Implementation of IslaCare visual platform to support clinical practice in an integrated community stroke service

Abstract

Introduction: IslaCare is a digital platform that allows patients and clinicians to capture, store and securely share images, videos, voice notes and assessments. It facilitates decision making and is approved by NHS digital. COVID- 19 challenged services which demanded innovation in Stroke rehabilitation. Challenges included reduced in-reach access into acute services, orthotics, spasticity clinic, reduced access into care homes and patient's homes through fear of active COVID outbreaks and subsequent impacts on service delivery. IslaCare offered a solution, enabling the team to evidence clinical effectiveness and progress, inform clinical conclusions, facilitate patient in-reach processes and visually support remote assessment and monitoring. Method(s): IslaCare was initially piloted in Community Stroke Team for 12 weeks. Training was provided prior to launch. Secondary engagement with Nottingham University Hospitals NHS Trust (NUH) stroke unit commenced during the pilot period which involved the mobilisation of IslaCare at NUH. Feedback was gained from both clinicians and patients to understand the impact on clinical care and patient experience. Result(s): 63 patients have been included to date. 341 videos or photo submissions to IslaCare. 70% patient response rate. 80% staff agreed/ strongly agreed that IslaCare added value to the assessment process. 100% patients surveyed reported feeling connected with their care. Conclusion(s): IslaCare was easily rolled out across the stroke pathway and embedded into clinical practice. This enhanced effective handover of patients, improved triage and discharge planning. It has enriched patient records, measurement of progress, improved efficiency, reduced waits and chaperone input in clinic settings whilst also increasing quality of care.