Phil OConnell Simple Shared Healthcare Social Enterprise Clinical

Phil O’Connell Simple Shared Healthcare Social Enterprise Clinical Messaging Consultant to the US VHA Visiting Fellow, Health Sciences, Staffordshire University The NHS Inspirational Leader of the Year 2013 (WM) The NHS Innovator of the Year 2012 MBCS CITP simple. uk. net 1

In the beginning helping clinicians to innovate 2009 2

In the beginning an education 3

The Case ”An enabler, not a solution” 5

• education • advice • prompts • questions • feedback Cottrell E, Chambers R, O’Connell P (2012) Using simple telehealth in primary care to reduce blood pressure: a service evaluation. BMJ Open 2: e 001391. 6

Journey highlights • 2012 “The NHS Innovator of the Year”; • 2012 NICE’s shared learning database • 2014 United States Dept of Veterans Affairs (VA) Annie • 2015 The Health Foundation “Power of People” • 2016 Australia; next generation of system ”Nellie” • 2016 Nuffield Trust “The digital patient: transforming primary care? ” • 2017 NHS Sustainability Awards winner; Heart Failure. • 2017 RCGP “introduction to TECS” course; • 2018 The King’s Fund 1 of 8 “Adoption and spread of innovation in the NHS” • 2018 Innovation Unit/The Health Foundation 1 of 10 “AGAINST THE ODDS”

Journals • • • 2012: BMJ Open - 2012; 2: e 001391 Elizabeth Cottrell, Ruth Chambers, Phil O'Connell; Using simple telehealth in primary care to reduce blood pressure: a service evaluation 2012: BMJ Open 2012; 2: e 001392 Elizabeth Cottrell, Kate Mc. Millan, Ruth Chambers ; A cross-sectional survey and service evaluation of simple telehealth in primary care: what do patients think? 2014: Dove Press - 10. 2147/NRR. S 72791 Audrey Cund, Jayne L Birch-Jones, Martin Kay, Patricia Connolly; Selfmanagement: keeping it simple with “Flo” 2015: BMJ Open - 2015; 5: e 007270 Elizabeth Cottrell, Tracey Cox, Phil O'Connell, Ruth Chambers; Patient and professional user experiences of simple telehealth for hypertension, medication reminders and smoking cessation: a service evaluation 2015: Gastrointestinal Nursing - 10. 12968/gasn. 2014. 12. Sup 1 Mark Holmes, Sian Clark; TECHNOLOGY-ENABLED CARE SERVICES: NOVEL METHOD OF MANAGING LIVER DISEASE 2015: BMC Family Practice 2015, 16: 83 doi: 10. 1186/s 12875 -015 -0301 -2, Elizabeth Cottrell, Tracey Cox, Phil O’Connell, Ruth Chambers; Implementation of simple telehealth to manage hypertension in general practice: a service evaluation 2016: British Journal of Healthcare Management 10. 12968/bjhc. 2016. 22. 1. 23 Lisa Taylor, Jane Birch-Jones; Implementing a technology enabled care service 2016: (RCNi) Primary Health Care, 2016, 26(7): 24 -30 http: //dx. doi. org/10. 7748/phc. 2016. e 1137 Caroline Poole, Janice Maslen, Lisa Joanne Taylor; Enabling Supported Self-Management of Wound Care in the Community Setting to Increase Quality and Efficiency of Service Delivery" Primary Health Care 2016: Journal of Nursing & Healthcare, 2016 Vol. 1 Issue 2; Parijat De , Susan Irwin, Jagjit Kaur, Karen Moore; Use of an Innovative Technology Enabled Care Service (Tecs) “Florence” To Empower Patients and Enhance Adherence to Treatments in Diabetes

Respected Evaluation The King’s Fund "Florence is a low-cost, low-risk innovation with a strong track record” Nuffield Trust "Flo has been formally evaluated, with positive results” The Health Foundation "Flo has had a huge impact on people’s lives, revolutionising the way patients manage their own health” Adoption and spread of innovation in the NHS The digital patient: transforming primary care? The Power of People 9

Community evidence, studies, peer review, collaboration, shared learning, evidence, studies, peer review, evidence, shared learning, evidence, studies, peer review, collaboration, shared learning, evidence, studies, peer review, collaboration, shared learning, evidence, studies, peer review, collaboration, shared learning, evidence, studies, peer review, evidence, resources, evidence, studies, peer review, collaboration, shared learning, evidence, studies, peer review, evidence, shared learning, 10

Focus Established uses - UK 11

Others Upcoming uses - UK Innovation Exemplar 12

At scale integration 13

At a glance 14

At a glance

Please reply with your oxygen e. g. "OX 98” Are you more breathless than usual? Please reply with "Breath" and either "More", "Less" or "Same” Are you "Happy" or "Sad” today? Are you feeling low or worried Reply: None / a Little / Quite a lot / Extreme or (N, L, Q, E) OX 84 Breath More Sad Q 16

Modelling language

Adoption and spread of innovation in the NHS 16 January 2018 “Florence is an enabler rather than a solution for clinicians and their patients. ” “Its greatest strength is offering a simple, adaptable framework for clinicians to work more effectively with patients and for patients to take a greater role in managing their conditions, without the need for costly investments” “The benefits Florence can deliver are wide ranging” “It fits within and can be adapted for existing work processes rather than requiring substantial redesign. It doesn’t require staff to develop new skills or very different ways of working. ”