Health Options CS: Interactive Consultations Module
Interactive Consultations enables the provision of empowering health checks that can inspire lifestyle change. Use the module to (1) send self-assessed digital health checks that are completed remotely; and/or (2) conduct motivational in-person consultations. Inbuilt predictive risk calculators and dynamic graphics enable the clear and powerful communication of risk.
Features
- Enable digital self-assessed health checks to be conducted remotely
- Use self-assessment results to triage in-person consultations
- Conduct motivational health checks with a proven consultation work-flow tool
- Use inbuilt predictive risk algorithms with dynamic graphics, including QRisk
- Produce personalised health reports in hard-copy and/or electronic formats
- Send e-referrals to local services
- Transfer SNOMED data electronically and automatically to all clinical systems
- Track the collection and transfer of data in audit trails
- View all data in dynamic online Power BI dashboards
- Access comprehensive long-term outcome data from clinical systems
Benefits
- Enables people to complete digital health checks from home
- Maximises cost-effective resource-usage by helping identify those most at risk
- Inspires lifestyle change with patient-focused principles in-built
- Guarantees evidence-based practices and systems deployed
- Ensures that all leave with comprehensive and personalised reports
- Allows for referral pathways to be joined-up and streamlined
- Ensures contacts count by transferring coded data to patient records
- Enables complete datasets to be reliably collected and clearly tracked
- Gives access to real-time intelligent data analytics
- Empowers programme optimisation through providing in-depth insights on health trends
Pricing
£220.00 a licence
Service documents
Request an accessible format
Framework
G-Cloud 13
Service ID
1 7 0 7 3 9 6 0 1 2 6 3 2 3 6
Contact
HEALTH DIAGNOSTICS LIMITED
Julie Evason
Telephone: 01244 669700
Email: julie.evason@healthdiagnostics.co.uk
Service scope
- Software add-on or extension
- No
- Cloud deployment model
-
- Public cloud
- Hybrid cloud
- Service constraints
- The system is conditional on user accounts being registered with Microsoft as part of the single sign-on philosophy. Typically email accounts hosted by Microsoft hosted Exchange services are already registered Microsoft accounts (e.g. NHS Mail accounts).
- System requirements
- Internet browser
User support
- Email or online ticketing support
- Email or online ticketing
- Support response times
- Mon-Fri, 8.45am - 5.00pm: response within 2 hours
- User can manage status and priority of support tickets
- Yes
- Online ticketing support accessibility
- WCAG 2.1 AA or EN 301 549
- Phone support
- Yes
- Phone support availability
- 9 to 5 (UK time), Monday to Friday
- Web chat support
- No
- Onsite support
- No
- Support levels
-
Health Diagnostics offer a single and full level of support to the following service levels:
Health Diagnostics will respond to service-related incidents and notify the Patient/Service User of the level of classification. A helpdesk ticket number will be submitted to the Client with the service level classification as follows:
• 0 - 8 consecutive working hours for issues classified as High priority.
• Within 32 consecutive working hours for issues classified as Medium priority.
• Within 96 consecutive working hours for issues classified as Low priority.
Remote assistance will be provided in-line with the above timescales dependent on the priority of the support request and if allowed by the Practice/Provider system. There is no difference in cost between the support levels Health Diagnostics provide. If part of the contract, as is standard on larger projects (e.g. NHS Health Check projects) dedicated account managers are assigned. - Support available to third parties
- Yes
Onboarding and offboarding
- Getting started
-
We conduct initial discovery meetings with commissioners in order to ensure that the solution they procure and its configuration meets their needs. The resulting solutions are trialled with a determined beta site before deployment across a project area.
From the perspective of on-boarding individual users, we provide remote training sessions from 1 to 10 people. These sessions are conducted via Teams and are tailored to the projects purchases.
All trainees have access to an extensive online training library with videos, pdf documents and quick guides covering all the topics.
Onsite training can be arranged for groups of up to 20 people.
Full support is offered via telephone following the training.
All documents are updated regularly. - Service documentation
- Yes
- Documentation formats
-
- Other
- Other documentation formats
-
- MP4
- User forms
- End-of-contract data extraction
- Service history and data can be extracted during and after contract end dates. The extractions are available in a 'flat' CSV format, or available as a SQL Server backup on request. Full support provided if required.
- End-of-contract process
-
The contract end is usually one month after the end of the contract period to allow for completion of the final months/contract period report.
Following the provision of the final reporting, Health Diagnostics can provide a copy of the project's data and complete a deletion of all data and provide a Certificate of Destruction.
Using the service
- Web browser interface
- Yes
- Supported browsers
-
- Microsoft Edge
- Firefox
- Chrome
- Safari
- Application to install
- No
- Designed for use on mobile devices
- Yes
- Differences between the mobile and desktop service
-
The module, when used for in-person consultations, is primarily designed to work on a desktop. Given that the majority of users are administrators in healthcare and clinical settings, desktop devices are the most widely used. The module will work on a minimum of a tablet viewport of 1024 x 768.
The self-assessment aspect of the module is primarily accessed remotely by individuals using their smartphones. This has been designed and tested to work on smartphone devices with smaller resolutions. - Service interface
- Yes
- User support accessibility
- WCAG 2.1 A
- Description of service interface
- Interactive Consultations’ (IC) web-based interface has been designed as an intuitive and easily navigable system for conducting health checks (both in-person and remotely self-assessed). Operators use IC to guide clients through motivational consultations that allow for the clear, graphical and personalised communication of risk. E-referrals can be processed and data electronically transferred to patient records. IC can also facilitate remote self-assessed digital health checks, with results used to enable triaging for in-person consultations. Tailored personal health information is available throughout. The principles of the NHS Digital Service Manual have been systematically implemented to enable simple and effective navigation.
- Accessibility standards
- WCAG 2.1 A
- Accessibility testing
-
IC has been subject to extensive testing. This includes testing with assistive technologies. Having been assessed for clinical risk, IC is DCB0129 approved. This ensures that the development and testing procedures deployed are robust, systematic, and risk-averse. The testing framework utilised to achieve this standard incorporates the following components relating to accessibility and resilience in terms of diverse usage:
• Running focus groups with users to establish their usage habits, log improvements and present iterative enhancements.
• Conducting in-depth user research with the general public for all public-facing components of the solution (e.g. digital self-assessment), including individuals with accessibility characteristics.
• Using the NHS Service Design Manual to guide the research & development process, thereby embedding industry standards from the beginning of the development life-cycle.
• Confirming the effective compatibility of assistive technologies such as screen readers, keyboard navigation, and screen tinting.
• Ensuring that potential users with impaired vision can enlarge the screen to an acceptable degree and navigate it in an operative manner.
• Confirming all reporting content conforms to the average national literacy age (9 years).
• Providing training materials with synchronised captions, audio-descriptions, and which are structured in a manner to ensure digestibility. - API
- No
- Customisation available
- Yes
- Description of customisation
-
The following elements can be customised in Interactive Consultations (IC). Unless indicated, customisation is predominantly carried out with the commissioner of the service during the solution configuration phase of deployment:
• Health check assessment layouts (self-assessed and in-person) can be configured according to batteries of locally approved testing protocols.
• Digital self-assessments can be flexibly configured to enable triaging of patients for in-person consultations according to local preferences.
• Custom questions can be set-up to capture data on elements specific to local priorities.
• Patient feedback surveys can be added in accordance with local specifications.
• The norms and thresholds at which interventions trigger and referrals are activated can be set-up in line with local pathways.
• Signposting to local services can be added to personalised health reports.
• Customisable e-referrals to lifestyle services and/or PDF forms can be set-up.
• Invoicing services, constructed in line with local costings, can be deployed to assist sites in claiming for remuneration.
• Users can be enabled and disabled by site administrators (actionable on-going).
Scaling
- Independence of resources
- The service is hosted on Azure Web Application servers which automatically scale if service demand dictates. Auto scaled events are monitored by Health Diagnostics systems support to enable optimisations if necessary.
Analytics
- Service usage metrics
- Yes
- Metrics types
- As part of the service, service administrators can access Power BI based dashboards to inform on service performance. This includes comprehensive data visualisations depicting data collected in relation to various key components of the health check pathway. Basic service performance PDF's are also available at an agreed frequency and/or on request.
- Reporting types
-
- Real-time dashboards
- Regular reports
- Reports on request
Resellers
- Supplier type
- Not a reseller
Staff security
- Staff security clearance
- Other security clearance
- Government security clearance
- Up to Baseline Personnel Security Standard (BPSS)
Asset protection
- Knowledge of data storage and processing locations
- Yes
- Data storage and processing locations
- United Kingdom
- User control over data storage and processing locations
- No
- Datacentre security standards
- Supplier-defined controls
- Penetration testing frequency
- At least every 6 months
- Penetration testing approach
- ‘IT Health Check’ performed by a CHECK service provider
- Protecting data at rest
-
- Physical access control, complying with another standard
- Encryption of all physical media
- Data sanitisation process
- Yes
- Data sanitisation type
- Deleted data can’t be directly accessed
- Equipment disposal approach
- Complying with a recognised standard, for example CSA CCM v.30, CAS (Sanitisation) or ISO/IEC 27001
Data importing and exporting
- Data export approach
- Several export options are provided through the product/service, from CSV to PDF based formats. A comprehensive extraction of data would be carried out by the user via the solution's Control Centre.
- Data export formats
- CSV
- Data import formats
- CSV
Data-in-transit protection
- Data protection between buyer and supplier networks
- TLS (version 1.2 or above)
- Data protection within supplier network
-
- TLS (version 1.2 or above)
- IPsec or TLS VPN gateway
Availability and resilience
- Guaranteed availability
- Front end application servers are hosted on Azure Application servers with a guaranteed uptime SLA of 99.9%. The service auto scales on demand, if service usage dictates. Database servers are operated in a mirrored availability group to ensure 100% failover if any of the database servers become unavailable.
- Approach to resilience
- Front end application servers are hosted on Azure Application servers, which are protected by the defence layers provided by Azure, guaranteed by their SLA. Our backend systems are protected by different layers of defence, both physical and virtual to ensure the system is resilient and stays available for the users.
- Outage reporting
-
The service front end sits behind an Azure application service gateway which provides the ability to provide custom error reporting if there is a service outage. Similarly there is a Power BI dashboard that monitors service health for registered users.
Registered users are informed in advance by email if there are scheduled maintenance tasks that could affect service, as well as advance notice alerts built into the application front ends
Identity and authentication
- User authentication needed
- Yes
- User authentication
-
- Identity federation with existing provider (for example Google Apps)
- Username or password
- Access restrictions in management interfaces and support channels
-
The service uses Role Based Access Control.
A customer nominates a responsible officer [RO] who is responsible for inviting service users and associating their relative access levels.
The highest level of service access is only held by Health Diagnostics system personnel. - Access restriction testing frequency
- At least every 6 months
- Management access authentication
-
- 2-factor authentication
- Identity federation with existing provider (for example Google Apps)
- Username or password
Audit information for users
- Access to user activity audit information
- Users contact the support team to get audit information
- How long user audit data is stored for
- At least 12 months
- Access to supplier activity audit information
- Users contact the support team to get audit information
- How long supplier audit data is stored for
- At least 12 months
- How long system logs are stored for
- Between 6 months and 12 months
Standards and certifications
- ISO/IEC 27001 certification
- Yes
- Who accredited the ISO/IEC 27001
- CQS (Certified Quality Systems) Ltd
- ISO/IEC 27001 accreditation date
- 05/10/2021
- What the ISO/IEC 27001 doesn’t cover
- Clinical risk management is not covered under ISO/IEC 27001. However the application has been assessed by our Clinical Safety Officer under the directives of the NHS DCB0129 - Clinical Risk Management: its Application in the Manufacture of Health IT Systems.
- ISO 28000:2007 certification
- No
- CSA STAR certification
- No
- PCI certification
- No
- Cyber essentials
- Yes
- Cyber essentials plus
- No
- Other security certifications
- Yes
- Any other security certifications
- NHS Data Security and Protection Toolkit
Security governance
- Named board-level person responsible for service security
- Yes
- Security governance certified
- Yes
- Security governance standards
- ISO/IEC 27001
- Information security policies and processes
-
Health Diagnostics operate an Information Security Management System [ISMS] that conforms to and is externally audited against ISO27001:2013 annually. Senior management commit to and support the ISMS to ensure uniform security implementation across the organisation.
It is the policy of Health Diagnostics to ensure compliance, in accordance with all the legislative obligations including but not limited to: Data Protection Act 2018; and the UK General Data Protection Regulation [UKGDPR]. Health Diagnostics also requires all employees, contractors and third parties to comply with this policy and supporting standards and procedures where appropriate.
Health Diagnostics annually complete the NHS DSP Toolkit
Operational security
- Configuration and change management standard
- Supplier-defined controls
- Configuration and change management approach
-
Requests, issues or changes done to the software are tracked as individual items in our development pipeline.
The whole life of the items can be checked at any time in the development tool and they are reviewed and assessed by both the responsible people in the team and a clinical safety officer for security impact.
The items are reviewed and tested at different stages of the development, pre-release and release. - Vulnerability management type
- Supplier-defined controls
- Vulnerability management approach
- Health Diagnostics systems and services are dynamically checked for vulnerabilities using proprietary scanning and penetration testing utilities. These utilities are dynamically updated to include known vulnerabilities and also deploy heuristic scanning methods. Deep scans are scheduled at regular predetermined times to ensure no vulnerabilities exist. If vulnerabilities are found then a report highlighting the vulnerability and categorising as high, medium or low risk is delivered to the head of IT for relative prioritisation and action.
- Protective monitoring type
- Supplier-defined controls
- Protective monitoring approach
-
The network administrator has implemented a network management and monitoring system, which will allow Health Diagnostics Ltd the ability to manage the network and its hardware remotely and monitoring performance, connectivity and integrity. This system is capable of maintaining a log of activities and those to be logged are detailed in a Company Security Standard for Access & Authentication.
Networks are protected by an appropriately placed and managed firewall. - Incident management type
- Supplier-defined controls
- Incident management approach
-
Incident management is covered by the Company ISMS is a security standard which details the processes for reporting incidents and how incident reports are provided to various official bodies if necessary.
All incidents whether identified by Company staff or customers will be reported to the IT help desk and treated in accordance with customer SLA's.
For example data security or clinical safety incidents will be classified the highest priority.
Depending on the severity of the incident, incident reports will be made available to the customer and/or relevant legislative body.
Secure development
- Approach to secure software development best practice
- Independent review of processes (for example CESG CPA Build Standard, ISO/IEC 27034, ISO/IEC 27001 or CSA CCM v3.0)
Public sector networks
- Connection to public sector networks
- No
Social Value
- Fighting climate change
-
Fighting climate change
Health Diagnostics place a significant emphasis on promoting environmentally sustainable practices and recognise the intimate links between population health and a healthy natural environment. Specific ways in which Health Diagnostics support this include:
- Developing technologies that allow for seamless and electronic data transfer and interoperability, thereby helping the NHS to achieve its aim of going paperless.
- Reducing the use of single-use-plastics by eliminating the avoidable use of SUP’s in the company, working with suppliers, contractors and subcontractors to improve their environmental performance, providing staff training, and supplying mechanisms for increasing recycling and sustainability monitoring.
- A cycle to work scheme is available, encouraged and well used by employees.
- Travelling by car is reduced by enabling remote working, encouraging webinar meetings, and delivering online training tutorials instead of face to face.
- Meters are installed to allow for close tracking and monitoring of office electricity usage. Lights, air-con and computers are switched off when not in use.
- Sustainable LED lighting is utilised in the office environment: Luminex 400978 40w panels, configured to a computer-generated lighting plan. This was the most efficient on the market when installed. All office communal and outside lighting is also LED.
- Toshiba office air conditioning units that were also the most efficient on the market when purchased are installed.
- All partitioning utilised in the office environment is demountable and reusable.
- Comprehensive office recycling facilities are available and actively used/encouraged.
- Recycled and reconditioned printers, cartridges and recycled paper for preparing documents are all utilised extensively. - Covid-19 recovery
-
Covid-19 recovery
Supporting the Covid-19 recovery is a key priority of Health Diagnostics. There are various ways in which we are pursuing this, some of which relates to how we support our customers, whilst others relate to how the organisation functions to support internal staff.
Supporting customers:
- We have developed technology that enables the delivery of digital self-assessed health checks. This allowed for health check programmes to continue, with consultations conducted remotely despite social distancing requirements that were in place during the lockdowns. The technology also maximises the emerging appetite amongst the population - largely driven by the pandemic - to engage with their health digitally.
- Supporting NHS trusts to deliver occupational health checks to NHS staff, including throughout the pandemic. This has resulted in a significant number of important outcomes, including reductions in obesity, blood pressure, and relative risk of CVD. Such health metrics, if not managed, can all raise the risk of suffering adversely from Covid-19. Health Diagnostics were recipients of the award for the Best Wellbeing Initiative at the 2021 Occupational Health and Wellbeing Awards for this work.
- Outcomes from other NHS projects have proven that health check projects that Health Diagnostics support can result in reduced staff sickness absence (by 10%), thereby helping to create a more resilient and robust NHS workforce.
Supporting internal colleagues:
- We have provided and continue to provide extensive support to all staff members to enable them to negotiate the challenging circumstances surrounding the pandemic. This has included flexible working arrangements, including enabling international working.
- Health and wellbeing support, including on-going health tracking, is freely available to all staff to enable them to feel empowered with the knowledge they need to ensure ongoing resilience from a personal health perspective. - Tackling economic inequality
-
Tackling economic inequality
Tackling economic inequality is a key output that has been achieved through the public health work that Health Diagnostics supports the delivery of. One of the most visible ways this has been demonstrated is through research conducted by Imperial College London’s Dept. of Primary Care and Public Health that found that community health check providers which use Health Diagnostics’ systems and services to deliver public health programmes “effectively reach under-served groups by delivering preventive CVD services to younger, more deprived populations, and a representative proportion of ethnic minority groups. If the programme is successful in motivating the under-served groups to improve lifestyle, it may reduce health inequalities therein” (Woringer et al, 2017). Given the damaging role that health inequalities play in contemporary society and how they are contributing to widening the gap between rich and poor, making effective efforts to close that gap represents a key way in which the health of current and future generations can be future-proofed. As Imperial College’s research shows, Health Diagnostics have been and remain at the cutting-edge of supporting such efforts. - Equal opportunity
-
Equal opportunity
Supporting equal opportunities by reducing the disability employment gap and tackling workforce inequality are important values that Health Diagnostics pursue. Key ways in which we do so, from a pragmatic standpoint, include:
- Ensuring all our staff are paid above the living wage; all Health Diagnostics’ employees earn over £10 per hour.
- Health Diagnostics have always paid above the minimum and living wage levels and are committed to ensuring contractors do so to.
- Staff that are simultaneously carers are afforded extra flexibility in their role and working hours.
- The option for remote/home working has been made available to staff, post pandemic, on an on-going basis to facilitate the support it offers in different personal circumstances.
- Building accessible systems that, by design, cater for people from divergent backgrounds or who have protected characteristics.
- Ensuring that health check providers are able to access information that enables them to effectively support the needs of sexual minority populations when delivering health checks (e.g. how to support trans individuals to understand their cardiovascular risk when the NICE recommended and OHID-sanctioned risk algorithm, QRisk, only accounts for a binary gender distinction). - Wellbeing
-
Wellbeing
Supporting wellbeing is at the core of what Health Diagnostics do as an organisation. There are numerous ways in which we achieve this for our customers and for our staff. These include:
Supporting customers:
- Health Diagnostics has supported numerous NHS trusts to deliver health checks to their staff. One such programme at East Sussex Healthcare NHS Foundation Trust – which delivered 1069 checks to trust employees, was widely praised by NHS senior leaders, and was featured by NHS Employers for its innovative approach – saw 64% of the individuals that were referred following their health check making a lifestyle change within one month.
- The importance of collecting accurate health data is vital if the resulting actions are to be appropriately targeted. Researchers working on the NHS Health Check National Evaluation praised Health Diagnostics’ solution for its inherent ability to ensure complete datasets are collected by providers. According to researchers from Imperial College London, data gathered with Health Diagnostics’ “patient-centred” solution “had much better clinical and demographic recording of data [than that gathered using clinical system templates] because it was designed to collect data specifically for the health check.”
- Numerous outcomes, accessible online, attest to Health Diagnostics’ support for health and wellbeing: https://healthdiagnostics.co.uk/proven-results/.
Supporting internal staff:
- Health & Wellbeing courses are offered to all staff and encouraged. The courses include; Toolkits for Mental Health & Wellbeing, Healthy Working Relationships and Creating a Positive Workplace Wellbeing Culture. All of these are provided by Cheshire West and Chester Council, Public Health Team.
- Health Diagnostics offers free health checks/lifestyle advice to all employees, including for mental health, and experiences very low sickness absence rates.
- Health Diagnostics has been supporting the cycle to work scheme for the past 8 years, which 40% of employees have taken advantage of.
Pricing
- Price
- £220.00 a licence
- Discount for educational organisations
- No
- Free trial available
- No