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<\/p>\nBy Nick Knight – Sports \/ MSK Podiatrist & Director<\/p>\n
Telehealth is a bit of a buzzword at the moment. Firstly I\u2019m not a massive fan of the term telehealth, I prefer video consultation, it sounds more personal.<\/p>\n
I believe video consultations were something that was coming in the not-too-distant future and GPs were already being encouraged to look at consultations via this method. However, with the coronavirus pandemic, it has forced us to bring Video consultations forward, as injuries are still going to happen and we need a way to treat people safely. It is going to require a big culture change within healthcare professionals and also patients, as this is a big change to our normal.<\/p>\n
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We have been doing virtual consultations at NK active for a while now, for our patients that live too far away to travel to the clinic. However, it isn\u2019t something we\u2019ve really spoken about in the past. Naturally, I\u2019m always a glass half full kinda guy, and I think video consultations have a lot of benefits to them. It allows us to have an appointment with anyone, any time across the whole globe. We have many patients who travel a lot for work, so this would enable us to help keep pushing the rehabilitation programme and their treatment plan forward even whilst they are away.<\/p>\n
It will allow us to streamline and triage making sure that you can get the most effective treatment when you come into the clinic, for example, if a patient thinks they require a 3D gait analysis or shockwave therapy to help solve their problem, the initial consultation and discussion around this could easily take place over a video consultation when they come to clinic we can get straight into the gait analysis or treatment allowing a more streamlined approach.<\/p>\n
The beauty of nice high-definition screens and cameras is the ability to show exercises the patient needs to do, then send the relevant equipment to do it.\u00a0 So far we have shipped many sets of modified off-the-shelf orthoses, stretch boards, tone loops, exercise boxes, wobble cushions, etc. and have been able to monitor people\u2019s progress remotely. This has allowed us to help them push forward, however more importantly help adjust and overcome any setbacks that occur, as anyone who has had an injury will know that the road to recovery is never a smooth one, there are often a few bumps along the way and using video consultation means that we can address those bumps quickly without them coming into the clinic.<\/p>\n
With any injury, a good history is absolutely key to getting a correct diagnosis, and working out why a problem has occurred. The art of taking a good history is listening and asking the right questions. I always joke in the clinic when speaking to junior colleagues that we have 2\u2019s ears and 1 mouth, so when in-clinic use them in that ratio. The way I look at my job is a detective really, the patient holds all the answers, I just have to listen and ask the right questions to solve the problem. The beauty of history taking is that it doesn\u2019t have to be done face-to-face, video consultation is a perfect way to do this.<\/p>\n
The only difference between a face-to-face consultation and a video consultation is that we physically do not get to see you in person, the rest of the process is near enough identical.<\/p>\n
It is a really slick and simple process and over the past 2 weeks, we have already updated and improved the service twice already.<\/p>\n
When someone books an appointment, they are sent the appointment confirmation, within that confirmation is the link for the video consultation, which is a completely individualised link for the patient and is fully encrypted and secure. Also, they get the preassessment questionnaire and registration form, which helps give us as much as history as possible prior to the consultation. \u00a0During the consultation we delve deeper into the problem asking specific questions to try and work out why the problem has occurred, we ask the patient to do certain exercises and movement, show us their footwear, watch them walk, maybe even ask to record a video of them running. All of this leads to getting that working diagnosis and allows us to discuss a personalised treatment plan by the time we are finished. A full report and letter are then sent out.<\/p>\n
Next, we start any treatment plan discussed. Just like a face-to-face appointment, we are with the patient every step of the way so if they have any questions or queries along the way just like normal, just get in contact. During the rehabilitation process exercises are sent out (we use Rehab Guru), with videos and the chance to download the Rehab Guru app, we can track pain and function scores to help keep progressing people forward.<\/p>\n
Once the treatment is finished, we still send an email at 6, 12 and 18 months to make sure everyone is still doing all ok, which all goes into our audit data to show how effective we are and help us to make changes to offer a better service.<\/p>\n