Covid Recovery
Living With’s leading Covid rehabilitation app improves a clinic’s management of post-covid patients by sixfold compared to traditional therapies: enabling services to increase capacity without compromising on outcomes.
Source: Barts Health, 2021
- Co-created with experienced clinicians and researchers at UCL, Barts Health NHS Trust, UCLH, CNWL and The Royal Free, Southampton University and Exeter University.
- Used in over 30 NHS Trusts and multiple ICBs
- Recommended and endorsed by NHSE
- Actively part of NHSE’s long covid commissioning guidelines
- Currently helping more than 6,500 patients
- Live since Aug 2020 and constantly updated in response to feedback (10x since launch)
- After 30 days, 64% of patients are using the app at least once a week *
- After 8 weeks, 40% of patients are using at least once a week *
- Funded by two NIHR grants
- Winner of the ‘Excellence in Patient and Public Involvement in Transformation and Innovation’ at the 2022 AHSN Innovate Awards
In the UK there are more than two million patients with Long Covid and over 100 million worldwide. Research has shown that many patients have: not recovered after 7 months, not returned to their previous productivity levels, and continue to experience symptoms.
Solution
The Living With Covid Recovery provides sector-leading support to Long Covid patients and enables clinics to increase the number of patients getting high-quality treatment, simultaneously and remotely, across all aspects of the condition. It is designed to be:
- Cost-effective
- Adaptable to your clinical pathway
- Flexible to meet the needs of different clinic setups and resources
It consolidates evidence-based methods from psychologists, respiratory physicians, physiotherapists and dieticians to form bespoke treatment plans for patients.
Long Covid Rehabilitation Products
Living With offers 3 different and complementary Long Covid rehabilitation products which are all housed in the same app. They can be used individually or in combination depending on the patient’s needs:
Assessment only
The app only houses the Covid Recovery assessment programme with a full range of outcome measures including MRC, D12, EQ5D, PDQ-5, WSAS, FACIT-Fatigue, GAD 7, PHQ8 or PHQ9. You can use this for assessing/triaging a patient before “treatment”.
Full Living With Covid Recovery product
Enables clinics to provide higher risk patients with personalised treatment programmes to help them deal with their symptoms, whilst assessing and reviewing their progress and communicating with them remotely.
Self-management version
A reduced product without messaging and designed for lower risk patients.
Different clinics across the UK are using our products in very different ways from fully virtual to a predominantly F2F service. Living With can help you select how to make the best use of your clinical resources with these options.
Features
Patient App
Among other things, the patient app is used by the patient to follow prescribed treatments, set goals and measure their progress. They can be provided with a range of features to understand, track and manage their own conditions.
Clinician Dashboard
Carer Web App
The carer web app enables family and friends to help support patients remotely. They can:
3rd party dashboard
The 3rd party dashboard enables the management of multiple clinics and access to aggregated and anonymised data. This is to:
- ensure patients are optimising their usage of the app
- enable clinics and clinicians to see where their patients’ most pressing needs lie
Results and Feedback
Service evaluations and feedback reveal that clinicians most value:
- The efficiency of the platform and how it enables good quality care
- The reduction to 2 or 3 minutes per patient, per week
- How the patient app promotes MDT learning
- The ability to take a proactive approach to spot imminent “crashes” and intervene early
“Issues that arise post-COVID are multifactorial and often debilitating. For each person we are able to take a holistic approach to their treatment and provide a personalised plan via the tool, including frequent monitoring and ongoing communication.”
Physiotherapist Hannah Hylton, St Bartholomew’s Hospital
“I started using the Living With COVID Recovery App in August 2020 and have found it very helpful in tracking my progress and building up my activity levels. One of the most important aspects for me is the connection to support and advice from my own physiotherapist through the app, which has helped reassure me and feel that I’m not alone.”
Sophie, Long Covid patient, 2022
Clinician Feedback
“Would love to manage all rehab patients this way”
“The proportion of people needing further help is really high. We’re finding that half of the patients we discharge from hospital are still experiencing significant symptoms after three months. There are simply not enough staff and resources to reach everyone recovering from COVID-19 who are in need of using traditional models of care, such as face-to-face appointments. This tool allows us to provide high-quality treatment to large numbers of patients simultaneously.”
“The mental health component of the digital tool is just as important as the physical, and we are finding that the symptoms are often interrelated – for instance, if you’re feeling anxious you may be less likely to eat well, which may lead to further tiredness, which further impacts your mood and so on. A core feature of the recovery tool is Cognitive Behavioural Therapy (CBT) delivered by psychologists to help with anxiety.”
Patient Feedback
“You can see week by week you are getting better. It’s helped to see how you’ve improved because sometimes it’s not easy to see how you are feeling.”
“It’s really thorough and guides you through advice and a really good way of tracking recovery and identifying problems. Makes you feel not alone in recovery process and illness is understood.”
XX
“The library is brilliant and easy to navigate. Genuinely helpful information, well laid out and hugely appreciate the reassuring, supportive tone.”
XX
“It tells you what you need to do! Helps with appointments etc so you don’t have to worry about chasing things and you can record how you feel in one place for a clinical team to see to guide recovery.”
XX
“Really useful to be able to send additional information back to the (clinical) team via message and receive messages back.”
XX
Credits to these NHS specifically from the 30 we are working with:
This BMJ journal article discusses the efficacy of Living With’s Covid Recovery product.
