The Journal of mHealth Vol 1 Issue 3 (June 2014) - Page 26

The Value of Video in Modern Health and Social Care Continued from page 21 time. Video is seen as one of the key enablers to this policy, and the Trust has developed a range of services to deliver care via video and other digital channels. For Dr Richard Pope of Airedale NHS Trust this is all about individuals taking ownership of their conditions and allowing them patient-centred care that can be easily accessed. At present the various Airedale services operate as a centralised digital triage, where highly-skilled nurses are available for video consults with managed patients. They then have access to manage the care pathway by which that patient either moves into the secondary care system, or remains under primary care in their own home. In terms of work-flows this delivers immediacy, in that a patient can be assessed via video immediately to determine whether they need hospital admission, additional primary care assistance or simply selfadminstered help. “Often simply the reassurance of knowing that the system is available is sufficient to reduce many hospital admissions, particularly those related to anxiety” states Dr Pope. The longer-term aim of the Airedale solution is to deliver connected care that will allow patients to easily conference with consultants or specialists, from all over the UK and ultimately around the world in order to gain the best possible care package for the patient, without the need for extensive referral or relocation between care organisations. Integration For care providers often one of the biggest challenges when adopting a videoled service network is the difficulties of deploying the system so that it integrates with their current service packages. This means that in order to be successful it is vital for video solution providers to create, design and deploy a full service, to ensure that there are agreements in place so that there is someone to call should problems arise, leaving the care providers free to deliver care, and not manage IT systems. Allowing care providers to develop strategic plans for the implementation of video across a range of services without worrying about crossservice network problems. Alasdair Morrison, of STAY, describes how their experience of deploying video across health and social care services has been relatively easy in terms of the technical elements of the provision. “Because v-connect initially developed the system with the help and advice of the NHS, it meant that any deployments in primary or secondary healthcare, where IT systems used the same NHS standards, were relatively simple to deploy as they easily integrated within the current network architecture.” Many solutions that are available to pro- vide video services in healthcare work in such a way that they can compromise the integrity of the network security. By requiring open connections or disabling elements of a firewall, native systems can be left vulnerable to intrusion, or suffer from connection and reliability issues. Knowing that the NHS and other public organisations represent such a large part of the care provision network in the UK it is imperative to offer a service that can be effectively integrated without compromising the network integrity of the end user, whilst still delivering secure deployment and fully encrypted video and audio. Airedale NHS Foundation Trust worked extensively with Redembedded to help deploy secure, stable and reliable services. Rebecca Malin, Deputy Director of Strate w