Graphnet Population Health
Graphnet Population Health is an analytics platform designed to support health economies with population health programs. The solution enables data driven transformation to support improving patient care. A suite of use case can be used to drive initiatives. Data can be incorporated from any available source if required.
Features
- Full population health record using data from across an ICS.
- Risk stratification (ACG System) and population segmentation.
- Casefinding for interventions.
- Cohort tracking and benefits analysis.
- Clinical system integration of analytic outputs.
- Scalable Microsoft Azure based population health analytics platform.
- Secure IG compliant using tried and trusted framework supporting SSO.
- Segregated data marts available; identifiable, de-identified and customer owned.
- Near real-time data feeds (up to 15 mins).
- Allows local data flows to be crosslinked into patient records.
Benefits
- Analyse the health and care of a community or population.
- Advanced case finding capabilities using linked datasets.
- Monitors impact of care intervention programmes.
- Identify and understand data quality issues.
- Identify and support care delivery best practice using casemix approaches.
- Area wide operational patient flow management.
- Understand the drivers and risks which lead to outcomes.
- Identify trends in activity, diseases and patient behaviour.
- Supports pro-active care though identification and monitoring of patient cohorts.
Pricing
£200,000.00 a unit a year
Service documents
Request an accessible format
Framework
G-Cloud 14
Service ID
8 8 1 9 0 6 5 3 4 9 7 7 8 4 2
Contact
Graphnet Health Limited
Lisa Haslam
Telephone: 03330771988
Email: salesandbids@graphnethealth.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
- Graphnet Shared Care Record and Docobo Remote Monitoring, but can also be stand alone.
- Cloud deployment model
- Public cloud
- Service constraints
- Dissented patients and all their corresponding information, are excluded from data marts where legally required. Sensitive codes defined by NHS England are excluded. The local deployment model maybe constrained by local IG and security policies regarding presentation of secure information.
- System requirements
-
- Web: Microsoft Edge (Chromium); Google Chrome; Firefox.
- Access to the web server via http/https.
User support
- Email or online ticketing support
- Email or online ticketing
- Support response times
- Support is available on commencement of live service and we offer a variety of support packages. Each support package includes full details of call priority rankings and the corresponding response times agreed with the customer.
- 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
- Yes, at extra cost
- Support levels
- Options to suit customer's need. Typically 9 - 5.30pm, 24/7 or other daily times possible subject to agreed SLA and commercials. Costings depend on the number of product and user licences required. Support engineers are supplied as part of the Service Desk provision as specified under the Service Level T&Cs for each customer.
- Support available to third parties
- No
Onboarding and offboarding
- Getting started
-
The Population Health platform significantly increases the availability of patient data in a single repository which allows for far more detailed data analysis.
Ultimately Graphnet want our customers to be self sufficient in creating and maintaining their own dashboards. To support this outcome each Graphnet customer is assigned a Population Health Consultant. One of the roles of the Consultant is to ensure the customers analysts are familiar with the platform, the data dictionary and have access to the Power BI application. The platform also includes a set of “core” dashboards which can be deployed FOC. Including a set of dashboards is both to familiarise customers as to the art of the achievable and ensure an element of speed to value.
A key component of the Population Health platform is the “Enhanced Case Finder” functionality which enables end users such as Practice Managers, GPs and Provider Clinicians to analyse the data pertinent to their organisation and/or specialty. Through the provision of customer specific training materials and enabling “Train the Trainer” programs of work Graphnet ensure these users are familiar with the solution as well. - Service documentation
- Yes
- Documentation formats
-
- HTML
- End-of-contract data extraction
-
In each agreement Graphnet provides a Project Initiation Document (PID), a component of which is an agreed exit plan detailing how data would be provided back to the customer should the contract end. The documentation always includes details of Graphnet’s obligations to transfer data and will detail an agreed format.
The Graphnet Population Health platform sources data both from “feeds” from the provider organisations as well as 3rd party data sources. Both data sources would be in scope for extract.
Users can then extract their data at the end of the contract through a process facilitated by Graphnet. This involves accessing a designated data extraction tool. Users can select the data they wish to export, specifying the format and destination for the extracted data. Graphnet also commit to provide additional support to ensure a smooth transition and compliance with data protection regulations. Clear communication and documentation will be provided to support users throughout the extraction process adhering to industry best practices and regulatory requirements. - End-of-contract process
-
6 to 12 months prior to the contract expiry, Graphnet will work with the customers senior leadership, finance and contract management teams to discuss what options are available. Options to discuss would include.
Non-Renewal: Clearly we hope that all contracts are renewed, but in some rare cases contracts do expire. In such cases where appropriate provisions are made such that any information entered into the Shared Record is returned in a format agreed with the customer and that here is a managed transition to a new system.
Renewal: Contract is renewed. Contracted components and/or participant organisations may alter.
Hosting: In a number of cases Graphnet customers have opted to renew, but rather than remain on their own hosted instance they have opted to join a neighboring ICS’ Graphnet Shared Care Record instance.
Should the contract actually no longer be required Graphnet will offer the provision of other reasonable termination assistance at the Authority’s request at the Supplier’s standard rates (e.g. to assist with data migration to the replacement contractor’s system). In addition, if necessary, a “read only licence” for historic data is offered.
Using the service
- Web browser interface
- Yes
- Supported browsers
-
- Internet Explorer 11
- Microsoft Edge
- Firefox
- Chrome
- Safari
- Opera
- Application to install
- Yes
- Compatible operating systems
- Windows
- Designed for use on mobile devices
- Yes
- Differences between the mobile and desktop service
- The Graphnet Population Health platform provides analaytical dashboards via a devices browser. So long as a device is utilising a supported browser, then there is no difference between mobile and desktop usage.
- Service interface
- Yes
- User support accessibility
- WCAG 2.1 AA or EN 301 549
- Description of service interface
- The service is delivered via a web browser for accessing the Population Health use cases using single sign on. Dashboards and reports can also be embedded within clinical systems such as the Graphnet Shared Care Record.
- Accessibility standards
- WCAG 2.1 AA or EN 301 549
- Accessibility testing
- The solution has been designed taking into account the W3C Web Content Accessibility Guidelines. We undergo testing during the design process to support colour blindness, high contrast settings and use of iconography as well as colour in key areas of the application. Additionally, we are prepared to work with customers that have specific needs on a case by case basis. Our Agile design and development approach is collaborative so we continue to develop accessible, meaningful and intuitive system.
- API
- Yes
- What users can and can't do using the API
- A limited subset of Population Health calculated data is made available for third party clinical applications to consume. This includes risk stratification and cohort mapping engine outputs at a patient level.
- API documentation
- Yes
- API documentation formats
- Open API (also known as Swagger)
- API sandbox or test environment
- Yes
- Customisation available
- Yes
- Description of customisation
- Customer's information analysts can securely access the underlying data marts and data structures directly using analytics tools such as Azure Data Studio, Power BI, SQL Management Studio, Python and other tools. The platform also includes Population Explorer / Enhanced Case Finder functionality identifying population cohorts and undertaking risk stratification at local and ICS level with contemporaneous data. This enables the analysts to create any custom analytics utilising the wealth of data on the platform. The adopted approach gives users ultimate control. Platform use cases are created in Power BI can also be customised and published by end users.
Scaling
- Independence of resources
- We use Microsoft Azure as our platform which has limitless scaling capability and we configure our solutions to access this resource on demand. Availability / Capacity is a key consideration in our comprehensive approach which covers the hardware platform, software design and associated processes which cover Support and Maintenance, Business Continuity and Disaster Recovery. For a cloud hosted solution we provide an auto-scalable compute layer along with dedicated storage that has been sized appropriately for current and agreed future expansion requirements, with redundancy built in.
Analytics
- Service usage metrics
- Yes
- Metrics types
-
The metrics provides relate to;
- Number of user logins over time
- Reports accessed
- Queries run
- Data load management / timeliness - Reporting types
-
- Real-time dashboards
- Regular reports
- Reports on request
Resellers
- Supplier type
- Reseller providing extra features and support
- Organisation whose services are being resold
- Johns Hopkins ACG system.
Staff security
- Staff security clearance
- Conforms to BS7858:2019
- 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
- Yes
- Datacentre security standards
- Complies with a recognised standard (for example CSA CCM version 3.0)
- Penetration testing frequency
- At least once a year
- 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
-
- Explicit overwriting of storage before reallocation
- 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
- The population health platform provides access to Microsoft tooling to enable the export of any data within the system in any industry standard format. These extracts can be ad-hoc or scheduled. Bespoke extracts can also be setup using Microsoft Azure functionality into any supported system.
- Data export formats
-
- CSV
- ODF
- Other
- Other data export formats
-
- Any industry standard format created with Microsoft Analytics Tools eg:
- Power BI, Azure Data Studio, Azure Data Factory, also
- SQL Management Studio
- Data import formats
-
- CSV
- Other
- Other data import formats
-
- Any industry standard format. Examples include:
- MS Office, CSV, JSON, XML, HL7 messaging and APIs.
Data-in-transit protection
- Data protection between buyer and supplier networks
-
- TLS (version 1.2 or above)
- Other
- Other protection between networks
- The service uses "allow lists" to accept connections from customer sites only.
- Data protection within supplier network
-
- TLS (version 1.2 or above)
- IPsec or TLS VPN gateway
Availability and resilience
- Guaranteed availability
-
99.9% excluding agreed maintenance windows out of hours.
Graphnet recognise that each solution provided are all critical solutions for the provision of safe and effective care. To that end Graphnet have multiple systems and procedures to ensure the solution(s) are available.
When deployment issues are logged they are immediately triaged to determine the extent to which the availability has been affected. The levels of severity and the associated resolution time are detailed below.
P1 (Critical) Entire system unavailable/unusable. Resolution: within four hours
P2 (High) Significant loss of the service but the impacted business function is not halted. Resolution: within eight Hours.
P3 (Medium) Significant loss of the service but the impacted business function is not halted. Resolution: Resolved within one hundred and twenty Hours.
P4 (Low) defined as Intermittent or partial faults resulting in loss of non-critical functionality where the software is still useable or there is a suitable alternative. Resolution: within twenty days
The recovery time objective (RTO) is four hours and the recovery point objective (RPO) is 0.5 hours from the initial incident. - Approach to resilience
-
Graphnet's Population Health solution is hosted in Microsoft Azure which provides a robust, secure and highly available hosting service. Microsoft Azure meets a broad set of international and industry-specific compliance standards, such as ISO 27001, HIPAA, FedRAMP, SOC 1 and SOC 2, as well as country-specific standards.
Graphnet maintain numerous Operational standards which are designed to further ensure the provision of a resilient service. These include:
Business Continuity Process: Mitigation against, fire, bombing, flooding and area wide outage etc.
Quality & Security Processes: Ensure quality solutions are deployed safely and securely.
Risk Assessment Processes: Continually reviewing recognised risks and mitigation processes.
Access Controls: Ensure only approved staff have access to customer environments.
Penetration Testing: To mitigate against malicious attacks.
In some cases the Graphnet solution may need to be made unavailable to provide updates to the
In the rare case of a system outage, Graphnet will declare a “Priority 1” incident whereby support services are as a norm extended to 24/7 with a target resolution of 4 hours. - Outage reporting
- All outages are recorded as part of the incident management process and should a problem be detected then the service desk will inform the customer as required.
Identity and authentication
- User authentication needed
- Yes
- User authentication
-
- 2-factor authentication
- Public key authentication (including by TLS client certificate)
- Identity federation with existing provider (for example Google Apps)
- Username or password
- Access restrictions in management interfaces and support channels
- All Graphnet Shared Care Record applications support in-built Role Based Access Control (RBAC) functionality which manages which functions a user has access to and which views of data they are able to see. The system includes 25 pre-configured roles, which align with the National Registration Authority Smart Card access roles and are grouped into 5 granular levels of system functionality. Graphnet Shared Care Record has a well-established concept of Patient Groups, which supports the ability to control which users, roles and groups of users have access to which groups of patients. System Administrators can also further refine permissions, as required.
- Access restriction testing frequency
- At least once a year
- Management access authentication
-
- 2-factor authentication
- Public key authentication (including by TLS client certificate)
- Identity federation with existing provider (for example Google Apps)
- Username or password
Audit information for users
- Access to user activity audit information
- Users have access to real-time audit information
- How long user audit data is stored for
- User-defined
- Access to supplier activity audit information
- Users have access to real-time audit information
- How long supplier audit data is stored for
- User-defined
- How long system logs are stored for
- User-defined
Standards and certifications
- ISO/IEC 27001 certification
- Yes
- Who accredited the ISO/IEC 27001
- BSI ISO/IEC 27001:2013 - IS 614375
- ISO/IEC 27001 accreditation date
- 15/07/2021
- What the ISO/IEC 27001 doesn’t cover
- Our 27001 covers the full business operation without exclusions. Graphnet holds Certification number IS 614375 and operates Information Management Systems which comply with the requirements of ISO/IEC 27001:2013 for: All automated information systems under the direct control of Graphnet Health Ltd. All employees and agents of Graphnet Health Limited. All employees and agents of other organisations who directly or indirectly make use of or support the use of information systems under the direct control of Graphnet Health Limited.
- ISO 28000:2007 certification
- No
- CSA STAR certification
- No
- PCI certification
- No
- Cyber essentials
- Yes
- Cyber essentials plus
- Yes
- Other security certifications
- Yes
- Any other security certifications
-
- IG toolkit (NHS Digital ODS code 8GX89).
- ISO9001:2015, (FS614373);
- Data Protection Act 1998 (DPA)
- Level 3 compliance with NHS IGSoC
Security governance
- Named board-level person responsible for service security
- Yes
- Security governance certified
- Yes
- Security governance standards
-
- ISO/IEC 27001
- Other
- Other security governance standards
- We comply with NHS standards and best practice guidelines. Standards/accreditations include; •ISO27001:2013 •ISO9001:2015 •Data Security and Protection Toolkit •Cyber Essentials Plus Graphent's ICO Registration is Z1045461. Other SCCIs/ISNs applicable to shared care record solutions, including DCB 0129 and DSCN14-2009.
- Information security policies and processes
-
We have a range of policies to ensure we adhere to IG and Information Security arrangements. These include:
-Access Control
-Information Governance
-Project and Security Coding
-Clean Screen and Clear Desk
-PID
-Secure Software
-Solution Development Procedure
-Data Transfer (Encryption)
-Secure Disposal
-Acceptable Use
-Network Control.
We have other specific guidance and polices available to provide assurance with our Data Processor and internal responsibilities.
We have an IG Steering Group which our IG Manager, Information Security Manager, ISO Compliance Manager, SIRO and Caldicott Guardian all sit on. Through these key roles we ensure policies are reviewed and amended in light of any issues arising, audit reviews and process changes etc.
Policies are available to all staff via our employee hub system which requires staff to read all required policies.
We incorporate the Crown Commercial Service’s Generic Standard GDPR clauses in all our contracts where we process personal data; we process in compliance with Article 32. Where services use the “cloud” this processing adheres to the fourteen National Cyber Security Centre cloud service security principles as applicable to UK OFFICIAL and the cloud host complies with ISO27018.
Operational security
- Configuration and change management standard
- Supplier-defined controls
- Configuration and change management approach
-
To ensure the security and reliability of Graphnet's solutions, Graphnet follow a 5 phase configuration and change management process.
•Development and QA and internal only proof of concept (POC) activities
•Customer facing POC work.
•Build of all pre-production systems that may go on to hold customer or Graphnet data (deployment phase work)
•BAU customer systems provided by Graphnet including all UAT, Sandpit, Training, Testing, Production or Live systems.
•All systems managed out or curtailed (including part of customer and data egress) where there is a requirement for secure planning for data clearance and reuse for other purposes or secure disposal. - Vulnerability management type
- Supplier-defined controls
- Vulnerability management approach
- We use a combination of internal vulnerability scanners, system monitoring and industry sources to monitor for possible threats, applying patches within 14 days of their release. Additionally, we use NHS CARE-cert, US-Cert and industry publications to assess threats weekly and respond accordingly. Out Of Band patch releases are investigated and installed immediately if appropriate.
- Protective monitoring type
- Supplier-defined controls
- Protective monitoring approach
-
The application is monitored using Microsoft’s Sentinel, Defender for Cloud and Azure policies, with alerts raised for anomalies found, including suspicious or potentially malicious activity. Audit logs are retained for all Azure, web application and SQL server activities for 90 days. The application keeps its logs indefinitely.
These audit alerts generate an email to the operational support team and are investigated by them.
Proactive monitoring is in place for environmental triggers such as low disk space, high CPU usage.
The anti-malware software will monitor for any malicious software or activities. - Incident management type
- Supplier-defined controls
- Incident management approach
- Incidents are formally managed through Graphnet's Support Desk, using an ITIL focused call logging application to record, track and manage issues through all stages of the incident lifecycle. The Service Desk is also briefed on the service responses agreed through the customer contracts and use the incident logging application to monitor incidents’ service level response times. Problems are identified through incident reviews and managed through diagnosis, resolution and planned changes. These reviews of issues attempt to identify trends/recurrent issues; when identified, these undergo a root cause analysis and recommendations are made for changes to the product based on the analysis.
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
- Yes
- Connected networks
-
- NHS Network (N3)
- Health and Social Care Network (HSCN)
Social Value
- Social Value
-
Social Value
- Fighting climate change
- Covid-19 recovery
- Tackling economic inequality
- Equal opportunity
- Wellbeing
Fighting climate change
Helping to tackle climate change is a key objective for Graphnet. Our deployments are delivered remotely and we are striving to achieve Net Zero Carbon emissions before 2050.
Our procurement team prioritise suppliers with sustainable practices and environmentally friendly materials and equipment.
We conduct an environmental assessment at the outset of any project, identifying specific targets and areas for improvement.
Our Standards and Compliance team collaborate with stakeholders to integrate environmental considerations, such as energy-efficient technologies, waste reduction measures, and carbon mitigation strategies.
Monitoring systems track progress and measure the effectiveness of our commitments. For example, assessing whether travel was necessary and conducted in the most environmentally friendly way practical.
Audits provide an independent assessment to validate our environmental performance and following project completion, a comprehensive evaluation assesses the success of our initiatives, incorporating lessons learned for future projects.
Measurement and reporting utilises quantitative and qualitative metrics, tracking energy consumption, waste diversion rates, carbon emissions, and employee engagement in sustainability initiatives.
This approach ensures that our efforts go beyond our core service offering, integrating environmental best practices into each project to make substantial contributions to carbon reduction, sustainable waste management, and energy efficiency.
Our solutions are designed to help customers become paper-free or paper-lite. This enables customers to minimise the need for medical records libraries, reducing their need to store and dispose of paper-based records. Our mobile capability reduces carbon footprints by eliminating the need to travel, and our Docobo Remote Monitoring provides a trusted and highly effective remote patient monitoring solution that allows patients to be monitored and supported within their home. This reduces or even removes the need for patients to regularly visit the hospital for monitoring and removes the environmental impact of having to travel to and from the hospital.Covid-19 recovery
Graphnet has a strong track record in supporting COVID-19 recovery. We delivered the original and successful NHS Vaccination system and supported 12 ICBS with their Covid monitoring work whilst the pandemic was in its first 18 months. We have continued to help these customers fight Covid in various ways including the following examples:
Graphnet’s Care@Home solutions enable individuals with COVID-19 to be remotely managed at home by Virtual Ward Care Teams.
Our Covid-19 dashboards enable community teams to view and be alerted to changes to patients’ status including Covid-19 Infection status and exposure. We support alerts for vulnerable or shielded patients and offer care planning functionality including a PRSB accredited RESPECT form.
Covid-19 highlighted the significant health inequalities that exist in maternity and neonatal care and Graphnet developed an interactive pregnancy dashboard. This has allowed customers to see a clear picture of women’s vaccination status, which stage at gestation they were in, ethnicity, any long-term conditions and socioeconomic factors. This enabled targeted intervention where it was needed most. It also enabled direct engagement with pregnant women shielding from Covid though a patient app.
During and since the pandemic there is concern that there has been an increase in the number of patients with COPD that have yet to be properly diagnosed. Our at scale identification of these patients, based on a set of clinical criteria, enables cohorts to be referred to an appropriate service, for example a Community COPD Hub for a differential diagnosis and where necessary onward referral for specialist MDT assessment, diagnostics and treatment. These people are vulnerable to Covid and this work is seen as early Covid protection by our customers who use this facility from us.
Graphnet’s population health, shared care records and remote monitoring have played a key role for our customers in fighting Covid.Tackling economic inequality
Graphnet commit to 100% of staff being paid above the relevant Real Living Wage as specified by the Living Wage Foundation. This is monitored by Graphnet’s Programme Director for this framework and across the company and reported up to Graphnet’s Compliance Board. We also report to the customer programme board for each contract.
Our solutions target health inequalities and this can be seen on our web site. Examples of these are:
•Core 20 +5 directly supporting this NHS approach to health inequalities via a series of subject specific use cases including an overarching summary dashboard.
•Working with multiple customers Graphnet developed a fuel poverty dashboard linking UPRN data with Energy Performance Certificate information and drawing health and care information from all parts of the care system. For example, people with respiratory conditions who are also in lower quality housing are at risk of harm from fuel poverty.
Our work aided customers to identify cohorts of citizens most at risk of health complications and hospital admissions to establish an evidence base for an initiative to prescribe heat for those most in need.
We also enable customers to drill further into the fuel poverty dashboard with a focus on those who have a 50% or higher risk of emergency admission in the next 12 months, are not in a care home, and are living in the most deprived and fuel poor geographies. This allows a future focus on citizens where it is possible to improve outcomes, and then learn from that to develop other pathways.
Another similar initiative is our work to identify multigenerational households where data shows there is a high prevalence of health inequalities. Customers have used this data to visit these houses and facilitate vaccine take up, better management of conditions such as diabetes, asthma, and CVD.Equal opportunity
Our solutions support diverse workforces and help encourage more disabled people into work, especially through our ability to identify cohorts of people who need targeted assistance and then to provide a multi agency care co-ordination platform for them.
As well as the benefits of our solutions for disabled people we seek to have 5% of full time equivalent disabled employees (FTE) hired or retained on the contract.
Our solutions are designed to be usable by people with disabilities. The accessibility of our web offering is underpinned by the VEUTIFY framework, the A11Y project and NHSE guidance. We also meet the Web Content Accessibility Guidelines (WCAG) for the public facing aspects of our application.
Staff and users with visual impairments can adjust font sizes and colours to help them read and process information. Controls are designed to support users with colour-blindness. The solution can be used with screen readers and we work to optimise this.
For staff with physical disabilities, working from a desktop may not be appropriate. So, we have designed our solutions to work from handheld devices or mobiles. This means staff choose the best device for them rather than trying to accommodate a device that doesn’t take their disability into account.
Our Docobo Remote Monitoring solution provides the means for disabled people to be monitored and supported in their own home. Expectant mothers with a disability can benefit from community midwifery care at home because of our My Maternity App. In both examples, our solutions empower disabled people rather than expect them to accommodate the traditional care model of visiting a physical location – which in itself can be challenging.
Within the company, Employees with a disability can be home-based and special arrangements are made to include them in physical events such as meetings or staff socials.Wellbeing
Graphnet work with customers to co-design solutions to support wellbeing initiatives. For example:
•Improving health outcomes: Ensuring professionals have the information needed. Feedback from a diabetes consultant who helped design our shared care record -“Access to the Care Record is helping me ensure that diabetes patients are on the correct medical regime for them, which is vitally important for this group of patients whose wellbeing depends on their medication”.
•Achieving better outcomes: Frimley ICB worked in close partnership with Graphnet to develop analytics that a) identified cohorts of patients who would benefit from remote monitoring, and b) monitored their results. This evidenced a 40% reduction in hospital admissions for the treated cohort and a 30% reduction in GP face to face consultations.
•Reducing inequalities: Our Fuel Poverty and Health Inequalities with Cheshire and Mersey ICB are two examples of co-design that have supported communities.
Dianne Green COPD service manager -
“Through the fuel poverty dashboard, we’ve been able to target patients in a completely different way. At the click of a button we now have all the information that we need. We can see whether they’ve been immunized, whether they’re still smokers, whether they’re on the best treatment, and what quintile of poverty they are living in. That has helped us to prioritise people that are most in need.”
“It is hard not to cry when speaking about the importance of this work. It is truly proactive.”
“I’ve been a nurse since 1986, and we’ve never transformed lives like this.”
•The Frailty module we built with customers analyses the over 65s to identify cohorts for early intervention, they are then given care plans.
Supporting independent living - Our remote monitoring solutions are currently helping 40,000 people to stay connected to their healthcare professionals and live independently in their own homes.
Pricing
- Price
- £200,000.00 a unit a year
- Discount for educational organisations
- No
- Free trial available
- No