Respiratory digital playbook

This resource provides support to clinical teams and organisations looking for digital tools that support the delivery of patient pathways. We concentrate on respiratory pathways and how to deliver monitoring and support to patients. We welcome feedback on the playbooks, including ideas for further case studies. To get in touch, please email digital.playbooks@nhs.net

Scenarios

I need to monitor patients’ vital signs remotely

Remote monitoring of vital signs to identify rapid deterioration through the use of devices and digital platforms that provide electronic access to information, diagnostics and clinical teams.

I need to offer virtual rehabilitation services

Provide patients with the information they need to effectively self-manage, such as feedback on adherence to rehabilitation programmes, and real-time results.

I want to offer digital services as an option for patients with chronic obstructive pulmonary disease (COPD)

Opportunities to create and expand the range and responsiveness of personalised care services to patients.

I want to offer digital services as an option for patients with asthma

Opportunities to create and expand the range and responsiveness of personalised care services to patients.

I want to offer digital services as an option for patients with sleep disorders

Opportunities to create and expand the range and responsiveness of personalised care services to patients.

Pathway

Respiratory pathway

Explore case studies at different steps along the respiratory pathway

Case studies

Implementation of a computer-guided consultation in the Liverpool Sleep Service

An intelligent clinical decision support system to transform patient pathways

Using digital tools to facilitate periodic reviews of patients with long term conditions

East Cornwall PCN has deployed digital solutions to ensure continuation of services and ongoing management of LTCs during the COVID-19 pandemic.

Using technology to improve engagement with patients in primary care

GP practices across the country have digitised contact with patients, ensuring those most at risk continue to receive appropriate care during the pandemic.

Empowering Cambridge patients through digital access to their health information

Cambridge University Hospitals deployed an electronic patient portal at Addenbrooke’s and The Rosie hospitals which allows patients to securely access parts of their health record held within the hospitals’ electronic patient record system.

Remote monitoring and virtual clinic for patients with respiratory conditions

The Royal Brompton Hospital has piloted technology that enables patients to monitor their lung health more frequently at home, allowing early intervention in the event of lung health deterioration.

Remote monitoring of respiratory patients through a digital telehealth platform

Liverpool CCG has deployed a telehealth system that aims to support patients with respiratory conditions, allowing clinicians to remotely monitor their condition.

A messaging app that allows clinicians to communicate securely

London North West University Healthcare NHS Trust deployed a messaging app, allowing clinicians to contact each other quickly and securely.

Person sat down holding a tablet device and looking at the screen

A booking platform for visiting inpatient wards at the Royal Brompton and Harefield Hospitals

A booking system that allows visitors to safely visit hospital wards during opening times

Using remote technology to monitor patients with chronic obstructive pulmonary disease

The Worcestershire Royal Hospital uses digital solutions to help manage its community chronic obstructive pulmonary disease (COPD) patients remotely.

A telehealth system using text messages

Stoke-on-Trent CCG used a telehealth system at scale to support patients to take responsibility for the monitoring and shared management of their respiratory conditions.

Digitally-enhanced medicines optimisation for people with COPD

This case study describes the use of a digital tool to support medicines optimisation and improve self-management for people with COPD.

Digitally enhanced pulmonary rehabilitation

This case study describes the successful use of a digital tool to enhance traditional pulmonary rehab delivery, and to maintain service provision with home-based digital rehab during COVID-19.

Use of a digital tool to support and optimise high-risk asthma patients

This case study describes the deployment of a digital tool that uses support and self-management tools to help high risk asthma patients manage their condition more effectively during COVID-19 restrictions.

Reimagined Respiratory model of care Portsdown Primary care networks

A new respiratory model for primary care

Using risk stratification to identify high-risk asthma patients.

Maximising clinical resource with digital remote monitoring

Using digital remote monitoring to successfully provide continuity of care, keep patients out of hospital and maximise clinical resources during the COVID-19 pandemic.

Clinician going through questionnaire results with patient using a tablet - digitisation of patient reported outcome measures in pulmonary rehabilitation

Digitisation of patient reported outcome measures (PROMs) in pulmonary rehabilitation

Digitising a paper questionnaire to release more time to care.

Man using laptop for a virtual visit to discuss vital sign monitoring results

Using technology to reduce chronic obstructive pulmonary disorder (COPD) and asthma readmissions

Reducing COPD and asthma readmissions with continuous vital sign monitoring and virtual visits.

Hand on laptop demonstrating use of a digital solution to enable early intervention for COPD patients.

Digital service to manage high-risk chronic obstructive pulmonary disease (COPD) patients

Use of a digital solution to enable early intervention for COPD patients at NHS Greater Glasgow and Clyde.

Remote monitoring for virtual clinics and shared care in paediatric cystic fibrosis

A digital home monitoring solution to enable a hybrid model of face-to-face and virtual care for children with cystic fibrosis.

Support adherence to preventative inhaled therapy via habit formation in people with cystic fibrosis

Maximising life and minimising burden for people with cystic fibrosis

Using an app to support management of Post COVID-19 condition

Providing patients with access to educational resources and symptom tracking features to aid recovery

Disclaimer

These case studies summarise user and patient experiences, focussing on:

digital solutions along different care pathways
productivity improving digital solutions
how to open source code for health and care organisations

Unless expressly stated otherwise, the apps and digital tools referenced are not supplied, distributed or endorsed by NHS England or the Department of Health and Social Care and such parties are not liable for any injury, loss or damage arising from their use.

All playbook case studies have either passed, or are currently undergoing the Digital Technology Assessment Criteria (DTAC) assessment.

Please note the full legal disclaimer: NHS Transformation Directorate playbook disclaimer