- • in known side effects of urinary tract infection exacerbated by delayed treatment. • in known side effects of urinary tract infection exacerbated by delayed treatment.

4. Popularity of Flo:

- • find Flo messages helpful and reassuring. • find Flo messages helpful and reassuring.
- • find that Flo helps to improve identification of patients who are experiencing an • find that Flo helps to improve identification of patients who are experiencing an exacerbation of their condition (or other associated requirements that can impact on the management of their diagnosis).

5. Cost effectiveness:

- • preventable face of face and telephone contact by specialist teams as a result of improved • preventable face of face and telephone contact by specialist teams as a result of improved patient self-management and education.
- • in costs of avoidable secondary care use. • in costs of avoidable secondary care use.
- • of appropriate routes of access into services as required dependent on symptoms • of appropriate routes of access into services as required dependent on symptoms
- Protocol
- In summary:
- • are identified by a health professional as suitable for supported self-management of their • are identified by a health professional as suitable for supported self-management of their condition and offered the opportunity to access Flo.
- • agrees and signs the consent form. • agrees and signs the consent form.
- • provided with self-management plan and testing kit. • provided with self-management plan and testing kit.
- • / patient agree the management plan and how Flo can support this and ensure that the • / patient agree the management plan and how Flo can support this and ensure that the patient is confident in using the system.
- • opts into using Flo from the invite sent via text message and agrees to responded as • opts into using Flo from the invite sent via text message and agrees to responded as agreed.
- • (optional) – capture of healthcare usage, patient experience • (optional) – capture of healthcare usage, patient experience

Patient:

- • the consent form if applicable, agreeing to respond to messages from Flo • the consent form if applicable, agreeing to respond to messages from Flo
- • to Flo when asked about their symptoms • to Flo when asked about their symptoms
- • a patient satisfaction questionnaire regarding their experience. • a patient satisfaction questionnaire regarding their experience.

Clinician:

- • the use of Flo with the patient to explain how it will support them to self manage their • the use of Flo with the patient to explain how it will support them to self manage their urinary tract infections.
- • to the patient that feedback from them is sent to a computer, which is not clinically • to the patient that feedback from them is sent to a computer, which is not clinically monitored continuously, and that Flo is not an emergency service and obtains the patient’s consent which states that the patient remains responsible for their own health.
- • the patient on Flo by using the patient’s current mobile phone number and NHS number, • the patient on Flo by using the patient’s current mobile phone number and NHS number, then selecting the appropriate service/protocol for them.
- • the patient with a patient satisfaction questionnaire for them to complete (if applicable) • the patient with a patient satisfaction questionnaire for them to complete (if applicable)

### PROTOCOL SUMMARY

- - at 10am, day of week to be agreed with the patient - at 10am, day of week to be agreed with the patient

(DOO1) DEMO: UTI Symptoms (DEMO set to daily for 1 week)

November 2015 LT