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‘CQC: Most home care good but missed visits blight some services’ via @CommunityCare shar.es/YeHvx
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RT @CareQualityComm: You can read about our #homecare findings, download the report in alternative formats or see our infographic at cqc.org.uk/homecare
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BBC News – ‘Thousands of carers could lose benefits as personal independence payment commences’ bbc.in/YpzlJ4
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‘How do we fix the NHS? Ask frontline staff’ @RoyLilley in the Guardian gu.com/p/3dy9z/tw via @guardian
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RT @HarvardHSPH: Berwick’s 5 core leadership values: Boundarylessness; speed & agility; unconditional teamwork; innovation; & customer focus #Voices
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@shirleyayres Shorter visit times can be OK in housing schemes with on site carers (eg meds) but HC too fixated on time rather than outcomes
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@shirleyayres Too many 30 minute homecare slots reduced to 15-20 minutes contact times as often no allowance for travel between visits
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Study: Scaling Up #mHealth: Where Is the Evidence? PLOS Medicine bit.ly/XJZ53W
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@clarkmike interesting debate is #homecare too fixated on time rather than outcomes? Appalling no allowance made for travel between visits
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‘Apple patent points to platform for wearable sensors, internet of things’ bit.ly/XzGk1d via @gigaom
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From the US: ‘Mobile Health Unlikely to Face Much Regulatory Scrutiny’ – unless link to medical device? on.wsj.com/TZ1zyL via @WSJ
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‘The Internet and Health’ – Pew Internet Infographic bit.ly/XK3h3M
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RT @telehealth_news: A #telehealth patient became healthy enough to go on holiday this year and still could be monitored by our Specialist Nurses @3MillLives
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‘UK supermarket plans expansion of GP practices’ – Pulse Today bit.ly/XK53Sx
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Jeremy Hunt presentation to Reform on 12 Feb – ‘An NHS that treats people as individuals’ – via @dhgovuk bit.ly/XK6QqK
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‘Quarter of 250 homecare services inspected not meeting all CQC standards’ – @CQC report in Guardian gu.com/p/3dmmq/tw via @guardian
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Only a couple of days left for paper submissions to @TheKingsFund July Congress on #telehealth & #telecare bit.ly/WItOki
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BBC News – ‘Why the elderly care crisis is here to stay’ – Nick Triggle looks at @CQC report bbc.in/12xheDq
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@DonnaNewcross @shirleyayres Worst situation is where HC staff have to use up slot time to travel eg user time reduced from 30 to 20 minutes
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@DonnaNewcross @shirleyayres A full 15 minutes contact time may end no different from a 30 min slot reduced to 20 min to accommodate travel
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BBC News – ‘Global mobile phone sales fell in 2012’ – Gartner study bbc.in/Z9VaSU
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@DonnaNewcross @shirleyayres Some home care providers also charge at higher than 25% or 50% of hourly rate for shorter 15/30min visits
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@colintwangel @shirleyayres If user is paying LA homecare charge against a one hour a day care plan & only gets 45mins, how monitored?
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@DonnaNewcross @shirleyayres Variations in pricing for part hours, complexity of care plans, skills/training reqd (eg dementia, re-ablement)
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@DonnaNewcross @shirleyayres Variations in pricing may also depend on overall number of hours in the contract with provider
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@DonnaNewcross @shirleyayres Council HC rates are generally confidential. Poor commissioning and user/contract monitoring
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‘Five Ways of Achieving Patient Engagement: Part 2: WITH Technology’ – good points from @dlschermd bit.ly/WIBHGg
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Study: From mobile mental health to mobile wellbeing: opportunities and challenges 1.usa.gov/XzYxf5 #mhealth
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Study: Why mobile health app overload drives us crazy, and how to restore the sanity bit.ly/XzYGPG #mhealth
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‘Managing the abundance of #mHealth apps in the urban flea market’ – Health Populi bit.ly/XzYVKt
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#Telehealth, #telemedicine and #telecare: Introductory one-day seminar – 28 Feb, London @roysocmed bit.ly/XA14pD
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ALIP Showcase Event 2013 – 5-6 Mar, Liverpool bit.ly/XA16Oj #telecare #telehealth #digitalhealth #innovateforage @dallas_connect
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In absence of leaders & decision-makers using #socialmedia orgs are closed to innovation can lead to poor performance & failure @clarkmike
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@shirleyayres @clarkmike it’s a shame we have to wait for the so-called leaders to catch up..
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RT @mellojonny: The art of listening to patients and the impact of payment according to data collection abetternhs.wordpress.com/20…
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‘@shirleyayres Interesting idea – each week a different member of staff tweets about their role at @NHSHWhoWeAre
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‘@riverluss @Ermintrude2 @shirleyayres Good leaders work extensively with the comms channels digital or otherwise for staff/user engagement
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@riverluss @Ermintrude2 @shirleyayres Good use of digital/social media does not necessarily make people a good leader to improve quality
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@markhawker Is there an indication that research in this area is more difficult than other housing/soc care research?
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@markhawker No equivalent of London Telecare in North – but try Y&H HIEC as previously mentioned
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I like this! @clarkmike Interesting idea – each week a different member of staff tweets about their role at @NHSHWhoWeAre
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@Ermintrude2 Yes, much of what is termed ‘leadership’ is not actually leadership. Too many people in wrong postns @riverluss @shirleyayres
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@clarkmike @riverluss @Ermintrude2 I think leaders who embrace #socialmedia seem able to promote a culture of openness & transparency
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@Ermintrude2 @riverluss @shirleyayres Too many layers of hierarchy blocking innovation and change in many orgs – frontline unsupported
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RT @goodwin_nick: Major European research project on integrated care – website launched today – INTEGRATE – @IFICinfo integratedcarefoundation.or…
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Digital Healthcare Master’s Programme for 2013 – University of Warwick @IDHwarwick bit.ly/XA7hSB
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‘In Case of Emergency’ app that sits on top of smartphone lock screen – Healthworks Collective soc.li/6nzG6g #mhealth
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From the U.S.: ‘Six Misperceptions about the Telemedicine Market’ – Jon Linkous from
@AmericanTelemed bit.ly/XA7LYV -
RT @NuffieldTrust: Watch our Health Policy #ntsummit on 7-8 March via free live stream, including Robert #Francis QC ow.ly/hDKwb
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RT @goodwin_nick: Viewed ICT system Health Fabric today – integrated care via iPAD – really neat – Worcs 3ML pathfinder at healthfabric.co.uk
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RT @shirleyayres: #techforgood requires much more connected thinking & collaboration across social services, health, housing, education & employment sectors
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‘@shirleyayres Typically health innovation can take up to 15 years before widely adopted #techforgood
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‘@shirleyayres Most current health/care apps are not integrated with personal health/care records – see bit.ly/12gGulK #techforgood
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RT @clarkmike most current health/care apps are not integrated with personal health/care records – see bit.ly/WmNQir #techforgood
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RT @patientopinion @clarkmike typically health innovation can take up to 15 yrs before widely adopted #techforgood << hanging on in there
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‘Care Choices commences in April alongside NHS Choices’ – @dhgovuk bit.ly/XAgudu
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Final grant allocations for adults’ personal social services in England – via @dhgovuk bit.ly/XAgElh
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RT @clarkmike: Infographic: Rising Popularity of Mobile Health Apps via @H_I_N bit.ly/XGVkwd #mhealth
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@kenclemens Yes, well-being apps on increase & there is interest but most apps are single use and not well connected eg pers health records
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@shirleyayres @markhawker Lot of ‘me-too’ going on now but needs interoperability/connectivity to get serious adoption #techforgood
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@kevingeddes7 Looking forwards to seeing outcomes – any date yet for announcement?
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#nhssm With a number of health/Care feedback sites/apps, not easy to bring this together in one place for a patient/user to review
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#nhssm patient/user feedback needs to be captured in real time. Often difficult to establish who is service provider in health/care settings
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#nhssm NHS CB has views on how some of these customer platforms will come together and has £ bit.ly/10Q4LPV
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@clarkmike do they genuinely have budget? When was last government IT contract that went well & delivered all objective? #nhssm
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#nhssm Not sure that NHS orgs ready to listen yet to social media – objections to NHS reforms on Twitter -Bill went through with few changes
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@clarkmike the challenge is the breadth of their remit. Lots to deliver. Worry is inadequate or half baked #nhssm
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#nhssm A key question is ‘has social media or feedback sites picked up any of the other 14 hosps now being investigated for mort rates?’
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#nhssm Thought to be the case that CQC are monitoring social media. Problem with quality, accuracy and confidentiality of data
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RT @clarkmike thought to be the case that CQC are monitoring social media. Problem with quality, accuracy & confidentiality of data #nhssm
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@AgencyNurse SoMe/Tweets on pt/user/staff feedback probably not structured enough to spot trends or predict where they may be a problem
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@AgencyNurse SoMe/Tweets on pt/user/staff feedback probably not structured enough to spot trends or predict where may be a problem #nhssm
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@clarkmike don’t think predictions are possible – but prevalence of places crossed referenced with sentiment analysis is poss #nhssm
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#nhssm Validated analysis from feedback sites not currently available to identify where a problem arising
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@AgencyNurse @clarkmike More possible the bigger you get. Is there a role for a national feedback service here a la @tkelsey1 ? #nhssm
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@clarkmike you can certainly monitor by geographical location & sentiment and key words & flag increase in -ve comments areas #nhssm
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@AgencyNurse Not easy to trawl all sources to get sentiment analysis. Also, in a hospital there may be multiple providers on same premises
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@DGFoord @clarkmike we are lucky live in an age where we the ability to “listen” into so many conversations – we need to use it #nhssm
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@clarkmike it certainly is with the right tools – it can be done and with relative ease #nhssm
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RT @Les_Manley: @AgencyNurse @DGFoord @clarkmike Just asking questions in a public forum changes behaviour. #nhssm
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RT @AgencyNurse: @DGFoord @clarkmike we are lucky live in an age where we the ability to “listen” into so many conversations – we need to use it #nhssm
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@DGFoord @AgencyNurse Yes, I think this is where @tkelsey1 may well be heading – need big numbers to deal with potential bias/false alerts
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@clarkmike @dgfoord @tkelsey1 can’t be used as a sole indicator, would have to be used in conjunction with other indicators #nhssm
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@James_R_Hedges concerned if you’re not monitoring #socialmedia but agree w/ @clarkmike about quality, accuracy & confidentiality of data
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@AgencyNurse #nhssm Do you any current published examples of analysis in NHS? Could they have identified any of the 14 additional hospitals?
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@AgencyNurse @DGFoord @tkelsey1 Yes, agreed – just part of the picture – quant/qual data, Friends & Family Test etc
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@clarkmike bit.ly/SP9gkt the technology is there,it’s just a matter of applying it appropriately , #NHSSM live data,ask it anything!
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@clarkmike certainly be worth someone exploring the data using a social monitoring tool with historical data to see if correlation #nhssm
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@AgencyNurse Yes, agreed the tech is there and used by many big commercial orgs.What is bit.ly/SP9gkt dashboard covering? #nhssm
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@clarkmike covers the term hospital across “all” social channels in the UK in English for a week in Jan #NHSSM segmenting role/food comments
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@AgencyNurse #nhssm Yes, agreed – need to look for correlation-may be able, in time, to spot orgs at risk – Link to staff/pt ratios,outcomes
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@clarkmike as with anything baselines & norms would need to est but data can be looked at historically – all there, we just need to use it!
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@AgencyNurse #nhssm Yes, agreed. Is there any evidence on bias for people using forums/microblogging? Is there location/hosp breakdown?
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@clarkmike there is currently no evidence or data as the possibilities are not being explored – yes you can break down to location..
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@clarkmike … and yes I am sure that bias exists which is why “normal parameters” need exploring … but the potential is there here & now
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@AgencyNurse #nhssm Yes, if more data becomes available from a number of sources, bias less of issue. Hotspot map could show up concerns
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@clarkmike this is what I used the tool to do > ow.ly/hH2cv looked at the social data re nursing and social media
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@AgencyNurse #nhssm – Many thanks for interesting discussion
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RT @shirleyayres: RT @patientopinion @clarkmike typically health innovation can take up to 15 yrs before widely adopted #techforgood << hanging on in there
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@clarkmike @nhsvaleroyalccg moving ahead via @DrJonGriffiths “We are excited to be involved with such an innovative #telehealth project”
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@AgencyNurse #nhssm Interesting hospital dashboard from S Australia – updated every 30 mins for all public hospitals bit.ly/15dkMii
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‘MacMillan Cancer Support rolling out 23 mobile learning courses for 500 staff’ – Healthcare Global bit.ly/15dmXlZ
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RT @DrJonGriffiths: With @NHSValeRoyalCCG GPs looking at Florence system with @NHSSimple Using telehealth to improve outcomes for patients
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RT @NHSSimple: Looking forward to tomorrow’s AIM #telehealth workshop. GPs from Staffordshire, Cheshire and Stoke attending plus many other localities.
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Interesting hospital dashboard from S Australia – updated every 30 mins for all public hospitals bit.ly/15dkMii #nhssm
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RT @HousingLIN: Interesting programme at London LIN tomorrow. Focus on ECH & planning, community hubs in ECH, & pooling personal budgets. #extracare
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