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The BHR Provider Alliance states that transforming the pathway of care for Atrial Fibrillation is its top priority.

We are delighted that the BHR Provider Alliance has committed to rolling out our Atrial Fibrillation (AF) Pathway across Barking, Havering & Redbridge, working with local community pharmacies and hospitals to find and treat AF and prevent strokes.

The BHR Provider Alliance brings together health and social care providers across Barking and Dagenham, Havering and Redbridge in order to deliver integrated care for our communities and improve population health. Local authority and NHS providers of services, including hospital, community and GP services, work together in the alliance to provide health and care services in the most appropriate way for their population. The Provider Alliance is working with local commissioners to support the development and delivery of an Integrated Care System across the boroughs.

Launched at the Health & Care Innovation Expo last year and developed as part of Care City’s NHS England Innovation Test Bed Programme, the new One Stop AF Pathway finds people with undiagnosed AF, reduces the number of appointments needed to confirm diagnosis and waiting times for treatment. Kardia Mobile, a handheld mobile ECG device can spot AF in 30-seconds. Those with an abnormal result are then reviewed by a Specialist Arrhythmia Nurse and where necessary invited to attend an appointment at the One Stop AF Clinic at Whipps Cross Hospital for further diagnostic tests and, if appropriate, treatment.

Initially only available at 20 community pharmacies, the BHR Provider Alliance has now committed to rolling out the technology and transforming the pathway of care for AF across the Boroughs of Barking, Havering and Redbridge. 

John Craig, Chief Executive, Care City commented “A challenge to the adoption of digital innovation across the health and care system has been how to secure commitment from clinicians to use the technology and understand the benefits to them, their patients and the NHS. We’ve found that the trick is to re-frame the problem, present how digital technology can enable clinicians to become innovators in their own right”.

He continued “Without pathway innovation like this, the NHS will struggle to realise the benefits of this great technology, for which they are paying millions. We are delighted that the BHR Provider Alliance understand this and that they have not just committed to distribute the technology, they are transforming their pathway at scale”.

John Brouder, Chief Executive, NELFT & Co-Chair, Provider Alliance, commented “As an alliance, we are determined to play our part in transforming the health and care system in the interests of local residents. As a local organisation dedicated to health and care innovation, we recognise that success is not about eye-catching initiatives, but improving outcomes at scale. Having reflected as an Alliance on our priorities for 18-19, we have decided to make work to transform the pathway of care for atrial fibrillation across BHR our top priority”.

He continued “We are impressed with the early findings from Care City's work deploying Alivecor's Kardia Mobile and are delighted to work with the Care City team to build on their learnings around AF and mobile ECG technology to transform the AF pathway across BHR. We hope that this can improve outcomes and experiences for our patients, and help to reduce costs. At the same time, we hope that it can be a model of the kind of integrated care we are seeking to develop as an Alliance, and of the ways in which we can work together across the system to transform services for the better”.



Bringing to life the many careers in Health & Social Care for people in our North East London Boroughs

We are delighted to be working with Barking, Havering & Redbridge Community Education Provider Network (BHR CEPN), a resource for health and social care professionals to showcase the many varied roles in Heath & Social Care to the pupils and residents of North East London, this National Apprentice Week.

A huge, inflatable pod is the venue for two career events this week. The 9 metre x 6 metre pop up Care City & BHR CEPN stand showcases a range of careers in health and social care by taking participants through a patient journey - a patient who has fallen at home and fractured their hip – from the initial contact with ambulance services and then through some of the departments they will visit in hospital during their stay and back out into the community and their own home. Within the ‘Pop up Pod’ are a number of practical activities for participants to try that represent some of the over 350 different careers on offer in health and social services.

John Craig, Chief Executive, Care City commented “Our aim is to talk to local pupils about the huge number of exciting and rewarding career opportunities on offer. Some of the latest medical tech is so easy to use for the iPhone generation, we hope giving them a taster can powerfully show that they do have the potential to make a career in health and care services.”

Paul Olaitan, BHR CEPN commented “We are delighted to collaborate with Care City on this valuable career initiative. We share the same vision of supporting the development of people and innovations to improve the outcomes of people who access care locally. The careers pod and the activities that will take place within it give practical insights into a day in the life of those that work in health and social care and gives opportunities to ask questions of the medically qualified and trained facilitators

Through such innovative approaches, we aim to broaden awareness of the range of opportunities local people have to build exciting and rewarding careers in health and social care”. 

The careers events take place on 7th March at Hall Mead School, Upminster, Essex and 8th March at Redbridge Town Hall.

A digital social prescription tool that allows GPs to prescribe information, services and online support, has been integrated into the clinical system EMIS Web.

Initially live in two GP practices, the technology will be rolled out across practices in North East London as part of our unique partnership with tech company HealthUnlocked.

By embedding this new type of technology directly into the GP system, doctors will be able to quickly and easily deliver a digital social prescription to the patient as part of their standard consultation or appointment. The tool directs and signposts patients to local services, charities and voluntary sector support, and relevant HealthUnlocked online support communities. 

Dr Matt Jameson Evans, Chief Medical Officer of HealthUnlocked said: “Digital social prescriptions have the potential to completely change the management of hundreds of conditions. By using technology and opening up support and services to patients, we can give people the tools to a better quality of life, reduce reliance on medications and radically rethink how we manage chronic health conditions. The most significant benefit is the potential to reduce demand on Emergency Departments (ED) and GPs in the NHS.”

Dr Amit Sharma, a GP at Tulasi Medical Centre, the first practice to go live with the tool, said: We know that access to more information and support can change how you manage your health and your health outcomes. The concept of social prescription is not a new one, but having the ability to provide it quickly and easily during a consultation, and know the information is reliable, suitable and helpful is new. This will make a difference to a lot of our patients, whether they have cancer, diabetes, or would benefit from losing weight.

Shaun O’Hanlon, Chief Medical Officer at EMIS Health said: “We’re delighted to be able to integrate this new tool into EMIS Web, the most widely used primary care clinical system for GPs in the UK.  We know that our users appreciate seamless integration with technology from our partners,  ensuring quick and easy access to the technology, is what GPs want and we hope this will enable them to offer access to social support more easily. We’re pleased to support this roll out.”

John Craig, Chief Executive of Care City said:  “The process and use of social prescriptions has for far too long been too difficult. By putting social prescribing at the GPs fingertips – within the patient record - and enabling it to be shared with patients at the touch of a button, we have made the process quicker and much more useable. By doing this, together with HealthUnlocked and EMIS Web, we will also be able to collect data about the use of social prescribing and its effectiveness allowing us to collect a reliable evidence base.

For GPs not using EMIS Web, patients can be directed to the HealthUnlocked app (IOS) found in the NHS App store, having been one of the first apps to be approved by NHS Digital.