Projects overview

NHS Digital Pioneer Fellows are working on a range of projects to drive transformation in the NHS across London. Below is a list of some of the key projects

The majority of projects have national reach, for example, the roll out of AliveCor used to identify people with suspected Atrial Fibrillation.

Other projects are pan-London, including the implementation of Health Help Now across NWL, as well as the roll-out of e-discharge summaries and e-consultations. Further projects cover Care Home adoption of NHS mail, and the developing digitally enabled early intervention across Essex.

The majority of the projects have a local organisation and population impact and cover a wide range of interventions to support Cystic Fibrosis communities, Asthma pathway, Radiotherapy and Imaging, e-prescribing, app delivered exercise prescriptions, Speech and Language therapy, use of Virtual Reality in mental health, dashboards, pre-admissions, and more.

Projects list

You can find out more about each of the projects by clicking on the tabs below.

 

Mobile app for home monitoring of young people with Cystic Fibrosis

 

 

 

 

 

Reducing the need for hospital attendance for routine clinics for young people with Cystic Fibrosis, through developing a mobile phone app that can monitor young people with Cystic Fibrosis at home. This has the potential to act as an early warning system for lung exacerbations.

Lead Fellow: Claire Edmondson

Organisation: Royal Brompton & Harefield NHS Foundation Trust

 

 

Rollout and development of the Health Help Now app

 

The project is the rollout and development of the STP app called Health Help Now. The app is developed by the NELCSU and is released in Harrow, Brent and Central London (June 2018).

  • Deployment: The app has been signed off by all 8 CCGs and is at various stages of development. There are a number of reasons for this, but CCG engagement and ownership is the biggest barrier.
  • Development: The app has various major development which is taking place over the next 6 months including the Citizen ID work, Use of Beacons at hospitals for wayfinding, NHS Choices integration, Digital Social Prescribing and Digital PAM completion amongst other tools. It involves a lot of networking and separate project monitoring due to the actions/milestones involved.

Essentially, we want the app to be the ‘ecosystem’ for digital provision across NW London. Not to reinvent the wheel, but to signpost patients to safe apps and tools.

Lead Fellow: Kwesi Afful

Organisation: Brent CCG

Digitise paediatric allergy and asthma pathways

This project focusses on digitising the paediatric allergy and asthma pathways by providing parents and clinicians with a user-friendly interface where they will have the capability to access personal management plans, health promotional material and interactive videos and tutorials.

Lead Fellow: Dr.Vikram Pallit

Organisation: Chelsea & Westminster Hospital NHS Foundation Trust

 

Digital Platform sharing health data for people with cystic fibrosis and healthcare teams

 

This project will co-design and build a digital platform which will enable the sharing of health data between people with cystic fibrosis and their healthcare team. This project has been driven by the patients’ feedback that the CF service impacts significantly on their life as it requires frequent hospital attendances for health monitoring. The future scope would involve liaising with commissioners about funding this technology from the CF tariff, sustainability of the tech and evolving the service redesign and some consideration of the impact and use on CF care across the UK.

Lead Fellow: Helen Parrott

Organisation: Royal Brompton & Harefield NHS Foundation Trust

Enhancing NHS 111 with a digital platform

NHS 111 Online seeks to enhance the existing 111 service with a digital platform.

For three of the eight CCGs in North West London (NWL), we have gone live with a 111 app powered by Babylon. For the other five CCGs, we are planning to launch the digital channel by April 2018. In NWL, we are keen to have a single supplier for 111 Online across our STP, therefore developing a robust evaluation framework will be key. In Hammersmth and Fulham CCG, we are also working on the evaluation of the new GP at Hand service, working with NHS England.

Lead Fellow: Matthew Chisambi

Organisation: NHS Hammersmith and Fulham CCG

Enhanced Recovery After Surgery (ERAS)

 

The aim of the ERAS project is to deliver to the patient the best treatment especially patients undergoing minimal invasive surgery in the shorter time possible to avoid delay in discharge and be able to discharge the patient home in safe clinical conditions.

Lead Fellow: Nizar Asadi

Organisation: Royal Brompton & Harefield NHS Foundation Trust

 

Virtual Reality in Mental Health

 

The Virtual Reality (VR) in Mental Health project has identified scalable projects in mental health care, namely linked to the Improving Access to Psychological Therapies (IAPT) programme. There are also a range of potential benefits in Older Adults and Children and Adolescent Care Services. In fact, the beauty of using VR in health is its ease of use and take up across ages, gender and culture. This may be an issue in itself as the scope of the project is huge. An initial process will be to decide a scope that is manageable in the course of the preceding 12 months.

Lead Fellow: Ross O’Brien

Organisation: Central and North West London NHS Foundation Trust

Innovation Hub for QI

Delivering an Innovation Hub app for staff to submit good ideas as part of quality improvement (QI).

Lead Fellow: Dr Joshua Allison

Organisation: Chelsea and Westminster Hospital Foundation Trust

Bringing e-consultations into general practice

Planning to pilot with NWL CGG and 20 practices that make up Harness Healthcare.

Lead Fellow: Sachin Patel

Organisation: Harness Healthcare Ltd.

 

Digital mobile ECG devices

 

Programme managing the distribution, planning and logistics of £500,000 worth of NHS England funding for digital mobile ECG devices across the AHSNs.

Lead Fellow: Faye Edwards

Organisation: AHSN Network

Assessing the performance of imaging machines

The project is to develop an open-source web application that allows radiography, radiology managers and imaging scientists to assess the performance of their imaging machines by providing a free image processing facility for test images.

Lead Fellow: Haris Shuaib

Organisation: Guy’s & St. Thomas’ NHS Foundation Trust

integration of digitised components to health records in haematology

To build a framework to integrate various digitised components to a health record (e.g. patient reporting, blood results, wearable tech, genetics and other specialised tests) in haematology, and to build up supporting evidence to be able to make strong business case to support its adoption, with a focus on patient portals.

Lead Fellow: Thomas Coats

Organisation: King’s College Hospital

Developing actionable analytics

For Actionable Analytics, this project will build clinical dashboards for clinicians which provides real-time actionable data to front-line clinicians and managers for three clinical areas as well as dashboards for tracking of early symptoms of infectious disease, powered by the Cogstack Analytics engine which is developed in-house at Kings’ Health Partners.

This architecture forms part of Health Data Research UK and the London LHCRE bid, so any developments in this will exportable to other NHS organisations using this system.

Lead Fellow: Dr James Teo

Organisation: King’s College Hospital NHS Foundation Trust

Investigating the use of digital therapy for children with language disorders

Scoping activities completed thus far include information gathering sessions with parents of children with language disorder, a focus group with NHS Speech & Language Therapists and a 6-week proof of concept study with 9 children and their school-support staff.

Lead Fellow: Rafiah Badat

Organisation: St George’s University Hospitals NHS Foundation Trust

Implementation of 'Physitrack'

To implement “Physitrack”, an innovative web-based exercise prescription programme so that patients can be provided with their physiotherapy rehabilitation as a print-out, PDF via email or via accessing a web-based/ mobile application in musculoskeletal outpatients and hand therapy.

This will help to improve quality of care and patient adherence/ empowerment.

Lead Fellow: Jack Grodon

Organisation: Guys and St Thomas’ NHS Foundation Trust

Screening for Atrial Fibrillation (AF) in community clinics

Screening for AF in community clinics, using the AliveCor Kardia. Initially obtain devices from HIN, and then screen in community cardiology where ECG is not available. This will mainly be done by the community nurses. Would then like to branch out to flu vaccination clinics and equivalent.

Lead Fellow: Dr Husain Shabeeh

Organisation: Croydon Health Services NHS Trust

Using digital to improve CQC care rating

As a Global Digital Examplar ‘fast follower’, the project aims to be able to improve the CQC rating and explore what can be done digitally for the hospital to help achieve this (particularly focussed on the caring aspect).

Lead Fellow: Hasan Rabani

Organisation: Whittington Health NHS Trust

Converting radiotherapy department to be paper-light

The aims of this are to enable efficient working practices and minimise delays in the patient pathway to ensure the time from decision to treat to treatment is as timely as possible. Using the appropriate technology for both the current task and for future recall of the treatment.

Lead Fellow: Niall MacDougall

Organisation: Barts Health NHS Trust

Merging call centres to manage demand

The project will merge for GP practices IT and Telephony systems into a single call Centre serving four sites. The new Centre will manage all of the digital demand for the 15,000 patients concerned.

Lead Fellow: Dr Jahan Mahmoodi

Organisation: Enfield CCG

 

Identify if AI can build emotional resilience skills in adolescents

Working with AI company WYSA to look at how we can embed the technology in secondary schools and universities across Essex to achieve Early Intervention across Essex. This project is designed to review and establish if AI can be a suitable alternative for building emotional resilience skills in adolescents.

Lead Fellow: Emma Selby

Organisation: North East London Foundation Trust

Supporting Digital Enablement in Care Homes

The project will support Care Homes across London with completing the DSP toolkit to allow access to NHSmail. In total across London there are 1500 Care Homes and our aim would be to support as many as possible through this process. Alongside this we will be working on supporting system engagement to use NHSmail as the communication method from Health and Social Care to the Care Homes.

Lead Fellow: Jane Sproat

Organisation: Healthy London Partnership

Using digital for work planning and self-care

This project is about exploring the use of digital for work planning and to support self-care. Currently, therapies have multiple systems (EPR & Healthroster) alongside local operational standards e.g. staffing/leave rules/caseload management but no single accurate dashboard/daily temperature check to determine a daily demand and capacity.

Lead Fellow: Nazia Ahmad

Organisation: Healthy London Partnership

FHIR based Discharge Summaries

Rollout of Fast Healthcare Interoperability Resources (FHIR) based Discharge Summaries.  Transfer of FHIR Discharge summaries between key stakeholders within North Central London (NCL). Workflow improvement and change management to support national technical standards.

Lead Fellow: Frederick Martin

Organisation: NHS England– London Region