News Summary – 13 February 2013 Reply

  1. ‘CQC: Most home care good but missed visits blight some services’ via @CommunityCare
  2. RT @CareQualityComm: You can read about our #homecare findings, download the report in alternative formats or see our infographic at
  3. BBC News – ‘Thousands of carers could lose benefits as personal independence payment commences’
  4. ‘How do we fix the NHS? Ask frontline staff’ @RoyLilley in the Guardian via @guardian
  5. RT @HarvardHSPH: Berwick’s 5 core leadership values: Boundarylessness; speed & agility; unconditional teamwork; innovation; & customer focus #Voices
  6. @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
  7. @shirleyayres Too many 30 minute homecare slots reduced to 15-20 minutes contact times as often no allowance for travel between visits
  8. @clarkmike interesting debate is #homecare too fixated on time rather than outcomes? Appalling no allowance made for travel between visits
  9. ‘Apple patent points to platform for wearable sensors, internet of things’ via @gigaom
  10. From the US: ‘Mobile Health Unlikely to Face Much Regulatory Scrutiny’ – unless link to medical device? via @WSJ
  11. ‘The Internet and Health’ – Pew Internet Infographic
  12. 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
  13. ‘UK supermarket plans expansion of GP practices’ – Pulse Today
  14. Jeremy Hunt presentation to Reform on 12 Feb – ‘An NHS that treats people as individuals’ – via @dhgovuk
  15. ‘Quarter of 250 homecare services inspected not meeting all CQC standards’ – @CQC report in Guardian via @guardian
  16. BBC News – ‘Why the elderly care crisis is here to stay’ – Nick Triggle looks at @CQC report
  17. @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
  18. @DonnaNewcross @shirleyayres A full 15 minutes contact time may end no different from a 30 min slot reduced to 20 min to accommodate travel
  19. BBC News – ‘Global mobile phone sales fell in 2012’ – Gartner study
  20. @DonnaNewcross @shirleyayres Some home care providers also charge at higher than 25% or 50% of hourly rate for shorter 15/30min visits
  21. @colintwangel @shirleyayres If user is paying LA homecare charge against a one hour a day care plan & only gets 45mins, how monitored?
  22. @DonnaNewcross @shirleyayres Variations in pricing for part hours, complexity of care plans, skills/training reqd (eg dementia, re-ablement)
  23. @DonnaNewcross @shirleyayres Variations in pricing may also depend on overall number of hours in the contract with provider
  24. @DonnaNewcross @shirleyayres Council HC rates are generally confidential. Poor commissioning and user/contract monitoring
    are issues
  25. ‘Five Ways of Achieving Patient Engagement: Part 2: WITH Technology’ – good points from @dlschermd
  26. Study: From mobile mental health to mobile wellbeing: opportunities and challenges #mhealth
  27. Study: Why mobile health app overload drives us crazy, and how to restore the sanity #mhealth
  28. ‘Managing the abundance of #mHealth apps in the urban flea market’ – Health Populi
  29. RT @mellojonny: The art of listening to patients and the impact of payment according to data collection…
  30. ‘@shirleyayres Interesting idea – each week a different member of staff tweets about their role at @NHSHWhoWeAre
  31. ‘@riverluss @Ermintrude2 @shirleyayres Good leaders work extensively with the comms channels digital or otherwise for staff/user engagement
  32. @riverluss @Ermintrude2 @shirleyayres Good use of digital/social media does not necessarily make people a good leader to improve quality
  33. @markhawker Is there an indication that research in this area is more difficult than other housing/soc care research?
  34. @markhawker No equivalent of London Telecare in North – but try Y&H HIEC as previously mentioned
  35. @Ermintrude2 Yes, much of what is termed ‘leadership’ is not actually leadership. Too many people in wrong postns @riverluss @shirleyayres
  36. @Ermintrude2 @riverluss @shirleyayres Too many layers of hierarchy blocking innovation and change in many orgs – frontline unsupported
  37. RT @goodwin_nick: Major European research project on integrated care – website launched today – INTEGRATE – @IFICinfo integratedcarefoundation.or…
  38. Digital Healthcare Master’s Programme for 2013 – University of Warwick @IDHwarwick
  39. ‘In Case of Emergency’ app that sits on top of smartphone lock screen – Healthworks Collective #mhealth
  40. From the U.S.: ‘Six Misperceptions about the Telemedicine Market’ – Jon Linkous from
  41. RT @NuffieldTrust: Watch our Health Policy #ntsummit on 7-8 March via free live stream, including Robert #Francis QC
  42. RT @goodwin_nick: Viewed ICT system Health Fabric today – integrated care via iPAD – really neat – Worcs 3ML pathfinder at
  43. RT @shirleyayres: #techforgood requires much more connected thinking & collaboration across social services, health, housing, education & employment sectors
  44. ‘@shirleyayres Typically health innovation can take up to 15 years before widely adopted #techforgood
  45. ‘@shirleyayres Most current health/care apps are not integrated with personal health/care records – see #techforgood
  46. ‘Care Choices commences in April alongside NHS Choices’ – @dhgovuk
  47. Final grant allocations for adults’ personal social services in England – via @dhgovuk
  48. @kenclemens Yes, well-being apps on increase & there is interest but most apps are single use and not well connected eg pers health records
  49. @shirleyayres @markhawker Lot of ‘me-too’ going on now but needs interoperability/connectivity to get serious adoption #techforgood
  50. @kevingeddes7 Looking forwards to seeing outcomes – any date yet for announcement?
  51. #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
  52. #nhssm patient/user feedback needs to be captured in real time. Often difficult to establish who is service provider in health/care settings
  53. #nhssm NHS CB has views on how some of these customer platforms will come together and has £
  54. @BenP1972 #nhssm Yes, total budget is £95.6bn which they will control (£65bn to CCGs). I don’t expect it will be like the ‘last time’
  55. #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
  56. #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?’
  57. @BenP1972 #nhssm Yes, agree broad remit – but see S 2.6 of NHS Mandate – 2 yr delivery timetable & election in 2015 & post-Francis pledges
  58. #nhssm Thought to be the case that CQC are monitoring social media. Problem with quality, accuracy and confidentiality of data
  59. @AgencyNurse SoMe/Tweets on pt/user/staff feedback probably not structured enough to spot trends or predict where they may be a problem
  60. @AgencyNurse SoMe/Tweets on pt/user/staff feedback probably not structured enough to spot trends or predict where may be a problem #nhssm
  61. #nhssm Validated analysis from feedback sites not currently available to identify where a problem arising
  62. @AgencyNurse @clarkmike More possible the bigger you get. Is there a role for a national feedback service here a la @tkelsey1 ? #nhssm
  63. @AgencyNurse Not easy to trawl all sources to get sentiment analysis. Also, in a hospital there may be multiple providers on same premises
  64. @DGFoord @AgencyNurse Yes, I think this is where @tkelsey1 may well be heading – need big numbers to deal with potential bias/false alerts
  65. @AgencyNurse #nhssm Do you any current published examples of analysis in NHS? Could they have identified any of the 14 additional hospitals?
  66. @AgencyNurse @DGFoord @tkelsey1 Yes, agreed – just part of the picture – quant/qual data, Friends & Family Test etc
  67. @AgencyNurse Yes, agreed the tech is there and used by many big commercial orgs.What is dashboard covering? #nhssm
  68. @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
  69. @AgencyNurse #nhssm Yes, agreed. Is there any evidence on bias for people using forums/microblogging? Is there location/hosp breakdown?
  70. @AgencyNurse #nhssm Yes, if more data becomes available from a number of sources, bias less of issue. Hotspot map could show up concerns
  71. @clarkmike this is what I used the tool to do > looked at the social data re nursing and social media
  72. @clarkmike @nhsvaleroyalccg moving ahead via @DrJonGriffiths “We are excited to be involved with such an innovative #telehealth project”
  73. @AgencyNurse #nhssm Interesting hospital dashboard from S Australia – updated every 30 mins for all public hospitals
  74. ‘MacMillan Cancer Support rolling out 23 mobile learning courses for 500 staff’ – Healthcare Global
  75. RT @DrJonGriffiths: With @NHSValeRoyalCCG GPs looking at Florence system with @NHSSimple Using telehealth to improve outcomes for patients
  76. RT @NHSSimple: Looking forward to tomorrow’s AIM #telehealth workshop. GPs from Staffordshire, Cheshire and Stoke attending plus many other localities.
  77. Interesting hospital dashboard from S Australia – updated every 30 mins for all public hospitals #nhssm
  78. RT @HousingLIN: Interesting programme at London LIN tomorrow. Focus on ECH & planning, community hubs in ECH, & pooling personal budgets. #extracare

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