Case Studies

Case Stories: Diagnostics

2019 - Test and Post: Online STI Screening

Test and Post: Online self sampling for chlamydia and gonorrhoea: Public Health Wales.

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Challenge

Overall STI rates up by 5% in 2018 vs 2017, when there were 422,147 new STI diagnoses. Attendance at sexual health services has risen 15% in five years.

In Wales attendances in the sexual health clinics have doubled in the last five years which has lead to considerable pressure on the existing service delivery model. A key finding of Welsh Governments Sexual Health Review published in 2018 was that patients would welcome the introduction of self-testing, accessed through community settings and online, as an additional method for accessing sexual health services with over 60% of respondents stated that they would consider using on online self-taken STI tests. Our challenge was to provide an online solution to pilot a new model for self sampling for chlamydia and gonorrhoea in a defined area of Wales.

Solution

Signum have developed i-safe, a secure, cloud based online triage and diagnostic software platform for Integrated Sexual Health. A series of rule based questions available in English and Welsh language are presented to the patient, before a request for a postal test can be requested. The platform is hosted on an N3 server has which been tested across all major browsers and platforms including Safari, Google Chrome, Internet Explorer, mobile and tablet and is IG2 Toolkit 2 compliant.

Launched in N

ov 2018 in partnership with Public Health Wales, and HDUHB’s Primary and Community Services Delivery team and Integrated Sexual Health service. Chlamydia and Gonorrhoea tests have been made available to patients in HDUHB. Health Care Professionals (HCP’s) are able to signpost patients to the Frisky Wales website where they can access a link to Signum’s sexual health software platform.

Results

Over 6 Months, 2500 people clicked through from the Frisky Wales website and started a questionnaire. 91% went on to complete the questionnaire, with 50% going on to request a test. Overall 95% of users would recommend the service to a friend

 

2016 - Present Tele-Dermatology

Signum Health developed a secure web based remote dermatology service for referral, triage and diagnosis. Providing the Mid Wales Healthcare Collaborative and Hywel Dda University with a remote teledermatology service.

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Hywel Dda University Health Board

Challenge

Over 20% of GP appointments involve dermatological issues and approximately 4 million referrals are made to a specialist each year. Our challenge was to increase the capacity of the dermatology service in Hywel Dda University Health Board in order to deal with referrals in line with NHS targets.

Solution

Many skin conditions can be diagnosed remotely by qualified specialists using good photographic images. These can be quickly examined, triaged and diagnosed with a management plan prepared (where appropriate) for several times more patients an hour than by seeing patients in person.
Signum Health have developed a secure web based teledermatology service for referral, triage and diagnosis.

A pilot was agreed by the Mid Wales Healthcare Collaborative and Hywel Dda University Health Board. Software and training were provided to 7 GP practices who participated in the pilot. This included GP’s, nurses and administrative staff. One camera was purchased for use by each GP surgery.

Written advice and pathway information was also provided. Specialist dermatologists were trained and ongoing support was given to all participants as required.

Results

97% of cases diagnosed in Primary Care.

Report returned to the GP within less than 48 hours, in some cases as little as 30mins.

High levels of GP satisfaction

A reduction in out-patient appointments

Case Stories: Social Prescribing

2019 - Smart With Your Heart: Social Prescribing In Secondary Care

Working in collaboration with The University Hospital North Midlands (UHNM) and heart failure team at Royal Stoke University Hospital pilot to enhance patient knowledge and ability to safely ‘self-care’, via the targeted distribution of bespoke patient-education materials and referrals to appropriate third-sector services.

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The Challenge

Heart Failure accounts for 80,000 admissions in the UK annually, 1000 of these are received by the Royal Stoke University Hospital in Staffordshire. Patients discharged from hospital following diagnosis of Heart Failure have an approximately 25% risk of readmission within 30 days, 50% at 6 months and 70% at 1 year respectively. Heart failure (HF) accounts for one million bed days in the NHS per year. It results in progressive, worsening health and frequent and prolonged periods in hospital. The readmission rate at 12 months is 75%, at a cost of around £4,000 per readmission. The goal of the project is to help patients understand their condition better and increase their self care using digital technology in the Stoke and North Staffordshire areas. The challenge is to detect deteriorating health prior to readmission in patients previously admitted with heart failure, and to determine the impact on secondary care utilisation ie to help reduce hospital (and specifically A&E) re admissions for patients with chronic long-term heart failure.

The Solution

The Heart Failure team routinely signpost and/or refer patients to voluntary and third sector services based in the community to address certain patient needs such as emotional and wellbeing support, home improvements and money management. Signum Health have developed a secure, cloud based digital platform, i-Navigator, to facilitate social prescribing referrals to local health and wellbeing services.

Working with the Project team, we engaged with non – clinical service providers in the Stoke and North Staffs area and invited them to take part in Smart with Your Heart to provide social prescriptions for heart failure patients requiring additional support. Software and training were provided to those who are participating in the pilot including the secondary care team and service providers. Partners include Aspire Housing, Beat the Cold, Revival (Honeycomb Group) and Healthy Minds.

 

Results