How Video can be used in Clinical Practice

All NHS Trusts are exploring the digital health agenda.  Before starting any project using technology, contact your Trust IT department and discuss with them the systems they already have in place.  You could use and adapt existing assets and they may well have an IT Project Manager who will help you.

There are different types of technology-enabled service delivery.  We have listed some of them below and linked in examples to show existing developments.

Between Professionals (one to one) and Multi-Disciplinary Teams (MDTs)

  • This is the easiet option; all parties can be supported by their own IT departments or services.  Software can be standardised

  • Technical options can include Video Codec e.g. Polycom and Cisco, Virtual Clinics, Skype 4 Business, Webex and others

  • Security is built in as part of the procurement process

  • Can include Social Services, GP Practices, Hospices, Nursing and Care Homes provided they also have the required standards of security and compatible software

  • Example - Cancer Networks MDT

Between a remote Clinician and a Patient in a Clinic

  • Dedicated equipment and security can be installed if services are not already available

  • Video as a Service (VaaS) is ideal for this purpose

  • Staff can familiarise themselves with the equipment and carry out 'dummy runs' without patients.  This will ensure confidence and competence 

  • The patient may have a GP, Nurse or other Health Professional with them who can assist the remote Clinician as necessary

  • Example - Fetal Telemedicine 

  • Watch here - https://www.youtube.com/watch?v=ZFnXj74RD1E

Video Link to Nursing or Care Home, Village Hall or similar

Video Conferencing to a Patient's Home

  • May use patient's own equipment (laptop, tablet, PC, smartphone or smart TV) and network connection

  • The patient may be more comfortable in their own home and can have a family member of friend with them

  • Connectivity and security issues have to be checked in advance

  • For very specialist care, NHS equipment may be installed.  An example is the use of extended services i.e. telemetry built into home equipment to monitor patient adherence to their treatment plan

  • Example - Renal Home Dialysis

  • Watch here: https://www.youtube.com/watch?v=9bCd4hO3fhUhttps://www.youtube.com/embed/KIFrnqFZ76g

Remote On Call Consultant

  • A secure link can be set up to a Consultant's home or even to a portable device to enable an on-call link with the hospital

  • Specialist advice can be provided out of hours or to several locations

  • The technology used can either be a specially provided broadband connection, standard broadband or 4G

  • Example - Telestroke

  • Watch here - https://www.youtube.com/watch?v=J4RB1OwQLvg

For further reading and information please see: Technology Enabled Care Services - NHS England

Links: The Use of Apps