Evidence: Pelvic Health

Many Trusts have bladder and bowel services focused on getting the long-term incontinent properly treated and off dependency on catheters and pads, per both NICE guidelines and CCG goals.

Living With has a suite of patient apps for bladder and bowel related issues. These products are proven to reduce costs, increase adherence and improve outcomes.

Living With app
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Living With

Pelvic Health

Patient adherence using the Squeezy app

%

of users had increased their exercise adherence

%

do pelvic floor muscle exercises when prompted by the app

%

of users have experienced some improvement in their condition since using the app

%

of users have been using for over 3 months

How Living With Pelvic Health has helped clinics

With the knowledge acquired through Living With Pelvic Health, clinicians are able to focus on the patients with the greatest needs, postpone non-compliant patients and deliver improved patient outcomes.

Detailed data from several hundred patients at three NHS Trusts – Wrightington, Wigan and Leigh, Barts, Aneurin Bevan – provides clear evidence of the substantial quality and cost benefits that Living With Pelvic Health provides.

Clinician

Benefits to patients

Increased exercise programme adherence

50% improvement

against Treatment As Usual (TAU) – from a TAU of under 25% to over 75% (2 Trusts)

90% overall

average adherence level (1 Trust)

Over-65s too

Positive results irrespective of age. 14% of patients over 65 yrs. Oldest at 76yrs was 76%!

Improve outcomes

25% better

outcomes on average compared to TAU (1 Trust)

From 7 to 5

– average ICIQ-UI(SF) score at discharge fell 2 points (1 Trust)

From 9.8 to 5.9

– average ICIQ score fell nearly 4 points across consecutive 12-month periods (1 Trust)

Better experience

More motivated

– based on feedback as well as improved adherence

Positive view

– survey showed improved attitude towards treatment, service and NHS

Positive view

Positive results irrespective of age. 14% of patients over 65 yrs. Oldest at 76yrs was 76%!

Benefits to clinicians and clinics

Improved efficiency

Telephone appointments

– 13% of face-to-face replaced by telephone (2 Trusts)

Reduced treatment cycle

by >15% on average, from over 16 weeks to under 14 weeks

Fewer appointments

from referral to discharge, average down by around 1.5 (2 Trusts)

Less time wasted

Reduced DNA/UTA

by 15–20% (2 Trusts)

Reduced non-compliance

– more than 11% fewer appointments lost due to patients not doing exercises / diaries

Faster referral

to first appointment, due to increased throughput (1 Trust)

Lower costs

£39 per converted appointment

to telephone, leading to av. £3900 saved p.a. (2 Trusts)

£60 per rescued appointment

from DNA/non-compliance, leading to av. £12000 saved p.a. (2 Trusts)

£3000 per operation

saved through reduction in surgery, leading to £20–60k saving p.a. (2 Trusts)

Benefits to NHS

Cost savings

£50-60k p.a.

per trust

£11-16M p.a.

for UK—potentially, if scaled up nationwide

Will yours be next?

Feedback from clinicians and patients

“Having access to the LW app has been transformational for our service. It has provided insights and follow up to patients.

Patients have been provided with conservative management of their condition through the use of pelvic floor muscle exercises. We have seen over a 60% increase in patient compliance with their treatment programmes.

Patients feel better connected with the service, knowing that there is regular support and proactive monitoring of symptoms and side effects.

Being able to follow very closely patients during conservative treatment, surgery and rehabilitation post-surgery has led to fundamental changes to our care pathways.

The improvement in follow up for SNS surgical patients has led to a 18% increase in patient satisfaction post-surgery.”

Mrs Julie Cornish

Consultant Colorectal Surgeon at Cardiff and Vale University Health Board

Cardiff and Vale University Health Board