LENUS HEALTH LTD

Sleep Apnoea Service

The Sleep Apnoea Service allows patients to securely share respiratory and other data relating to their sleep disorder, from apps and wearables including CPAP. Data can be used by healthcare professionals to provide remote monitoring of and support for patients at risk of high blood pressure, heart attack and stroke.

Features

  • Remote monitoring of physiology and Patient Reported Outcomes data
  • Structured data questionnaires
  • Two-way messaging and connected care plan
  • Clinical dashboard visualising data from connected hardware and wearables
  • Standard APIs, identity, access and consent management services
  • Secure encryption of data in transit and at rest
  • Open standards for identity, powerful API and granular permissions
  • Distributed health data management model
  • Connectors to support data integration with EHR
  • Apple Healthkit and Google Fit integration

Benefits

  • Resilient, scalable and cost effective fully managed hosting service
  • Algorithm guided to improve decision making by health professionals
  • Improve community interventions and reduce hospital admissions
  • Improve quality and flexibility of healthcare delivery
  • Increase control and ownership of health data
  • Scale your service through improved access to users
  • Privacy by design with GDPR compliant consent model
  • Data API supports HL7 FHIRv4 standard for healthcare data exchange
  • Support self-management of long term conditions
  • Integrations with Electronic Medical Record and Primary Care Systems

Pricing

£5,000 to £20,000 an instance a month

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at jim.mcnair@lenushealth.com. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 13

Service ID

5 2 0 4 0 0 6 0 3 1 3 8 1 6 5

Contact

LENUS HEALTH LTD Jim McNair
Telephone: 0131 561 1250
Email: jim.mcnair@lenushealth.com

Service scope

Software add-on or extension
Yes, but can also be used as a standalone service
What software services is the service an extension to
Patient Management Systems (PMS) Electronic Medical Record Systems (EMRs)
Cloud deployment model
Public cloud
Service constraints
None
System requirements
All system requirements are supported

User support

Email or online ticketing support
Yes, at extra cost
Support response times
Response times are categorised by service request priority: Urgent: 1 hour; High: 4 hours; Medium: 8 hours; Low: 16 hours. Response times at weekends, public and bank holidays are negotiated separately.
User can manage status and priority of support tickets
Yes
Online ticketing support accessibility
None or don’t know
Phone support
Yes
Phone support availability
9 to 5 (UK time), Monday to Friday
Web chat support
No
Onsite support
Yes, at extra cost
Support levels
Our WebOps Support Desk provides your first line response to support requests. The service is backed by Microsoft Azure services 24x7, 99.99% availability. Response times are categorised by service request priority: Urgent: 1 hour; High: 4 hours; Medium: 8 hours; Low: 16 hours. P1 - Urgent: Complete loss of an entire service for all users or severe degradation resulting in inability to function; P2 - High: Service functioning improperly resulting in some loss of service/system failure removing service from a number of users; P3 - Medium: Service functioning at less than optimal performance/system problem impacting but not removing service, resolve minor bugs/site errors; P4 - Low: Change requests.
Support available to third parties
Yes

Onboarding and offboarding

Getting started
To support customers we offer tailored training for the Activity, Sleep and Nutrition Tracking Service which can be delivered remotely or on premise.
Service documentation
Yes
Documentation formats
HTML
End-of-contract data extraction
Approach can be designed to suit customer requirements.
End-of-contract process
Approach can be designed to suit customer requirements. There may be additional costs.

Using the service

Web browser interface
Yes
Supported browsers
  • Internet Explorer 11
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
  • Opera
Application to install
No
Designed for use on mobile devices
Yes
Differences between the mobile and desktop service
Mobile experience is fully featured but interfaces are optimised for smaller form factor.
Service interface
Yes
User support accessibility
WCAG 2.1 AA or EN 301 549
Description of service interface
A secure service interface in the form of a clinical dashboard is provided for healthcare professionals to administer the Activity, Sleep and Nutrition Tracking Service.
Accessibility standards
WCAG 2.1 AA or EN 301 549
Accessibility testing
Manual and automated interface accessibility testing has been undertaken but not specifically for users of assistive technologies.
API
Yes
What users can and can't do using the API
The Data APIs allow authorised clients to read and write physiology body measurements, vital signs, test results, nutrition and many other standard units of measurement as well as a range of resources based on the HL7 FHIRv4 standard. Lenus protects user data with SSL while in transit and Microsoft SQL Server Transparent Data Encryption at rest. Access to these resources is locked-down by Azure Key Vault. Client applications are added to the system by a human. Only approved partners clients can access the Lenus platform.
API documentation
Yes
API documentation formats
HTML
API sandbox or test environment
Yes
Customisation available
Yes
Description of customisation
Almost any element of the Activity, Sleep and Nutrition Tracking Service can be customised to meet specific customer needs. Customisation is available to support the need to scale, to support specific security standards, monitoring and reporting or to provide extended help desk cover. Customisation requirements are typically informed through early stage work in determining user needs and organisational goals. For a live service, further customisations can be considered in response to analytics, user feedback and product enhancements.

Scaling

Independence of resources
Virtualisation technology is used to ensure applications and users sharing the same infrastructure are kept apart.

Analytics

Service usage metrics
Yes
Metrics types
Using tools such as web analytics and other data sources we monitor service usage and performance and recommend where service improvements could be made.
Reporting types
  • API access
  • Real-time dashboards
  • Regular reports
  • Reports on request

Resellers

Supplier type
Not a reseller

Staff security

Staff security clearance
Conforms to BS7858:2019
Government security clearance
Up to Developed Vetting (DV)

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
Complies with a recognised standard (for example CSA CCM version 3.0)
Penetration testing frequency
At least every 6 months
Penetration testing approach
‘IT Health Check’ performed by a Tigerscheme qualified provider or a CREST-approved service provider
Protecting data at rest
  • Physical access control, complying with CSA CCM v3.0
  • Physical access control, complying with SSAE-16 / ISAE 3402
Data sanitisation process
Yes
Data sanitisation type
Explicit overwriting of storage before reallocation
Equipment disposal approach
In-house destruction process

Data importing and exporting

Data export approach
Approach can be designed to suit customer requirements.
Data export formats
CSV
Data import formats
CSV

Data-in-transit protection

Data protection between buyer and supplier networks
  • Private network or public sector network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
Data protection within supplier network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway

Availability and resilience

Guaranteed availability
99.99%
Approach to resilience
Microsoft Azure provides failover capability. More information available on request.
Outage reporting
Public dashboard, API and email alerts.

Identity and authentication

User authentication needed
Yes
User authentication
Username or password
Access restrictions in management interfaces and support channels
Available on request.
Access restriction testing frequency
At least every 6 months
Management access authentication
2-factor authentication

Audit information for users

Access to user activity audit information
Users receive audit information on a regular basis
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
At least 12 months

Standards and certifications

ISO/IEC 27001 certification
No
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
Class 1 Medical Device under EU Medical Device Regulations (MDR)

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
No
Security governance approach
The Lenus Health Quality Management System (QMS) conforms to ISO13485 and the business is working towards ISO/IEC 27001:2013 (ISO 27001).
Information security policies and processes
Information is an asset that Lenus Health has a duty and responsibility to protect.

Our information security management system (ISMS) sets our approach to managing information security and is approved by top management and communicated to employees, contractual third parties and agents.

Top management are committed to protecting the information that we store and process though good information security practices. To achieve this, and comply with regulations, we have established:

an information security policy
a commitment to customer focus and applicable regulatory requirements
information security objectives that are measurable and consistent with the information security policy
an ISMS describing our approach to information security
responsibilities, authorities and communication processes
a management review process
a process to ensure availability of resources
data access and security processes
a business continuity / incident management procedure

Top management believe that a commitment to information security is important in order to:

encourage information and cyber security awareness amongst employees, to develop and a ‘secure by design’ mindset
increase customer confidence, which helps build relationships with and retain customers
reduce our exposure to risk
effectively utilise our resources

Lenus Health has Cyber Essentials accreditation and is in the process of achieving compliance with ISO27001.

Operational security

Configuration and change management standard
Supplier-defined controls
Configuration and change management approach
Change management is employed to evaluate, control and minimise risk and cost, and maintain the established standards and quality criteria. Our change management process is incorporated into our ITIL-based continual improvement process, that encompasses business objectives, creates baselines, defines measurements, and plans and implements improvements. Our change controls:

establish the purpose, category and nature changes
determine the potential consequences of changes
assess resource requirements for the changes

We use configuration management to establish and maintain consistency in our software’s performance. This includes configuration management for:

Project/work management
Source control
Build/release pipelines
Packages and artefacts
Azure CSP tenancies, subscriptions and Infrastructure
Vulnerability management type
Supplier-defined controls
Vulnerability management approach
Lenus Health apply our ISO13485 accredited Quality Management System processes, and Cyber Essentials backed security best practices to the information and IT assets we handle, reducing risk associated with vulnerabilities by being able to identify, classify, prioritise, remediate and mitigate vulnerabilities. Vulnerability scans are run regularly to identify weaknesses in the configuration of systems and to determine if any are missing important patches or software. Remediation or mitigation is undertaken on any vulnerabilities identified according to the class and priority of the vulnerability.
Protective monitoring type
Supplier-defined controls
Protective monitoring approach
We use ‘always-on’ proactive and protective monitoring to:

monitor the software performance
systematically identify risks
detect software faults when they occur
quickly initiate necessary corrective actions

Our proactive monitoring involves collecting meaningful and practical information. To do this we use tools such as:

Azure App Insights
Azure Log Analytics
StatusCake
Performance analytics
Service reports
Helpdesk calls and tickets
Customer complaints and positive feedback
Incident management type
Supplier-defined controls
Incident management approach
Lenus Health's incident management process requires that all events and suspect events that could result in the actual or potential loss of data, breaches of confidentiality, unauthorised access or changes to systems, must be reported immediately to top management by email, telephone or in person.

Incidents are centrally recorded, and appropriate management measures, including escalation and notification procedures are in place.

Incident reporting procedures are included in employee training.

Secure development

Approach to secure software development best practice
Conforms to a recognised standard, but self-assessed

Public sector networks

Connection to public sector networks
No

Social Value

Fighting climate change

Fighting climate change

Lenus Health is committed to achieving Net Zero greenhouse gas emissions by 2045, in line with Scottish Government policy, contributing to UK Government policy of Net Zero emissions by 2050.
Covid-19 recovery

Covid-19 recovery

Lenus Health operated during the pandemic, including through provision of essential services to the NHS (software for the NHS Scotland National Notifications and Contact Tracing Service, and a long COVID study), as well as for other key public sector organisations.

Lenus Health recognises the impact the pandemic has had on individuals and communities and is therefore committed to creating employment opportunities to assist those looking to retrain. Aligned with our focus on wellbeing, Lenus Health is supportive in enabling workers to work from wherever they would like to work; from home, from the office, or from elsewhere, subject to project constraints that may be in place e.g., security considerations etc. and their levels of comfort in being in and around other people, should they be shielding, either for themselves, or because they live with or care for family members who are vulnerable. Measures have been implemented to support our approach to the new future of work. In the office environment, work has been done to support effective social distancing. While the office is used less frequently than pre-pandemic, there is more considered use of the facility, either for individual or team based working. We now recruit from further afield and because we have embraced full remote and hybrid working, this has assisted us in recruiting the best possible talent while also positively improving work life balance. Many projects undertaken are also aligned in helping organisations and their service users to manage and recover from the impact of COVID-19. Undertaking projects that make a difference to people and wider society has a positive impact on health and wellbeing of workers.
Tackling economic inequality

Tackling economic inequality

All workers benefit from contracts with competitive remuneration, together with a package of benefits which are designed to both attract and retain talent.

For example, the annual salary review policy means that all workers can expect their salary to be increased automatically, in line with increases in cost of living, without having to request it. In addition, the company operates a Profit Related Reward (PRR) scheme. Whenever the company is in profit, a proportion of the profits are shared among all workers in the form of a bonus.

The annual budgeting process ensures provision for investment in workforce development. Costs are covered for continuous professional development activities, access to online learning resources and attendance at events. Opportunities for development to address skills gaps and achieve recognised qualifications are discussed regularly, including during monthly one-to-one check-in meetings between workers and line managers.

The intranet carries detailed role descriptions for all jobs currently filled, new jobs being created and therefore requiring to be filled in the future. This open sharing of job descriptions assists workers in identifying pathways for career progression, both within their existing team and across other teams in the business too.
Equal opportunity

Equal opportunity

Lenus Health is committed to providing a workplace where diversity, equality and inclusion are actively promoted and supported through training to tackle any real or perceived workforce inequality. We aim to contribute to the creation and maintenance of a working environment in which all individuals can make best use of their skills, free from discrimination (direct and indirect), victimisation, harassment and bullying, and in which all decisions are based on merit.

Lenus Health’s HR practices include:

1. Conducting recruitment based on merit, against objective criteria that avoids discrimination. Shortlisting is always undertaken by more than one person and with the involvement of Human Resources.
2. Advertising to a diverse section of the labour market. Advertisements will seek to avoid stereotyping or using wording that may discourage particular groups from expressing interest or applying. 3. Not asking job applicants about health or disability before a job offer is made.
4. Providing equal access to training, with needs identified through appraisals. Employees are given appropriate access to training to enable them to progress within Lenus Health and all promotion decisions are made based on merit.

The Lenus Health HR Team maintains an overview of workforce profile which provides and overview of how diverse, equitable and inclusive our workforce is. This information is used by the Senior Management Team and the Board, to determine what actions, including individual and company-wide training, should be taken to tackle any real or perceived inequalities.
Wellbeing

Wellbeing

Lenus Health places strong importance on health and wellbeing, job fulfilment and the balance between work and family life. Lenus Health is supportive in enabling workers to work from wherever they would like to work; from home, from the office, or from elsewhere, subject to project constraints that may be in place e.g., security considerations etc. In addition, reminders are provided to workers about the importance of using all annual leave allowance. Content is regularly shared on mental health and wellbeing through internal communication channels and this is heightened during Mental Health Awareness Week when a number of activities take place every day.
Lenus Health pays competitive salaries for all staff and the company is committed to fair and equal pay. Salaries are regularly benchmarked against industry standards and are often higher. Staff are eligible for annual performance related bonuses and automatic increases in line with cost of living. In addition, staff receive a wider benefits package including pension contributions and private health cover. Lenus Health wants its workers to do their best work, feel proud about their work and know that they have the support to enable them to feel professionally fulfilled. As such, fulfilment is a component of job design which contributes to health and wellbeing, a dimension when interviewing candidates and a point-of-discussion between workers and line managers during monthly one-to-one check-in meetings and annual progress reviews. Exit interviews for employees who leave also provide an opportunity for us to identify what we’re doing well and where further improvements can be made to ensure that support for health and wellbeing is sustained. Exit interviews regularly highlight the positive support that employees know is in place, or from which they have benefited.

Pricing

Price
£5,000 to £20,000 an instance a month
Discount for educational organisations
No
Free trial available
No

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at jim.mcnair@lenushealth.com. Tell them what format you need. It will help if you say what assistive technology you use.