Ways mHealth can help GPs manage Patient needs in a lockdown

This fascinating Twitter thread by NHS GP Dr Renee Hoenderkamp reminded me how how poorly the RCGP has prepared GPs to manage care in 2020 and got me thinking of specific practical ways that mHealth can meet care needs in these exceptional times (if you have any suggestions please add them below in the comments):

“1. You are in your 70’s and had a fall and rendered your shoulder unusable with a rotator cuff injury. You need a steroid injection; i can’t refer you because that service is not open currently. You pay to go privately because you can’t function in simple personal activities”

All NHS Services that are not open in September 2020 should get a MobileFirst redesign.

Take histories from Patients & GPs using advanced medical history taking questionnaires and have these forwarded to orthopedic teams for evaluation. IF they deem a steroid injection is required (perhaps after a video consult with their Patient) send advice and have the GP call to the home to administer it as directed.

“2. You are 38 & have been trying desperately for a child. We have done the work up for the fertility clinic & you know the wait list is very long (6m +). I refer you and it gets rejected; ‘we are not accepting new referrals due to covid for at least 3m”. Thats your valuable time”

Huge opportunity the NHS to innovate with clinically validated mHealth apps and wearables eg. Duofertility:

“3. You have an appointment to discuss your knee replacement. Your mobility is so compromised you can’t walk to the end of the road. The appointment is rescheduled for 6m. You are trapped indoors; gaining weight, mood deteriorating, can’t visit friends/relatives”

A great opportunity to sign post Patients & Carers to the thousands of apps that can help connect friends, learn about healthy cooking/eating, physical therapy, etc.

“4. You spend 3 days in labour but your partner can only come for the last few hours to delivery. He can only stay for an hour after. Baby goes to NICU for a week and you stay in but partner is not allowed back AT ALL to visit you or new baby. You have PTSD from the experience.”

This seems to be another one of those ridiculous examples of Hospitals over reacting to the risks of COVID19. Suicide is the leading cause of death in expectant and new mothers in the UK and COVID19 has clearly not changed had.

There is an abundance of data showing the value of closeness in these important times in Parents/babies lives.

“5. You go for your 8 week pregnancy scan and tragically the baby has died and there is no heartbeat. You are on your own for this news because your partner was not allowed to come to the scan.”

This seems to be another one of those ridiculous examples of Hospitals over reacting to the risks of COVID19. Suicide is the leading cause of death in expectant and new mothers in the UK and COVID19 has clearly not changed had.

“6. You are shielding at home alone. Your only contact with the outside world is via telephone and you have a recurring ear wax problem meaning you can’t hear/use the phone. I can’t get your ears syringed. You have pay to have it done privately if you want it.”

Imagine the potential for Practice Nurses to do this type of invaluable work if the NHS had worked to free up GPs time using the tools of our time.

“7. You have been having chemo for terminal but controlled cancer. You are due a scan to check control in March. You receive a phone call to say that you are ‘no longer a candidate for treatment’ due to covid. You spend the next 4m of your life shielding, not living.”

This seems to be another one of those increasingly common examples of the NHS using COVID19 as cover for cuts to care services. A great example of why those working in the NHS should never tolerate wasteful out of date ways of practicing medicine.

“8. You have a vaginal prolapse. Your ring pessary needed changing in March. It has been cancelled. Things are deteriorating. You have to go to the toilet 10x a night and worsening. You are exhausted, in pain and no new date to change it”

This seems to be another one of those increasingly common examples of the NHS using COVID19 as cover for cuts to care services. A great example of why those working in the NHS should never tolerate wasteful out of date ways of practicing medicine.

“9. The the date for the scheduled hysterectomy which will sort the problem more permanently is cancelled indefinitely

This seems to be another one of those increasingly common examples of the NHS using COVID19 as cover for cuts to care services. A great example of why those working in the NHS should never tolerate wasteful out of date ways of practicing medicine.

10. You are waiting for a cataract operation. The pre appointment was May. It has been rescheduled for March. You can’t drive, you can’t work. Your anxiety is spiralling.

This seems to be another one of those increasingly common examples of the NHS using COVID19 as cover for cuts to care services. A great example of why those working in the NHS should never tolerate wasteful out of date ways of practicing medicine.

In 2020 the NHS should go Mobile First on eye care, like the US Army did 5+ years ago!

11. You need a Mirena coil fitted for your HRT. You can’t use other methods because they are not working and you are bleeding. Your symptoms are debilitating so you need HRT just to function. Sexual Health services for this closed.

This seems to be another one of those increasingly common examples of the NHS using COVID19 as cover for cuts to care services. A great example of why those working in the NHS should never tolerate wasteful out of date ways of practicing medicine.

“12. You are disabled by a specific mental health issue. I manage to get a referral accepted into the best clinic for this in London, out of area, so not easy. Appointment cancelled and will not give a date for resumption of services. Your mental health is deteriorating.”

This seems to be another one of those increasingly common examples of the NHS using COVID19 as cover for cuts to care services. A great example of why those working in the NHS should never tolerate wasteful out of date ways of practicing medicine.

“13. You have been told that your hip surgery can’t be scheduled currently because the list is now so long. Meanwhile you can’t exercise, shop, go upstairs at home.”

This seems to be another one of those increasingly common examples of the NHS using COVID19 as cover for cuts to care services. A great example of why those working in the NHS should never tolerate wasteful out of date ways of practicing medicine.

I’m sure that if the RCGP had attempted to train GPs to use of mobiles effectively they would’ve been more helpful to Patients with these challenges eg. recommending resources like shopping apps, physcial therapy apps, etc.

“For clarity; I can always get 2 week wait cancer referrals accepted and patients seen within 2 weeks. This has been the case throughout. But just because it isn’t cancer and it may sound trivial, there is an individual suffering and for them it is often life changing”

The private detectives and political lobbyists working for the Cancer Charities seem to have made funding for Cancer Care resistant to the COVID19 Lockdown issues.

About 3G Doctor

The Corporate Blog of 3G Doctor
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