365 days since lockdown

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365 Days Since Lockdown

Milestones in digital health since 16 March 2020

“Now is the time for everyone to stop non-essential contact and travel.” The year that followed the Prime Minister’s decision to place the UK in lockdown measures has transformed the role of digital health in our lives and NHS services.

There has been an explosion in the demand for digital health. Five million health apps are downloaded every day. But as 80% do not meet NHS standards, over the past 12 months around 1.5bn apps that do not meet standards have been downloaded. 

The past year has also seen the rapid launch of new apps and the advancement of much needed tools, especially when remote care was needed. For example, there are now more than 750 apps to help inform, track or gather COVID-19 data,1 more than 858,000 people downloaded the Couch to 5K app in 2Q20 – a 92% increase over 2019.2 The world’s 10 largest English-language mental wellness apps saw 10 million downloads in April 2020,3 and who didn’t appreciate Matthew McConaughey and Harry Styles’ collaboration with the Calm meditation app?

To help people access safe and reliable apps remotely, within 38 days from lockdown, ORCHA launched its free COVID-19 App Library available to all NHS and care staff. The NHS also rapidly stepped in to embed safe app libraries into services. An ORCHA App Library was part of the national COVID-19 response in Northern Ireland, bespoke libraries were also launched by the Chartered Society of Physiotherapy and the British Dietetic Society for their members. CCGs and Trusts in 70% of NHS regions now have an ORCHA app library in place, making safe and effective health apps easy to find.

Commenting on Northern Ireland’s app library, Robin Swann, Health Minister, Northern Ireland announced in March:

“We are now able to support people to look after their mental health and this app library provides a one stop shop where the public can access safe and secure apps to help them during the pandemic.”

Cathy Connolly, CEO, Care Merseyside recently reported:

“Apps have been a lifeline to the people we support, particularly during COVID-19. Apps have given the charity a different way we can provide support to people. It has enabled us to give help to people with a wide range of challenges, recommending apps such as Sidekick to help with weight management to Sleepio, to help people to sleep better.”  

As we look forward to a return to life outside of lockdown restrictions, we hope that not everything returns to pre-COVID. We hope that:

  •         Consumers continue to personally engage with their health, enjoying the insights, entertainment and social engagement that health apps bring.
  •         Developers continue to innovate, driven to extend the reach of NHS services.
  •         NHS commissioners and clinicians continue to embed safe and effective digital into everyday practice.

We look forward to the next 365 days.

 

 

Sources: 

(1) https://orchahealth.com/health-apps-for-long-covid-self-management-report/  

(2) https://www.england.nhs.uk/2020/07/around-one-million-downloads-of-fitness-app-during-lockdown-as-people-stay-fit/

(3) https://sensortower.com/blog/top-mental-wellness-apps-april-2020-downloads

About ORCHA

Founded by NHS clinicians, ORCHA is the world’s leading digital health evaluation and distribution organisation. We provide services to national health bodies across three continents, including the NHS in 50% of UK regions, delivering national accreditation frameworks, bespoke Digital Health Libraries, and professional recommendation tools, specific to the needs of our clients. ORCHA’s unique Review Engine assesses digital health solutions against more than 350 measures across Clinical/Professional Assurance, Data & Privacy, and Usability & Accessibility, plus additional criteria depending on needs.

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How Dorset is Becoming a Digitally Enabled Population

News

365 Days Since Lockdown

Challenge

A partnership of health and social care organisations working together, Our Dorset holds the ambition for its 750,000 residents to lead healthier, fulfilling lives supported by sustainable health and care services. But the organisation faces real challenges. Dorset’s population is ageing, bringing more long-term conditions, which places a growing demand on services. Its funding cannot keep pace with this growth in demand and without changing its services, in five years it would face an annual shortage of £229 million a year(1).

To address its ambitions and challenges, the Integrated Care System has identified a clear plan, in which digital plays an enabling role.  It established a ‘digitally-enabled Dorset programme’ to increase the use of technology in the health and care system, to support new approaches to service delivery.

 

Solution

The programme first researched and established the building blocks needed to establish public facing digital health.  Alongside videos and the NHS choices website, apps were identified as a key building block to enable patients to better manage their own health.

To understand more about if and how health professionals could recommend the use health apps and what would be needed to support them, a pilot was run with 20 nurses.  This revealed the team didn’t know where to find good health apps, how to know if they could trust them, if they met policy or who to ask for advice.

Without the expertise to establish a closed-loop quality assured programme, or capacity to be able to test health apps, let alone test them again when they are updated, the team recommended partnering with ORCHA.  They selected ORCHA as they had seen how it had delivered testing at a national level and for other regional providers.  With ORCHA, Our Dorset could build a programme to mitigate risk and assure clinical teams they are recommending safe apps.

ORCHA tested apps against 350 standards and measures and worked with Our Dorset to identify the best health apps across each priority health area. A dedicated app library was built to house the apps and enable patients and staff to search.  It was also agreed that if an app doesn’t appear in the library it will not be recommended by any member of staff.  If an app is ever nominated that isn’t in the library it will first be reviewed by ORCHA before being used by Our Dorset.

Our Dorset also opted to include a feature to enable staff to recommend apps via email or text message from the app library directly to residents and patients. This eliminated human error and enabled recommendations to be monitored.

Once ready, the team ran a series of 30 onboarding sessions across all ICS providers and governance leads, including all non-clinical teams, including link workers, health coaching and social prescribers.  Over one or two sessions, teams were briefed on the value proposition of health apps, walked through the system and key apps were demonstrated.  The health app programme also saw the emergence of a local Community of Practice which became a regular fixture on team meetings, prompting people to share learnings, tips and good practice including hearing about cohorts that are responding well to health apps.

Alongside training staff, the app library was launched to the public, forming part of its #HereForYou campaign which reassures Dorset residents that their health services are still available should they need them and that they should seek help and advice despite the Covid-19 pandemic.  This included PR, social and paid digital activities.

 

Results

Since introduction, the teams have actively embedded the app library and the practice of recommending health apps into their service offer. The teams drive home the concept of self-management and pick out effective tools that are available.

There have been almost 25,000 pages viewed on the site (up to the end of November 2020), and in one month alone, the app library achieved nearly 5,500 page views.  Social prescribers are actively recommending apps to service users and vitally, this advice is being acted upon, with almost 1,500 apps recommended to date and 56% of recommended apps downloaded, which is a very good engagement rate, especially compared with other services.

The most popular search terms include Mental Health MSK, Dementia, Diabetes and Cancer. Some of the most popular apps to be viewed are Wysa: Stress, Depression & Anxiety Therapy, Sleepio, NHS Weight Loss Plan and Musculoskeletal (MSK) Self Care, providing a range of health interventions and show that apps are being selected to improve the physical and mental health of the population.

One of the most active recommenders of health apps is George Mitchell, Social Prescriber, Live Well Dorset. One app from the library he finds useful is Quit Now, as he shares that “it gives people support 24×7.” He regularly shares app tips with other prescribers, as he says “Don’t assume that just because you know about an app, everyone else does.”

Commenting on the programme Crystal Dennis, Interim Lead for Public Facing Digital Health Services, Our Dorset Digital said:

“ORCHA power our health app library. They help us to break down the barriers and mitigate issues around digital health. Previously our clinical leads didn’t recommend digital health technologies as they had no idea where to look, were concerned about implied liability and couldn’t tell if a technology was of a good standard.  Thanks to ORCHA we are building the trust with clinical teams and have put in place the tools and governance they need.”

Source: (1) https://ourdorset.nhs.uk/wp-content/uploads/2018/07/Our_Dorset_STP.pdf

About ORCHA

Founded by NHS clinicians, ORCHA is the world’s leading digital health evaluation and distribution organisation. We provide services to national health bodies across three continents, including the NHS in 50% of UK regions, delivering national accreditation frameworks, bespoke Digital Health Libraries, and professional recommendation tools, specific to the needs of our clients. ORCHA’s unique Review Engine assesses digital health solutions against more than 350 measures across Clinical/Professional Assurance, Data & Privacy, and Usability & Accessibility, plus additional criteria depending on needs.

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WeAreTechWomen 2021

An Introduction to ORCHA