Evidence

Clinical evidence behind Florence

Explore real-world case studies, clinical outcomes, and published research demonstrating how Florence supports patients and care teams.

Explore case studies

View publications

Transforming patient engagement in Virginia

Chronic Disease Management

Transforming patient engagement in Virginia

Read Case Study

Real-world results

Case Studies and Posters

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

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.

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.

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.

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.

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).

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.

Clinical evidence

Research and publications

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Commissioning of self-management support for people with long-term conditions: an exploration of commissioning aspirations and processes

BMJ 2016; 6(7): e010853. doi: 10.1136/bmjopen-2015-010853Claire Reidy, Anne Kennedy, Catherine Pope, Claire Ballinger, Ivo Vassilev, and Anne Rogers

No items found.

Commentary- Information without Wisdom

BMJ 2017;358:j3203 Iona Heath, former general practitioner

No items found.

Effectiveness of text message based, diabetes self management support programme (SMS4BG): two arm, parallel randomised controlled trial

BMJ 2018;361:k1959 Rosie Dobson, Robyn Whittaker, Yannan Jiang, Ralph Maddison, Matthew Shepherd, Catherine McNamara, Richard Cutfield, Manish Khanolkar, Rinki Murphy

Diabetes

Tailored mobile text messaging interventions targeting type 2 diabetes self-management: A systematic review and a meta-analysis

Digital Health 2019, Volume 5: 1–21, Cigdem Sahin , Karen L Courtney, PJ Naylor and Ryan E Rhodes

Diabetes

Mobile Text Messaging for Health: A Systematic Review of Reviews

US National Library of Medicine National Institutes of Health 2015 April; PMCID: PMC4406229, Amanda K. Hall, Heather Cole-Lewis, and Jay M. Bernhardt

No items found.

Using simple telehealth in primary care to reduce blood pressure: a service evaluation

BMJ Open – 2012;2:e001391 Elizabeth Cottrell, Ruth Chambers, Phil O’Connell

Hypertension

A cross-sectional survey and service evaluation of simple telehealth in primary care: what do patients think?

BMJ Open 2012;2:e001392 Elizabeth Cottrell, Kate McMillan, Ruth Chambers

No items found.

Experiences of patients and professionals participating in the HITS home blood pressure telemonitoring trial: a qualitative study

BMJ Open 2013;3:e002671. doi: 10.1136/bmjopen-2013-002671 Janet Hanley, Jenny Ure, Claudia Pagliari, Aziz Sheikh, Brian McKinstry Author affiliations

Hypertension

Telemonitoring based service redesign for the management of uncontrolled hypertension: multicentre randomised controlled trial

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f3030 Brian McKinstry, professor of primary care ehealth, Janet Hanley, principal research fellow, Sarah Wild, professor of epidemiology, Claudia Pagliari, senior lecturer, Mary Paterson, research fellow, Steff Lewis, statistician, Aziz Sheikh, professor of primary care research, Ashma Krishan, statistician, Andrew Stoddart, health economist, Paul Padfield, professor of hypertension

Hypertension

The Guardian

Gastrointestinal Nursing

PubMed

CQC

NICE

GOV.UK

HSJ

GP Online

BMC

Dove Press

The BMJ

The Health Foundation

U.S. Department of Veterans Affairs

See what Florence could do for your patients

Talk with our team about your patient population, clinical priorities, and how Florence could support your care programs.

Clinically validated, automated care management

Media contact:

janhavi@generatedhealth.net

Socials:

Company

Florence Clinical Programs Evidence Insights Company

Legal

Privacy Policy SMS Terms & Conditions

Florence's Guide to Compliant Texting

© 2026 Generated Health. All rights reserved