Professor Alka Ahuja National Clinical Lead for Technology Enabled Healthcare in Wales @AlkaSashin
#VideoConsultations What’s Occurring in Wales?
#VideoConsultations The National Vid ideo Consultation (V (VC) ) Service? • Funded by Welsh Government • Accessible across health and social care • A Healthier Wales • Safe and secure way to see patients - ‘Attend Anywhere’ • TEC Cymru hosted by ABUHB • “CWTCH” as an exemplar
#VideoConsultations Vid ideo Consultation – Dif ifferent settin ings • Primary care • Secondary care • Community care • Care homes • Other settings…..
#VideoConsultations Pri rimary ry care/OOH Service • Almost 90% of GP surgeries live • More than 3000 consultations • Out of hours service and 111 service “Would be great if these could be done more often once lockdown restrictions have been lifted. I didn't have to spend time away from work, I saved on fuel and time for travelling to the surgery”
#VideoConsultations Secondary ry and Community care • Secondary Prioritisation tool • COVID wards, Palliative care, Hospices, Frailty, Haematology, ITU, Mental Health, CAMHS…. • Podiatry, SALT, Physiotherapy…. “Our first VC was with a couple in their 70’s….His wife expressed huge relief that we saw the foot wound and guide her with his care”.
#VideoConsultations #VideoConsultations Clinical & Evaluation Update Overall Star Rating 4 out of 5 Survey Response GP Location Over 1300 responses Home 7% Work 93 % Sec Care Location 42% male patients (P) Home 34% 28% male patients (S) Work 66% 55% female patients (P) 69% female patients (S) 3% other/PNTS (P/S) Time 1988 8062 mins F2F Prevention Travel 3875 miles 1024 87% (Primary) & 75% (Secondary) Carbon 1030 co2 318 <12 13-17 18-24 25-44 45-64 >65 VC prevented a F2F appointment 16% 7% 7% 31% 24% 15% Primary 30% 9% 5% 41% 9% 6% Secondary
#VideoConsultations Care Homes • Partnership with Digital Communities Wales • Training and equipment to care homes • Vulnerable, high risk and isolated individuals • Virtual ward rounds by GP • All Wales Care Home- Digital Cwtch “It was easy and I’m not the most tech savvy. The GP sent the link which is now saved onto the tablet……..it was all seamless. ”
#VideoConsultations Other settings • Prisons • Schools- postvention clinics • WAST • Police/MHA assessments • Dentistry • Optometry • Pharmacies “Using this technology in schools following a serious incident allowed young people to receive almost immediate access to CAMHS”
#VideoConsultations Groups • Running groups for more than 5 years • SALT, Dietician, OT, Education, Psychologist etc. • Support parents/carers of children and young people with autism • Partnership- education, social services & 3 rd sector “ People able to ask questions” “Excellent opportunity for parents” “Time saving and access to busy people”
#VideoConsultations What is the CWTCH Model? • CWTCH ( Connecting with Telehealth to Communities and Hospitals for Healthcare ) funded by the Health Foundation in 2019 • Endorsed by the Royal College of Psychiatrists in Wales https://www.rcpsych.ac.uk/about-us/responding-to-covid-19/responding-to-covid-19-guidance-for- clinicians/digital-covid-19-guidance-for-clinicians
#VideoConsultations “Our team have used for communication with families of critically ill patients…allow us to build close relationships and trust with families who are unable to visit and puts a human face on interactions and allows real- time updates. We couldn’t provide the service without it“
#VideoConsultations
THANK YOU https://digitalhealth.wales/tec-cymru @cwtchgwent Cwtch Gwent @teccymru
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