Transforming Cancer Support with Enhanced Supportive Care App
Interview with Emma Dillsworth – ESC Project Manager Royal Surrey Country Hospital
Royal Surrey NHS Foundation Trust
Experience the revolutionary collaboration between Enhanced Supportive Care department at the Royal Surrey NHS Foundation Trust and Silicon Practice (formerly Piota), transforming cancer support through innovative patient-reported outcome data and remote app-based services.
The Royal Surrey’s ESC service was set up in September 2019 and has been seeing patients since January 2020. It aims to support all patients with recently diagnosed locally advanced or metastatic cancer who are receiving anti-cancer treatment at St Luke’s Cancer Centre, Royal Surrey NHS Foundation Trust (RSFT).
Transforming Cancer Support at Royal Surrey NHS Foundation Trust
The Royal Surrey NHS Foundation Trust Challenge
As the coronavirus (COVID-19) pandemic started in 2020, the ESC team approached Kent Surrey Sussex Academic Health Science Network (KSS AHSN) to find an innovative solution to enable the clinical team to receive patient-reported outcome data and to provide signposting support for patients.
Based on the options KSS AHSN researched and presented, the ESC team selected Silicon Practice (formerly Piota) to support them to codesign an app. Using an app focused on remotely obtaining patient-reported outcomes was completely new to the ESC team and a departure from traditional working practices.
Silicon Practice (formerly Piota) has developed a digital health app for healthcare settings that represents a quickly customised two-way communication portal, allowing clinical units and services to directly communicate with a range of stakeholders through a single channel.
The app allows patients to complete a pre-consultant symptom assessment questionnaire (MSAS-SF) using their own digital devices and aims to replace paper questionnaires. In addition, the app provides updates and notifications along with condition-specific guidance material to help to support ESC patients remotely alongside their appointments.
The app benefits focus on reducing the amount of time spent in appointments completing the symptom assessment questionnaire so clinicians can focus on what matters most to the patient; helping clinicians to review answers before their consultations; and helping signpost patients to other relevant information or websites.
Patients do not have to use the app if they feel it is not right for them, or if they do not have access to a digital device. The traditional MSAS-SF is still available for patients to complete with their clinicians if preferred and paper information leaflets are also still available.
Impact and Outcomes
Unity Insights supported KSS AHSN to conduct a real-world evaluation and budget impact model to understand the app and its potential benefits. The analysis was conducted between 1 Jan 2021 – 28 February 2022 (14 months). The evaluation included patient satisfaction scores and patient and staff user feedback. 155 ESC patients were included in the analysis.
24%
Patients were interested in using the app.
16%
Patients registered their device to the app.
100%
Patients who gave feedback on the app would recommend it to other ESC patients.
100%
Patients who gave feedback on the app rated it ‘good’ or ‘great’.
Feedback
“We chose Silicon Practice (formerly Piota) due to their track record with other NHS hospitals, the simple set-up process, ease of use for patients and clinicians and cost-effectiveness. After two years, the app is embedded in our service, and we can see the potential to expand its use moving forward.”
— Emma Dillsworth: ESC Project Manager Royal Surrey Country Hospital
“It’s great to have an overview of a patient’s symptoms and how bothered they have been by them before a consultation. This means we can focus on what is important to the patient – essentially, they set the agenda.”
— Joanne Thompson: ESC Clinical Nurse Manager, RSCH