The H2H Study: Sustainable Hospital-to-Home digitally enabled exercise pathways to improve older adult’s post-operative outcomes

国王基金最近的一份审查报告强调，国民医疗服务体系（NHS）是公共部门碳排放的重要贡献者。NHS的碳排放量占所有公共部门碳排放量的25%，约占英格兰总排放量的4%。这比从希思罗机场起飞的所有客机每年的排放量还要多。目前的医疗保健模式效率极低，即使在同一系统内，不同专业的医疗保健提供者也彼此隔离；与常规护理相关的大量资源浪费。国王基金的报告呼吁对新技术进行投资，以促进自我管理，以及远程医疗和远程保健，以推动国民保健制度走向可持续的未来。2015年，英国皇家医学院（Academy of Medical Royal Colleges）发表了一份名为《运动的神奇疗法》（Exercise The Miracle Cure）的报告，不仅宣传了运动作为一种疗法本身的好处，还强调了不运动的危险。在国际电联接受治疗的患者或髋部骨折后的老年患者将患有最严重形式的“去适应综合症”，这是他们住院的副作用和不活动的后果。这些患者需要强化康复方案，以恢复其先前的功能，并减少与疾病相关的持续健康状况的机会。目前的医疗模式需要来自不同专业团队的亲自评估和持续的后续诊所预约。这导致不必要的旅行，预约之间的长时间等待，甚至来自不同部门的多次预约，这些都是非常低效的资源。库什健康旨在开发一个革命性的远程监控医疗保健平台，为患者和临床医生提供综合护理。我们的解决方案允许通过可穿戴设备进行远程监控，以便在患者需要时在社区提供评估和治疗。它将作为一个闭环系统，使临床多学科团队（MDT）能够实时审查其患者群体的进展。他们将能够设定个人远程目标，同时病情恶化的患者也会自动突出显示给相关MDT成员进行审查。这减少了MDT的旅行和资源，并使患者无需等待随访预约即可实现康复进展。通过与智能手机和智能手表等已经在社区广泛传播的技术相结合，该解决方案具有可扩展性，可以快速增长，以满足全国的需求，引领公共部门实现净零排放。

A recent Kings fund review highlighted how the National Health Service (NHS) is a significant contributor to public sector carbon emissions. The NHS accounts for 25 per cent of all public sector carbon emissions, or around 4 per cent of total emissions in England. This is greater than the annual emissions from all passenger aircraft departing from Heathrow airport. Current healthcare models are enormously inefficient with different specialties of healthcare providers siloed away from each other even within the same system; accounting for the vast waste of resources associated with routine care. The Kings fund report called for investment in new technologies to facilitate self-management as well as telecare and telehealth to drive the NHS to a sustainable future. The Academy of Medical Royal Colleges published a report in 2015 called Exercise the Miracle Cure, not only promoting the benefit of activity as a therapy in its own right, but also emphasising the dangers of inactivity. Those treated in ITU or elderly patients post-hip fracture will have the most severe form of "deconditioning syndrome", a side effect of their hospital admission and a consequence of inactivity. These patients require intensive rehabilitation regimes to regain their previous function and reduce their chance of ongoing health conditions associated with deconditioning. Current healthcare models require in person assessments from different speciality teams and continual follow-up clinic appointments. This leads to unnecessary travel, long waits between appointments and even multiple appointments from different departments which is all incredibly resource inefficient. Cush Health aims to develop a revolutionary remote monitoring healthcare platform for integrated care for patients and clinicians. Our solution allows remote monitoring through wearable devices to deliver assessment and treatment in the community when patients need it. It will function as a closed-loop system, whereby the clinical multi-disciplinary team(MDT) can review their patient population's progress in real time. They will be able to set individuals remote targets while deteriorating patients also be automatically highlighted to the relevant MDT members for review. This reduces travel and resources of the MDT and enables patient rehabilitation progression without waiting for follow-up appointments. By integrating into technology already widely disseminated in the community such as smartphones and smartwatches, this solution is scalable and can grow quickly to meet demand nationally leading the way towards net-zero in the public sector.