2. Introduction
National Hospital for Neurology & Neurosurgery
o Part of University College London Hospitals
o Based in central London the National Hospital is the
largest Neurological outpatients centre in the UK.
o Approximately 150 Dr’s, Consultants, Honorary
Consultants & Professors employed at the National
Hospital. There are around 50 Nurse Specialists in post
and 3 Nurse Consultants.
o Approximately 54,000 Neurological & Neurosurgical
patients seen each year. Only 5,000 patients are
admitted to the Hospital.
iPLATO Healthcare
o London based mHealth specialist supporting 4.5m
patients through 700 healthcare provider organisations.
o Services funded by 70 NHS commissioning
organisations, large hospitals, pharmaceutical
companies and charitable foundations.
3. What is epilepsy?
Epilepsy is a neurological condition characterised
by a tendency to seizures originating in the brain
There are 40+ types of epilepsy
Approximately 600k people in the UK have a
diagnosis and take medication for epilepsy
This equates to 1 in 103 people
4. What is epilepsy?
During seizures, normal brain activity is interrupted by
disorganised and excessive neuronal activity
Seizures occur at unpredictable times & usually without
warning
They result in a stereotyped disturbance of emotion,
awareness, behaviours, motor function, etc
Seizures disrupt daily life & can cause serious harm or death
5. Treatment
The primary treatment for epilepsy is medication
which is usually effective at stopping the seizures
Excellent adherence to medication is crucial
But many people with epilepsy find it difficult to
take medication regularly which increases the risk
of having a seizure
More seizures results in worse outcomes to
patients and more costs for the health service
6. Support for People with Epilepsy
Patient experience including voice, SMS, mobile Internet and Web services
Medication Reminder + Carer Alert
… reminder for you to
take your medication.
You have selected
carer alert so pl reply
‘yes’ to this SMS when
you are done… More:
ww.pd.nhs.uk
Self Monitoring in Patient Diary Sharing and Review
I can see on the seizure
Now that I have a
history you e-mailed me
moment I will record the
before the consultation that
seizure I had yesterday
your seizures are going
and the medication I
down. Great!
changed last week…
Seizure History in pdf
8. Outcomes: patient retention
Studied 50 patients on the first version of the service
Patient Retention At 12 months:
46 patients opted to continue with the service
4 patients were not receiving it
1 died
1 moved abroad
2 found it unhelpful
9. Outcomes: medication adherence
Mean Patient Ratings of Adherence (out of 10)
Patients rated themselves as being more adherent
after receiving the service for 12 months:
8.78
9
8
6.43
7
6
5
4
3
2
1
0
Before 12 months
10. Outcomes: seizures
Seizure Frequency
Almost half of the patients reported a reduction
in their seizures:
48%
25
20 30%
15
10
14%
8%
5
0
No change More Fewer No reports
seizures seizures
11. Outcomes: unscheduled care
A&E Attendance
Around a quarter of patients reported reduced
A&E attendance:
58%
30
25
20
15 24%
10
10%
5
0
Reduced Increased Unchanged
12. Outcomes: patient feedback
Patient Comments
“I would forget them every day without the reminder”
“I take it at exactly the right time; it's so helpful for me”
“the one at 9.30 is fantastic because I always forget”
“the text comes and I run to take them”
“Does it help? Definitely, definitely, definitely!”
“Please don’t tell me you are calling to cancel the service”
13. Conclusion
Service associated with improved clinical outcomes.
Service preserve health resources and is cost effective.
Currently increasing number of patients in the UK.
Looking for partners for international expansion.
14. Contact Us:
iPLATO Healthcare
Tobias Alpsten
E-mail: tobias.alpsten@iplato.net
National Hospital
Anthony Linklater
E-mail: Anthony.Linklater@uclh.nhs.uk
Join the LinkedIn group ‘Mobile
Health Network’ to learn more.
