Olly Stephenson, Operations Director, MWDH Ltd

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Aims - * Diabetes – the big picture * IoW – the context * Self-management - a way forward * Inspiring clinicians with what's possible, new patient pathways etc * How we’ve turned things around, outcomes

Health & Medicine

Olly Stephenson,
Operations Director, MWDH Ltd
Wessex Health Innovation Forum
Isle of Wight, Weds 4th July 2018

Welcome
• Aims -
• Diabetes – the big picture
• IoW – the context
• Self-management - a way forward
• Inspiring clinicians with what's possible, new patient
pathways etc
• How we’ve turned things around, outcomes
• Questions anytime

Diabetes – the big picture
Quiz (with prizes!)
1.How much has diabetes
increased in the UK over
the last 20 years?
2.How much does it cost
the NHS per patient /
hour / year?
3.How preventable is it?

Isle of Wight – the context
https://www.iwight.com/azservices/documents/2552-Diabetes-March-2014.pdf
“An elderly island based population”, comprising
• Total population 141,000 (2017 estimate), of which
• 6.2% (8,742) have diabetes, of which
• 10% (874) have type 1
• 1.8% (2,538) in addition also have diabetes but are undiagnosed
The prevalence of Diabetes on the Isle of Wight is almost identical to
the rest of the country (no statistically significant difference), but…

MyDiabetesMyWay is a comprehensive online self management platform
MyDiabetesMyWay - system summary
Input data
Access to data,
tailored advice,
eLearning,
reports

Patient access to health care data and home recorded data with targets, goals
and simple explanations to aid patient empowerment/ self-care
Patient data access

Cohort Analysis
MDMW
Start
MDMW
Users
Matched
Controls
Females controls
Males controls
Female MDMW
Male MDMW
*Approx. 4mmol/mol drop sustained at 3 years
*
Evaluation- T2DM

Next steps: big data, AI, predictive analytics

Here is your personal report based on your last 30 days of blood glucose data.
Please remember to download your meter regularly (at least weekly) to enable accurate data reporting. We
recommend checking your blood glucose levels at least 4 times a day and up to 10 times a day as required.
Target s:
Prebreakfast: 57 mmol/ L Premeal: 47 mmol/ L Postmeal: 59 mmol/ L Prebed: 68 mmol/ L
Your health care team may discuss alternative personal or interim targets for you.
Aver age glu cose levels
Your average blood glucose was: 7 m m ol/ L
Equivalent to an estimated HbA1c of: 42 .3m m ol/ m ol
Your average number of checks per day 10
Total checks 329
Glu cose var iabilit y
Big swings in blood glucose level from high to low may
increase your risk of complications.
Aim for LOW glucose variability.
Your result 4 out of 1 0
Resu lt Su m m ar y ( last 3 0 day s)
n u m ber of glucose check s per hou r ( last 3 0 day s)
AGP Glu cose Lev els Acr oss t he Day ( last 3 0 days)
Blood Glucose r epor t for ARCHI BALD MACKI E
Demo Version - Select.Pdf SDK
Demo Version - Select.Pdf SDK
“We’ve noticed
you’re having low
blood sugar almost
every day. Your
insulin dose needs
reduced…..”
Automated care reports and advice based on data driven algorithms
Next steps: patient alerting and advice

Next steps: NHS England -> somerset.mydiabetes.com

Inspiring clinicians… new patient pathways… how we’ve
turned things around… outcomes

Questions?
Thanks for listening
olly.stephenson@mwdh.co.uk
07564-606992

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