Allergy and immunology

Patients securely submit questionnaires, which include symptom trackers and photos of their allergic reactions, for review. Immunology patients can also submit the serial numbers of their self-administered medication for record in case of adverse reactions. This method is used in paediatric and adult services.

• Reduction in MDT time by up to 15 min per patient

• Reduced time to treatment for ad hoc allergic reactions

• Patient care shifted to remote

Audiology

Patients submit photos of their implant sites alongside regular videos ahead of clinic appointments. Patients submit questionnaires reviewing the condition and use of their device.

• Improved patient communication

• Ability to flag patients requiring more immediate care 

Cardiac Surgery

A  photo of the patient’s wound at discharge is taken, and a wound assessment form is filled out that generates bespoke advice for the patient on how to care for their wound. Patients submit images of their wound and fill out a form to check for symptoms of infection. This method is used in paediatric and adult services.

• Early detection of surgical site infection 

• Reduction in readmission 

• Time saved reviewing wound infection

• Reduction in unnecessary follow-up appointments 

Colorectal 

Stoma and colostomy monitoring and infection prevention are conducted through patient-submitted photos of sites and food storage environments. Used in paediatric and adult services.

• Reduced time to treatment

• Remote review of ad hoc queries allows for immediate advice and guidance 

• Improved record-keeping for recurring issues

Craniofacial

Parent-submitted videos and photos of head shape to support triage of craniofacial patients.

• Reduction in inappropriate referrals accepted into costly MDTS

• Reduced time to treatment for appropriate referrals 

C-Section

Patients who have been discharged post-C-section require wound monitoring to check for signs of infection. Patients can submit wound images to care providers from the comfort of their own home to be used for clinical review. Patients showing signs of infection are brought back into the clinic for treatment.

• Reduction in the average monthly reported SSI incidents from 15 to 6

• Decrease in patient travel time 

• Improved surveillance and early detection of infection

Burns

Clinicians use Isla to capture images of patients in the clinic as baseline images. Once discharged, patients are put on remote monitoring pathways to assess their recovery from home and to facilitate timely intervention. Used in paediatric and adult services.

• 10% reduction in F2F appointments (680 avoided appointments yearly)

• Increased clinical context in MDTS 

• Ability to make timely interventions as a result of readily available clinical data

Dermatology

2WW - medical photography or image capture devices upload all relevant high definition images into Isla for remote consultant review 

Routine - fully automated pathways prompt patients to submit photos of their skin ahead of their appointment, allowing acne, vulval and other dermatology clinics to shift to remote telephonic consultations. Used in paediatric and adult services.

• 50% reduction in Medical Photography time

• 15% reduction in the number of minor operations

• 75% of patients completed their assessment form in advance of the Medical Photography appointment

• 2x increase in image quality reviewed

• Reduction in duration of appointment for 55% of routine follow-up appointments 

Dietetics

Patients submit food diaries and images of allergic reactions for clinical review. In the case of an ad hoc query, such as a feeding tube or infected stoma site, Isla is used to replace one face-to-face follow-up. Used in paediatric and adult services.

• Improved patient monitoring

• Greater record of patient progress over time

Endocrinology

Clinicians request forms from chronic patients at regular intervals (6 months to a year) to assess the patients' “Quality of Life”. This will allow clinicians to better inform the prescriptions they write up for the patients based on how the patient is responding to the medication. Used in paediatric and adult services.

• Reduced need for virtual follow-ups 

• Increase the ability for patients to communicate with clinicians

ENT

Patient-submitted sound recordings alongside symptom trackers and quality of life indexes are shared with clinicians to support analysis of voice quality and identify the need for Botox injections. 

Nurses captured sound recordings of the voice along with patient questionnaires used in the throat cancer pathways. 

• Greater patient visibility

• More efficient scheduling of patient treatments 

• Digitisation of burdensome forms 

• Improved patient response rate 

Epilepsy

Patients/parents/guardians securely submit videos of patient seizures to support triage, diagnosis and monitoring of patients. Used in paediatric and adult services.

• Reduction in 2-4 unnecessary EEGS per month

• 50% of Isla contacts resulting in a saved face-to-face contact

• 80% reduction in in-person visit length (hours)

• 50% reduction in pathway length

Gender affirmation

Patients who have undergone Gender Affirming surgery will receive photo requests to submit images of their surgical sites to assist clinical teams in monitoring their recovery. 

• Reduction in the need for F2F follow-up appointments 

• Increased patient assurance that their wounds are being attended to 

• Improved clinical context in MDTS 

Genetics 

Isla is used by clinicians during face-to-face appointments to capture photos of a patient's face (from various profiles), hands, and feet. This information is used to track the patient’s progress over time and to support referral into other services. Used in paediatric and adult services.

• Improved secure record keeping used to support long-term care of patients

• Efficient referrals and MDTs 

Gynaecology

Patients submit Early Pregnancy questionnaires, which are automatically sent to patients as appointments are booked. These questionnaires provide clinical context ahead of appointments and help save admin and clinical time.

• 5-10 minutes saved per patient in clinic time 

• Increased efficiency in clinics due to less paperwork related admin

MSK

Complex physio teams use Isla to build up a longitudinal view of how patients are progressing over time. Using videos of a patient's posture, gait, and mobility, clinicians are able to baseline a patient's condition and review how it changes over time. This is supported by the use of forms for new equipment and for patient-reported outcomes. Used in paediatric and adult services.

• 50% reduction in time taken to manage equipment queries 

• 50% reduction in the time taken to conduct Prechtl assessments

• Reduction in waiting time of 7 weeks

Neurology

Across a number of pathways (including MS and muscular dystrophy), patients and clinical teams use Isla to capture videos or photos of patients to support the baselining and monitoring of patients. Patients and families additionally submit relevant data to support triage and the updating of patient treatment plans. Used in paediatric and adult services.

• Reduction in time to treatment

• Baselines have been completed to measure degeneration

• Improved clinician-to-clinician communication, including second opinions and MDTs

Occupational therapy

OT teams use Isla to collect photos of patients' home environments for resource allocation and planning of OT resources. 

• 90 minutes of OT time is saved from a prevented visit

• Reduction in fuel costs for up to 50 miles per patient.  

Ophthalmology

Patient-submitted and clinician-captured images of watery eye, sticky eye, inflamed eyelids, eyelid lacerations, misaligned eyes, eye-movement disorders, A&E traumas, 9 gazes to plan surgery and eye movement video eg nystagmus. Used in paediatric and adult services.

• 35% shift to remote appointments or avoiding an unnecessary appointment entirely 

• 91% of cases showed a reduced time-to-treatment where Isla used

• 10% of appointments were reduced in duration time

Oral and maxillofacial surgery

Isla is used to support the monitoring of cleft patients and patients undergoing botox and other TMJ treatments through patient-submitted photos, videos and forms including a face map. Used in paediatric and adult services.

• Improved MDTs across acute and community providers overcoming the challenges associated with sharing data securely between orgs

• Streamlined patient data capture

• Digitisation of patient questionnaires 

Pain management

Patients are sent a digital questionnaire ahead of their appointments. Prior to Isla they would be sent a physical copy of the questionnaire for the patient to bring back with them to their appointment.

• ~3 minutes of admin time is saved per request 

• Postage, envelopes and printing costs saved per patient

• Form return time is now 1.5 days, down from 8 days 

Plastics

Nurses running dressings clinics use Isla to securely capture a photo at point of discharge. For patients recovering at home, they are placed on a schedule which automatically requests for images of the wound at specified intervals. This enables early detection of infections and avoids attending face-to-face appointments to review wounds. Used in paediatric and adult services.

• 15% reduction in follow up appointments 

• 15 - 30 minute savings in clinical time 

Rheumatology

Patients submitted photos at regular intervals supports continuous monitoring of chronic conditions. Digital questionnaire used to gather direct feedback from patients to inform treatment pathways and aspects of services such as pharmacy service and medicine review. 

• Improved patient monitoring

• Greater record of patient progress over time

Sexual health 

Patients are able to opt into remote telephonic clinics in which images that have been securely submitted to Isla are used to triage and diagnose the patient.

• Improved data privacy 

• Reduced patient travel 

• Improved access to sexual health services 

Speech and language therapy

Patients or carers are able to submit videos of speech therapy activities at home. This provides additional clinical context ahead of patient appointment. Video recording of therapy exercises can also be sent to patients as a resource through Isla, e.g. Top Tips for Home Practice. Used in paediatric and adult services.

• Improved visibility of patient’s condition over time

• Enhanced patient authority over self care and resources available to support self treatment exercises 

• Appointment time reduced or avoided due to clinical information available

Surgery

Waitlist validation - questionnaires sent to patients on elective surgical pathways to validate that they still require surgery and confirm availability.

Preoperative assessments - to regularly capture patient risk indicators and flag to clinical teams how they are changing over time to support remote pre-op screening.

Preoperative information - resources sent to patients via Isla on how to prepare for their surgery including videos and electronic info packs.

Discharge - clinician capture of wound photos at the point of discharge. 

Post-op monitoring - patients submit photos of wound and rehab exercises from their homes for clinical review.

Used in paediatric and adult services.

• 86% complete the DHQ within 6 days

• ~30% patients triaged as appropriate for remote pre-op assessment 

• Removal of all patients that no longer require surgery for waitlist

• £80K+ savings from prevented readmissions and reduced bed days 

• Improved surgical site infection monitoring

• Improved patient communication 

Surgical Site surveillance 

A  photo is taken of the patient’s wound at discharge and a wound assessment form is filled out that generates bespoke advice for the patient on how to care for their wound. Patients submit images of their wound and fill out a form to check for symptoms of infection. Used in paediatric and adult services.

• Early detection of surgical site infection 

• Reduction in readmission 

• Time saved reviewing wound infection

• Reduction in unnecessary follow up appointments 

Urology

Patients submit the sensitive images required for the triage diagnosis of Peyronie’s disease. 

• Reduction in unnecessary follow up appointments

• Enabled remote diagnosis clinic

• Improved information governance and patient privacy

Autism spectrum disorder

Parent submitted videos of patients in their home environment provide clinical teams with the representative context of the patient’s condition to support effective triage. Videos of patients interacting with their parents provide clinicians with materials they can use to give parents feedback on techniques for engagement. 

• More efficient triage 

• Reduced need to double up on appointments (band 6)

• Ability to use translation services for shorter videos rather than entire visits when short content is all that’s required

Community nursing

Clinicians capture images of patient wound condition at each home visit to build a timeline of images to monitor patient condition. This better supports handover with the availability of additional clinical context through images.

To support ad hoc triage requests, patients submit photos of their condition and nurses are able to access severity and prioritise resources. This saves a visit as nurses are able to make triage assessment remotely. 

• Improved clinical efficiencies as a result of patients can be remotely triaged ahead of visits and prioritised as needed.

• Cost saving due to the reduction in time nursing time spent travelling to appointments.

• Improved patient experience as patients are better managed with a timeline of images to monitor their condition. 

Children and young people’s services

Parents submit video/photos of their child at home, e.g. to support speech and language assessments.

• Provides additional clinical context that they may not see at scheduled home visits/clinics

• Improved clinical efficiency and time savings through visits avoided

Dietetics

Patients submit food diaries and images of allergic reactions for clinical review. Used in paediatric and adult services.

• Improved patient monitoring

• Greater record of patient progress over time

Dysphagia

Parent submitted videos of infant feeding and children eating empowers the clinical team to identify inappropriate referrals and the appropriate clinician to provide care for the patient. 

• 38% reduced unnecessary face to face 

• Improved appropriate skill mix allocation for 34.5% of patient touchpoints

• Improved clinician to clinician communication

Lymphoedema

Patients submit images/videos of their legs for clinicians to triage remotely. Securely sharing images on the platform supports referral to services such as TVNs if there are new skin lesions to be supported.

• Provided clinicians with the ability to gain a second opinion and liaise with other services to help manage care remotely.

• Supported remote working for clinicians on triage to be able to manage patients more effectively and efficiently.

Msk physiotherapy

Patient photos and videos are used to triage patients and to refer patients to other relevant services. Patients also send in videos of their condition which supports in determining/adjusting a care plan for them accordingly.  Used in paediatric and adult services.

• Time saved for MDT caseload discussions by relying on videos 

• Safe and secure storage of photos/videos for tracking patient progress

Occupational therapy

OT teams use Isla to collect photos of patients' home environments for resource allocation and planning of OT resources. 

• 90 minutes of OT time is saved from prevented visit

• Reduction in fuel costs for up to 50 miles per patient.  

Podiatric surgery

Clinicians recording patient images at home visits and in clinics, and requesting directly from patients, e.g regularly supporting discharged patient post surgery before wound is healed

• Supports patient recovery and continuous monitoring of progression of wound healing

• Provides reassurance to clinicians on how the patient is progressing through timeline of images submitted

Podiatry

Supporting patient ad hoc requests by sending images to the Isla platform. Clinicians are able to triage remotely and provide reassurance or treatment advice accordingly.  

Increased clinician capacity with 20 minutes saved per patient submitted image as patient can be triaged on phone rather than a face-to-face appointment

Safeguarding

Safeguarding team clinicians can pull relevant photos/videos across specialties into a private folder that is only accessible by the appropriate clinicians to follow up. 

• Ensuring safeguarding visual data is securely stored with privacy and accessed only by the relevant clinicians

Single point of access (SPA)

Patients submit photos to the platform that will be triaged by SPA and referred on to appropriate services as needed. 

Supports referral process as services receive visual information ahead of patient contact. 

Speech and language therapy

Therapists use Isla to request videos and sound recordings of children speaking and interacting with their parents/guardians. 

Allows clinicians to observe and assess how the patient interacts with others in their environment without disruption

Stroke rehabilitation

Clinician capture of photos and videos on the ward are used to support a patient’s rehabilitation journey and facilitate step-down into community services or assisted care. Clinician captured images support onward referral to spasticity clinic and the ordering of equipment. 

• 30 minutes saved for ESD inreach per patient

• 45 min saved per spasticity referral 

• Improved record keeping of patient’s rehabilitation journey to present progress back to patient

Tissue viability Nursing (TVN)

Clinicians receive photo referrals on Isla, able to view the timeline of patient wound condition as captured by Community Nurses. If additional context is required, patients send in photos to support better assessment of wounds. 

• 1.5 hours of clinical time saved from home visits avoided (including travelling to and from patient home and appointment time)

• Improved referral information available

• Prevention of wound deterioration as patients are remotely managed 

Urgent Care and night service 

Referrer/patient submitted photos allow urgent care services to appropriately triage patients and refer them on to day services for care 

• Deescalation of demand (where appropriate)

• Improved patient record keeping

• Efficient transition process