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O X L E A S N H S F O U N D A T I O N T R U S T

CliniCom: Introducing Telehealth into a Mental Health Trust

Doug MacInnes, Fergal JonesCanterbury Christ Church University

Stephen Francis and John EnserOxleas NHS Foundation Trust

Funded through Knowledge Transfer Partnership

Overview

Context

Project aims and objectives

Project design

Findings so far

Next steps

Questions

Trust Map

Trust provides health and social care services specialising in mental health

Distributed over a range of sites in S.E. London and Kent

Trust sites: over 200

Trust staff: over 2500

Knowledgde Transfer Partnership

Significant resource spent on staff travel

Concerns ward discharges are delayed due to communication challenges

Possible impact on quality of care and staff stress

Knowledge Transfer Partnership Project

Project Aims and Objectives

Improving communication, clinical decision making and working practices in the field of mental health, to maximise resources and enhance service delivery’.

1. Evaluate the feasibility of a telehealth programme2. Develop a telehealth working model3. Implementation of the telehealth programme4. Examine outcomes5. Embed knowledge within Trust (‘knowledge transfer’)

Bexley Sites

ServiceUsers

EmertonClose

Fifth Site?

William Morris

Erith Centre

Woodlands

Outcomes

Service-user satisfaction Length of inpatient stays Access to treatment for service-users and carers Staff telehealth usage Staff service-user contact Staff travel and stress level Staff communication and relationships Staff attendance at meetings and training Cost effectiveness Carbon footprint

Project Method To Date

Examine Trust’s requirements and technological solutions by:

Qualitative focus groups, interviews with staff and service-users

Quantitative staff and inpatient surveys

Review of Oxleas’ business reports

Literature Review

Findings So Far

Focus Groups & Interviews: Isolation of different teams Communication and relationship between different

teams Staff and service-users’ views on telehealth video

conference

Literature Review: Encouraging results in regards to clinical and

communication efficacy but limited by sample size Best practice guideline, confidentiality policy, technical

guidance

Where We Are Now

Recommendation made to Board

Procurement and installation of CliniCom at two sites (phase 1)

Staff training delivered

Training pack and instruction manual produced

Use of CliniCom commenced

Quantitative measures developed and piloted

Baseline quantitative data collected

Creation of database of IP addresses

CliniCom

Next Steps

Ongoing qualitative and quantitative data collection Develop Economic Social and Wellbeing Evaluation Tool Refine working model based on findings from pilot Introduce CliniCom to other Bexley sites

Wider roll out: Trust wide, GPs, Prisons, Social Services, Academic Partners

CULTURE CHANGE