Telemedicine to support self-care in heart failure, England
The Liverpool Clinical Commissioning Group has invested in a nurse-led telemedicine service to support people living with heart failure, chronic obstructive pulmonary disease and/or type 2 diabetes.1 2 People can access the service through a referral from their GP.
The service combines remote monitoring with therapeutic education and health coaching.1 People enrolled in the programme receive a tablet and self-monitoring equipment, including a scale, blood pressure device and blood oxygen monitor, which are wirelessly connected via Bluetooth.1 The tools are supplemented with a personalised schedule of educational videos and online questionnaires about physical and mental health.
Collected data are securely transferred to a clinical hub monitored by a nursing team, who have access to the primary care records of all people enrolled in the service.1 Nurses receive an automated alert when there are any significant changes in a person’s signs and symptoms, and can contact patients directly to provide support.
Between 2013 and 2017, the telemedicine service reduced emergency hospital admissions compared with standard practice for people living with heart failure.1