Living With: UK digital platform for NHS services including ME/CFS

Eleros essentially operational during the NHSE Covid flush of money and LC Serviced via MEA Sarah Tyson PROMs etc, (then leads to Delivery plan and BACME involvement) ...have been heavily 'marketing' their wares, talking up their product and expertise and then transposing across to ME and CFS, as the covid acute need reduces...

and every one then queues up for the so called ME and CFS Services.. within the new shiny Integration' 10 yr Plan, Digital AI and rehab agenda.
NICE!
.
Side note, are you aware of this: https://livingwith.health/me-cfs-therapies/ ? Their long covid page is all about rehab as a treatment and deconditioning.
 
Guess what.... it's like whack a (digital) mole....... with Apps popping up everywhere promising tbe earth.
Latest one is 'Living with'.....
Allegedly for ME and CFS......
View attachment 28105
Found this for ME/CFS:

And this for «Covid Recovery»:

Seems like a complete nightmare because the clinicians have access to your symptom and activity diaries! Big Brother is watching..
 
Nice chap I spoke to said the CEO and or Chief developer would give me a call.....
Obviously had them worried....

 
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Yes please. Nice chap I spoke to said the CEO and or Chief developer would give me a call.....
Obviously had them worried....

Steve Berry, Commercial Director of East Coast Community Health, said: “We are thrilled to partner with Living With to drive innovation in rehabilitation and physiotherapy. Together, we are committed to advancing every part of our care by equipping our clinicians and physiotherapists with state-of-the-art tools and resources to deliver exceptional outcomes for patients.”


Chris Robson, CEO of Living With, said: “We are excited to collaborate with East Coast Community Health to continue the work we are doing in digitally transforming rehabilitation, extending now into MSK care. Through this partnership, Living With and East Coast Community Health aim to address outstanding challenges in MSK digital management, including accessibility, adherence, and patient engagement.”
 
Steve Berry, Commercial Director of East Coast Community Health, said: “We are thrilled to partner with Living With to drive innovation in rehabilitation and physiotherapy. Together, we are committed to advancing every part of our care by equipping our clinicians and physiotherapists with state-of-the-art tools and resources to deliver exceptional outcomes for patients.”


Chris Robson, CEO of Living With, said: “We are excited to collaborate with East Coast Community Health to continue the work we are doing in digitally transforming rehabilitation, extending now into MSK care. Through this partnership, Living With and East Coast Community Health aim to address outstanding challenges in MSK digital management, including accessibility, adherence, and patient engagement.”
Ho hum... 'adherrance...'????? What is that pray?
 
Ho hum... 'adherrance...'????? What is that pray?
Google it!
What is another word for adherence?


Recent Examples of Synonyms for adherence. adhesion. compliance. cling. conformity.
Who defines adherence?

Medication adherence is defined by the World Health Organization as "the degree to which the person's behavior corresponds with the agreed recommendations from a health care provider."
1 Though the terms adherence and compliance are synonymously used adherence differs from compliance.
 

Why is our platform different?

Living With provides your hospital or clinic with a single platform, and a catalogue of products and programmes, so you can tailor patient pathways for different symptoms and stages of treatment. Your hospital and clinic doesn’t need 100s of apps: it can do everything through the one Living With app. Healthcare providers can provide the app to multiple clinics to improve patient outcomes and save clinic time and money.
 
I downloaded the Living With app on my phone but it wouldn't let me access it as you have to have a code from your NHS clinician. So we can't see what's on the app about ME/CFS.

Here's what it says on the website:

Living With ME/CFS is an innovative digital health solution designed to support clinicians and patients in the management of Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS).

An estimated 250,000 people in the UK are affected by this debilitating condition. Without known causes, clinical tests or cures for ME/CFS, personalised care is critical for improving quality of life, which can be supported through digital platforms.

However, ME/CFS Services face severe underfunding, long waiting lists and many patients stuck in long treatment cycles. Service providers actively seek digital interventions that reduce costs, ease clinician workload and optimise ME/CFS patient outcomes.

A Digital Platform To Reduce Costs & Waiting Lists​

Living With ME/CFS is co-designed with ME/CFS service leads at East Coast Community Healthcare CIC, East Suffolk North Essex NHS Foundation Trust, Hampshire and Isle of Wight Healthcare NHS FT, and several other healthcare providers for:
  • Reducing waiting lists through referral to remote care and self-management.
  • Reducing cost of caseload management by increasing throughput and joining up care across services.
  • Reducing clinician time per patient through reduced follow-up and re-referral.
  • Improving patient quality of life through structured advice, symptom tracking and digital support.
The patient app is a virtual companion enabling patients to manage their condition with fewer appointments without sacrificing clinical effectiveness.
  • Validated Outcome Measures: Track physical and mental well-being through your choice of EQ5D, GAD, Nijmegen, WSAS, and PDQ5 assessments, as well as the options for fatigue PROMs
  • Personalised Care Plans: Setting, monitoring and achieving treatment goals.
  • Activity Energy Diary: A fatigue-friendly, color-coded diary helping patients log their daily activities and track energy expenditures, revealing behaviour patterns for sleep, rest and activity intensity.
  • Structured Thought Diary: a guided CBT-style tool for patients to record symptom triggers and responses.
  • Secured Two-Way Messaging enabling clinicians to provide remote advice and (optionally) patients to contact the clinic.
  • Bite-sized Educational Content on pacing, energy conservation, and coping strategies to support symptom management and behaviour change.
The Living With platform saves clinicians time and reduces administrative workload, through:
  • Real-Time Data Collection: Clinicians can spend less time collecting information and more time on clinical decision-making.
  • Task-Based Interventions: Clinicians can prescribe specific self-management modules (e.g., “Complete a fatigue diary,” “Read about pacing”) to support treatment between appointments.
  • Archived Plan Access: Both clinicians and patients can review past interventions and progress, making more informed adjustments to treatment.
  • Patient-Initiated Follow-Up (PIFU) Support: Provide post-treatment recovery plans and keep patients ‘connected’ post-discharge, ensuring they receive necessary follow-ups without burdening clinical teams; reduce re-referral and ED admissions.
  • Patient Groups: Innovatively allowing clinicians to send nudges to particular cohorts, or manage group-based therapies more efficiently.

Next Steps​

If you are a commissioner, NHS Trust or healthcare provider we invite you to explore how Living With ME/CFS can enhance your ME/CFS service provision.

Contact us today to discuss partnerships, pilot opportunities, and commercial models.
 
In theory I think this is quite a good idea for people with mild to moderate ME/CFS learning about how to pace and providing feedback to clinicians.

It could theoretically provide an accessible way for people with more severe ME/CFS to alert clinicians to their needs for specialist help, home visits, to alert hospitals to patients' needs etc. If it's used well, and not just as a way to fob off patients.

Theoretically the follow up could also provide useful feedback on the usefulness or otherwise of help provided.

But selling it to NHS providers as a way of avoiding doing anything for patients and leaving them to care for themselves it could be disastrous.

And since we can't see what's on the app about pacing, we have no idea whether it's any good or awful.
 
I agree it looks like it has promising aspects.

But the featured "Activity Energy Diary" and "Structured Thought Diary: a guided CBT-style tool for patients to record symptom triggers and responses" don't suggest that their advice on learning to pace will be particularly good. Or that they have much understanding of the physical and cognitive challenges patients are actually facing day to day.
 
I agree it looks like it has promising aspects.

But the featured "Activity Energy Diary" and "Structured Thought Diary: a guided CBT-style tool for patients to record symptom triggers and responses" don't suggest that their advice on learning to pace will be particularly good. Or that they have much understanding of the physical and cognitive challenges patients are actually facing day to day.
Yes, I agree, there are clues here that this is the usual BPS crap. In principle the idea of apps to help patients access info, record outcomes and keep in touch with clinicians are a good idea, but not if they simply host all the old crap.
 

Monitoring App​

The ‘Living With’ app supports COVID recovery. It allows clinicians to monitor your condition progress remotely. This is through assessments like the Dyspnoea 12, trackers for medication, measurements, symptoms and a fatigue diary.

The app also provides access to a library of clinically validated articles, and there is two-way messaging included so you can ask non-urgent questions easily.

The team will show you how to use the app once you have downloaded it. We will issue you with a code or password to get access to it.

Wellbeing Suffolk Employment Support​

Wellbeing Suffolk website (Opens in a new window)

Telephone: 0300 123 1503
 
I think we should be concerned about what kind of data that is shared with the HCPs.

If you track you activities and symptoms, and it shows a crash, what’s stopping them from inferring that you’re not living with ME/CFS properly, and therefore you’re sustaining the illness through push-crash cycles?

We can’t expect them to interpret the data rationally or in good faith.
 
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