See Florence in action

Chronic Pain Management: When I began to work with NHS Highland’s Chronic Pain Team, there was an existing Pain Management Group which ran for 6 weeks at a time for 3 hours every Wednesday.

As reported by the Public Health Agency in Northern Ireland (NI) Smoking has been identified as the single greatest cause of preventable illness and premature death in Northern Ireland.

Conor Smyth is a Specialist Epilepsy Nurse at The Shrewsbury and Telford Hospital, he works within the neurology team to provide care, advice and support to his patients with epilepsy.

Mick was diagnosed with type 2 diabetes 10 years ago.

Dudley Metropolitan Borough Council's breastfeeding support team shared their learning about a year after recruiting Florence. They had been calling mothers after hospital discharge and wanted a sustainable approach that kept the personal contact families valued.

NHS Highland uses Florence to support people taking the Beating the Blues online CBT course for low to moderate anxiety and depression. Data from the service indicates that people who opt into Florence are 30% more likely to complete the course.

SEMPHN clinicians used Nellie to support Jennifer, whose difficulty taking medication was affecting her physical and mental health. She later managed her medication without Nellie and remained close to 100% compliant.

During COVID-19, SEMPHN in Australia used Nellie to share guidance, monitor upper respiratory symptoms, and support mental health when face-to-face contact had to be limited. One patient, Nina, described how the pathway improved her sense of wellbeing and reduced anxiety and stress.

North Staffordshire Combined Healthcare used Florence to help Sally, a college student with learning disabilities, manage her catheter care independently. The support gave her more independence and allowed her foster mother to go to work part time.

South Tyneside diabetes specialist nurses use Florence to help patients become more confident in self-managing diabetes, with clinic appointments able to be reduced and glycaemic control improving. One case follows a woman with type 2 diabetes whose HbA1c was 94 mmol/mol when she started.

Dr Parijat De used Florence to help patients with diabetes and hypertension follow their blood-pressure treatment and self-manage between visits. The article shares patient stories from Sandwell and West Birmingham, where poor compliance and blood-pressure control were affecting patients.

Alison Marshall is an Adult Cystic Fibrosis (CF) Specialist Dietitian working within the Tayside Adult CF service.