Apps in Leeds Chronic Pain Pathway Empowering patients with PainSense
DHACA Day IX 29th June 2016
Story of empowerment in patients in Leeds. Patients taking responsibility for their
own healthcare. Patients experiences. NHS outcomes. Stumbling blocks around
IT, data and the SBRI Project
Two Digital Assets for an Integrated Digital Pathway for Persistent Pain
(Pain Toolkit App and Pain Management Plan App)
Commissioned by NHS England with SBRI Funding
Supported self-care – linking smartphone based
self-care apps to GP systems
Proven interventions- delivered digitally, Integrated clinically, Integrated technically = Digitally enabled service improvement
Between 10.4 and 14.3% of the UK population have chronic pain that is
either moderately or severely disabling, based on four studies.
Historically managed with medical models - High Opioid use
PainSense Overview
https://youtu.be/r_qVLCmv4JM
Pain Toolkit App
With the Pain Toolkit app patients learn more
about:
• Accepting pain so you can begin to move on
the pain cycle’ – and how to reverse it.
• Pacing and relaxation skills.
• Learning to go easy on yourself.
• Setting goals and overcoming setbacks.
• Get involved - building a support team.
• Learn to prioritise and plan out your days.
• Be patient with yourself.
• Learn relaxation skills.
• Stretching & Exercise.
• Keep a diary and track your progress.
• Keeping it going...practising these tools.
Assessment Tools:
Health Need Assessment, Body Chart, DoloTest and
Self Efficacy PSEQ Reports.
PTK Assessments
PDF’s for PTK App:
Pain Management Plan App
The Pain Management Plan App takes this further, with a set of
practical tools for self management that include:
• Target setting tools and ways to stay on track.
• Pacing, prioritising and goal setting including lots of tips on
helping you deal with anger, frustration, moods and anxiety
along with much more besides.
• The Pain Management Plan app also allows clinicians to
access patient information through the InHealthcare
platform to generate reports on patient progress, and utilise
the insights gained to work more effectively with patients
PMP Reports Goal Setting, Targets etc.
Case management / assessments.
PDFs of the PMP App Reports:
What go GPs and other HCP/AHPs say?
• https://www.youtube.com/watch?v=BQZat6BiMeY
‘From a
General
Practitioner’s
point of view
what’s very
exciting is
that when my
patients with persistent pain use this
app, I will be able to identify those who
are doing well, that I don’t need to worry
about, and those who are struggling and
need some help. That’s why I think this
is potentially so important.’
Dr Michael Taylor, York House Surgery,
Heywood Greater Manchester
Challenges to the use of digital tools.
• Changing patient and clinical attitudes towards a self
management/biopsychosocial approach – away from a medical model
• Ageing population
• Personal preference
• Accessibility to computers/tablets/smartphones
• Wifi/internet access
• IT hardware and support
N3 Integration - Interoperbility
N3 Secure NHS Commissionable Service
• Integrated technology enabled pathway
• Supported by e-Learning
• Clinical Pathway Focussed
• Significantly improves outcome for patients
• Data collection at source
Health Economics so far…
Health Economics – Leeds
• 15% Admitted Care cost savings
over £319k in 9 months.
• 21% Reduction in Secondary Care Consultations
• 50+% of patients are completing their assessments prior to their initial
appointment which reduces the need for a screening appointment to
set the scene and assist patients in completing the assessments
• On average 300 tokens are being generated a month
• New:repeat rate was 1:4 so a reduction of 5,980 OP attendances per
year.
What do patients say?
• The Maggie Story ( Leeds )
• https://www.youtube.com/watch?v=pA5Nd4jZA5E
Thank you
John Eaglesham
[email protected]
07515 149018