1. SNAP40 – Hospital at Home Fiona McLaren, TEC Programme Manager NHS Fife

2. Background
Snap40 researched and developed in Victoria Hospital, Kirkcaldy
Proven to be as effective as gold standard patient monitoring
The device has the potential to support multiple Services / Teams within Fife
Home identified as a suitable team to test the functionality

3. What is Snap40
Snap40 is a wireless wearable armband worn by a patient which remote monitors:
Respiratory rate
Pulse rate
Oxygen saturation
Skin temperature
Movement & Activity
Posture
Wearable blood pressure cuff
Alerts to staff if patient deteriorates (pre-defined limits)

4. Home
To provide a service for the predominantly over 75 population, which prevents acute hospital admission or facilities earlier discharge where acute hospital admission has taken place
3 teams in Fife – west, central and east
The service operates 9am – 5pm
Patients can receive up to 3 visits per day by a member of the nursing team to have manual observations taken
Geography of patients mean a member of the team could travel over 100 miles a day / 180 hours to visit 1 patient

5. Project Aim
Big Aim:
To test with up to 20 patients whether Snap40 technology would support and improve the level of care provided by the Hospital at Home team
Specifically we aim to:
Test whether Snap40 will provide the same results as standard monitoring
Measure whether Snap40 will release staff time to care
Measure whether deteriorating patients can be identified sooner or whether patients can be discharged quicker from the service

6. Progress to date SOP’s being developed Staff training planned
Test of change due to commence 8 January running until 31 March 2019

7. Issues
Test of change planned to start in September 2018 but pulled 1 week before commencement
Technology not enabled to deliver what we need
eHealth support withdrawn (support became chargeable)
Executive Board not supportive without Outline Business Case being in place

8. Learning’s Engage the right people
Know the Governance (or at least try to comprehend)
Rome wasn’t build in a day