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Table 3 The 10 pilot projects launched from the five sites, their care setting, device usage, conditions/pathway used for, what was being monitored and frequency of monitoring/consultations

From: Evaluating change in a pressured healthcare system: a cross-sectional study of implementation outcomes using routine data indicators and proxies

Site (project)

Care setting

Device usage

Conditions/pathway recommended for

What was being monitored

Frequency of monitoring/consultations

Site A (Project 1)

GP Practice, older adults

Remote GP appointments for older people in their own homes.

Pro device

Various conditions

Used to take clinical observations and for remote GP appointments when a home visit request is received into the central Home Visiting Hub

Various observations as needed

Ad hoc when GP home visit requested by patient/carer

Site A (project 2)

Care Home, older adults

Remote GP appointments for older people in care homes.

Pro device

Various conditions

Used to take clinical observations and for remote GP appointments when usually a telephone appointment or in-person care home visit would take place

Various observations as needed

Ad hoc when GP telephone appointment or home visit requested by care home

Site A (project 3)

Care Home, older adults

Remote GP appointments for older people in care homes.

Pro device

Various conditions

Used to take clinical observations and for remote GP appointments when usually a telephone appointment or in-person care home visit would take place

Various observations as needed

Ad hoc when GP telephone appointment or home visit requested by care home

Site A (Project 4)

Care Home. Older adults

Remote GP appointments for older people in care homes.

Pro device

Various conditions

Used to take clinical observations and for remote GP appointments when usually a telephone appointment or in-person care home visit would take place

Various observations as needed

Ad hoc when GP telephone appointment or home visit requested by care home

Site B (Project 5)

Acute Hospital Trust: tertiary care, paediatrics

Remote hospital appointments for children in their own homes.

Home device

Cleft Lip and Palate

Camera images and videos of patient’s mouth

As required for diagnosis and treatment/surgery pathway

Site C (Project 6)

Acute Hospital Trust, paediatrics

Remote nurse visits for children in their own homes.

Devices with patients & families for virtual clinics in their own homes.

Home and Pro devices

Respiratory conditions that require home ventilation

Chest

Ears

Throat

Abdomen

Temperature

Routine (3/6/12 month

depending on patient

cohort)

Or ad hoc as required

Site C (Project 7)

Acute Hospital Trust, paediatrics

Remote healthcare professional visits for children in their own homes

Home and Pro devices

Palliative care

Video impression

Chest sounds

Other exams as required

Routine (Fortnightly, monthly or less frequently

depending on patient needs)

Or ad hoc as required

Site D (project 8)

Acute trust: Emergency Department, working age adults

Emergency Department consultant providing consultations remotely.

Pro device

Various conditions

Used to enable ED Consultant to provide consultations remotely (Patient in ED with Health Care Assistant, Consultant remote)

Various observations as needed

72 ED consultations conducted

Site D (Project 9)

Acute Trust, paediatrics

Devices with patients & families for virtual clinics in their own home.

Home device.

Respiratory conditions

Chest

Ears

Throat

Temperature

Ad hoc when patient/family contact consultant for review

Site E (project 10)

Acute Trust, paediatrics

Devices with patients & families for monitoring their condition in their own homes.

Home device

Respiratory conditions

Chest

Ears

Throat

Temperature

Ad hoc when patient feels unwell at home

  1. The five different sites are denoted with the letters A, B, C, D and E. The pilot projects launched for each site are donated with numbers