By Georgina Adamson
Blog 29 September 2018

Norfolk Community Health and Care Trust has reported a reduction in A&E admissions and bed days among a group of high-dependency patients following the introduction of a new remote-monitoring service for people living with heart and lung disease.

The  service allows users to check their vital signs at home and was designed to improve quality of life for patients and free up hospital beds and surgery time.

The technology enables clinicians to monitor trends and intervene if readings move outside individual thresholds. It encourages patients to recognise changing symptoms and promotes self-management of their conditions.

The remote monitoring complements the work of the trust’s heart failure team which attends to patients in clinic, at home and via telephone consultation.

Analysis by the trust of the six months before and after the introduction of the service has revealed the following among a cohort of service users:

  • Bed days reduced by 88 per cent
  • Accident and emergency admissions reduced by 89 per cent
  • GP visits reduced by 65 per cent
  • Out-of-hours appointments reduced by 65 per cent*.

The analysis also showed a similar trend for patients who stayed on the normal service, suggesting that nurses were able to spend more time with patients who needed care the most.

The self-testing service is for patients who have recently experienced heart failure or chronic obstructive pulmonary disease and need to be monitored to ensure their vital signs are within safe range.

They are given a medical device and training to monitor their vital signs at home. These include blood pressure, temperature, weight, pulse rate and oxygen saturation.

The patient then sends the readings to clinicians via an online submission form or automated telephone service, depending on how confident they feel using technology.

Tony Robinson, 83, a retired transport driver with heart failure, said: “We have the automated call every day at 11am and I provide readings for weight, blood pressure, oxygen saturation and pulse.

“It provides great peace of mind and lots of people say how well I seem. Some people might be afraid of trying out new technology, but I try to advise them how good it is.”

His wife Jan Robinson, 72, a retired auxiliary nurse, said: “It is very reassuring for me. If we have a problem, we are straight through to the heart failure nurse – and consultant if necessary – in a very short space of time.

“The problem is sorted out, usually through medication, and we don’t have to go back into hospital or see a GP. It saves a lot of waiting for doctors and cuts out a lot of anxiousness.

“My children and grandchildren supported us with the technology when we first started. Now we have mastered it. This is a great way forward.”

*The Norfolk Community Health and Care Trust analysis is based on the outcomes of 10 patients using the service. In total, 51 patients are registered on the service.

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