Covid-19: Patient Assessment the role of physiology and oximetry

COVID-19: Patient Assessment the role of physiology and oximetry

The assessment of patients who are unwell with Covid-19 or other causes presents a significant challenge for GPs and clinicians working in Primary Care. The Royal College of General Practitioners (RCGP) and the AHSN Network are holding a joint webinar looking at the role of oximetry and other physiology in that assessment.

The webinar will be led by:

  • Dr Jonathan Leach, RCGP Honorary Secretary and Covid Lead
  • Dr Alison Tavaré, Primary Care Clinical Lead at West of England AHSN
  • Dr Simon Stockley, RCGP Lead for Acute Deterioration and Sepsis

Overview of content to be explored:

  • Clinical features of Covid-19
  • Importance of oximetry in Covid
  • Clinical judgement and physiology in Patient assessment
  • Role of NEWS2 in General Practice and Care Homes
  • Remote oximetry in the assessment and management of Covid disease in the community
  • This will be followed by a Q and A session.

The webinar will be held on Wednesday 29 April, 13.30 – 14.30pm and you can register here. The webinar will be recorded and shared afterwards.

ITV’s Dr Zoe Williams Joins Alison Barnes for VLCD Event

ITV’s Dr Zoe Williams Joins Alison Barnes for VLCD Event

Last week the Health Innovation Network’s diabetes team hosted an event at St Thomas’s Hospital to speak to dieticians, GPs and other clinical professionals about the role of Very Low-Calorie Diets (VLCD) in putting Type 2 Diabetes in remission. 

The event brought together experts including; Dr Zoe Williams resident GP on ITV’s ‘This Morning’, Alison Barnes Research Dietitian for the Diabetes Remission Clinical Trial (DIRECT) as well as Alastair Duncan, Principal Dietitian at Guy’s and St Thomas’ hospital. We heard some impactful stories from patients who trailed the diet. Some spoke candidly on the positive difference it has had made to their quality of life, as well as the difficulties they faced, especially during specific times of the year. 

Social and cultural events involving food were one of the difficulties discussed. Eid, Christmas and weddings were all flagged as being possible obstacles on these diets. Results showed that patients felt a sense of anxiety when it came to returning to their normal diets. Dr Rabbani, MD at Sutton GP Service Ltd also flagged that lifestyle changes can be incredibly hard, so simply changing your eating habits after a substantial time will not happen overnight. 

The event gave rise to the complexities many people have in their relationship with food. Although positive results were seen for the individuals who used VLCD diets speaking at the event, the message was clear that it is important to take into account the many barriers that exist for others.  

For more information on future events like this, sign-up to our newsletter today: http://bit.ly/HINSignUp  

Further information

To learn more about Allied Health Professional programmes in this area, visit the NHS England website.

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Digital innovation in cardiac rehabilitation services; the time has come…

Digital innovation in cardiac rehabilitation services; the time has come…

Health Innovation Network partnered with the British Heart Foundation and the London Cardiac Rehabilitation Network to create an Innovation Exchange event where clinicans and innovators could discuss how digital solutions can help improve uptake of cardiac rehabilitation services, and the result was overwhelmingly positive, says Anna King.

More and more, I am approached by NHS clinical leaders looking for digital solutions to help them transform their services. Gone are the days when clinicians rejected the idea that patients would use technology. Gone are the days when they believed technology could not improve outcomes. And gone are the days when clinicians worried about their job being taken by a robot. Now instead, clinicians are asking whenthey will get the digital tools they need to improve outcomes, efficiency and patient care. Well, at least this was the fantastic response we had from the London Cardiac Rehabilitation Network members’ recent Innovation Exchange event.

At the event, the challenges that cardiac services are facing were clearly set out by key opinion leaders Sally Hinton (BACPR Executive Director) and Patrick Doherty (Director of the National Audit for Cardiac Rehabilitation), along with patient representative Rob Elvins. The challenges they all raised were uptake and access. But they also highlighted the benefits of improving outcomes and uptake in this area too.

The NHS Long Term Plan (LTP) sets cardiac rehabilitation out as an intervention that can save lives, improve quality of life and reduce hospital readmissions. It’s also recommended by NICE. However, uptake of cardiac services currently varies widely across England and only 52% of the 121,500 eligible patients per year are taking up offers of cardiac rehabilitation. If we can increase this uptake to 85% by 2028, as set out by the LTP, it will prevent 23,000 premature deaths and 50,000 acute admissions over 10 years. Furthermore, it would make the NHS amongst the best in Europe. This suggests to me there is plenty of scope to improve services to the standard we all aspire to.

Many of the cardiac rehabilitation services present at the Innovation Exchange believed – as I do – that digital solutions are the only way they will manage to significantly increase uptake with current resources. Especially as uptake is lower in women, the young and those for whom it is their only health condition; a group of patients who might find digital or hybrid rehabilitation opportunities very attractive.

Many innovators applied to contribute to the event, which demonstrates the high level of interest and potential in this area. The selected innovators proved that many of these valuable digital solutions are not only already available, but they are comprehensive rehab programmes that are well-evidenced and could bolt onto existing services right now. There were also innovators with systems in other similar areas of care, that were willing to co-develop solutions for cardiac rehab. It was fantastic to see the energy that came from get all the innovators both from services and those with potential solutions together. I am looking forward to seeing how the plans made develop over the coming months.

The Exchange closed with the panel discussing the way ahead for cardiac rehabilitation and the technology they would implement. Patrick Doherty summed discussions up by saying that you could no longer consider that you run a good cardiac rehab service unless you offered digital and home-based options for patients too. I don’t think anyone will have left the event without thinking the time has come for all cardiac rehabilitation services to have digital components, and many more of London’s cardiac rehabilitation services will be taking those important steps towards implementation.

Find out more about the companies who participated in the Innovation Exchange:

The showcasing innovators:

The exhibiting innovators:

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About the author
Anna has been Commercial Director at the Health Innovation Network since July 2013. Prior to her current role Anna was the Commercial Programme Director at the London Commercial Support Unit (Commissioning Support for London, NHS London and NHS Trust Development Authority).