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The pandemic has created a nudge effect towards utilisation of digital tools and has fast-tracked and prioritise digital integration.

by Derrick Ho | May 13, 2020 | in Rehabilitation

 Rehabilitation

There are pockets of great resources that have been developing by different individuals/departments/trusts/organisation that we are trying to collect as a department

For example, web-Based rehabilitation resources for pathologies with predictable natural history, milestones.

To name a few I’ve come across:

There are existing resources available that with the right training and procurement could be effective tools in providing rehabilitation.

These include:

  • Online rehab protocols, exercise prescription and tracking programs (some with the ability to record PROM and include educational PDF's)
  • Virtual fracture clinic model
  • CSP resources, Vs Arthritis, ARMA and other charitable organisations.
  • https://csp.orcha.co.uk/ - A centralised app library beginning to review and collate apps that may be helpful in the future

The biggest challenge is whether the service user will use it, which i anticipate will depend on ease of access, use and whether it solves their problem.

 

What is needed to sustain the change?  

 

  • The ongoing battle of having integrated electronic patient records across disciplines
  • Learn from previous attempts of unsuccessful drive for digital development: e.g lack of priority, resource, skill sets
  • Highlighting the gap of digital literacy within the NHS workforce and to put the people with the right skills to implement successfully.
  • Dispelling the notion that a large part of our service users (clinicians and patients) will not be able to use digital health
  • In a large number of cases, understanding that digital health is not inferior and in alot of cases more beneficial
  • Opportunity to capitalise on previous barriers to change
  • Accepting and integrating a plan for the subset of patients/clinician that will need face to face contact.

 

What is your region?

London

edited on Jul 13, 2020 by Kyle Beacham
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sasha karakusevic May 13, 2020

Thanks for submitting Derrick. It looks like there is lots of scope for collaboration and i hope other colleagues will share their favourites. Always good to see Torbay referenced as I used to work there!

Reply 0

Derrick Ho May 13, 2020


Thanks Sasha

There is a wealth of existing resources that are essentially open-sourced to us all but is underutilised because it has not been marketed or centralised in our practice.

There are projects that have great potential but often or not these are done by full-time clinicians in their own time, or within academia and lack the endorsement in becoming something that could be ratified and used nationally. I feel these projects should be identified and supported.

I support the idea that all resources are in one place e.g CSP/NHS/ORCA is a good start, but then the quality of the content needs to be peer-reviewed and approved which I feel like we are heading towards.

I suspect each trust would have its own specific challenges and thus may go down the route of creating their own content to fit their needs. Although having a centre point of access to existing solutions may reduce replications and encourage collaborations in developing existing programs.

I feel the priorities should go towards identifying conditions that are simpler and more predictable in nature that maximises self-management and could be monitored remotely. This would reduce service demand so that those with more complex conditions can be seen accordingly.

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chris mercer May 13, 2020

Thanks Derrick- some great examples here and understandiing the role and benefits/challenges around digital care will be key going forward

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Greta McLachlan Jun 8, 2020

Status labels added: Education, Guidance, Information Sharing, Integration of resources, Patient activation, Patient selection, Remote Monitoring, Staff & Patient Collaboration, Supported self management, Technology (software/ apps), Video consulting, Horizon 1

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Greta McLachlan Jun 10, 2020

Status labels added: Choice, Social Prescribing, Horizon 2

Status label removed: Horizon 1

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Greta McLachlan Jun 10, 2020

The idea has been progressed to the next milestone.

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Kyle Beacham Jul 13, 2020

Status labels removed: Choice, Education, Guidance, Information Sharing, Integration Of Resources, Patient Activation, Patient Selection, Remote Monitoring, Social Prescribing, Staff & Patient Collaboration, Supported Self-Management, Technology (Software/ Apps), Video Consulting

Reply 0