"Near Me" - Remote Consultations in Shetland
PRESS RELEASE: 21st April 2020
Remote GP consultations being escalated
Shetland patients ‘increasingly comfortable’ with system
The NHS in Scotland is ramping up its use of a ground-breaking system that allows clinicians to consult with patients remotely.
Developed and tested in 2018 and 2019, the Near Me video consulting service was initially used mainly in the Highlands, where distances can be an issue.
Now, its use is being rapidly escalated in Scotland as part of the Covid-19 response. All GP practices in the country – including those Shetland – are now equipped to use Near Me and most are currently doing so.
Jason Leitch, National Clinical Director, Scottish Government, said: “Near Me is proving to be an invaluable tool in the fight against coronavirus. It means people can receive urgent health care and advice remotely from the safety of their own home, without exposing them or NHS clinicians to infection risk. It’s also possible for GPs and other clinicians to use it from their home if they are at high risk of infection.
“Offering quick and easy access to health services without the need to travel is vital for patients, especially if they are self-isolating because of coronavirus. Near Me works exactly like a face-to-face meeting except that patients do not need to travel to see a GP.”
The Scottish Government has been working to ensure that there is sufficient capacity to meet the growing demand for Near Me and is assuring patients and carers that it is an appropriate, effective and secure means of conducting remote consultations.
Remote consultations are being carried out in the first instance by telephone but Near Me is used if a video link is felt to be more appropriate.
Patients offered a Near Me appointment at home will need to have a device for making a video call, such as a smartphone, tablet or computer with webcam, and a reliable internet connection.
As with any other appointment, patients must first contact their GP practice and it will arrange for an appointment to be booked in the normal manner. This may be by telephone, virtual or face to face.
Clare Morrison, who helped to introduce the new system in NHS Highland, now co-leads the national Near Me programme.
She said: “Patients and clinicians alike are finding Near Me to be an easy-to-use, secure resource which reduces the risk of Covid-19 exposure.
“When Near Me was first introduced, the aim was to improve access to services for patients. This included reducing travel to appointments, minimising the time taken off work to attend and making it easier for people who found it difficult to leave home. Reducing travel also has significant environmental benefit.
“All these aims remain important, but obviously the current focus on the use of Near Me is to reduce infection exposure.”
While Near Me is being rolled out in general practice, it’s also been used in other disciplines. In NHS Shetland, Samantha Belokon-Dennis, an associate practitioner at the out-patients department in the Gilbert Bain Hospital, has taken on the role of Near Me co-ordinator for the hospital.
She said: “People who live on the smaller islands in Shetland often have a challenge in terms of ferries and timings to come to hospital and Near Me makes it so much easier for them. They are able to see someone in hospital from the comfort of their own home.
“We have been using it more frequently during the current situation and I think patients are becoming increasingly comfortable with it. It’s something different for many of them but they are realising that they are still able to get the same quality of care and treatment with Near Me as they did before.”
To use the system patients are given a link to a Near Me clinic and can start their video call from this link. The system checks that they have everything in place for a Near Me call and then asks the patient to enter his or her name and date of birth. The patient is then held in a secure waiting room until the clinician joins the video call. Once the clinician joins, the consultation takes place as normal.
Near Me is web-based and is powered by a video consulting platform called Attend Anywhere which was procured for national use across Scotland by the Scottish Government. Attend Anywhere is an Australian company that has been providing video consulting services in Australia for many years.
There were already plans in place to increase the use of Near Me in 2020. The Covid-19 pandemic has accelerated those plans but the expectation is that the system will continue to be used in order to make appointments more accessible for patients, both from home and from the workplace.