Care and Treatment for Multiple Long-Term Conditions

IN THIS SERIES OF HEALTH SUMMIT POSTS WE'VE SET THE SCENE, LOOKED AT PREVENTION AND explored EARLY INTERVENTION. FOR THE FOURTH SESSION WE HONED IN ON CARE AND TREATMENT FOR patients with MULTIPLE LONG-TERM CONDITIONS.

Health Foundry Summit

Multiple Long-Term Conditions (LTCs) are a pressing issue in the NHS with 50% of all GP appointments, 64% of all outpatient appointments and over 70% of inpatient bed days attributable to LTC’s. 

In our fourth session in this blog series, we explored Care and Treatment for Multiple LTCs.

Treatment and Care

Marteka Swaby of Benevolent Health, introduced this jam-packed session on treatment and care with a keynote highlighting the large focus on treatment and care of LTC's in the health innovation space.

We then heard from a selection of innovators who explored a range of ways of approaching this challenge,  from prescription delivery; right through to physician side innovations with secure messaging platforms and advice on the minefield of asthma prescriptions.

First up was Emma-Jane French; Chief Commerical Officer of Now Healthcare Group. She set the scene asking when you do your banking and shopping on your phone, why isn't your healthcare managed on your phone too? She said the Five Year Forward View set targets to have 50% of patients able to access clinics on evenings and weekends; but does that mean they need to walk through the door?

Now Healthcare have packed physician consultations, medication adherence reminders, and prescription ordering service into their Dr Now product.  They are offering an accelerated access to treatment with the delivery of prescriptions to your home from their NHS registered online pharmacy in 24 hours. The service is free to the NHS and they have found that for every nine patients just one is subsequently referred to the NHS where clinical need requires it. 

_X9A6773.jpg

Dr Now is an example of a product that addresses some of the friction that patients with LTC's might experience in managing their appointments and prescription refills around their other daily life activities, harking back to Michael Wright's comments from the Scene Setting session earlier in the day.

From prescription delivery, we moved into a fast-paced innovators showcase highlighting the following companies all focused on the treatment and care of LTCs.

Stephen Hope, Business Development Manager, Docobo, is taking part in the NHS Test Bed programme described by Amy Galea, from NHS England, earlier in the day. They have been working in the telehealth space for a number of years with extensive global experience. This has enabled them to develop an end-to-end solution, that is registered as a class 2 medical device, that identifies and assesses patients within CCG data (including extensive financial analysis available to commissioners). This, coupled with a behaviour change integrated, self-care focused android device, with ECG capability, used within the patient home provides clinicians with a level of information that enables them to provide a more bespoke level of care. He cited a patient they worked with who fell over every day who was taking her blood pressure medication in the morning. Putting these two factors together, enabled the physician to suggest taking the medications in the afternoon when her blood pressure had the chance to raise. This led to a profound impact on this patient's ability to live her life. 

RightBreathe, introduced by Dr Azhar Saleem, GP Lead, approached treatment from the physician angle, providing a tool for healthcare professionals to navigate the inhaler minefield. They have a website and app with information about appropriate prescribing of inhalers and information about how to use the 93 inhalers that exist. This helps to enable physicians to provide more personalised treatment for their asthma and COPD patients.

Felix Jackson, Founder, MedCrowd, a recent graduate of the DigitalHealth.London accelerator is also providing a healthcare provider focused solution, to enable secure, compliant instant messaging between the care team enabling collaboration to coordinate care and treatment plans in a way that complies with information governance concerns. They are kicking off their first integration in Lambeth soon, to support long-term care networks, integrating physiotherapists, community care providers, GPs and secondary are.

The final presenter in our innovator showcase was Sheldon Steed, Founder, Mumoactive, a hub for chronic condition management registered on the NHS App Library. It was created based on his own experience of looking after his child who has Type 1 Diabetes, He realised that the challenges of capturing information to share with physicians and care team sharing information back with the patient extends across LTCs. So their product facilitates easy tracking and sharing of information for the whole team that works with the patient.

We finished with a presentation from Oviva who are focused on diabetes management and part of one of the NHS England Test Beds. Olivia Hind, UK Head of Partnerships, showcased their product where dietetics and structured education are combined to help diabetics better manage their condition.  By delivering structured education without face-to-face attendance requirements they have found that 90% of people who have been referred have actually attended an appointment on the phone with the coach. They have seen wide adoption of working-aged men and black and middle eastern people as well; which has been a challenge for physical structured education classes. Again this harks back to the comments in our scene setting session around ensuring that products help to "tame the mundane".

After that whistle-stop tour, we broke for cake; fruit and tea! It was great to see such a broad spectrum of technologies available for the treatment of conditions; we look forward to hearing back next year on the impact that these products are making on longer-term outcomes for patients.

The next stop on our tour is the holy grail; patient self- management. Links to other articles in the series of posts about the Health Summit are provided here: