Patient-Initiated Follow-Ups

Geared up to mobilise NHS organisations for Phase 3 of the COVID19 Recovery Plan from NHS England.

Patients Know Best (PKB) is a patient-facing digital platform, used since 2008 to support clinical teams manage care delivery and empower patients to take control of their health. PKB is also proven model for Patient-Initiated Follow-Up (PIFU) as referenced (pp 11-14) in NHS England’s latest guidance. This model supports Phase 3 of the COVID19 Recovery Plan by helping to create capacity and change the delivery of NHS services to prepare for winter pressures, and a potential second wave while reducing the inequalities in service provision forced by the pandemic.

Mobilise Patients & Services

The PKB digital platform facilitates data exchange through a secure medical record. This record can be accessed by patients and professionals anywhere, and at anytime. It is also the only platform that can combine patient-generated data and display this alongside provider data (i.e. from hospitals, EPRs or PAS) in real-time. To support a variety of clinical workflows and empower patients to self-manage their health, NHS providers determine the datasets to be securely shared. This has been proven to create capacity and improve outcomes. The platform can be used to:

Tools for managing Patient-Initiated Follow-Ups

How to manage elective care

For patients that have been waiting for elective care, NHS organisations can:

Organisations successfully using PIFU models

Inflammatory Bowel Disease Service
Bedfordshire Hospitals NHS FT (formerly Luton and Dunstable)
Features used:
Outcomes:
“Not only does it save patients having to come into hospital but also allows us to see when patients flare up, so we can see them within 48 hours rather than generate clinic appointments.”
Inflammatory Bowel Disease Service
Surrey and Sussex Healthcare NHS Trust
Features used:
Outcomes:
“We can avoid A&E visits - that’s good news for the patient - and our hospital.”
Dermatology Service
Swansea Bay University Health Board
Features used:
Outcomes:
“It puts patients in the driving seat when managing their chronic skin disease.”
Urology Service
Swansea Bay University Health Board
Features used:
Outcomes:
“..after being in hospital having treatment for cancer and then being discharged, there was the anxiety of being at home with no contact. With this system you can easily contact people and if you have any queries you just ask.”
HIV Service
University Hospitals Plymouth NHS Trust
Features used:
Outcomes:
The hospital has been using PKB for many years starting with the HIV Service. The trust has expanded on the success of this team for other services to help manage workflow during COVID19.
Sexual Health Service
University Hospitals Plymouth NHS Trust
Features used:
Outcomes:
With walk-in clinics not operating during COVID19, the team adapted the workflow to enable patients to be safely diagnosed and to open communication lines with clinicians.
HIV Service
The Pennine Acute Hospitals NHS Trust Manchester
Features used:
Outcomes:
“Why should we force someone to take time off work and come in when it’s 99.9% certain they’ll be fine. And if they’re not fine, then why wait for the six-month check-up – come and see me now.”

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