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Attend Anywhere

Aspects of health and social care The Scottish Government’s Technology Enabled Care (TEC) Programme was established in 2015, with the aim to increase the use of video conferencing (VC) technologies for health and care consultations. In late 2015, the team became aware of new product, Attend Anywhere, that uses browser-based technology to deliver a video consulting solution which greatly simplified the video consultation workflow and provided a simpler technical solution. General and specific objectives The initial objectives of the Attend Anywhere programme were to establish a video consulting service across Scotland, providing 50 clinics across health, care and the third sector, with the aim of reducing travel, improving efficiency and supporting service change. It drew on best practice from Australia and the United States. Main methods, processes and organisation The Attend Anywhere system provides a video clinical environment that can be accessed by a member of the public using a web browser on their own device, be it a laptop, tablet or smartphone. Attend Anywhere provides a single, consistent entry point on the service’s webpage, where patients enter an online waiting are for their appointment. Staff manage their clinics as usual. Video appointments are handled through existing processes and systems and run like any other consultation. Patients attend appointments via the clinic’s website and wait in their own private room, in the waiting area. No account, special software, or dial-in details are needed. Clinicians prepare to engage with their patients as normal, except they join patients via the clinic’s online waiting area instead of its physical one. Health Services have access to all the support, advice, and resources they need to help with adoption and use of Attend Anywhere.
Background
Geographical scope: 
National level
Region involved:
Countries involved:
Organisation
Organisation name: 
Scottish Government
Organisation address: 
St. Andrew's House, Regent Rd, Edinburgh EH1 3DG, United Kingdom...
Kind of organisation: 
National public authorities
Viability
Time for deployment: 
Less than a year
Preparation of implementation: 
Initial work focused on small scale deployments with early adopted. Via the Technology Enabled Care (TEC) Learning Network, events, conferences and publications, the service has grown organically, with minimal investment. In October 2018, the Attend Anywhere Scale-Up Programme was launched. This...
Investment per citizen / service user / patient: 
Between 100 – 1.000 EUR per targeted citizen / patient
Cost calculation: 
Cost per client is approximatley £20. This is based on a licence cost of £180k year with around 9000 calls per annum
Evidence of practice: 
Agreed evidence. Evidence is based on an agreed established monitoring system/process before and after implementation of the good practice
Evidence creation: 
The Attend Anywhere programme is subject to regular review. This includes: • Review of usage figures available from the platform • Review of post consultation surveys completed by both the provider and the citizen • Local evaluation by participants. The latest report can be downloaded from...
Maturity level: 
The practice is “on the market” and integrated in routine use. There is proven market impact, in terms of job creation, spin-off creation or other company growth.
Maturity level detalis: 
By May 2019, Attend Anywhere clinics had been established in 13/14 territorial boards as well as the Golden Jubille National Hospital and a range of Integrated Joint Boards and third sector organisations. There are currently 444 waiting areas created on the system, with 159 active in the last...
Time of impact: 
Long term and sustainable impact – e.g. a long time after the pilot project ended and routine day-to-day operation began
Kind of impact: 
Better care integration (economic and societal)
Aspects time of impact: 
The following impact was observed for NHS Scotland: • Making travel optional for patients in a way that is scalable and sustainable • Reduced requirement for extra resources or systems to support video consulting • Increased range of services available, especially outside urban areas •...
Transferability level: 
The innovative practice has been transferred in other locations or regions or national scale in the same country
Transferability details: 
The development work undertaken in NHS Highlands has been identified as an exemplar of good practice. This has been shared at Scotland wide events and made available online at: https://sctt.org.uk/programmes/video-enabled-health-and-care/attendanywhere/nhsnearme Following discussions with NHS...
Initiative
Type of Practice: 
Good practice
Stakeholders concerned: 
Primary care centres
Specialised physicians
Home care centres
Nursing homes
Informal caregivers
Housing organisations
Private companies
Research centres
Academia
Advocacy organisations patients/users
Reach of initiative: 
10,000 - 99,999
Age group: 
Irrelevant
Baseline information: 
Challenges problems • Lack of communication between health and social care sectors • Access to healthcare services, particularly in rural remote areas • Increased pressure on primary care services • Efficiency and sustainability of health and social care delivery • Reducing travel for both...
Source of funding: 
National funding