Dynamic Scot
Project impact
A web-based application that enables COPD patients to self-manage at home, reducing hospital admissions and easing respiratory service pressure during Covid-19
Project resulted in excellent clinical outcomes and positive patient experiences
By August 21, 511 patients were accessing the service
In response to COVID-19, DHI, NHS GGC, NSS, and Storm ID expanded a web app for COPD patients to self-manage at home, reducing hospital admissions. The "Dynamic-Scot" project used asynchronous messaging and patient data for clinical interventions and machine learning integration within NHS systems.
In response to COVID-19, DHI worked with NHS GGC, NSS and Storm ID to support the wider adoption, scaling up and use of a web-based application to support high to medium-risk patients with COPD to self-manage at home.
This was to keep vulnerable patients with respiratory diseases out of the hospital during a dangerous period and to take pressure off respiratory services. The original project, the ‘Dynamic’ project, was funded as an Innovate UK project.
This ‘Dynamic- Scot’ project built on that work and its aim was to expand the existing COPD Digital Service more widely within NHS GGC and following a gateway review, seek further funding to onboard a second Health Board.
The Innovation behind this project was the use of an asynchronous messaging digital service which provides remote support to patients and utilises the Patient Experience and Outcome data to support clinical intervention.
Its clinical integration capacity supports the development of machine learning algorithms and as per the LENUS platform, can be effectively integrated into trusted NHS Systems in Scotland. Therefore, this was not the roll-out of an ‘off-the-shelf product’ but a well-designed digital service which optimises patient and clinical interactions.
Summary
Partners
"The DHI team provided wide-ranging support to the inception, funding acquisition, successful delivery and reporting of the DYNAMIC-SCOT project.
That input was based on established relationships, a shared vision for health and social care transformation and preceding and continuing strategic advice and support. Specific inputs to DYNAMIC-SCOT included project and program management support, service mapping and implementation-effectiveness activity planning and wide-ranging stakeholder engagement building on DHI’s established contacts and expertise.
Continued collaboration with DHI colleagues on next phase of this project - DYNAMIC-SCOT2 – and across our portfolio of activities is greatly appreciated"
Impact & value
Funding was awarded by Scottish Government in June 2020. The project was delivered through 2020 and 2021 and has been completed. The service was initially expanded across NHS GGC and then was later trialled in NHS Lothian. Work on refining the digital service to make the service as suitable for scale as possible was commissioned and contract managed by DHI and completed. A final NHS GGC toolkit was completed by the DHI Design Team a to support scaling as well as implementation in other Health Boards. Programme Management arrangements and reporting requirements were reviewed throughout the project to be sensitive to the pressures within the service through the pandemic.
DHI then focussed its available resources on the development of the Funding Proposal/Business Case Project. The project was successfully delivered with all key deliverables being received on time and within budget by August 2021. This excluded the final evaluation report which was completed and signed off by the Project Board in December 2021 and outlined excellent clinical outcomes and positive patient experiences. DHI developed a proposal for Stage 2 funding which would entail collating wider data sets to continue with the on-going clinical evaluation as well as the refining the emerging business case.
This funding request was successful, and this work has been transferred to the West of Scotland Innovation Hub and NHS GGC to implement.
Progress to date
Staff related to the project
By the end of August 2021, over 2000 invitations were made and this resulted in 511 patients accessing the service. with some patients enrolled within NHS Lothian as part of a small trial. The digital service continues to be scaled up across both health boards. The final evaluation report was completed in December 2021.
Next steps
