Excellent update on mHealth issues for Africa in the United Nations’ Integrated Regional Information Networks (IRIN) news website. “…the mobile phone seems to have morphed from communications device to essential life-saver. But is the evidence there yet that mHealth is an effective health delivery intervention for the developing world?” Analysis: Sending the right message on mHealth.
BT takes 3ML ‘down under’
Just when the UK’s 3millionlives (3ML) project seems to have hit the doldrums, BT has taken its model ‘down under’ to Australia. According to The Australian (part pay-walled) “BT is spearheading a multi-million-dollar push by more than 20 key private and public sector players in the healthcare industry to roll out telehealth services in Australia, mirroring a British e-health initiative to provide services to three million people within five years…BT is convening a meeting later this month of key players across the sector, including those in private, community and aged care, to sign off on bankrolling the initiative, expected to run for up to two years, to develop a framework to fast-track the rollout of telehealth services.”
It will be interesting to see if a private 3ML-type initiative without the dead hand of Ministerial blessing will fare better than the original. Of course, the connecting link between the Australian and UK initiatives is Angela Single, Chair of the UK’s 3ML Working Group who is Clinical Director of BT’s Global Telehealth and Telecare Managed Service Pratice [sic]. Will BT, with the benefit of the UK experience, be able to make a fresh start In Australia? More, is this development a sign that the UK’s 3ML investors are restless? Might it not be time for 3ML to be reinvigorated and regenerated Dr Who-like and moved to a new home?
The Australian item: BT leads big push to roll out national telehealth services.
…Meanwhile, also in Australia, a seemingly unrelated story: Telehealth projects get $20m funding boost ITNews.
The UK Government’s plans for the future funding of care home stays
If you or a family member are due to grow old in the UK after April 2016, you will find a fascinating answer to the question ‘When is a cost cap not a cost cap?’ in a thorough analysis of the current plans for the future funding of stays in care homes that comes in a blog item by BBC Money Box presenter Paul Lewis: Paying For Care – The Coalition Plans. Hat tip to Roy Lilley’s newsletter.
Telehealth can achieve 85% reduction in GP home visits (UK)
Newly re-branded Medvivo gets its publicity rolling with the announcement of headline findings from an 18-month study. The results indicate that the use of telehealth with COPD patients can help reduce:
- GP appointments by 67%
- GP home visits by 85%
- A&E attendance by 52%
- Unplanned hospital admissions by 57%
Press release: Telehealth can achieve 85% reduction in GP Home Visits.
£12m project to up the game on home sensor data for health and wellbeing (UK)
The University of Bristol has just released news of a new interdisciplinary research collaboration (IRC) led by the university, together with the Universities of Southampton and Reading. It has been awarded a £12 million grant by the Engineering and Physical Sciences Research Council (EPSRC). They will work in partnership with Bristol City Council, IBM, Toshiba and Knowle West Media Centre. The IRC, known as SPHERE (Sensor Platform for HEalthcare in a Residential Environment), will develop home sensor systems to monitor the health and wellbeing of the people living at home. [So far, so 2002.]
But the press release goes on to make it clear that they do not intend to develop new sensors but to improve ways of analysing data from existing systems. “The IRC’s vision is not to develop fundamentally-new sensor technologies for individual health conditions but rather to impact all these healthcare needs simultaneously through data-fusion and pattern-recognition from a common platform of non-medical/environmental sensors at home…The system will be general-purpose, low-cost and accessible. Sensors will be entirely passive, requiring no action by the user and suitable for all patients, including the most vulnerable. An example of SPHERE’s home sensor system could be to detect an overnight stroke or mini-stroke on waking, by detecting small changes in behaviour, expression and gait. It could also monitor a patient’s compliance with their prescribed drugs.” [So far, so 2005 but perhaps the available technology these days is more up to the job. Let’s hope so.]
NHS Choices Apps Library
If you Google ‘NHS Apps Library’ the early results that come back after those to the library itself are predominantly from US publications. Perhaps we in the UK under-appreciate the potential benefits. The reason I mention this is that while TTA has given the Apps Library a couple of passing mentions during the past month or two, we have not – as one sharp eyed reader pointed out – given it the attention it deserves. So, by way of amends, here are some relevant links:
- The NHS Apps Library itself.
- A helpful article from NHS England: Introducing the Health Apps Library.
Mysteriously, the 12 apps recommended in the following enthusiastic US article: UK NHS launches 12 patient decision support apps do not seem to be listed in the library. Perhaps the author mistakes the BMJ for the NHS, or perhaps they are published or endorsed by a different part of the NHS…
I’ll be happy to take recommendations for links to good articles on the Library. Ed. Steve.
Continua Alliance launches presence in Latin America
Brazil, to be precise. Wondered when they’d get round to it. Continua Alliance launches presence in Latin America (mHIMSS)
Avatars to help close the doctor-patient communication gap?
An interesting concept and some interesting stats lurk under the pedestrian title of an article by Willie D Jones in the biomedical section of IEEE Spectrum’s risk analysis blog: Can Avatars Help Close the Doctor-Patient Communication Gap? The idea is that an electronic entity that can be interrogated by a patient and which has access to his or her electronic health record could act as a non-threatening intermediary between doctors and their patients…’someone’ who can be asked those stupid questions one might feel to powerless to ask the doctor in person. Heads-up thanks to Toni Bunting.
Plus ça change – this appears to be a modern take on the centuries-old Chinese practice for women to use small statuettes called ‘doctor’s models‘ to indicate to the doctor what was ailing them when face-to-face contact was embarrassing. (Although experts at Christie’s now believe these figures had a ‘more erotic intention’.)
NHS telemedicine system for strokes hailed a success
A few weeks late in the posting, but relevant to the telemedicine collaboration issues raised by Professor James Barlow’s report from the ATA 2013: Over the last 18 months a telemedicine system set up to help stroke patients by the NHS Cumbria & Lancashire Cardiac and Stroke Network (CSNLC) has provided 24-hour access to thrombolysis treatment from remote specialists. The telestroke network serves eight hospitals that serve a population of 2.2 million. NHS telemedicine system for strokes hailed as a success (ComputerWorld) Heads-up thanks to Alistair Hodgson.
Northamptonshire NHS contracts for video consultation service (UK)
The Saypage Telehealth Platform looks like an interesting addition to the number of companies providing video conferencing services to health services in the UK but the company’s announcement would get a warmer welcome from us if were not for its classic hype-it-up press release. Just because one NHS Trust has contracted for the service does not justify the implied claim that the whole NHS is rolling it out. NHS Launches Online Video Consultations Service Using Saypage Telehealth Platform. The lesson for all suppliers is to keep it real if you do not want to undermine readers’ respect.
Wales: telehealth research participants sought
The Institute of Rural Health and Aberdeen University are to research the effect of technology on patients interactions with their home carers, and are seeking input from patients using telehealth in the Powys and Betsi Cadwaladr health board areas. Recruitment is open until the end of June and seeks patients aged 60-79 years, who are visited by a nurse or other professional carer at least once a week and are using some sort of telehealth technology to help them to manage chronic pain or another medical condition. ‘Technology’ might include the use of internet forums, phone ‘apps’, or Skype links to carers. For further information please contact Sophie Corbett at the IRH on 01686 629480. (Info via Dispensing Doctors’ Association)
eDevice M2M company growing strongly (France)
According to its pre-ATA press release, eDevice “has 100k connected patients” but, as the release rambles, it is hard to identify just where these are. However, it is clear that the company has grown strongly and anticipates further strong growth.
US top 10 iPhone mHealth apps generate 5.5 million lifetime downloads on average
According to a reasearch2guidance blog post publicising a new report, the most successful free health and fitness apps accumulated 5.5 million downloads on average since their first appearance in the Apple App Store. However, there are significant performance gaps that highlight the importance of choosing the right platform, app category and device choice for mHealth publishers.
2013 International Congress on Telehealth and Telecare – King’s Fund (UK)
1-3 July 2013, London
This year the focus will be on innovation, integration and implementation of telehealth and telecare services. The full programme is now available. Headline speakers include Jeremy Hunt, Secretary of State for Health; Dr Richard Beale, Guy’s and St Thomas’; Dr Joan Escarrabill, Ministry of Health, Barcelona, and Professor George Crooks, Medical Director, NHS 24. Hidden gems in the breakout sessions include: Telespeech with TinyEYE; Cost effectiveness modelling of telemonitoring, and Mainstreaming the use of video in care for LD clients Site and registration.
Mindme
http://www.mindme.co.uk/ UK-based GPS tracking for people with learning disabilities and dementia.
Police use GPS trackers to find people with dementia (UK)
According to a BBC TV report (may not be viewable outside the UK), Sussex Police has become the first force in Britain to pay for GPS tracking to help people with dementia. They are using the £27/month Mindme device.
UPDATE 2 May: Mike Clark on the 3millionlives LinkedIn group has pulled together links to items that are appearing in response to the above BBC report. For readers without access to the group they are from the Guardian; the Telegraph, the BBC and the Alzheimer’s Society. Judging by the comments on the Guardian article, the National Pensioners Convention badly misjudged the public mood on this one, and their press release muddles the issues of service funding, who should be responsible for people with dementia, and social isolation.







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