Dawn Jones and Ela Lewis
Welsh Ambulance Services NHS Trust
Project Information and Context
The overarching aim is to reduce harm, improve population health and reduce waste in Welsh NHS by providing sustainable solutions for future generations. As part of our commitment to changing the way we deliver care we are working with our partners with SBRI and Luscii to create an integrated 24/7 urgent remote response service which is a more bespoke service meeting patient’s individual needs closer to home. Working closely with health board remote clinical hubs, our care planning clinicians will use real time observations provided by the patient either supported by community welfare responders (volunteers) or through basic observation kits provided through Connected Support Cymru.
Co-production
Remote monitoring will support care closer to home using Bluetooth enabled equipment currently referred to as ‘Luscii Box’ and the Luscii app available on android and apple that interfaces with the clinically intelligent dashboard remotely monitored by care planning clinicians based across Wales. Patients will initially be provided with a managed apple iPad with Luscii app downloaded, the stretch scope is to empower patients to use personal phones/tablets and connect them with clinicians to remain at home and refer to local services.
Necessity
Avoidable harm is a risk that can be addressed with WAST rising to the challenge and shaping the future of unscheduled care, transforming the clinical response model to meet the needs of those accessing our services irrespective of how they choose to connect.
Need
Connected Support Cymru aims to address these challenges by assisting Care Planning Clinicians to remotely manage/support patients, work collaboratively in co-production to ensure the right care, in the right place, every time through dedicated clinician led remote monitoring building resilient communities.
Evidence
Emerging evidence provides benefits to populations, patients, and staff when care is individualised, adjusted and informed by data and evidence, harm is reduced when admission to hospital is avoided, and preventive healthcare prevails.