Background

The East Midlands Academic Health Science Network (EMAHSN) is working with commissioners and acute NHS trusts to roll out the use of Silhouette® 3D cameras to assess diabetic foot ulcers. Initially they have been working in Southern Derbyshire with Entec Health, the UK distributor of Silhouette® (ARANZ Medical), to assess and treat diabetic foot ulcers in the community rather than at hospital.

The East Midlands Academic Health Science Network (EMAHSN) is working with commissioners and acute NHS trusts to roll out the use of Silhouette® 3D cameras to assess diabetic foot ulcers. Initially they have been working in Southern Derbyshire with Entec Health, the UK distributor of Silhouette® (ARANZ Medical), to assess and treat diabetic foot ulcers in the community rather than at hospital.This new approach means foot ulcer healing is monitored digitally and the information shared in real time with relevant healthcare professionals. It is anticipated that using Silhouette® will identify those ulcers that are not healing as expected and therefore need earlier intervention potentially reducing amputation rates. Switching the service from the hospital into the community is expected to improve both the staff and patient experience as well as deliver an economic benefit through reduction in outpatient follow up appointments.

The CHEATA Solution

The client engaged with CHEATA to undertake the following work:

  • To develop an economic impact model to help inform a Business Case for Silhouette® to be included in a Diabetes Foot Service Digital Solution Model
  • Work with the project team to collate the information needed
  • To model the economic impact of using Silhouette® including:
  • Switching care from the hospital into a community setting
  • Cost of technology deployment, inpatient cost of treating a foot ulcer, cost of treating a foot ulcer in the community (including approximate numbers of community visits)
  • Savings from reduced referrals coupled with a better referral process
  • To update the economic model after one year of deployment to understand the accuracy of the model
  • Attend steering group meetings to update the project team on progress and developments and to help influence commissioning processes

Outcome

CHEATA worked closely with the wider project team to gather the relevant information required to create and populate the health economic impact model. Once the model was completed, this was incorporated into a report for inclusion in the Value Proposition

Next Steps

The health economic impact model (and the Value Proposition) will be updated with data gathered in the first year of implementation to understand the accuracy of the initial projections and assumptions and to demonstrate the cost-savings achieved.

 

To find out more about the Silhouette project, click here

To find out more about the Silhouette camera system, please visit the Entec Health website