Florence
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Explore how healthcare organizations use Florence to engage patients, support clinical teams, and improve outcomes at scale.
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Chronic Disease Management
Transforming patient engagement in Virginia
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Real-world results
Case Studies and Posters
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Wound Management
100% Satisfaction & Nurse Time Halved in Wound Care
In a targeted pilot within a broader community nursing service, Pennine Care tested Florence, a persona-based text‑messaging tool, to support patients in self-managing their wounds between in-person visits.
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Hypertension
72% of patients who exceeded surgery pre-assessment BP limits discovered to be totally normotensive.
Streamlining Surgery Pre-assessment with the Implementation of Florence. High blood pressure is a relatively common reason for a surgical intervention having to be postponed.
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Diabetes
Mental health
Diabetes – Florence Delivered Significant 4 month improvements in HbA1c
Naomi, who was diagnosed with type 1 diabetes at age ten, used Florence to build a routine for taking her insulin. Her HbA1c fell from 16.4% in November 2011 to 8.6% in November 2015.
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Hypertension
Hypertension monitoring improves efficiency and supports clinical decision making in General Practice
NHS Lanarkshire studied home blood-pressure monitoring with Florence among 115 patients in 14 GP practices over 90 days. Clinicians reported that it aided decision-making, and the study avoided 416 appointments.
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Mental health
Mental Health; Memory Support for Mild Cognitive Impairment or Mild to Moderate Dementia
North Staffordshire Combined Healthcare combined Florence's messages with a wearable camera, Autographer, to support people with mild cognitive impairment or mild to moderate dementia. Patients reported more confidence and independence, and less isolation in daily life.
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Diabetes
Gestational Diabetes Mellitus
Gestational Diabetes Mellitus – Safe full-term pregnancies with Florence
Midwives at the Royal Victoria Infirmary use Florence so women with gestational diabetes can send blood glucose readings from home. The service reports that women feel more in control, with less need for prescriptions and fewer babies born in extreme percentile ranges as pregnancies last longer.
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Diabetes
Orthopaedics
Insulin stopped after three weeks with Florence
Michelle Denyer Diabetes Specialist Nurse Three weeks with Florence and I could stop taking insulin Brenda Greaves is a retired Nurse with a good number of years’ experience working in the National Health Service (NHS).
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Domestic Violence
Hypertension
Florence helps domestic violence and abuse disclosure
Florence feels more like a friend than a computer system. The diabetes and endocrinology team in Sandwell began using Florence in 2013.
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Falls
Parkinson's Disease
Successful Early intervention possible for postural hypotension in Parkinson’s Disease
The Parkinson's disease nurse specialist team at City Hospitals Sunderland uses Florence so patients can send sitting and standing blood pressure readings from home. The aim is to detect postural hypotension earlier and reduce the risk of falls and hospital admission.
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Diabetes
Enhanced diabetes management transforms care and reduces need for medication and associated costs.
Florence, or Flo for short, is a simple but effective messaging system that is enhancing the care of patients with diabetes living in North Derbyshire who are referred to the Derbyshire Community Health Service (DCHS) Community Diabetes Team.
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Diabetes
Diabetes: HbA1c down 29 mmol in 6 week programme
Erin meets ‘Flo’ Erin is 16 years old, she was diagnosed with Type 1 diabetes when she was 12 years old.
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Liver Disease
Novel Methods of Managing Alcoholic Liver Disease
Mark Holmes and Sian Clark describe how Florence helps identify the onset of ascites in people with alcohol-related liver disease. The paper reports better care-plan compliance, more monitoring information for key workers, fewer admissions, and effective management and titration in the community.
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