
Healthcare at Home Ltd (HaH) provides a unique end of life care service, which coordinates the provision of a wide range of health and social services, giving NHS patients and carers the 24/7 support needed to continue to live (and ultimately die) at home or in the place of their choice.
HaH is utilising IntefleCS Home Clinic, a clinical decision support technology from Clinical Solutions. The clinical content is allowing good clinical practice, accurate record keeping and aiding decision making, leading to the most appropriate and safe outcomes - enabling HaH to lead the change to a more cost effective but high quality model of care from which patients benefit.
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Stoke Walk in Centre opened in 2000 and has a mixed clinical and non-clinical resource pool to match its service provision. Awareness of and confidence in the centre has seen its usage double over the past ten years, with 43,000 visitors each year.
Stoke has used Clinical Solutions since 2001. The robust patient management solution helps drive complete patient satisfaction and evidence-based clinical content for the healthcare professionals in the Centre.
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Saúde 24 (S24) is a telephone based service that offers clinical assessment, health advice and health information for the people of Portugal. The aim of the service is to direct callers to the most appropriate level of care and ease pressure on more traditional branches of the healthcare service. A private company, LCS - Linha de Cuidados de Saúde (LCS), was formed to implement the S24 programme. LCS is the first private/ public sector healthcare partnership in Portugal.
To underpin the system, The Portuguese Government instigated a full procurement procedure to evaluate the different solutions available for call centre management and clinical decision support applications. Vendors evaluated included McKesson, Dshi Systems as well as Clinical Solutions. Clinical Solutions was chosen over its competitors to provide S24 with the required software. The company was selected due to its proven ability to deliver on a national scale, as demonstrated through the partnership with NHS Direct. LCS recognised the system’s ability to meet national requirements while being customisable in a changing environment.
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NHT24 (NorskeHelseTelefonen24) identified a need in the healthcare service market in Norway. The people of Norway, although having private health insurance, did not have 24 hour access to healthcare advice. NHT24 decided to fulfil that need by putting in place a 24 hour nurse-led telephone triage service. They approached Clinical Solutions in the UK who had delivered the national triage service to England, Scotland, Wales and Portugal to help them create the service. Clinical Solutions had the leading application and clinical content that NHT24 needed to enable them to provide a safe and secure service that would be available 24 hours a day from anywhere in the world.
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NHS Direct treats each caller as an individual. Its mission is to give people information and advice about health, illness and services, to help them make informed decisions about their own care and that of their families. It handles around 6.5 million telephone calls a year and its website attracts more than 1.5m visits each month. In addition NHS Direct Interactive Digital TV is available either on Freeview by going to channel 108, or on Sky Digital by pressing the interactive button on the remote control. Sky Digital includes 3000 pages of information on 500 health topics.
Increasingly, NHS Direct is the first port of call for people when they want advice or medical attention. This is especially apparent in busy periods such as Christmas, when additional pressure is put on the health service and GP surgeries are shut. NHS Direct takes the strain off other parts of the health service by using their tried and tested triage and assessment system. It helps people look after themselves at home where this is appropriate - roughly 40 per cent of all calls to NHS Direct are dealt with without needing to be referred on to other NHS services - and allocate more severe cases to the most appropriate health professionals or hospitals.
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NHS 24, the telephone and online service providing health advice and information for the 5.1 million people of Scotland. The aim of the service is to help patients find the right care, from the right people at the right time.
The service began in May 2002 and in 2006 took 150,000 calls per month. NHS 24 operates from three regional contact centres and a further five local centres. All centres are virtually linked giving staff access to core information. Incoming calls are routed to the nearest regional centre and picked up by the first available call handler. The average time to answer is three seconds and 99.1 per cent of calls are answered within 30 seconds.
Clinical Solutions has been providing NHS 24’s core telephone triage software and decision support content since 2002 alongside related services such as technical support, project management, configuration, training and deployment.
In early 2006, NHS 24 identified a need to upgrade the technology behind the service in order to make it operate more efficiently and ultimately improve patient care. Clinical Solutions worked alongside NHS 24 and its other partners to ensure a seamless platform and software upgrade.