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Our project proposes a pioneering approach to support self-management and clinical decision making in primary care, aligned to better utilisation of limited resources in secondary care. Building upon our proven technology used in another long term condition we would:
I. Create a downloaded app designed to take the young person on a journey that will either help resolve their sleep challenge, where this is linked to 'life style', or point to more challenging sleep disorders (and evidence this) where specialist intervention is required.
II. A user-interface co-designed with patients and users with the right levels of 'nudge' and 'nurturing' to achieve optimum interaction.
III. A clinical web portal accessed through any browser, on any computer, protected with password security. The portal holds the patient record and enables clinicians to have a graphical representation of their patients.
IV. An algorithm (hosted in the cloud and accessed through the secure clinical web portal) that undertakes all of the calculations and generates an indicative diagnosis.

This project will demonstrate that delivering near-patient coagulopathy diagnostics into acute care will improve efficiency of use of resources within the hospital.  This project utilises the skills of NIHR Diagnostic Evidence Co-operative London (DEC) (Imperial College St. Marys Hospital) to gather stakeholder evidence and generate potential new pathways alongside economic cost modelling. Highland Biosciences Ltd (HBL) will gather expert insight and advance its technology to meet the challenge.

Managed by HBL, the project focuses on delivering new clinical approaches to the NHS whilst generating the evidence for a highly commercially attractive value proposition for a new diagnostic business.

IEG4 and Harrogate and District NHS Foundation Trust will co-produce and prototype a software solution to deliver personalised assessed outcomes to those patients, carers and families needing most support on discharge. Dramatically improving patient experience, improving efficiency and enabling system transformation.The proposed solution will focus on: Outcomes for patients not the needs of organisations. Streamlining online referrals and assessments. Facilitating the complete removal of paper and sharing outcomes with targeted support and care organisations and family / friends / volunteers. Matching resources in the community to patient needs allowing flexible and mobile remote working.