateway offers the healthcare sector the opportunity to improve patient services and deliver real savings by capitalising on the everyday use of mobile. It enables healthcare providers to make better use of time and resources, at a time when efficiency gains are front of mind. As well as helping to provide excellent patient care through shorter waiting lists and quicker updates, healthcare organisations can also transform their entire communications system, proving that technology and partnerships can enable real change. With minimal management commitments combined with maximum efficiency and cost savings, Orange Health Gateway will ease the lives of patients and professionals across the healthcare sector alike.
“Orange Health Gateway comes hot on the heels of our first healthcare solution in the UK, Orange smartnumbers, and demonstrates the Orange commitment, as part of Everything Everywhere, to providing the very best products and services for all types of businesses”.
iPLATO Healthcare powers the Orange Health Gateway, as well as providing professional services to help healthcare organisations launch and evolve their eHealth services. The platform is hosted on N3 and complies with the NHS’s data security and information government requirements.