“Lincus helps me track my mood, and work out what triggers my episodes, allowing me to better understand and manage my condition.” 
Lincus user with bipolar disorder

Lincus cs imageOverview

A web based app for improving self-care was developed for use in a telehealth project in Liverpool with funding and collaboration support from the Innovation Agency and is now a NICE-approved Class 1 medical device with 3,000 users in the UK and abroad, and is being integrated into the Diabetes Digital Coach, Internet of Things (IoT) NHS test bed.

Lincus was co-designed by Rescon Technologies with a variety of individuals from athletes through to those with complex health needs, and those that support them, to help track and improve their health and wellbeing using audited data that can be shared with care professionals.

A simple to use web based application, Lincus enables users to record wellbeing data associated with events and interventions to capture a holistic picture of health. This is proving to be a useful tool to support learning disability, homeless and diabetes outreach programmes in local communities.

Lincus is powered by the Rescon Analytics and Visualisation Engine (RAVEN) which processes and sorts data in real time. It has multiple uses ranging from a complete care management platform through to a standalone evaluation tool and has been used in partnership with service providers across six city regions in Greater Liverpool alone.

Rescon currently have 3,000 users with contracts signed for delivery of Lincus to more than 20,000 users by mid-2018.

Challenge / problem identified and actions taken

This project highlighted and successfully addressed a need for culture change to support the spread of apps as tools to improve upon health and wellbeing in the local community.

The project also reinforced the need for continuing to address and identify the multiple technical, operational, resource and cultural barriers to implementing new technology and service solutions in the UK health and social care sectors.

The Lincus service was commissioned across six local authorities but initially there was no traction because service providers didn’t recognise the benefits. It became clear that engagement wasn’t adequately scoped before commissioning took place. A lack of IT infrastructure for the programme was another unforeseen barrier – including a difficulty in sourcing tablet devices on which to use the app and data.

However, the charity Person Shaped Support (PSS) who provide services on behalf of Liverpool Clinical Commissioning Group saw the benefits and provided a team of health trainers who worked with community groups and individuals to encourage uptake.

The support of the Innovation Agency in introducing potential collaborators was pivotal to further spread and adoption of Lincus as the ‘app of choice’ for project led work. Rescon had a series of meetings with learning disabilities charity Hft; Liverpool FC Foundation; Riverside Housing and Liverpool City Council, to progress a variety of sensor, analytic and community health projects. Rescon’s Lincus team then launched the first pilot ‘on the street’ trial for multiple and complex service users in collaboration with the YMCA Liverpool, in August 2013.

During August 2015, Rescon met in Liverpool with the Innovation Agency who became instrumental in supporting Rescon to present at events such as the North West Coast Connected Health Ecosystem events. Rescon also engaged with the West of England Academic Health Science Network and their collaborative partners on using Internet of Things software and service solutions to improve the lives of people with diabetes. Rescon continued to work with both the West of England AHSN and Liverpool City Council to target new Lincus deployments into early 2016.

With the support of a grant from the Innovation Agency’s Innovating for Improvement Fund in 2015, Lincus was commissioned by Liverpool City Council as a tool to improve the health of people with mental health issues and learning disabilities.

In April 2016, Liverpool CCG awarded Rescon and PSS a contract for blood pressure screening and education services within the Liverpool city region. Rescon then began work on the highly successful Healthy Liverpool, ‘Know Your Numbers’ programme with PSS and the CCG, to help identify high blood pressure while educating people on the importance of blood pressure checks.

Since May 2016, Rescon have been a key partner as part of intensive collaborative work for the Diabetes Digital Coach NHS Test Bed – where a suite of mobile technologies such as wearables and smartphone apps were rolled out to 12,000 people with diabetes in the West of England as part of a two-year trial to help patients manage their condition. This was designed to increase adoption of technologies.  http://www.digitalhealth.net/news/47791/west-of-england-begins-pilot-to-help-people-with-diabetes

Rescon were double finalists in the European Institute of Innovation and Technology (EIT) Digital Challenge which the Innovation Agency supported.

Under direction from the Innovation Agency, Rescon moved their North West office to Alder Hey Children’s Hospital Innovation Hub, where they are working as collaborative technology partners with the trust.

Impacts / outcomes

  • Lincus now supports 300 individuals across six city region boroughs through the Liverpool ‘Innovating for Improvement’ programme.
  • The Healthy Liverpool – ‘Know Your Numbers’ blood pressure screening and education programme resulted in over 600 individuals being screened for hypertension and well in excess of 1000 people screened and educated about blood pressure.
  • The app now has 3,000 users and Rescon has contracts which will lead to another 20,000 users by mid-2018.

Rescon has been spreading Lincus within and beyond the North West Coast as follows:

  • Early identification of people with hypertension – Rescon led the Healthy Liverpool blood pressure screening project. They teamed up with PSS health trainers to screen and educate residents in disadvantaged areas about hypertension, engaged with 1756 people in the Liverpool area and identified 338 people with systolic blood pressure of more than 140mmHg who were referred to their GP.
  • A highly successful Phase 1 of the blood pressure screening programme achieved in year savings of 300 per cent of the initial investment. There are cost savings of over £750 per person once hypertension is identified, which shows an overall cost saving of £253,500 in NHS resources. The annual cost of treating hypertension with the cheapest medication is £3910 for men and £4310 for women. (NICE 2011).
  • Improved wellbeing of those with complex issues – Liverpool YMCA used Lincus in a twelve week trial to improve how they captured information about mental health, alcohol and substance abuse, and homelessness issues and how well interventions work in improving service user wellbeing over different time frames. The trial resulted in 12 service users with complex issues taking part.
  • Lincus provided useful audit data showing improved wellbeing scores, especially in mental health (50 per cent improvement over the trial).
  • Increased staff efficiency – Hft with offices in Cheshire and Merseyside, commissioned the widespread use of Lincus across their UK centres to make more efficient use of care workers’ time.
  • A 75 per cent time saving in care recording was shown – up to two hours would have been spent previously but after Lincus use, this reduced to 15 minutes, showing a 60 minute time saving per care worker per day.
  • Local spread of Lincus has been the catalyst to further adoption and spread outside the North West Coast with support from West of England AHSN.
  • Encouraging a self-care approach – Rescon has been leading the technology work stream for the Diabetes Digital Coach NHS Internet of Things Test Bed in the West of England, where Lincus will be used to help 12,000 diabetes users self-manage their condition.
  • In addition, Rescon has been working with Swindon CCG as part of the Diabetes Coach Challenge project, working with three GP practices in Swindon to support 300 individuals with diabetes.

Lincus 750 saved per person (002)

“Rescon proved a great company to work with to develop, and more importantly deploy digital health products in Liverpool. Tom Dawson and the team worked closely with NHS Liverpool CCG and our local community organisations as a partner to develop an effective approach to engaging citizens and promoting a digitally supported self-care. Citizens found Lincus an attractive and useful tool to monitor and report lifestyle.” 
Dr Maurice Smith, GP and Clinical Director, Living Well, Liverpool CCG

Plans for the future

  • Secured over £650,000 of new contracts in last twelve months and currently in negotiation on licence renewal and new contracts worth an extra £500,000
  • Have formed a strategic alliance with international tele-wellbeing service provider Victrix to promote transformative, proactive tele-wellbeing services across several European countries
  • Expanding Lincus for the Spanish market and have translated most of the platform into Spanish
  • Lincus was recently listed on the European Innovation Procurement Platform as an exemplar active and healthy ageing tool
  • Working on a mental health outreach programme with Widnes Vikings Rugby League Club until the end of June 2017 which has the potential to be wider reaching
  • Interacting with partners in Northern Ireland, Italy and France as the company starts to expand Lincus into overseas markets with the Innovation Agency’s support.

Which national clinical or policy priorities does this example address?

  • Care and Quality
  • Funding and Efficiency
  • Health and Well Being
  • Driving Economic Growth.

Start and end dates

Development started:  January 2011

App commercial launch: January 2016

Ongoing

Contact us for help and advice

Richard Harding, Assistant Programme Manager (Commercial), Innovation Agency
E: Richard.Harding@innovationagencynwc.nhs.uk

Caroline Kenyon, Director of Communications and Engagement
T: 01772 520280 / 07950 866 394

Find out more

https://itunes.apple.com/gm/app/lincus-companion/id1060545225?mt=8http://rescontechnologies.com/
https://lincus.rescontechnologies.com