HEALTHCARE DELIVERY
the user about their health and wellbeing. For higher risk patients who need to be closely monitored, intensive clinical support can be provided in the home in combination with CliniTouch Vie. This community intervention and simple self-monitoring can help the person avoid frequent hospitalisation, improving their quality of life. We know that self-monitoring as part of an agreed clinical support programme can form a cornerstone in reducing admissions and re- admissions. Self-monitoring brings with it education, engagement and empowerment when undertaken with the encouragement and support of healthcare professionals.
Knowledge to the people
As Anu Singh, director of Patient and Public Participation and Insight for NHS England, stated in the report’s foreword: “We are beginning to understand that people living with long-term conditions are themselves the experts living with their conditions. We also know that more formal group education for people living with long-term conditions can help as well, as does peer support. And we also know that health coaching has an important role to play. Finally, the evidence tells us that access to all these approaches is reliably provided by systematically putting in place personalised care and support planning.”
The judges at PMEA understood this, as they showed when they awarded CliniTouch with the Excellence in Healthcare Collaboration and Partnerships Award in 2014, claiming it “will shape the future management of chronic conditions; technology, collaboration and innovative processes. It reshaped the care pathway and reduced hospitalisations. It is scalable, transferable and will be a model for other commissioners.”
A story of self-care
Pauline shares with us the past 12 months of self-care she has undertaken to improve her health and wellbeing as a sufferer of bronchiectasis, a long-term lung disease. Pauline is a real inspiration to others with respiratory disease showing that a few minutes of self-monitoring a day can help lung disease sufferers to stay out of hospital and keep well, while making improvements to health and enjoying life. Pauline volunteered to join the Aseptika clinical trial in which patients undertook the recording of their vital signs and symptoms using the Activ8rlives simple medical monitors which connect to a tablet using the Activ8rlives app. Each day, Pauline recorded up to 41 parameters of health and her blood oxygen levels, heart rate, blood pressure, temperature, weight and body composition, as well as her levels of physical activity with a wrist-worn activity tracker and her lung function (peak flow and FEV1 values).
“Doing the trial helped me to learn discipline to undertake self-monitoring every day and it has made such a difference. I set myself a challenge with
They were referring to our pilot scheme
with Leicester City CCG, which combined telemonitoring, specialist nurse interventions and health coaching in COPD. It demonstrated a reduction in admissions of 67% and also improved the patient experience of care. Thanks to the Realising the Value programme, we are now talking positively about the benefits of working in communities, with partners, using technologies and services that empower patients to live the
the peak flow meter (measures lung function) that I was going to try to get the reading a little higher every day. What this was really about was to improve my breathing and that has happened - I don’t cough nearly as much as I used to.” One of the many health benefits of
Pauline’s continued daily self-care routine is that she has also been able to become more physically active. Using her activity tracker, she has increased her daily step count by about 2,000 steps per day. Pauline has also been able to re-engage with formal exercise activities and attends aqua aerobic classes twice a week. Although she doesn’t always feel like going she always appreciates it when she has gone along for the session. Pauline’s activity increased over the year by about 2,000 steps a day. Pauline’s story of self-care
demonstrates how many small changes collectively bring significant improvements in wellbeing, reversing a downward spiral of bouts of ill health, loss of life quality and reducing the risk of hospitalisation.
lives they want to live. It’s a big shift in culture. Society needs to start talking about the positives of self-monitoring and education in order to make it a positive experience and a welcome introduction. That’s why it’s important to celebrate all the work that’s being done across England to empower patients and for all NHS staff and community services to shine a spotlight on their activities. It is time to recognise the value that we can get from sticking to our values.
CSJ
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v CampfieldRoad S, hoeburyness E, ssex S, S39BX
T: +4 (4 0)1702291878 | F: +4 (4 0)1702290013 | E:
info@cantelmedical.co.uk www.cantelmedical.co.uk
MARCH 2017
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