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@clarkmike interesting app. I’ve just ordered a headset that shows your EEG waves on your phone. I will bring to expo 🙂
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RT @clarkmike: Are you happy or sad? New smartphone app maps your mental state: CNN.com bit.ly/15rKgHG #EMentalHealth
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‘@shirleyayres @BBCNews NHS Reforms – Some of this is now out of date, especially numbers of CCGs, CSUs, LATs – bit.ly/YNkGcg
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@clarkmike thanks Mike just checked it was updated 1st March hopefully @BBCNews will amend the figures urgently!
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RT @clarkmike @BBCNews #NHS Reforms – Some of this is now out of date, especially numbers of CCGs, CSUs, LATs bit.ly/YNkGcg
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‘London housing associations join private market to fund affordable rents’ gu.com/p/3e749/tw via @guardian cc@HousingLIN
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Twitter Revealing mHealth is out! paper.li/HITrevolution/1302… ▸ Top stories today via @jamestaulbut @avieisenberger @clarkmike
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‘Happier, more engaged NHS staff lead to better patient care’ – Jenny King, Picker Institute gu.com/p/3e65z/tw via @guardian
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‘Launch of direct payments for healthcare consultation’ commissioningboard.nhs.uk/2…
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Govt ‘crowd sourcing’ key policies to see ‘What Works’ – includes keeping ppl healthy for longer via @Independent ind.pn/102F7GS
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@clarkmike Engagement key but down to culture leadership allowing staff to input which means less overarching control, don’t you think?
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Today is first major day of #HIMSS13 in New Orleans (3-7 March) himssconference.org/ #mhealth #digitalhealth #telehealth #healthit
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Interesting comment from @clarkmike about broken links on council websites & poor quality/consistency of #socialcare messages & narrative
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5/6 March at Anfield for ALIP Showcase – follow #alip2013 bit.ly/XA16Oj #telecare #telehealth #digitalhealth #innovateforage
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ALIP Showcase live streaming on 5/6 March – bit.ly/102Lzxu – follow #alip2013 @dallas_connect @AlisonMlot @kevingeddes7
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Featured on 6 March at #alip2013 showcase – dallas programme – read more from dallas communities in Feb Newsletter bit.ly/Y12xbv
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@anniecoops Congratulations Anne. Looking forwards to hearing more over the coming months
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BBC News – ‘Diabetes cases in UK reach three million’ – further 850k may be undiagnosed @diabetesuk bbc.in/XCB2p1
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‘Kaiser Permanente members ‘mobilize’ to manage health care’ – via KP bit.ly/10312hg #mhealth #telehealth #digitalhealth
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@debbieleven Agree, but seems difficult for some people to ease off the ‘control’ side and give people more space to deliver better outcomes
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‘@shirleyayres Councils need to remember responsibilities to support & empower whole community including provision of high quality info
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MT @clarkmike Councils have responsibilities to support & empower whole community including provision of high quality info #lgdigital
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RT @clarkmike: ALIP Showcase live streaming on 5/6 March bit.ly/102Lzxu – follow #alip2013 @dallas_connect @AlisonMlot @kevingeddes7
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Thanks Mike! Keep up the good work. @clarkmike
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‘patients diagnosed with ‘acopia’ – a disease that does not exist’ – needs proper assessment via @Telegraph soa.li/MSQ5agH
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BBC News – ‘O2’s Tu Go app launched’ receive calls/text via tablet etc bbc.in/Z24Sky
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‘Making sense of what’s going on with personal health budgets’ – via @communitycare shar.es/jzkYe
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acopia is a symptom that requires a comprehensive geriatric assessment @clarkmike @Telegraph @AlicePhilipson1 like ‘cough’ or ‘chest pain’.
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@clarkmike Indeed, takes huge leap of faith and massive culture shift
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Spread the word #ALIP2013 can be watched live 10.30am tomorrow connect.innovateuk.org/web/…
@dallas_connect @clarkmike @TheKingsFund @iain_gray -
Cisco survey on whether people open to virtual doctor visit – bit.ly/13Adsho via @ciscosystems #telehealth #digitalhealth
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‘Mobile Health Around the Globe: Robot Power Suit From Japan’ – help with walking/lifting – Healthworks Collective soc.li/2Rv942L
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WebMD and Qualcomm – ‘a connected personal health hub’ via @gigaom bit.ly/13AhXIO #telehealth #mhealth #digitalhealth
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. @WebMD and @QualcommLife‘s #2net bring #QuantifiedSelf to the masses bit.ly/13AhXIO HT @clarkmike #DigitalHealth #mHealth
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. @WebMD and @QualcommLife‘s #2net bring #QuantifiedSelf to the masses bit.ly/13AhXIO HT @clarkmike #DigitalHealth #mHealth
News Summary – 3 March 2013 Reply
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How Helpful are #mHealth Apps? – 225 Orthopaedic apps – benefits/risks – American Academy Orthopaedic Surgeons bit.ly/13ySv6U
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MT @clarkmike: How Helpful are #mHealth Apps? – 225 Orthopaedic apps bit.ly/13ySv6U”< issues of governance/regulation?
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From the U.S. – ‘Efforts to Remove 4 Legal Barriers to #Telemedicine‘ – via @GlobalMed_USA bit.ly/YXb8gX
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‘As NHS services are privatised, vital aspects of care will fall between contracts’ | Fred Kavalier gu.com/p/3e72p/tw via @guardian
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Study: Unassisted Assessment of Stroke Severity Using #Telemedicine – via AHA Journals bit.ly/15rGcrd
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Patient engagement and #mHealth – interesting presentation on use of Kaiser portal #HIMSS13 – via Medical Smartphones bit.ly/15rGqP0
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BBC News – NHS ‘privatisation’ reform ‘could place people in danger’ Prof Terence Stephenson (Ac Royal Colleges) bbc.in/13ytloC
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A Randomized Trial of Telemonitoring and Self-Care Education in Heart Failure Patients Following Home Care Discharge bit.ly/15rI43b
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Study: Post-Disaster Gulf Coast Recovery Using #Telehealth – Telemed J eHealth 1.usa.gov/15rIKp8
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Study: Effects of internet support system to assist cancer patients in reducing symptom distress: RCT – Cancer Nurs 1.usa.gov/15rJfj8
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Are you happy or sad? New smartphone app maps your mental state – CNN.com bit.ly/15rKgHG
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‘@markhawker Barnsley #telecare & assessment bit.ly/XMF7rC
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Great find! Interesting to read these guides. MT @clarkmike: Barnsley #telecare and assessment. bit.ly/XMF7rC
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@clarkmike interesting app. I’ve just ordered a headset that shows your EEG waves on your phone. I will bring to expo 🙂
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RT @clarkmike: Are you happy or sad? New smartphone app maps your mental state: CNN.com bit.ly/15rKgHG #EMentalHealth
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‘@shirleyayres @BBCNews NHS Reforms – Some of this is now out of date, especially numbers of CCGs, CSUs, LATs – bit.ly/YNkGcg
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@clarkmike thanks Mike just checked it was updated 1st March hopefully @BBCNews will amend the figures urgently!
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RT @clarkmike @BBCNews #NHS Reforms – Some of this is now out of date, especially numbers of CCGs, CSUs, LATs bit.ly/YNkGcg
News Summary – 2 March 2013 Reply
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The Telehealth Daily is out! paper.li/tv500sp ▸ Top stories today via @AgileAging @clarkmike @AgingWisely
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Reading: US docs would recommend an #mHealth app to patients? via @clarkmike ow.ly/hFiRU #PEPCommunity
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Reading: US docs would recommend an #mHealth app to patients? via @clarkmike ow.ly/hFiV3 #PEPCommunity
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RT @clarkmike ‘Personalisation of #socialcare in England ‘at high risk of failure’, Norman Lamb told – @CommunityCare shar.es/jd3do
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Wow – a medication management system that actually helps nurses spend more time with patients. sciencedirect.com/science/a… cc @clarkmike
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Just checked nearly 200 local authority links captured 2 years ago – over 85% are dead links. Very poor
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BBC News – ‘Heart monitors for footballers will be investigated’ – possible electronic chip in player’s shirts bbc.in/13wdmre
News Summary – 1 March 2013 Reply
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Reading: Findings and Lessons From the Enabling Patient-Centered Care Through Health IT via @clarkmike ow.ly/hFiql
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Reading: Findings and Lessons From the Enabling Patient-Centered Care Through Health IT via @clarkmike ow.ly/hFitN
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Want to understand the new NHS landscape-whos who & what will they do? Excellent slideset & narrative from @clarkmike bit.ly/VRQ3Uc
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Via @HSJnews – Free on hsj.co.uk Why innovation is a must-have – how we drive it forward @MilesAyling bit.ly/ZN7nxf
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@clarkmike @HSJnews @MilesAyling @nhsccpress dixon has understated threat to reform. New EU rule proposals will make reforms worse
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@clarkmike intro to @richardchaynes who runs the Community Gateway – we’ve been having a lovely debate about innovation & #telecare!
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E-Health Inside :: #Telehealth helps during cold snap ehi.co.uk/news/EHI/8424/tel…
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@clarkmike many thanks mike for follow Subject close to my heart and hopefully have something interesting to share soon and value ur views
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@richardchaynes @richardchaynes OK Richard – now following you – Thanks to @shirleyayres for connection
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Commissioning high-quality care for people with long-term conditions – @NuffieldTrust bit.ly/15n1ciM
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@markhawker Mark you could be mixing #telecare and #telehealth here – significantly different. LA’s should not assess for a service
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@clarkmike True. I guess I thought I’d see whether there was a broad approach in #1care (e.g. @clarercgp @amcunningham) although would …
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@markhawker Check SCIE, TLAP, DH sources for assessment of need in social care – covered by legislation, guidance etc
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@clarkmike be more part of LAs, as you say. It’s on my list of things to ask. Little (academic) things on it, probably more in real-world.
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@markhawker Telehealth is pilots & small programmes only in UK – will have local criteria for access to a pilot/programme. Not ‘mainstream’
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@clarkmike Yes, see what you mean. Came about because of Bradford’s free service based on assessed need. Just wondered what that was!
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@markhawker A lot of #telecare also provided through Housing – sheltered, supported, extra care, special schemes etc – part of whole service
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@clarkmike Yes, have links there so will follow-up the question with them, too!
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@markhawker Local authorities have statutory responsibilities/duties to assess need (not service) – covered by various legislation/guidance
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@markhawker Local authority responsibilities currently being consolidated in England in Care and Support Bill following Law Comm work
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@clarkmike Ah, that’s great. Thanks, Mike!
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@markhawker Considerable local authority case law and ombudsman reports on ‘assessed need’
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@markhawker I’m not aware of guidelines – probably in research projects though? @clarkmike @clarercgp #1care
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@clarkmike If you have any links, do pass them on otherwise will have a search this afternoon.
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@markhawker Law Comm lawcommission.justice.gov.u… and see Care and Support Bill Progress bit.ly/XH50sP
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@clarkmike Thanks, Mike. Will follow that this afternoon! 🙂
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@amcunningham @markhawker @clarercgp Local authority #telecare covered by legn/guidance. #Telehealth is projects in UK – covered by protocol
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@amcunningham @markhawker @clarercgp Example for #telehealth is #WSD research protocol arrangements bit.ly/YX3IXx
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@markhawker Start with SCIE assessment for social workers bit.ly/XH5sY1 – may be differences in Wales, Scotland, NI
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@clarkmike Awesome, thank you.
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David Barrett from @telehealthhull looks at confusing terminology around #telehealth #telecare etc bit.ly/XH7cR6
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@clarkmike @markhawker You’re right to highlight the difference. Media are tending to conflate & confuse the two.
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@HolyroodConnect Yes, sounds an excellent event – can you DM? Thanks
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‘Passive sensors next big thing, but questions remain’ – @mobihealthcare shar.es/jeAyt bit.ly/Z6B73b #telecare #telehealth
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#FF First stop for all my assistive technology queries as he will find out soon! It’s @clarkmike
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@yourcarehome Thanks for #ff but anxious about what could be coming!
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Successful applicants announced for stage 1 of @dhgovuk £50m dementia environment funding – 42 NHS & 74 social care bit.ly/13u3ZbD
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An electronic temporary tattoo that could track health metrics – Wired wired.com/design/2013/02/sk…
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@clarkmike fascinating article, Mike. Thanks for sharing
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‘Personalisation of #socialcare in England ‘at high risk of failure’, Norman Lamb told – @CommunityCare shar.es/jd3do
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‘PatientsLikeMe Is Building A Self-Learning Healthcare System’ – @Forbes onforb.es/YGdZsv and patientslikeme.com/
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@julie_pearce1 @clarkmike @uk_james We have developed a Service Map which could be adapted – highlights the gaps & overlaps. It’s a start.
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‘AstraZeneca, Exco InTouch, tackle COPD with mobile health’ shar.es/jdjgW via mobihealthnews #mhealth
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News Summary – 28 February 2013 Reply
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CNN Tech – Will your phone know you’re sick before you do? – body hacking and #quantifiedself bit.ly/YHYSAH #mhealth
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Access, Interest, & Attitudes Toward Electronic Communication for Health Care Among Patients in Medical Safety Net bit.ly/YHZgzh
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‘How grandparents are being replaced by Google’ via @Telegraph soc.li/sYdHDyY
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‘New tablet app technology has potential to quantitatively measure neuromuscular defects’ bit.ly/YI4gUm via @imedicalapps
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Scaling #Telehealth Programs: Lessons from 3 Early Adopters (Partners, Centura, VA) – Commonwealth Fund bit.ly/XABQvf
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@tonyupward morning do you follow @clarkmike such a great resource for all things tech and telecare/health his fingers always on the pulse
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@uk_james #Kent_IntCare2013 Interested to hear if a single CCG is taking responsibility for integrated commissioning across whole of Kent
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.@clarkmike no, but 4 CCGs in E Kent working together as a federation, with @Kent_cc @KentSocialCare #Kent_IntCare2013
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@uk_james @Kent_cc @KentSocialCare So, one CCG in East will work as lead commissioner with 3 separate CCGs in West for integrated working?
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@uk_james @Kent_cc @KentSocialCare Are 4 CCGs in East Kent pooling money with social care for integrated working/lead commissioning?
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There’s a much bigger opportunity in #Kent to use different, smarter #Telehealth #telecare kit @clarkmike #Kent_IntCare2013
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Latest @NHSCB Board Meeting live streamed – Robert Francis joins the meeting commissioningboard.nhs.uk/l…
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Enhanced quality standards RT @clarkmike: Latest @NHSCB Board Meeting live streamed – Robert Francis joins meeting commissioningboard.nhs.uk/l…
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.@clarkmike working together on this at the moment…. All 4 EK CCGs in the room with @KentSocialCare talking right now #Kent_IntCare2013
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@clarkmike will need to see how picture emerges, early days for CCGs. There is a N Kent Alliance – Swale, DGS and Medway #Kent_IntCare2013
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@KentSocialCare #Kent_IntCare2013 Is there more than one HWB Board for Kent?
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.@clarkmike there is one Kent HWBB – with 7 sub-committees – local HWBBs developing. Includes district councils too #Kent_IntCare2013
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@uk_james #Kent_IntCare2013 Will each of 7 sub-HWBBs have JSNA, pooled funds and lead provider(s) for integrated services?
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@clarkmike not quite – but looking for opportunities to pool where it makes sense #Kent_IntCare2013
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#Kent_IntCare2013 Overall PCTs had £85bn & CCGs will have £65bn. How will 7 CCGs use money differently for integration cf 2 PCTs? @uk_james
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BBC News – ‘Mid Staffs administration process starts’ bbc.in/ZD1P4y
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@ChiCustard @clarkmike i do now – ty 😉
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@clarkmike tweet discussed – answer “no” but look how the 4 @KentSocialCare can develop #integratedcare blueprint #Kent_IntCare2013
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@uk_james #Kent_IntCare2013 So is it 4 Lead CCGs working across 1 local authority with 1 7 HWBBs with unidentified £ for integrated care?
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@RachWilks7 Thanks for the newsletter mention – available since 2005 bit.ly/vLq84J
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@clarkmike no problem I find it very useful thanks 🙂
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@clarkmike £ being identified across stat orgs at CCG boundary level – work in progress at moment to identify #Kent_IntCare2013
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Important to include #socialcare early with NHS metrics in @NHSCB #NHSCB – @tkelsey1 – transparent & widely available on multiple platforms
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#Kent_IntCare2013 Is it clear how 4 1 1 1 CCGs will do better at establishing future integrated services with less £ than 2 PCTs? @uk_james
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@uk_james #kent_intcare2013 Shouldn’t commissioning structure be driven by coordinated care? Care is created at interface of user/caregiver
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@clarkmike think we’re saying same thing – #integratedcare should be created through integrated commissioning #Kent_IntCare2013
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@uk_james #kent_intcare2013 Integrated care thru’ integrated comm not worked v well as model thus far-need to work from individual as well
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@uk_james #Kent_IntCare2013 From tweets so far, difficult to see how Kent will get to integrated commissioning/care – is there a roadmap?
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‘@RoyLilley For info – my slides of NHS reforms and signpost map to key links bit.ly/WtFSSP bit.ly/WtGibW
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Mind map & slide deck of Health & Social Care System in England: mindmeister.com/263427225/h… telecarelin.org.uk/_library… via @clarkmike #nhssm
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‘Will #mHealth certification process weed out the weak apps?’ | MedCity News: bit.ly/YJAU8h via @medcitynews
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RCT study about the use of #eHealth in the home health care of premature infants – interesting conclusion 1.usa.gov/YJKR5v
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@clarkmike main barrier to adoption HC professionals?
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Remote monitoring & meds adherence – ‘50% Pts with chronic condns do not take meds as prescibed’ bit.ly/YJOXe5 via @eyeforpharma
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@alexgraham186 Many barriers come up in these programmes, always interesting to see if HCPs are supportive or not
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@clarkmike absolutely I think often they are the key. for all the research in HC IT and HCPs, no one has a foolproof method for integration
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E-Health Insider :: ‘Patient guidance for records access’ bit.ly/Wubyrm
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Top Team pledges for #NHSchangeday on You Tube with @MilesAyling @JaneMCummings Sir Bruce Keogh bit.ly/WuhKzt
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Study: Impact of care management processes and integration of care on blood pressure control in diabetes bit.ly/XdF08I
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@clarkmike @uk_james mike agree – we do need a road map. I think the foundations and ingredients are there, needs bringing together.
News Summary – 27 February 2013 Reply
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KTN/ALIP/TelecareLIN newsletter now available for Feb 2013 bit.ly/Y12xbv #telecare #telehealth #digitalhealth #mhealth
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Effect of #telehealth on QoL of life & psych outcomes over 12 months – #WSD study – patient reported outcomes bit.ly/Y1a6yY
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Pulse Today reports on latest #WSD study findings on #telehealth – impact on Quality of life compared to usual care bit.ly/Y1cXbg
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KTN/ALIP/TelecareLIN Feb 2013 newsletter available now @clarkmike bit.ly/15i0i7a < highly recommended #telecare #digicare
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#WSD study (BMJ) – no diff in quality of life over 12m for #telehealth group cf usual care for COPD, HF, diabetes bit.ly/Y1a6yY
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Effect of telecare on use of health and social care services – #WSD findings – updated URL – bit.ly/WgxJXA
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5 #WSD papers published to date on #telehealth & #telecare – 15 expected across 5 evaluation themes – latest list linkd.in/WgxTht
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‘Home based #telehealth does not improve generic quality of life for patients with long term conditions’ – BMJ – bit.ly/YX530x
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@mrutter0502 @TelehealthHull Did the control group receive ‘usual care’ for the trial that was different to ‘normal care’?
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@mrutter0502 @TelehealthHull The paper states that intervention & control gps were ‘beneficiaries of Whole Systems Redesign……’
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@clarkmike @telehealthhull Not read the detail yet. Define “usual care” ? Massively variable delivery of services even in a single area
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@clarkmike @telehealthhull not sure about that, my understanding was that it was more ‘bolt on’ than system redesign
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“@clarkmike #telehealth but assume it doesn’t lower QOL either? Did it cost more or less to deploy? Did it reach out to more people?
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‘@goodwin_nick Will need to see further papers & other reports coming in – current #telehealth options not as costly as #WSD period of 08/09
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‘@telecareaware Thanks for the mention of the latest newsletter bit.ly/Y12xbv #telecare #telehealth #digitalhealth
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‘@shirleyayres Thanks for the newsletter mention – Includes reference to your important recent publications bit.ly/Y12xbv
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‘Thanks to @AlisonMlot & @dallas_connect for latest newsletter update on dallas bit.ly/Y12xbv #telecare #telehealth #digitalhealth
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Follow @NHSExpo & #NHSinnovationexpo2013 for the London NHS Healthcare Innovation Expo on 13/14 March bit.ly/YWZJjk
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ALIP Showcase Event 2013 – 5-6 Mar Liverpool – Follow #ALIP2013 bit.ly/XA16Oj #telecare #telehealth @dallas_connect
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David Brindle (Guardian) covers the latest #WSD report on #telehealth and impact on quality of life gu.com/p/3e476/tw via @guardian
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@clarkmike @guardian maybe not on its own however with valuable health coaching support to assist with skills in self management it can
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@yourcarehome Delightesd to see Click Guide & DSC podcasts mentioned in latest Telecare eNewsletter bit.ly/15i0i7a HT @clarkmike
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Feb Newsletter now available – news, events 1200 links, #nhs reforms update on #telehealth #digitalhealth #mhealth bit.ly/Y12xbv
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For a quick daily refresh on the UK #telehealth #telecare #mhealth and #digitalhealth news – bit.ly/U3q4KH via @RebelMouse
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@clarkmike @TelehealthHull Re WSD QoL. @philipshealth Motiva surly makes ve difference. Cancelled out by averaging?
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PLOS: A Reality Checkpoint for Mobile Health: Three Challenges to Overcome bit.ly/XGmUZD #mhealth
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Exclusive: Happtique releases standards for ‘seal of approval’ for mobile health bit.ly/XGneYm via @gigaom
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@clarkmike @guardian I guess if you research dinosaur tech you get extinct results. @bigwhitewall1 gets 70% recovery (50% national target)
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BBC News: ‘TED 2013: Using a smartphone camera/test strip to check urine – how will it compare to analysis machines’ bbc.in/Yz8sny
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Is NHS facing GP ‘workforce crisis’? – GP vacancy rates, retirement, recruitment & locums via @Telegraph soc.li/0aWZXFe
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Eric Topol: ‘Medical technology revolution needs validation to move forward’ – FierceHealthIT: bit.ly/WiaqMH
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@nurse_w_glasses Do you have a reference for the Dutch figures? Thanks
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@TomSprints recommend @clarkmike my *go to* resource for #telehealth #digicare & TelecareLIN monthly newsletter bit.ly/15i0i7a
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@shirleyayres @DGFoord @NHSwhistleblowr @S3bster @patientopinion also how many CEO & top team #nhschangeday pledges from current 76,000
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Anyone know how many CEO & top team #nhschangeday pledges from current 76,000 ? HT @clarkmike @DGFoord @NHSwhistleblowr @patientopinion
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@shirleyayres @DGFoord @NHSwhistleblowr @patientopinion I have had difficulty searching the #nhschangeday pledges – eg integrated working
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@shirleyayres @DGFoord @NHSwhistleblowr @patientopinion I wonder how public will get to know of outcomes of great #nhschangeday pledges?
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@clarkmike @shirleyayres @DGFoord @NHSwhistleblowr good question – some staff may go on to post abt what happened on PO
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@nurse_w_glasses Thanks – can’t find at the moment but will keep on looking. Wonder if it is state cover changes
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@clarkmike @shirleyayres @DGFoord @NHSwhistleblowr the pledge site links through to PO and encourages staff to share what happened
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@patientopinion @shirleyayres @DGFoord @NHSwhistleblowr Yes, good idea – we need to know about and celebrate successes from pledges made
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@patientopinion @shirleyayres @DGFoord @NHSwhistleblowr Would be great to see analysis of how people have made a difference & in what areas
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@clarkmike @shirleyayres @DGFoord @NHSwhistleblowr if and when staff do post, you’ll find them here: patientopinion.org.uk/opini…
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@clarkmike @shirleyayres @DGFoord @NHSwhistleblowr and of course you can search further in all kinds of ways if you need to
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@GeorgeJulian @anniecoops @NHSExpo @milesayling – I see it is registered on Symplur as #nhsexpo bit.ly/15R1Oye – strange
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@anniecoops @NHSExpo @GeorgeJulian Will be very difficult to broadcast, analyse, converse and spread consistent messages with 2 hashtags
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‘@DGFoord @anniecoops @paulhodgkin @Gemma_Finnegan Recent report from AMAS on meds adherence bit.ly/15R6Uum bit.ly/VsNFTz
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‘Managing the “Daily-ness” of #Diabetes Through Text Messages’ wp.me/p2svrA-2C0 via @ScienceLife cc@nhssimple #telehealth #mhealth
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‘@dlschermd The paper is no 5 of 15 to be published on #WSD trial – protocol, previous papers at bit.ly/YX3IXx cc @telecareaware
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@clarkmike @telecareaware Thanks so much for this! Will get to it tonite.
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@anniecoops Will be Expo both days whatever the hashtag
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@clarkmike lol 🙂 if I get there will tweet you 🙂
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@dlschermd You get a mention in the latest monthly UK newsletter at bit.ly/Y12xbv – thanks for the great recent articles
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@markhawker Don’t forget constraints of RCT when looking at #WSD – also, read papers alongside protocol bit.ly/YX3IXx
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@clarkmike Oh yes, I’ve read the other papers. It’s the logic I’m more concerned about, rather that the limitations of RCTs.
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@markhawker The #WSD compares the TH group with the control group – the paper reports on whether difference between groups on QoL etc
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@clarkmike Will have to explore fully. I just couldn’t make out the conclusion as didn’t seem to follow from anything they actually did.
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@markhawker Anecdotal often suggests benefits – in trial, people not ‘sold’ the telecare/telehealth and don’t initially know group
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@markhawker With RCTs, depends a lot on levels of ‘usual care’ with the control group, Paper says both gps had education, self-mgmt etc
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@clarkmike Appreciate the trial is just that; can be difficult to reconcile with real-world experiences. There’re more papers to come?
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@markhawker We are at paper no 5 – 15 expected in total. There were 5 evaluation themes to cover variety of issues – see protocol
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.@clarkmike Yes, agree. But the conclusions appear to state a ‘finding’ as the fact that telehealth doesn’t cause harm. If we draw an …
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@markhawker We had 8 #WSD events around country during the trial – leads from the 3 sites reported how different trial was to real world
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.@clarkmike analogy to raincoats it’s like saying they don’t keep people dry, they don’t have a hood, but at least they’re not bright green.
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@clarkmike I’m not calling the #WSD, at all, it’s just the presentation of finding could be a little better. Though, have to take all of …
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@markhawker Not able to recruit existing TC/TH users into trial because of bias. Therefore had to go thru’ complex trial recruitment process
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@clarkmike the papers as a coherent whole. Enjoyed reading the qualitative paper, some great findings!
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@markhawker Trial recruitment for each person took several weeks – in real world, could put in TC/TH on same day
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@clarkmike Interesting! Are these reflections in a paper somewhere? They’re really good from a practical perspective.
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@markhawker I suspect that the ‘harm’ reference because some sources have aluded to this – came up at the recent Pulse Roundtable
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@clarkmike Ah, I see. That makes sense with that context!
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@clarkmike Grand. Will see if I have access tomorrow! Thanks, Mike.
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@markhawker We had lots of coverage from WSDAN events through the trial – DH archived a lot – some coverage in my old TelecareLIN n’letters
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@markhawker Go back to this page telecarelin.org.uk/News/?pa… and work through 2008-2010/11. I can probably fill in gaps, find presentations etc
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@markhawker Don’t forget, also looked at sites not in trial (incl Barnsley, Hull) bit.ly/TT3srs
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@clarkmike My pleasure, and thanks.
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@markhawker Harm issue – see article & my comments bit.ly/15RlRfR
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@markhawker Is alarm smoke, telecare? – Researchers decided on protocol – there was a TC/TH group – removed from protocol (group size)
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Robert Francis: lessons from Stafford – via @TheKingsFund kingsfund.org.uk/audio-vide…
News Summary – 27 February 2013 Reply
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KTN/ALIP/TelecareLIN newsletter now available for Feb 2013 bit.ly/Y12xbv #telecare #telehealth #digitalhealth #mhealth
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Effect of #telehealth on QoL of life & psych outcomes over 12 months – #WSD study – patient reported outcomes bit.ly/Y1a6yY
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Pulse Today reports on latest #WSD study findings on #telehealth – impact on Quality of life compared to usual care bit.ly/Y1cXbg
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KTN/ALIP/TelecareLIN Feb 2013 newsletter available now @clarkmike bit.ly/15i0i7a < highly recommended #telecare #digicare
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Mt @clarkmike: Effect #telehealth on QoL& psych outcomes #WSD study pt reported outcomes bit.ly/Y1a6yY – no difference found
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#WSD study (BMJ) – no diff in quality of life over 12m for #telehealth group cf usual care for COPD, HF, diabetes bit.ly/Y1a6yY
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Effect of telecare on use of health and social care services – #WSD findings – updated URL – bit.ly/WgxJXA
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5 #WSD papers published to date on #telehealth & #telecare – 15 expected across 5 evaluation themes – latest list linkd.in/WgxTht
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@clarkmike more open list? That one’s being Linkedin sign in and in a group you have to join.
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Mt @clarkmike: Effect of telecare on use of health and social care services – #WSD findings bit.ly/WgxJXA no difference admission
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‘Home based #telehealth does not improve generic quality of life for patients with long term conditions’ – BMJ – bit.ly/YX530x
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@mrutter0502 @TelehealthHull Did the control group receive ‘usual care’ for the trial that was different to ‘normal care’?
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@mrutter0502 @TelehealthHull The paper states that intervention & control gps were ‘beneficiaries of Whole Systems Redesign……’
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@clarkmike @telehealthhull Not read the detail yet. Define “usual care” ? Massively variable delivery of services even in a single area
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@clarkmike @telehealthhull not sure about that, my understanding was that it was more ‘bolt on’ than system redesign
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“@clarkmike #telehealth but assume it doesn’t lower QOL either? Did it cost more or less to deploy? Did it reach out to more people?
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‘@goodwin_nick Will need to see further papers & other reports coming in – current #telehealth options not as costly as #WSD period of 08/09
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‘@telecareaware Thanks for the mention of the latest newsletter bit.ly/Y12xbv #telecare #telehealth #digitalhealth
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‘@shirleyayres Thanks for the newsletter mention – Includes reference to your important recent publications bit.ly/Y12xbv
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‘Thanks to @AlisonMlot & @dallas_connect for latest newsletter update on dallas bit.ly/Y12xbv #telecare #telehealth #digitalhealth
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Follow @NHSExpo & #NHSinnovationexpo2013 for the London NHS Healthcare Innovation Expo on 13/14 March bit.ly/YWZJjk
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ALIP Showcase Event 2013 – 5-6 Mar Liverpool – Follow #ALIP2013 bit.ly/XA16Oj #telecare #telehealth @dallas_connect
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David Brindle (Guardian) covers the latest #WSD report on #telehealth and impact on quality of life gu.com/p/3e476/tw via @guardian
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#DigitalHealth #CDoM #mHealth Daily is out! paper.li/paul_sonnier/13092… ▸ Top stories today via @BrettJDavis78 @HumanTouchUSA @clarkmike
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@clarkmike @guardian maybe not on its own however with valuable health coaching support to assist with skills in self management it can
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@yourcarehome Delightesd to see Click Guide & DSC podcasts mentioned in latest Telecare eNewsletter bit.ly/15i0i7a HT @clarkmike
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Feb Newsletter now available – news, events 1200 links, #nhs reforms update on #telehealth #digitalhealth #mhealth bit.ly/Y12xbv
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For a quick daily refresh on the UK #telehealth #telecare #mhealth and #digitalhealth news – bit.ly/U3q4KH via @RebelMouse
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@clarkmike @TelehealthHull Re WSD QoL. @philipshealth Motiva surly makes ve difference. Cancelled out by averaging?
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PLOS: A Reality Checkpoint for Mobile Health: Three Challenges to Overcome bit.ly/XGmUZD #mhealth
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Exclusive: Happtique releases standards for ‘seal of approval’ for mobile health bit.ly/XGneYm via @gigaom
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@clarkmike @guardian I guess if you research dinosaur tech you get extinct results. @bigwhitewall1 gets 70% recovery (50% national target)
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BBC News: ‘TED 2013: Using a smartphone camera/test strip to check urine – how will it compare to analysis machines’ bbc.in/Yz8sny
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Is NHS facing GP ‘workforce crisis’? – GP vacancy rates, retirement, recruitment & locums via @Telegraph soc.li/0aWZXFe
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@clarkmike @telegraph @Stephen__Adams But would it be better with less GPs (private businesses) & more nurses & specialists? I’d go for that
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Eric Topol: ‘Medical technology revolution needs validation to move forward’ – FierceHealthIT: bit.ly/WiaqMH
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@nurse_w_glasses Do you have a reference for the Dutch figures? Thanks
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@TomSprints recommend @clarkmike my *go to* resource for #telehealth #digicare & TelecareLIN monthly newsletter bit.ly/15i0i7a
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@clarkmike Heard it on the news but should be in the papers somewhere
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@shirleyayres @DGFoord @NHSwhistleblowr @S3bster @patientopinion also how many CEO & top team #nhschangeday pledges from current 76,000
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Anyone know how many CEO & top team #nhschangeday pledges from current 76,000 ? HT @clarkmike @DGFoord @NHSwhistleblowr @patientopinion
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@shirleyayres @DGFoord @NHSwhistleblowr @patientopinion I have had difficulty searching the #nhschangeday pledges – eg integrated working
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@shirleyayres @DGFoord @NHSwhistleblowr @patientopinion I wonder how public will get to know of outcomes of great #nhschangeday pledges?
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@clarkmike @shirleyayres @DGFoord @NHSwhistleblowr good question – some staff may go on to post abt what happened on PO
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@nurse_w_glasses Thanks – can’t find at the moment but will keep on looking. Wonder if it is state cover changes
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@clarkmike @shirleyayres @DGFoord @NHSwhistleblowr the pledge site links through to PO and encourages staff to share what happened
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@patientopinion @shirleyayres @DGFoord @NHSwhistleblowr Yes, good idea – we need to know about and celebrate successes from pledges made
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@patientopinion @shirleyayres @DGFoord @NHSwhistleblowr Would be great to see analysis of how people have made a difference & in what areas
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@clarkmike @shirleyayres @DGFoord @NHSwhistleblowr if and when staff do post, you’ll find them here: patientopinion.org.uk/opini…
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@clarkmike @shirleyayres @DGFoord @NHSwhistleblowr and of course you can search further in all kinds of ways if you need to
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@GeorgeJulian @anniecoops @NHSExpo @milesayling – I see it is registered on Symplur as #nhsexpo bit.ly/15R1Oye – strange
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@clarkmike There are def two doing rounds, suspect official one set by non-twitter user, short by crowd @anniecoops @NHSExpo @MilesAyling
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@clarkmike Hi we registered both but a decision was made to use #NHSInnovationExpo2013. Don’t worry they are both ours!
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@anniecoops @NHSExpo @clarkmike Having two doesn’t help your cause, surely you want everyone sharing in one conversation?
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@anniecoops @NHSExpo @GeorgeJulian Will be very difficult to broadcast, analyse, converse and spread consistent messages with 2 hashtags
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@clarkmike it certainly will me Clark! If I do get there we should have coffee 🙂
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‘@DGFoord @anniecoops @paulhodgkin @Gemma_Finnegan Recent report from AMAS on meds adherence bit.ly/15R6Uum bit.ly/VsNFTz
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‘Managing the “Daily-ness” of #Diabetes Through Text Messages’ wp.me/p2svrA-2C0 via @ScienceLife cc@nhssimple #telehealth #mhealth
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‘@dlschermd The paper is no 5 of 15 to be published on #WSD trial – protocol, previous papers at bit.ly/YX3IXx cc @telecareaware
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@NHSExpo I have to agree w/ @clarkmike @GeorgeJulian @anniecoops hashtag far too long! #NHSInnovationExpo2013
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@clarkmike @telecareaware Thanks so much for this! Will get to it tonite.
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@anniecoops Will be Expo both days whatever the hashtag
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@clarkmike lol 🙂 if I get there will tweet you 🙂
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@dlschermd You get a mention in the latest monthly UK newsletter at bit.ly/Y12xbv – thanks for the great recent articles
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@markhawker Don’t forget constraints of RCT when looking at #WSD – also, read papers alongside protocol bit.ly/YX3IXx
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@clarkmike Oh yes, I’ve read the other papers. It’s the logic I’m more concerned about, rather that the limitations of RCTs.
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@markhawker The #WSD compares the TH group with the control group – the paper reports on whether difference between groups on QoL etc
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@clarkmike Will have to explore fully. I just couldn’t make out the conclusion as didn’t seem to follow from anything they actually did.
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@markhawker Anecdotal often suggests benefits – in trial, people not ‘sold’ the telecare/telehealth and don’t initially know group
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@markhawker With RCTs, depends a lot on levels of ‘usual care’ with the control group, Paper says both gps had education, self-mgmt etc
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@clarkmike Appreciate the trial is just that; can be difficult to reconcile with real-world experiences. There’re more papers to come?
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@markhawker We are at paper no 5 – 15 expected in total. There were 5 evaluation themes to cover variety of issues – see protocol
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.@clarkmike Yes, agree. But the conclusions appear to state a ‘finding’ as the fact that telehealth doesn’t cause harm. If we draw an …
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@markhawker We had 8 #WSD events around country during the trial – leads from the 3 sites reported how different trial was to real world
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.@clarkmike analogy to raincoats it’s like saying they don’t keep people dry, they don’t have a hood, but at least they’re not bright green.
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@clarkmike I’m not calling the #WSD, at all, it’s just the presentation of finding could be a little better. Though, have to take all of …
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@markhawker Not able to recruit existing TC/TH users into trial because of bias. Therefore had to go thru’ complex trial recruitment process
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@clarkmike the papers as a coherent whole. Enjoyed reading the qualitative paper, some great findings!
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@markhawker Trial recruitment for each person took several weeks – in real world, could put in TC/TH on same day
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@clarkmike Interesting! Are these reflections in a paper somewhere? They’re really good from a practical perspective.
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@markhawker I suspect that the ‘harm’ reference because some sources have aluded to this – came up at the recent Pulse Roundtable
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@clarkmike Ah, I see. That makes sense with that context!
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@clarkmike Grand. Will see if I have access tomorrow! Thanks, Mike.
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@markhawker We had lots of coverage from WSDAN events through the trial – DH archived a lot – some coverage in my old TelecareLIN n’letters
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@markhawker Go back to this page telecarelin.org.uk/News/?pa… and work through 2008-2010/11. I can probably fill in gaps, find presentations etc
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@markhawker Don’t forget, also looked at sites not in trial (incl Barnsley, Hull) bit.ly/TT3srs
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@clarkmike My pleasure, and thanks.
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@markhawker Harm issue – see article & my comments bit.ly/15RlRfR
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@markhawker Is alarm smoke, telecare? – Researchers decided on protocol – there was a TC/TH group – removed from protocol (group size)
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Robert Francis: lessons from Stafford – via @TheKingsFund kingsfund.org.uk/audio-vide…
News Summary – 25 February 2013 Reply
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Hospitable Healthcare Beat is out! paper.li/CleverKibitzer ▸ Top stories today via @clarkmike @Marc_Payson
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‘Technology is being held back from transforming healthcare’ kevinmd.com/blog/2013/02/te… via @kevinmd
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MDigitalLife – analysis of physician use of social media to improve health of Pts bit.ly/VHAlLf mdigitallife.com/ cc @tkelsey1
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E-Health Insider: Patient coding with a twist – Code4Health @tkelsey1 bit.ly/YvL8oq
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RT @clarkmike E-Health Insider: Patient coding with a twist – Code4Health @tkelsey1http://bit.ly/YvL8oq
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BBC News – ‘Digital Medicine: Machines for living’ bbc.in/YQOq7W
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BBC News – ‘Mobile data to overtake voice by 2018 predicts GSMA’ bbc.in/XvgOy4
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RT @shirleyayres: @BenP1972 @clarkmike @tkelsey1 @AlanRosenbach @NHSCB
Why would you use a dashboard? @data_unity bit.ly/UQ6tOW -
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‘Industry divisions hold back wireless power’ via @Telegraph soc.li/OLwFAHH
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RT @Qualcomm: “24 billion connected devices by 2020, creating an Internet of Everything – CEO Paul Jacobs at #MWC13 #bornmobile
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RT @BluetoothSIG: #bodyguardian reinforces the presence of #bluetooth devices in the medical segment! #mwc13 http://instagr.am/p/WJuHjwpNJe/
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13 March is #nhschangeday – heading for 70,000 pledges bit.ly/10DJlzN – also first day of Healthcare Expo bit.ly/YWZJjk
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RT @3MillLives: The Feb @3milllives newsletter is available bit.ly/YRwBFS – with promotional code for Expo registration bit.ly/YWZJjk
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Missed a tweet on #telehealth #telecare #mhealth #digitalhealth #ehealth – constantly updated via @rebelmouse bit.ly/U3q4KH
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RT @Telemedicine_Jn: Tele-assistance Respiratory Card: Feasibility of Self-Reporting in Patients with Severe #COPD bit.ly/WZYwDW #telehealth
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RT @Telemedicine_Jn: Clinical and Economic Impact of #RemoteMonitoring bit.ly/ZrHHWJ #carelink #telehealth #cardiovascular
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Pritpal S Tamber: ‘The fallacy of user interfaces and big data’ blogs.bmj.com/bmj/2013/02/2…
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RT @clarkmike: Missed a tweet on #telehealth #telecare #mhealth #digitalhealth #ehealth – constantly updated via @rebelmouse bit.ly/U3q4KH
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RT @clarkmike: Missed a tweet on #telehealth #telecare #mhealth #digitalhealth #ehealth – constantly updated via @rebelmouse bit.ly/U3q4KH
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RT @londoncouncils: #DH shortly to invite areas to apply to be pioneers on health integration – HWBs will have a role @normanlamb #LdnHWB
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‘CQC joins forces with patients’ charity to help stamp out poor elderly care’ – carehome.co.uk bit.ly/YS67nB
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@clarkmike @CareQualityComm I think stamping out poor care altogether is important not just for the older population! fair care for all
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RT @PaulRafferty7: @clarkmike @CareQualityComm I think stamping out poor care altogether is important not just for the older population! fair care for all
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Is smart technology making us dumb? How much control are we willing to give up? – ‘Good smart’ & ‘bad smart’ – WSJ on.wsj.com/Xxld3H
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RT @colintwangel: Would the “Friends and Family” test be suitable for #SocialCare? Have been invited to discuss this with #dh. Views welcome.
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Can #mhealth save money? Here is the new GSMA/PwC report covered at @gigaom bit.ly/XUPLeJ bit.ly/XUQcWn #MWC13
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Eric Topol: ‘Docs must adopt health IT more quickly’ – keynote coming up at #HIMSS13 on 5 March – FierceHealthIT bit.ly/13iRkIn
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Example of Skype use by docs & patients on U.S. West Coast bit.ly/XX4ov5 bit.ly/XX4weh
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‘America’s Healthcare Crisis: A Prescription for Breaking the Cycle’ – Huff Post huff.to/13oyMSp via @HealthyLiving
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‘Needed: Standardized outcome measures for patient-generated data’ – @patientslikeme shar.es/jqrvu via @MobiHealthNews
News Summary – 24 February 2013 Reply
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ICU patients & family in Johns Hopkins Hosp will have iPads to help keep tabs on care bit.ly/YNyCTe via @MarkRaganCEO cc @tkelsey1
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@Ermintrude2 agreed, sounds like a solution is needed. Best ask @clarkmike he knows about these technologies.
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@PaulBromford credit has to go to @clarkmike who encouraged me to start using @RebelMouse! @Gemma_Finnegan
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@elainewalton for all #telecare, digital health & care updates & making sense of #NHS reorganisation my *go to* resource is @clarkmike
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@shirleyayres @clarkmike @rebelmouse @gemma_finnegan well thanks to mike too – really does paint a picture
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‘Ageing population will have huge impact on social services, Lords told’ gu.com/p/3e2kq/tw via @guardian
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Well I never! “@clarkmike: ‘Ageing population will have huge impact on social services, Lords told’ gu.com/p/3e2kq/tw via @guardian“
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‘5 reasons why mobile health apps fail’ kevinmd.com/blog/2013/02/5-… via @kevinmd
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BBC News – Brain’s ‘stroke shielding’ cracked – how some brain cells survive when starved of oxygen bbc.in/136sqMi
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@markhawker The term #telecare is only really used in the UK – In the U.S. it is normally called PERS. In Europe it is alarms, AAL, sensors
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@markhawker Some people do not put the hashtag in front of telecare – I see several entries without it
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@clarkmike I think the tweet was more rhetorical than realistic. Have browsed with and without plus a few variations.
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@markhawker Telecare defined in Preventative Technology Grant (2005) so heavily used in England. Scotland also use ‘telehealthcare’
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@clarkmike You’re right! Many definitions, too. Quite an interesting history.
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@markhawker Google search would give more coverage. Remember also few providers allow their staff to tweet
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@clarkmike That’s a good point. Some diamonds in the rough, I’m sure!
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‘Equity in the Digital Age: How Health Information Technology Can Reduce Disparities’ – HT to @EricTopol bit.ly/13753C6
News Summary – 23 February 2013 Reply
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‘BBC News – Slow care for people with diabetes leads to foot amputations’ bbc.in/12Z8x9T
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A narrative for person-centred coordinated (‘integrated’) care in England – consultation ends on 28 Feb 2013 bit.ly/ZpiV5T
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‘Will entrepreneurs save the NHS’ – Dr Richard Smith wp.me/pgfcs-cn via @patientsco
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‘@shirleyayres @tkelsey1 Interested to see how #socialcare, HWB Board and public health are included in @NHSCB integrated dashboards
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@clarkmike @tkelsey1 Interested to see how #socialcare, HWB Board and public health are included in @NHSCB integrated dashboards < me too!
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‘@tkelsey1 @NHSCB Interested to see NHS dashboard info from various sources at March Expo – will any demos be available? @shirleyayres
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RT @shirleyayres: @clarkmike @tkelsey1 Interested to see how #socialcare, HWB Board and public health are included in @NHSCB integrated dashboards < me too!
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RT @healthglobal: RT @clarkmike Helpful guide to #mhealth at #MWC13 by @mhealthinsight bit.ly/ZpjkFn
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@shirleyayres @tkelsey1 @AlanRosenbach @BenP1972 Did PM’s d’board predict fall from AAA, would @nhscb d’board show hosp safety concerns?
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@shirleyayres @tkelsey1 @AlanRosenbach @BenP1972 @NHSCB Does a fall from AAA on your d’board lead to behaviour change or more of the same?
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@clarkmike @shirleyayres @tkelsey1 @benp1972 @nhscb do you really trust any credit rating agency!!!?
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@clarkmike @shirleyayres @tkelsey1 @alanrosenbach @nhscb the credit rating reduction about UK plc ability to borrow money. Relevant 2 nhs?
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@BenP1972 PM has a d’board to monitor the economy on a tablet. The @nhscb are looking at a d’board @shirleyayres @tkelsey1 @AlanRosenbach
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@BenP1972 The point is about d’boards monitoring performance (economy or NHS) & taking action @shirleyayres @tkelsey1 @AlanRosenbach @NHSCB
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@BenP1972 A d’board red flag does not always lead to behaviour change as in AAA & economy @shirleyayres @tkelsey1 @AlanRosenbach @NHSCB
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@shirleyayres A problem with d’boards – ‘inattentional blindness’ – gorilla in a CT scan wapo.st/VZLBp1 @BenP1972 @AlanRosenbach
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@clarkmike @shirleyayres @tkelsey1 @alanrosenbach @nhscb my misunderstanding. Idea that dashboards be all & end all or infallible silly.
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@BenP1972 @clarkmike @tkelsey1 @AlanRosenbach @NHSCB
Why would you use a dashboard? @data_unity bit.ly/UQ6tOW -
RT @GerryAllmark: I’m currently recruiting for an experienced telecare and telehealth sales executive for the Midlands and the north of England. For more de…
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@shirleyayres @clarkmike @tkelsey1 @alanrosenbach @nhscb @data_unity interesting reading and food for thought.
Tele Health and Care 