Supporting remote monitoring in an outpatient setting

Old aging person seeing medical physician in hospital

We are supporting three rheumatology departments across south east London (SEL) to trial a new service that supports patients with rheumatoid arthritis (RA) to remotely monitor their condition. The service aims to help people access the care they need, when they most need it, rather than rely on routine appointments.

Project overview

Starting in 2019, we brought together colleagues from Guy’s and St Thomas’ (GSTT), Kings College Hospital (KCH), Lewisham and Greenwich (L&G) and the SEL Clinical Commissioning Groups (CCGs) with the aim to improve outpatient experiences for a cohort of patients with long-term conditions. With agreement from the group, rheumatology was chosen as our focus area.

Drawing on a remote monitoring pilot at GSTT, we brought together a large, multidisciplinary group of clinical and non-clinical colleagues to assess how this approach could be tested at a South East London scale.


Over the next year, the HIN will lead a formative evaluation capturing patient and staff views on this service, the impact on operational metrics and broader information about digital transformation at a ‘pan-trust’ scale. This will help iterate and improve the service and inform future decisions about this type of model for rheumatology and other conditions.

Outpatient services were in high demand pre-Covid-19, but now there is even greater need to ensure we explore technological solutions to support recovery.

“ The introduction of the new system has removed considerable amounts of difficulty from my life.” Nigel, who lives with rheumatoid arthritis

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HIN support included:

  • Conducted a rapid survey of clinicians and patients to test assumptions and expectations around digital-focused pathways.
  • Utilised network to share information about relevant outpatient transformation across the country.
  • Broad project support, including workshop planning and facilitation, project management and planning, process design, communications and evaluation support.