Showcase Presentation Oxleas NHS Foundation Trust OXLEAS NHS FOUNATION TRUST VIRTUAL CONSULTATIONS Project Lead – Melony James Project Team Members – Harpreet Sanghara Jo-Anne Linnane Sue Horbury Anthony Elisak Senior Sponsor – Alison Furzer
Oxleas NHS Foundation Trust – Drivers for using Virtual Meetings Oxleas are a digitally mature Trust with EPR system in place, mobile working on iPads giving access to the EPR whilst clinician’s are off site, digital dictation using speech recognition and electronic document transfer system. In line with our digital vision we want to implement virtual meetings. Our objectives are to: Re duce DNA’s by 5%. - - Reduce staff travel expense claims by 5% over the next 12 months. - Improve patient choice of how they attend appointments. - Run drop-in sessions across Trust for staff to come and learn how to use the technology. How did we understand our baseline? - Finance Department provided overall staff travel expense claim figures for last 2 years. - Identified patient groups for which there was a higher need for virtual platform. - Reported on monthly appointment figures from pre-defined point. @DHealthLDN #digioutpatients
How are we implementing virtual meetings Research for suitable software took place. Software was tested, evaluated and solution decided upon. • Video calling drop-in sessions took place across the Trust for staff to learn how to use the technology. • Work commenced with Greenwich Time to Talk (IAPT) to train staff on video calling enabling them to offer patients a choice of • how they attend appointments. Pilot commenced. Health Visitors from Greenwich Central started a pilot to see ante-natal patients for follow-up via virtual meeting saving the Health • Visitor approximately 1 hour of time per visit. To improve the up take of the antenatal contact ( the KPI is 95%, currently we are seeing 81%) we are looking at offering different styles of contacts, recognising that women have busy lives and are often still working later into their pregnancies. Telephone and video calling have already received positive client feedback. It is hoped that these more flexible contacts will mean that the health visiting services are able to reach a greater number of women in the antenatal period offering support and health advice to help them to make informed health choices for themselves and their new baby. Process redesigned to ensure that patients are asked on referral if they would be interested in video call appointments and flagged • in EPR. Executive team are leading the way with commitment to a minimum of 1 video call per week for supervision/internal meetings to • encourage trust wide adoption of the technology. @DHealthLDN #digioutpatients
Progress to date GTTT have made a good start with approximately 41 video call appointments since December. • There has been an increase in staff engagement. • Increased patient demand. • Celebrating the success/outcomes. • Approximately 25 Drop-in sessions for staff to learn about video calls held across the Trust. • There has been an increase in using WebEx for supervision/internal meetings trust wide. • @DHealthLDN #digioutpatients
Experiences and attitudes of primary care therapists towards the implementation and use of videoconferencing-based Cognitive Behavioural therapy in IAPT Services Dilemma: existing resources vs. demand and access; clinician vs. SU attitudes • Method: Questionnaire adapted from the “Technology Acceptance Model” (Davis et al, 1989) • & TPB (Ajzen, 1991) exploring – therapist experience, behavioural intention, (BI) perceived - i) ease of use (PEU), ii) enjoyment (PE), iii) usefulness (PU) ,iv) barriers (PB), v) acceptability (PA), vi) effectiveness (PEF), vii) confidence (PC), viii) impact on alliance (TA) N= 27 (to date) • Provisional correlation analysis: BI significantly correlated with: PU/PEU/PE/PA/PEF/PC; < • 0.05. Correlation between TA & PA – to explore PA as potential moderator Intended analysis: Multiple regression – DV = behavioural intention • To inform future training/discussion to enhance uptake if appropriate • @DHealthLDN #digioutpatients
Summary Benefits of attending the Digital Outpatient Collaborative: Sharing knowledge and best practice to improve effectiveness/validate assumptions. - - Useful having guidance from the HIN on the project. - Gaining information on funding opportunities. - Assistance with process redesign and suggestions for staff engagement. - Opportunity to network with other Trusts. Next steps Increase appointments and targets - Increase use of virtual meetings for supervision - Continue to on-board teams until Trust wide roll out complete - Investigate use of sound proof pods. - @DHealthLDN #digioutpatients
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