What we’ve learned and what next?
The Connected Care team continues to adapt and iterate. The clinical team supporting patients found that early evening calls got a good response for onboarding so adapted their shift patterns.
The team want to onboard more practices and patients and develop a seasonal model in order to de-escalate during more stable periods. They also want to prescribe remote monitoring in the community at discharge; carry out further evaluation and apply learnings.
Dr Lalitha Iyer, GP and Chief Medical Officer of Frimley ICS says: ‘Our providers in the community have the skills and capacity to monitor those individuals we decided need to be monitored for their long-term conditions.’