Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event. Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development. This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being. More information is available online: www.expo.nhs.uk

1. How technology and apps can help drive
people powered health and care
A third sector insight from end of life care and men’s health

2. Martin Tod
Chief Executive, Men’s Health Forum

3. Why men’s health?
19.6%
Male deaths – under 65
12.0%
Female deaths – under 65
Source: ONS 2014

4. Wang Y et al. BMJ Open 2013;3:e003320
©2013 byBritishMedical Journal PublishingGroup
Working-age men less likely to visit GPs

5. Man MOT
• ‘Online personalised health
information, advice and support
resource to empower men to take
control of their health’
– Funded by Department of Health
Innovation, Excellence & Strategic
Development Fund -
Personalisation and Choice of
Care and Support
• Co-createdwith men

6. Man MOT – how men use it
57%
32%
11%
Health information
Mobile
Desktop
Tablet
66%
25%
9%
Chat

7. Man MOT – how GPs use it
• Standalone app
available on PC and
Mac

8. Man MOT – what they say
• Why men use it
– Reassurance
– Specific, professional advice from an
authority figure
– Context for GP consultation
– Second opinion – verifying health
advice
• Overcomes barriers
– Taking time away from work
– The inconvenienceof arranging a GP
appointment
– Feeling anxious about interacting with
the GP including;
• Not having enough time to fully discuss
concerns with the GP – often men wait
until they have more than one concern
before visiting the GP
• Being unable to adequately express
themselves during the GP consultation
– Not wanting to waste GP time

9. Man MOT – what they say
• 1,500,000 views of our health
information
• 1,718 chats
• 1,754 email conversations

10. Man MOT – challenges
• Sustainable funding model
– Sponsorship
– Commissioning
– Occupational health
• Cost, capacity& targeting
– Lowering cost of reaching the men in most need
• Continuously improving quality

11. Men’s Health Forum
• www.menshealthforum.org.uk
• www.manmot.co.uk
• office@menshealthforum.org.uk
• 020 7922 7908
• 32-36 Loman Street, London, SE1 0EH

12. Sue Ryder – VitruCare
A Digital Health Service pilot project
Maintaining choice, support and connection at the end
of life.
Claire Pearson(Sue Ryder)
Richard Pope (Dynamic Health Systems)
September 2015

13. • Communicate with everyone who supports me
• Catch me on a low day and support me
• Clinical priorities may not be my priorities
• Have to keep repeating my story
• Don’t want to wait for a doctors appointment want to talk to someone
immediately
• One can write up how one wishes to die, but along the way one can
change one's mind
• Helpful to be able to ask questions and get answers in real time eases
the worry
• Emotional support can also come from a peer, not a professional, who is
qualified by life
Why? What people said

14. Going Digital
Starting point: VitruCare
Individuals - self caring but connected
Maintainingconnectionand clinical support

15. Early pilot: user based testing
Using a tablet to
work with
VitruCare
Exploring VitruCare at
home using a Smart TV
Experiencing the
digital services

16. Personalised - prescribe Digital Tools , appropriate
for the person and their current situation

17. Profile

18. A means of introducing myself

19. Identify and communicate with my personal care network

20. • appointments and ordering repeat prescriptions.
• messages with clinical team - reporting/managing symptom control-
physical, psychological and emotional.
• local information - directories of services.
• health information
• a place to describe preferences, choices andcare plans.
• blogs from care professionals
• sharing and reflecting with family/carers
• primary care IT links (eg SystmOnLine)
• self management of concurrent LTCs
• …
Wide range of services,enabling access to

21. • accessedthrough a clinical system
• allows direct access to the patient – view or send messages
• information can be completed and updated by/with the patient
• allows work efficiencies - prioritize workload, based on real time information
from the patient
• provider/commissioner intelligence
The Health Care Professionals’ Workspace

22. • “I can get things off my chest.”
• “You know, some of the things I’ve written on VitruCare I have never told
anyone before, mostly because nobodyasks. Doctors andConsultants
don’t realise how draining it is to keep on repeating my story. I feel tired
easily, I forget, I simply don’t have the energy.”
• “It frustrates me when the Doctors don’t seem to know me (with the
exception of current GP).”
• “I think the more information doctors, nurses and consultants know about
me, it can only be a good thing. It saves repeating myself, giving me
more energyfor things I want to do.”
Patients’ Comments

23. • “Having the opportunity to document how I feel reduces stress, I don’t
have to remember everything.”
• “I can see real advantages, especially if my GP and Consultants can see
my entries, especially when I have long periods between contacts,
especially at the hospital.”
• “I often forget things which I later think are important, its too late then
because I won’t see the hospital again for a long time.”

24. • Currently deploying across 3 locations
• The expected technical and operational challenges…
• Qualitative feedback to date is powerful
particularly around the ability to reflect and share…
• Formal evaluation underway (University of Salford)
• Aim to recruit 250 users in total
• Likely to conclude in mid 2016
• Project funded by NHSE via the SBRI programme
(Health Enterprise East)
State of the Pilot