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We have scaled the use of an evidence based self-management digital platform called getUbetter across South West London. getUBetter delivers personalised recovery and prevention support for common musculoskeletal (MSK) conditions and injuries..

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Ben Wanless | May 13, 2020 | in Primary/Community Assessment and Triage

The mobile platform provides true self-management that helps patients to trust their recovery and therefore they utilise less healthcare resource. It is made available to the whole population and can be provided wherever a patient interacts with the system e.g. self-referral, primary care, MIU, ED, physio, secondary care or from work. getUBetter is not just about triage but a whole pathway approach that does not redirect patients to use resource elsewhere unless absolutely needed. By supporting patients using evidence-based tools it promotes safe self-management but also automates referrals for treatment appropriately (planned care, unscheduled and local support services)

getUBetter has been evaluated at level 2 of the NICE Digital Health Technology Evaluation Framework and independent economic evaluation demonstrates a cost savingper CCG of up to £1,960,000 for back pain alone.

What is needed to sustain the change?

Behavioural Requirement: Clinicians to continue to direct patients to the app, and patients to continue to use it before booking appointments.

Financial Requirement: Currently locally commissioned. Spread would need national commissioning.

What is your region?

London

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edited on Jul 10, 2020 by Kyle Beacham

6.0

out of 10

Based on 1 rating

Milestone requirements
1 ratings minimum
7.5 or higher average score

Impact

6

Feasibility

6

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chris mercer May 13, 2020

Looks greta ben- do you have user feedback you can share?

Ben Wanless May 13, 2020

We do. I’ll send it over to you.....

Ben Wanless May 13, 2020

Here’s a bit more info from our evaluation but can send full analysis and metrics via email - 90% of patients would recommend to their family and friends, 50% of patients are happy to download the app from their GP website without seeing a Clinician, 100% felt the app would help their recovery and 73% felt the app would provide a better GP service. Clinicians believe it saves them time as they do need to complete the time-consuming stratification tools or referral paperwork.

To give an idea of scale getUBetter is deployed to 38 GP practices across Wandsworth CCG and has helped more than 3000 patients and demonstrated a 12% reduction in GP appointments

Laura Finucane May 13, 2020

Hi Ben what is the likely cost for this if you know? are there a certain type of patient it is appropriate for?

Ben Wanless May 13, 2020

HI Laura, it depends on how it is delivered as every CCG is different and it can be delivered in lots of different ways - prob best to have this convo off line so i can give more detail. It obviously creates system savings so there will be a ROI.
Cheers

Ben

Kay Nad May 16, 2020

Hi ben
This looks really good and something similar that is being looked to be developed locally. How in-depth is the screening tool for the self referral portal in terms of screening for red flags and inflammatory questions etc. What is the overall time required for pt to complete the portal information about their condition.
Thanks
Kay

Ben Wanless May 18, 2020

It can be as in -depth or basic as you want. We chose to build in the standard red flag screening but not go too in depth with
anything else. We are not looking to diagnose their condition but to support common MSK conditions such as non-specific LBP, neck pain and knee pain. It takes about a minute to answer the screening questions. Hope that helps
Thanks
Ben

Harriet Collins May 15, 2020

This looks like a great resource - how can clinicians view the content please?

Ben Wanless May 15, 2020

HI Harriet, This is a locally commissioned resource and so is not accessible to all. We have worked with the company on building and refining the content around national pathways and best evidence. If getUBetter is something you’d be interested in they would happily have a conversation with you and walk through the product and the content. Just let me know and I’ll put you in contact with them.
Thanks
Ben

Chandrasekhar Dekka May 16, 2020

Hi Ben, excellent work. This sounds great. Do you think you can put us through the App guys. Looks quite promising. Regards Sekhar

Ben Wanless May 17, 2020

Hi Sekhar. Please visit the getUBetter website if you want to discuss implementing this where you are - www.getubetter.com
There is a contact page on there and you can find more info about the product. They are a very helpful team with lots of knowledge. Most of the team are still working clinicians which is what attracted them to us. We’ve also found them to be extremely flexible and willing to work with us as an organisation to make the product fir our local pathway and population.
Many thanks
Ben

Chandrasekhar Dekka May 17, 2020

Thanks a lot Ben, That's very helpful. Much appreciated

nuzhat Ali Jun 2, 2020

Ben, this looks super. This looks superb, I'd be interested in understanding the ROI, improvement scores and the sustainability long term, if this were scaled nationally. Can we chat offline please?

Ben Wanless Jun 2, 2020

Sure. Send me an email - benwanless@nhs.net

Paul Kidman Jun 4, 2020

Very impressive work Ben, great stuff as always. Would you mind sending feedback to me too?

Ben Wanless Jun 4, 2020

Hi Paul, Yes no problem. See second reply to @ChrisMercer above for summary but will send more stuff via email....

Users tagged:

chris mercer

Greta McLachlan Jun 15, 2020

Status labels added: Community Care, Information Sharing, Investment In Technology, Patient Activation, Remote Monitoring, Supported Self-Management

Greta McLachlan Jun 16, 2020

Status labels added: Choice, Collaboration, Education, Health & Wellbeing, Shared Decision Making, Triage, Horizon 2

Greta McLachlan Jun 16, 2020

The idea has been progressed to the next milestone.

Kyle Beacham Jul 10, 2020

Status labels removed: Choice, Collaboration, Community Care, Education, Health & Wellbeing, Information Sharing, Investment In Technology, Patient Activation, Remote Monitoring, Shared Decision Making, Supported Self-Management, Triage