Revolutionising remote Multiple Sclerosis care by rethinking Digital healthcare support
- Shortlisted idea
What is the challenge your project is going to address and how does it connect to the theme?
· Multiple Sclerosis (MS) is a debilitating long-term condition with significant mobility issues making travel to hospital appointments exhausting. A virtual care model is thus attractive.
· Our digital platform, My Medical Record (MyMR) has already >1,200 MS patients registered who would benefit from virtual outpatient care.
· Clinical nurse specialists are committed to this model but lack time to support virtual care alongside existing work. This requires a specific Virtual care role to help drive change and support these additional responsibilities
· We will pilot a new type of Health Care Assistant (HCA) role, embedded in the clinical team and enabling the virtual patient support. We are thinking differently about the HCA role to attract a different type of candidate by blending digital engagement skills with patient care.
· Evidencing benefit from virtual care for long-term conditions paves the way for further investment, creating a repeatable model for the NHS
What does your project aim to achieve?
The project will achieve
· Over 1,000 patients benefiting from virtual care and avoiding hospital visits increasing patient satisfaction whilst not compromising care
· Identify barriers to use of digital platform and potential interventions to reduce health inequalities particularly around digital inclusion and disability. This will be done in partnership with our local council and voluntary sector.
· Releasing of clinical time – validated data from prostate cancer pathways showed undertaking virtual reviews on the MyMR platform of diagnostics, patient questionnaires and other information provided enabled 3x as many patients to be seen per hour.
· Development of an apprenticeship model for digital HCAs – a novel role to entice a wider spectrum of employees into the NHS
· Creation of a blueprint approach that can be repeated in other services & organisations
· Identification of KPIs to assess the benefit of the role
· A qualitative assessment of impact on staff and patients
· Business case for wider scaling
How will the project be delivered?
An integrated team across Quality, Transformation, People, and Digital will work with members of MS clinical team and patient representatives to co-design and test this role. Roles and responsibilities will be assigned to measure impact, deliver value and benefits realisation. Working together will allow us to capture benefits jointly and bring the communities, skills and perspectives together to maximise success.
Our Trust has a strategic aim to build the capability of people through projects and bring those skills to the wider workforce, driving improvement and digital change themselves.
This project will be an innovative way to attract individuals with digital interest into the HCA workforce, buiding on exisiting organisational work on HCA recruitment and retention.
The Digital team will develop and enhance the MyMR platform to support virtual care in MS and provide IT equipment for the HCA, MS nurses and a pilot group of patients (funding already secured).
How is your project going to share learning?
This project is relevant for health providers looking to extend the use of virtual care to large cohorts of patients. We will establish a monthly group to share learning. It will be open to any interested stakeholders locally or from the wider Q community. Topics might include attracting potential employees to these new roles, sharing job descriptions, identifying core competencies for these roles, assessing & governing patient’s suitability for virtual care, the consenting process for signing patients up to virtual care platforms and the duty of care when providing virtual care/supported self-management.
Learning will be generated through:
· Patient feedback, outcomes and testimonies
· Staff feedback
· Artefacts from the project (Job descriptions etc)
· Benefits realisation study
· Creation of a blueprint implementation approach that other services can replicate
· Case study covering the implementation including lessons from role attraction/recruitment process.
We would anticipate sharing through Q forums and events, presentations, publications, and social media.
How you can contribute
- Feedback from anyone providing virtual care for large co-horts of patients
- Input from Q service users on virtual care – what works, what doesn’t
- Advise on creating new digital and virtual healthcare assistant roles
- Thoughts on how this will address our NHS workforce challenges
|30 Nov 2022||Co-design and recruitment period|
|1 Jun 2023||Pilot the HCA role over a period of 12 months|
|1 Jun 2023||Review / study – concurrent with HCA role – 12 months|