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TeleScot Programme

TeleScot Programme. Telemetric supported self-monitoring of long-term conditions. Edinburgh CHP. Specialist service. Call to check situation. Constant monitoring of potentially unstable conditions (e.g. COPD). Specialist team. Urgent referral if required. Reminders to self monitor

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TeleScot Programme

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  1. TeleScot Programme Telemetric supported self-monitoring of long-term conditions Edinburgh CHP

  2. Specialist service Call to check situation Constant monitoring of potentially unstable conditions (e.g. COPD) Specialist team Urgent referral if required Reminders to self monitor Automated feedback Links to online information Relatively stable conditions (e.g. diabetes, BP) checked intermittently (normally by practice nurse Internet or SMS Home GP practice Patient takes readings and enters symptom score Remote server Telephone or videolink Consultation arranged as appropriate Record of readings and symptom scores Models of telemetric supported self monitoring

  3. Why do we think it might work ? • Evidence from industry and our pilot work that people want it – they think it will motivate them to improve self care “my blood pressure was quite high and I’ve been advised to go back on the tablets” • Telemetry has the potential to change the way in which people use primary care “it sounds like a winner for everyone, for the patient, for the health professionals because it saves time and if you think you’re having a problem, you can do something about it straight away. Conversely if the people looking after you think you’re having a problem, they can do something straight away. Instant communication is good. At the moment I rely on my GP and my health centre, they write me a letter and I go in, they check my BP and that’s it until the next letter or phonecall.” • In each of the exemplar conditions self-monitoring adds something not available otherwise

  4. Exemplar conditions • Hypertension • Much more accurate measurements (mean of 10-20) • Rapid feedback on treatment changes • Fewer surgery visits • Stroke/HBP • Affecting older frailer group with challenging blood pressure targets • Diabetes with hypertension • Regular feedback on all measurements • COPD • Early warning of exacerbations

  5. Research • 4 linked patient randomised controlled trials • BP: principal outcome daytime ABP n=400 • BP in Stroke: outcome daytime ABP n=400 • Diabetes: HbA1c (daytime ABP) n=340 • COPD: outcome number of days to readmission n=300 • Pilot in heart failure • COPD trial will be 1 year, others 6 months • Robust qualitative component to explore why interventions work or don’t • Economic analysis

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