INSERT INTO `teisro`.`project`(`projectcode`, `projectname`, `projtype`, `projstartdate`, `projfinishstate`, `projenddate`, `projclinical_discipline`, `projwebsite`, `projcountry`, `shortprojectname`, `remoteowner`, `lastchanged`, `approvalstatus`)
VALUES (671, 'Radio-networked virtual nursing home', 'Patient Care', '1996-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Elderly care', NULL, 'England', 'Radio-networked nursing home', 1, '1999-08-09 00:00:00', 'Approved'),
  (161, 'BT/Anchor Telecare Project', 'Patient Care', '1997-09-01 00:00:00', 'Ended', '1999-01-01 00:00:00', 'Home monitoring', NULL, 'England', 'BT/Anchor Telecare ', 1, '1999-08-09 00:00:00', 'Approved'),
  (691, 'Bassetlaw Telemedicine Project', 'Patient Care', '1998-10-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dermatology', NULL, 'England', 'Bassetlaw Telemedicine', 1, '1999-08-09 00:00:00', 'Approved'),
  (11, 'Telematic Ophthalmology', 'Patient Care', '1111-01-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Ophthalmology', NULL, 'England', 'Telematic Ophthalmology', 1, '1999-08-01 00:00:00', 'Approved'),
  (201, 'Community Ultrasound', 'Patient Care', '1997-10-01 00:00:00', 'Ended', '1998-01-01 00:00:00', 'Ultrasonography\n', NULL, 'England', 'Community Ultrasound', 1, '1999-08-01 00:00:00', 'Approved'),
  (41, 'Teleconsultation Project (A&E Support)', 'Patient Care', '1995-09-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Accident and Emergency\n', NULL, 'England', 'Teleconsultation ', 1, '1999-08-20 00:00:00', 'Approved'),
  (341, 'Dermatology', 'Patient Care', '1998-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Dermatology', 1, '1999-08-20 00:00:00', 'Approved'),
  (351, 'Radiology', 'Patient Care', '1998-03-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Radiology\n', NULL, 'England', 'Radiology', 1, '1999-08-20 00:00:00', 'Approved'),
  (361, 'Psychiatry', 'Patient Care', '1998-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Psychiatry\n', NULL, 'England', 'Psychiatry', 1, '1999-08-20 00:00:00', 'Approved'),
  (501, 'Safety and security related software quality standards for healthcare', 'Infrastructure', '1998-02-01 00:00:00', 'Ended', '1999-01-01 00:00:00', 'Documentation review\n', NULL, 'England', 'Safety and Security Software', 1, '1999-08-20 00:00:00', 'Approved'),
  (31, 'Minor Injuries', 'Patient Care', '1996-06-01 00:00:00', NULL, '1113-01-01 00:00:00', 'Accident and Emergency', NULL, 'England', 'Minor Injuries', 1, '2003-07-31 00:00:00', 'Approved'),
  (141, 'Child Care', 'Patient Care', '1996-06-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Child Care', NULL, 'England', 'Child Care', 1, '1999-08-20 00:00:00', 'Approved'),
  (21, 'North West London Hospitals Trust Telemedicine Project', 'Patient Care', '1996-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Accident and Emergency\n', NULL, 'England', 'Remote Trauma Management', 1, '2003-07-31 00:00:00', 'Approved'),
  (371, 'Women and Children', 'Patient Care', '1998-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Foetal Ultrasound\n', NULL, 'England', 'Remote Pain Management', 1, '1999-08-20 00:00:00', 'Approved'),
  (381, 'Video Clinic', 'Patient Care', '1998-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Patient care', NULL, 'England', 'Video Clinic', 1, '1999-08-20 00:00:00', 'Approved'),
  (51, 'The Telemedicine Project', 'Patient Care', '1111-01-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Psychiatry\n', NULL, 'England', 'Telemedicine', 1, '1999-08-20 00:00:00', 'Approved'),
  (581, 'Nurse Practitioner Videosigmoidoscopy utilising Telemedicine', 'Patient Care', '1997-11-01 00:00:00', 'Ended', '1999-01-01 00:00:00', 'Endoscopy\n', NULL, 'England', 'Nurse Practitioner Telemedicine', 1, '2004-02-04 00:00:00', 'Approved'),
  (791, 'IMPACT (Interactive Multimedia in Palliative Care Training)', 'Education', '1997-04-01 00:00:00', 'Ended', '2003-05-01 00:00:00', 'Palliative care\n', NULL, 'England', 'IMPACT', 1, '2003-07-31 00:00:00', 'Approved'),
  (401, 'ISDN-based Teledermatology', 'Patient Care', '1997-10-01 00:00:00', 'Ended', '2000-12-01 00:00:00', 'Dermatology\n', NULL, 'England', 'ISDN-based Teledermatology', 1, '2003-07-31 00:00:00', 'Approved'),
  (641, 'Project ET (Establish Tele-Referrals)', 'Patient Care', '1999-04-01 00:00:00', 'Ended', '2000-03-31 00:00:00', 'Radiology\n', NULL, 'England', 'E.T.', 1, '1999-09-14 00:00:00', 'Approved'),
  (601, 'Remote Consultation in Orthopaedics - a feasibility study', 'Patient Care', '1997-10-19 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Orthopaedics\n', NULL, 'England', 'Remote Consultation in Orthopaedics', 1, '1999-08-20 00:00:00', 'Approved'),
  (611, 'Real-time Remote Pain Management', 'Patient Care', '1997-11-01 00:00:00', 'Ended', '1999-01-01 00:00:00', 'Pain Management\n', NULL, 'England', 'Remote Pain Management', 1, '2004-02-04 00:00:00', 'Approved'),
  (61, 'Computer assisted self help and also outcome monitoring', 'Patient Care', '1994-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Psychiatry\n', NULL, 'England', 'Computer Self-help and Monitoring', 1, '1999-08-20 00:00:00', 'Approved'),
  (171, 'Remote Personnel Monitoring Service', 'Patient Care', '1111-01-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Accident and Emergency\n', NULL, 'England', 'Remote Personnel Monitoring Service', 1, '2003-09-26 00:00:00', 'Approved'),
  (181, 'HECTOR', 'Patient Care', '1995-09-01 00:00:00', 'Ended', '1999-12-01 00:00:00', 'Accident and Emergency', 'http://www.lancashireambulance.com', 'England', 'HECTOR', 1, '2003-08-01 00:00:00', 'Approved'),
  (531, 'NHS Direct', 'Patient Care', '1998-03-01 00:00:00', 'Expected to end', '2002-01-01 00:00:00', 'Teletriage\n', 'http://www.lancashireambulance.com', 'England', 'NHS Direct', 1, '1999-09-10 00:00:00', 'Approved'),
  (461, 'Mobile Telemedicine', 'Infrastructure', '1997-03-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Cardiology\n', NULL, 'England', 'Mobile Telemedicine', 1, '1999-09-10 00:00:00', 'Approved'),
  (81, 'Foetal Monitoring', 'Patient Care', '1111-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Foetal and cardiorespiratory monitoring\n', 'http://www.medicine.ox.ac.uk/ndog/tmr', 'England', 'Foetal Monitoring', 1, '1999-09-14 00:00:00', 'Approved'),
  (91, 'Minor Injuries', 'Patient Care', '1993-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Accident and Emergency', NULL, 'England', 'Minor Injuries', 1, '1999-09-14 00:00:00', 'Approved'),
  (771, 'Cornwall Dermatology Project', 'Patient Care', '1997-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Cornwall Dermatology', 1, '1999-09-14 00:00:00', 'Approved'),
  (491, 'Virtual Outreach Project - Controlled Trial and Economic Evaluation', 'Infrastructure', '1998-06-01 00:00:00', 'Ended', '2002-06-01 00:00:00', 'Primary/secondary care interface\n', 'http://www.ucl.ac.uk/primcare-popsci (under research projects)', 'England', 'Virtual Outreach ', 1, '2003-08-01 00:00:00', 'Approved'),
  (71, 'Teledermatology', 'Patient Care', '1999-01-01 00:00:00', 'Ended', '2001-01-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Teledermatology', 1, '1999-09-14 00:00:00', 'Approved'),
  (101, 'Virtual Outreach Project', 'Patient Care', '1995-05-01 00:00:00', 'Ended', '2002-06-01 00:00:00', 'Endocrinology, Gastroenterology\n', NULL, 'England', 'Virtual Outreach ', 1, '2003-08-01 00:00:00', 'Approved'),
  (211, 'Haslar/Sipovo Project (incorporated in DMS Telemed)', 'Patient Care', '1998-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Radiography\n', NULL, 'England', 'Haslar/Sipovo ', 1, '2003-08-01 00:00:00', 'Approved'),
  (331, 'Histopathology', 'Patient Care', '1998-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Histopathology\n', NULL, 'England', 'Histopathology', 1, '1999-08-20 00:00:00', 'Approved'),
  (731, 'SWOT', 'Education', '1996-11-29 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Obstetrics and Gynaecology', 'http://www.swot.org.uk', 'England', 'SWOT', 1, '2003-08-08 00:00:00', 'Approved'),
  (111, 'Remote Foetal Scanning', 'Patient Care', '1111-01-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Foetal Monitoring\n', NULL, 'England', 'Remote Foetal Monitoring', 1, '1999-09-15 00:00:00', 'Approved'),
  (661, 'RCT-ASTID', 'Patient Care', '1998-04-01 00:00:00', 'Expected to end', '2001-09-01 00:00:00', 'Dermatology', NULL, 'England', 'RCT-ASTID', 1, '2002-06-28 00:00:00', 'Approved'),
  (121, 'Dermatological Services', 'Patient Care', '1995-09-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Dermatological Services', 1, '2003-11-27 00:00:00', 'Approved'),
  (721, 'The Use of Telemedicine in the Community to Improve the Management of Heart Failure', 'Patient Care', '1998-07-01 00:00:00', 'Ended', '1998-09-01 00:00:00', 'Cardiology\n', NULL, 'England', 'Management of Heart Failure', 1, '1999-09-15 00:00:00', 'Approved'),
  (781, 'Clinical Supervision using the Medium of Videoconferencing Technology', 'Infrastructure', '1997-06-01 00:00:00', 'Ended', '1999-09-01 00:00:00', 'Nursing\n', NULL, 'England', 'Clinical Supervision', 1, '1999-09-15 00:00:00', 'Approved'),
  (131, 'Casualty Cover', 'Patient Care', '1995-09-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Accident and Emergency\n', NULL, 'England', 'Casualty Cover', 1, '1999-09-15 00:00:00', 'Approved'),
  (191, 'NeuroPage', 'Patient Care', '2000-08-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Mental Health', NULL, 'England', 'NeuroPage', 1, '2003-08-22 00:00:00', 'Approved'),
  (521, 'NHS Direct', 'Patient Care', '1998-03-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Teletriage\n', NULL, 'England', 'NHS Direct', 1, '1999-09-15 00:00:00', 'Approved'),
  (451, 'INCA', 'Infrastructure', '1997-03-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Home monitoring', NULL, 'England', 'INCA', 1, '1999-09-10 00:00:00', 'Approved'),
  (741, 'Health Aware', 'Patient Care', '1996-01-04 00:00:00', 'Ended', '2000-01-04 00:00:00', 'Long term health monitoring\n', NULL, 'England', 'Health Aware', 1, '2003-09-08 00:00:00', 'Approved'),
  (511, 'NHS Direct', 'Patient Care', '1998-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Teletriage\n', NULL, 'England', 'NHS Direct', 1, '1999-09-14 00:00:00', 'Approved'),
  (421, 'Assisting Carers using Telematics Interventions to meet Older persons Needs ', 'Infrastructure', '1997-01-01 00:00:00', 'Ended', '2000-10-01 00:00:00', 'Elderly Care', 'http://www.action.hb.se/English/Service.html', 'England', 'Action', 1, '2004-03-12 00:00:00', 'Approved'),
  (541, 'LINK', 'Patient Care', '1996-05-01 00:00:00', 'Ended', '1998-06-01 00:00:00', 'Cardiology\n', NULL, 'England', 'LINK', 1, '1999-09-15 00:00:00', 'Approved'),
  (151, 'Teledermatology', 'Patient Care', '1994-01-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Teledermatology', 1, '1999-09-15 00:00:00', 'Approved'),
  (751, 'Nursing Informatics Course using WebCT', 'Education', '1998-03-01 00:00:00', 'Ended', '1999-12-01 00:00:00', 'Nursing Informatics\n', 'http://www.shef.ac.uk/uni/academic/N-Q/nm/', 'England', 'Nursing Informatics Course', 1, '2003-08-07 00:00:00', 'Approved'),
  (761, 'Postgraduate Regional On-Line Videoconferencing in Dentistry (Provident) Project', 'Education', '1998-09-01 00:00:00', 'Ended', '2001-03-31 00:00:00', 'Pedagology, Dentistry', NULL, 'England', 'PROVIDENT', 1, '2003-09-08 00:00:00', 'Approved'),
  (841, 'Live Videosurgery and the Royal College of Surgeons of England', 'Education', '1111-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Surgery', NULL, 'England', 'Live Videosurgery', 1, '1999-09-29 00:00:00', 'Approved'),
  (812, 'Telemedicine Working Links', 'Patient Care', '1997-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Various\n', NULL, 'Scotland', 'Telemedicine Working Links', 1, '1999-09-28 00:00:00', 'Approved'),
  (871, 'An Alternative Teaching Module for Undergraduate Students utilising Telemedicine', 'Education', '1997-10-01 00:00:00', 'Ended', '1999-01-01 00:00:00', 'Surgery', NULL, 'England', 'An Alternative Teaching Module', 1, '2004-02-04 00:00:00', 'Approved'),
  (302, 'SAVIOUR - Study of the Application of Video Image Transfer, Orthopaedic up to Rehabilitation', 'Patient Care', '1992-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Remote Emergency Medicine\n', NULL, 'Scotland', 'SAVIOUR', 1, '1999-09-24 00:00:00', 'Approved'),
  (702, 'WHEECH Project', 'Infrastructure', '1998-11-01 00:00:00', 'Ended', '1999-11-01 00:00:00', 'Hospital discharge', NULL, 'Scotland', 'WHEECH ', 1, '1999-09-24 00:00:00', 'Approved'),
  (292, 'Dermatology', 'Patient Care', '1995-05-01 00:00:00', 'Ended', '1996-03-01 00:00:00', 'Dermatology\n', NULL, 'Scotland', 'Dermatology', 1, '1999-09-24 00:00:00', 'Approved'),
  (282, 'Rural Out of Hours Cover', 'Patient Care', '1994-12-01 00:00:00', 'Project abandoned', '1995-01-01 00:00:00', 'Primary Care\n', NULL, 'Scotland', 'Rural Out of Hours Cover', 1, '2003-07-22 00:00:00', 'Approved'),
  (682, 'TEN-TELEMED', 'Infrastructure', '1998-01-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Various', NULL, 'Scotland', 'TEN-TELEMED', 1, '1999-09-24 00:00:00', 'Approved'),
  (631, 'Tele-education for Clinical Undergraduates - an Outpatients Clinic Based Feasibility Study', 'Education', '1997-05-01 00:00:00', 'Ended', '1999-01-01 00:00:00', 'Tele-teaching', NULL, 'England', 'Tele-education', 1, '2004-02-04 00:00:00', 'Approved'),
  (651, 'Acute Chest Triage Rapid Intervention Guided by Home or Telecare (ACTRIGHT Pilot)', 'Patient Care', '1998-05-01 00:00:00', 'Ended', '2000-05-01 00:00:00', 'Respiratory Medicine\n', NULL, 'England', 'ACTRIGHT Pilot', 1, '2003-07-29 00:00:00', 'Approved'),
  (272, 'HERMES ', 'Patient Care', '1996-01-01 00:00:00', 'Expected to end', '1999-12-31 00:00:00', 'Obstetrics and Gynaecology\n', 'http://www.hermes.ed.ac.uk', 'Europe', 'HERMES', 1, '1999-09-24 00:00:00', 'Approved'),
  (621, 'TeleRemedy', 'Patient Care', '1998-01-01 00:00:00', 'Ended', '2000-01-01 00:00:00', 'Paediatric Cardiology', NULL, 'England', 'TeleRemedy', 1, '2003-08-01 00:00:00', 'Approved'),
  (861, 'Gloucestershire Diabetic Eye Screening Project', 'Patient Care', '1998-10-12 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Ophthalmology\n', NULL, 'England', 'Diabetic Eye Screening', 1, '2003-08-04 00:00:00', 'Approved'),
  (821, 'Home Tele-Health Care System with Integration of Smart Card Technology', 'Infrastructure', '1998-05-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Cardiology', NULL, 'England', 'Home Tele-Health Care System', 1, '1999-10-29 00:00:00', 'Approved'),
  (262, 'Telemedicine for Remote Healthcare', 'Patient Care', '1995-09-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dermatology, Radiology, Human Resources\n', NULL, 'Scotland', 'Telemedicine for Remote Healthcare', 1, '1999-09-24 00:00:00', 'Approved'),
  (653, 'Virtual Outreach', 'Patient Care', '1998-06-01 00:00:00', 'Ended', '2002-06-01 00:00:00', 'Primary Care', NULL, 'Wales', 'Virtual Outreach', 1, '2003-08-01 00:00:00', 'Approved'),
  (573, 'TeleDiab', 'Patient Care', '1997-08-01 00:00:00', 'Ended', '1999-02-01 00:00:00', 'Diabetes\n', NULL, 'Wales', 'TeleDiab', 1, '1999-09-29 00:00:00', 'Approved'),
  (323, 'SCAMP Project', 'Patient Care', '1996-07-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Asthma Management\n', NULL, 'Wales', 'SCAMP ', 1, '1999-09-28 00:00:00', 'Approved'),
  (224, 'UK Multicentre Teledermatology Trial', 'Patient Care', '1995-06-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dermatology\n', 'http://www.qub.ac.uk/ivs/medical/', 'Northern Ireland', 'Teledermatology Trial', 1, '1999-09-23 00:00:00', 'Approved'),
  (244, 'Home Telenursing', 'Patient Care', '1997-04-01 00:00:00', 'Ended', '1997-05-01 00:00:00', 'Home nursing\n', 'http://www.qub.ac.uk/ivs/medical/', 'Northern Ireland', 'Home Telenursing', 1, '1999-09-23 00:00:00', 'Approved'),
  (254, 'Telescan', 'Patient Care', '1995-01-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Paediatric Cardiology\n', NULL, 'Northern Ireland', 'Telescan', 1, '1999-09-23 00:00:00', 'Approved'),
  (434, 'ITHACA: Telematics for Integrated Client Centred Community Care', 'Infrastructure', '1996-01-01 00:00:00', 'Ended', '1998-12-01 00:00:00', 'Messaging', NULL, 'Northern Ireland', 'ITHACA', 1, '2003-11-26 00:00:00', 'Approved'),
  (444, 'Telemedicine Workstation', 'Infrastructure', '1995-06-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Various', 'http://www.qub.ac.uk/ivs/medical/', 'Northern Ireland', 'Telemedicine Workstation', 1, '1999-09-23 00:00:00', 'Approved'),
  (313, 'TEAM Project', 'Patient Care', '1993-01-01 00:00:00', 'Ended', '1995-12-01 00:00:00', 'Dentistry, Dermatology\n', NULL, 'Wales', 'TEAM', 1, '2003-08-01 00:00:00', 'Approved'),
  (852, 'An Ethnographic Study of the Diffusion Process of Telemedicine in Scotland', 'Infrastructure', '1998-02-01 00:00:00', 'Ended', '2000-08-01 00:00:00', 'Telemedicine', 'http://www.gla.ac.uk/Project/Telemedicine', 'Scotland', 'An Ethnographic Study', 1, '2003-07-14 00:00:00', 'Approved'),
  (471, 'Newcastle Safe 21', 'Infrastructure', '1999-02-01 00:00:00', 'Ended', '2000-06-30 00:00:00', 'Vital signs monitoring', NULL, 'England', 'Newcastle Safe 21', 1, '2001-05-27 00:00:00', 'Approved'),
  (882, 'Highlands and Islands Teledentistry ', 'Patient Care', '2000-01-01 00:00:00', 'Expected to end', '2001-06-01 00:00:00', 'Dentistry\n', NULL, 'Scotland', 'HIT', 1, '1999-11-05 00:00:00', 'Approved'),
  (552, 'MERMAID', 'Patient Care', '1996-01-01 00:00:00', NULL, '1112-01-01 00:00:00', 'Remote Emergency Medicine\n', NULL, 'Scotland', 'MERMAID', 1, '1999-09-24 00:00:00', 'Approved'),
  (911, 'Emailing X-rays to Orthopaedics at Poole Hospital from A&E at Royal Bournemouth Hospital', 'Patient Care', '1999-02-01 00:00:00', 'Ended', '2001-06-01 00:00:00', 'Orthopaedics\n', NULL, 'England', 'A&E to Trauma Transfers', 1, '2003-08-04 00:00:00', 'Approved'),
  (921, 'WMAS National Framework for CHD', 'Patient Care', '1999-05-01 00:00:00', 'Ended', '1999-12-01 00:00:00', 'Cardiology\n', NULL, 'England', 'WMAS National Framework for CHD', 1, '2000-01-20 00:00:00', 'Approved'),
  (831, 'Telemedicine In the Accident & Emergency Setting', 'Patient Care', '1999-03-01 00:00:00', 'Ended', '2000-02-28 00:00:00', 'Accident and Emergency', NULL, 'England', 'Telemedicine in the A&E Setting', 1, '2003-09-14 00:00:00', 'Approved'),
  (1071, 'Accident and Emergency Modernisation Project', 'Infrastructure', '2000-06-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'A&E', NULL, 'England', 'A&E Modernisation ', 1, '2003-11-06 00:00:00', 'Approved'),
  (1081, 'Provision of \'On-Call\' Teleradiology for CT and MR Scanning', 'Patient Care', '1998-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Radiology\n', NULL, 'England', '\'On-Call\' Teleradiology', 1, '2003-08-01 00:00:00', 'Approved'),
  (941, 'Tele-Education in Primary and Community Health Care', 'Education', '1999-08-01 00:00:00', 'Expected to end', '2000-09-30 00:00:00', 'Primary and community healthcare', NULL, 'England', 'Tele-Education', 1, '2000-03-03 00:00:00', 'Approved'),
  (931, 'Advanced Informatics Data Management & Networks', 'Patient Care', '1999-01-01 00:00:00', 'Expected to end', '2000-11-01 00:00:00', 'A&E, Dermatology, Cardiology', 'http://www.brunel.ac.uk/depts/ee/Research_Programme/COM/main.html', 'England', 'AIDMAN', 1, '2000-03-03 00:00:00', 'Approved'),
  (951, 'Peterborough Teledermatology', 'Patient Care', '1998-10-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Peterborough Teledermatology', 1, '2003-07-31 00:00:00', 'Approved'),
  (961, 'Community Teleconferencing', 'Patient Care', '2000-03-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dental care\n', NULL, 'England', 'Community Teleconferencing', 1, '2000-03-28 00:00:00', 'Approved'),
  (991, 'Telemedicine Links Between Minor Injury Unit/ Accident and Emergency Unit', 'Patient Care', '1997-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Accident and Emergency\n', NULL, 'England', 'Telemedicine Links', 1, '2003-07-31 00:00:00', 'Approved'),
  (1001, 'Brooker Centre/St John\'s Unit Telemedicine', 'Patient Care', '2000-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Mental Health\n', NULL, 'England', 'Telemedicine', 1, '2000-03-28 00:00:00', 'Approved'),
  (1011, 'Digital Imaging for Skin Lesion Referrals', 'Patient Care', '2000-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Plastic Surgery\n', NULL, 'England', 'Digital Imaging', 1, '2000-03-28 00:00:00', 'Approved'),
  (1021, 'Teleradiology', 'Patient Care', '1998-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Radiology\n', NULL, 'England', 'Teleradiology', 1, '2003-07-31 00:00:00', 'Approved'),
  (1031, 'Christie to Wythenshawe Oncology Link', 'Patient Care', '2000-03-01 00:00:00', 'Ended', '2002-01-01 00:00:00', 'Radiology\n', NULL, 'England', 'Oncology Link', 1, '2003-07-31 00:00:00', 'Approved'),
  (1061, 'Home Diagnostic Radiology Service;  Telemedicine with Walton Hospital;  X-ray Digitiser at St Helens', 'Patient Care', '1111-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Radiology\n', NULL, 'England', 'Telemedicine', 1, '2000-03-28 00:00:00', 'Approved'),
  (901, 'Defence Medical Services Telemedicine Unit Project', 'Patient Care', '1998-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Multi-disciplinary', NULL, 'England', 'DMS Telemed', 1, '2003-08-01 00:00:00', 'Approved'),
  (1091, 'SECT A&E  ', 'Patient Care', '1999-12-01 00:00:00', 'Expected to end', '2001-05-01 00:00:00', 'Accident and Emergency\n', 'http://www.sectae.org.uk', 'England', 'SECT A&E', 1, '2003-04-22 00:00:00', 'Approved'),
  (1101, 'Teledermatology Pilot Project', 'Patient Care', '2000-02-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Teledermatology Pilot', 1, '2000-05-17 00:00:00', 'Approved'),
  (1111, 'Primary Care Based Dermatology Telemedicine', 'Patient Care', '1999-06-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Dermatology Telemedicine', 1, '2003-08-27 00:00:00', 'Approved'),
  (1121, 'Telemedicine Links with Paediatric ICU - phase 1', 'Patient Care', '1999-06-01 00:00:00', 'Ended', '2000-06-01 00:00:00', 'Paediatric Intensive Care - phase 1', NULL, 'England', 'Paediatric Intensive Care - phase 1', 1, '2003-08-27 00:00:00', 'Approved'),
  (1141, 'Emergency Videotelemetry', 'Patient Care', '1999-10-01 00:00:00', 'Expected to end', '2002-08-15 00:00:00', 'Pre Hospital Care', NULL, 'England', 'Emergency Videotelemetry', 1, '2000-06-11 00:00:00', 'Approved'),
  (1151, 'Links from Accident and Emergency to other NHS Accident and Emergency Units', 'Patient Care', '2000-05-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Accident and Emergency\n', NULL, 'England', 'Links to A&E within the NHS', 1, '2000-06-11 00:00:00', 'Approved'),
  (1161, 'Telemedicine Links with Paediatric ICU - phase 2, a mobile solution', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-04-01 00:00:00', 'Paediatric Intensive Care - phase 2', NULL, 'England', 'Paediatric Intensive Care - phase 2', 1, '2003-08-27 00:00:00', 'Approved'),
  (1171, 'Renal Care Outreach Clinics', 'Patient Care', '2000-05-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Renal\n', NULL, 'England', 'Renal Care Outreach Clinics', 1, '2000-06-11 00:00:00', 'Approved'),
  (1182, 'Ayrshire Videoconferencing Network', 'Infrastructure', '1999-03-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Multi-disciplinary\n', NULL, 'Scotland', 'Ayrshire Videoconferencing Network', 1, '2003-08-01 00:00:00', 'Approved'),
  (1191, 'Education and Training Network', 'Education', '1999-04-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Education and training', NULL, 'England', 'Education and Training Network', 1, '2003-11-04 00:00:00', 'Approved'),
  (1202, 'Telecare in Tayside', 'Infrastructure', '1999-05-01 00:00:00', 'Ended', '2002-05-01 00:00:00', 'Primary Care', NULL, 'Scotland', 'Telecare in Tayside', 1, '2003-09-08 00:00:00', 'Approved'),
  (1211, 'Use of Videoconferencing for Hospitalised Neonates', 'Patient Care', '1999-04-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Newborn Medicine\n', NULL, 'England', 'Videoconferencing in Nesnatology', 1, '2003-07-31 00:00:00', 'Approved'),
  (971, 'Thrombolysis for Myocardial Infarction - The Impact of ECG Telemetry', 'Patient Care', '1998-04-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Pre Hospital Care', NULL, 'England', 'The Impact of ECG Telemetry', 1, '2003-07-28 00:00:00', 'Approved'),
  (672, 'ATTRACT  -  Applications in Telemedicine taking Rapid Advantage of Cable Television Network Evolution', 'Patient Care', '1998-05-01 00:00:00', 'Ended', '2001-02-28 00:00:00', 'Multi-Disciplinary-PAMs/Carestaff/Admins', 'http://www.n-i.nhs.uk/Trusts/Southeast.html', 'Northern Ireland', 'ATTRACT', 1, '2003-11-25 00:00:00', 'Approved'),
  (981, 'Delivery of New Technology Distributed (NTDL) within an NHS Trust', 'Education', '1999-10-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Training', NULL, 'England', 'NTDL within an NHS TRUST', 1, '2000-03-28 00:00:00', 'Approved'),
  (481, 'Minor Injuries Unit Telephone Advice System', 'Patient Care', '1997-09-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Minor Injuries', NULL, 'England', 'Nurse Led Teletriage', 1, '2003-07-31 00:00:00', 'Approved'),
  (591, 'Remote Consultation - a General Practitioner based General Surgery Clinic', 'Patient Care', '1997-09-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'General Practice\n', NULL, 'England', 'Remote Consultation', 1, '1999-08-20 00:00:00', 'Approved'),
  (711, 'TeleDent - Phase 1', 'Education', '1996-01-01 00:00:00', 'Ended', '1997-04-01 00:00:00', 'Dentistry\n', NULL, 'England', 'TeleDent - Phase 1', 1, '2003-09-03 00:00:00', 'Approved'),
  (1131, 'Teledermatology in Action', 'Patient Care', '1999-09-01 00:00:00', 'Ended', '2000-09-01 00:00:00', 'Dermatology\n', NULL, 'England', 'Teledermatology in Action', 1, '2003-09-08 00:00:00', 'Approved'),
  (677, 'Ophthalmology Website', 'Patient Care', '2000-01-01 00:00:00', NULL, '1112-01-01 00:00:00', 'Ophthalmology', 'http://www.dr-kelly.eyemd.org', 'England', 'Ophthalmology Website', 1, '2001-02-23 00:00:00', 'Approved'),
  (674, 'Delivering clinical psychology services to remote communities in the Highlands of Scotland', 'Patient Care', '1111-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Psychology', NULL, 'Scotland', 'Psychology Teleconsulting', 1, '2003-08-01 00:00:00', 'Approved'),
  (673, 'New Technology in Elderly Care Project', 'Patient Care', '1999-01-01 00:00:00', 'Expected to end', '2003-03-01 00:00:00', 'Elderly Medicine', NULL, 'England', 'NTEC ', 1, '2002-04-01 00:00:00', 'Approved'),
  (675, 'Switched-on outreach clinic gets the picture - innovation in practice', 'Patient Care', '1997-08-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Orthopaedics Dermatology Cardiology', 'http://members.aol.com/rtmsnm/msnm2.jpg', 'England', 'GP Link', 1, '2003-11-25 00:00:00', 'Approved'),
  (238, 'The JOB Programme', 'Education', '1998-01-01 00:00:00', 'Ended', '2000-01-01 00:00:00', 'Disabilities', 'http://minerva.shef.ac.uk/action/index.html', 'England', 'The JOB Programme', 1, '2003-09-09 00:00:00', 'Approved'),
  (678, 'MRCSTV (PREVIOUSLY TElematics TRAining for SURgeons)', 'Education', '1998-04-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Surgery', 'http://www.MRCS.TV/', 'England', 'mrcsTV', 1, '2003-07-16 00:00:00', 'Approved'),
  (12, 'Telepathology in Edinburgh', 'Infrastructure', '2000-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Histopathology, Cytology', NULL, 'Scotland', 'Telepathology in Edinburgh', 1, '2003-07-31 00:00:00', 'Approved'),
  (13, 'Email/Cyberclinic facilities for Patients (formerly called \'Out-patient Telephone Follow Up in Rheumatology\')', 'Patient Care', '1995-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Rheumatology/Osteoperosis', 'http://www.cyberrheum.org', 'England', 'Email/cyberclinic facilities', 1, '2004-02-11 00:00:00', 'Approved'),
  (14, 'TeleDent - Phase 3 - Using Expert Systems and ISDN Support to Improve the Delivery of Orthodontic Advice in Primary Care', 'Patient Care', '1998-09-01 00:00:00', 'Ended', '2000-09-01 00:00:00', 'Orthodontics', 'http://www.teledent.bris.ac.uk', 'England', 'TeleDent - Phase 3', 1, '2003-09-01 00:00:00', 'Approved'),
  (15, 'Remote ambulatory monitoring of infants with chronic lung disease', 'Patient Care', '1998-09-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Paediatrics', NULL, 'England', 'Remote Monitoring', 1, '2003-07-31 00:00:00', 'Approved'),
  (23, 'Investigative research of international use and practicalities of tele-ophthalmology in the management of ophthalmic conditions', 'Education', '1999-07-01 00:00:00', 'Ended', '2002-06-30 00:00:00', 'Ophthalmology', 'http://www.ucl.ac.uk/ioo/research/murdoch.htm', 'England', 'Tele-ophthalmology Research ', 1, '2003-09-08 00:00:00', 'Approved'),
  (33, 'Investigative research of the safety, practicality, appropriateness, acceptability, limitations, and the costs of tele-ophthalmology', 'Patient Care', '1998-06-01 00:00:00', 'Ended', '2002-11-01 00:00:00', 'Ophthalmology', 'http://www.ucl.ac.uk/ioo/research/murdoch.htm', 'England', 'Tele-ophthalmology Research 2', 1, '2003-09-30 00:00:00', 'Approved'),
  (24, 'Quality of Life and Home Parenteral Nutrition: a controlled study of Telemedicine', 'Patient Care', '2001-01-01 00:00:00', 'Ended', '2003-06-01 00:00:00', 'Nutrition', NULL, 'England', 'Telemedicine, HPN and QoL', 1, '2003-08-01 00:00:00', 'Approved'),
  (25, 'Telemedicine Support for Minor Injuries Unit', 'Patient Care', '1999-10-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Minor Injuries', NULL, 'England', 'Telemedicine in a MIU', 1, '2003-08-01 00:00:00', 'Approved'),
  (679, 'Bournemouth Diabetes and Telemedicine Project', 'Patient Care', '2001-03-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Diabetes', NULL, 'England', 'Diabetes and Telemedicine', 1, '2001-04-24 00:00:00', 'Approved'),
  (680, 'Surrey Emergency Care System', 'Patient Care', '1999-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Accident and Emergency', NULL, 'England', 'SECS', 1, '2003-11-25 00:00:00', 'Approved'),
  (681, 'NHS Direct, Avon, Gloucestershire and Wiltshire', 'Patient Care', '2000-10-01 00:00:00', NULL, '1112-01-01 00:00:00', 'Information and Nurse Triage', NULL, 'England', 'NHS Direct AGW', 1, '2001-07-10 00:00:00', 'Approved'),
  (1216, 'Letham Nurse-Led Videolink', 'Patient Care', '1998-05-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Nurse/Patient to GP Videoconsultations', NULL, 'Scotland', 'Letham Videolink', 1, '2003-07-31 00:00:00', 'Approved'),
  (1217, 'CarePlus - An information and communication service for users and providers of health and social care', 'Patient Care', '2001-04-01 00:00:00', 'Ended', '2002-06-01 00:00:00', 'Elderly Care', 'http://www.shef.ac.uk/careplus', 'England', 'CarePlus', 1, '2003-09-26 00:00:00', 'Approved'),
  (1218, 'A telemedicine link between Loughborough Minor Injuries Unit and Leicester Royal Infirmary A & E Department', 'Patient Care', '2001-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Minor Injuries', NULL, 'England', 'Leicestershire MIU/A&E Link', 1, '2001-10-17 00:00:00', 'Approved'),
  (1219, 'The North Lewisham telepsychiatry study:  Telephone survey of service users experiences', 'Patient Care', '2001-11-01 00:00:00', 'Project abandoned', '2001-11-01 00:00:00', 'Mental Health', NULL, 'England', 'Telepsychiatry ', 1, '2003-08-27 00:00:00', 'Approved'),
  (1220, 'The use of telepsychiatry in discharge planning - Care Programme Approach (CPA) meetings', 'Education', '2001-12-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Telepsychiatry', NULL, 'England', 'Telepsychiatry in CPA meetings', 1, '2003-08-27 00:00:00', 'Approved'),
  (1221, 'The North Lewisham Telepsychiatry study:  Do service users really want telepsychiatry?', 'Education', '2001-02-01 00:00:00', 'Ended', '2001-08-01 00:00:00', 'Telepsychiatry study', NULL, 'England', 'Telepsychiatry Study', 1, '2003-09-09 00:00:00', 'Approved'),
  (1222, 'Child Sleep Monitoring at Home', 'Patient Care', '2002-01-01 00:00:00', 'Ended', '2002-02-01 00:00:00', 'Respiratory Medicine', NULL, 'England', 'Child Sleep Monitoring at Home', 1, '2003-09-09 00:00:00', 'Approved'),
  (1223, 'Staffordshire Ambulance Service NHS Trust - Primary and Intermediate Mobile Health Care - Community Paramedic and Telemedicine Project', 'Patient Care', '2001-09-01 00:00:00', 'Ended', '2002-05-01 00:00:00', 'Mobile Health Care', NULL, 'England', 'Community Paramedic & Telemedicine', 1, '2001-09-01 00:00:00', 'Approved'),
  (1224, 'Videoconferencing for Medical Education', 'Education', '1995-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Laparoscopy and endoscopy', NULL, 'England', 'Medical Education', 1, '2003-08-01 00:00:00', 'Approved'),
  (1225, 'An Economic Evaluation of Telemedicine to provide Specialist Advice in Paediatric Cardiology  \r\n', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-11-01 00:00:00', 'Paediatric and Fetal Cardiology ', 'http://www.brunel.ac.uk/depts/herg/telepaedweb.htm', 'England', 'Telepaed', 1, '2003-07-08 00:00:00', 'Approved'),
  (1229, 'Defence Technology for Health - Tele-echocardiology', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Cardiology', NULL, 'England', 'DTfH - Tele-echocardiology', 1, '2004-04-21 00:00:00', 'Approved'),
  (1227, 'Telecare', 'Patient Care', '2001-09-01 00:00:00', 'Expected to end ', '2004-08-01 00:00:00', 'Remote ambulatory monitoring', 'http://www.biomed.ntua.gr/telecare', 'Europe', 'Telecare', 1, '2003-08-08 00:00:00', 'Approved'),
  (1232, 'Defence Technology for Health - Remote Monitoring of Paediatric Congenital Heart Disease Patients', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Paediatric Cardiology', NULL, 'England', 'DTfH - pCHD', 1, '2003-12-09 00:00:00', 'Approved'),
  (1230, 'Defence Technology for Health - Non-invasive Fetal ECG', 'Patient Care', '2000-04-01 00:00:00', 'Ongoing', '2002-03-01 00:00:00', 'Antenatal Cardiology', NULL, 'England', 'DTfH - Fetal ECG', 1, '2004-04-21 00:00:00', 'Approved'),
  (1231, 'INR RELAY - an automated voice mail service which communicates INR results, anticoagulant doses and clinic appointments directly to patients', 'Patient Care', '2000-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Haematology', 'http://www.pacehealthsystems.com', 'England', 'INR RELAY', 1, '2002-02-28 00:00:00', 'Approved'),
  (1233, 'Defence Technology for Health - Cancer Network Information System', 'Patient Care', '2000-04-01 00:00:00', 'Ongoing', '2002-03-01 00:00:00', 'Oncology', NULL, 'England', 'DTfH - Cancer Network Info Systems', 1, '2004-04-21 00:00:00', 'Approved'),
  (1234, 'Defence Technology for Health - Haemoncology Remote Monitoring ', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Oncology', NULL, 'England', 'DTfH-Haemoncology Remote Monitoring', 1, '2004-04-23 00:00:00', 'Approved'),
  (1235, 'Defence Technology for Health - Telepathology', 'Infrastructure', '2000-04-01 00:00:00', 'Ongoing', '2002-03-01 00:00:00', 'Histopathology', NULL, 'England', 'DTfH - Telepathology', 1, '2004-04-21 00:00:00', 'Approved'),
  (1236, 'Defence Technology for Health - Pre-Hospital Support', 'Patient Care', '2000-04-01 00:00:00', 'Ongoing', '2002-03-01 00:00:00', 'Emergency Medicine', NULL, 'England', 'DTfH - Pre-Hospital Support', 1, '2004-04-21 00:00:00', 'Approved'),
  (1237, 'Defence Technology for Health - Metal Location and Discrimination Instrument (MELODI)', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Trauma and Surgery', NULL, 'England', 'DTfH - MELODI', 1, '2004-04-23 00:00:00', 'Approved'),
  (1238, 'Defence Technology for Health - Predictive Alarms for ICU', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Intensive Care', NULL, 'England', 'DTfH - PAS', 1, '2004-04-21 00:00:00', 'Approved'),
  (1239, 'Defence Technology for Health - Aerometal Information System', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Emergency Medicine', NULL, 'England', 'DTfH - AMIS', 1, '2004-04-20 00:00:00', 'Approved'),
  (1240, 'Defence Technology for Health - Deepscan Ultrasound', 'Patient Care', '2000-04-01 00:00:00', 'Ongoing', '2002-03-01 00:00:00', 'Medical Imaging', NULL, 'England', 'DTfH - Deepscan Ultrasound', 1, '2004-04-21 00:00:00', 'Approved'),
  (1241, 'Defence Technology for Health - Computer Assisted Mammography', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Oncology', NULL, 'England', 'DTfH - Mammography', 1, '2003-12-09 00:00:00', 'Approved'),
  (1242, 'Defence Technology for Health - Deepscan Doppler', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Cardiology', NULL, 'England', 'DTfH - Deepscan Doppler', 1, '2003-12-09 00:00:00', 'Approved'),
  (1243, 'Defence Technology for Health - Chronic Obstructive Pulmonary Disease', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2002-03-01 00:00:00', 'Telecare', NULL, 'England', 'DTfH - COPD', 1, '2004-04-21 00:00:00', 'Approved'),
  (1244, 'The Development and Evaluation of a New Telepsychiatry Service for Prisoners', 'Patient Care', '2001-12-01 00:00:00', 'Expected to end', '2004-11-01 00:00:00', 'Forensic psychiatry', NULL, 'England', 'Evaluation of Telepsychiatry', 1, '2003-08-05 00:00:00', 'Approved'),
  (1246, 'Good Hope Hospital Leg Ulcer Telemedicine Study', 'Patient Care', '2001-04-01 00:00:00', 'Expected to end', '2003-11-01 00:00:00', 'Vascular Surgery', NULL, 'England', 'Good Hope Leg Ulcer ', 1, '2003-07-31 00:00:00', 'Approved'),
  (1247, 'Telephone advice for managing behaviour problems in young people with autistic spectrum disorders', 'Patient Care', '2001-05-01 00:00:00', 'Ended ', '2003-07-01 00:00:00', 'Clinical psychology', NULL, 'England', 'CHASAC Telephone Advice Line', 1, '2003-07-31 00:00:00', 'Approved'),
  (1248, 'Store and Foreward Encrypted Telemedicine Assisting Plastic Surgery trauma and burn injuries ', 'Patient Care', '2002-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Plastic Surgery', 'http://tie.telemed.org/programs/showprogram.asp?item=2483', 'England', 'SAFETAPS', 1, '2003-09-03 00:00:00', 'Approved'),
  (1249, 'Emergency Multimedia', 'Infrastructure', '1999-04-01 00:00:00', 'Ended', '2001-09-01 00:00:00', 'Pre Hospital Care', 'http://www.hwcomms.com/emm_projnew.htm', 'England', 'EMM', 1, '2003-08-01 00:00:00', 'Approved'),
  (1250, 'Telemedicine in Primary Care in remote and rural Scotland: how should it be integrated into practice?', 'Patient Care', '2002-05-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Primary Care', NULL, 'Scotland', 'Telemedicine in Primary Care', 1, '2002-08-07 00:00:00', 'Approved'),
  (1251, 'Night Owls', 'Patient Care', '1996-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Overnight patient care', NULL, 'England', 'Night Owls', 1, '2003-08-01 00:00:00', 'Approved'),
  (1252, 'Falkirk Mobile Emergency Care Service Passive Alarm Project', 'Patient Care', '1992-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Dementia and other cognitive impairment', NULL, 'Scotland', 'Falkirk MECS Passive Alarm Service', 1, '2003-07-30 00:00:00', 'Approved'),
  (1253, 'Falkirk Mobile Emergency Care Service Epilepsy Monitoring Project', 'Patient Care', '2001-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Epilepsy', NULL, 'Scotland', 'Falkirk MECS Epilepsy Monitoring', 1, '2003-07-30 00:00:00', 'Approved'),
  (1254, 'Falkirk Mobile Emergency Care Service Falls Management Project', 'Patient Care', '2001-09-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Elderly Care', NULL, 'Scotland', 'Falkirk MECS Falls Management', 1, '2003-07-30 00:00:00', 'Approved'),
  (1255, 'Opening Doors for Older People Initiative', 'Patient Care', '1999-01-01 00:00:00', 'Expected to end', '2003-03-01 00:00:00', 'Elderly Care', NULL, 'Scotland', 'Opening Doors', 1, '2002-08-13 00:00:00', 'Approved'),
  (1256, 'People at Home and in Touch  ', 'Patient Care', '1998-08-01 00:00:00', 'Expected to end', '2004-03-01 00:00:00', 'Elderly Care', 'http://www.durham.gov.uk/DurhamCC/usp.nsf/pws/Social+Services+-+People+at+Home+and+in+Touch\r\n\r\n', 'England', 'People at Home and in Touch  ', 1, '2003-10-21 00:00:00', 'Approved'),
  (1257, 'Midas Pilot - Cheshire', 'Patient Care', '2002-05-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Elderly Care', NULL, 'England', 'MIDAS', 1, '2003-10-21 00:00:00', 'Approved'),
  (1258, 'Going Home, Staying Home', 'Patient Care', '2001-12-01 00:00:00', 'Expected to end', '2004-03-01 00:00:00', 'Elderly Care', NULL, 'Northern Ireland', 'Going Home, Staying Home', 1, '2003-09-09 00:00:00', 'Approved'),
  (1259, 'Home Comforts Project', 'Patient Care', '2001-08-06 00:00:00', 'Expected to end', '2002-06-01 00:00:00', 'Elderly Care', NULL, 'Scotland', 'Home Comforts', 1, '2002-08-20 00:00:00', 'Approved'),
  (1260, 'Guildford Falls Project', 'Patient Care', '2003-10-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Elderly Care', NULL, 'England', 'Guildford Falls', 1, '2003-07-31 00:00:00', 'Approved'),
  (1261, 'Computer Interactive Reminiscence And Conversation Aid', 'Patient Care', '2001-09-01 00:00:00', 'Expected to end', '2004-09-01 00:00:00', 'Elderly Care', 'http://www.computing.dundee.ac.uk/projects/circa/', 'Scotland', 'CIRCA', 1, '2002-08-22 00:00:00', 'Approved'),
  (1262, 'Advanced Sensors For Supportive Environments For The Elderly', 'Patient Care', '2001-10-01 00:00:00', 'Expected to end', '2003-09-30 00:00:00', 'Elderly Care', 'http://www.computing.dundee.ac.uk/projects/supportiveenvironments', 'Scotland', 'Supportive Environments ', 1, '2002-08-29 00:00:00', 'Approved'),
  (1263, 'Interactive Memory Aid To Support Independence Among Older People', 'Patient Care', '2000-10-01 00:00:00', 'Expected to end', '2003-09-01 00:00:00', 'Elderly Care', 'http://www.computing.dundee.ac.uk/projects/MemoJog', 'Scotland', 'MEMOJOG', 1, '2002-08-29 00:00:00', 'Approved'),
  (1264, 'Enabling Technologies For Persons With Dementia\r\n\r\n', 'Patient Care', '2001-03-01 00:00:00', 'Expected to end', '2004-03-01 00:00:00', 'Mental Health', 'http://www.enableproject.org', 'England', 'ENABLE', 1, '2002-09-05 00:00:00', 'Approved'),
  (1265, 'Millennium Homes: A Technology Supported Domestic Environment For Frail And Elderly People', 'Patient Care', '2000-08-01 00:00:00', 'Expected to end', '2003-01-01 00:00:00', 'Elderly Care', 'http://www.brunel.ac.uk/depts/bib/home.html\r\n\r\n', 'England', 'Millennium Homes', 1, '2002-09-05 00:00:00', 'Approved'),
  (1266, 'Integrated Control And Communication Systems For Distributed \'Sheltered\' Housing In The Community', 'Patient Care', '1998-11-01 00:00:00', 'Ended', '1999-12-01 00:00:00', 'Elderly Care', 'http://www.qub.ac.uk/tbe/arc/research/projects/equal.html', 'Northern Ireland', '\'Sheltered\' Housing', 1, '2002-09-09 00:00:00', 'Approved'),
  (1267, 'Older Users\' Perspectives On Mobility - Related, Assistive Technology Research: An Exploratory Study ', 'Patient Care', '1999-10-01 00:00:00', 'Ended', '2000-09-01 00:00:00', 'Elderly Care', 'http://www.kcl.ac.uk//kis/schools/life_sciences/health/gerontology/frame.php?type=profiles&name=a_tinker.html', 'England', 'Older Users\' Views On Mobility', 1, '2002-09-10 00:00:00', 'Approved'),
  (1268, 'Introducing Assistive Technology Into Older People\'s Homes: Feasibility, Acceptability, Costs And Outcomes ', 'Patient Care', '2000-10-01 00:00:00', 'Ended', '2003-07-01 00:00:00', 'Elderly Care', 'http://www.fp.rdg.ac.uk/equal/AT/\r\n\r\n', 'England', 'Assistive Technology ', 1, '2004-02-06 00:00:00', 'Approved'),
  (1269, 'A Social And Technological Response To Meeting The Needs Of Individuals With Dementia And Their Carers	(Completed)\r\n\r\n', 'Patient Care', '1999-03-01 00:00:00', 'Ended', '2000-09-01 00:00:00', 'Dementia care', 'http://www.astridguide.org/index.htm\r\n\r\n', 'England', 'ASTRID', 1, '2003-09-11 00:00:00', 'Approved'),
  (1270, 'Northampton Safe at Home Project', 'Patient Care', '2000-04-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dementia care', 'http://www.northamptonshire.gov.uk/council/documents/dementia/safe.asp', 'England', 'Safe at Home Project', 1, '2003-08-06 00:00:00', 'Approved'),
  (1271, 'Telecare Planning and Implementation - superceded by project 1324', 'Telecare', '2000-07-01 00:00:00', 'Expected to end', '2003-07-01 00:00:00', 'Elderly Care', 'http://www.sussex.ac.uk/spru/imichair/projects/template.cfm?content=telecare.cfm', 'England', 'TCPI', 1, '2002-09-12 00:00:00', 'Approved'),
  (1272, 'Intensive Homecare and Sydenham Court', 'Patient Care', '2002-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Mental Health', NULL, 'Northern Ireland', 'Intensive Homecare - Sydenham Court', 1, '2003-11-25 00:00:00', 'Approved'),
  (1273, 'Remote Home Monitoring of Patients', 'Patient Care', '2001-01-01 00:00:00', 'Expected to end', '2003-03-31 00:00:00', 'Patient recovery', NULL, 'England', '@HOME', 1, '2002-09-17 00:00:00', 'Approved'),
  (1274, 'The control, identification and delivery of prescribed medication', 'Patient Care', '2001-05-01 00:00:00', 'Expected to end', '2004-04-30 00:00:00', 'Medication', 'http://www.medicate-online.org', 'Northern Ireland', 'MEDICATE', 1, '2002-09-18 00:00:00', 'Approved'),
  (1275, 'C-Monitor', 'Patient Care', '2002-06-01 00:00:00', 'Expected to end', '2003-11-01 00:00:00', 'Remote Health Care', 'http://www.biomed.ntua.gr/c-monitor', 'Europe', 'C-monitor', 1, '2003-08-01 00:00:00', 'Approved'),
  (1276, 'Cancer Genetics - Virtual Outreach Clinics Pilot', 'Patient Care', '1111-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Remote Health Care', 'http://www.partnershipsinhealthcare.co.uk/discussion12.htm', 'England', 'Virtual Clinic Pilot', 1, '2003-08-01 00:00:00', 'Approved'),
  (1277, 'What factors promote or inhibit the development of telemedicine systems?', 'Education', '2000-09-01 00:00:00', 'Expected to end', '2003-09-01 00:00:00', 'Mental Health', NULL, 'England', 'Evaluation of Telehealthcare', 1, '2003-06-26 00:00:00', 'Approved'),
  (1278, 'Stakeholders experience of teledermatology in a nurse-led community clinic - a case study', 'Education', '2003-01-01 00:00:00', 'Expected to end', '2003-09-01 00:00:00', 'Dermatology', NULL, 'England', 'Teledermatology', 1, '2003-06-26 00:00:00', 'Approved'),
  (1279, 'The clinical evaluation of the use of telemedicine in tertiary trauma referrals to a regional speciality centre.', 'Education', '2003-01-01 00:00:00', 'Expected to end', '2004-01-01 00:00:00', 'Trauma', NULL, 'England', 'Telemedicine in Tertiary Trauma', 1, '2003-06-26 00:00:00', 'Approved'),
  (1280, 'Telemedicine in child and adolescent psychiatry', 'Patient care', '2001-07-01 00:00:00', 'Expected to end', '2003-06-30 00:00:00', 'Psychiatry', NULL, 'Scotland', 'Telemedicine in psychiatry', 1, '2003-06-26 00:00:00', 'Approved'),
  (1281, 'The evaluation and development of a new telepsychiatry service for prisoners', 'Patient care', '2001-12-01 00:00:00', 'Expected to end', '2004-11-30 00:00:00', 'Psychiatry', NULL, 'England', 'HMP Parkhurst Study', 1, '2003-06-26 00:00:00', 'Approved'),
  (1282, 'Establishment and preliminary evaluation of a GP Specialist Telemedicine Musculoskeletal Consult Service', 'Patient care', '2003-04-01 00:00:00', 'Expected to end', '2004-04-01 00:00:00', 'Rheumatology', NULL, 'England', 'Telemed Musculoskeletal Consult', 1, '2003-06-26 00:00:00', 'Approved'),
  (1283, 'A randomised controlled trial of the benefits of using an electronic referral process from primary care to dermatologists', 'Patient care', '2001-06-01 00:00:00', 'Expected to end', '2003-12-01 00:00:00', 'Dermatology', NULL, 'England', 'Electronic Referrals - Dermatology', 1, '2003-06-26 00:00:00', 'Approved'),
  (1284, 'A case series of tele-therapy for Bulimic Disorders.  A pilot study.', 'Patient care', '2002-06-01 00:00:00', 'Ongoing ', '2003-11-30 00:00:00', 'Eating Disorders', NULL, 'Scotland', 'Tele-therapy for Bulimic Disorders', 1, '2003-07-28 00:00:00', 'Approved'),
  (1285, 'Quality of life and home parenteral nutrition: a controlled study of telemedicine - Leeds', 'Patient care', '2000-11-01 00:00:00', 'Expected to end', '2003-11-01 00:00:00', 'Nutrition', NULL, 'England', 'Home Parenteral Nutrition - Leeds', 1, '2003-06-30 00:00:00', 'Approved'),
  (1286, 'Quality of life and home parenteral nutrition: a controlled study of telemedicine - London', 'Patient care', '2000-11-01 00:00:00', 'Expected to end', '2003-11-01 00:00:00', 'Nutrition', NULL, 'England', 'Home Parenteral Nutrition - London', 1, '2003-06-30 00:00:00', 'Approved'),
  (1287, 'What factors promote or inhibit the effective evaluation of telehealthcare interventions?', 'Infrastructure', '2000-09-01 00:00:00', 'Expected to end', '2002-08-31 00:00:00', 'Telemedicine', 'http://www.ncl.ac.uk/chsr/staff/factors.html', 'England', 'Telehealthcare Interventions', 1, '2003-07-04 00:00:00', 'Approved'),
  (1290, 'Telemonitoring for congestive heart failure (CHF) patients:  Medical, quality of life and economic impact outcomes of a randomised controlled trial.', 'Patient Care', '1111-01-01 00:00:00', 'Ended', '2002-07-01 00:00:00', 'Elderly Care', NULL, 'Europe', 'TEN-HMS', 1, '2003-06-30 00:00:00', 'Approved'),
  (1288, 'Acute Chest Triage Rapid Interventaion Guided by Home Care or Telecare 2 (ACTRIGHT 2)', 'Patient Care', '2001-10-01 00:00:00', 'Expected to end', '2004-09-30 00:00:00', 'Respiratory Medicine', 'http://www.merseyprimarycare.org', 'England', 'ACTRIGHT', 1, '2003-06-30 00:00:00', 'Approved'),
  (1289, 'Diabetes Audit and Research in Tayside, Scotland', 'Patient Care', '1997-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Diabetes', 'http://www.diabetes-healthnet.ac.uk', 'Scotland', 'DARTS', 1, '2003-06-30 00:00:00', 'Approved'),
  (1291, 'The use of videoconferencing to enhance tertiary mental health service provision to the Island of Jersey', 'Patient Care', '2002-04-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Mental Health', NULL, 'England', 'Mental Health in Jersey', 1, '2003-09-09 00:00:00', 'Approved'),
  (1292, 'Cognitive Analytical Therapy via Interactive Television', 'Patient Care', '1111-01-01 00:00:00', 'Ended', '2002-01-01 00:00:00', 'Mental Health', NULL, 'England', 'CAT', 1, '2003-09-09 00:00:00', 'Approved'),
  (16, 'TeleDent - Phase 2', 'Patient Care', '1997-07-01 00:00:00', 'Ended', '1998-07-01 00:00:00', 'Dentistry', NULL, 'England', 'TeleDent - Phase 2', 1, '2003-09-03 00:00:00', 'Approved'),
  (1293, 'Telemedicine Links with Paediatric ICU - phase 3', 'Patient Care', '2003-05-01 00:00:00', 'Expected to end ', '2004-05-01 00:00:00', 'Paediatric Intensive Care - phase 3', NULL, 'England', 'Paediatric Intensive Care - phase 3', 1, '2003-08-27 00:00:00', 'Approved'),
  (1294, 'North Wales Minor Injuries and Teledermatology', 'Patient Care', '1111-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Minor Injuries and Teledermatology', NULL, 'Wales', 'Demonstrator Project - NOW', 1, '2003-09-11 00:00:00', 'Approved'),
  (1295, 'P4 - Pembrokeshire, Powys, Patient, Practitioner', 'Patient Care', '1111-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Minor Injuries', NULL, 'Wales', 'Demonstrator Project - P4', 1, '2003-09-12 00:00:00', 'Approved'),
  (1296, 'Burns and PICU', 'Patient Care', '2002-04-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Paediatric', NULL, 'Wales', 'Demonstrator Project - Burns & PICU', 1, '2003-09-29 00:00:00', 'Approved'),
  (1297, 'Ubiquitous Computing in the Home', 'Infrastructure', '2002-01-01 00:00:00', 'Ongoing', '2005-01-01 00:00:00', 'Dependability', 'http://www.dirc.org.uk/research/activities/description.php?pa=7', 'England', 'A DIRC Project Activity', 1, '2003-09-29 00:00:00', 'Approved'),
  (1298, 'An evaluation of the educational and organisational processes involved in teleconferenced medical consultations.', 'Patient Care', '2000-04-01 00:00:00', 'Ended', '2003-03-31 00:00:00', 'Medical', NULL, 'England', 'Teleconference medical consultation', 1, '2003-09-30 00:00:00', 'Approved'),
  (1299, 'Remote Rehabilitation using an Intelligent Exoskeleton with Web-based Control', 'Infrastructure', '2003-03-01 00:00:00', 'Expected to end', '2006-03-01 00:00:00', 'Rehabilitation', NULL, 'England', 'Telerehabilitation', 1, '2003-10-24 00:00:00', 'Approved'),
  (1300, 'Developing a Teenage Pregnancy Website in partnership with socially disadvantaged pregnant teenagers', 'Infrastructure', '2002-03-01 00:00:00', 'Expected to end', '2004-03-01 00:00:00', 'Pregnancy', 'http://www.buryknowle.org', 'England', 'Teenage Pregnancy Website', 1, '2003-10-24 00:00:00', 'Approved'),
  (1301, 'Falls and Telecare Evaluation', 'Infrastructure', '2002-07-01 00:00:00', 'Ended', '2003-08-01 00:00:00', 'Elderly care', NULL, 'England', 'FATE', 1, '2003-10-24 00:00:00', 'Approved'),
  (1302, 'A Measurement Data Archive & Communications Server', 'Patient Care', '1111-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Measurement data', NULL, 'England', 'Kelvin', 1, '2003-11-04 00:00:00', 'Approved'),
  (1245, 'Mobile Tele-Echography using an ultra-light Robot', 'Patient Care', '2001-09-01 00:00:00', 'Expected to end', '2004-03-01 00:00:00', 'Non-invasive ultrasound investigation', 'http://www.bourges.univ-orleans.fr/otelo/', 'Europe', 'OTELO', 1, '2002-08-29 00:00:00', 'Approved'),
  (1303, 'Co-ordination and Continuity in Primary Health Care', 'E-health', '1996-04-01 00:00:00', 'Ended', '1999-03-01 00:00:00', 'Messaging', NULL, 'Northern Ireland', 'COCO', 1, '2003-11-25 00:00:00', 'Approved'),
  (1304, 'Confident Information Environment for the Independent Living of People with Severe Disabilities', 'Telecare', '2001-01-01 00:00:00', 'Expected to end', '2003-10-31 00:00:00', 'Disabilities', NULL, 'Northern Ireland', 'Confident', 1, '2003-11-25 00:00:00', 'Approved'),
  (1305, 'European Prototype for Integrated Care', 'E-health', '1992-01-01 00:00:00', 'Ended', '1994-12-01 00:00:00', 'Records and record keeping ', NULL, 'Northern Ireland', 'EPIC', 1, '2003-11-25 00:00:00', 'Approved'),
  (1306, 'Geriatric Assessment Technology Training Project', 'E-health', '1998-12-01 00:00:00', 'Ended', '2001-03-01 00:00:00', 'Messaging', NULL, 'Northern Ireland', 'GATT', 1, '2003-11-26 00:00:00', 'Approved'),
  (1307, 'Home/ambulatory Health Care Services based on Mobile Communications', 'Telecare', '1998-01-01 00:00:00', 'Ended', '1999-11-01 00:00:00', 'Home care', NULL, 'Northern Ireland', 'MOBCARE', 1, '2003-11-26 00:00:00', 'Approved'),
  (1308, 'Patient Centred network for Integrated Care Networks', 'E-health', '2000-01-01 00:00:00', 'Ended', '2002-06-30 00:00:00', 'Records and record keeping', NULL, 'Northern Ireland', 'PICNIC', 1, '2003-11-26 00:00:00', 'Approved'),
  (1309, 'Supporting Clinical Outcomes in Primary Care for the Elderly', 'E-health', '1996-01-01 00:00:00', 'Ended', '1999-01-01 00:00:00', 'Messaging assessment', NULL, 'Northern Ireland', 'SCOPE', 1, '2003-11-26 00:00:00', 'Approved'),
  (1310, 'Ten - homecare management system', 'Telemedicine', '2000-01-01 00:00:00', 'Ended', '2001-07-01 00:00:00', 'Telecare', NULL, 'Northern Ireland', 'TEN-HMS', 1, '2003-11-26 00:00:00', 'Approved'),
  (1311, 'Using the internet to optimise self-management of Type 1 diabetes - preliminary experience with Diasnet', 'Telemedicine', '1111-01-01 00:00:00', NULL, '1111-01-01 00:00:00', 'Diabetes', NULL, 'England', 'Diabetes self-management', 1, '2004-02-03 00:00:00', 'Approved'),
  (1312, 'Assistive technologies to support dementia sufferers in the community', 'Telecare', '2003-03-01 00:00:00', 'Expected to end', '2005-01-01 00:00:00', 'Dementia', NULL, 'Wales', 'Support dementia sufferers', 1, '2004-02-04 00:00:00', 'Approved'),
  (1313, 'Video Telephony in Action', 'Telehealth', '1999-09-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Remote clinical care', NULL, 'England', 'Videocommunications', 1, '2004-02-05 00:00:00', 'Approved'),
  (1314, 'Integration of Regional Environment Monitoring and Management of Asthma', 'Telemedicine', '2002-07-01 00:00:00', 'Expected to end', '2004-01-01 00:00:00', 'Environmental diseases', NULL, 'Europe', 'IREMMA', 1, '2004-02-06 00:00:00', 'Approved'),
  (1315, 'Diabetes Disease Management', 'Patient Care', '2002-01-01 00:00:00', 'Ended', '2003-06-01 00:00:00', 'Diabetes', 'http://www.medstage.de/diadem/', 'Wales', 'DIADEM', 1, '2004-02-10 00:00:00', 'Approved'),
  (1316, 'Telemedicine within the field of Paediatric Neurology.', 'Telemedicine', '2003-12-01 00:00:00', 'Expected to end', '2006-12-01 00:00:00', 'Telemedicine', NULL, 'England', 'Paediatric Neurology', 1, '2004-02-10 00:00:00', 'Approved'),
  (1317, 'Implementing a high security prison telemedicine healthcare system', 'Telemedicine', '2000-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Prison healthcare', NULL, 'England', 'Prison healthcare', 1, '2004-02-10 00:00:00', 'Apporved'),
  (1318, 'Investigating Enabling Domestic Environments for People with Dementia ', 'Telemedicine', '2003-10-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Dementia', 'http://www.fp.rdg.ac.uk/EQUAL/', 'England', 'INDEPENDENT', 1, '2004-02-19 00:00:00', 'Approved'),
  (1319, 'SMART Rehabilitation: technological applications for use in the home ', 'Patient Care', '2003-11-01 00:00:00', 'Expected to end', '2006-11-01 00:00:00', 'Stroke rehabilitation therapy', 'http://hsc.shu.ac.uk/smart/', 'England', 'SMART', 1, '2004-02-20 00:00:00', 'Approved'),
  (1320, 'Northern Ireland Inpatient Teleneurology Service', 'Telemedicine', '2000-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Neurology', 'http://tie.telemed.org/programs/showprogram.asp?item=2652', 'Northern Ireland', 'Teleneurology', 1, '2004-02-25 00:00:00', 'Approved'),
  (1321, 'Email triage of new patient referrals to a neurologist is feasible, safe, acceptable and cost effective', 'Telemedicine', '1111-01-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Neurology', NULL, 'Northern Ireland', 'Email triage', 1, '2004-02-26 00:00:00', 'Approved'),
  (1322, 'Supporting independence. New products, new practices, new communities', 'Telecare', '2003-10-01 00:00:00', 'Expected to end', '2006-10-01 00:00:00', 'Elderly care', 'https://www1.imperial.ac.uk/business/discover/centres/innovation/research/healthcare/projects/default.html', 'England', 'Supporting Independence', 1, '2004-03-01 00:00:00', 'Approved'),
  (1323, 'Teleshopping as virtual social care?', 'Telecare', '1111-01-01 00:00:00', 'Ended', '2004-01-01 00:00:00', 'Elderly care', 'https://www1.imperial.ac.uk/business/discover/centres/innovation/research/healthcare/projects/default.html', 'England', 'Teleshopping', 1, '2004-03-02 00:00:00', 'Approved'),
  (1324, 'Telecare Planning and Implementation \r\n', 'Telecare', '2000-07-01 00:00:00', 'Ended', '2003-12-01 00:00:00', 'Elderly care', 'https://www1.imperial.ac.uk/business/discover/centres/innovation/research/healthcare/projects/default.html', 'England', 'TCPI', 1, '2004-03-02 00:00:00', 'Approved'),
  (1325, 'Next Wave Technologies and Markets', 'Telecare', '2001-03-01 00:00:00', 'Expected to end ', '2006-06-01 00:00:00', 'Home based care', 'http://www.nextwave.org.uk/', 'England', 'Next Wave', 1, '2004-03-05 00:00:00', 'Approved'),
  (1327, 'Development of devices for use in a smart house for people with dementia', 'Patient care', '2001-05-01 00:00:00', 'Expected to end', '2004-04-30 00:00:00', 'Dementia', 'http://www.bath.ac.uk/bime/', 'England', 'Gloucester Smart House', 1, '2004-03-10 00:00:00', 'Approved'),
  (1326, 'Action on Plastics', 'Telemedicine', '2004-03-01 00:00:00', 'Ongoing', '1111-01-01 00:00:00', 'Burns and plastic surgery', NULL, 'England', 'Action on Plastics', 1, '2004-03-09 00:00:00', 'Approved'),
  (1328, 'Medical Assistance for Ships', 'Telemedicine', '2002-04-01 00:00:00', 'Expected to end', '2003-10-01 00:00:00', 'Medical consultation on board ships', 'http://www.ten-telecom.org/en/prjdets/MEDASHIP.htm', 'Europe', 'Medaship', 1, '2004-03-12 00:00:00', 'Approved'),
  (1329, 'Patients and e-health', 'E-health', '2000-04-01 00:00:00', 'Ended', '2000-06-30 00:00:00', 'Research', 'http://www.chi.swan.ac.uk/web/projects/past/ehealth/ehealth_report.pdf', 'Wales', 'Patients and e-health', 1, '2004-03-25 00:00:00', 'Approved'),
  (1330, 'Mobile Asthma Trials', 'Telemedicine', '2003-02-01 00:00:00', 'Ended', '2004-02-01 00:00:00', 'Asthma', NULL, 'England', 'Asthma Trials', 1, '2004-03-31 00:00:00', 'Approved'),
  (1331, 'A role for tele-education in the centralisation of accident & emergency service', 'Education', '2002-01-01 00:00:00', 'Ended', '2002-02-12 00:00:00', 'Telemedicine', NULL, 'England', 'Tele-education A&E', 1, '2004-04-13 00:00:00', 'Approved'),
  (1332, 'Web-/Kiosk-based Health Information on Falls Delivered to Older People in Tower Hamlets Communities', 'Telecare', '2002-04-01 00:00:00', 'Expected to end', '2004-07-01 00:00:00', 'Elderly care', 'http://www.smd.qmul.ac.uk/hcop/research/falls.htm', 'England', 'Web-/Kiosk', 1, '2004-04-19 00:00:00', 'Approved'),
  (1333, 'Evaluation of an e-health system at a university general practice', 'E-health', '2002-01-01 00:00:00', 'Expected to end', '2004-12-31 00:00:00', 'Patient Services', NULL, 'England', 'E-health Evaluation', 1, '2004-06-01 00:00:00', 'Approved'),
  (1334, 'Teledermatology a Webapplication', NULL, '2002-01-01 00:00:00', 'Ongoing', '1112-01-01 00:00:00', 'Telemedicine', 'http://www.telederm.org', 'Europe', 'Telederm', 1, '2004-06-21 00:00:00', 'Approved'),
  (1335, 'Cardiac Services Telemedicine', 'Education', '2003-01-01 00:00:00', 'Ongoing', '1113-01-01 00:00:00', 'Education and training', NULL, 'England', 'GOSH', 1, '2004-07-01 00:00:00', 'Approved'),
  (1336, 'Tele rehabilitation through Interactive Video Endorsement Study', 'Telemedicine', '2003-07-01 00:00:00', 'Ongoing', '2006-06-30 00:00:00', 'Patient services', NULL, 'England', 'THRIVE', 1, '2004-07-02 00:00:00', 'Approved');

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INSERT INTO `teisro`.`proj_funding`(`projectcode`, `setup_costs`, `running_costspa`)
VALUES (101, 140000, NULL),
  (91, NULL, 7250),
  (81, 170000, NULL),
  (491, 907000, NULL),
  (211, 140000, NULL),
  (11, 450000, NULL),
  (1091, 135000, NULL),
  (1202, 2500, 12000),
  (1258, 669000, NULL),
  (1216, 4500, 120),
  (1217, 150000, NULL),
  (1244, NULL, 36700),
  (1249, 600000, NULL),
  (1260, 20000, NULL),
  (1277, 130000, NULL),
  (1276, 14000, NULL),
  (1280, 119196, NULL),
  (1281, 120000, NULL),
  (1288, 96500, NULL),
  (1218, 30000, NULL),
  (1298, 179514, NULL);

INSERT INTO `teisro`.`proj_patients`(`projectcode`, `patient_number`, `as_at_date`)
VALUES (351, 60, '1998-03-01 00:00:00'),
  (201, 59, '1998-01-01 00:00:00'),
  (21, 1450, '1999-03-01 00:00:00'),
  (581, 35, '1997-12-01 00:00:00'),
  (591, 84, '1997-12-01 00:00:00'),
  (401, 100, '1999-09-01 00:00:00'),
  (601, 47, '1997-12-01 00:00:00'),
  (611, 25, '1997-12-01 00:00:00'),
  (61, 1240, '1999-08-01 00:00:00'),
  (771, 40, '1999-09-01 00:00:00'),
  (101, 60, '1996-05-01 00:00:00'),
  (211, 50, '1999-09-01 00:00:00'),
  (721, 20, '1998-09-01 00:00:00'),
  (191, 15, '1999-09-01 00:00:00'),
  (521, 14000, '1998-10-01 00:00:00'),
  (541, 30, '1998-06-01 00:00:00'),
  (302, 120, '1993-01-01 00:00:00'),
  (651, 25, '2001-07-01 00:00:00'),
  (621, 80, '1999-10-01 00:00:00'),
  (861, 13700, '2002-01-01 00:00:00'),
  (481, 1695, '1998-04-01 00:00:00'),
  (11, 700, '1999-08-01 00:00:00'),
  (921, 100, '2000-01-31 00:00:00'),
  (1247, 77, '2002-04-01 00:00:00'),
  (1246, 60, '2002-04-01 00:00:00'),
  (931, 5, '2000-03-01 00:00:00'),
  (951, 96, '2000-01-01 00:00:00'),
  (1248, 352, '2002-12-01 00:00:00'),
  (1252, 90, '2003-07-30 00:00:00'),
  (991, 1872, '2000-12-01 00:00:00'),
  (1254, 67, '2002-08-01 00:00:00'),
  (1011, 50, '2000-03-01 00:00:00'),
  (1256, 100, '2002-06-01 00:00:00'),
  (1259, 20, '2002-03-01 00:00:00'),
  (1288, 46, '2003-08-01 00:00:00'),
  (1091, 600, '2003-04-14 00:00:00'),
  (1101, 108, '2000-03-01 00:00:00'),
  (1111, 10000, '2001-12-01 00:00:00'),
  (1121, 60, '2000-05-01 00:00:00'),
  (1131, 1152, '2000-05-01 00:00:00'),
  (1294, 725, '2003-03-31 00:00:00'),
  (1161, 31, '2000-05-01 00:00:00'),
  (1211, 9, '2099-04-01 00:00:00'),
  (971, 350, '1999-06-01 00:00:00'),
  (238, 240, '2000-06-01 00:00:00'),
  (14, 170, '2000-07-01 00:00:00'),
  (15, 16, '2000-01-01 00:00:00'),
  (23, 143, '2000-11-01 00:00:00'),
  (25, 160, '2001-02-01 00:00:00'),
  (1243, 54, '2002-03-01 00:00:00'),
  (1216, 189, '2001-07-01 00:00:00');

INSERT INTO `teisro`.`proj_plans`(`projectcode`, `aims_and_objectives`, `project_description`, `development_plans`)
VALUES (41, NULL, '(1) Teleconsultation Project (A&E support).  Support to A&E from GP practice, possible other uses including Teledermatology.   (2) Video link for case conference to save consultant travelling time.', 'Extension to A&E service when estate issue resolved.  Possible link to prison service/forensic service.'),
  (331, NULL, 'Trial with Oslo and Hammersmith to evaluate a package called Pathsight using both satellite and ISDN telecommunications.  Pathsight is a system that allows a microscope to be driven remotely.', NULL),
  (341, NULL, 'Currently working up a protocol that we will start during next couple of months involving a store and forward package that will allow 2 GP practices to send still digital images to the departments of Dermatology at both Guy\'s and St Thomas\'.  Also to send images \"across\" site (Guy\'s -> St Thomas\').', NULL),
  (351, NULL, 'Store and forward images from Dubai.  Initial study of 60 cases currently being carried out, expected to be completed by end March 1998.', 'Possible new opportunity from Athens to GST.'),
  (361, NULL, 'Psychotherapy service from Guy\'s to Northern Ireland.  Pilot study commenced for psychiatric assessment of patients at 2 GP practices.', NULL),
  (501, '\n', 'Safety and security related software quality standards for healthcare, a review of existing standards.  To produce two CEN reports: 1.   Summary of available standards concerns software safety and security standards applying to telemedicine/health informatics. 2.   Review the need for additional standards.', NULL),
  (31, 'To gather evidence for cost-effectiveness.', 'Minor Injuries clinics at: St Austell, Stratton, Launceston, Passmore Edwards (Liskeard), Newquay, East Cornwall (Bodmin), linked to A&E at Treliske, Truro.', 'UPDATE JULY 2003: The next project is to introduce telemedicine into the A&E (Casualty) Department in West Cornwall Hospital linking to Royal Cornwall Hospitals in Truro.'),
  (141, NULL, 'Remote case conferences for child care.', 'Possible extension to use by families to see children from home.'),
  (201, NULL, 'Evaluation of teleultrasound between two GP practices, the centre for Radiography Education and a DGH as a means of supporting community-based use of ultrasound.', 'Scaling up to include further sites and the development of telemedicine protocols.'),
  (381, NULL, 'We use video conferencing to support a clinic that is run at Guy\'s with Doctor support from St Thomas\' using the ATM network.', NULL),
  (51, NULL, 'Remote diagnosis and treatment of mental illness.', 'Looking at Pilot applications: Delivery of specialists where needed.  Psychotherapy CBT Cognitive Approach.  Psychosexual service.  Psychological support at home for patients on Renal Unit.  MSc Art Therapy.  Link Acute Wards with GP, Nurses, Keyworker, Relatives.  Video link in GP surgery for relatives.'),
  (581, NULL, '(1) Feasibility of real-time nurse practitioner videosigmoidoscopy at community clinic utilising telemedicine. (2) Randomised trial of nurse practitioner vs. specialist videosigmoidoscopy utilising store-and-forward telemedicine.', 'Nurse practitioner community feasibility community videosigmoidoscopy with store-and-forward telemedicine, videoendoscopy in other clinical specialities.'),
  (591, NULL, 'Remote consultation - a General Practitioner based General Surgery clinic: utilising a community hospital clinic as a pilot to evaluate the feasibility of a GP based community clinic with real-time telemedicine backup.', 'Continuation of clinic allowing:  (1) GP trainees to utilise clinic as part of training;  (2) teaching students from main site.'),
  (791, NULL, 'The Impact project has the overall aim of assessing the need for videoconferencing (VC) in palliative care and to evaluate its effectiveness in different settings.  Eight sites have been evaluated (hospice, hospital, GP practice, rural community team) and the open university have completed a controlled trial of learning effectiveness.  Six sites are still running and evaluating the use VC in education, training, research and journal clubs.', 'It is planned to assess the feasibility of remote patient consultations, accessing major conferences, and running remote counselling training workshops.'),
  (401, NULL, 'ISDN-based teledermatology in the Morecambe Bay area.  A project investigating the usefulness of digital images for remote diagnosis in dermatology.', 'Eventual implementation of a teledermatology service in the Morecambe Bay area.'),
  (601, NULL, 'Remote consultation in Orthopaedics feasibility study of remote consultation with junior orthopaedic trainee based community clinic utilising real-time medicine.', NULL),
  (611, NULL, 'Feasibility study of a community hospital based pain clinic providing both consultation and therapeutic acupuncture.', 'To provide community based pain management for both outpatients and inpatients in remote community hospital.'),
  (61, NULL, 'Computer driven phone interviews using interactive voice response (IVR) and screen systems for self care and for outcome monitoring.  Self help clinics.', 'Delivery of specialists\' help where needed.  Psychotherapy CBT approach.  Psychological support at home for patients with emotional disorders.'),
  (171, NULL, 'Remote Personnel Monitoring Service (RPMS).  Patient vital signs are transmitted to the triage desk of the A&E department.  The first trial tested the system in an urban area and this second trial is testing it in a rural area.  The consultant can also communicate with the paramedics.', 'Expansion of the system to include 12-lead ECG.'),
  (461, NULL, 'Development of a system based on a mobile phone for the simultaneous transmission of several channels of physiological information.', NULL),
  (91, NULL, 'Telemedical video conferencing support for minor treatment centre.', 'Review of service to date and potential for development carried out over last 12 months.  Phased development planned in other aspects of tele healthcare.  International standards and comparability.  Business case development.'),
  (491, NULL, 'The virtual outreach project is a three year randomised control trial and economic evaluation.', NULL),
  (71, NULL, 'Teledermatology between Rusholme GP Practice and Hope Hospital.', 'Evaluate still images.'),
  (101, NULL, 'Joint teleconsulting in a wide variety of specialities:- Endocrinology, Gastroenterology, ENT, Obs and Gynae, Paediatrics, Urology, Oncology, Psychiatry, using real time images and minimal disruption to the clinical situation.', NULL),
  (211, NULL, 'Designed to provide a second opinion from military specialists on a wide variety of cases for patients seen in 24 Armoured Field Hospital, Sipovo, Bosnia.', 'Possible extension to other deployed ships and military units.'),
  (111, NULL, 'Feasibility study for a Foetal Telemedicine Service.  Remote consultation by transmission of ultrasound and video in real time.', NULL),
  (661, 'This study will compare the traditional out-patient consultation with an application of telemedicine involving a structured electronic message with still, digital images for obtaining a specialist dermatological opinion.  New adult dermatology cases, in whom the general practitioner judges it desirable to obtain a consultant opinion.  Excludes those suspected of squamous cell carcinoma or malignant melanoma, who are managed under a special scheme.\r\nAim to see approximately 400 patients by videoconference.', 'Randomised controlled trial of asynchronous and synchronous telemedicine in dermatology.  The trial compares normal outpatients, store-and-forward consultations and videoconferences for new adult dermatology referrals in a group of urban general practices and a single local hospital.', 'Dependent on results of study.'),
  (721, NULL, 'A three-month study to examine the feasibility, acceptability and reliability of telemedicine in optimising the management of heart failure.', 'If funded, to continue for another 3-6 months during the winter period - to examine whether trend lines that monitor changes in systolic blood pressure and body weight can be used as markers of improvement or worsening in a patient\'s condition.'),
  (131, NULL, 'To provide consultant level cover in casualty departments of smaller hospitals.', 'Teledermatology.  Televisiting by patients to special care baby unit.'),
  (521, NULL, 'Part of the National Teletriage Project, the precursor to the NHS Direct, which will be available throughout England by 2002.  The other organisations taking part in the Teletriage Project are Northumbria Ambulance Service and Lancashire Ambulance Service.', 'To expand to cover 1.8 million people in Bucks, Northants and parts of Oxon by June 1999.  Add other direct patient services.'),
  (451, NULL, 'Development of home monitoring services using monitors with local intelligence.', NULL),
  (541, NULL, 'Aims to link West Cumberland Cardiology patients\' echo results to the surgical referral centres to avoid transfers and facilitate fast transfers when required.', 'Freeman Hospital, Newcastle, to come on line shortly before end of May 1998.'),
  (151, NULL, 'Teledermatology.', NULL),
  (731, '               ', 'An implementation and evaluation of communication and information technology to support the training of doctors, midwives and nurses in Obstetrics and Gynaecology in the South West region.', 'To develop regional education in Obstetrics and Gynaecology using Communication and Information Technology where appropriate and cost effective.'),
  (871, NULL, 'Real-time relay of surgical procedures from the operating theatre to telemedicine room, allowing two way interaction between surgeon and students and comparison with traditional teaching from these venues.', 'Evaluate acceptance by surgeon and staff, incorparate into teaching programme, extend to other surgical specialities.'),
  (292, NULL, 'Dermatology.', NULL),
  (282, NULL, 'Supporting nurse practitioner at Primary Care Centre via link to GP at home.', 'Televisiting from GP surgery to old people\'s homes.'),
  (682, NULL, 'The project is to set up a commercial TEN-TELEMED Service Organisation (TSO), linking European Centres of Excellence in various domains of medicine and providing various services to hospitals, GPs, Insurance companies and private individuals.', NULL),
  (631, NULL, 'Utilising the surgical outpatients clinic at community hospital as a model to develop tele-teaching from this venue for undergraduate clinical students at main site.', 'Incorporate into teaching programme, extend to other clinical specialities.'),
  (651, NULL, 'This pilot project examines the potential role of home telecare technologies in facilitating home care as an alternative to traditional home nursing support in acute exacerbations of COPD.  Cost effectiveness is a central feature.  No external funding used.', 'Depends on results of pilot.'),
  (621, NULL, 'Remote diagnosis, management, and education in Congenital Heart Disease using tele-medical, real-time, video-conferencing equipment based on (non-PC) EURO-ISDN technology.', NULL),
  (711, NULL, 'The use of telematics in the teaching of dentistry.  The project is working towards a \'remote advisory service\' to be available to a large number of dentists across the South West region.', 'ISDN will soon be installed in three additional surgeries and the programme is expected to continue expanding.'),
  (262, NULL, '(1) Evaluation of Teledermatology. (2) Evaluation of Teleradiology. (3) Human resource implications of developing telemedicine nurse practitioners in the NHS.', NULL),
  (653, NULL, 'A randomised control trial and economic evaluation comparing joint tele-consultations across a range of specialities in both rural and urban settings.', 'Aim to have at least 702 teleconsultations and 702 traditional consultations in each arm of the project, making a total of about 3,000.'),
  (323, NULL, 'SCAMP - Shared Care Asthma Management Project.', 'Shared care for COPD.'),
  (224, NULL, 'UK multicentre teledermatology trial.', NULL),
  (244, NULL, 'The use of telenursing in the USA and the potential use in the UK was compared by analysing nursing notes.  A low cost videophone was installed in a patient\'s home on a trial basis.', 'Expansion of pilot.'),
  (254, NULL, 'Real time transmission of ultrasound images for paediatric cardiology.', NULL),
  (434, 'South and East Belfast was the leader for this project, it\'s main objective was to improve the quality of care provided to people living at home, through the development and application of demonstrator information systems which support the efficient sharing of relevant information between health and social care professionals. It was the central plank within the projects for developing information systems to support person centred care. ', 'ITHACA is the use of ICT to deliver information that supports care in the community.  It builds on the previous EU project EPIC.', 'The information acquired from the ITHACA project has led to the development of PCIS, a Person Centred Information System, which South and East Belfast Trust is developing. This system will allow the gathering and sharing of information across Health and Social Care Services, which will provide a single record for each user.'),
  (444, NULL, 'Development of a simple to use clinical workstation for telemedicine.', NULL),
  (161, 'Trialling lifestyle monitoring', '20 homes are being monitored through a variety of passive sensors linked to dispersed alarm unit.  Data analysis is performed centrally and messages are automatically sent to carers.', 'Expand network to 60 homes.'),
  (481, NULL, 'Out of hours GP calls are triaged by trained nurses.  Patients are given advice over the phone.', 'Extension to other GP practices.  Extension of full overnight working.  Increase public awareness.'),
  (11, NULL, 'Automatic Telematic Eletrodiagnostic System', 'Due to start extension to A & E service when estate issue resolved.  Possible link to prison service / forensic service.'),
  (882, 'To evaluate a PC video conference link in delivery of a dental consultant service to remote dental practices.\n', 'An evaluation of the technical practical and clinical application of videoconference and clinical imaging systems (Teledentistry) in the referral and patient review service to the restorative dental consultant in Aberdeen from rural and distant dental practices in the Highlands of Scotland.', NULL),
  (911, 'To reduce inappropriate transfers of Trauma patients to major trauma centre, allowing more local follow-up and rehabilitation.', 'Transmit still images taken by digital camera, from the A&E department at RBH to Orthopaedic staff around hospital at Poole via Intranet access to e-mail.  Transfer by SMTP e-mail on NHS Network.', NULL),
  (921, NULL, 'Pre-hospital triage of patients suffering from chest pain using 12 lead ECG\'s and assessment forms transmitted from the moving ambulance directly to New Cross Hospital CCU or A&E dept.  Objective to reduce call to needle time using new NSF standard of less than 60mins.', 'Selly Oak hospital will be brought into the study in October.   TETRA communications will be used to transmit data in due course.'),
  (1071, 'To improve triage system and give faster treatment.', 'Accident & Emergency Telemedicine & Telemetry Links to improve triage and give faster treatment.', 'None as yet.'),
  (1081, 'To link the Teleradiology system to an additional scanner in another Trust.', 'Currently two CT scanners and an MR scanner are linked to nine Consultant Radiologist\'s homes.  All \'on-call\' scans performed in the Trust are automatically transferred to the Consultant\'s PC for clinical review.', 'It is shortly expected that the Teleradiology system will be linked to an additional scanner in another Trust in Liverpool.  Ultimately, we hope that the system will develop so that outside hospitals can send important cases to the Royal Liverpool Hospital for specialist opinion.'),
  (951, 'Set up Teledermatology links with GP surgeries, assess use of teledermatology to triage dermatology referrals and explore feasibility of an \'advice only\' service.', 'Eight GP surgeries linked to dermatology department, receiving digital still images and e-mail referrals via the NHS net.  Images evaluated for technical clarity, diagnosis and use for triage for referral.', NULL),
  (991, 'To provide a Telemedicine Link to support Nurse Practitioners.', 'Telemedicine link to give consultant support to nurse practitioners operating a busy minor injury\'s unit.', 'Satisfactory at present.  Upgrade to faster PC\'s and release time eventually.'),
  (1021, 'To test Kodak Teleradiology.', 'Kodak Radiology.', 'Link to Walton Neurosciences Centre - April 2000.  Link to MR Scanner April 2000.'),
  (1031, 'To link Christie Hospital with Wythenshawe Hospital for an Oncology Link.', 'Telemedicine with MR PACS Feed.', 'None as yet.'),
  (1061, 'To electronically transfer x-ray images to speed up diagnostic process.', 'Electronic transfer of x-ray images to speed up diagnostic reporting process.', 'Using Telemedicine with Regional Accident and Emergency departments to decide course of treatment for burns patients.'),
  (191, NULL, 'Neuropage is a simple and portable paging system with a screen that can be attached to a belt.  A schedule of reminders or cues for each person is entered onto a central computer, and at the appropriate time a message is sent from the central computer to the pager.  UPDATE:  The service provides pagers to individuals with memory and / or organisational difficulties primarily associated with brain injury. The main aim is to help them to live more independently. Regular and one-off reminder messages are automatically sent to the pager at times requested by the client.	\r\n\r\n', 'Development of pilot to accommodate 200 patients.'),
  (272, NULL, 'To set up a user-driven, Europe-wide system, to enable doctors in remote situations to gain information and access medical expertise quickly and efficiently.  HERMES (Telematic Healthcare: Remoteness and Mobility factors in common European Scenarios) also seeks to implement \'An Agreed European Specification for Quality Assured Telemedicine Services\', to be achieved through a process of harmonisation and European integration and utilising agreed medical and technical standard and accepted methods for the development construction and quality assurance of both services and technologies.', 'To establish a corporate network for its own services with a single European number and automatic routing and security/access control.  This will operate through National Telemedicine Access Points (TAPs) which will control all communications functions.'),
  (691, NULL, 'This telemedicine project is for a development and demonstration partnership between the Bassetlaw TPP, The Bassetlaw Hospital and Community NHS Trust, and Medical TeleMarque Plc (commercial partner).  The project will evaluate, through an assessment of general practitioner satisfaction with the new system, the effect on their working practices and the effect of the system on the timeliness, accuracy and efficiency.  There will be an assessment made of the receiving Consultant Dermatologist\'s views and opinions upon the quality of images, as far as the diagnosis is concerned.  Similarly, an impact assessment on the hospital\'s dematology department will be made.', NULL),
  (931, 'To investigate provision of medical care to remote communities using satellite delivery.', 'Develop clinical service for remote communities that can be delivered over telemedicine links with support from main hospitals.  Test bed pilot services were developed in the UK in dermatology and cardiology to validate the technology over ISDN.  These were then transplanted to Greece to be used over satellite systems.', 'Low cost telecommunications will facilitate further deployment of the systems.'),
  (641, NULL, 'Initially, the objective is to set-up an audio-visual telereferral conference unit specifically for respiratory medicine based radiology CT image tertiary referrals, to trial the demand and benefit using four identified sites and assess the degree of improvement this system provides with a view to expansion.  The audio link is achieved by conference phonetechnology, the visual images are transmitted via ISDN using whatever equipment the referring site possess.  (Radworks, Winrad, Acess, etc) in Dicom3 format.  We have MagicView50 (Siemens) installed on a PC, in such a way that we believe, with interconnectivity and compression set-up correctly, we will be able to receive and translate regardless of proprietoriality thus overcoming the incompatibility issues.  In addition, we will provide the facility to transfer the images, to the PACS system (Siemens) utilitsing all the associated advantages and advances.  Our aim is to \"share medical expertise\" which we feel is available though not readily accessible at the moment yet maintain continuity by continuing current working practice at the referring end rather than a technology driven enterprise.  Unless the benefit is patient focussed the project will be terminated.', 'Should the trial prove successful, we will attempt three things.   1.  Expand/open the service to more sites.   2.  Implement all image transferral between all sites via their own networks utilising the NHS Net as they join.  (Obviously there are associated security and patient ownership issues etc. extant, which will be exacerbated by the Internet solution.)   3.  Examine improvements such as video conferencing utilities (eg Netmeeting\'s shared space [whiteboards] and video conferencing per se.)'),
  (831, NULL, '12 month prospective economic evaluation (cost-benefit study).  Data will be collected at both the hub and spoke sites by clinical staff for every telemedicine consultation.  Data will include basic patient demographics, mode of consultation, time and resources used, perceived benefits, technical issues, images sent, picture quality, outcome etc, Key outcome measures include further treatment or care needed post-discharge, any subsquent changes in diagnosis or management, transfers and referrals avoided, net economic impact for NHS and patient, patient and staff satisfaction.  These criteria will be compared for intervention and control groups.', NULL),
  (181, NULL, 'Two operational ambulances are equipped with ECG monitoring equipment and video cameras linked by mobile phone to the A&E department of Blackpool Victoria Hospital.  The cameras are used to give a real time view of the accident scene.  Patient vital signs are transmitted to the hospital and the consultant can talk to the paramedics.', 'Expansion throughout the Ambulance fleet.'),
  (531, NULL, 'NHS Direct - pilot site.  Coverage: Preston, Chorley, South Ribble.  Part of the National Teletriage Project, the precusor to NHS Direct, which will be available throughout England by 2002.  The other organisations taking part in the Teletriage Project are Two Shires Ambulance NHS Trust and Northumbria Ambulance Service.', 'National rollout by 2000.'),
  (81, NULL, 'Automated transmission of physiological data collected remotely at home, and transferred back centrally for analysis.  1.  Foetal Monitoring Research.  2.  Infant and paediatric cardiorespiratory monitoring service and research.  3.  Monitoring heart failure at home (feasibility study with St George\'s Hospital, Tooting and Hewlett Packard).  4.  Partner in HERMES Consortium.', NULL),
  (771, NULL, 'The project is concerned with the electronic referral of a patient with a skin complaint from a GP to a Dermatology consultant.  A digital photograph of the patients skin complaint is captured by the GP and transmitted along with the patient details to the Consultant.  The referral data and associated images are stored on a database on a secure server and access by the GP/Consultant is via appropriate browser software.  The project aims to deliver improved efficiency by providing quicker diagnosis, a reduction in outpatient attendances and a saving in patient and consultant time.', 'Dependent on evaluation.  Planning to roll out to other GP practices in Cornwall.'),
  (121, 'Provision of Dermatological services.', 'This was an exemplar for the other telemedicial services in South Humberside.  The project was successful and it has developed such that South Humberside are now purchasing teledermatological services from TDS Ltd on behalf of several fundholding practices.  Discussions with local NHS Trusts with regard to integrating teledermatology as part of their routine service to their traditional catchment areas are nearing conclusion.', 'On 11th Feb. Roger and I commence another visit to the USA, in order to progress plans for establishment of our services there during this year.  We are now exploring the introduction of services in other clinical disciplines.'),
  (781, NULL, 'The aim of the project is to ascertain the feasibility and suitability of using PC-based video conferencing technology to carry out structured clinical supervision sessions between remote sites.  Participants are located at three remote sites in Cumbria and Lancashire, and link over the equipment for regular supervision with partner(s) from one of the other sites.  The focus on reflective practice within the sessions, and the inherent emphasis on knowledge-sharing means that the project spans patient care issues, as well as having an educational function.  Quantitative and qualitative analysis of data is being carried out, drawing from repertory grids, questionnaires, and regular focus group interviews.  An evaluation is also being carried out to assess the technical aspects of the project.', 'It is anticipated that the implementation of clinical supervision in nursing will become more widespread within Morecombe Bay in the not too distant future, and that VC equipment will play a role in this development.  Plans are also underway to extend the use of the VC equipment to link colleagues and students within the field of education.'),
  (21, '1.   Give telemedicial advice to nurse practitioners and doctors at remote sites.\n  2.   Education of the above two groups.  \n3.   Research into telemedicine.', 'Hub has been at Central Middlesex Hospital in North West London.  Linked to a Minor Accident and Treatment Service staffed by Emergency Nurse Practioners at Wembley Community Hospital and an Urgent Treatment Centre staffed by doctors and Emergency Nurse Practioners at Edgware Community Hospital.', 'Northwick Park Hospital will also be linked telemedically to this network.  Registrars in accident and emergency medicine may provide an advisory service to SHOs in other departments from 10pm to 8am.'),
  (371, NULL, 'Expect to start a \"shared-care clinic\" in Deptford early 2nd quarter 1998 that will offer \"remote ultrasound\" using combination of store and forward and live ideo.  Images will go from Deptford to Guy\'s and then if necessary to St Thomas\' (over ATM).', NULL),
  (702, NULL, 'The WHEECH project is specifically for the electronic preparation and dissemination of the immediate hospital discharge document, and its incorporation into general practice electronic patient records.  The project would not only develop the software and electronic infrastucture but also evaluate the results.', NULL),
  (841, NULL, 'An exclusive audiovisual link betwen St Mary\'s operating theatre and the Royal College of Surgeons of England, allowing live surgery to be transmitted to the College and from there to other remote sites nationally, supporting surgical courses and to demonstrate live surgery to national and international sites.', 'To continue providing demonstration of live surgery to the Royal College of Surgeons of England and expand current link up to other centres nationally and internationally to support remote courses on surgery.'),
  (812, NULL, 'Psychiatry: Weekly clinical sessions between consultant and in-patient team with remote CPNs at two sites on smaller islands (and GPs as necessary).  Occasional videolink clinics if weather prevents consultant from travelling or in emergencies.  Case conferences multidisciplinary plus predischarge planning meeting.  Dermatology and Orthodontics details to follow.  Video visiting: patients in the Western Isles Hospital, Stornoway who come from the Isles of Barra, North and South Uist and Benbecula can link up with their relatives, especially children, or friends back home via one of three terminals.  Scheme supported by the leagues of friends of related hospitals who provide volunteers to operate the link.  Number of patients has not been counted but is numerous.', NULL),
  (313, NULL, '1.  TEAM Project.  Tele-education and Medicine Project/TEST building on TEAM\'s success.  To facilitate current and new telemedicine/education projects.  2.   A centre of excellence for Telemedicine in Wales.  Project launch 10th July 1996.  3.   Telenurse triage.  4.   Systematic Telemedicine Literature Review for Cochrane Centre (CCEPP).  5.   Technology Evaluation Lab.  6.   Teledentistry.  7.   SCAMP.', 'Cost benefit Analysis.  Development of protocols for contracting policies for Telemedicine.  How to integrate Telemedicne into mainstream service.  Estate issues relating to the shift from secondary lead care to primary lead care.  Report just published.  Teleretinopathy R&D project.  Teledentistry.  Provision of technical and operational Telemedicine support services.  R&D Projects for NHS Wales.  1.   Framework for assessment.  2.   Minimum technical specification.  3.   Tele-counselling.'),
  (1091, 'This research set out to evaluate the role of telemedicine within the accident and emergency (A&E) environment. The introduction of this new technique allows peripheral and minor injuries units to be supported from a central A&E department, potentially reducing the need for patients to travel long distances, and changing the staffing requirements at these remote sites. The formal evaluation of information and communications technologies is a central government and NHS priority.', 'This project followed a clear sequence of events in three stages: (1) Definition and validation of a minimum technical standard for telemedical consultation in A&E; (2) An assessment of the safety and clinical effectiveness of a telemedical system employing these standards, through a prospective, randomised clinical trial; (3) A cost-effectiveness analysis of telemedicine within the A&E environment. The process of standards definition and validation was undertaken in collaboration with Bristol University\'s Institute for Learning and Research Technology. X-rays and still images were evaluated at the stages of capture, compression, transmission and display, both objectively and through the use of an expert panel in A&E. The results were analysed in conjunction with information on file size, transfer times and data loss to define a minimum technical standard. In stage two a telemedicine system conforming to the above standard was formally evaluated through a prospective, randomised and blinded study. 600 patients were assessed via the telemedicine link, by a general practitioner and also by an on-site A&E specialist, allowing a series of independent treatment plans to be drawn up and subsequently compared with a gold standard. Each patient was randomly assigned to follow one of these plans and reviewed 5 to 10 days later. A wide range of data, incorporating clinical, financial and satisfaction outcomes were collected at this time. Stage three was conducted in collaboration with the department of Health Economics at Bristol University, and took the form of a cost minimisation analysis. This was conducted from the point of view of the NHS and patients and their families, and included a comprehensive sensitivity analysis.', 'This work has yielded vital and highly generalisable information for A&E units already employing or considering the implementation of telemedicine, by providing reliable data on which rational clinical, managerial and financial decisions can be based. A number of papers have been submitted to peer reviewed journals: some have already been published and others are pending. Further research, leading on from the results of this project, is currently being considered.'),
  (1101, 'To reduce waiting times.', 'To reduce waiting times.', 'Six clinics per month to be held in three locations in West Manchester Primary Care Group.'),
  (1111, 'To provide a full and comprehensive teledermatology service demonstrating the huge impact that the correct application of telemedicine can have on waiting lists.', 'Provision of Dermatology Assessment Diagnosis provided by camera/Lap Top E-link to consultant.', 'Refine current service for dermatology ie provide minor surgery clinics locally.  Further telemedicine projects - Ophthalmology.  UPDATE AUGUST 2003 - project being phased out but will remain in a small way for shared care and prescriptions.\r\n'),
  (238, 'To provide remote vocational guidance to people with disabilities within their own homes.  Access to the Virtual College was 24-hours a day 7-days a week so that individuals could work when able to. This was provided through on-line classrooms with the support of specially trained virtual tutors and virtual mentors.', 'JOB was funded under European Horizon funding. Partners worked together to provide a seamless service to people with disabilities. Individuals were loaned laptop computers, or in some cases were linked to local access centres, in order to provide access to the 24-hour college. The classroom technology was asynchronous, enabling people to work at their own pace whilst  still benefitting from group working. Individuals had a copy of the Virtual College on their own computer and simply had to replicate 3 times a week - thus it was cheap for home users. Learners enjoyed the equality of opportunities that this methodology provided, enjoyed the social element of virtual college life and felt that there sere several secondary skills developed, such as literacy and telematics. Qualifications were developed for virtual tutors and virtual mentors. Both of these have been mainstreamed. Partners in Spain, Italy, France, Greece and Finalnd worked on aspects of tele-training, telework and work retention.', 'Furthering of the work through the new EQUAL programme. Transferring the methodology to Internet browser technology.  Mainstreaming the Virtual College.  UPDATE SEPTEMBER 2003 : This project was extended to explore alternative models of employment for people with disabilities in order to make access to work easier.\r\n'),
  (1121, 'To enhance communication links.', 'Enhancement of communication links in P.I.C.U.', 'Funding applied for.'),
  (1131, 'To evaluate the practicalities of using a teledermatology service in an operational environment.', 'The prime objective of the project is to evaluate over a defined period of time, with an agreed volume of patients, the practicalities and opportunities of using a teledermatology service in a live operational environment.', 'Development of the teledermatology service, involving other PCG\'s.  Opportunities for dermatology nurses to participate in the follow-up management of patients in the Primary Care setting.  Developments/improvements in links between Primary and Secondary Care sectors.  Opportunity for practice and community nurses to develop and improve knowledge of skin conditions and to develop their roles within teledermatology clinics.'),
  (1151, 'To link up A&E departments.', 'To introduce a link between the Accident and Emergency department at Booth Hall and Burnley minor injury\'s.', 'None.'),
  (1161, 'To use telemedicine to link ICU at Royal Manchester Children\'s site and Bolton and Barrow Hospitals.', 'A telemedicine link has been established between the ICU at Royal Manchester Children\'s Hospital and Bolton and Barrow Hospitals.  The system provides a radio link from a moveable Darby trolley with an overhead and umbilicated camera to allow transmission of data from anywhere within a 200m radius of the ISDN link.  This is in an attempt to improve our ascertainment rates of cases from phase 1.\r\n', 'UPDATE AUGUST 2003:  Phase 3 is now ongoing.'),
  (1141, 'To evaluate the effectiveness of image and video compression and transmission technology in the setting of a pre-hospital emergency care environment.', 'The healthcare question to be addressed by this project is whether mobile video telemetry might be used to aid paramedics in the diagnosis, resuscitation and triage of patients.  The engineering challenge is to develop technology to fulfil this role.  The specific scenario is one that links ambulance paramedics to a base Emergency Department by a digital wireless link providing video, voice and data for communication between paramedics in the field and senior emergency physicians in hospital.  In this way medical input to the immediate management of an emergency would be possible.  The system is a mobile emergency videotelemetry unit in which a ruggedized PC is linked to a control centre by a digital cellular radio network.  The system will be used in randomised clinical trial by motorcycle paramedics equippd with both video and still digital cameras.  The cameras send pictures to the mobile PC via a short range wireless local area network, which relays multiplexed real time video and slow scan high resolution images to clinicians in the Emergency Department, who are also in constant voice contact with the  paramedic.', NULL),
  (1171, 'To link up Royal Manchester Children\'s Hospital and Lancaster to support consultants.', 'To introduce a link between Royal Manchester Children\'s Hospital and Lancaster to support consultant to consultant discussion.', 'None.'),
  (1182, 'The project aims to improve patient care by facilitating better links within the various hospitals in Ayrshire and Arran.', 'At present 7 videoconferencing units are situated throughout Ayrshire and the Island of Arran.  These are used for consultations, management meetings and educational events.  We hope to be able to participate in the development of videoconferencing for use in Managed Clinical Networks.', 'We hope to expand to include a further hospital in Ayrshire in the near future.  Also to establish routine links to the various Tertiary referral centres in Glasgow.'),
  (1191, 'Sharing Education and Training facilities across the Trust and from one NHS Trust to another.', 'Enhance and share Education and Training Centre facilities and opportunities.', 'Working to make specialist expertise available, from both home and abroad and share it with others.  Utilise Bridging Unit facilities for multi-site link ups.'),
  (1202, 'To identify the technological requirements to provide continuing support to the elderly to enable them to continue to live independently in their home environment and to establish methods by which appropriate technology can be identified and implemented.', 'The project is aimed at developing a needs led approach to establish the role of technology in relation to all levels and forms of care provision in providing support within the home environment and to establish procedures for the specification of that technology.  The work is aimed at providing decision makers with necessary information to manage available resources including non-technological resources, within the context of enhanced, home based support.', 'The research is taking a qualitative approach to establishing the views of stakeholders together with a mapping of those views onto information models representing the viewpoints of those stakeholders.'),
  (1211, 'To assess feasibility of tele-visual auditory communication in the hospital.', 'Assessment of feasibility of parent-child tele-visual auditory communication in hospital.', 'None at the moment - some technological problems.'),
  (552, NULL, 'The MERMAID Project has set up an integrated multilingual emergency service that uses telematics to transfer medical expertise to sea borne vessels whenever and wherever necessary.  MERMAID provides the person acting as a paramedic on board a merchant marine vessel with a set of procedures and guidelines that ensure his correct response to illness and accidents, and guides him through these procedures whilst providing effective communication with medical teleconsultants.  The main components of MERMAID are a multimedia medical guide and messaging system.  The multimedia medical guide, based on the WHO Ship Captains Medical Guide, is for both crew training in basic procedures and as a reference during consultaions.  The guide is coupled with an effective communications and networking system which allows the paramedic to transmit clinical information to the shore based doctor for medical decision support.  The link is initially INMARSAT based and the transfer is then routed to the appropriate medical care centre.  The system is a scaleable messaging service which utilises whatever bandwidth and hardware is available on board.  The application is being evaluated at several sites and ships.  The demonstrator allows medical report generation and transfer, still image, video and audio clip capture and transfer, videoconferencing as well as access to the medical guide.  Crew member details and drugs stocks are stored on board and can be accessed by the doctor for case history and prescribing.', NULL),
  (678, 'To provide interactive distance learning in the workplace for trainee surgeons who are studying for the MRCS qualification.', 'TETRASUR uses live digital satellite TV with interaction from ISDN2 video conferencing and telephone feedback. ISDN6 audio/video feeds are used to provide live surgery demonstrations during transmissions from external teaching hospitals, potentially from any part of the globe. These external surgery sessions are then broadcast as part of the live digital TV transmission. There are 10 sites that currently receive TETRASUR transmissions (as at mid-1999).', 'Development plans include: a) extending the TETRASUR approach to over 20 sites in the UK and in other European countries;  b) increasing the number of transmissions to 30 per year; c) increasing the number of sites that provide live surgery feeds via ISDN6.'),
  (1001, 'To give the option to out of hours nursing staff to consult with medical staff, so that the patient can be part of the consultation.', 'The 10 bedded in-patient assesment and treatment centre at St Johns Unit is a M.H. facility classed as an alternative to admission and is suitable for patients assessed as not requiring 24 hour medical care.  The telemedicine facility is an option for nursing staff out of hours to consult with the medical staff at the Brooker Centre.  The patient can obviously be part of that consultation.  It is also used for education and training purposes - in-house training, link with HGH post grad and/or link with Warrington Post Grad.  It is also used for administrative purposes to save on valuable time travelling 12 mile round trip access to Runcorn Bridge.', NULL),
  (941, 'To compare the effectiveness of tele-education in primary and community health care with the learning achieved through face-to-face education.', 'Videoconferencing equipment is available at 5 sites linking the university with community hospitals.  Videoconferencing is being used for meetings, tutorials, presentations and training events.  These will be evaluated in terms of learning outcomes and acceptability of the medium.  There will be a comparison with traditional face-to-face learning.', NULL),
  (741, NULL, 'This project has set about to investigate the integration of Social Alarms and Telecare.  Social Alarms are already utilized in the community for the care of the elderly.  The telecare system comprises an enhanced replacement for social alarms with added capability to gather data from a variety of off-the-shelf medical units.  Currently these include: Blood Pressure, Spirometer, Weigh Scales and Glucose Meter.  This system is able to prompt the person to take a reading at pre-configured times by the use of a pre-recorded voice reminder and a buzzer.  The system is fully automated for the person to use in their home with all configuration achieved through the telecommunications link.  Medical data is uploaded from the unit over the Public Switch Telephone Network and stored in a database.  Acquired medical data can be displayed to the clinician via standard spreadsheet packages enabling a versatile graphical interface.', 'Trials are currently underway.'),
  (573, NULL, 'Developing a range of Telemedicine systems to facilitate the delivery of clinical care and education to both staff and patients with diabetes.  Among the priorities are the screening and monitoring of diabetic eyes.  The project also aims to develop: 1)   a means of using telemedicine technologies to support professional and patient educational processes. 2)   a means of using telemedicine technologies to support clinical processes such as \'virtual\' outpatient clinics. 3)   a shared diabetes electronic patient record information system with guidelines.  The project has recruited seven General Practices in Mid and South Wales who will be closely involved in the development and field trial of the technology.  A minimum data set has been designed and a patient/retinal image database application is being developed for shared use via a telecommunications link.  A library of digitised retinal images is being produced by scanning 35mm slides onto CDROM and the use of a newly acquired digital fundal camera.', 'It is planned that teleconferencing will allow the live discussion of patient information starting in August 1998.'),
  (511, NULL, 'Access Health UK are involved in the NHS Direct Trial in Northumbria, part of the National Teletriage Project, the precusor to NHS Direct, which will be available throughout England by 2002.  Access Health is also involved in trials in N+E Herts Health Authority known as Badger GP Co-operative.  Two other organisations taking part in the Teletriage Project are Two Shires Ambulance NHS Trust and Lancashire Ambulance NHS Trust.', NULL),
  (675, 'To allow for specialist outreach clinics to be conducted at GP Centres.', 'Establishing an Interoperability facility, a digital laboratory for digital image data to be converted and transmitted over various digital and analogue communication networks.', NULL),
  (674, 'To deliver services to areas distant from Inverness that have scattered populations.', 'Mainly for adult health.  Based in Inverness, with ISDN2 links to Portree (Skye) and W Sutherland.\n', 'To include child health.  LAN being set up linking Inverness, Fort William, Wick and Portree.'),
  (677, '(1)  To provide information to patients about common eye diseases.    (2)  To provide patient information on medical and nursing aspects of ophthalmic surgery in simple language.  (3) Provide web links to UK and international ophthalmology sites.', 'Design, construction and maintenance of web site with the stated objectives.', NULL),
  (1011, 'To assess the diagnostic accuracy for skin lesions using professional digital imaging technology.', 'A pilot scheme is underway in the Plastic Surgery Department at the Royal Preston Hospital which will assess the diagnostic accuracy for skin lesions, using professional digital imaging technology.  If the pilot is a success it is thought that digital imaging will assist in the future prioritisation of skin lesions and enable some patients to be directly listed for day case surgery without attending the outpatients department.  Digital imaging also has the potential to assist in the management of the Governments target to see all patients with suspected skin cancer within 2 weeks of referral.  The 3 month trial involves patients referred with skin lesions who are scheduled to attend Mr Howcroft or Mr Jones outpatients clinics in February, March and April 2000.  Patients will be advised that they are under no obligation  to participate in the trial, and that their future treatment will not be affected in any way.  Ethical approval has been given for the trial  to proceed and consent will tbe taken from each patient who participates.  Patients will be invited to attend the Medical Illustration Department to have a high resolution digital image taken of the skin lesion.  The two participating consultants will then assess the digital images along with the GP referral letter and make a diagnosis.  To mensure a validity of the digital image diagnosis, the patient will have to be seen in the outpatient department.  For those patients who go on to have surgery, histological confirmation of the diagnosis will be undertaken.  Data will be collected at each stage of the patient episode with the following aims:  Assessment of the quality of GP referrals; assessment of GP diagnostic accuracy; assessment of GP prioritisation of referrals; assessment of Consultant\'s diagnostic accuracy based on digital image plus GP referral information; assessment of Consultants prioritisation of referrals; identification of patients who could be directly listed for day case surgery.', 'In the long term if the pilot is a success, digital imaging will be rolled out to include skin lesion referrals to all of the Consultant Plastic Surgeons.  To prioritise referrals from digital images, to directly list some patients for surgery possibly linking into booked admissions project.'),
  (302, NULL, 'The primary purpose of the SAVIOUR was to establish and evaluate a telemedicine workstation link between the casualty department of a remote community hospital and a large urban hospital accident and emergency department.  Throughout the clinical trial period of one year, 120 teleconsultations have taken place betwen the remote community hospital and the specialist trauma centre.', 'Continues to operate as a service between the two sites.  Grampian Healthcare Trust and Aberdeen Royal Infirmary have taken over the operation and are currently upgrading the system to ISDN6.'),
  (981, 'To use computer technology to deliver and administer the education and training needs of client groups in the NHS.', 'The use of New Technology Distributed Learning (NTDL) systems, which use computer technology to deliver and administer the education and training needs of different client groups, have the potential to revolutionise the provision of training in the NHS.  The Trust has begun to evaluate both it\'s education and training needs and the NTDL system and courseware required to support it.', 'After this pilot project, the Trust aims to expand this activity and become a Centre of Excellence for NTDL in the North West Region.'),
  (751, NULL, 'The nursing informatics theme for all students undertaking the ADNS course, approx 500 a year, is now delivered by mixed mode, face-to-face and online teaching.  As well as course notes the online component includes quizes, discussion boards, chat rooms etc. which enable both synchronous and asynchronous sharing of learning among students on various sites.', 'The course is dynamic and responds to changes in informatics, particularly NHS, Information for Health and student comments.'),
  (901, 'Provide advice to isolated miltary clinical staff throughout the world.', 'Use of standard email program and Internet connection to send high quality digital images from remote locations with very limited bandwidth.  Central archiving of all referrals using automated software running under the Linux operating system.  The system is used in most major deployments of UK military personnel throughout the world, including RN warships.  It has been used in approximately 450 clinical cases.  This project developed from the trial project previously listed on this database as the Hasla/Sipovo Project.', 'Develop a specific, user friendly, sending end software.  Distribute referrals around hospital intranet from a central referral point.'),
  (971, 'Pre-hospital acquisition and transmission of 12 lead ECGs to reduce call to needle time.', 'Reduction in door to needle and call to needle by eliminating door to ECG time.', 'Larger sample size needed for statistical significnce - funding being sought for 3 year project.'),
  (672, 'The project aims to establish what is technically possible whilst also being clinically effective and economically viable.   Service user acceptability of the technology and clinical information received will be evaluated.  Service providers aim to utilise one step of a multipurpose integrated service.', 'Two pilot sites within the Trust:-  (1)  Speech and Language Therapy for Children with Downs Syndrome.  The link is from the Mencap Nursery to the child\'s home. The parents can observe the therapist working with the child, and record the sessions. The therapist can also arrange a virtual visit and work with the family when they are carrying out the home treatment programme.  (2)   Intensive Homecare for Adults who are totally dependent on care staff for all functional activities.  These clients have chosen home care rather than nursing home. They have complex needs, are alone for long periods of time and require intensive therapy input and detailed care package provision.', 'Under consideration.'),
  (12, 'To evaluate the uses that can be made of telepathology between sites for second-opinion consultation, remote diagnosis and remote teaching sessions of pathology trainees. Also to use the system for the preparation of digital images, clinical meetings and the presentation of, or participation in, meetings remotely.', 'We are in the process of evaluating the uses that can be made of telepathology installations in multiple sites. Its main applications are in the preparation and presentation of clinical meetings and in remote consultation of histology specimens and remote presentation of teaching sessions. Pathology specialities in Edinburgh at Teviot Place and the Western General Hospital are largely localised at one or other of the sites, reducing the need for consultation between places. There are however situations where there is a need for consultation on difficult cases between sites, and there is also frequent travelling by pathology trainees to attend teaching sessions.  Our goal is to introduce telepathology resources where they are perceived as useful as a part of a long-term strategy that will facilitate the communication between pathologists irrespective of distance, and make use of digital images for clinical meetings, teaching and archiving. Telepathology is now an established technology and many studies have previously demonstrated excellent concordance in diagnosis between examination by microscope and examination of digitised images. Rather than add to the already heavy workload of local pathologists with the extra commitments of a another large study, we considered it most useful to have more flexible smaller trials fitted around the needs of pathologists in their everyday practice to ascertain which areas it is likely to be useful or not. Experience gained here will be used to best implement any future expansion of the service to other regional hospitals.', 'Subject to funding, we aim to expand the telepathology and videoconferencing network to other sites in Scotland with which we have established clinical links. This will be used for seeing remote second opinion as an alternative or addition to postal referal, and also to link sites for clinical meetings and training sessions.'),
  (14, 'TeleDent is a University of Bristol based project that aims to explore the potential of video- and data-conferencing technologies to address the following problems:  Training programmes for dentists are currently constrained by the limited availability of teachers and the high cost of this type of teaching.  General Practitioners have to put their patients on extremely long waiting lists to obtain specialist orthodontic advice.', 'Activities Education - Following a pre-pilot project completed in April 1997, phase two began in July 1997 and was completed in July 1998. This:  helped to deliver tutorials as part of two existing postgraduate training programmes; developed and evaluated protocols for using videoconferencing to deliver postgraduate teaching.   Diagnosis: Begun in September 1998, phase three of the project was a two year programme to trial a three-tiered approach to providing remote treatment advice by teledentistry. This included: 1) An expert system developed by the project that filters out cases that can be treated locally by the GDP,   2)  A store and forward form of electronic referrals using electronic whiteboards containing text and images about the case and including output from the expert system.  Transmission is by FTP.   3) The use of video-conferencing to enable practitioner and specialist to discuss more complex cases.   The trial was carried out with six (and a seventh participating unofficially) dental practices based around England.', 'Further plans are to pilot a teledentistry service within the Avon Health District using FTP and whiteboards to send cases by store and forward. The expert system will be developed further to work with MS NetMeeting 3.0.'),
  (15, 'The detection of previously unrecognised episodes of oxygen desaturation in infants with Chronic Lung Disease by implementation of remote monitoring.', 'Development of a unit and associated software to record spo2, hr, pr, temperature and patient movement simultaneously whilst a patient freely moves around their home. Use of telemetry and standard internet protocols using a Java platform to transfer the data to a server for clinicians to access via a website.', 'Further field trials to follow up the initial pilot study.'),
  (23, 'Investigation of international use and practicalities of communications technology in the management of ophthalmic conditions and education (including the development of indemnity, copyright and patient management protocols). Investigation of communications technology in the provision of ophthalmic care and education in collaboration with National Telemedicine Programme within South Africa.', 'Investigative research of international use and practicalities of tele-ophthalmology in the management of ophthalmic conditions and education.', NULL),
  (33, 'Investigation of the safety, practicality, appropriateness, acceptability, limitations, and the costs of tele-ophthalmology processes. Development of a telemedicine strategy for Moorfields Eye Hospital.', 'Investigative research of the safety, practicality, appropriateness, acceptability, limitations, and the costs of tele-ophthalmology processes.', 'Subspeciality adnexal ophthalmological examination using videoconferencing. Practicalities of providing secondary and tertiary advice and support on difficult ophthalmic cases. Role of videoconferencing in strabismus consultations. Reliability of videoconferencing as a tool for examining eyes following trabeculectomy. Usefulness of videoconferencing consultations in  neuro-ophthalmology.   Assessment of post-operative cateracts using videoconferencing. Reliability of videoconferencing for diagnostic purposes in an eye casualty.'),
  (24, 'To define and quantify longitudinal changes in Quality of Life (QoL) and anxiety and depression scales at the time of discharge home on Home Parenteral Nutrition (HPN) and over the first year after discharge home. To prospectively document the number of visits to hospital out-patient clinics (nutrition, anticoagulation, other), the number of admissions to hospital and days in hospital during the course of the first year. To compare the results of the above in patients receiving standard care and those in contact with a Nutrition Nurse Specialist (NNS) via telemedicine. To compare the results in a second year of follow up when all patients will be offered telemedicine.', 'Consenting patients started on HPN in 9 UK centres will be randomised to receive telemedicine follow up or not. Randomisation will be after consent, and will be restricted by centre. Patients not receiving Telemedicine will receive standard care and follow  up according to his/her centres usual protocol, with telephone links with the NNS weekly for the first month, fortnightly for the next month, once monthly for the next four months, and at least once every 3 months for the remainder of the study.  Questionnaire data collection will be by telephone by a trial coordinator not involved with the patients care and will be carried out two days after discharge home and then one, three, six, and twelve months from discharge. The time period between cathetor insertion and discharge home will be noted and the patients records of time in hospital (as in- or out-patient) will be collected. Those receiving Telemedicine support will be assessed identically but will have telemedicine links with the NNS weekly for the first month, fortnightly for the next month, once monthly for the next four months, and at least once every three months for the remainder of the year. At the end of the first year all patients in the trial will be offered Telemedicine links, and data will be collected for a maximum of two years for each patient.', NULL),
  (25, 'To maximise the number of people who can be safely and effectively treated in the Minor Injuries Unit (MIU). To improve sharing of and access to patient information between sites. To improve training and education opportunities for staff.', 'The project provides equipment and knowledge to digitise x-rays at a Minor Injuries Unit (MIU) using a scanner, that are then downloaded to one or more servers at other hospital sites. The on-duty A&E Consultant views the downloaded images using a high-resolution clinical review station with image viewing software. Medical opinion for treatment is given within an agreed time span and made available to the Minor Injuries Unit. The original x-ray film is reported on by the Radiologist. In addition, support using live video-conferencing is made available using static video cameras with digital photography.  UPDATE AUGUST 2003:  Project is now a permanent service, still using Radworks but no longer using videoconferencing.', 'Experience and lessons are being learnt from the project currently that can be used to inform future decisions about the effectiveness and appropriateness of teleradiology and telemedicine for supporting the Minor Injuries Unit and diagnosis throughout the Trust, with possible future links to external providers.'),
  (679, 'To assess the feasibility and acceptability of teleconferencing between primary and secondary care for patients with diabetes.', 'The Diabetes Centre at the Royal Bournemouth Hospital is linked with a videoconferencing system to an outlying doctors surgery. This will initially be used for joint consultations between general practitioners and consultants.', 'To extend the videoconferencing link to other doctors surgeries in the Dorset area.'),
  (680, 'To improve the quality of clinical care provided in Surrey - To empower and involve patients and carers in their own treatment - To support the redesign of care around patients - To deliver the requirements of the National Plan, National Service Frameworks, Information Health and Clinical Governance by developing an information system available to all within Surrey - To improve Health Outcomes for Coronary Heart Disease - To meet national targets for pain to needle times - To reduce mortality and morbidity in Surrey - To reduce Clinical Risk - To make available Online decision support systems to Ambulance Crews - To ensure service regardless of geography - To provide evidence based medicine in the home and at the roadside -  To improve response times for Surrey Ambulance Service.', 'UPDATE NOVEMBER 2003 - This project is currently on hold - it is planned to rejig it and continue in due course.  The project envisages using cutting edge applications of existing Technology to deliver a system linking the patient to hospital, primary care, community care and social services while at the scene of an incident or whilst being transported in the Ambulance. It will enable treatment to commence at the patient\'s home, scene of the incident, in the Ambulance, and immediately on arrival at hospital. It establishes an Electronic Patient Record during transfer (or at the scene) and enables access to be gained to the patient\'s medical history. It will potentially reduce inappropriate referrals to both hospitals and Accident and Emergency Departments and save considerable numbers of lives by delivering faster and more appropriate treatment.', 'To meet rising patient expectations for Ambulance Services - To meet increasing demand for services -  To improve the Ambulance Service\'s efficiency - To improve working lives - To modernise and improve training for Ambulance crews - To support the \"zero tolerance\" attitude towards violence against staff by ensuring access to patient records and by having if required a video tape of the ambulance saloon when violence is threatened - To reduce pressure on Accident and Emergency Departments - To reduce waiting times - To develop and implement information technologies - To contribute to the development of an Electronic Health Record - support Social Services in developing and delivering independence at home for patients. - To support the development of new public-private partnerships in health care systems.'),
  (681, 'Provision of a telephone helpline initially but taking on other projects as time goes on.', 'Provision of a 24 hour call centre.', 'GP Out of Hours integration starting November 2001.   Assisting with 999 calls to the Ambulance Service.  Proactive ringing of patients.  Fronting Bristol Eye Hospitals patients.  Provision of health intelligence.  Taking on the Dental Helplines.  Care Direct Message Handling for doctors.  Taking on telemedicine applications hopefully in 2002/2003.'),
  (761, NULL, 'An 18 month pilot to assess the technical problems, educational and cost effectiveness of delivering small group teaching from dental schools in Central London to regional postgraduate centres and dental practices, using videoconferencing.  The four London Dental Schools and four peripheral sites have identical sets of equipment.  UPDATE JUNE 2001  -   The Provident Project was completed on 31 March 2001.  There will be papers in various journals this year.  The team is still a member of Telemedicine although not working so closely together.  The Project co-ordinators were Mr Ken Eaton of the Eastman Dental Institute, Dr Patricia Reynolds of King\'s Dental Institute, Mr Edward Odell of Guy\'s Dental Institute and Miss Carol Francis of the Royal London Hospital Dental Institute.  Claire Westerbeke was the Project Manager and is still  listed although the Project has now finished.    It is not really helpful if anyone contacts her since the Project is completed and as such she is no longer employed by Provident.   Any outside communications should be addressed to one of the four project co-ordinators above.', NULL),
  (1217, 'Older people and their carers will be able to use CarePlus to find information about health and social care available locally and also detailed information focusing on better care practices.  UPDATE:  To collect information about local health and social care services for older people.  To discuss and finalise with users the best format for presenting information and the sort of information they would like the system to provide.  To enter information into the database that will be quality assured and then published as web pages.  To produce material in such a way that it can easily be re-styled for use on digital TV at a later stage.  To evaluate user benefit, usability and user acceptance.\r\n', 'CarePlus is an information and communication telecare initiative for users and providers of health and social care. It is run from the University of Sheffield School of Nursing and Midwifery. The aim of the project is to develop a service, initially via the WWW and ultimately also by digital TV, that will help carers and older people by providing useful, well organised and managed information about health and social care.  UPDATE:  CarePlus builds on the research and development work undertaken by the ACTION project (Assisting Carers using Telematic Interventions to meet Older persons Needs, EU funded study completed in October 2000), turning the outcomes into a service. ', 'The project will set up information collection points at four pilot sites in Derbyshire, Leicestershire, Lincolnshire and South Yorkshire. At these sites, educational resources and information about local care and health services will be put into a database.  UPDATE:  Further bids locally to develop systems that would be funded by Local Authorities.\r\n\r\n'),
  (1216, 'To provide additional consultations for the villagers of Letham.  To improve patient care.  To help the district nurses with their workload.', 'A nurse led videolink service from a rural village to a central GP surgery.', 'To expand to include other agencies such as midwives.  To expand to include a broader age group and geographical area.'),
  (861, NULL, 'Recurring funding for a digital imaging screening programme for the diabetic subjects in Gloucestershire (approximately 12,000 subjects).  A project grant for an evaluation of the effectiveness and cost-effectiveness of screening for diabetic retinopathy by digital imaging photography and technician ophthalmoscopy.  There are approximately 3,600 subjects in the study in randomly allocated 50 patient groups.', 'We intend to have the compressed JPEG images available for any General Practitioner in the country to have access to, when he is consulting his diabetic patients, provided he wishes to have access to the retinal images.  With all the General Practices being connected via Healthnet this should be possible.  We intend to connect the first practices to  our NT server so that they can access the images and reports in the near future.  **UPDATE JANUARY 2002** - Our number of diabetic subjects is increasing (we now have 13,700) on our register and we have, therefore, only managed a\r\nbiannual service.  We would like to increase the capacity to provide an annual service.  We would also like to link our service into an electronic health record for general diabetes care.\r\n\r\n'),
  (1225, 'By installing telemedicine links between district hospitals and specialist paediatric cardiology centres we hypothesise that advice to district obstetricians and paediatricians on diagnosis and patient management will be facilitated effectively.', 'Paediatric cardiology is concerned with the diagnosis and treatment of babies and older children with a\r\n                                        congenital heart anomaly.', NULL),
  (1252, 'Provision of a range of passive alarms to support people in their own homes for as long as possible. ', 'Passive alarm service for people with dementia or other cognitive impairment. Provision of a range of passive alarms for people in accordance with individual assessment of need to support people in their own homes for as long as possible by reducing risk factors in the home environment. Technology employed comprises smoke, gas, hypothermia, heat detectors and door switches and pressure pads connected to register through the Falkirk community alarm scheme and a range of other equipment which can register internally only including door reminder device, flood detector etc.  Funded by council revenue and capital funding.', 'To increase types of alarms used within the service and to recruit and train formal responders to widen service availability and facilitate respite breaks for the informal carers who are currently the normal responders.\r\n\r\n'),
  (1253, 'Monitoring of people with epilepsy in their own homes to provide an early response to help manage seizures linked to Mobile Emergency Care Service (MECS). ', 'Provision of body-worn tilt detectors and in-bed seizure monitors registering alerts through the community alarm service to indicate potential seizures and prior agreement with the service users about seizure management assistance and childcare arrangements where necessary.', 'Service continuation.\r\n\r\n'),
  (1254, 'Falls Management', 'Project to evaluate use of body-worn automatic fall detectors linked to Mobile Emergency Care Passive Alarm Service (MECS). Falls risk assessments being used to indicate need for automatic fall detection equipment. Early intervention through information provision, monitoring of falls attended by mobile wardens and referral to falls management clinics for people identified as frequent fallers in the community.  Funded by council revenue and capital funding.', NULL),
  (1251, 'A project that aims to support the provision of overnight services. ', 'Essex County Council Social Services Department at Colchester has to service a number of clients who need overnight attention. The team consists of four regular members together with back up resources sufficient to deploy two members of the team each night.  Helpline provides a \'round the clock\' response to customer\'s requests for emergency assistance in their homes. The introduction of a Night Owls service was built around the need to have reliable transport, an efficient radio network back up for health and safety, together with office and administration facilities at night. A quid pro quo agreement was established so that Social Services would provide staffing resources for the Helpline service overnight. This releases Colchester Borough Council staff from night time duties, enabling them to be re employed during the day time and producing savings in shift allowances. In turn, Colchester Borough Council provides a fully equipped/fuelled fleet vehicle overnight, supported by radio safety monitoring.	', 'There are plans to develop similar services in other parts of Essex. '),
  (1255, 'Housing based alternatives to traditional residential care.', 'West Lothian Council and its partners are developing housing-based alternatives to traditional residential care, using multi-skilled staff teams and new \"smart\" technologies. There are two elements: 1) new build Housing with Care developments and 2) Smart Support at Home in the wider community. There is a broad range of technologies being used in the project. The Council has developed the idea of a \"core\" package of technology which all service users access. The core is different in the Smart Support at Home service from the Housing with Care because of the nature of the accommodation.    This core package is a basic home safety and security package which all users are able to benefit from. Individual assessments then identify the range of additional technology a service user will access.  The initially identified project finish date was March 2002, however the new build development aspect is now due to complete in March 2003.', 'The project has focused on frail older people in its developmental stage but is now moving to other groups of people and mainstreaming the technology as part of the home security and support services. Plan to develop on-line learning materials for staff, users, and carers.An evaluation by the University of Dundee32(see Appendix 2) found that the technology had made clients feel more confident and safer and that they believed it had given them the opportunity to live at home longer.  An evaluation by the University of Stirling will be published at the end of the project.'),
  (1247, 'To provide a more economic way of delivering advice on the management of behaviour problems in young people with autism - as contrasted with traditional domiciliary service. ', 'Initially provided only telephone contacts but results were disappointing. Changed to initial domiciliary visit followed by analysis of records of behaviour returned by mail, phone or email. Advice is then provided through telephone consultations.', 'Develop web-based recording methods for parents to input more information themselves. Evaluate family satisfaction and efficacy of service.'),
  (1248, 'To develop, distribute and evaluate a Store-and-forward Telemedicine system to aid Clinicians in the decision making process for trauma referrals.', 'A Store-and-forward telemedicine system was developed which is quick and easy to use. This was distributed to referring hospitals. The software fully encypts the images and accompanying patient information and sends it using an email program over the NHS Intranet. On arrival at QVH this data is automatically downloaded onto our Intranet site which can be viewed by staff from any computer terminal in the hospital. The injuries can then be discussed by the usual telephone referral. The Queen Victoria Hospital receives approximately 15 referrals each day from 25 hospitals in the region. This technology is hoped to help us increase our perceived accessibility and management of trauma, and reduce unnecessary patient transfers.', 'To further distribute the software and evaluate referrals for any change in the referral pattern. To install receiving software at a referring site so that images can be both sent and received.  Aim to move from pilot-type funding to everyday payment for usage at the end of the project and become a mainstream service.'),
  (1246, 'To prove technical feasibility, clinical effectiveness and cost effectiveness of shared community/hospital care of patients with leg ulcers using a telemedicine system. ', 'Randomised controlled trial comparing conventional sequential care pathway with a system of parallel community/hospital care pathway with electronic communication via a shared EPR/telemedicine system operated over NHSnet. ', NULL),
  (1227, 'The overall objective of the TELECARE project is to design and develop a system that permits the provision of a novel service aimed at large sensitive parts of the European population.', 'TELECARE Service System aims to provide a transparent communication system involving both voice and data (BP, SO2, ECG, etc) for the provision of remote telemedicine services to patients who are not confined to a hospital, ie, receiving home / ambulatory health care, for early warning in a seamless manner.  Using the TELECARE architecture, the patients\' health status can be evaluated objectively and decisions can be made in real-time to proactively manage critical health events.  The proposed system in non-intrusive, user-friendly and effective in continuous monitoring of vital parameters, affording timely intervention to avert clinical emergencies.', 'The system will be developed to be a commercial proudct by members of the consortium.'),
  (1223, 'To outline the plan to develop the community paramedic service in Staffordshire utilising telemedicine via video link.', 'To develop a system of care, based on the use of telemedicine, which will improve patient care in the home environment.', 'The ultimate aim is to prove the effectiveness of telemedicine to reduce unnecessary access to primary care and hospital by improving the diagnostic services, monitoring and treatment provided to patients in their own homes or in residential care and nursing homes.'),
  (1222, 'To transfer sleep monitoring of selected patients from hospital to home. To reduce monitoring failures.  The home monitoring will aim to provide diagnostic data in a more normal environment which is convenient to the patients and their families', 'The majority of children attending the hospital have chronic and complex conditions so have high levels of repeat attendance.  Over 900 children require sleep monitoring per year.  Monitoring is performed to diagnose and manage sleep distrubances resulting from their underlying conditions, such as congenital craniofacial anomalies.  Research indicates that as well as the risk of asphyxia, the low level of oxygen caused by disrupted breathing can have a long term affect on growth and development.  Children are currently admitted to the inpatient ward for overnight sleep studies.  There are also problems with children being unsettled by being in a different environment, which can distort the test results.  It also results in children who are otherwise medically stable being admitted to hospital.  UPDATE AUGUST 2003:  Project was due to start in January 2002 and was explored but put on hold awaiting confirmation of funding.', NULL),
  (1249, '1. To demonstrate multimedia applications which use the data transmission capabilities of TETRA. 2. To develop a portable hardware kit which can be taken into the field in order to transmit medical telemetry, digital images, location telemetry and text from a casualty site up in the mountain to the mountain rescue base. 3. To develop an easy-to-use and automated portable hardware device that interfaces to medical monitoring equipment, digital cameras, GPS receivers and PDAs. 4.T o develop interfaces to Medical monitoring equipment, digital cameras, GPS receivers and PDAs to acquire data from these devices. 5. To develop the protocols for transmitting the different types of data. 6. To develop call control strategies for setting up and hanging up data calls and sending SDS and status messages. 7. To develop display applications to display medical data, digital images, location data, and text on a PC monitor at the receiving end. ', 'The Emergency Multimedia (EMM) project focuses on the end user\r\nrequirements of a mobile multimedia service over a TETRA radio system.\r\nThe main focus of this project was to develop a multimedia system that\r\nuses the advanced voice and data transmission capabilities of TETRA to\r\nsupport mountain rescue operations. This system gives the mountain\r\nrescuers the capability to send GPS positioning information, text and\r\nstatus messages, digital images and medical information such as ECG,\r\nPulse Rate, Blood Pressure and Oxygen Saturation level (SpO2) from a\r\ncasualty site up on the mountain to the mountain rescue base. The\r\nposition information is useful for effectively managing search and\r\nrescue operations from the base. The digital images of injuries and\r\nmedical data transmitted over TETRA from the casualty site will give a\r\nbetter indication of the condition of the casualty, and a doctor can\r\nremotely give immediate advice to the rescuers in the field in\r\nadministering advanced treatment. The EMM project resulted in a system\r\n(Tele-Medic System) which consists of user-friendly portable hardware\r\nkit and software for displaying the different types of data at the\r\nreceiving end. This system won the \'Most Innovative Applications\r\nDevelopment\' award at the TETRA World Congress 2001.  ', NULL),
  (1250, 'To examine the current use of telemedicine in primary care in remote and rural Scotland and to describe health professions\' views on the roles, utility, appropriateness and limitations of telemedicine in primary care. To develop a framework for implementation of new telemedicine initiatives, which takes into account the professional, organisational and structural context of remote and rural primary care.', 'The study will comprise two elements: a postal survey of all general practitioners in the Inducement Practitioners Association (IPA) and a sample of allied health professionals; and a qualitative interview study with 30 health professionals identified by the survey as having a range of experience of and views about telemedicine.', NULL),
  (1232, 'The specific objectives of this project are to:  1.  Investigate improvements over the current method of monitoring patients within GST over a single 24-hour period including how to monitor:\r\n- A larger number of patients;\r\n- Continuously for longer that the current 24-hour snapshot.\r\n- More remotely than within the existing ward. - In real-time i.e. notify the clinician, provide him with data, on detection of an event (abnormal clinical episode) rather than using later off-line analysis.  2.\"Smarter\" i.e. find relevant events more easily, prediction of events.  - Monitor the following vital signs (3-lead ECG, respiratory rate, SpO2).\r\n- Provide clinical decision support to the clinician and access to the patient information.\r\n- Initially prove the concept on a GST site with up to 10 patients concurrently.', 'Two forms of CHD were selected for remote monitoring investigation within DTfH - Hypoplastic Left Heart Syndrome (HLHS) and Pulmonary Hypertension. HLHS is the most frequent cause of death in the first month of life for children with CHD. However, there is little evidence or understanding of the events that precede death.  Advances in foetal echocardiography, surgical procedures and intensive care have led to improving operative mortality. There still remains a need to improve non-operative mortality and long-term outcomes, and to investigate the reasons for sudden death. This investigation requires a greater use of long term patient monitoring, which is both impractical and stressful within the hospital environment.  \r\nThe proof of concept system developed by QinetiQ allows physiological data to be collected from patient side monitors on a 24x7 basis. Data collected can be annotated to allow for subsequent analysis of critical events. Data collection is flexible, and includes ECG, temperature, pulse rate, non-invasive blood pressure, respiratory rate, and pulse oximetry. The system architecture is designed to be flexible, with data being transferred from the patient to the server in the hospital either by network (eg NHSnet), or using a domestic phone line. When monitoring patients outside the hospital environment, regular samples of physiological parameters are sent to the hospital for review. Near real time continuous data is sent to the hospital immediately preceding and following any critical event.\r\n\r\nFOR FURTHER DESCRIPTION SEE UNDER \'DETAILS OF OTHER PLANS AND RESULTS\'', 'DESCRIPTION CONTINUED:  Analysis of data collected has allowed intelligent alarms to be developed, the objective being to improve both the accuracy and timeliness of alarms. The intelligent alarms have been incorporated into the QinetiQ monitoring system to allow them to be evaluated, and enabling evidence based improvements to alarm protocols.  Long term monitoring of patients within their own home can be achieved, reducing the stress to patients resulting from regular hospital admissions, and increasing the probability of rare but critical events being captured. A reduction in both the admission and stay in hospital also releases critical resources.'),
  (1233, 'Develop a cancer speciality system for the following cancer \"sites\":\r\n- Breast - Haemo-oncology (sub-set) - Lung.  Demonstrate its use in a pilot with users accessing the system over NHSnet (or equivalent) using a web based front-end.  Take into account the need for the system to eventually be accessed by users in the tertiary system or a remote cancer unit including:- Lewisham - Greenwich - Sidcup - Bromley - Dartford.  Provide a capability for following clinical pathways and agreed protocols.', 'From the outset the CNCIS has been designed to integrate with existing hospital systems.  To prove the CNCIS concept, the development has concentrated on three different types of cancer:\r\n- Breast - Heamato-oncology - Lung.  Although, the CNCIS deals with these three cancers there are eleven other types to take in to consideration. To allow for this, the system has been designed with the focus on major events which occur in a typical cancer journey.  These major events are referrals, visits, investigations, diagnosis, multi-disciplinary meetings and treatments. The system will, therefore, naturally cater for these additional types with a minimum of software re-development.  The system captures details of a patient\'s journey through cancer from the initial referral to the outcome, whether this is discharge in to the community, palliative care or further treatment.  Once the referral has been made the system records major events to allow easy reporting of the hospitals key objectives such as the \'Two week wait\' and the \'Time to diagnosis\'.  Details of all visits are recorded and letters can be generated automatically so they can be sent to either the GP or patient virtually before the patient leaves the clinic. All investigations that are ordered (for the purpose of confirming a diagnosis of cancer) are captured, as well as the actual staging and histology. Once a diagnosis has been made a Multi-Disciplinary Meeting to determine the course of treatment is held. All details of the meeting and outcome are recorded in the CNCIS.  When a patient is referred to another department regardless of hospital, all of their previous records are made available to the new department. The vision for the future is that this referral could be to another cancer unit within the network such as Greenwich, Lewisham, etc.  FOR FURTHER DESCRIPTION SEE DEVELOPMENT PLANS', 'Clinical Aims:  1. Direct secure access to clinically relevant information covering: - Complete current summary of each patient \"journey\" - Detailed Medical Records [Level 6 EPR].  2. Order placement; response and results from other Departments.  3. Access to reference sources of evidenced-based best practice - Diagnostic pathway options - Treatment protocol options - Guidelines - Medline.  4. BNF \r\n- Controlled security audit-trailed read-only research access to patient records \r\n- Monitoring comparison of patient \"journey\" against agreed and approved best practice pathways and protocols as a key aid to improved Clinical Governance.'),
  (1234, 'Investigate improvements over the current method of monitoring patients (likely to be transplant patients) within GST including how to monitor: - A larger number of patients: - More remotely than within the existing ward - In real-time i.e. notify the clinician, provide him with data, on detection of an event (abnormal clinical episode) rather than using later off-line analysis.  1. \"Smarter\" i.e. find relevant events more easily, prediction of events.  2. Monitor the following vital signs (pulse, non-invasive blood pressure, temperature, SpO2).  3. Provide clinical decision support to the clinician and access to the patient information.  4. Initially prove the concept on a GST site with up to 5 patients concurrently.', 'The treatment of many cancer patients involves repeated courses of chemotherapy.  For most of this the patient is \"well\" but during each course it is very likely that the patient will become very \"unwell\" and will require treatment within 6 hours.  A facility allowing the \"well\" time of patients to be spent outside of hospital would have many benefits. \r\nThe environment within a hospital poses many dangers for patients undergoing chemotherapy, with the prevalence of many virulent and infectious diseases being just one.  A remote monitoring system would allow patients to be isolated from this potentially hazardous environment while allowing the system to automatically alert the hospital of a potentially dangerous situation in the patients physiological parameters. The proof of concept system developed by QinetiQ allows physiological data to be collected from patient wearable monitors on a 24x7 basis and analysed for potentially life threatening trends and values. If this is detected, or the patient indicates to the monitor that he / she is feeling \"unwell\" then the patient is alerted and asked to attach themselves to a conventional patient side monitor in the patients home.  More comprehensive data is thus collected for a period of about ten minutes and sent to the hospital for storage.  At the same time the clinicians are alerted via an e-mail / pager message.  By logging into the system on their standard desktop PC the clinicians can look at the data and make an assessment of the seriousness of the situation. In addition to the detailed data collected when an abnormal situation is detected the system sends regular samples of physiological parameters to the hospital for review.  FOR FURTHER DESCRIPTION SEE UNDER \'DEVELOPMENT PLAN\'', 'DESCRIPTION CONTINUED: Long term monitoring of patients within their own home can be achieved, reducing the stress to patients resulting from regular hospital admissions, and decreasing the probability of picking up an infection from the hospital environment.  Key benefits of remote monitoring include: - Reduced hospital admission - Longer term monitoring - assisting capture of key events - Reduced patient stay in hospital releasing critical resources - Reduction in patient stress.'),
  (1235, 'To develop, implement and demonstrate the capability for automatic and semi-automatic processing, analysing and annotating diagnostic features in histopathology images for the diagnosis, prognosis and treatment of breast cancer.  To compress and transmit the images based on their content without loss of diagnostic information for second opinion confirmation/diagnosis and storage of diagnostic records.  To develop a histopathology image database system to enable the management (indexing and retrieval) of breast cancer slide images by means of their histopathology meanings or features, or by their textual annotations.  To undertake clinical evaluations of the prototype systems.', 'Telepathology is a means of practising pathology at a distance, viewing images on a computer display rather than directly through a microscope. Without compression, images take too long to transmit to a remote location and are very expensive to store for future examination. However, to date the use of compressed images in pathology remains controversial.  This is because conventional image compression algorithms achieve data compression without knowledge of the diagnostic content.  Often images are lossily compressed at the expense of corrupting informative content.  None of the currently available lossy compression techniques are concerned with what information has been preserved and what data has been discarded.  Their sole objective is to compress and transmit the images as fast as possible.  By contrast, this paper presents a novel image compression technique which exploits knowledge of the slide diagnostic content.  This \'content based\' approach combines lossless and lossy compression techniques, judiciously applying each in the appropriate context across an image so as to maintain \'diagnostic\' information while still maximising the possible compression.  Standard compression algorithms can still be used, but their use in a context sensitive manner can offer high compression ratios and preservation of diagnostically important information. The precise gain in the compression performance depends on the application (e.g. database archive or second opinion consultation) and the diagnostic content of the images.  This \'content based\' approach will improve the performance of the pathologists as well as the patient\'s prognosis.', NULL),
  (1236, 'To assist the Surrey Ambulance Services and the Defence Medical Services in its proof concept trials of pre-hospital decision support, electronic patient records and telemedicine.  To demonstrate an electronic Medical Integrated Care System (e-MedICS).', 'e-medICS is supporting paramedics in their treatment of injuries and ailments in new ways.  Using speech recognition technology first developed for Eurofighter pilots by 20/20 speech Ltd, paramedics feed information into the e-medICS system through an intuitive icon driven interface, the Unified Emergency Care System (UECS) originally developed by Defence Medical Services for training military medics. The system provides online decision support, diagnostics aids and treatment protocols across the entire hazard spectrum of acute medical emergencies and trauma to aid the treatment of patients. This is supported by nationally agreed guidelines developed in conjunction with the Joint Royal College Ambulance Liaison Committee (JRCALC) and Warwick University. The unit stores records of all patient treatment and interventions and is capable of then relaying a patient\'s vital signs, digital images and summary reports back to Accident & Emergency experts in advance of arrival at hospital, who can if necessary provide additional advice on how to treat a condition.  The automated UECS offers a clear benefit to the practitioner by enabling him/her to build up a contemporaneous treatment record whilst the work is in progress.  A broader benefit of widespread use of a system enforcing the JRCALC guidelines is convergence across all services on best practice i.e. an overall improvement in the average standard of care. The e-medICS Trial Implements: - Automated transfer of the dispatch instructions from Ambulance Control to the ambulance - Computerisation of the Unified Emergency Care System (UECS) - Speech controlled, hands-free presentation of JRCALC Clinical Pathways, Protocols & Guidelines to Paramedics. FOR FURTHER DESCRIPTION SEE UNDER \'DEVELOPMENT PLAN\'.', 'DESCRIPTION CONTINUED:  Speech controlled, hands-free contemporaneous recording of actions taken based on the above Clinical Decision Support (CDS) information - Capture of digital photographic images of the scene attended by the Paramedic - Monitoring and recording of patient vital signs - Generation of a central multimedia database holding the above information, providing the nucleus of an Electronic Patient Record (EPR) - Radio transmission of the data gathered by the computerised UECS at the scene/in the ambulance to the multimedia database - Timely delivery of the above recorded information to a computer system accessed by the A&E team  \'Sit. Rep.\' ahead of patient arrival if required. (This would in future feed an A&E Clinical Information System.)  The trial is being run using a number of Surrey Ambulance Services\' vehicles and contributes a preliminary study to their \'Surrey Emergency Care System\' (SECS) project.'),
  (1237, 'Develop a technology which is appropriate to working within body cavities and which can precisely locate pieces of metal.  Prove the concept on an animal model.  Establish the potential impact on improved patient management e.g. pre-screening MRI patients for locating internal ferrous metal objects or checking needle movement between X-ray and surgery.', 'MELODI is a new high-technology innovation that precisely locates metallic foreign bodies. This is a new and unique device that is aimed at providing a fast, accurate, and inexpensive alternative to X-rays for location of metals within patients.  The device determines the exact 3-D location of a metal foreign body and displays immediate real-time results. This will enable the user to very rapidly assess problems caused by metals as well as to be a guide should they need surgical removal. The primary complaints MELODI will address include needles in feet and knees, swallowed coins, industrial accidents, and gun shot wounds. MELODI is expected to be particularly advantageous for \'difficult\' areas such as the orbit, foot, and cranium. The operator requires little training and no specialist knowledge to obtain accurate results and it can be used safely by unskilled operators. MELODI will be developed into a small, inexpensive, lightweight, easy to use battery-powered instrument requiring no maintenance.  The sensor can be used in a mode that guides the operator to move the sensing head until a cross hair is directly over the top of the metal. The depth of the metal below the base of the sensor is read from the display. Within this work, not only has the basic stand-alone metal locating sensor been demonstrated, but also a version that is integrated with an ultrasound-imaging machine. The purpose of this is to demonstrate that ultrasound-imaging machines can be given the capability to clearly discriminate metals - an ability they currently lack. In this way metals can be located with respect to the internal structures of the body, which can be achieved by superimposing an icon representing the position of the metal onto the conventional ultrasound image. \r\nFOR FURTHER DESCRIPTION SEE UNDER \'DEVELOPMENT PLANS\'', 'DESCRIPTION CONTINUED: The Defence Technologies for Healthcare  project has taken MELODI from a theoretical concept to a working demonstrator that can operate either as a stand-alone sensor or integrated with ultrasound as described above. Plans are in progress to exploit this technology as a low cost product and make it available to the healthcare market.  The main benefit of this work to the NHS is that it has underpinned the research and development of a novel medical device that will reduce the utilisation of X-rays and considerably speed up the process of finding and removing metal foreign bodies. This will save time and money as well as improve patient care.'),
  (1238, 'To identify the clinical adverse event that is believed to have the greatest negative impact on patient outcomes and to define the parameters that are likely to predict them.  To data mine a substantial body of clinical data to identify trends that predated adverse events.  To develop a smart alarm system to detect one of them.', 'The Intensive Care Unit caters for critically ill patients and is therefore characterised by numerable monitoring devices that measure patient vital signs. These devices typically implement limit alarms that are activated when a given physiological parameter exceeds a pre-specified threshold value. Unfortunately such monitoring equipment is susceptible to a high false alarm rate. As a consequence there is a tendency for caregivers to mute the alarms in order to reduce the level of unnecessary distraction, thereby increasing the risk that they may miss critical information. Advances in clinical monitoring of patient physiology have consisted mainly of development of new clinical measurements or improvements in the processing of existing measurements. An alternative area of improvement, which has received increased interest in recent years, is that of automated signal interpretation. This involves capturing patient physiological data electronically and then performing sophisticated analysis thus enabling predictions to be made about the evolution of patient state. This includes generating advance warnings of impending threshold violations in specific physiological parameters, or the possible presence of a slowly developing and possibly fatal condition, which needs to be treated in its early stages to promote a significant chance of survival for the patient. The term \"Predictive Alarm Systems\" has been applied to systems, which perform automated signal interpretation. Two such systems have been developed in collaboration with the ICU, Frimley Park hospital. The first of these generates advance warnings of threshold violations, whilst the latter provides an indication of the presence of Systemic Inflammatory Response Syndrome (SIRS), a condition which is a precursor to Sepsis, a major cause of mortality within ICUs worldwide.  FOR FURTHER DESCRIPTION SEE UNDER \'DEVELOPMENT PLAN\'', 'DESCRIPTION CONTINUED:  It is anticipated that these systems will provide the following benefits: -  1.	Advance warning of patient health deterioration.  2.	Improved health care resource allocation.  3.	Reduction in morbidity/mortality rates.  Clearly any diagnostic support tool that will increase ward vigilance and help inform care-givers of patient deterioration will potentially become another useful instrument in the armoury of the ICU. \r\nIntensive care units collect data on a range of patient parameters, on a whole cohort of seriously ill/injured patients. To date there is no system whereby this valuable data can be used to detect future adverse clinical events, and therefore no \'smart\' alarm systems that could alert the ITU nurse or doctor to a forthcoming adverse clinical event. This project therefore focuses on developing the technology to apply data mining and knowledge management techniques to develop an objective analytical database though tend analysis.'),
  (1239, 'Demonstrate a continuous patient record capability during medical evacuation. This will enable patient vital signs and treatment to be recorded during flight to an EPR and permit summary patient status reports to be sent to the receiving hospital. In addition military administrative groups will be able to track the patient and receive status reports.\r\nThe patient record will be additionally stored on transportable data media that travels with the patient.\r\nUndertake an options appraisal for transmitting the AePRF from RAF Aeromedevac aircraft.  Conduct a proof of concept trial during medical evacuation.', 'AMIS is being developed as a concept demonstrator in conjunction with Defence Medical Services (DMS) Aero-medical evacuation teams. Where the patient is being moved back from an air head in another country AMIS demonstrates the benefits of a continuous patient record during evacuation (including intensive care), and a summary of the patient\'s clinical record that is transmitted during flight back to a NHS hospital.  A key element of the system is storage of patient vital signs information on a personal storage device that accompany the patient during the medical evacuation, until the destination NHS hospital is reached, at which point the record may be downloaded. This record may be needed for auditable/legal purposes.  A summary of the patient\'s status, the AeroMedical Electronic Patient Record Form (AePRF), will be transmitted to the destination NHS hospital and AeroMed HQ 2 Group, in advance of the patient\'s arrival. This includes transmission at the airhead, and during the flight.\r\nPatient data received, either transmitted from the aircraft or read from the personal storage device, will be stored for subsequent use, including audit and medico-legal purposes.  The AMIS Trial Implements: - Storage of patient vital signs information on personal storage device to accompany the patient - Entry of patient notes and forward transmission to AeroMed HQ 2 Group and the receiving hospital - Reading patient vital signs information at the receiving hospital.  The trial is being run as a simulated AeroMed evacuation from an aircraft, sending patient notes forward to AeroMed HQ 2 Group and the receiving hospital.', NULL),
  (1240, '1. Prove the concept that applied military technology can be used to enhance the quality of medical ultrasound with an emphasis on:\r\n- Increased penetration\r\n- Improved contrast\r\n- Improved resolution\r\n- Enhanced discrimination.  \r\n2. Evaluate whether the resulting solution, if proven, will be appropriate for routine clinical use.', 'An increasing number of people within the UK are overweight or even clinically obese. A recent report concluded that 60% of men and 40% of women are overweight. More worryingly, 20% of men and 25% of women are clinically obese. This is a threefold increase in last 20 years and presents severe difficulties in ultrasound imaging of a section of the population that carries an increasing risk of health problems.  The principal problem in ultrasound imaging is the rapid attenuation of the signal as it passes through the body. Another 10cm of intervening tissue might reduce the ultrasound echo by several thousand times. This is usually countered by using a lower frequency at the expense of significant loss of image quality. Just the fact that the organ to be viewed is deeper leads to further loss of definition as the ultrasound beam spreads with range.  Improving long range images is an issue that QinetiQ has addressed in sonar where the problem is to reliably identify objects in the sea or on the sea bed at increasing ranges. Medical diagnostic ultrasound has many parallels with sonar and defence technology offers a new solution to imaging large patients.  The QinetiQ solution is a system that uses wideband pulses to penetrate deeper and a novel processing solution that combats the loss of lateral resolution due to beam spreading by using a novel processing algorithm. This gives a factor of two improvement in the picture resolution. (The details of this processing are the subject of a patent application).  The wideband pulses replace the short burst sinusoid by a comparatively long frequency sweep. This allows more energy to be carried by the pulse without increasing the peak level. The effect of the processing is equivalent to filtering the return signal into a lot of individual sinusoids and then stacking them on top of each other to mimic a short pulse with a much-increased amplitude. \r\nFOR FURTHER DECRIPTION SEE UNDER \'DEVEOPMENT\r\n PLANS\'', 'DESCRIPTION CONTINUED:  This additional gain helps to combat some of the extra signal loss. In many cases this alone will not be sufficient and it will also be necessary to reduce the working frequency. To compensate for the associated loss of resolution, QinetiQ has employed a new super-resolution processing technique that gives a dramatic times two improvement in the lateral resolution. The resolution of an ultrasound image is different in the top-to-bottom (range) direction and the side-to-side (lateral) direction. The range resolution is set by the pulse length (or bandwidth) and remains substantially constant over the image. The lateral resolution gets worse with range. At the maximum depth a typical image may be observed to be made up of short horizontal lines. The new technique reduces the length of these lines by a factor of two.\r\nThe result of this combined approach to the problem is a system that gives deeper, sharper ultrasound images than ever before.'),
  (1241, 'The overall objective is to develop software algorithms using genetic programming, which can be loaded on to standard PCs, which are readily available at the customer\'s place of work.  The project is concentrating in architectural distortions & small satellite masses. It will also clarify parenchyma into the five Tabar classes to advance improvement in earlier diagnosis.\r\nThe algorithms themselves will be developed using a synthetic environment created by the researcher with the help of the Consultant Radiologist\'s notes and expertise; and using clinical information supplied by expert texts on breast cancer.  The process of developing genetically programmed algorithms takes place off-line, by analysing the data captured in the digitised images of, in this case, patients\' breasts.  This allows the resulting algorithms to be simplified and implemented as efficient computer code.', 'Identifying breast cancer when it is at its formative stages, i.e. as soon as it can be detected, saves lives.  Thus, any National Breast Cancer Screening Programme is a form of investigation.  Trained radiologists inspect the X-ray image of millions of women searching for the minute and variable evidence that is produced by any of the two hundred known types of breast cancer.  About 1.5M women accept invitations to screening in England alone but only about 4 out of 1000 women are recalled for further mammography exams and tests.  Women accept the invitation to be screened to obtain peace of mind - they \'buy\' the knowledge that they are free from this disease.  Improvements to the screening programme are on going.  For example,  Computer Assisted Mammography aims to use computers to automatically investigate the mammograms to better educate radiologists about the mammographic appearance of the disease, and to help them with the investigation.  QinetiQ has engaged in a collaboration with Professor Laszlo Tabar in central Sweden where the Breast Screening Programme was born, and where women as young as 40 are invited every year for screening.  The first achievement of this project used computer technology to automatically categorise the normal parenchyma, the mammographic appearance of the breast, into a number of computer generated categories or taxonomy.  The system learned to do this from a great number of Swedish mammograms digitised to the highest available resolution.   Understanding the variability of the female breast through this taxonomy sets the scene for improvements in breast cancer detection by computer.  It improves it because one can develop specific detectors for specific categories of breast type within the taxonomy.  FOR FURTHER DESCRIPTION SEE UNDER \'DEVELOPMENT PLANS\'', 'DESCRIPTION CONTINUED:  The second phase of the project is using computers to detect breast cancer by mimicking the well-developed protocols followed by radiologists.  For example, it is difficult to detect a breast cancer sign in an individual mammogram.  It becomes easier to do so by examining the series of mammograms over time in the same subject because the changes which take place in the breast contrast with a growing cancer, i.e. the parenchyma is replaced by fat which is translucent, whereas the cancer grows and stands out.  Similarly, another part of the radiologist technique is to compare both breasts because they are roughly symmetric.  Any asymmetries between the two are indicative of the presence of cancer. \r\n'),
  (1242, 'To establish the feasibility of Doppler technology as a method of assessing patients for coronary artery stenosis.  To establish a unit suitable for GP use.', 'Coronary heart disease is the main cause of mortality on the UK. Whilst a number of health promotion strategies encourage and inform individuals of various lifestyle strategies e.g. a low fat, low sugar, high fibre diet, increased exercise etc, coronary heart disease is insidious, often taking years to develop with few or no symptoms. A screening tool whereby cardiac arteries can be assessed non-invasively could allow high volume screening of high-risk patients in a primary care setting. Early identification and treatment of CHD can reduce the risk of future heart attacks and strokes with the associated morbidity. Future associated mortality could also be reduced.  \r\nThis project utilises Doppler technology to detect turbulence in the blood flow of arteries suffering from arteriosclerosis, a common precursor to heart attacks. Thus resource implications of prevention rather than cure would be transferred into the primary care setting, not underestimating saving the patient from the physical and psychological trauma of a heart attack.\r\n', NULL),
  (1243, '1. To establish remote respiratory monitoring for patients in the community suffering fom COPD.\r\n2. To utilise a 24-hour call centre facility (or 9-5 call centre, with out-of-hours support) for data processing and interpretation.  3. Explore the role of the respiratory nurse specialist to further support care.', 'The COPD proof of concept project is designed to trial 3 separate, but integrated, methods of home monitoring. 50 patients have been selected from West Surrey Health Authority.  Each patient has a history of acute exacerbations that often lead to hospital admittance. The aim of the trial is to provide evidence to support the clinical view that hospital admissions can be reduced by intervening at an earlier stage during the onset of an exacerbation. COPD is recognised as both a major cause of winter pressures on the NHS, and of premature deaths in the UK. It is also the third most common cause of lost working days through certified illness.  ', 'Further studies are required to consider:  The added value of the daily telephone call from the virtual nurse combined with remote home monitoring over a less intensive telephone support.  Identification of the predictive variables or combinations of variables that predispose, or relate to acute escalations in COPD patients.  The clinical and cost effectiveness of using 24-hour NICRAM monitoring on a larger scale.  Which other groups of patients are likely to make most clinical and cost-effective use of the service.'),
  (1229, 'To enable the transfer of the echocardiogram between outreach centres and GST taking into account the need for access to the associated patient information.\r\nTo work with five outreach centres (from the following list) in addition to existing pilot site at Bury St Edmunds (remote secondary hospitals):\r\nBrighton; Farnborough (Kent);\r\nRedhill; Ealing; Ipswich; Ashford (Kent); Royal London.  \r\nInvestigate ways to compress the full echocardiogram sequence (typically 20 minutes long), to allow efficient transfer and ease the analysis process, including:\r\nVideo editing techniques; Data compression technique. Provide a means of storing the information for each case for governance and audit purposes.  To acquire the echocardiogram from existing ultrasound equipment that already provides a digital image output.', 'Telepathology is a means of practising pathology at a distance, viewing images on a computer display rather than directly through a microscope. Without compression, images take too long to transmit to a remote location and are very expensive to store for future examination. However, to date the use of compressed images in pathology remains controversial.  This is because conventional image compression algorithms achieve data compression without knowledge of the diagnostic content.  Often images are lossily compressed at the expense of corrupting informative content.  None of the currently available lossy compression techniques are concerned with what information has been preserved and what data has been discarded.  Their sole objective is to compress and transmit the images as fast as possible.  By contrast, this paper presents a novel image compression technique which exploits knowledge of the slide diagnostic content.  This \'content based\' approach combines lossless and lossy compression techniques, judiciously applying each in the appropriate context across an image so as to maintain \'diagnostic\' information while still maximising the possible compression.  Standard compression algorithms can still be used, but their use in a context sensitive manner can offer high compression ratios and preservation of diagnostically important information. The precise gain in the compression performance depends on the application (e.g. database archive or second opinion consultation) and the diagnostic content of the images.  This \'content based\' approach will improve the performance of the pathologists as well as the patient\'s prognosis.', 'Based on the system\'s favourable, initial reception QinetiQ and GST are discussing rolling the system out to further hospitals and undertaking an extended 6-12 month clinical trial as a pre-requisite to potential use of the system throughout GST.'),
  (1230, 'Establish that the foetal ECG can be separated from abdominal recordings.  Develop techniques for processing the separated data in order to present the PQRST waveform.  Refine the presentation of the information for clinical interpretation.  Initially concentrate on the 20-28 week period of pregnancy.  Conduct a pilot study using 10 patients believed to be normal in order to build experience of using the system.  Conduct a fuller study to evaluate the system across a larger number of patients including those with suspected abnormalities.', 'QinetiQ, working with Queen Charlotte\'s Hospital and Guy\'s and St Thomas\' Hospital, has developed a fully working prototype system for non-invasive fetal ECG. The unborn baby\'s own electrical heart signals are detected entirely passively using sensors applied to the skin of the mother. Using techniques originally developed by QinetiQ for defence, the fetal heart signal is then separated from the mother\'s signal and other interference that may be present.\r\nThe conventional electrocardiogram (ECG) is the standard tool for assessing the electrical activity of the heart in both adults and children. It gives the relative timing of aspects of the heart function in addition to the overall heart rate. It is extensively studied, well known and widely used. Until now, however, there has been no equivalent equipment available for non-invasive fetal ECG. This is difficult to achieve due to the weakness of the fetal signal at the mother\'s abdomen and the presence of strong interference from the mother\'s heartbeat and other sources.  The QinetiQ equipment is currently on trial in two London Hospitals: Queen Charlotte\'s Hospital (who made the first recordings with the QinetiQ equipment and assisted with the early development of the recording technique) and Guy\'s and St Thomas\' hospital. The two hospitals together have been responsible for fECG recordings on over 450 patients with the QinetiQ equipment over last 12 months.', 'DESCRIPTION CONTINUED:  The majority of the recordings that have been made are from normal single pregnancies in order to establish normal ranges for important clinical parameters that have hitherto been unavailable. Recordings have also been made on a number of abnormal pregnancies. A number of abnormalities have been detected which were not known beforehand but subsequently confirmed by ultrasound. A case of Complete Heart Block was identified with the aid of the QinetiQ equipment that might otherwise have gone undetected. As a consequence the baby was delivered early and is doing well but otherwise might not have survived. Successful results have also been achieved for multiple pregnancies including twins and triplets in addition to singletons. This is believed to be a World First.'),
  (1244, '1. To collect quantitative and qualitative data from telepsychiatry and simultaneous face-to-face interviews. These will be used to assess the reliability of psychopathology assessments using the audio-visual facility 2. Determine usefulness of and satisfaction with the service from the perspective of the patient (prisoner), psychiatrist (interviewer) and prison staff. 3. To complete a health economic analysis to compare the costs of the telepsychiatry service with the existing service provided by the visiting forensic psychiatrists. ', 'The initial phase of the research, Stage I, focuses on the development and evaluation of the telepsychiatry link between Parkhurst Prison and Ravenswood House. This includes an inter-rater reliability study of prisoner interviews to compare ratings of psychopathology using the Comprehensive Psychopathology Rating Scale (Asberg et al,1978) recorded simultaneously by two researchers one interviewing over the AV link, whilst the other is in the room with the patient at Parkhurst Prison, observes the patient directly.', NULL),
  (1245, 'The OTELO project proposes the study and development of a fully integrated end-to-end mobile tele-echography system for population groups that are either temporarily or permanently not served locally by medical experts. The main drawback of current ultrasound techniques is that the quality of the examination highly depends on the operator\'s specialised skills which are lacking in most health centres. OTELO is a portable ultrasound probe holder robotic system, associated with new mobile communications technologies, that will reproduce the expert\'s hand movements during an ultrasound examination. Although being manipulated by non-specialised staff on the remote site, the slave system will bring, in real time, good image quality back to the expert site where force feedback control will be combined with virtual reality for the rendering of the distant environment.', 'After characterisation of the clinical expert\'s hand movement, a 6 dof probe holder robot will be designed according to the clinical needs; it will include rotations and linear displacements. Kinematics, dynamics behaviours and control laws will be developed. Force feedback control for a bilateral tele-operation architecture will be defined. Technique of ultrasound images acquisition via frame grabbing will be developed. Images compression techniques will be tested. Two solutions will be proposed depending on the examination phase : fast compression method when expert researches for a specific organ and an accurate compression method (wavelet) during the pre-diagnosis phase. An audio-video conference system will be used for the environmental data transmission. The project foresees three scenarios for data transmission : terrestrial link (ISDN, GPRS..), 2.5 and 3G mobile and a mobile communication system from the field of operation with an omni-di! rectional antenna (the 56 Kbps rate will allow clinical data access or images transfer); A fixed dish terminal (up to 384 Kbps operation for full motion video). At the master station, located at the expert centre, an interface with the communication system and image sequences decoder will be developed to allow high quality visualisation of ultrasound images. This interface will integrate: ultrasound images sequences, a view of the examined area provided by a camera and an audio/video conference. A virtual reality environment associated with a fictive probe will be designed: current technologies will be investigated, the most suitable will be selected for the application. Three slave and masters stations will be made. The slave stations, located in secondary hospitals, will integrate the probe-holder robot, current technologies will be investigated, the most suitable will be selected for the application. They will be used for the technical and clinical validation of the OTELO ! project.', NULL),
  (1256, 'Following on from a feasibility study, this project conducts research into and investigates the feasibility of ICT and other assistive technologies that may help older people remain in their own homes, live more independently and improve their quality of life.  The Project Officer\'s post is part funded by Health.  Pilots have been funded by Partnership Grant, Prevention Special Grant and Promoting Independence Grant.', 'The two main current projects are the Prevention Pilot and the MIDAS Pilot. The Prevention Pilot aims to establish whether new technologies can play a significant role in monitoring people in their own homes as part of a preventative strategy. It involves six alarms service control centres and five NHS rapid response schemes including, for example, the Sedgefield Home Assessment Rehabilitation Partnership (SHARP). Sensors being used are bed sensors, fall detectors, collapse detectors, heat sensors, bath/shower sensors, flood sensors, and automatic bedside lights.  The smaller-scale MIDAS Pilot involves further collaboration with Tunstall Telecom to develop and evaluate in clients\' homes the MIDAS intelligent telecare system for lifestyle monitoring.', 'The next step is to develop an inter-agency strategy to take this work forward in Co Durham and to integrate telecare into mainstream services and funding.  The project will also carry on small scale pilots testing new and emerging technologies and working closely with the developers.  We also plan to integrate technologies into six new Extra Care Schemes which are to be built in the county.'),
  (1257, 'The aim of the project is to evaluate the contribution of a prototype \"MIDAS\" intelligent telecare system and its use as an assessment and monitoring tool for individuals undergoing rehabilitation within a social services short stay residential community support centre for older people.	', 'To pilot the use of an intelligent telecare system within a social services residential short-stay setting for older people undergoing rehabilitation as part of an intermediate care service.  Social Services is funding the cost of the equipment and providing the environment of the community support centre and its staff.  Vale Royal Borough Council is providing the technology link and back up from its Community Alarm control centre and some dedicated staff time.	', 'Since January 2000, Cheshire Social Services and Vale Royal Borough Council have been jointly working with a company, Technology in Healthcare, trialing prototype individual social care sensors. These sensors, if successful, then go on to be developed into a marketable product by Tunstall Telecom.'),
  (673, 'To investigate the benefits of new technology equipment for the elderly in their own homes.', 'After a needs assessment, equipment will be installed in the homes of frail elderly patients living in the community.  UPDATE:  London Borough of Ealing and London Borough of Hammersmith and Fulham jointly funded the first year of the project through Social Services Modernisation Grant. Ealing has committed money to partially fund the project through Social Services Modernisation Grant for 2002/03, they are still waiting for a decision from London Borough of Hammersmith & Fulham as to whether they are able to fund the project for 2002/03 and other funding options are being explored.', 'UPDATE:  The project will run for another year from April 2002 to March 2003 to carry out further testing (including of chair monitors, timed pressure mats, and wandering systems), to involve other service providers and other client groups, to explore ethical issues, to develop a strategy for the use of technology, and to publicise findings. '),
  (1258, 'The purpose of the project is to offer support to older people within the Foyle Health and Social Services Trust area in Northern Ireland.  ', 'The objective is achieved by supplying a range of assistive technology/telecare services and community telemedicine services.  The project covers three separate strands.  PART ONE -  Assistive Technology/Telecare: Northern Ireland Housing Executive provide the lease to a house for three years.  The house will be fully adapted with assistive technology ranging from heat and flood sensors to fall sensors and video/television door entry systems and used for demonstration purposes, training and office accommodation.  Approximately 25 older people each year will receive assistive technology/telecare packages in their own homes linked to Fold\'s existing community alarms service.  PART TWO - Reablement pilot: Fold Housing have provided a bungalow to facilitate earlier discharge of 2 people from hospital on a 2- weekly cycle.  A reablement home support team has been established to offer assessments and rehabilitation to people entering the scheme. PART THREE - Community Telemedicine: This part of the project will set up appropriate technology with a GP practice for each year of the project.  A rural area will be identified and 10 people selected to participate for each of the three years.	\r\n', NULL),
  (1259, 'The Pilot Project aims to maintain or regain independent living at home, mainly for elderly clients (thus delaying or preventing admission to residential care). In addition it aims to prevent delayed discharge from hospital. ', 'A joint venture between South Ayrshire Council and Ayrshire and Arran NHS. Technology is used to complement other forms of support - the main areas of application are in safety, security, environmental control, daily living and communication.  The range of technologies used is quite large but all are \"plug and play\".  The technology is person-centred rather than providing a \"Smart House\". 	 ', 'Awaiting evaluation outcome - project could be rolled out to mainstream service.'),
  (1260, 'Aims: 1. To find if Telemedicine monitoring is acceptable to clients identified as being at risk of falling. 2.To see if Telemedicine monitoring results in more rapid response to an emergency. 3.To find if the presence of Telemedicine monitoring speeds up the return to prior level of independence following a fall. 4. To find if the use of Telemedicine monitoring reduces the need for admission to hospital.4.To find if people are willing to pay the cost involved in Telemedicine monitoring. 5.To explore the advantages and disadvantages for clients, staff and the care system	', 'To use readily available technology (Fall Detectors, Bed Sensors, Pressure Mats linked to Lifeline Alarms) to prevent the morbidity associated with elderly fallers not being detected within a short time. UPDATE AUGUST 2003:  Project re-starting in October 2003 in conjunction with Surrey University.', 'The project will be audited and evaluated by the end of twelve months operation by a member of Surrey Hampshire Borders NHS Trust Medical Actuary team'),
  (1261, 'Project that involves finding ways to promote communication for elderly people with dementia. The project will produce an innovatively designed reminiscence experience based on a computer using multimedia techniques.', NULL, NULL),
  (1262, 'To identify user requirements while building and evaluating prototype systems.', 'This research project investigates the applicability and feasibility of using intelligent visual sensors for automatically monitored supportive environments for older people living independently.  Funding source:  Equal Project/EPSRC\r\n', NULL),
  (1263, 'Clients are recruited from elderly residences and the memory rehabilitation clinic in Ely. Mainly, clients are older people and other people with memory problems.', 'Memory problems can severely disrupt daily life. The MemoJog project will develop an electronic interactive memory aid for the user with memory problems, aiming to improve their quality of life and to longer maintain their independence.  In particular, the adequacy of the memory aid in terms of its facilities (input/output modality, depth of interaction, timing of messages), infrastructure, and effectiveness in increasing the users\' ability to live independently from carers will be researched.', 'To continue the research on the adequacy of electronic memory aids for people with memory problems, thereby making use of new technologies and the lessons learnt from the ongoing project.'),
  (1264, 'ENABLE will use modern technology to design new products, which can enable persons with dementia such as Alzheimer\'s disease to carry out daily tasks, and thereby reduce some of the activity limitations which restrict them in their daily life. ', 'ENABLE will further investigate whether it is possible to facilitate independent living and promote well-being of persons with dementia living in their own home through access to these products. This will be done by case studies in four countries. These studies will be based on methodology developed in the project for assessment of effects, including costs and benefits. ENABLE will also raise the awareness in society about dementia and the potential of enabling products.  Funding approx 1 million euros.', NULL),
  (1265, NULL, 'The \"Millennium Home\" uses a variety of environmental sensors, connected to a small computer, to monitor the state and activity of the \"tenant\". Typically they detect occupancy of the bed and other furniture, use of the lavatory, state of locks and doors, gas and water taps, movement in the rooms, and door and bed temperature. If the software detects a potentially dangerous situation, the system will first attempt to remove the danger by speaking to the tenant. If this negotiation fails, it will call a volunteer supporter by telephone.', NULL),
  (671, 'The project\'s main objectives were: to establish the technical possibilities of current domestic monitoring, control and communications technologies which will improve quality of life for the elderly in their own homes and aid statutory and voluntary agencies in providing care; to develop a detailed understanding of the social context  in which control technologies will be expected to operate; to investigate added-value services for combined control and communications technologies; to develop guidelines for user interfaces to emerging technologies that are acceptable to the user community; and to determine the economic feasibility, both for service providers and for customers, of different levels of investment in networked control systems and their operating costs.	', 'The project offers a new way to keep the elderly, infirm or disabled safe in their own homes applying communications technology to monitor health and security.', 'Phase 2 will include increased range of sensors and improved communications network.'),
  (1266, 'The project\'s main objectives were: to establish the technical possibilities of current domestic monitoring, control and communications technologies which will improve quality of life for the elderly in their own homes and aid statutory and voluntary agencies in providing care; to develop a detailed understanding of the social context  in which control technologies will be expected to operate; to investigate added-value services for combined control and communications technologies; to develop guidelines for user interfaces to emerging  technologies that are acceptable to the user community; and to determine the economic feasibility, both for service providers and for customers, of different levels of investment in networked control systems and their operating costs.  See website for extensive list of publications.', NULL, NULL),
  (1267, 'The project had these aims and objectives: To explore the extent to which older people themselves can identify and describe the nature of the mobility-related problems which they encounter, and can put forward ideas for their resolution which might be addressed by assistive technology. To use these views to make suggestions for further research and development of products in AT; To obtain the older people\'s responses to these suggestions; To foster appreciation of the importance of taking users\' views into account.', 'See list of Professor Tinker\'s publications in Kings College\'s website as above.\r\n\r\n', NULL),
  (1268, NULL, 'The research is concerned with the introduction and use of a wide range of AT in existing (older) housing occupied by older people, as opposed to new building initiatives.  There is likely to be considerable variation in the feasibility and cost of introducing AT which will not only relate to user needs but also to the age, type and standard of property. If AT is to be introduced on any significant scale to support care in the community of older people, it must be easy to use, cost effective, flexible, easy to install and maintain, and compatable with other technologies and services.', NULL),
  (1269, NULL, 'The ASTRID Group produced a guide surveying the current use of assistive technology for people with dementia and their carers and how it may be developed.', NULL),
  (1270, 'This project puts into practice some of the lessons learnt from the ASTRID project. The general objective of the project is to explore whether the use of assistive technology can help a small group of people with dementia to continue to live in their own homes - avoiding or delaying admission into institutional care.', 'FUNDING:  The project was funded from a two year \'Corporate initiatives\' grant made available by Northamptonshire County Council, of 60,000 pounds.  The funding for this project is due to end shortly - underspends over the first year have meant that it has been possible to continue to run the project for an extra year. It is anticipated that new funding will be obtained via special grant monies and via Northampton Primary Care Trust.  CLIENTS SEEN:  So far, the project has accepted a total of 36 referrals over the three year period. However, a thorough evaluation of the project was based upon the first 18 service users to be accepted as referrals.  LESSONS LEARNT:  In general, the creation of a robust local infrastructure to support the used of assistive technology is needed if the project is to achieve a successful transition to a service. ii. Earlier identification and referral of people with dementia to the project would have enabled informed consent to be obtained from more service users and would have offered support to carers at an earlier stage iii. Assessment processes in Northamptonshire need to be amended to reflect a role for technology in the assessment process. The assessment process also needs to focus more clearly on environmental as well as social contexts in understanding and defining need. iv. Detailed and rigorous consideration of ethical issues is essential to prevent the misuse of technology. v. In relation to care planning, practitioners need reliable information about where to identify the kinds of technologies that might be helpful in addressing identified needs, and where to obtain, pay for, install, and commission the technologies. vi. Regular reviews are needed to ensure that the equipment is working properly, that it still meets the needs for which it was intended, and to ensure that the equipment is regularly serviced.', 'Northamptonshire aims to roll out the project to other parts of the county - a project is currently up and running in Kettering/Corby and others are planned. The ultimate aim is to achieve a transition from project to service by 2004.	'),
  (1271, 'The TCPI project will demonstrate to industry, government and users which approaches to telecare are potentially most effective. ', 'Building on established joint working relationships between Bournewood Community and Mental Health NHS Trust and Surrey Social Services, who have pioneered the system-wide reorganisation of care delivery, the TCPI project aims to create a framework for implementing telecare. The project will identify options for delivering telecare by simulating alternative care and business models and conducting live trials. ', 'To extend the use of telecare into areas such as intermediate care.'),
  (1272, 'Sydenham Court is purpose built accomodation (24 self-contained flats) for adults with cognitive impairment. The projects\'s platform is based on the Attract project which demonstrated \"proof of concept\" for using video conferencing technology in a rehabilitative setting from the service provider to the clients home. SEBT is aiming to enable a person to maintain their independence for longer utilizing discrete technology. The residents will be those individuals who are on the verge of institutional care. 	', 'More details in the publication \"Breaking new ground with existing technologies - Using commercially available technology to assist in the delivery of a person centred model of health and social care.\" Telemed\'02 Conference Proceedings', NULL),
  (1273, 'The @HOME project aims to enhance patient welfare and quality of life across the EU. ', 'The project introduces next-generation, user-friendly, cost-effective and interoperable general-interest health services by ensuring hospitals make best use of state of the art technology in communications (UMTS, Bluetooth, data privacy and secure connections) and ubiquitous medical sensors. The @HOME system is primarily addressed to European hospitals and their patients. It is envisaged as a post-stationary application, i.e. it will come into play once the patient has received hospital treatment and is recovering. During the recovery phase, the patient is often hospitalised in order to monitor critical, but often simple to measure, parameters, such as temperature, blood pressure, pulse rate etc. Another parameter which is of interest and which will be investigated is treatment compliance. The objective of the project is to equip clinics with state of the art infrastructure, which will allow for continuity in patient treatment at home and, often, a faster dispatch of patients.', 'By the end of the project, the @HOME platform  will enable hospitals to perform remote regular and reliable health monitoring of patients residing and recovering at their homes and will promptly advise the clinic staff in case of an emergency. Reciprocally, @HOME will provide information services regarding the recovery of the patients to the patients themselves and their carers/ relatives. Finally, the system will be validated via clinical trials on two pilot projects.\r\nThe results of the project are intended to be exploited commercially, but this will depend on the results of the trials. Italian medical technology company Ebit Sanita is likely to play a part in any future commercialisation. To evaluate the smart dispenser, the team is planning to test it on people recovering from surgery and people suffering from chronic mental illnesses.\r\n'),
  (1274, NULL, 'The problems associated with non-compliance to a prescribed medication regime can have serious implications for the health of the patient and incur unnecessary healthcare costs. It is the aim of the proposed project to investigate the needs of such patients, analyse current methods used to address this problem and develop an innovative care model and associated peripherals to assist with compliance to a medication regimen. The infrastructure of the care model will be centred on an Internet-based control server, providing remote monitoring and control of the patient\'s regimen. Hardware will be developed for home use, to store the medication, dispense it appropriately and provide a reminder to the patient in cases of non-compliance. ', NULL),
  (1224, 'Using videoconferencing to teach laparoscopic and endoscopic techniques to trainee surgeons.', NULL, NULL),
  (1275, 'The objective of the envisaged project is to validate the market concerning the provision of an integrated service aimed at monitoring patient compliance to therapy. The tests and validation of such a service will take place in a wide geographical area in Europe, namely Greece, Spain and UK, to assess the validity of chosen market approach for developing strategies for the wide geographical expansion intended. The service is not considered in the context of a mere market-oriented activity but as a research-based evolution that will be forwarded to the market in secure conditions and incorporated in the existing health care system. ', 'The overall C-MONITOR project aims to monitor non-hospitalised patients through a powerful platform based on the most advanced telecommunications devices. On the one hand, physicians will be able to check patients\' compliance to therapy. On the other, the system allows patients to organize daily therapeutic activities. Designed in particular for the patients suffering from chronic diseases such as asthma, heart failures, diabetes, etc the service will be totally adapted to those who need special treatment vigilance. Nowadays, it is in the Market Validation phase. ', NULL),
  (1276, 'To assess the clinical and systems impact of providing remote genetics counselling service.  To combat delays for both doctor and patient, cutting out whole stages in the\'referrals\' chain.', 'Videoconferencing is used to help assess the risk of cancer where there is a family history of the disease, and also for follow-up consultations after diagnosis. The patient and members of their family come in to the clinic for a \'talking heads\' style session, with the consultant participating via video link.  Prior to consultation, patients are briefed on the format  and questionnaires are  issued requesting details of their family trees and medical histories.  The form of genetic counselling undertaken does not require the Consultant to be present in the same room with the patient / parents. (It also does not require transmission of results or other clinical information, at the same time, which is a requirement for most other specialities).  The key requirement is to be able to clearly see facial expressions so that counselling is given sensitively and patients feel it is like a normal consultation.  Therefore a high quality video-conferencing system could meet this need. ', 'This approach is being piloted and then roll-out implement the service at 4 locations in the area covered by the service.  UPDATE AUGUST 2003: Proposal being explored by the Genetics Clinical Unit to extend the outreach service to other sites in Essex including Chelmsford, Basildon and Colchester.  A formal evaluation report will be produced after the closure of the pilot.'),
  (1277, 'To establish what factors promote or inhibit the effective evaluation of telehealthcare interventions.', 'Researchers evaluating telemedicine.', NULL),
  (1278, 'To explore the perceptions of stakeholders\' when interacting with a teledermatology service.', 'The focus of this study will be a case study design using an ethnographic stance to explore cultural and shared beliefs.  Data collection will include multiple sources of evidence, these will include semi-structured interviews, observation of the nurse/patient consultation and clinical records.', 'To investigate the role played by stakeholders\' in a teledermatology service.  To observe the process from the viewpoint of all stakeholders throughout a referral to a teledennatology service.  To identify any issues raised which can be instrumental in developing dermatology nursing practice.'),
  (1279, 'To find out if the use of telemedicine leads to any changes in management or priority of tertiary trauma referrals.', 'An observational study of the management of trauma referrals to a tertiary specialty centre from A&E departmentw ith or without the telemedicine facility using all trauma referrals to Queen Victoria Hospital from participating DGHs.', NULL),
  (1280, 'To establish whether the establishment of a telemedicine network may improve the quality, cost, acceptability and accessability of a specialist Tier IV child and adolescent mental health service for health and other providers on \'remote\' areas of South East Scotland.', NULL, NULL),
  (1281, 'The evaluation and development of a new telepsychiatry service for prisoners with a sample group of prisoners at HMP Parkhurst on the Isle of Wight, to evaluate the use of an audio-visual link and guide the development of the telepsychiatry service.', '1. To collect quantitative and qualitative data from telepsychiatry interviews with prisoners combined with simultaneous face to face ratings of subjects to assess the reliability of assessments of psychopathology using audio-visual facility and determine usefulness of and satisfaction with the service from the perspective of the patient, psychiatrist and prison staff.    2. To complete a health economic analysis to compare the costs of the telepsychiatry service with the exisiting service provided by visiting forensic psychiatrists.', 'To use findings from 1 and 2 to guide the immediate (and future) development of the telepsychiatry service to Parkhurst prison (and evaluate changes made).  To use results to inform future research in the field with a view to developing an evidence base.'),
  (1282, NULL, 'Pilot study evaluating satisfaction and other simple outcomes.', NULL),
  (1283, 'To assess how the pathway is altered by using email and digital images in patient referral.', 'A controlled randomised trial with patients in primary care with dermatology problems.  Analysis of waiting times.  Patient and doctor satisfaction surveys.  Time to resolution of problem.', NULL),
  (1284, 'To evaluate the effectiveness and acceptability of therapy via videoconferencing  for clients with bulimic disorders.\r\n  ', 'Until now, only those living in urban areas have been able to access specialist treatment for eating disorders.  Those living in remote and rural areas have had limited access to treatment due to the high costs and disruption to work and family life associated with travel to Aberdeen.  This study aimed to evaluate the effectiveness of treatment conducted via videoconferencing for those in remote areas (including Shetland, Fraserburgh, Banff and Stonehaven).  A single case series was conducted with 6 Bulimic clients using an observational design to show changes in bulimic symptoms and related variables over time.  A flexible cognitive behavioural therapy approach was used, and video therapy sessions were conducted at a high bandwidth (384 Kbytes/sec (ISDN 6).  Symptoms were measured using daily diaries and regular self-report questionnaires. \r\n   ', NULL),
  (1285, 'To define and quantify longitudinal changes in Quality of Life (QoL) and anxiety and depression scales at the time of discharge home on home parental nutrition and over the first year after discharge home.', 'This is part of a multi-centre study led by the Royal Hospital, London using a before and after trial on patients discharged home on parental nutrition from Leeds General Infirmary.', NULL),
  (1286, '1. To define and quantify longitudinal changes in Quality of Life (QoL) and anxiety and depression scales at the time of discharge home on Home Parenteral Nutrition and over the first year after discharge home.  2.  To prospectively document the number of visits to hospital out-patients clinics (nutrition, anticoagulation, other), the number of admissions to hospital and days in hospital during the course of the first year of treatment.  3.  To compare the results of the above in patients receiving standard care and in contact with the nutrition support team (NST) by telephone with a group using telemedicine as another means of contact.  4.  To compare patients perception of quality of care over the course of the year in the two groups.  5.  To compare results in a second year of follow up when all patients will be offered telemedicine.', 'This is part of a multi-centre study led by the Royal Hospital, London using RCT on a sample group of approx 50 patients over 2 years, 25 with controls.', NULL),
  (1287, 'Our interest is in evaluation as a social process and our specific questions relate to:  1.  How ideas about the appropriateness of technological systems are constructed.  2.  How service provision and evaluation are integrated and the dynamics that affect this.  3.  How specific methodological problems are identified and resolved.  4.  How evaluators conceptualise their task and negotiate the field of telehealthcare activity.', 'This project is being conducted by a consortium of researchers from the Universities of Newcastle, Lancaster, Manchester and Liverpool.  The evidence base for telemedicine is poor but in the UK a variety of researchers are working to develop stronger evaluations through the application of RCTs and pragmatic service evaluations.  Six groups of researchers have been recruited and we are tracking the development of their work.  We are exploring the problems and difficulties that they face in their work.', NULL),
  (1288, 'To compare home care by nurses with telecare by nurses for the treatment of acute exacerbations in patients with COPD.  The outcomes will be measured by:-  health outcomes; economic outcomes; nurse and patient attitudes; reliability and quality of equipment.', 'This is a multi-centre study led by Aintree University Hospitals NHS Trust and University of Liverpool using RCT on patients referred to A&E for possible admission who are suffering from exacerbation of COPD and patients self-referring to A&E suffering from COPD exacerbation who hospital staff believe may require admission.', NULL),
  (1289, 'To identify all patients with diabetes in a community using electronic record linkage of multiple data sources and to\r\n                       compare this method of case ascertainment with registers of diabetic patients derived from primary care.', NULL, 'DARTS is to be expended to cover the whole of Scotland and will be known as SCI-DC (Scottish Care Initiative - Diabetes Collaboration)'),
  (852, 'To describe the diffusion of telemedicine across Scotland.  To determine whether the user adoption issues change during the diffusion.  To access the implications of telemedicine on overall resource allocation and apportionment.', 'Academic research project studying the diffusion of telemedicine in Scotland.  The project comprises three phases.  The first phase involves interviews with managers and executives in Health Boards and National Health Service Trusts to determine reasons for different rates of uptake of telemedicine.  In the second phase of the project, information is collected at telemedicine sites about the use of telemedicine; questionnaires are given to health professionals at each site to gauge changes in their views of telemedicine, and detailed observations of work practices at each site are also completed.  In addition, information is collected to estimate the costs of introducing telemedicine into a health care setting and to compare these estimates with the perception of managers and chief executives responsible for deciding about the introduction of telemedicine.  In the third and final phase of the project, the findings are written up and distributed through a variety of channels.', 'The findings from this study will be used to generate recommendations baout the introduction of virtual technologies and specifically, to identify reasons for non-uptake or potention requirements for training in the long term, if telemedicine is found to be useful, these recommendations can be used to facilitate its effictive implementation.'),
  (1290, 'To prove that telehealth homemonitoring can improve medical outcome for CHF patients as well as their quality of life and the efficiency of healthcare processes.', 'The continuous growth of the prevalence of chronic deseases or the dramatic ageing of our societies pose hitherto unknown economic and health system problems.  Telecare is feasible; the benefits for patients as well as the cost savings for the care system should be substantial.', NULL),
  (1293, 'To investigate the differences between telemedicine and telephone referrals and to explore the opinions of the healthcare professionals who will be required to use the equipment for referrals.', 'Telemedicine link between two Manchester childrens\' hospitals providing the Paediatric Regional Burns Unit with Intensive Care Unit support.', 'Further work should concentrate on recruiting larger numbers of participants to obtain greater statistical significance.'),
  (16, 'To identify and implement best practice in the use of ISDN video and dataconferencing to improve productivity in diagnoses in orthodontics and to establish the potential of ISDN video and dataconferencing to deliver postgraduate education to dentists so gained to inform further improvements.', 'Teaching sessions using videoconferencing under the auspices of the VT and MFDS training schemes and remote diagnosis sessions.', 'Need to look at the full integration of videoconferening in postgraduate dental training and quantify full costs and benefits.'),
  (1219, 'To determine patient responses to IATV consultations in detail to get a comprehensive picture of their experience and to investigate the feasibility of IATV services in relation to future service implementations.', 'We will carry out telephone interviews to determine the exact nature of the telepsychiatry experience from service users point of view.  Patients who will take part in the interview have been participating in interactive television (IATV) consultation.  They have completed the Guy\'s Communication Questionnaire (GCQ) after each consultation and this study wants to ask those same questions verbally, hoping to obtain richer qualitative data.  The Pilot study at the Grove Medical Centre (Deptford, south each London) showed high levels of user acceptance (McLaren et al 1999).  The 6 month follow up supported these findings (McLaren etal 2001, in print) although the responses varied and some service users showed negative responses.  The completion of the GCQ left much to be desired though.  Patients did not always complete the questionnaire or left some questions unanswered or did not explain their reasons in enough detail.  One cannot therefore assume to know how the IATV experience really was and therefore the questions need to be asked again in an attempt to establish a more truthful picture.  This time the patients will be asked to complete the GCQ verbally - hoping that the responses will be more detailed in this way.', NULL),
  (1218, 'To link the largest MIU in Leicestershire at Loughborough Hospital with the A&E department for Leicestershire with the aims of: 1) reducing unnecessary transfers by accessing senior medicla advice in support of Emergency Nurse Practitioner role, 2) improving communications, 3) utilise training opportunities.', 'Links Loughborough MIU (and Walk In Centre) with Leicester A&E', 'Assess potential to roll out to other MIUs in Leicestershire'),
  (1220, 'To determine the responses of patients and staff using IATV, to examine the feasibility of assisting CPA meetings via IATV, to evaluate the system economically, to examine whether the use of IATV improves the attendance rates.\r\n', 'CPA meetings are generally poorly attended, which can be due to several factors such as time and travelling constraints.  For example, GPs rarely have a chance to participate.  This project investigates whether interactive televisiton (IATV) can make it easier for the key people to attend the CPA meetings.  The project connects an inpatient ward and a community mental health centre.  This allows the Assessment and Brief Treatment (ABT) team to attend the meetings via IATV.  The ABT team is a part of a community mental health team (CMHT) that provides social work, occupational therapy and community psychiatric nursing (CPN) support.  Relatives are also given the opportunity to attend the CPA meetings via IATV in a community mental health centre, which is often closer to them than the inpatient unit.  GPs are also encouraged to attend via IATV in a community mental health centre.', 'There are plans to make a three way link in the future, so that GPs could attend from their practices.'),
  (1231, 'About 0.4 million people (0.6% of the UK population) are on warfarin and the average interval between blood tests is 3 weeks.  Communicating INR results, anticoagulant (AC) dose and clinic appointments to these patients presents a major logistical challenge.  The post is the traditional channel of communicaion but it is costly, slow and unreliable.  An automated voicemail system, INR RELAY (pacehealthsystems.com), was developed and implemented at Basildon Hospital in 2000.  We required a system which could help a large number of laboratories to deliver large amounts of computed data rapidly (in sufficient time to influence the same day\'s dosage) and safely to a vulnerable patient population (elderly, often techno phobic) in an acceptable way.  We opted for AUTOMATIC TELEPHONE DIAL-OUT as the communication channel of choice for patients.  We opted for FILE TRASFER BY MODEM as the communication channel of choice for laboratories.', 'The voice mail server is a PC running Windows 2000; Dialogic telephony cards, a modem and voice mail software (Voiceguide from Katalina Technologies; INR RELAY from www.pacehealthsystems.com).  The server can handle up to 30 telephone ports meaning up to thirty patients may be called simultaneously with different messages.  There is automatic generation of patient letters, faxes and emails for the 20% of patients who cannot use the phone.', 'The service can be offerered to any UK Laboratory following the provision of simple PC and modem.'),
  (1221, 'To evaluate the effectiveness of telepsychiatry - to determine the patient responses to IATV consultations - to demonstrate the feasibility of telepsychiatry.', 'The pilot study (McLaren et al 1999) showed the potential for IATV to improve communication between primary and secondary mental health services.  This study was a six month follow up to monitor the effectiveness of IATV in consultation of patients with complex mental health problems.  We looked at the use of a video link between a communicty mental health centre, the Speedwwll Centre, and the Grove Medical Centre, both in Deptford, south-east London.', NULL),
  (1291, 'To increase access to tertiary mental health services normally not available on the island, reduce user anxiety, improve the quality of tertiary services, determine the feasibility of clinical supervision between SLaM and the Health and Social Services Department and to establish an advice, support and education function for mental health professions in Jersey with colleagues in SLaM.', 'A six-month trial of videoconferencing was undertaken with the States of Jersey Health and Social Services, who purchase specialist psychiatric services from SLaM, to explore the use of telepsychiatry to support and enhance the current service arrangement of users travelling from Jersey to London for outpatient appointments and inpatient services which can be costly and time consuming for both service users and providers.', NULL),
  (1292, 'This study aimed to assess whether the provision of Cognitive Analytic Therapy (CAT) via videolink was effective, whether it was\r\n possible to develop a satisfactory working alliance, and to explore whether the provision and receiving of therapy by this medium\r\n was acceptable. ', 'Eight participants were offered 16 sessions of CAT over the videolink.', NULL),
  (1294, 'The project aims to provide a widespread, accessible and equitable health service to the population of North Wales, through maximisation of use of clinical time to patients in remote areas and consequently providing both medical and educational links between acute, community and primary health care.', 'The proposal of the NOW project is firstly to provide the network of Community Hospitals in North Wales with videoconferencing facilities and therefore link support to acute hospitals for minor injuries specialty in its rural locations and secondly to provide a programme of remote dermatology consultaions via these same videoconferencing techniques, presently operational at Bryn Beryl, Penrhos Stanley and Blaenau Ffestiniog in North West Wales NHS Trust, Ruthin, Denbigh and Colwyn Bay in Conwy and Denbighshire NHS Trust and Deeside in North East Wales Trust.', NULL),
  (1295, 'The P4 Telemedicine project is the second of the initial two Demonstrator Projects delivered by the Telemedicine Programme and its aims are to develop, pilot and evaluate an appropriate telemedicine model for treating minor injuries in a rural area.', 'Sites connected in Powys Trust are: Newtown (MIU), Welshpool (MIU) and Royal Shrewsbury Hospital (A&E) and in Pembrokeshire Trust they are: Tenby (MIU), South Pembrokeshire (MIU) and Withybush (A&E).  There are a number of activities within this project, including: the installation and implementation of video conferencing equipment for the Pembrokeshire and Powys Trust sites; a training programme in the use of video conferencing equipment; a clinical training programme for MIU nurses and the provision of clinical guidelines for agreed Scope of Service.', 'Tests are being made on video conferencing equipment through a programme of activity called SEE Trials in the Welsh Health Video Network prior to an official launch of the Project on the network.  As well as specific clinical deliverables, there will be a natural development of training, management and education opportunities through its videoconferencing capabilities.'),
  (1296, 'To enable District General Hospitals such as Price Charles A&E treating children with burns, immediate access to both the specialist expertise of the Paediatric Intensive Care Unit at University Hospital of Wales, Cardiff, plus the skills of the Burns and Plastic Unit staff at Morriston Hospital, Swansea through a Video Network link between each site via Dawn2 on the Welsh Health Video Network.', 'Video conferencing equipment has been installed at UHW Cardiff (Paediatric Intensive Care Unit), Prince Charles Hospital (A&E Department) and Morriston Hospital (Tempest Unit, Burns and Plastics Department) with operational protocols approved by the Project Board.  In-house training programmes have been developed for key staff at all sites.', 'The next period of the Project includes a series of tests for all three sites\' equipment across the IPVPN network, finalisation of the PrID Document and discussions on the need for telemetry links between UHW and Morriston (for vital signs monitoring)'),
  (1297, 'To develop an understanding of dependability issues as they apply to ubiquitous computing in a home setting.  The objectives are:  1. To develop concepts and methods for dependability specification and design for ubiquitous computing in the electronic home of the future.  2. To meet these aims the assistive technologies currently being used to allow people with specific disabilities in their own homes will be taken as a driver application. A secondary aim is thus to improve the dependability of these assistive home technologies. 3. The objectives will be achieved using a combination of field studies and analytical methods. \r\n', 'Technology is already widely used to support independent living for older people. A range of these technologies is emerging encompassing relatively well known and accepted devices such as stair lifts to more complex monitoring and detection equipment such as fall detection systems. These present interesting challenges for dependability research and will be the focus of our work.', NULL),
  (1298, 'There are four main aims for the project, it will: describe and evaluate the educational processes in joint teleconferenced consultations identify the characteristics of the types of referral which are most appropriate or definitely inappropriate identify the optimal organisational arrangements for appropriate referrals identify the levers and barriers critical to the development of teleconferenced medical consultations.\r\n', 'This study will capitalise on the ICT research opportunities arising from a major randomised trial of telemedicine currently underway. In addition to the main trial measures, it is desirable to evaluate the educational processes and the organisational arrangements likely to critically affect the implementation of new types of service.  A maximum variability sample of GPs will be selected. Analysis of recordings will be supplemented by semi-structured interviews with general practitioners and hospital consultants. Interview transcripts will be analysed using framework analysis1. A 100% sample of consultants will be interviewed. Half the GPs will be interviewed about educational issues and half for behavioural and organisational issues. A sample of patients whose interviews were recorded will be interviewed using a semi-structured format.', NULL),
  (1299, 'To integrate www-based strategies for the control, monitoring and provision of user feedback with a novel rehabilitation technology in the form of an intelligent exoskeleton (external skeleton) structure to support and exercise the lower limbs of a wide range of individuals with a variety of conditions and needs.', 'The exercising of the lower limbs to restore muscle function and control is an important part of the rehabilitation process for many individuals after injury such as fracture or stroke.  In addition, moving the limbs passively can act to reduce pain and increase comfort for a range of clinical conditions, for instance for patients with progressive neurological conditions such as Multiple Sclerosis and Motor Neurone Disease.  The provision of all such patient support is, in particular, consistent with the NHS National Service Framework themes for older people.', NULL),
  (1300, 'To develop and evaluate a prototype interactive TV-based website for delivering health information, education and telemonitoring facilities to socially disadvantaged pregnant teenagers.', 'A multi-centre project involving community midwife groups in Oxford, Salford, Rosehill and Great Yarmouth working with six pregnant teenagers or new teenage mothers from each of the four sites.  They have TV Web access to health and education information and can access electronic health records.', 'Analyse responses of users.\r\nImprove maternal and infant healthcare using telemonitoring in the community.'),
  (1301, 'To assess professionals views on the telecare technology and to address issues around the day to day use of the system including fall detection units.', NULL, 'Efficacy of the system in terms of reduction of fears of falling of at risk, older people.'),
  (1302, 'To construct an electronic method of keeping records of patients vital signs during operations.\r\n', 'Kelvin is an intranet-based software application that holds records of measurement data recorded from medical devices. A web browser can be used over the hospital intranet to extract these records and redisplay the original signal. Kelvin is currently being used to record patients vital signs and anaesthetic agents delivered during surgery at the Royal Liverpool & Broadgreen University Hospital NHS Trust.', 'A second version of Kelvin is under development to allow for the following: - confirmation, or marking as erroneous, measurements held within the archive, the PC application to automate the setting up of measurement type codes, the retrieval of a subset of measurements for a particular measurement type by specifying a range of reference values e.g. just the last hour.  Kelvin is being considered for archiving long term monitoring as in ITU, electrophysiological studies as in EEG, laboratory results and even ward-based observations where the medical device may simply be replaced by a form on a web page.'),
  (1303, 'The development of Regional Health Care Networks using \'store and forward\' messaging between different staff within the Health and Social care sector.', 'This was seen as an important development to ensure that the information required to provide care is available when and where it is needed. South and East Belfast Trust participated in the project with five local GP practices, Directorate of Information Systems (DIS) and Belfast City Hospital. ', NULL),
  (1304, 'The project objective is to develop an information environment to support the independent living of people with severe disabilities. ', 'This project is led by a Spanish company and will design and develop a home technological integrated environment for people with severe disabilities.  It will be able to provide them, their assistants and relevant organisations with an ubiquitous and adapted access to a number of personal, social and operational assistance services.', NULL),
  (1305, 'The key objective of EPIC was the development of an agreed common framework for assessment of individual service needs leading to a co-ordinated plan for care in the community. ', NULL, NULL),
  (1306, 'To produce and test a training system for introducing EASYcare (a generic screening for use with older people) into primary health and social care of older people in Europe. ', 'The project responded to the need to train health and social care practitioners, working in domiciliary settings, to undertake a standardised assessment of older people, specifically EASYcare. The project aimed to promote information sharing between practitioners and to train locality planners in the use of information systems incorporating assessment data. These training needs were identified through the work of three previous European Union Research and Development projects (EPIC, ITHACA and SCOPE). ', NULL),
  (1307, 'The aim of this project was to explore the use of mobile telephony in support of home care for elderly or disabled people. ', 'The project was led by a Spanish mobile telephone company. As well as South and East Belfast Trust, there were sites in Barcelona and Madrid.  Within the Belfast site, there were two groups of service users: people with severe learning disabilities and people at home requiring medical management of chronic respiratory disease.\r\n', 'The results will be utilised in current and future telematic projects'),
  (1308, 'The project aims to assist the development and implementation of electronic networks to improve the quality of health care throughout Europe, it has been developed from the WISE project. ', 'The PICNIC consortium brings together a group of regions (health authorities), industrial partners and some research organisations who are planning to develop the next generation regional health care networks to support their new ways of providing health and social care.', 'This project will further aid the integration of and move towards the development and use of a Single Patient Record accessible by GPs, nursing staff, social work staff and other agencies within the Primary care sector.'),
  (1309, 'This project was an important one for the Trust in the development of person centred care. The overall aim of the project was to promote the use of quality indicators in primary care of the elderly and it was one of the top rated proposals under the EC\'s Biomedicine and Health Programme.', 'The main aim of the project was to develop EASYcare, a standardised system for the rapid assessment of an older person\'s physical, mental and social well being. An important component of the instrument is the eliciting of the client\'s own preferred outcome and their satisfaction with what has been achieved. ', NULL),
  (1310, 'The project\'s objective was also to determine whether home monitoring, using devices to monitor weight, electrocardiograph rhythm, blood pressure and telephone contact, is superior to home monitoring by telephone contact alone.', 'To determine if home monitoring of patients, with heart failure due to left ventricular systolic dysfunction and at high-risk of readmission, can: (1) improve the patients\' sense of well-being and reduce the need for hospital care (2) increase the uptake of \'best medical therapy\' (3) reduce the overall costs of medical care.  ', NULL),
  (1311, 'Patient education to facilitate effective slef-management of Type 1 diabetes.', 'To use the internet as an educational resource to help people maintain good diabetic control.', 'Future development could be directed to facilitate automated data collected, for example by download from a blood flucose meter or from a mobile phone.'),
  (1312, 'To provide the means to manage some of the risks associated with the increasing number of dementia sufferers.', 'The use of technology based on telecare with appropriate domcillary care packages may provide the means to manage some of the risks associated with the increasing number of dementia sufferers, who wish to live independently in their own homes. All elements of care need to be considered in order to promote independence and dignity in one\'s own home. Despite the considerable potential offered by technology there has so far been very limited exploitation of the opportunities that they present.', 'The final evaluation on the completion of the project will be in 2 years time.'),
  (1313, 'To enable patients with life threatening illnesses to spend more time at home, whilst improving the productivity of nursing staff through reducing the need for home visits. \r\n', 'In a bid to ease the pressures on nursing staff, St. Andrews began a pilot scheme to provide two-way video links - using low-cost, easy-to-use videophones designed by Motion Media Technology - between the hospice and the homes of three patients. \r\n\r\nThe project was the idea of a specialist telemedical company called TDS, who have identified videocommunications as a simple and affordable way for hospice staff to spend more time monitoring and assessing patients at home without having to travel, as well as providing additional support for carers. The technology also enables inpatients to have regular face-to-face contact with their families.', 'The continued to use the videophone after the pilot study and to use it as a springboard to consider other applications. \r\n\r\n'),
  (1314, 'The project aims to establish a trans-European network, providing a wide range of services related to environmental diseases, Asthma and Allergy, such as Allergy forecasts, real time alert reports, telemedicine and tele-consulting via world wide web, sms and telematic technologies. The service, based on an integrated Monitoring and Reporting System of air allergens and pollutants, is expected to contribute efficiently to health care management while returning many socio-economic benefits.\r\n', 'IREMMA\'s main goal is to provide an integrated technical and business-oriented solution concerning an ultimate source of information for the care of the citizens that suffer from different environmental diseases.\r\n\r\nThe basic idea is to set up a trans-European network of healthcare services for tourists, athletes, elderly people and other distinct groups of citizens. The same network will be used for telemedicine and e-learning services as well. The ultimate goal is to develop, through this trans-European network, integrated solutions that will support the decision makers and user groups in respect to environmental conditions in the European Regions. The user groups are citizens across Europe suffering from common environment-related diseases, such as allergy and asthma.\r\n\r\n', 'The IREMMA vision is to establish a set of inter-relationships that will employ technology, creativity and health information to empower citizens. In this way, it will become a driver to improve quality and financin g of health care, create a suitable infrastructure for management and communication concerning this issue, and generate opportunities for enterprises in Europe.'),
  (1315, 'DIADEM\'s overall objective is to establish Diabetes Disease Management Services at the European level as a platform for improved patient care and a more effective health care delivery in order to serve diabetic patients towards a better long-term management of their chronic disease. The aim is to implement this service as a business case combining the efforts of GPs, medical centres, insurers, support centres and IT companies.\r\n', 'DIADEM is designed to support patients and professional care providers in the management of diabetes. Patients will receive help to develop and practice the self-management skills that will improve their health status and quality of life and reduce the risk of diabetes-related complications. Healthcare professionals will be able to give better care to their patients by providing the latest information. To reach this goal the establishment of a communication platform is necessary which will connect patients, general practitioners (GPs), diabetes specialists, hospitals and a support centre.\r\n\r\n', 'The ultimate goal of DIADEM is to provide an internet-based service to everyone in need of monitoring and treating health problems. '),
  (1316, 'To assess the help and reassurance parents gain from this contact, to enable changes in condition to be responded to more quickly and initiate those changes without the necessity for a formal visit to the home by the Consultant or Specialist nurse.', 'Assessment of the value of telemedicine in the reassurance of parents and the assessment of changes in condition when nursing terminal/severely neurologically impaired children within their own homes.', 'To place another unit for the use of all Consultants involved in the care of these children within the main hospital site.'),
  (1317, 'To improve the level of specialist healthcare in a prison environment.', 'A Telemedicine system was connected between Belmarsh Prison and Queen Elizabeth Hospital.  Prior audit indicated the need to provide specialist advice in cardiology, chest medicine, general medicine, orthopaedics, ENT, ophthalmology, dermatology and genitourinary medicine.  Patients were new or those requiring monitoring of conditions but not acute medical conditions.', 'To demonstrate a significant custodial cost saving using telemedicine to improve specialist care of prisoners.'),
  (13, 'To improve the routine service.', 'Pilot study completed in 1995, since then routine services being provided.  UPDATE FEBRUARY 2004:  We have, over the years, researched and developed a number of novel services by an innovative Team from various disciplines. These included conventional communication channels such as the telephone, for routine follow up of outpatients with considerable benefits to patients and the Trust alike.  More recently we have exploited newer IT such as the internet for cyber clinic and e-mail facilities in rheumatology  and also mobile telephone technology. These innovations and others from our team have been recognised nationally by a number of nominations and awards, and also Peer Review commendations.\r\n', 'We envisage that currently the public and the patient population in general have increasing  knowledge and use of internet and e-mail, and hence we are gratified to see a good proportion of all our patients utilising this innovative service.  We believe that with increasing public and patient communities involvement in health matters this method of contact between patients and doctors will become the norm in the not too distant future.  We believe that, similarly, mobile telephone technology will take on as three-quarters of the population now own mobile telephones. We already have good experience of the benefits of text-messaging facilities for patients.'),
  (1318, 'The aim of the project is to develop technology and design solutions to help enable people with dementia to live independently, to empower them and to improve their quality of life wherever they live.  \r\n\r\n', 'Work within the INDEPENDENT project will be in three key areas. 1. User requirements analysis will assess the potential of technologies to support older people with dementia and to outline design and technology solutions. 2. An iterative approach will develop and implement key assistive technologies and building/design solutions and integrate these within a prototype system.  3. Dissemination and exploitation activities will provide the necessary tools, information and business scenarios to facilitate technology exploitation.\r\n\r\n', 'The information, technologies and design solutions developed in the project should help people with dementia and their carers to: avoid institutional care and facilitate early hospital discharge; help people within residential care settings to retain independence and autonomy and maintain contact with the outside community; provide safer and more supportive domestic environments for people living in their own homes; increase opportunities for older people with dementia to experience enjoyment, pleasurable activities and social interaction.\r\n\r\n'),
  (1320, NULL, 'Realtime videolink service for acute neurological admissions to 3 small rural district general hospitals. ', 'Sperrin Lakeland Trust are extending this service to the neurology outpatients.'),
  (1319, 'The research aims to investigate the efficacy of home-based therapy through the use of advanced sensor technology.  The objectives are to: (1) Identify an appropriate technology that can be used to support  stroke rehabilitation therapy in the home or hospital environment.  (2) Explore the potential of rehabilitation facilitated by the technology as a means of improving functional outcomes following stroke so as to assist older people to remain in their own homes.  (3) Develop prototype hardware and software that can be used to monitor the quality and duration of therapy interventions in a home or hospital environment.  (4) Develop software that will offer patient empowerment and to provide decision support tools to monitor the progress and outcome of rehabilitation.  (5) Determine how this technology can be applied, its benefits, limitations and the technical support and infrastructure required. ', 'Our research will focus upon the development of \"SMART\" monitoring systems for hospital or home based rehabilitation.  The technology or device must: (1) Provide quantifiable functional benefits for the person with stroke.  (2) \r\nImprove the efficiency of the therapist or carer\'s ability to assist.\r\n\r\nCollaborators on the project are:  \r\nProfessor D Kerwin, University of Bath; Professor S Salmon, Ulster Community Hospitals Trust; Miss M Goose, The Stroke Association; Dr T Hendra, Sheffield Teaching Hospitals Trust; Dr L Shaw, Royal United Hospital NHS Trust, Bath and Westbury Stroke Unit; Dr D Mitcheson, Charnwood Dynamics Ltd.  We are fortunate to have recruited a range of collaborators from academic and clinical settings.  Charnwood Dynamics are our industrial partner. The Stroke Association is particularly important.  They will be supporting the involvement in this project of older people with stroke and their carers and be developing user friendly literature on the project.  The Consortium have a project based web site that can be located at http://cswww.essex.ac.uk/Research/equalconsortium/ \r\n\r\n', 'The project team will work to ensure that progress and outputs are made available to clinicians and other stakeholders through the project website and through EPSRC networks.  We plan to hold a series of workshops to keep the clinical community and user groups informed of our progress.  \r\n\r\n'),
  (1321, 'To set up a triage system using email to speed up patient appointments.', 'New outpatient referrals make up a large part of the work of consultant neurologists.  There is often considerable delay between the referral being made and the patient being seen; this leads to frustration for the patient and referring doctor, and also for the neurologist, who may end up seeing someone whole symptoms have resolved.  We wondered whether a triage system using email might reduce this frustration.', NULL),
  (1322, 'Key aims are to: Evaluate packages of telecare technology in terms of their potential role in promoting independence, the ease with which they can be deployed and their generalisability to differing housing settings: Develop service and business models that integrate telecare with mainstream care delivery processes: Develop improved evaluation tools and techniques for modelling user needs and matching them to technological solutions: Investigate the wider implications of introducing telecare solutions for local care systems.', 'Investigating the deployment of telecare for elderly people living in contrasting housing settings.', NULL),
  (1323, 'This research project is investigating various models for home teleshopping in Bristol. ', NULL, NULL),
  (1324, 'Since July 2000 a team from Imperial College London has been working with North Surrey Primary Care Trust, Surrey Social Services and eight other partners to create a framework for implementing telecare on a mainstream basis. ', 'The project is developing telecare business and care models under a variety of scenarios. It is also conducting and evaluating a trial in North West Surrey involving a combination of short-term intensive residential rehabilitation followed by telecare services in the homes of older people discharged from hospital. The whole-system impact of telecare on the local care economy is being investigated through a systems dynamics simulation model. \r\n', 'Although the formal research project ended in December 2003, work with North Surrey PCT and Surrey Social Services is carrying on, with the emphasis currently on expansion and evaluation of the trial, and work on the simulation model.\r\n'),
  (1325, 'Next Wave Technologies and Markets is a DTI sponsored programme. It aims to ensure that UK business is structured and equipped to exploit new information and communications technologies and products that enable intelligent functionality to be embedded into devices that will eventually become an integral part of daily life.\r\nThe programme also aims to help develop viable markets along with confident consumers so that UK citizens generally can enjoy the benefits offered by such Next Wave technologies.\r\n', 'The Next Wave programme is run as a virtual Interdisciplinary Research Collaboration (vIRC) with two complementary themes: it offers support for a Programme of Collaborative Research into Next Wave information and communication technologies and products; and also runs a Knowledge Transfer Club, Interface, to facilitate user-orientated research, stimulate markets and inform interested users.\r\n\r\nThe two main centres for telecare / telemedicine are based at BTexact and Imperial College, although the Centre for the Intergrated Home Environment  (http://www.cihe.lboro.ac.uk/) is also exploring this area.\r\n', NULL),
  (1326, 'Telemarque will be installed in support of an \"Action On Plastics\" project, an initiative from the NHS Modernisation Agency that is designed to improve patient experience by ensuring that, where possible, patients are treated locally. This will be facilitated by secure and confidential transmission of high quality digital images from local hospitals to specialist units where initial diagnosis and treatment recommendations can be made. The initiative is also designed to smooth the plastic surgery workflow at the participating hospitals.', 'The telemedicine system will allow patients across the region to have consistent and equitable access to this specialist facility.  Their cases will be seen quicker, by the appropriate person and delays in the system will be reduced', 'United Telemedicine will develop the software in close co-operation with the Burns and Plastic Surgery Department at Wythenshawe Hospital and will also provide installation, training and support services for the roll out of Telemarque to twelve hospitals in the Manchester area.'),
  (1327, 'The outcome of the project will be a fully equipped demonstrator smart home to enable care professionals to see\r\n                            the potential of the technology for themselves, together with an understanding of installation costs, and the\r\n                            establishment of links with potential manufacturers of the successful designs.', 'This project is known as The Gloucester Smart House and the new devices being designed for it attempt to\r\n                            emulate the way a carer would respond to the person they are caring for. A smart house uses sensors to monitor\r\n                            the behaviour of its occupants and their interaction with appliances. The house responds by controlling supporting\r\n                            devices, and by providing reminders.', 'It is planned to use the user survey to provide an\r\n                            indication of those problem areas that are of highest priority and to focus future work in these areas. As new\r\n                            devices become available they will be installed in the house. '),
  (1328, 'The main objective of the service to be developed by MEDASHIP is to supply integrated solutions for medical consultation on board ships, by means of a telemedicine network of land medical centers, in order to increase accuracy in the telediagnostic process, and allow the application of medical therapies directly on board.\r\n', 'At present in the case of on-board medical problems, the person responsible for healthcare on a ship can only contact a radio medical center and ask for a diagnosis or a second opinion. These medical centers are often unable to perform comprehensive diagnoses since they cannot evaluate the whole medical situation of the patient and do not have available clinical data, which is attributable to the lack of resources and technology. Therefore, this results in significant costs for the ship-owner (or the insurer) and lack of good quality medical care for the patient.\r\n\r\nThe maritime telemedicine service is a relatively new concept with business potential that has yet to be fully investigated and realised. An integrated solution for health services on-board ships is not readily available in Europe.\r\n\r\n', 'The MEDASHIP service is expected to approach 0.5% of merchant ships and 4% of passenger and cruise ships, in the first three years of service. These percentages mean that 65 merchant vessels and 80 passenger and cruise ships will affiliate in the first three years of service.\r\n\r\n'),
  (421, 'The main aim of ACTION project is to support frail older people and their families to maintain or enhance their quality of life via the use of user-friendly information and communication technology in the comfort of their own homes.', 'Use of domestic TV and sophisticated hardware to bring information to patients and carers.', 'Further research and development work with the videophone in the Swedish ACTION project is concerned with facilitating communication between care providers and patients and their\r\nfamilies. Care planning between hospital and primary health care services has been preliminary\r\n tested via use of the videophone with positive results. '),
  (1329, 'To establish how many patients use e-mail and have Web access within a major feeder general practice to the Ceredigion & Mid Wales NHS Trust', 'To measure the need for patients to be able to communicate electronically with the health service.', 'The project showed that most respondents would take part in further research, therefore a further project is to be undertaken with the purpose of piloting email communication between patients and the service.'),
  (1330, 'O2 is supporting healthcare solutions company e-San in its trail of a new solution for asthma management.  The solution, developed by e-San working closely with the Department for ngineering Science at Oxford University, will enable patients to  self manage their asthma condition more \r\neffectively in order to reduce the severity of symptoms and the risk\r\nof hospitalisation. As a result, emergency visits by GPs will also\r\ndecrease.  The aim is to improve quality of life for asthma sufferers and enable GPs to use their time more effectively. \r\n', 'Asthma is an extremely common illness with a high morbidity and \r\nsignificant mortality. The UK has the highest number of asthma \r\nsufferers in Europe, with 15% of the population affected to some\r\ndegree.  It is generally accepted that part of the effective treatment of asthmatic patients is the monitoring of their condition.\r\nSelf-measurement of lung function by patients enables clinicians to\r\nassess the severity of the illness and allows the treatment to be\r\ntailored to the patient\'s needs. Measurements most commonly used in\r\nGeneral Practice are peak expiratory flow readings using a Wright\'s peak flow meter. Patients are asked to record measurements twice daily and enter them on a peak flow graph in a patient diary. This system of recording depends not only on the patients remembering the correct figures but also on them entering the data accurately on the graph afterwards. There is no way that the clinician treating the asthmatic patient can be entirely sure that the figure and the corresponding entry on the graph are accurate representations of peak flow at the time. The results are always viewed retrospectively by the clinician who looks for trends since the last visit to the Asthma Clinic, hence the figures provide little information with regard to the patient\'s condition at that particular time and they have limited predictive value.', 'As well as improving the health of asthma sufferers through more\r\neffective and accurate monitoring, the trialled solution has the\r\npotential to save time for hard-pressed GPs.  There will also be a saving in health service costs if there is a reduction in the incidence of critical cases requiring hospitalisation.  The analysis of the data could in\r\nthe future potentially contribute considerable value for the\r\npharmaceutical industry in terms of trend and statistical analysis and presentation for clinical trials.  '),
  (1331, NULL, 'This study evaluates the use of tele-education to provide an induction programme for Accident and Emergency Senior House Officers (SHOs) in three remote locations, and compare their performance with SHOs receiving the same induction programme in the conventional manner.', NULL),
  (1332, 'The aim of the project is to investigate the user-centered development and delivery of computer-based health information on falls.  The target users of the package are older people who are at risk of falling, their carers and relatives, as well as health and social care providers.', 'The research project explores new methods of developing and     delivering health information by using advances in information technology. Implemented as a       website and a touch screen kiosk application, the Falls program aims to provide health           information to older residents in the London borough of Tower Hamlets who are at risk of a Fall. By providing facilities to screen for and flag risks of falling, the final application will also be able to channel vulnerable individuals into the health care system. It is expected that the application will increase awareness of the consequences of falling, both in those at risk, and in primary care. ', 'The finalised falls prevention package will be delivered via touchscreen kiosks based at the Mile End Hospital (Tower Hamlets Primary Care Trust), the Plaistow Day Hospital (Newham Primary   Care Trust), and the Bethnal Green Libray (Tower Hamlets). \r\n'),
  (1333, 'To explore and impact of an on-line patient service, in terms of its implications for both patients themselves and the organisation of general practice services.', 'This project is in partnership with Dr Flynn at UMIST, Department of Computation, and in collaboration with EMIS.  They are evaluating the use of an interactive practice website, using ethnographic and interview data, plus quantitive workload and web questionnaire feedback.\r\n\r\n16 Practices and IT staff (pre-implementation and post-implementation phase); 45 interviews with patients (users and non-users) including students, professionals and homeless.', NULL),
  (1334, NULL, '\"telederm.org\" is a webapplication just built for exchanging ideas on\r\ndiagnosis and management of individuals with skin diseases: every\r\ndoctor from everywhere in the world can send to \"telederm.org\" the\r\nclinical, histopathologic or dermoscopic (a new technique for\r\ndiagnosis pigmented skin lesions) images of his/her cases and can ask\r\nfor a consultation from one of the listed experts.', 'A complete new application will be launched in\r\nthe next months and telederm.org will be also HON certifed.'),
  (1335, NULL, 'Great Ormond Street Hospital (GOSH) has a sophisticed telemedicine system with permanently installed facilities in the cardiac catheter lab, cardiac operating theatres and cardiac seminar room (with dual large screens and full duplex audio - seating 30). This is directly linked to the Kennedy Lecture Theatre in the Institute of Child Heath (again, with dual large screens and full duplex audio - seating 250). These facilities are used to broadcast live catheter and surgical procedures around the world. In addition, regular clinical consultations are undertaken with John Radcliffe Hospital in Oxford UK during the Joint Cardiac Conference (held weekly). Educational activities are also broadcast to various institutions, conferences and symposiums around the world. Cardiac Services also offer a seperate Tele-Echo service, established in cooperation with Northampton General Hospital (UK), providing the expertise of the GOSH cardiac team in reviewing echocardiography performed on patients at district general hospitals. Great Ormond Street Hospital has other facilities in addition to Cardiac Services, including a video conferencing suite, featuring multicast capabilities, operated by Medical Illustration. Various other areas of the hospital are also involved in telemedicine activities. ', NULL),
  (1336, NULL, 'The study aims to:\r\n- Bring the specialised rehabilitation facilities nearer the home of patients.\r\n- Develop and use newly established rehabilitation care protocols via the use of Tele-medicine equipment.\r\n- Assess the economic factors associated with rehabilitation services for SCI patients at home via Tele-medicine.\r\n- Measure of Quality of Life of patients/carers.\r\n- Gather the views of patients and carers on their experience of using Telemedicine.', NULL);

INSERT INTO `teisro`.`proj_results`(`projectcode`, `results_or_comments`, `objectives_realised`, `objectives_comment`, `method_and_rationale`, `outcomes_and_effectiveness`, `barriers`)
VALUES (671, 'Provides information at base station on physical risks to patients in their own homes. Alerts duty staff and allows rapid response.', NULL, NULL, NULL, NULL, NULL),
  (41, 'Diagnosis confirmed and patient satisfaction survey undertaken.  Original position of equipment in GP practice led to organisational difficulties.  Building extension will resolve this.  Echo problems on the hands free.', NULL, NULL, NULL, NULL, NULL),
  (31, 'Slow start due to hardware delay.  One month familiarisation followed by 21 month trial.  Now used routinely for support to nurse-led minor injuries clinics.  UPDATE JULY 2003:  The system has been introduced into all the larger Minor Injury Units in Cornwall, it is very much part of the normal way of working and is now mainstream.', NULL, NULL, NULL, NULL, NULL),
  (141, 'So far one case conference in first month.  No anticipated clinical use.', NULL, NULL, NULL, NULL, NULL),
  (201, 'The project demonstrated the effectiveness of store-and-forward of ultrasound images over ISDN2 for referral and that tele-ultrasound is GP\'s access to expertise which in turn allows them to improve the management of their patients.', NULL, NULL, NULL, NULL, NULL),
  (21, '1,854 telemedical consultations from July 1996 - June 1999.', NULL, NULL, NULL, NULL, NULL),
  (51, 'Results of RACE still being written up.  Tele-psychiatry to continue.  RACE Project results analysis hampered by continued line loss.  Summarising data, loses a lot in psychiatry.  Want to do more single case studies.  Sound bad at other end requires one end to use handset - sound is critical.  Bought in outside expertise.', NULL, NULL, NULL, NULL, NULL),
  (581, 'Initial pilot shows feasibility of tele-endoscopy and overall satisfaction with teleclinic.', NULL, NULL, NULL, NULL, NULL),
  (591, 'Preliminary results show overall acceptance of clinic and satisfaction with teleconsultation.', NULL, NULL, NULL, NULL, NULL),
  (11, 'Links to six remote sites overseas.  Large database of normative/abnormal ophthalmological data.', NULL, NULL, NULL, NULL, NULL),
  (791, '1) Given the choice, community nurses prefer face-to-face teaching, but they learn just as effectively when a session is delivered over the VC link.  2) Establishing VC requires early training, regular support, an organisational commitment which takes up to a year to develop.  Enthusiasm from one or two individuals does not guarantee success.  3) Cost savings in travel time recoup the cost of the equipment in one year.', NULL, NULL, NULL, 'UPDATE JULY 2003:  videoconferencing is still used on a regular basis and 14 hospices in the UK now have videoconferencing equipment.  Uptake remains very slow but there is a discernible shift in cancer and palliative care to using videoconferencing to save time and costs.', NULL),
  (401, 'No results as yet - project ongoing.', NULL, NULL, NULL, NULL, NULL),
  (611, 'Overall satisfaction from patients and clinicians involved and provide teaching opportunity for acupuncture.', NULL, NULL, NULL, NULL, NULL),
  (61, 'Pilot stage successful, now one RCT in progress and other pilot studies.', NULL, NULL, NULL, NULL, NULL),
  (171, 'The system provides patients with equity of access to emergency care and also provides support to paramedics.', NULL, NULL, NULL, NULL, NULL),
  (531, 'Pilot site covering population of 324,000.', NULL, NULL, NULL, NULL, NULL),
  (771, 'Project still in evaluation stage;  3 GP practices involved:  40 successful referrals.', NULL, NULL, NULL, NULL, NULL),
  (491, 'A full scale randomised controlled trial and economic evaluation of joint teleconferenced medical consulting.  It is a multi-centre trial based in the Royal Free Hospital, London and the  Shrewsbury/Royal Hospital Trust.', NULL, NULL, NULL, NULL, NULL),
  (71, 'Telediagnosis correlates well with actual diagnosis but limited results.  Re-skilling of GPs.  ISDN service intermittent.  Document sharing facility would be useful.  Sound quality poor.', NULL, NULL, NULL, NULL, NULL),
  (101, 'Capital cost 3.5K (includes PC).  Facilitation of tripartite consultation - Patient + GP + consultant.  Improves patient management including chronic conditions.  Technology easy to master.  Improved communication across Primary/Secondary Care Interface.', NULL, NULL, NULL, NULL, NULL),
  (661, 'Available at end of project.', NULL, 'The objectives are to confirm the clinical equivalence of patient management decision, undertake economic analysis, and compare patients\' and professionals\' opinions, in comparison with the traditional out-patient consultation.', 'Randomised controlled trial.', NULL, NULL),
  (131, 'Initial staff enthusiasm high.  Good acceptance of technology by nurses.  Technically successful.  Usage low.  Equipment expensive.  Relationships between staff need to be built up.  Medico-legal issues need to be resolved.  Potential problems with out-of-area referral and renumeration.', NULL, NULL, NULL, NULL, NULL),
  (741, 'Initial results show the system to be reliable and usable by patients.  More results will be available nearer to the end of the project.', NULL, NULL, NULL, NULL, NULL),
  (511, 'Access Health report that 52% of callers are referred to self treatment, and 75% require nothing other than advice over the telephone.', NULL, NULL, NULL, NULL, NULL),
  (541, 'Integration of software to allow transfer from ultrasound machine: April 1997, completed May 1998.', NULL, NULL, NULL, NULL, NULL),
  (151, 'Main use is in triage.  Improves quality of referrals.  Danger of too heavy reliance as a diagnostic tool.  Need to develop protocols, guidelines.', NULL, NULL, NULL, NULL, NULL),
  (761, 'Apart from assessing educational and cost effectiveness, the project also aims to teach a large number of clinicians and teachers how to teach using videoconferencing.', NULL, NULL, NULL, NULL, NULL),
  (871, 'Overall acceptance and preference to telemedicine teaching.', NULL, NULL, NULL, NULL, NULL),
  (292, 'Teledermatology trial until March 1996 when Dr Hugh Jones (dermatologist) moved to Winchester.', NULL, NULL, NULL, NULL, NULL),
  (282, 'High level of acceptance.  Effective for casualty/minor injuries.  High educational content - upskilling.  Currently relatively low usage.  Portability of equipment low.  Siting of equipment in Primary Care Centre meant it was not suitable for psychiatry.  UPDATE AUGUST 2003:  Project was abandoned within a few weeks due to heavy weight of the equipment and a later project \'Letham Videolink\' was introduced.', NULL, NULL, NULL, NULL, NULL),
  (651, 'Our initial pilot work has demonstrated feasibility and supports further evaluation in a RCT.', NULL, NULL, NULL, NULL, NULL),
  (323, 'Telemedicine difficult to describe to get colleagues to get involved.  Need to raise understanding and awareness of Telemedicine in medical community.', NULL, NULL, NULL, NULL, NULL),
  (244, 'Telenursing could replace about 15% of on-site nursing visits.', NULL, NULL, NULL, NULL, NULL),
  (254, 'Images of diagnostic quality.  Major effect on clinical management of patient.  Skilling and re-skilling of juniors.  Initial large time commitment by consultant.  Need good technical support.  Education and training needed to motivate staff to use equipment initially.', NULL, NULL, NULL, NULL, NULL),
  (481, 'Out of hours workload for GPs has been reduced by nearly 60%.', NULL, NULL, NULL, NULL, NULL),
  (471, 'A paper describing the results of this project and titled \"The Development of a New Model For Community Telemedicine Services\" (J Thie , A McIntosh) was presented at TELEMED 2001 in London during January 2001. A copy of the paper can be obtained from Andrew McIntosh at Tunstall Group Ltd.  (See publications.)', NULL, NULL, NULL, NULL, NULL),
  (552, 'Trials on-going at present.', NULL, NULL, NULL, NULL, NULL),
  (911, 'Images sent from August 1999.  Project ended in summer 2001.  Awaiting a PACs system to send xrays - in the interim xrays sent to Poole by taxi.', 'Yes', NULL, NULL, NULL, NULL),
  (921, 'System has performed satisfactorily and has proved an efficient means of getting patients admitted directly into CCU and thrombalysed immediately on arrival.', NULL, NULL, NULL, NULL, NULL),
  (1081, 'Consultants have been impressed with the quality of the scans and this has had a significant impact on the quality of clinical care.', 'Yes', NULL, NULL, NULL, NULL),
  (931, 'Pilot systems installed and running in Chorleywood Health Centre, Amersham General Hospital and St Mary\'s Hospital.  Modelling and simulation and network measurements of video/data over low bandwidth links.', 'Yes', 'A technological evaluation was undertaken and the results have been very encouraging for the use of TCP/IP based videoconferencing over low bandwidth networks.', NULL, 'Technical issues were adressed, such as lighting and operation over limited bandwidth links.', NULL),
  (981, 'Early days - still in formative stages of development.', 'Yes', NULL, NULL, NULL, NULL),
  (991, 'Without the service a medical staff presence would be required in the unit.', NULL, NULL, NULL, NULL, NULL),
  (1001, 'None at the moment.', 'Yes', NULL, NULL, NULL, NULL),
  (1011, 'Ongoing.', 'Yes', NULL, NULL, NULL, NULL),
  (1021, 'All CT scans out of hours sent to Consultant homes.', 'Yes', NULL, NULL, NULL, NULL),
  (1031, 'UPDATE AUGUST 2003:  Links to Hope Hospital running using webserver technology.', 'Yes', NULL, NULL, NULL, 'NHS Encryption access and bandwidth 256k - hoping to start up again when Christies upgrade.'),
  (1061, 'None as yet.', 'Yes', NULL, NULL, NULL, NULL),
  (161, NULL, NULL, NULL, NULL, NULL, NULL),
  (641, 'Intuitively, lossy compression seems an unwise path to tread.  We will probably be examining it although this does create a huge obstacle with non-uniform (vendor specific) JPEG compression algorithms.  Even at this early stage, despite no charge for consultations or opinions, it is clear that, due to very real financial constraints, to enable participation there can be no costs, other than the conference phone (optional), borne by the referring sites.  There are many operational concerns including security, final patient ownership, accountability, network security and accuracy.  All of which must be resolved satisfactorily.', NULL, NULL, NULL, NULL, NULL),
  (81, 'Better data compression and intelligent analysis.  Creating service company to build truly portable home physiological monitoring equipment which would cross many areas of health.  Integrate assessment with electronic health record.  Telemedicine and remote home monitoring is not only GOOD medicine but gives better information for care of the patient as it gets over the \"white coat effect\" and point in time measurement.  Remote home monitoring of physiological functions could be used more extensively in the investigation of patients.  Empowers (educates) patients and local care givers.  Need to review clinical markets in public and private sectors.  Physiological monitoring could redefine high/low risk assessment in a number of high cost health areas.  Enables earlier discharge from hospital and high level rehabilitation.', NULL, NULL, NULL, NULL, NULL),
  (91, 'Development of protocols.  Good clinical risk management.  Sustainable service.  Cost benefit, enhanced patient care, development of skills and competencies of nurse practitioners.  Continuing service to minor treatment clinic.  Cost benefit 50k pa.  ', NULL, NULL, NULL, NULL, 'Problems:  Support of commercial supplier.  Management of change of professional culture.'),
  (721, 'Qualitatively, the patients (mean age 73.5 years) readily accepted the telemedicine with their GP.  They viewed it as up-to-date, inovative and advantageous for future generations.  Nine out of 10 patients showed a reduction in the systolic blood pressure and 7 out of 10 showed a decrease in weight over the first 60 days of telemonitoring.  In addition, the \'quality of life\' scores of the Telemedicine group appeared to significantly increase in contrast to the control group whose scores deteriorated.  The technique seems robust and reliable, and the result clearly shows a clinical benefit.', NULL, NULL, NULL, NULL, NULL),
  (111, 'Foetal telemedicine is clinically feasible.  Combined data-sharing and video-conferencing system led to 15 minute turnaround in results.  Reduces need for physical referral whilst increasing consultation rate.  86% (25 cases) definitive diagnosis made over link.  Technique possibly applicable to other clinical areas, e.g., spina bifida.', NULL, NULL, NULL, NULL, NULL),
  (781, 'Data collection is currently underway.  Preliminary results indicate that using VC is indeed feasible for clinical supervision.  There are, of course, inherent advantages and disadvantages to using the equipment and it is anticipated that upon the completion of data collection, the balance of, and interplay between, these factors will be ascertained.', NULL, NULL, NULL, NULL, NULL),
  (731, 'For the evaluation report of this project, please click on http://www.swot.org.uk  website.    Another relevant website is http://www.ReproMED.org.uk', NULL, NULL, NULL, NULL, NULL),
  (272, 'Improved maternity team working.  GP mediator in telemedicine is a key role.  Telemedicine must be integrated with other IT.  Need to improve technology - still too intrusive.  Need multi-site trials.  Need more industrial development.  Impact on organisation of NHS.  Need for service standards and quality control.  Lothian Health RHA have adopted remote consultation within their obs and gynae service.  This is part of a wider programme at Edinburgh to adopt telemedical techniques.  Other regional centres are being given access to the hospital WAN and other medical disciplines will be included eg:  1)   Burns Unit at Livingstone has recently come on line.  2)  Fracture clinics being trialled and teleradiology.  3)   Telepathology being investigated.', NULL, NULL, NULL, NULL, NULL),
  (821, 'The project is on the cardiovascular applications of telemedicine engineering.  A wavelet compression algorithm has been developed.  Currently, functional algorithms for IVUS analysis are under development.', NULL, NULL, NULL, NULL, NULL),
  (302, 'Transmission of digitised radiological images via the teleradiology system was an integral part of 116 teleconsultations.  The majority of transmitted images were felt to be of adequate diagnostic quality.  The A&E consultants have placed a high emphasis on the use of teleradiology within the teleconsultations.  Videoconferencing formed a part of 76 teleconsultations and was deemed to be very useful and appropriately used for patient case discussion and patient examination.  General practitioners appear to have gained reassurance that through the use of videoconferencing and teleradiolgy, the consultant has been provided with the  complete clinical picture.  Telepresence was used in only 4 teleconsultations, and was criticised by general practitioners for its difficulty in use.  Within the 4 cases in which it was used, telepresence appeared highly successful and beneficial in the outcome of the teleconsultation.', NULL, NULL, NULL, NULL, NULL),
  (711, 'Twelve dentists throughout the South West are currently involved in patient treatment through the TeleDent programme and an additional 20 are receiving education and training via videoconference.  Patients benefit from instant access to expertise; increased access to information; reduced waiting times (from 18 months to 6 months);  exposure to far fewer inappropriate consultations.  Both parties can keep the electronic records of any advice given for future reference.', NULL, NULL, NULL, NULL, NULL),
  (621, 'As clinicians have become more adept at using the new technology, the amount of time needed to discuss cases has decreased accordingly.  Thus, absolute usage (in terms of the number of hours per month being allocated to case discussions) is decreasing.  However, the number and type of sessions is increasing.', NULL, NULL, NULL, NULL, NULL),
  (313, 'Continued funding from Welsh Office.  Need for focused project management.  Dr John Wynn Jones developing European Centre for Rural Health.  Developing UK Telemedicine pages on www.  Software did not orignally support sufficient colour resolution for dermatology.  Lack of academic consultant support.  In hindsight, additional academic resource was required right from the outset.  Ad hoc difficulties associated with use of video bridge for educational arm of TEAM.  Confidentiality not really an issue at this stage, but may be in future.  Duty of care shared.  Professionals could lose private income.  Cost attribution in a Telemedical Consultation.  Creates an open international market with resultant problems and challenges.', NULL, NULL, NULL, NULL, NULL),
  (573, 'Assessment of satisfaction with the services provided through the Project will be conducted through interview with clinicians and the use of validated patient questionnaires.  Other assessments will include technical reports and software specifications.', NULL, NULL, NULL, NULL, NULL),
  (852, 'Will be disseminated through both websites; social science and medical related journals and final report.  Ongoing dissemination through meetings with our project steering group which consists of individuals representing the relevant commercial, health care and academic sectors and presentations at conferences and through joint workshops with a wide user audience.', NULL, NULL, NULL, NULL, NULL),
  (961, 'None.', 'Yes', NULL, NULL, NULL, NULL),
  (1101, '3 pilot clinics already held.', 'Yes', NULL, NULL, NULL, NULL),
  (1121, 'Thirty seven children were referred for Paediatric Intensive Care during the study period, of these 29 were retrieved by a specialised transfer team and the telemedicine link was used on 11 occasions to facilitate patient management.  On two occasions inappropriate transfer was prevented.  Staff questionnaires indicate that the equipment was easy to use and helped professionals \"fulfil their roles\".  Main problems:-  The child was not always where the fixed equipment was and so our ascertainment was less than 50% and this was site dependent.  This has led to the development of \"phase two -- a mobile solution\"', 'Yes', NULL, NULL, NULL, NULL),
  (1131, 'Identification of conditions and problems where telemedicine is most and least appropriate.  To evaluate the role of a dermatology specialist nurse within a teledermatology service, including concurrence of diagnosis with the consultant.  To evaluate the use of teledermatlogy to facilitate planned one-stop day services.  Patient, GP, dermatology, medical and nursing staff satisfaction.', 'Yes', NULL, NULL, NULL, NULL),
  (1151, 'None.', 'Yes', NULL, NULL, NULL, NULL),
  (1161, 'Anticipated to run through to May 2002.  Objectives are to determine usability and value to staff as in phase 1.', 'Yes', NULL, NULL, NULL, NULL),
  (1171, 'None.', NULL, NULL, NULL, NULL, NULL),
  (1182, 'Clinicians are now using the system routinely, resulting in a major time saving and efficiency improving.  UPDATE AUGUST 2003: Project now heavily adopted and well used over entire department.', NULL, 'None.', NULL, NULL, NULL),
  (1191, 'Sufficient equipment now purchased to make project viable.  VTC equipment demonstrations now included in regular AV workshops run for Trust staff.  Included as part of the Junior Doctor Fora.', NULL, 'Making steady progress and forging links with other education and training facilities, hospitals and clinics.  Trials taking place at present.  Links across Trust shortly to take place.', NULL, NULL, NULL),
  (1202, NULL, 'Access to certain stakeholders.', NULL, NULL, NULL, NULL),
  (1211, 'Favourable response to study.  Physiological data not robust.', NULL, NULL, NULL, NULL, NULL),
  (941, NULL, NULL, NULL, NULL, NULL, NULL),
  (901, 'Retrospective audit shows a change of management in 30% and reassurance to staff in 50%.  Some emergency medical evacuations from remote locations have been prevented.', 'Yes', NULL, 'Simple, widely available, technology can provide a more than adequate telemedicine service.', NULL, NULL),
  (971, 'UPDATE AUGUST 2003: Project is ongoing indefinitely as machines were purchased by government.', NULL, NULL, NULL, NULL, NULL),
  (675, NULL, 'Yes', 'We have conducted clinics for more than a year now (as at Dec 2000) and are extending the facility to incorporate other medical specialities.', NULL, NULL, NULL),
  (674, 'High agreement in neuropsychological assessments across FTF and Telelinks.  Promising for therapies, with high patient acceptance.', 'UPDATE AUGUST 2003:  Funding negotiations taking place to continue as mainstream.', 'See publications Telemed & Telecare 1999 and Telemed & Telecare 2000.', NULL, NULL, 'Staff reluctance.  Preconceived notions re feasibility.'),
  (211, 'Excellent results from simple, relatively cheap camera.  Providing second opinions on radiographs, skin rashes, burns, haematology slides, bacteriology and ECGs.', NULL, NULL, NULL, 'This pilot project has now finished and it has migrated to the ongoing routine clinical use described under the heading \"DMS Telemedicine\".', NULL),
  (121, 'During January we conducted 150 NHS teledermatology clinics, dealing with approximately 1,500 new referrals which would otherwise have remained on outpatient waiting lists.  Contracts in place are such that there will be significant further growth over the coming months.  We are now seeing access to expertise being made available to areas which have not been able to cope with demand using traditional approaches.  Various NHS bodies have conducted, are conducting, or are about to commence, a number of different assessments of our service, something which we have actively encouraged.  Results available to date are positive from several different perspectives.', NULL, NULL, NULL, NULL, NULL),
  (677, 'Update 31 May 2001 - this was a most useful project and feedback from users has been good.', 'Yes', NULL, NULL, NULL, NULL),
  (238, 'A positive outcome for people with disabilities although the absence of progression routes within the same methodology was a disappointment. A considerable amount was learnt from working with people with disabilities remotely - particularly in relation to mentoring and help-desk support. The simplicity of the system enabled people who had never touched a computer before to fully engage quite quickly. People were enabled, through the curriculum, to look closely at themselves and their strengths as well as the barriers that certain occupations presented to them because of personal health records. Thus vocational guidance was \'realistic\' and \'well considered\' by the advisors as well as the individual.', 'Yes', NULL, 'Positive evaluation regarding the methodology and rationale. The technical issues were problematic for some and the programme was heavy on technical support.  Future developments need to be moved towards Internet browser technology to reduce the technology support required.', 'Met all target numbers and exceeded targets in training virtual tutors and virtual mentors (to support embedding of the programme into mainstream services).  Several products produced and dissemination reached international targets through virtual conference.', 'The programme is expensive to run, particularly in support of the hard and software. Tutor facilitated so again this was expensive for this client group.  Still few progression routes for people with disabilities (through this methodology).'),
  (12, 'Remote second opinion: Telepathology proved to be of most value for discussion of difficult cases in the context of a regular scheduled meeting, but is considered too time consuming by many for routine referral. However, increased usage is likely to come with greater familiarity coupled with integration into standard work practices (including time made available on rosters). It is likely to have an increasingly important role as more sites are linked up in telemedicine programmes locally and nationally, both for consultation, and also for teaching and other meetings between different sites.', 'Meetings: The use of telepathology equipment, coupled with digital projection facilities, for presentation of cases at multidisciplinary clinical meetings has proved to be a very useful advance of the traditional method of live video-microscopy in the meeting room, and has proved to be the main use of the equipment. The increased time needed to prepare for the meetings is generally regarded as worth the effort for the increased quality of the meetings, and should be taken into account in rostering if its use is to become more widespread.', NULL, NULL, NULL, '(1)  Financial: The true benefit of telepathology will be seen when the peripheral centres are linked in to the network, and funding is required to purchase equipment and to manage its use.  (2)  Time: Using telepathology requires more time from the pathologists than traditional practices and is the main reason given for user resistance.  Time needs to be made available in rostering through high-level support of telepathology use and its integration into everyday practice.'),
  (14, NULL, 'Yes', 'Some delays were experienced in the development of the expert system, but a fully working system has been installed and run successfully at two pilot practices.', 'Dentists\' feedback via interviews.', 'Count of number of cases submitted, dentists\' feedback, timings of case preparation by dentists and advice provision by consultant, record of outcomes of advice.', 'Further funding, need for GDPs to be paid to prepare cases for teledentistry as item of service.'),
  (15, 'Following ethical approval eight Chronic Lung Disease subjects have been monitored in their home environment in addition to controls.  UPDATE AUGUST 2003:  Project still active under a slightly different guise and papers are being written up for submission to journals.', 'Yes', 'As yet incomplete.', NULL, NULL, 'Financial, looking for commercial partner.'),
  (25, 'Audit tools are in place assessing the service for each patient, the first report is expected by early summer.  ', 'Yes', NULL, NULL, NULL, NULL),
  (681, 'Exceeded all expectations on the number of calls being handled - average 501 per day at July 2001.', 'Yes', NULL, NULL, NULL, NULL),
  (861, 'The images take longer to transfer down telemedicine links than I had anticipated.  Using a 128 ISDN connection the images are taking approximately 1 megabyte per minute which is significantly longer than the theoretical transmission times.  **UPDATE JANUARY 2002** - In the first round of screening invitations were sent to 11,700 diabetic patients and 8,600 attended (attendance of 74%). We screen an average of 100 patients per week. In the first round of screening invitations were sent to 11,700 diabetic patients and 8,600 attended (attendance of 74%). We screen an average of 100 patients per week. A minimum of 4 images is taken per patient. At a resolution of 768 x 568 pixels (Sony 3 chip camera), the image sizes are 1.2 megabytes requiring a minimum memory availability of 480 megabytes per week. ', 'FURTHER RESULTS OR COMMENTS:-  Once our images are graded in the original format, we are storing the originals on CD and compressing approximately 20 times to JPEG images that are stored with the electronic grading report on our server (for information when the patient is seen in Eye clinic).  Our hospital Intranet, with a bandwidth of 10 megabits, transmits the four images of size 1.2 megabytes in 3.84 seconds (remember an 8 x differential between bit and byte). The office, where most of the image grading takes place, has a 100-megabit line to the server in the computer room. Dr Scanlon is also grading from home using ADSL modem\r\ntechnology across a private BT copper telephone line and have managed to obtain a bandwidth of 750 kilobits. Each 1.2-megabyte image is taking 17 seconds to transmit.', NULL, NULL, NULL, NULL),
  (1216, 'Formal audit completed in 1999.  Very positive results.', 'Yes', NULL, 'There was a qualitative analysis performed to assess the scale, scope and potential of the project.', 'Audit showed the video consultation to be successful with 89% of patients very satisfied and 11% fairly satisfied.   None were dissatisfied.  100% of patients would be happy to use the video link for further appointments.  All were happy with the Nurses assistance.  All further comments were positive with general appreciation of time saved and convenience.  Only one patient would have preferred to have seen the Doctor in person.  The GP questionnaire analysis showed that 78% of the consultations were very satisfactory and 22% fairly satisfactory and none unsatisfactory.  The analysis did show that only 45% of the consultations proved to be as satisfactory as actually seeing the patient in person and 50% unsure.  The GP felt that the Nurse gave adequate assistance and would be happy to use the link in the future.  Sound quality and the quality of some of the pictures seems to have caused a problem.  The Nurses questionnaires were all very positive, again there were problems with sound.', 'None.'),
  (1239, 'The AMIS trial has implemented:\r\n- Storage of patient vital signs information on personal storage device to accompany the patient.\r\n- Entry of patient notes and forward transmission of clinical records from the air to AeroMed HQ 2 Group and the receiving hospital.\r\n- Reading patient vital signs information at the receiving hospital.\r\n\r\n\r\nThe trial has been run as a simulated AeroMed evacuation from an aircraft, sending patient notes forward to A3 AeroMed HQ 2 Group and two receiving hospitals.\r\nThe benefits of AMIS are:\r\n\r\n-	Supports care in the air\r\n\r\n-	Promotes information transfer along the chain and therefore improved casualty care\r\n\r\n-	Facilitates administration of the evacuation chain\r\n\r\n-	Provides another \"link in the chain\" towards a continuous digital clinical record from point of wounding to the Base Hospital and can form part of an Electronic Health Record.', NULL, NULL, NULL, NULL, NULL),
  (1241, NULL, NULL, NULL, NULL, 'The NHS Breast Cancer Screening Programme has judged that the value added of current Computer Assisted Mammography systems is yet insufficient to justify wide spread adoption.  And the current systems are unlikely to improve because they examine one individual mammogram at a time instead of exploiting the well defined radiologist protocols for detecting breast cancer as discussed above.  QinetiQ is confident that further development of its approach to this subject will improve automatic breast cancer detection over an above that which is currently possible.', NULL),
  (1242, 'To be reported April 2002', NULL, NULL, NULL, NULL, NULL),
  (1238, 'Threshold Violation Predictor : a prototype has been devised and has demonstrated a 0.88 correct classification probability for predicting 10 minutes into the future. Further tests are required to provide a more comprehensive evaluation. SIRS Predictor/Detector : a prototype has been developed and successfully demonstrated that it can detect, if not predict, persistent episodes of SIRS which have a duration of several hours, indicative of a serious underlying clinical condition. Investigations have revealed that the inability of the Intelligent Alarm to \'predict\' on certain occasions leading only to a \'detection\' capability arises as a consequence of unreliable monitoring equipment. Bacterial Infection Predictor/Detector : the prototype unoptimised version has not been tested on any significant clinical events due to limitations of available patient data.\r\n', NULL, NULL, NULL, 'Prototype predictors for threshold violation and SIRS have been developed and their performance evaluated over a small data-set. Initial results appear very impressive. The impact of the high false alarm rate associated with the SIRS predictor can be significantly reduced by further work and extending the intelligent alarm to account for another physiological parameter. Time limitations have resulted in a limited data set, which has prevented a more thorough clinical study of the performance of each intelligent alarm. The main recommendation arising directly from the conclusions drawn above is that the study should be continued with a view to establishing a complete assessment of the performance of the intelligent alarms in a live critical care arena. This would require accumulation of further physiological and clinical intervention data in order to develop the alarms prior to the clinical assessment phase.', NULL),
  (1245, NULL, NULL, 'Clinical evaluation will be performed starting month October 2002.', NULL, NULL, NULL),
  (1246, '1. Secure telemedicine/EPR system developed, tested and feasibility proven. 2. System installed in 5 community sites linked to Good Hope Hospital over NHSnet. 3. Over 50 teleconsultations conducted in 3 months and active recruitment of eligible patients to RCT underway. 4. System now in routine use in GHH and wider community roll out underway. ', 'Yes', 'The project outcomes to date have exceeded expectations of both the researchers and collaborators.', 'The design philosophy was to keep the objectives as simple as possible, use as much of the existing infrastucture as possible and develop a solution that is generic, robust and cheap to implement and easy to operate. ', 'The project has exceeded expectations, is on time and within budget.', 'The major hurdle was technophobia but early demonstration of the clincial effectiveness of the system has generated a high level of commitment and enthusiasm from the project participants. '),
  (1247, NULL, 'Yes', 'Email contact not as common as expected.', 'Should have tried to understand process of engagement between therapist and parent more fully before we started.', 'Efficacy evidence still being collected.', NULL),
  (1248, 'Initially take up of the software was slow. However now approximately 50% of referrals have images on our telemedicine system. The software is popular with both referring staff and receiving clinicians as being easy to use with non-threatening equipment and improving communication between sites. Uptake is especially high within QVH where images are taken if Doctors are unavailable enabling the nurses to redress the wound rapidly thus minimising infection risk. Children are also subjected to less redressing of their wounds, which can be very traumatising for them. Early analysis of the results shows that the system is used more for certain types of injury. ', 'Yes - update November 2003 - project is now ongoing with total of 352 referrals in 2002 and 864 so far (November) in 2003.', NULL, NULL, NULL, NULL),
  (1111, 'Very positive - reduced waiting list for North Manchester Trust from 360 - 34.  Waiting times only 3-4 weeks maximum.  Very well received.  UPDATE - JULY 2002 - The Medway Hospital Trust was a \"No star\" Failing hospital.  One of the key areas was dermatology, with several thousand long term waiters on the books.  Management employed tds and within 15 weeks of the start of the contract over 3000 patients had been seen.  This successful turnaround was a key element in the hospital being assessed into a two star grade. tds continues to work with the Trust to further reduce and control Dermatology waiting times.  Ongoing teledermatology service provided to Southend on Sea, Castlepoint and Rochford PCT\'s.  No waiting list for telemedical assessment. Renewed contact with Aintree Acute Trust.  No waiting list for telemedical assessment.  \r\ntds reduced the wailing lists in North Manchester Trust from 18 months to 17 days in 6 weeks in 1999 and have continued to provide this service.', 'Yes - With over 10,000 patients seen in the last calendar year alone, tds are the world leaders.', 'FURTHER RESULTS - Oldham uses tds as part of its Action on Dermatology.  tds sees all the patients in Oldham.  There is no waiting list in this area.  For the last 2 years tds has worked with the PCG\'s in the Hornchurch area of Essex  by offering telemedical diagnositics.  The Trust re-evaluated its service provision and went out to competitive tender for a more integrated dermatology service.  tds has secured that contract working with the Trust and its local consultants to provide a service that enables them to prioritise their dermatology patients and make the best use of their limited Consultants resources.\r\n', NULL, NULL, NULL),
  (1249, 'The main achievements of this project were the successful deployment of a TETRA radio system configured for data, and the development of a portable hardware kit and data applications. The hardware kit consists of the Tele-Medic box which is a battery powered lightweight box, a TETRA radio, a PDA, a GPS receiver, a digital camera and a medical vital signs monitor (Propaq). An appropriate battery pack was designed and developed to power the Tele-Medic box. A special feature of the Tele Medic box was that all operations within the box are fully automated and the peripheral devices work in a plug and play fashion for ease of use. It consists of a fully integrated application suite which enables automatic detection of devices attached to the Tele-Medic box with plug and play functionality and automatic call-setup and hang-up functionality. ', 'Yes', 'This project gained international recognition by winning the \'most innovative applications development\' award at the TETRA World Congress 2001 held in Nice. This project had a high level of interest from the public and a successful launch/demonstration of the project was arranged at Ambleside. A variety of news media were invited. News items appeared on BBC Breakfast, BBC Today, BBC North West Tonight, Granada TV and Border TV news programs. A later presentation and demonstration was also arranged for BBC Tommorrow\'s World program, and was shown in March 2002. Print media were also interested in the project and articles appeared in Emergency Services Times, Land Mobile Magazine, BAPCO Journal, Wireless Europe, Ambulance UK and newspapers including North West Evening Mail and the Westmorland Gazette. The system was presented and demonstrated at a number of international conferences. ', 'FURTHER RESULTS: When data is available from any device connected to the box, it automatically sets up calls for sending the data, and when there is no more data to send the calls are automatically hung up. In order to make the data transmission more efficient, data calls will only be setup to send medical data and digital images. Text and GPS data will usually be sent using SDS messages unless a data call is already setup to for sending image or medical data. In which case, text and GPS data will also be sent over the data call. Since the Tele-Medic box is fully automated, minimal user intervention is required. A Personal Digital Assistant (PDA) has been customised as the user interface. This gives the status of the devices attached to the Tele-Medic box and the applications. In addition, the PDA is used to send and display text and status information.', 'FURTHER RESULTS: The receiving end applications display the medical information (e.g. ECG trace, pulse, blood pressure, oxygen saturation levels), image, GPS position and text messages on a PC monitor. A PC dispatcher application is available for sending and receiving SDS and status messages. In addition, a mapping application was provided for displaying the location updates. Another major achievement in this project was the deployment of an advanced multiplexing technology. It is used in the Tele-Medic system which allows the simultaneous transmission of different types of data involved. This multiplexing technology gives priority to time critical data such as ECG data, which requires accurate timing of transmission for proper operation. ', NULL),
  (1251, 'The scheme has been running successfully for the last 6 years and is expanding from 5 nights a week to 7 nights from 1 April 2002.	', 'Yes', NULL, NULL, 'At any one time there are 6 or 7 clients on the register.	', NULL),
  (1252, 'Survey in 2000 revealed 84% of carers thought this service had prevented a fire or other major incident occurring in the home of their relative. The same survey indicated an overall 86% rate of satisfaction with the service provided.', 'Yes - service provision to 80 clients (2002) but the turnover in any year has not been measured.', NULL, NULL, 'Response to these alarms is a vital factor in delivering an effective service and carers and informal networks can be relied on only so far. Assessment is a key factor and has to be geared towards identifying individual behaviour patterns which are resulting in risk and then employing the correct combination of pieces of technology to monitor the hazards. Sensitive involvement of the service user at all times is important. Strict call-handling guidelines for Control Room Operators is a vital part of the service in order to standardise the initial response to activated alarms.     UPDATE:  Since 2001 MECS has also included: 1) the Epilepsy Monitoring Project using body-worn tilt detectors and in-bed seizure monitors and 2) the Falls Management Project, which is a pilot project linked to falls management clinics and using automatic fall detection equipment.  ', NULL),
  (1253, 'Service users express feelings of security which they did not hitherto have.', 'Yes - current service prosision to 11 people (2002)', NULL, NULL, 'The equipment used is set to personal sensitivity levels and service users have some difficulty initially in appreciating that they must be the one to decide on the level of sensitivity depending on how well their seizures are being detected. This lack of appreciation sometimes leads the service user to think that the equipment is not registering or is faulty and they need constant reassurance initially in its use that once sensitivity levels have been set that it will be effective. Full information about the pattern of seizures is vital to the mobile warden team if they are to make good judgements about what is or is not a medical emergency for the individual. Agreeing childcare arrangements in the early stages is vital to the service users\' peace of mind where there are small children present in the home situation.', NULL),
  (1254, 'Pilot project to be evaluated.', NULL, NULL, NULL, NULL, NULL),
  (1255, 'Legal agreements take a very long time to develop from scratch, and can be very costly.    The training & development associated with cultural change of this nature should not be underestimated and should be adequately resourced.    Project management is critical.   Need to plan to mainstream services from the outset if to be viable over the long term', 'Yes - Dundee University evaluation on client and carer views of the services completed in November 2001.     Stirling University 3-year evaluation ongoing.', 'Clients seen:  Currently 37 Housing with Care tenancies, with a further 24 due for completion in May 2002, and 80 more due for completion in March 2003.     Approx 85 clients have been assessed for the Smart Support at Home service, with 72 current service user', 'FUNDING SOURCE:  New Build Housing with Care: Capital funding sources from Scottish Executive New Housing partnership grant, WLC land, sheltered housing development and project management, Housing Association reserves and private funding. Smart Support at Home:  Scottish Executive Grant funding and WLC\r\n', 'West Lothian Council have entered into a partnering agreement with a consortium of technology providers, the lead agency being Tunstall Telecom Ltd. In addition: Bield Housing Association - Alistair McDonald,  Hanover Scotland Housing Association - Helen Murdoch/David Scobie Communities Scotland - Stuart McKay, West Lothian Healthcare NHS Trust - David Small,  West Lothian Council - David Kelly (Corporate Manager), John Reid (Head of Housing Policy & Development), Grahame Blair (Head of Social Work)', NULL),
  (1256, 'Productive partnerships have been formed between private and public sector; older people have experienced a greater level of satisfaction in their lives from improved quality of life; preventative strategies are being developed; the use of ICT has been shown to help overcome social exclusion; evaluation reports have been produced on two pilots.	', 'Yes - Approximately 50 clients have been involved in various pilots and this will be increasing over the next few months with the Prevention Pilot up to an estimated total of 100.', 'Technology is not a panacea but it can enable and facilitate early intervention for problem situations and lessen the long term consequences.', NULL, 'Technologies need to be introduced at a much earlier stage so the clients can become familiar with and understand the technologies before a crisis episode when their level of comprehension is not up to trying new things. People cannot be forced to wear or use technologies no matter how beneficial they are deemed by professionals. Robust maintenance routines are needed to ensure that technologies are working and their functionality and reliability has not been compromised by some external event. Problems such as false alarms and the wearability issue can easily put people off using fall detectors. Other ways of flagging up falls, using non-worn devices, needs to be explored because of the lack of compliance with worn fall detectors. Operational procedures outlining clear roles of responsibility for responses to and maintenance of technologies must be developed.', NULL),
  (1257, 'As a result of early trials, Tunstall produced the fall detector, which Vale Royal Borough Council has added to the range of options available to customers with the Community Alarm Service.', NULL, NULL, NULL, 'It is not known at this stage how many clients will go through this scheme but numbers are expected to be low.  The project is focusing on only one or two rooms currently used for rehabilitation and recovery in this centre.', NULL),
  (673, 'Good success shown with video-monitoring and using pressure mats.  UPDATE:  The first year of the Project has revealed that the types of equipment tested need to be evaluated more fully before they are automatically recommended for use by older people.  Video-monitoring and Pressure Mats have been very effective in specific circumstances and now need testing for a longer period of time and with a wider client group.  The Fall Detectors and Health Monitors have shown promise and require further evaluation.  User feed back has been very encouraging.  Due to unforeseen technical difficulties, personnel issues and delays in obtaining referrals the original aims of the project have not yet been fully realised.	', 'Yes', 'UPDATE:  This project has shown that new technology aids and devices could help people live more independently at home for longer periods of time and offer alternatives to residential and nursing care.  This would eventually have an impact on the numbers of people wanting and needing institutional care', 'Five items of equipment were initially selected for testing:  video-monitors linked to relatives; fall detectors worn on the belt and linked to the alarms service;  pressure mats under the mattress monitored by residential home staff;  wrist-worn health monitor linked to alarms service;  hip protectors (test not proceeded with because of design defects)', 'UPDATE:  As at March 2002, 123 older people from both Ealing and Hammersmith & Fulham had been referred to the project and 52 of these had volunteered to use the equipment.  Referrals to the project have come from statutory organisations such as Residential Care Homes, Sheltered Housing, Day Centres, Social Services, Ealing Hospital and Charing Cross Hospital, voluntary bodies such as Alzheimer\'s Concern, Age Concern, and Registered Social Landlords such as Ealing Family Housing Association.', NULL),
  (1258, 'PART ONE:  4 assistive technology service packages in place, PART TWO:  6 referrals accepted, PART 3:  not yet implemented, ', NULL, NULL, NULL, 'Evaluation: Initial evaluation commenced.', NULL),
  (1259, 'Awaiting outcome of evaluation by Professor Alison Bowes, Stirling University.\r\n\r\n', NULL, 'Original client group was to be over 60\'s living in KA8 area of Ayr.  Referrals broadened this out somewhat, to include people of all ages living in different areas of South Ayrshire', NULL, NULL, NULL),
  (1260, 'Some fall detectors being used but clients not happy with wearing options and they were initiating many false alarms.  Fall detectors had to be withdrawn.  Some bed sensors available - they are not in bed but fit under castors on bed. Attempts made to do this have failed as all beds are different, sometimes resulting in lack of bed stability and danger to the clients. Every effort was made to try pressure mats beside beds but they were found to be a hazard to clients and they were not acceptable to many clients due to their appearance, moreover they could not be appropriately programmed for each individual.  The Guildford Step-up/Step-down Project, led by the Borough Council Sheltered Housing Department, is also testing the use of health monitoring equipment as part of step-down rehabilitation in sheltered housing following hospital discharge.', NULL, 'One distributor has put forward a proposal for jointly funding the development for a suitable secondary night time sensor with the Guildford Falls Project Group and is also reviewing the wearing options for the fall detector as part of the project. Guildford are also trialing other manufacturers of falls detectors. 	', NULL, NULL, NULL),
  (191, 'Patients benefited from the pager and showed a significant improvement in the percentage of tasks achieved.  This was maintained when the pager was withdrawn.  UPDATE:  The NeuroPage Service arose from research carried out at the Oliver Zangwill Centre for Neuropsychological Rehabilitation. Clinical trials demonstrated overwhelming evidence that use of a pager for a limited period substantially improved the number of tasks individuals were able to carry out independently. Clients also demonstrated a residual effect following the pager trial suggesting that use of the pager had enabled individuals to establish a pattern of behaviour.	', NULL, NULL, 'UPDATE:  Over 40 clients. Primarily used by adults with acquired brain injury (head injury, stroke, encephalitis etc) but may also be useful for people with dementia or mental health problems. Current clients range in age from young teenagers to the elderly, from varying social backgrounds, in both supported and independent living. ', NULL, 'UPDATE:  Limitations of the service are that clients must be able to read simple, pager size text and respond by pressing a button.'),
  (1217, 'To be available July 2002.  Older people and carers seen but number of clients not yet available.  See websites:  http://www.shef.ac.uk/careplus and http://www.careplus.information, see also http://www.act.shef.ac.uk/', NULL, NULL, NULL, NULL, NULL),
  (1269, NULL, NULL, NULL, NULL, 'Main Outcome: Guide for the introduction of Assistive Technology', NULL),
  (1270, 'Key findings from project evaluation: i.The technology used in the project was generally reliable and straightforward to install. Any difficulties surrounding the use of the technology were as much about inadequacies in the social response as in technical failure.  ii. Most unpaid carers thought that technology had helped to address behaviour by the person they cared for that worried them.  They also felt that it had helped them by reducing their own feelings of anxiety about the person they cared for. Half care professionals surveyed felt that technology had helped to reduce levels of risk.  iii. There was no evidence that the technology used in the project helped service users to regain lost independence, but there was considerable evidence that the use of technology helped to maintain existing levels of independence. In comparison with a matched group of people with dementia who did not use technology, Safe at Home users tended to remain longer, on average, in their own homes. ', NULL, 'Evidence from the Safe at Home evaluation has indicated that the ability to show what recommended technologies can do to relatives and unpaid carers is particularly helpful in de-mystifying technology.', 'Partners in this project were Northamptonshire County Council Social Care & Health Directorate, which funded the project and has lead responsibility for it; Northampton Borough Council, for both the technical expertise and access to the call care centre; the local Alzheimer\'s Society for advice on good practice and materials such as an assessment tool, and  Northampton Community HealthCare Trust, for advice and referrals.', NULL, NULL),
  (1274, 'The first deliverables were submitted to the commission for review. These included the analysis of the user needs and the re-definition of the problem, the analysis of the market and a in-site demonstration of the way different parts of the system will work and communicate. Following the review, a clinical validation team has been created.', NULL, 'The problem of non-compliance has been re-assessed and it has been analysed from different perspectives. It has been identified that the cultural and organisational differences between those countries in which medicate will be implemented are critical for the success of the project. New partners have been taken on board to complement the clinical validation team.', NULL, NULL, NULL),
  (1224, 'This system is primarily for postgraduate education but it has also been used successfully for many other applications including management meetings, research group meetings and long distance human resource interviews.', NULL, NULL, NULL, 'UPDATE AUGUST 2003: The project is still ongoing in a small way as take up is slow.', NULL),
  (1091, 'The project was completed in July 2001. A robust technical standard was successfully defined and then comprehensively evaluated. The results show that telemedicine enjoys an acceptable safety profile, with overall clinical outcomes similar to conventional practice. However except in rare circumstances telemedicine is more expensive than conventional alternatives, and there are a number of important process issues that must be adequately addressed if this new technique is to succeed.  Those interested in further details of our findings are referred to the project website: www.sectae.org.uk', NULL, NULL, NULL, NULL, NULL),
  (1277, NULL, NULL, NULL, 'Ethnographic', NULL, NULL),
  (1285, NULL, NULL, NULL, NULL, 'Outcome will be determined by quality of life measures.', NULL),
  (1280, NULL, NULL, NULL, 'Randomised trial of up to 40.  Outcome measure to be quantitive and qualitative', NULL, NULL),
  (1288, NULL, NULL, NULL, 'This is a dual method evaluation of a telecare service, consisting of a RCT and parallel qualitative (mainly ethnographic in nature) evaluation of home telecare vs home nursing care for the management of acute exacerbations of COPD.', NULL, NULL),
  (1290, 'Total duration of the study was 31 months; collection of patient data ended on July 31 2002.  For methodological reasons, only afterwards will detailed outcome date be available.', NULL, NULL, 'For this study 428 CHF patients were selected.  Nineteen university and regional hospitals in Germany, the Netherlands and the UK as well as local specialists and GPs were involved. By a random selection process, guided and controlled by an outside specialised institute, patients were allocated to one treatment and two control groups: In group 1 were 169 patients with follow up according to usual clinical practice supplemented by monitoring using conventional telephone contacts plus twice daily telemonitoring equipment interfaces through cordless communications automatically with the telephone, data being transmitted through secure networks to a medical service centre.  In Group 2 were 86 patients, follow up being in accordance with usual clinical practice.  In Group 3 were 173 patients, follow up according to usual clinical practice supplemented by monitoring using convenional telephone contacts.', NULL, NULL),
  (1276, 'Participating doctor James Mackay, a specialist in cancer genetics, says videoconferencing saves time, and is particularly valuable in cases where there are few relevant specialists in the country.  It gives doctors more flexibility, allowing for several consultations per day where only one would have been possible due to time spent travelling. The patients\' response has been overwhelmingly positive, he says, with children particularly enjoying using the videoconferencing equipment.', 'More effective use of consultant and other clinician time by reducing travel time.  UPDATE AUGUST 2003:  The team has produced a video about good practice in Genetic Counselling and counselling over videoconfernce which will be used to disseminate this way of working at local and national forums.', 'The project makes use of a relatively simple technology implemented in a highly practical way.  Some patients felt disconcerted, eg when the doctor\'s head disappeared from the screen in order to show diagrams such as family trees, promoting a feeling of being alone in the room, but this problem may be lessened by the eventual incorporation of a \'split-screen\' where gene diagrams can be displayed beneath the doctor\'s image.  It may initially feel strange talking to a screen in an empty room but most patients visibly relaxed after a while.  Participation in the scheme is always voluntary, although nobody so far has refused consent.  UPDATE AUGUST 2003:  There are normally at least 2 and up to 5 patients present, with genetic medical staff and nurse specialists from other Units observing.  Patients are informed who is in the room.  Patients are asked to give written consent and informed that sessions were not being recorded.', 'Monthly genetics clinics have been set up between GOSH and Southend Hospital to provide Cancer genetics counselling. The GOSH Cancer Geneticist has access to a Video-conferencing facility which has been booked at an adjacent Trust. Southend has a VC facility in a Seminar room within the Oncology Department. It has been agreed that this can be used by patients receiving genetics counselling. The patient is supported by a nurse specialist during the consultation.  UPDATE AUGUST 2003:  Users need induction and training in the basic technical aspects and adjusting to working in a different way, eg, developing a \'script\' to manage interaction.  Sometimes difficult to end a session as usual physical cues absent.  Counselling more than one family member in the same session did not present any particular problems but giving results of genetic tests to more than one family member required additional preparation and clarification of how the family wanted to be told.', 'Ultimately the systems should generate savings through their time-saving potential, possibly cutting out weeks of passing paper around and allowing for instant consultation between clinicians of various departments, reducing pressures on staff in the process.  It can be used between two or more sites simultaneously, even involving sites overseas.  Reports on the project have observed that the doctor has \"more presence\" than in a usual consultation.  On the other hand, Mackay says he sometimes felt frustrated at his inability to control the technology at the patients\' end, relying on assistants at the hospital whose experience varied.  UPDATE AUGUST 2003:  Positive informal feedback from patients, all patients selected for the pilot agreed to take part.  Only took 2/3 minutes to get used to talking to the television, no age related difference in acceptability.', 'UPDATE AUGUST 2003: The difference in quality of environment and systems meant extra time needed at the start of sessions to get best camera angle and sound at the Southend site.  Minor problem initiating the connection on one occasion when technical support not immediately available.'),
  (181, 'UPDATE AUGUST 2003:  Whilst images were useful they were not practical.  ECG still in use.', NULL, NULL, NULL, NULL, NULL),
  (951, 'UPDATE AUGUST 2003:  Project still ongoing with no defined end date but is unlikely to go mainstream in its present form.', NULL, NULL, NULL, NULL, NULL),
  (24, 'UPDATE AUGUST 2003:  Recruitment of patients for the project ended in June 2003.  Data is still being collected and Quality of Life in the patients being measured.  Written results should be available in June 2004.', NULL, NULL, NULL, NULL, NULL),
  (1243, 'Hospital admissions had fallen to around half the anticipated number but because of the small numbers involved this finding should be treated cautiously.  Patients accepted the monitoring and found the equipment easy to use and the Nestor Healthwatch service reassuring.  They felt that their condition was well managed by the service. The experience gained through running this project was transferred to the NHS so that the NHS could continue the service using its own resources.', NULL, 'The concept underlying this project represents a significant shift in the management of COPD patients from hospital to primary care with resulting potential for cost cutting.   ', 'Each patient will be \'point in time\' monitored on a daily basis for SpO2, pulse rate, and weight.  The patient is also asked a number of general and specific health questions, which provide an indicator for \'Quality of Life\'. This monitoring is achieved by using two separate methods. They are: - Using a nursing led call centre, augmented by telemedicine enabled monitoring equipment to capture patient data.\r\n- Using an auto-dial monitoring system in association with NHS Direct. This is a patient led system, with nursing support when required.  In addition to the daily monitoring programme, all patients are provided with an ambulatory monitoring system every 14 days. This system captures the data over a continuous 24 period, whilst still allowing the patient to carry out their normal daily routine. It captures ECG, pulse rate, respiratory rate and SpO2. A clinically supervised spirometry reading is also taken at this time.  ', 'Monitored data from all sources provides the heart of a pure\r\n                                                 dataset that can be analysed to derive evidence based treatment protocols for COPD patients.\r\n                                                 Where responses fall outside predetermined parameters, then a structured treatment escalation\r\n                                                 plan is put into place. The Potential Benefits Routine home monitoring allows for earlier clinical\r\n                                                 interventions. This provides an immediate improvement in patient care, which potentially leads to\r\n                                                 the following benefits: - Reductions in acute exacerbation - Reductions in lost working days -\r\n                                                 Reductions in hospital admissions, and earlier discharges - Evidence based treatment protocols.', NULL),
  (1293, 'Sixteen healthcare professions took part in the study and the results were considered separately.  SCENARIOS:  Telemedicine referrals produced consistently higher scores than telephone referrals.  The mean difference between telemedicine and telephone referral scores was 10.4.  The significance of this difference was p<0.001.  QUESTIONNAIRES; For all questions the overall effect was in favour of telemedicine.  This change was statistically significant in 11 out of 16 questions.  Computer literacy and previous telemedicine experience had no effect.', NULL, 'Telemedicine facilitates fast transfer of accurate information giving the intensive care specialist a greater presence at a remote resuscitation.  Healthcare professionals agreed with the introduction of telemedicine and its perceived benefits.  There was an additional benefit to the telemedicine link through extensive testing during scenarios.', 'Two methods were used to study the telemedicine link.  1.  SCENARIOS  - each participant was required to carry out two ICU referral acenarios; one using telemedicine, the other using the telephone.  The scenarios were compared by means of a 46 point scoring system.  2. QUESTIONNAIRES - given before and after the scenarios to observe change in opinion.  They contained 16 statements which participants had to grade their agreement from 1 to 5.  Questions regarding computer literacy and previous telemedicine experience were included.', NULL, 'Small numbers limit the statistical significance of this study.'),
  (16, 'It was concluded that videoconferencing has considerable potential to support postgraduate training and that trainees and tutors will accept the technology as long as it is used effectively with sessions being centrally organised according to a standard proforma.', NULL, NULL, NULL, 'Potential users should consider the needs of each context carefully.  Users need to be trained in order to expedite successful use.  Reasonable quality video is essential for interactive sessions.', 'There are limitations on its performance, particularly working with ISDN2 bandwidths.'),
  (1218, 'Preliminary indications that the service has indeed saved many attendances at A&E and the conseqent inconvenience for patients (and occasional use of ambulance time) has certainly strengthened the cultural link between the two units.', 'Yes', NULL, 'Project still in development stage but all occasions of use are logged and will be subject to review and scrutiny.', NULL, 'Taken some time to get the equipment functioning satisfactorily and all staff confident and trained.'),
  (1231, 'Of the 81% of patients who use the phone, two thirds prefer dial out and one third dial in.  Eighty-five percent of patients on the phone system have received their result by 7.30pm the same day - in sufficient time to influence the same day\'s dose.  Of 27 respondents who had more than six months experience with both the phone and the postal channels, 21 (78%) preferred the phone.  The interruptive nature of dial out appears to be acceptable to the vast majority of our patients as only 6 patients requested suppression of dial out whilst agreeing to continue to dial in.  Our laboratory staff have found that the new service requires less clerical support to print and post letters, and there are fewer direct telephone interruptions from patients.', 'Yes', NULL, 'Very high patient uptake; satisfaction surveys.', NULL, NULL),
  (1221, 'This follow up gave support to the findings of the pilot study (McLaren et al 1999).  Service users demonstrated high levels of user acceptance although the responses were varying and some patients showed negative responses.  It could be that face-to-face contact is preferable over IATV with some diagnoses.', NULL, NULL, NULL, NULL, NULL),
  (1222, NULL, NULL, NULL, NULL, NULL, NULL),
  (1220, 'UPDATE AUGUST 2003:  The study showed encouraging levels of acceptance of the technology in this setting.  All service users who replied to the questionnaire said they would be willing to use the videolink again.  Both professionals and users were able to achieve their aims during the meeting via videolink as readily as in the face-to-face condition.  Following this preliminary study, the videolink has been integrated into the everyday running of the service, linking the community mental health team to the acute psychiatric ward and primary care.', NULL, NULL, NULL, NULL, NULL),
  (1291, 'The overall results suggest that videoconferening is a feasible and acceptable medium and can widen the availability of mental health services.  The predominantly positive and high satisfaction levels reported from all participants who took part supported its future development for service provision to the island.  Early indications suggest that this is a cost-effective service.  The awareness of telemedicine and its potential in the delivery of mental health services in Jersey were raised.  This project was considered as a pilot for the delivery of specialist services at a national level.', NULL, NULL, 'During the six-month pilot phase of the project five teleconsultations, two acute psychiatric assessmetns and three case reveiws were conducted.  In additiion, six presentations using videoconferencing were held on forensic psychiatry, affective disorders, psychosis, eating disorders, crisis disorders and community specialist teams.', NULL, NULL),
  (1292, 'During the baseline phase, the BDI scores tended to reduce which may have been due to participants\' anticipation that help was on the way and feelings of optimism. Although there was little clinical change, there was some social change for all of the participants who completed therapy such as employment, relationships, contact with family and returning to education. The attendance rate for TeleCAT compared favourably to that of both the local community mental health centre, where the participants were recruited from, and the hospital based CAT clinic where the therapist was based. Most statements made by participants indicated that the videolink enhanced the quality and development of the therapeutic relationship.  ', 'Attendance of TeleCAT was greater than that\r\n of face-to-face therapy and compared to that of other published studies. The data suggested the provision of CAT over the videolink\r\n is not only acceptable, but often the preferred mode.', 'Patients responses to telepsychiatry have been positive in SLaM. Most find the experience acceptable, reduced need for travel and\r\n treatment at a site near home attractive. Professionals concerns about telepsychiatry related to anxiety as a new medium, missing\r\n important non-verbal communication and impaired professional-patient relationship. Despite some apprehension, the initial\r\n reluctance of professionals tends to recede with practice and experience. \r\n\r\n The expertise gained from the current projects is now being harnessed to support major service developments. An economic\r\n evaluation of telepsychiatry services in SLaM is also underway, focusing on travel times and costs of service providers and users in\r\n a geographically dispersed inner-city service setting.', NULL, 'The results suggest that TeleCAT is an acceptable means of providing and receiving therapy. Participants reported experience of receiving therapy via the videolink was, for the majority extremely positive, implying that the provision of teletherapy is an\r\n acceptable mode of delivery.', 'The three issues that emerged related to sound, which was initially poor but\r\n improved after session one; vision, which was blurred when participants moved and was particularly poor at one of the remote\r\n sites; distance, with the therapist initially feeling disconnected from the participant. However, the therapist quickly became\r\n accustomed to meeting participants over the videolink.'),
  (1294, 'As at 31 March 2003, 725 patients had been successfully referred in this way in the Dermatology programme, with only a little more than 4 in 10 patients typically following the traditional route of treatment.  Significatnly, a recent Teledermatology evaluation study has shown that patients resoundingly agree with this strand of telemedicine to cut down waiting times and travel and GPs broadly regard it as effective in accessing dermatologists.', NULL, NULL, 'Local training on the use of video conferencing is ongoing over the next period of the project, pending an agreed national programme and further installations for both the MIUs and Teledermatology sites will continue across all three trusts when new equipment has been approved and delivered.  In addition a new User Group of Nurse Leads will be established across North Wales.', 'These activities demonstrate the numberous benefits afforded by telemidical technology for the total population of 657,000 people in North Wales, spread over six Local Health Authority areas.', NULL),
  (1295, 'This project is just one component of the Dyfed/Powys Health Authority modernisation plans for the A&E and minor injuries service provided for their population and draws on matched funding from the Welsh Assembly Government to produce complementary Minor Injuries Units as part of an A&E/MIU Clinical Network.', NULL, 'Since there is a broad consensus of agreement that the modernisation agenda of NHS Wales is crucial for the people of Wales, it is also agreed that these plans can assimilate the technology and applications provided by telemedicine to integrate primary, secondary and tertiary care in the region and so provide comprehensive health provisions at all levels.', NULL, NULL, NULL),
  (1297, NULL, NULL, NULL, 'The following studies are being carried out: Study of half-way house for psychiatric patients in Carlisle.  Study of how someone adapted their home after having a stroke.  Use of cultural probes (with Age Concern Barrow and Dundee).  Study of a Warden Call Centre.  Study of a ShopMobility Service.  Use of technology biography with elderly person living in a smart home.', NULL, NULL),
  (1298, NULL, NULL, NULL, 'Due to the nature of the research topics predominantly qualitative methods will be used. Recordings of teleconsultations will be analysed mainly using topic analysis.', NULL, NULL),
  (1299, NULL, NULL, NULL, 'To facilitate the rehabilitation process, and in particular the interaction between the patient and their support team of healthcare professionals, the patient\'s progress will be monitored and adjusted using a web-based strategy for communication between them and their support team as part of a virtual rehabilitation and support network.  This same web-based communication strategy will also be used to support feedback to patients as to their progress against defined and agreed objectives.  The exoskeleton will also be capable of limited self adaptation (within defined parameters) to patient performance based on pre-programmed settings and progression targets.  This will remove the need for a direct intervention at the patient\'s home every time there is a change to be made to the system set-up as their rehabilitation progresses.', NULL, NULL),
  (1300, NULL, NULL, NULL, 'Facilitated focus group feedback on proposals by sample group.', NULL, NULL),
  (1301, NULL, NULL, NULL, 'Questionnaire with 60 people - 60 for intervention and 30 as controls.', NULL, NULL),
  (1302, NULL, NULL, NULL, NULL, NULL, NULL),
  (1303, 'The project has developed systems, which enable GPs to electronically refer patients from their surgeries to the Physiotherapy service within the Trust using standard forms and for the physiotherapists to send discharge information directly back to the GPs at the end of treatment. The Physiotherapy service has won the NI Quality Award in Healthcare as a result of this work.', NULL, NULL, NULL, 'Alongside the technological developments, South and East Belfast Trust has led a group from Italy, England and Prince Edward Island in Canada in developing and applying Business Process Re-engineering tools to ensure that the benefits to be gained with the introduction of electronic messaging are maximised. This involved the physiotherapy department in the Trust investigating current workflows to develop more efficient and appropriate processes, which took full advantage of the technology available.', NULL),
  (1305, 'EPIC developed a prototype for integrated care across professional groups which led to the Trust\'s development of a Person Centred Information Concept. The results of EPIC led to the formation of the ITHACA project.', NULL, NULL, NULL, NULL, NULL),
  (1306, 'This project, funded through the Leonardo Programme, began in December 1998 and ran for a period of 28 months. It was co-ordinated by the University of Sheffield. The two main development sites were Utrecht in the Netherlands and Belfast. ', NULL, NULL, NULL, NULL, NULL),
  (434, 'Improvement in quality of information leading to improvement in patient care.', NULL, 'The main achievements of ITHACA have been: (1) The development of a common functional model for sharing information which reflects the user requirements of all sites and the three client areas of mental health, maternity and child health; (2) The development of four demonstrator systems for the lead sites in Andalucia, Belfast, Porto and Turku; (3) The transfer of the demonstrator developed for Belfast to sites in Greece and Italy as well as its evaluation by users in Sweden and Ireland.', NULL, NULL, NULL),
  (1307, NULL, NULL, NULL, 'For the first group, the emphasis was on managing risk to enable people to retain as much autonomy as possible, the aim was to use the technology to assist with independent travel. In the management of chronic obstructive airways disease the aim was to provide health education, rehabilitation and medical monitoring to prevent or reduce hospital admissions and facilitate earlier discharge.', NULL, NULL),
  (1308, 'South and East Belfast Trust has been over the years developing a Technology infrastructure which will help in the delivery of care to its clients and patients. There is a need to provide seamless care between hospitals, GPs and community services, and to ensure all professionals have access to the information they need to make effective decisions about care. ', NULL, NULL, NULL, NULL, NULL),
  (1309, 'The project came to a conclusion in January 1999 with a consensus conference in Leuven, Belgium. This project helped identify training needs for health and social care practitioners in assessment of older people in domiciliary settings and led to the GATT project. The EASYcare development group has now representatives in 16 countries, it is intended to be the European standard for assessment of older people in primary care settings. ', NULL, NULL, 'It is a multidisciplinary first stage assessment used by community nurses, occupational therapists and social work assessors. The assessment is used by sites in Sheffield and Hull in England, Andalucia in Spain, Turku in Finland, Utrecht in the Netherlands and Hamburg in Germany. Its development was supported be the World Health Organisation (European Region)', 'The EASYcare system has now been mainstreamed into practice by District Nurses, Occupational Therapists and Social Work Assessors working with older people in the Trust. The system was introduced into two GP Practices in October 1999, along with a newly developed EASYcare Standard and Audit Protocol. ', NULL),
  (1310, NULL, NULL, 'A concurrent parallel pilot study on patients without major left ventricular systolic dysfunction was also conducted. ', NULL, NULL, NULL),
  (751, 'Many students are unfamiliar with online learning at the start of the course and need some instruction.  Once this has been delivered many seem to like this form of learning, particularly the chat rooms.  Formal evaluation will be available in 1999.', NULL, NULL, NULL, 'UPDATE AUGUST 2003 - Project now finished.  The work has informed the creation and running of various online courses but no specific developments.  Contact no longer available.', NULL),
  (1311, 'The pilot study has shown that motivated patients can collect data and enter it into DiasNet via the internet and they can derive useful information to aid self-management of their diabetes as a result.', NULL, NULL, 'Patients record data for four consecutive days which is entered omtp DiasNet using simple data entry windows.', 'The programme has proved effective in training patients in carbohydrate counting and insulin dose adjustment.', 'Data entry can be cumbersome and the screen was not \'user-friendly\' but this was redesigned and simplified.'),
  (1312, 'The first model Assist Project House for South East Wales has been developed in Tredegar to illustrate the capabilities of sensory technology for those living with dementia. \r\n\r\nThe house at Roderick Hill Court in Dukestown has been donated by Gwerin Housing Association for the duration of the project and has been fully adapted meet the needs of dementia sufferers. It will serve as a model for other local authorities and mental health organizations as an example of the range of technologies currently available and under development. \r\n\r\nThe house has been fitted with a full range of sensors and detectors, the majority of which were developed by Tunstall Telecom Ltd., and have been designed to ensure that dementia sufferers can live as independently as possible. The property also offers exhibition space and a meeting room for interested groups. It could also be used as a training facility to raise awareness of the difficulties encountered by dementia sufferers living in the community.', NULL, NULL, 'The project will focus on six clients and their carers living independently in the Blaenau Gwent Community. All clients considered will receive a full comprehensive assessment under the NHS and Community Care Act 1990, which will be completed by nurses. A full medical assessment will be carried out by a doctor. Clients and carers will be fully involved in the assessment process using the MMSE, CADI and CASI rating scales. This will determine how they perceive their quality of life at the start of the project, 6 months and 12 months into the project. ', NULL, NULL),
  (1313, '\"If this is telemedicine, prescribe some more!\" Alison Carlisle, March 2000.\r\n', 'There have been clear benefits from having the videophone at patients homes. It has enabled remote clinical assessments and rapid response, which has meant a reduction in home visits and more time being spent on assessment and care by the nursing staff. ', 'The system is unintimidating, very simple to use and because it takes up no more space than an office telephone, is very convenient.  Carers have found that advice and support are more readily available, providing greater reassurance to the patient.\r\n', 'The Hospice approached patients and their families who it felt would benefit most from the system. \r\n\r\n', 'The overall results of the pilot have been a pleasant surprise to us. At first the nurses were sceptical, but have subsequently taken to the videophone. It has probably paved the way for more adventurous applications of the technology.', 'Some technical problems with the telephones regarding the resolution and therefore are currently (Feb 04) exploring the use of lap tops using a secure intranet.'),
  (1268, NULL, NULL, NULL, 'Five housing associations and five local authorities who have installed a range of AT into their properties are participating in the research.  Following extensive discussions with all the participating providers, audits of up to ten properties have taken place in each provider\'s ownership, based on an assessment of standard house types.  These audits will be used to examine the housing implications of installing a range of AT, based on the requirements of three hypothetical users.  At the same time, older people\'s involvement in the research is being secured by inviting a group of residents, distinguished by age, disability levels and living circumstances, to contribute, their experience of the benefits and drawbacks of AT in their home.  These participants have also be asked to complete a questionnaire about their age, disability, health and so on.   Specific packages of AT for a number of typical users  will be designed.', NULL, NULL),
  (1314, 'Expected Results:  The project will drive towards the introduction to the market segments concerned with environmental-related diseases of an innovative trans-European service supporting an integrated provision of information and telecare management with collection, organisation and dissemination to health community and citizens.  As direct result, IREMMA will establish a business-oriented approach by consolidating a business plan which will aggregate directly and indirectly, revenues streams for its parties, social savings and socio-economic benefits for health care community, citizens and the countries. \r\n\r\n', NULL, 'The most important benefit is the implementation of an integrated trans-European network empowered by the technological competency of telemedicine, achieving a pan-European medical service for environmental diseases and establishing a technological framework, ahead from its competitors, throughout the European market.\r\n', 'IREMMA uses the latest telematic technologies to provide innovative services on healthcare support. ', 'Easy, immediate access any time and place via telematic services, accuracy, expertise, wealth and quality of information provided, are a few of the advantages that will motivate citizens to adopt the IREMMA integrated approach.\r\n', NULL),
  (1316, 'Very enthusiastic from parents, medical and nursing staff pleased with quality of link, sound/picture. \r\nProject in use by three families, one main Consultant and a small team of Paediatric Neurology Home Care Nurses.', NULL, NULL, NULL, NULL, 'None'),
  (1315, 'Patients enrolled into the DIADEM programme receive help to develop and practice self-management skills. DIADEM\'s telemonitoring functionality enables every patient to enter self-monitored data (e. g. blood glucose values) to the electronic patient record. This allows the physician to monitor the patient\'s condition continuously. \r\n\r\n', 'Yes', 'Health care professionals are supported to apply state-of-the art knowledge and latest information to the diagnostic and therapeutic process. DIADEM\'s communication infrastructure connects the care team involved in the patient\'s care process e.g. general practitioner, specialist, hospital and leads to the implementation of an integrated care process. \r\n\r\n\r\n\r\n', 'Diabetes currently affects 3-6% of the European population. Diabetes and associated complications such as kidney failure, blindness and lower limb amputations create enormous suffering and impose significant costs on the European health care system (e.g. 10 billion in Germany, 5 billion in UK). Major clinical trials have demonstrated that the burden of diabetes and its complications can be dramatically reduced if intensive therapy is provided to lower patients blood glucose and blood pressure. This requires improved flow of information and improved co-operation by all healthcare professionals involved in the patients care and greater compliance of the patients involved.', 'DIADEM monitors the outcomes and continuously optimises the process in order to achieve the best possible outcomes for patients, providers and payors. \r\n\r\n', NULL),
  (1317, 'Data being evaluated.', 'Yes', 'Equity of healthcare in a prison is difficult to accomplish and telemedicine is beng evaluated to determine its value.', 'Secondary healthcare is normally gained by a specialist visiting the prison, which can mean the specialist seeing one person and taking up half a day or more, or a prisoner being escorted to a hospital for which custodial costs can run to 40,000 pounds per visit.  The telemedicine system will reduce custodial costs, escapes, failed medical attendances and prisoner inconvenience and should reduce the clinical isolation felt by prison healthcare professionals.', 'Our Telemed programme is being opened up for multidisciplinary lung cancer meetings with Guy\'s.  In addition it is being rolled out to provide teaching with the University of Plymouth surgical teaching programme and it is being pioneered for use in genetic counselling for bowel tumours.', NULL),
  (13, 'An estimated 700 e-mail contacts have been made by patients during the last year.  A review of the e-mail correspondence indicated main reasons for e-mail contact were mostly enquiring about results of recent investigations, further advice, seeking advice for adverse effects of drugs, clarification about appointments and miscellaneous queries.', 'Yes', 'We have been providing e-mail facilities for patients over the last several years.  Patients who wished to avail of this service were given e-mail address for direct correspondence with the Consultant.  Patients are encouraged to e-mail a few days after clinic attendance to ask for results of investigations undertaken at that visit.  They are also advised to e-mail with regard to any queries or concerns they may have regarding medications, adverse effects, clinic appointment or other queries.', 'We have previously surveyed patients in our clinics indicating  that about only a quarter of the patient population knew how to use internet and e-mail, or had any access.  As a result of this we had embarked on internet roadshows to increase patients\' knowledge and ability to use e-mail as a convenient and rapid method of communication  with  their  care personnel.  To further increase community expertise, the community uptake of internet use and e-mail correspondence with healthcare workers, we have successfully obtained a major grant which enabled us to set up an on-line learning centre in the community with the help of a community centre.', 'We have found that allowing patients to e-mail the Consultant directly, reduces the stress patients face routinely when trying to contact their clinical carers either Consultants or General Practitioners or Specialist Nurses.  There are obvious delays or difficulties on telephone contact and also with the routine channels of  communication such as the post.   Our innovative service development of e-mail facilities for patients, drastically reduces the time interval between patients contacting the services and obtaining responses to any concerns or queries and obtaining further advice regarding continued management. \r\n\r\n', 'Our review indicated that, in general, most patients\' e-mail contacts were responded to within the same day, often within the hour of receiving e-mails from the patients.  When delays of more than 48 hours occurred, these were usually due to Consultant being on leave or waiting for patients\' notes or results of tests to arrive.'),
  (1320, 'In-house personnel are evaluating clinical effectiveness  \r\n', 'Yes', NULL, 'Patients at the local hospitals can obtain a neurological consultation with a doctor at the Royal Victoria Hospital usually within 48 hours or less of being referred by their local Consultant. \r\n', 'Patients do not have to travel to Belfast for a specialist neurology opinion and so are offered a better and more efficient service.', 'Physician acceptance.  Integration of telemedicine into health care delivery '),
  (1319, NULL, NULL, NULL, 'The programme of work, to commence in November 2003, will be divided into the following stages over a period of 36 months.  Workpackage 1: technical feasibility study.  Workpackage 2: protocols for technology development.  Workpackages 3 & 4 Building Prototype Devices.  Workpackage 5 Evaluation.  Details are on the website.', NULL, NULL),
  (1321, 'In a 14 month period 76 referrals were received, 67 of which were replied to within 48 hours.  43 referrals were dealt with without the need for a consultation, 9 with investigations and 34 without.  Neurologist\'s time was reduced by 38%.  Satisfaction was high for both GPs and patients managed by email.  Review of GPs records subsequent to email consultation showed good levels of initial safety.', 'Yes', 'This is a novel method of dealing with the primary-secondary care interface in a specialty with inadequate numbers of consultants.', 'We set up a study with eight general practitioners (GPs) who agreed to refer ALL their patients with neurological symptoms who required hospital referral, to a neurologist, using email.  The neurologist agreed to reply within 48 hours, either arranging a consultation, or investigations, or merely offering advice.', 'Email triage of new neurological referrals is possible, acceptable, safe, and has the potential to make the practice of neurologiest considerably more efficient.', NULL),
  (1322, NULL, NULL, NULL, 'The research is being carried out in a new `care village\' being developed by Anchor Trust in Denham, Buckinghamshire, an extra care housing scheme developed by Thomas Pocklington Trust in Plymouth and the existing general housing stock in Barnsley. These represent `live laboratories\' to test and demonstrate the mainstream implementation of telecare and design solutions.', NULL, NULL),
  (1323, 'The project has now completed its development and testing phase. This has provided invaluable information on user needs, possible teleshopping models, and technology, financial and legal issues. The full report of the project will be available in mid-2004. \r\n', NULL, NULL, 'The ability to carry heavy shopping bags is one of the first that is lost in the process of increasing frailty. In recent years, local authorities have met the shopping needs of older people, but the number of older people living independently is increasing. And recent policy changes mean that only people with substantial care needs are eligible for such a service. There is a pressing demand from local authorities and from individuals for a more affordable shopping system suitable for older people. \r\n\r\n', NULL, NULL),
  (1325, 'The Centres have established a range of projects exploring telecare and telemedicine issues and are interested in talking to potential partners for new projects. These projects feature collaborations between industry and academics and between experts in healthcare and ICT', NULL, NULL, 'See websites:\r\nCare in the community http://www.btexact.com/research/researchprojects/currentresearch?doc=80064, and UbiCare http://www.ubicare.org/index.shtml\r\n', NULL, NULL),
  (1326, NULL, 'Yes', NULL, 'Telemarque is already configured to meet the needs of Dermatology and Burns specialities, and is currently installed in a number of NHS Trusts throughout the U.K. including East Kent, Nottingham and Merseyside. The agreement with South Manchester provides for its extension into Plastic Surgery and related areas such as trauma, wound management, leg ulcers, and dressing management.', NULL, NULL),
  (1327, 'The work completed so far has enabled the team to develop procedures for working and liaising with each other\r\n                            and has led to the development of a number of assistive devices.', 'Yes', 'The cooker monitor project has made major advances this month (June) with the installation of three systems in\r\n                            the UK and Ireland. They have demonstrated already that they are detecting gas leaks and are turning off the\r\n                            cooker creating them. ', 'A house on a Gloucester development has been made available by Housing 21 and some devices have already\r\n                            been installed. A pilot study has been completed which explored the development of smart house technology for\r\n                            people with dementia. This project builds on the pilot work by developing new devices and systems for the house\r\n                            that aim to solve the problems identitied by the user survey. The problem areas to be tackled include safety\r\n                            related tasks such as the use of the cooker, reminder devices for problems such as taking medication and support\r\n                            systems such as a cookery assistant. All these devices will be designed to emulate the solutions that live-in carers\r\n                            have found to work with the people they are caring for. The project will also look at the more generic problem of\r\n                            communication with', 'A new phase of research examines \'intent to wander\' amongst people with dementia. The most suitable technology\r\n                            for a prompting or dissuading devices is an infrared or ultrasonic sensor. In the Smart House, a bedside light\r\n                            comes on when a person with dementia rises from their bed during the night. A text message is sent to the carer\r\n                            and a prompt will be given to the individual to remind them to return to bed. The study considers the psychological\r\n                            nature of prompting and will examine the most effective method of communication with the person with dementia\r\n                            and the best timing for this prompt. Examples include a blast of air, a clock face displaying the time to prevent\r\n                            nightime wandering, or a familiar voice recording. The second new phase of research involves the installation of\r\n                            alarms to ', NULL),
  (421, 'Hardware and networking developed.  Small scale trials started.', 'Yes', NULL, 'The ACTION on-line information database and tele care support service consists of six components. Namely, multimedia caring programmes, videophone, Internet services, call centres, senior service centres and education modules.  See website for further information.', 'The initial EU project was implemented in close co-operation\r\n with older people and their family carers in five European\r\n countries. Due to the high levels of user acceptance of ACTION across the partner countries, the service was further developed and evaluated in Sweden. ', NULL),
  (1329, 'See website for results.', 'Yes', 'There is interest from patients in using IT to communicate directly with the health service.', 'All patients over 16 (including students) registered within the Practice were sent a letter about the project asking them is they wanted to participate and if they had email access.', 'There is an interest from patients in using IT.', 'Only a very small number of patients replied to the original letter .'),
  (1330, 'The results of the trial are currently being analysed and will be available for publication in Spring 2004.  ', NULL, 'The solution overcomes the drawbacks inherent in the current home\r\nmonitoring of patients\' lung capacity, whereby results are recorded\r\nmanually and viewed retrospectively by GPs, by automating the \r\nprocess\r\nto provide more accurate, real time information.  During the trial,\r\nwhich ran from February 2003 -February 2004, 100 mild to moderate\r\nasthma sufferers aged 12 to 55 from 9 GP surgeries  measured their\r\nlung capacity by using a peak flow meter attached to an O2 xda mobile\r\ndevice. ', 'The patients were required to take morning and evening measurements by breathing into an electronic flow meter. The asthma patient switches the flow meter on, connects a cable from the meter to the xda, and blows three times into the meter. Within a few seconds, the PEF and FEV-1 measurements have automatically been transmitted by the phone\r\nand appear, together with an accurate time stamp, at a remote server.  The flow meter is connected via a serial cable to an O2 xda, installed with e-San software.   The xda transmits the data to the e-San server over GPRS connectivity.  Software on the e-San server tracks the readings, identifies values which may be of concern, and spots developing trends as early as possible.  ', 'If the new measurements are\r\nwithin the limits appropriate for this patient (patient profiling),\r\nthe data is added to the individual\'s file on the server. But if the readings are identified as being of concern, the server will automatically notify the GP. The GP or Practice Nurse can access patient data on the remote server via a secure web page and get in touch with the asthma patient (by sending a text or placing a voice call to the xda). In addition, whenever no measurements have been received for more than a day, the server will auto send a text message to the xda requesting new data from the patient.  A doctor can access the data via the Internet for a view of the patient\'s records before a consultation.  The ability to also provide the data back to the patient on the xda provides an opportunity for improved self management as patients are enabled to understand their symptoms and take appropriate remedial action.', NULL),
  (1331, 'Refer to published paper below. This activity is an off shoot of the North East Scotland Telemedicine project.', NULL, NULL, 'SHOs undertaking posts in Aberdeen Royal Infirmary A&E department received an induction programme consisting of twelve hour-long tutorials covering a range of basic emergency medicine topics. These sessions were broadcast simultaneously to similar groups of new SHOs based in peripheral A&E department in the remote regions of Elgin, Shetland and Stornoway using the Sony 1600 videoconferencing system. A short multiple-choice paper, based on the core material from the induction course, was administered to all SHOs before and after the induction programme.  In addition to this, a questionnaire asked respondents to rate each lecture for relevance, presentation and content.\r\n', 'Utilizing tele-education in the A&E setting might allow SHOs based in peripheral units similar access to quality teaching as that enjoyed by SHOs in larger hospitals. Further experience and evaluation is required to optimise this method of education delivery.', NULL),
  (1332, 'The development of the package is now finished and it is up and running on three pilot sites in Tower Hamlets and Newham (Bethnal Green Library, Mile End Hospital, and Plaistow Day Hospital).  Post-implementation evaluation of the application by interviewing real users in the kiosk settings is currently being carried out.', NULL, NULL, 'Project target users and stakeholders were involved in the development and evaluation of the package.', NULL, NULL),
  (1233, 'The three tumour sites (sub set of Haemato Oncology, Lung and Breast) that the work package has been developing, have resulted in a basic system that the Haematology department can insert patient details in to, recording details about an episode of leukaemia. This process has allowed the suitability and workflow of the system to be confirmed. Continuing development of the Haemato Oncology module would enable QinetiQ to demonstrate it understands the Cancer arena to the Cancer Tsar and the NHSIA. The system can receive information from the Lung and Breast clinical systems once a diagnosis of cancer has been made and an oncologist can view all of the investigations and results that were used to make the diagnosis.  The emphasis of the system has put the control of the system in the hands of the end users as far as possible, with support from IT professionals only where it is essential.', NULL, NULL, NULL, 'The systems design gives flexibility for on-going development within the Trust in terms of adding cancer sites, adding clinical pathways, reporting on variances from pathways, and accommodating changes to the pathways (under change control) as clinical practice changes. CNCIS has received QinetiQ investment for further development and actions are in place for taking to market.\r\nThe technology and knowledge from the programme is also being further consolidated in order to develop further services that could be used to support the national modernisation agenda.\r\n  ', NULL),
  (1240, 'Development of a technology demonstrator (DeepScan Ultrasound),to generate and capture wideband data, and thus quantify performance improvements. \r\nDevelopment of Doppler technology and appropriate concept sub-systems as a method of assessing patients for coronary artery stenosis. Development of technologies and techniques realising the potential of current military metal detection equipment for medical applications such as needle and shrapnel detection.\r\nDevelopment of a technology demonstrator (Precision Metal Locator) to precisely locate pieces of metal, either as a stand-alone magnetic sensor, or when integrated into an ultrasound scanner.\r\n', NULL, 'Deepscan Ultrasound - doubling of resolution, has received an accolade in recognition of major innovation in clinical applications (possibly world first). ', NULL, 'QinetiQ have developed three technology demonstrators and published 27 technical reports in support of the DTfH programme. This will benefit UK capital modernisation programmes by facilitating the identification and understanding of shortfalls in the current ultrasound capabilities and the operational environment they encounter. Understanding of the potential performance improvements offered by new technologies,system concepts and methods of operation to underpin decision making in research. Development of a UK-based research capability to provide technology development and system level modelling and assessment of ultrasound imaging. Exploitation of UK defence technology to the benefit of UK medical services.\r\n', NULL),
  (1236, 'The project offers the opportunity to improve patient care in the pre-hospital setting. It is much more than an electronic report form: it can guide the acute care provider to better manage the incident and the patient. There is enthusiastic national and international interest in the project. An educational evaluation of UECS by the military has shown that it improves sequencing of treatment by 32% and pathology detection by 25%. 90% of all claims across the NHS are due to communications breakdown; the record of pre-hospital treatment which e-medICS makes is designed to eliminate this at the ambulance / A & E department handover. It is believed that there is the potential for massive use of e-medICS for remote care in the military environment.\r\n', NULL, NULL, 'The system uses  ruggedised panel PC\'s (model 6650) from a USA company (Intermec) using windows 98SE, which has a GSM option using a Motorola D10 modem (telematics card).  The PC is modified by QinetiQ (KISCOM) to provide communication to a wireless headset (inc mic), by embedding a commercial DECT package in the PC (with heavy modification). A \'push-to-recognise\' (PTR) switch for the speech recognition system was also provided as part of this system. The GSM transmissions are received by Mulitech USB modems connected to a DELL server, which is connected by a kilostream link to a DELL workstation PC. The workstation is connected to a Samsung touchscreen LCD monitor and two \'Brother\' network printers. The network extension at the A&E dept is a wavelan using Breezecom \'Breezenet\' access point and station adaptor.  The panel PC\'s can be connected to Kodak DC5000 digital cameras and physio-control Likfepak 12 monitor/defibrillator.', 'The system trial has now ended and, although the hoped for volume of clinical evidence has not been generated to prove the clinical efficacy of the computerised UECS, a great deal has been learned about the implementation of a concept such as e-medICS.  There are significant cultural and change management issues to be overcome before such a system becomes commonplace.  There is however a great deal of pressure within the Health Service to address these issues and realise the clear benefits of contemporaneous decision support and record creation together with flexible protocol development and delivery and the related potential for remote training delivery.', NULL),
  (1229, 'The Project delivers a modern IT solution that addresses three of the Key Drivers of Government initiatives to apply IT to the modernisation of the NHS:\r\n-	The need to optimise health resources.\r\n-	The need to meet the growth in the aspirations of the \'Empowered Consumer\'.\r\n-	The need for confidential and secure patient data.\r\nThe Project delivers a prototype, secure, web-based tele-echocardiology referral system.\r\nThe system has been rolled out at three outlying hospitals to which GST provides cardiology referral services and has undergone an initial trial.', NULL, NULL, NULL, NULL, NULL),
  (1230, 'Recordings of fECG have been performed independently in two different  hospitals and valuable results obtained for a number of normal, abnormal and multiple pregnancies. A cardiac arrhythmia was identified, and a dangerously high heart rate confirmed, in a singleton pregnancy. This was subsequently treated and became more normal. A cardiac arrhythmia was detected in one of two twins. This was not previously known and was subsequently confirmed by ultrasound. A pre-terminal fECG was detected in one of three triplets in a high-risk group pregnancy. Each of these cases is believed to represent a \'world-first\' for fECG, made possible by the recording equipment and the processing capability to extract and display the signals of interest that were developed on this project. In addition, a large number of recordings have been made to establish normal ranges vs. gestation for the first time for a number of key clinical parameters such as PR and QT intervaland QRS duration.', NULL, 'This project is a prime example of the successful application of defence technology to healthcare. Under this project, a new clinical capability has been created, tried and tested in two hospitals. It has the potential to change both fetal science and clinical practice through the application of fECG to screening for abnormalities and the monitoring of high risk cases. It has possibly already saved one life and has the potential to save many more.', NULL, 'fECG was obtained for normal and abnormal, single and multiple pregnancies with a good success rate and in more detail than has previously been possible. A number of World First results were obtained such as the establishment of normal ranges for clinically important parameters and fECG separation in both twins and triplets. The process of peer review has began with publication at a medical conference and a submission to a leading journal. A number of cardiological problems have been identified which had not been so before but which were then subsequently confirmed by other means.\r\n', NULL),
  (1235, 'Telepathology and Content-Based Image Compression: The novel QinetiQ Content-Based Image Compression (CBIC) algorithm has been developed/implemented and has achieved high compression ratios (up to 150:1) without loss of diagnostic information for histopathology slide images. Histopathology image analysis: The performance of the developed automatic system for the extraction and analysis of histopathology diagnostic features for breast cancer is consistent with that of human pathologists and the system has met with clinical approval. The system offers enhanced traceability, stability and repeatability, and the reduction of operator fatigue.\r\nHistopathology database system: The interactive web-based histopathology database system enables the remote and interactive management and automatic analysis of histopathology slide images of breast cancer tissues. It provides the capability for generating patient reports based on the automated analytical results. ', NULL, NULL, NULL, 'A framework for managing histopathology images has been established. The components have been successfully researched and implemented, and a prototype system has been developed. The benefits of the breast cancer analysis tools, of the QinetiQ content-based image compression for telepathology and of the interactive database system have been demonstrated and have received clinical approval.\r\nThe major outcome of this project has been to show the feasibility of providing automated, objective and quantified histopathological scoring and grading for use in cancer management. This is ground breaking work and has never been accepted as possible let alone attempted. The next steps will involve a wider population of pathologists and use images from different pathology departments and hospitals, so that the inter-observer and intra-observer variations can be addressed more comprehensively, as well as to substantiate the value and use of fully objective and statistically robust measures.', NULL),
  (1232, 'A robust and reliable remote physiological data collection and annotation system has been installed at Guy\'s and St Thomas\' Hospital and has allowed some \'normal\' data to be collected which would form the beginnings of a benchmark data set\r\nTime limitations have resulted in a limited data set that has not allowed for the full set of objectives to be achieved.\r\nThe work is not sufficiently mature to consider commercial exploitation through either direct QinetiQ efforts or through third parties.\r\n', NULL, '- Remote Monitoring/Data Annotation System: This has been achieved and has been operational for several months. It forms the basis of a generic vital parameters data collection and annotation system and its full set of features is thought to be unique - Intelligent Alarm System: A prototype non-optimised version has been developed based on the work performed for the Frimley Park Hospital project - Core Database of Variability in Parameters for the two conditions of interest: Some \'normal\' data has been obtained which would form the beginnings of a core database - Prevalence of Otherwise Undetected Changes in Patients\' Vital Parameters: This has not been achieved due to limitations of available patient data - Outcome of the Intelligent Alarm System: The prototype non-optimised version has not been tested on any significant clinical events due to limitations of available patient data - Technically this type of Remote Monitoring could be achieved in a Patient\'s Home: Demonstrated March 02', NULL, NULL, NULL),
  (1234, 'A Proof of Concept system has been developed for the remote monitoring of patients, which incorporates a protocol for the automatic detection of the onset of infection and automatic e-mail and pager alerts.  The system has been successfully tested without patients in GST and has undergone a trial within QinetiQ using volunteers. It is recommended that this solution is integrated with aspects from the rest of the DTfH project such as the Cancer Network Clinical Information System (CNCIS) and COPD monitoring project. For example, the incorporation of monitored information into the Specialist Electronic Patient Record (SpEPR), based on the cancer minimum data set, would provide a master record available in real time and accessible to all appropriate staff.', NULL, NULL, NULL, 'The current monitoring system has been technically validated. For the next generation of the system a number of areas have been identified where further refinement would be beneficial:	Pill management - the current process for managing the use of, and the transition between pills is satisfactory for the small scale trial within the scope of the project. However, further automation of the process is recommended to ensure the system is easy to use by both patient and carer and to avoid increasing the workload of nursing staff during the trial. Further integration - The wearable part of the system should be integrated further to minimise weight, improve comfort, allow further automation and to simplify the battery management aspects including overall power consumption. Heart rate measurement- the chest strap solution was chosen for simplicity for the trial but a more appropriate solution would be used for an extended trial to improve comfort and ensure continuous monitoring is possible.', NULL),
  (1237, 'This project has proved that the MELODI concept for metal location in flesh can be realised in practice. A sensor unit has been built which performs within the bounds predicted in the initial feasibility study. The absolute accuracy was found to be generally within 2-3 mm if a target is within range. (Some targets in particular positions can return an error of up to 10 mm but this is unusual.) The volume of space that MELODI can confine a target to is 2.5x10-4 (or 0.025%) of the volume that a small conventional metal detector could confine it to. MELODI has also been successfully integrated with an ultrasound imaging machine to aid the discrimination of metals within the image. The success of the demonstration of the MELODI sensor has enabled rapid progress to be made in bringing about production to supply the NHS.', NULL, NULL, NULL, NULL, NULL),
  (1333, NULL, NULL, NULL, NULL, 'Success/benefit/failure and performance/effeciencey enhancement as perceived by affected stakeholders to establish/derive signs of incremental and progressive IT adoption as well as willingness of use, usefulness and utility of other informatics online services in the future (eg. e-referrals & e-medical records).', NULL),
  (1334, 'The academic telederm.org project was launched in 2002 and till now more\r\nthan 270 healthcare professionals, coming from 40 different countries,\r\nsubscribe to the services offered by telederm.org. Over the first 20\r\nmonths since inception, telederm.org has answered more than 600 requests\r\nfor consultations.', NULL, NULL, NULL, NULL, NULL),
  (1336, 'Progress to date: \r\nData collection commencement was delayed for reasons of recruitment and\r\nsupply of the technology.  It has been necessary to recruit IT support to\r\nconfigure and set up the satellite stations in participants\' homes.\r\n\r\nAt end of June, 11 participants had been recruited to the study.  Target \r\nremains 60 (30 in trial group, 30 in control group)', NULL, NULL, 'Development phase; RCT [A] Standard care [B] standard care + telemedicine', NULL, NULL);

INSERT INTO `teisro`.`proj_technical`(`projectcode`, `integration`, `type_of_application`, `descr_other_app_type`)
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  (1081, 'Standalone', 'Healthcare Delivery', NULL),
  (931, 'Standalone', 'Healthcare Delivery Integration', NULL),
  (951, 'Standalone', 'Decision Making', NULL),
  (961, 'Standalone', 'Healthcare Delivery', NULL),
  (981, 'Standalone', 'Decision Making', NULL),
  (991, 'Standalone', 'Healthcare Delivery', NULL),
  (1001, 'Hospital', 'Healthcare Delivery', NULL),
  (1011, 'Standalone', 'Healthcare Delivery', NULL),
  (1021, 'Standalone', 'Healthcare Delivery', NULL),
  (1031, 'Standalone', 'Across boundaries', NULL),
  (1061, 'Standalone', 'Healthcare Delivery', NULL),
  (1091, 'Standalone', 'Healthcare Delivery', NULL),
  (1111, 'Standalone', 'Decision Making', NULL),
  (1121, 'Standalone', 'Decision Making', NULL),
  (1131, 'Standalone', 'Decision Making', NULL),
  (1141, 'Hospital', 'Decision Making', NULL),
  (1151, 'Standalone', 'Decision Making', NULL),
  (1161, 'Standalone', 'Decision Making', NULL),
  (1171, 'Standalone', 'Decision Making', NULL),
  (1182, 'Hospital', 'Across Boundaries', NULL),
  (1191, 'Standalone', 'Decision Making', NULL),
  (1202, 'Standalone', 'Decision Making', NULL),
  (1211, 'Standalone', 'Decision Making', NULL),
  (971, 'Standalone', 'Healthcare Delivery', NULL),
  (1250, 'Standalone', 'Decision Making', NULL),
  (1316, 'Standalone', 'Decision Making', NULL),
  (1249, 'Standalone', 'Improvement of Pre hospital care ', 'Remote patient monitoring and diagnosis');

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INSERT INTO `teisro`.`publication`(`pubcode`, `pubtitle`, `pubtype`, `pubdate`, `pubisbn`, `pubdescr`, `pubartintitle`, `pubdescrlong`, `lastchanged`)
VALUES (13, 'Security issues in Telemedicine', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Proceedings Telemed 98, Sixth International Conference on Telemedicine and Telecare', NULL, '1999-08-20 00:00:00'),
  (2, 'Evaluation of a training and diagnostic ultrasound service for General Practitioners using narrowband ISDN', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Proceedings Telemed 98: Sixth International Conference on Telemedicine and Telecare', NULL, '1999-08-01 00:00:00'),
  (3, 'Teleradiology or teleconsultation by Emergency Nurse Practitioners 1995', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Proceedings Telemed 95, Medicine on the SuperHighway, pp.111-115', NULL, '1111-01-01 00:00:00'),
  (4, 'Remote Trauma Management', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Proceedings Telemed 95, Medicine on the SuperHighway, pp.116-120', NULL, '1111-01-01 00:00:00'),
  (5, 'Confidentiality and ethics in telemedicine', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Proceedings Telemed 95, Medicine on the SuperHighway, pp.121-125', NULL, '1111-01-01 00:00:00'),
  (6, 'Teleradiology or teleconsultation for Emergency Nurse Practitioners 1996', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare,2(1): 56-58', NULL, '1111-01-01 00:00:00'),
  (7, 'Remote Trauma Management - setting up the system', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, 2(1): 65-68', NULL, '1111-01-01 00:00:00'),
  (8, 'Confidentiality and ethics in telemedicine', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, 2(1): 68-71', NULL, '1111-01-01 00:00:00'),
  (9, 'A protocol for telemedical consultation', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, 4: Suppl1108', NULL, '1111-01-01 00:00:00'),
  (10, 'Radiological diagnosis by telemedicine', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, 4:Suppl1108', NULL, '1111-01-01 00:00:00'),
  (11, 'Comparing telemedical with face-to-face consultation for remote trauma management', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Proceedings Telemed 98, Sixth International Conference on Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (12, 'Public Opinion about the use of telemedicine for remote trauma management', 'Article', '2003-07-31 00:00:00', NULL, NULL, 'Proceedings Telemed 98, Sixth International Conference on Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (14, 'Sigmoidoscopy in a nurse practitioner community clinic using telemedicine', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Proceedings Telemed 98, Sixth International Conference on Telemedicine and Telecare', NULL, '1999-08-20 00:00:00'),
  (15, 'Conference proceedings', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Conference Proceedings, Telemedicine Journal 98 vol4  p.122', NULL, '1999-08-20 00:00:00'),
  (50, 'Digital teledermatology for skin tumours: a preliminary assessment using a Receiver Operating Characteristic (ROC) analysis', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Proceedings Telemed 98, Sixth International Conference on Telemedicine and Telecare', NULL, '2003-07-31 00:00:00'),
  (49, 'The Pilgrim\'s Progress', 'Article', '1999-03-18 00:00:00', NULL, NULL, 'Health Service Journal', NULL, '2003-09-14 00:00:00'),
  (20, 'Non-invasive cardiorespiratory monitoring at home and in hospital', 'Article', '1994-01-01 00:00:00', NULL, NULL, 'Fetus and Neonate vol2. Breathing. CUP 1994, pp.343-363', NULL, '1999-09-14 00:00:00'),
  (19, 'Remote physiological monitoring in the home', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Jouranl of Telemedicine and Telecare, 1996.2, pp.107-113', NULL, '1999-09-14 00:00:00'),
  (22, 'An evaluation of telemedical support for a minor treatment centre', 'Article', '1996-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, 2(2): 1-7', NULL, '1999-09-14 00:00:00'),
  (23, 'The Future Role of Telemedicine at the Interface of Primary and Secondary Care', 'Article', '1996-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, vol. 2, suppl. 1 pp.87-88', NULL, '1999-09-15 00:00:00'),
  (24, 'Can Telemedicine Improve Communications between Primary and Secondary Care?', 'Article', '1996-01-01 00:00:00', NULL, NULL, 'British Medical Journal, vol. 313, pp.1377-1381', NULL, '1999-09-15 00:00:00'),
  (25, 'Is there a Role for Telemedicine in the Urban Environment?', 'Article', '1997-01-01 00:00:00', NULL, NULL, NULL, NULL, '1999-09-15 00:00:00'),
  (17, 'Comparison of teleconsultations and face-to-face consultations: Preliminary results of the UK multicentre Teledermatology study', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'British Journal of Dermatology 1998', NULL, '1999-09-14 00:00:00'),
  (26, 'Royal Naval Medicine Service', 'Article', '1997-01-01 00:00:00', NULL, NULL, 'Journal Royal Naval Medicine Service', NULL, '1111-01-01 00:00:00'),
  (72, 'Empowering the Patient, Personal Home Monitoring using the Internet', 'Article', '1997-11-01 00:00:00', NULL, NULL, 'Proceedings of 3rd annual OMNI Seminar, Brighton, 03-NOV-97', NULL, '2003-09-08 00:00:00'),
  (73, 'A Novel Technique for the implementation of a Multiprotocol Control Centre for dispersed Social Alarms', 'Thesis', '1996-01-01 00:00:00', NULL, NULL, NULL, NULL, '1111-01-01 00:00:00'),
  (29, 'Point-to-point telemedicine using ISDN', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, 2(1) 82-3', NULL, '1999-09-15 00:00:00'),
  (31, 'Medicolegal aspects of establishing and running a commercial telemedicine service in the UK', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Proceedings Telemed 98, Sixth International Conference on Telemedicine and Telecare', NULL, '2001-02-02 00:00:00'),
  (30, 'The use of telemedicine in the community to improve the management of heart failure', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Proceedings Telemed 98, Sixth International Conference on Telemedicine and Telecare', NULL, '1999-01-15 00:00:00'),
  (32, 'Promoting reflective practice through structured clinical supervision', 'Article', '1997-01-01 00:00:00', NULL, NULL, 'Journal of Nursing Management, 5;77-82', NULL, '1999-09-15 00:00:00'),
  (33, 'Caring together; clinical supervision', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Nursing Standard, 12(22);4-18', NULL, '1999-09-15 00:00:00'),
  (35, 'Keeping above the surface in an action research study', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Nurse Researcher', NULL, '1999-09-15 00:00:00'),
  (51, 'Evaluation of NeuroPage: a New Memory Aid', 'Article', '1997-01-01 00:00:00', NULL, NULL, 'Journal of Neurology, Neurosurgery and Psychiatry, 1997, Vol 63, pp.113-115', NULL, '2003-08-22 00:00:00'),
  (39, 'High Speed Data Communication and Telemedicine: User requirements and Equipment Identification', 'Article', '1994-05-03 00:00:00', NULL, '                                      ', 'European Commission Aim Project A2050: BRITER, Deliver', NULL, '1999-09-24 00:00:00'),
  (40, 'The SAVIOUR Project: A Review', 'Article', '1996-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, vol 2, suppl. 1, pp.84-86,1996', NULL, '1999-09-24 00:00:00'),
  (53, 'The SAVIOUR Project', 'Article', '1996-02-01 00:00:00', NULL, NULL, 'Computing and Control Engineering Journal, vol. 7, no. 1, February 1996', NULL, '1999-09-24 00:00:00'),
  (41, 'Report on the User Interface with Telepresence in Immediate Care and Rehabilitation', 'Article', '1996-03-07 00:00:00', NULL, NULL, 'European Commission Aim Project A2050: BRITER, Deliverable 7, March 1996', NULL, '1999-09-24 00:00:00'),
  (42, 'A review and cost benefit analysis of SAVIOUR findings', 'Article', '1996-04-09 00:00:00', NULL, NULL, 'European Commission Aim Project A2050: BRITER, Deliverable 9,April 1996', NULL, '1999-09-24 00:00:00'),
  (43, 'Videoconferencing Teleradiology and Telepresence in Trauma Care', 'Article', '1997-03-01 00:00:00', NULL, NULL, 'Proceedings of the Healthcare in Computing Conference 1997: Current Perspectives in Healthcare Computing. Harrogate March 1997', NULL, '1999-09-24 00:00:00'),
  (44, 'Medical Decision Support for Remote General Practitioners using Telemedicine', 'Article', '1997-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, vol. 3, no. 1, pp.27-34, 1997', NULL, '1999-09-24 00:00:00'),
  (45, 'Costs and Benefits of a Telemedicine Link for a Remote Community Hospital', 'Article', '1997-01-01 00:00:00', NULL, NULL, 'British Journal of Healthcare Computing and Information Management, vol.14, no. 6, pp.14-16, 1997', NULL, '1999-09-24 00:00:00'),
  (16, 'The role of telecare in the management of exacerbations of chronic obstructive pulmonary disease in the home', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 1999; 5(suppl 1):66-67', NULL, '1111-01-01 00:00:00'),
  (36, 'Patient cost-benefit analysis of teledermatology measured in a randomised control trial', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Proceedings Telemed 98, Sixth International Conference on Telemedicine and Telecare', NULL, '1999-09-23 00:00:00'),
  (57, 'A joint US-UK study of home telenursing', 'Article', '1997-01-01 00:00:00', NULL, NULL, 'Telemed 97 International Conference on Telemedicine and Telecare', NULL, '1999-09-23 00:00:00'),
  (37, 'Home telecare for the Elderly', 'Article', '1995-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, 1995(1), pp.183-184', NULL, '2003-11-26 00:00:00'),
  (52, 'The Potential role of Communications and Information Technology (C&IT) for postgraduate education: survey of facilities and skills in the South West Deanery', 'Article', '1999-07-01 00:00:00', NULL, NULL, 'British Journal of Obstetrics and Gynaecology, July 1999, Vol 106, pages 731-735', NULL, '2003-08-08 00:00:00'),
  (58, 'Telemedical Activity in the United Kingdom: A Review and Assessment', 'Report', '1996-09-01 00:00:00', NULL, 'This report was commisioned by the Research and Development Division (RDD) of the Department of Health to survey activity in the UK, to identify the barriers to progress and to make recommendations for the development of telemedicine.  It contains a detailed appendix on telemedicine projects in the UK, from which this database in constructed.', NULL, 'This report was commisioned by the Research and Development Division (RDD) of the Department of Health to survey activity in the UK, to identify the barriers to progress and to make recommendations for the development of telemedicine.  It contains a detailed appendix on telemedicine projects in the UK, from which this database in constructed.\n\nA Review and Assessment of Telecare Activity in the UK and Recommendations for Development\n\nThis review of Telecare Activity in the UK is commissioned by the Department of Health and follows an earlier review of telemedicine activity carried out by the same authors.\n\nFor the purpose of the Review, telecare can be defined as:\n\n\"...the use of information and communication sytems to give patients with or without their healthcare professional or informal carer access to information sources wherever they are located....\"\n\nThe telecare process frequently takes place within patients\' place of residence and this is common characteristic of the examples found in this study.\n\nFollowing the earlier study, the research proceeded via structured interviews, literature searches and information retrieval from the Internet and involved several of the practitioners who participated in the telemedicine survey.  However, it soon became clear that telecare extends beyond the medical sector and it was necessary to reflect the work of groups across a wide spectrum of public and private organisations including, for example, the hospice movement and providers of community alarm systems.\n\nThe results discovered 14 major telecare projects which fall into three distinct catagories; medical (outreach services from the secondary and tertiary sectors), technological (using communications to improve the quality of life for the elderly) and social (housing and social services organisations discharging their duty of care).  Only recently have these groups perceived a commonality of pupose and whilst there are good examples of collaboration there is a lot to do at a strategic level.  \n\nMany of the projects are supported by EU programmes and the review discusses funding issues and compares the position of telecare in the UK with circumstances in Europe, the USA and other countries with advanced information infrastructures.  The comparisons show that UK telecare lags behind its application elsewhere except in one area, community alarms systems, where local authority and private initiatives demonstrate a powerful new way of delivering care in the community.\n\nThe report also considers in detail the cost effectiveness of telecare and concludes that many of the claims made for inreased quality of services and savings in delivery are justified.  Interestingly, telecare services often bring other tangible benefits to enhance the well-being of patients and to support inividual living and to overcome remoteness.\n\nBarriers to the expansion of telecare in the UK are also considered and the Review concludes with specific recommendations for the development of telecare.  These recommendations emphasise the need to build upon existing strengths via greater coordination between service providers and by the development of a broad economic model to define costs and benefits more carefully.', '1111-01-01 00:00:00'),
  (60, 'A Review and Assessment of Telecare Activity in the UK and Recommendations for Development', 'Survey', '1997-09-01 00:00:00', NULL, 'This survey was commissioned by the RDD to examine in more detail Telecare activity in the UK.', NULL, 'Telemedical Activity in the United Kingdon: A Review and Assessment.   Since 1990 there has been a rise in activity in telemedicine in the UK and other countries.  This project was undertaken to review the activity, identify the key isues surrounding the future development of telemedicine and make recommendations.  The study was funded in part by a grant from the R+D Division of the Department of Health and their support is gratefully acknowledged.\r\n\r\nThe survey was conducted by researchers from LSU College, University of Southampton and consisted of structured interviews with academic and medical staff involved in the field.  Use was made of other means like the Internet to make contacts with interested parties.  The term telemedicine is used when referring to a number of applications of information and communication technology (ICT) to medicine.  Some of these, like teleradiology or 3D simulation software, are advanced information management techniques and, although extremely valuable in contributing to improved healthcare, are not telemedicine.  As a result of this study we reserve the term telemedicine for \"remote, telematic healthcare\" which involves patients more closely in their healthcare process.  \r\n\r\nThe study found that the telemedical activity in the UK (which consists of 24 projects distributed around the UK) is unco-ordinated, has been applied in only eight clinical areas, and that there are no comparative studies and few cost-effectiveness studies.  Nevertheless, telemedicine  has demonstrated a lot of potential and institutions are planning further work.  Companies are also about to offer telemedical services into the UK.  There is a commercial opportunity for the sale of telemedical services (including educational services) overseas.\r\n\r\nThe development of telemedicine in the UK, and that means the application of telemedicine to mainstream medicine, will not take place until the key issues are addressed.  These are largely organisational but also to do with integrating telemedicine into healthcare policy and strategy.  This study concludes with suggestions for further work by the Department of Health to monitor and co-ordinate activity, to guide the development of telemedical activity and to lead the commercial exploitation of telemedicine.\r\n\r\nThe challenge that confronts the NHS today is how to develop a comprehensive understanding of telemedicine and the issues surrrounding its introduction so as to allow its beneficial use in years to come.', '1111-01-01 00:00:00'),
  (67, 'Telemedicine and Telecare: Impact on Healthcare, a report prepared by the Institute of Health Services Management', 'Report', '1998-05-12 00:00:00', NULL, 'Advances in information, communication and bioengineering technologies will change the ways healthcare is delivered.  Most believe that Telemedicine and Telecare technology has proved itself both technically and clinically.', NULL, 'Advances in information, communication and bioengineering technologies will change the ways healthcare is delivered.  Most believe that Telemedicine and Telecare technology has proved itself both technically and clinically.\n\nThe key issues concern the way the introduction of these services is managed so as to maximise the benefits for patients and healthcare services.  Telemedicine and Telecare already encompass a very wide range of applications using varying degrees of technology from standard telephone to ultrasound video by satellite.  They include:\n\nRadiology and imaging, Cardiology, Information for patients and carers, Dermatology, Pathology, Telephone triage, Endoscopy, Home monitoring, Telephone follow up, Opthalmology, Prompting Services, Continuous education of clinicians, Psychiatry,            Community nursing,  Access to expert advice, Trauma and minor injuries, Primary care advice, Links with social care.  Parallel developments in technology are taking place in the field of social care, especially in the area of alarms and the monitoring of daily living activities.\n\nTelemedicine and Telecare, by changing the way in which services are delivered, have the potential to provide a wide range of benefits.  The most important benefits are improving access to services and expertise; improving the quality of services; supporting teaching and research.  Telemedicine and Telecare will change the place of care and the configuration of health services, with more care provided at home and in the community and less in hospitals.  If realised as an integral  part of the way in which services are delivered, it could reduce in-patient stays, A&E and OP attendances, also home visits.  Patients can benefit from reductions in the amount and cost of their time and travel.  Assessment and discharge can be speeded up, and waiting lists reduced.  This implies significant productivity gains.\n\nThe main difficulties appear to be that these technologies bring with them the need for changes in the way people work.  Telemedicine and Telecare do bring problems about the loss of personal contact between the clinician and patient; however studies have shown this to be less significant than expected.\n\nThere are now  a number of important clinical, technological, economic and political factors, including the White Papers, coming together to create a strong impetus for the development of Telemedicine services.\n\nRelationships between patients and clinicians, also between health authorities, their staff and the wider communities are of the upmost importance in managing the changes.  Training is a key issue.\n\n- Department of Health have a vital role at national level in supporting these developments by providing a strong lead and ensuring that the right framework and infrastructure are developed.\n- Health Authorities, when deciding the range and location of services and developing Health Improvement Programmes, will need to take into account the potential of Telemedicine and Telecare to provide better healthcare.\n- Trusts should consider how to realise any benefits for improved patient care and greater efficiency.\n- Primary Care will experience the changes in the relationships with secondary care, the way that referrals can be made and how patients can be better supported at home.\n\nDeveloping a multilevel approach will stimulate discussion of the issues and facilitate the development of services.  It would be best driven by a co-operative partnership between government, health services, the professionals, industry and patients\' representatives.', '1111-01-01 00:00:00'),
  (62, 'Keeping Care Local', 'Report', '1998-04-01 00:00:00', NULL, 'A study into the potential for increasing the direct access of patients to health and social care in Ceredigion through the use of information and communication technologies.', NULL, NULL, '1111-01-01 00:00:00'),
  (63, 'The Future\'s Bright: The Future\'s Digital, Information technology and health information towards the millenium and beyond', 'Report', '1996-01-01 00:00:00', NULL, 'This report reviews the actual and potential use of information technology for health professionals and shows how health inforamtion could become accessible to the public through GP surgeries, hospitals or libraries, and ultimately on compact disc, the Internet, cable or satellite in the home.', 'ct disc', NULL, '1111-01-01 00:00:00'),
  (65, 'Rethinking IT and Health', 'BOOK', '1998-09-01 00:00:00', NULL, 'Doctor Simon Wallace of Worldcare UK has written a chapter for this book entitled \"Telemedicine in the NHS for the Millenium and Beyond\".  Copies can be obtained from Central Books, 99 Wallace Road, London E9 5LN Tel: 0181-986-5488', NULL, NULL, '1111-01-01 00:00:00'),
  (46, 'Emergency Medical Aid for the Marine Industry - The Mermaid Project', 'Article', '1996-10-01 00:00:00', NULL, NULL, 'Proceedings of the Fifteenth Leith International Conference, Aberdeen, Scotland, October 1996', NULL, '1999-09-24 00:00:00'),
  (47, 'Telepresence for Decision Support Offshore', 'Article', '1996-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare, vol. 2, no. 3, pp.176-177, 1996', NULL, '1999-09-24 00:00:00'),
  (48, 'Report on the Development of the MERMAID Demonstrator', 'Report', '1997-09-01 00:00:00', NULL, NULL, 'European Commission Telematics Applications Programme Project HC-1034: MERMAID, Overall Deliverable for WP3, September 1997', NULL, '1999-09-24 00:00:00'),
  (61, 'An Analysis of UK Telemedical Activity in the Primary Healthcare Sector', 'Thesis', '1997-11-01 00:00:00', NULL, NULL, NULL, 'This thesis explores the issues that confront the GP community and the wider medical establishment as they struggle to contend with the rapid pace of change brought about by the new technology.  Whilst the banking, retail and business communities have embraced change in order to survive, the NHS and medical practice has yet to catch up.  There needs to be a wide public debate on the issues raised by telemedicine and on how the NHS as an institution can adapt and continue to survive into the next century.', '1111-01-01 00:00:00'),
  (74, 'Handbook of Telemedicine', 'Book', '1999-01-01 00:00:00', 9051994133, 'The purpose of this book is to structure the basic knowledge linked to teaching to provide or practising telemedicine as well as an overview of the technology developments to this new discipline.', NULL, NULL, '1111-01-01 00:00:00'),
  (76, 'The Telemedicine Toolkit', 'Book', '1999-01-01 00:00:00', 1857754808, 'Easy to read workbook style guides the reader through the technological maze.  Demystifies an apparently complex subject.  Shows how to implement telemedicine projects.  Uses Thnik Boxes, Hazard warnings, Tips, exercises and Technical advice.', NULL, NULL, '1111-01-01 00:00:00'),
  (77, 'Telemedicine.  What happens in a remote consultation?', 'Article', '1999-12-01 00:00:00', NULL, NULL, 'Int J Technol Assess Health Care, Winter 1999, 15 (1) p220-35', 'The results of a field study of three sites that used video link primary care medical centres to hospitals are reported.  The analysis was concerned with identifying the people involved, the tasks carried out in collaboration at each end of the link, and how the different communications facilities helped or hindered.  The results are summarized as six task characteristics and their design implications for this model of telemedical consultation are discussed.\n', '1111-01-01 00:00:00'),
  (78, 'A Survey of Norwegian Telemedicine', 'Survey', '1999-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 5 (1) p32-37', NULL, '1111-01-01 00:00:00'),
  (79, 'A survey in the Grampian region of the knowledge, experience and attitudes of doctors to telemedicine', 'Survey', '1999-12-01 00:00:00', NULL, NULL, 'Proceedings Telemed 99, Seventh International Conference of Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (82, 'The need for a holistic view of telemedicine, focused on patients and society as prime stakeholders', 'Article', '1998-01-01 00:00:00', NULL, 'This paper argues for a more holistic and integrated view of telemedicine to be taken, to ensure that technology is harnessed to meet need.', 'Medinfo 1998 9 PT2 p1204-8', NULL, '1111-01-01 00:00:00'),
  (81, 'An assessment of the potential effect of a Teledermatology system', 'Article', '1999-12-01 00:00:00', NULL, 'The assessment of the potential effect of a commercial teledermatology system.', 'Proceedings Telemed 99, Seventh International Conference on Telemedicine and Telecare', 'The assessment of the potential effect of a commercial teledermatology system.  The system allowed general practitioners to send dermatologists a set of digital images, accompanied by a short patient history.  Patients were seen, in the normal way, by consultant dermatologists.  The system was then used to capture a set of images.  These were viewed by two dertmatologists, 13 months later.  Reasonably high levels of agreement were found between the dermatologist seeing the  patient and the dermatologist using the telemedicine system (77%).  It was found that this system would therefore not lead to significant savings, nor reduce the waiting list for outpatient appointments.  The idea would have potential if the review of images could be made as easy and the triage of referral letters.', '1111-01-01 00:00:00'),
  (83, 'A randomized controlled trial to assess the clinical effectiveness of both realtime and store-and-forward teledermatology compared with conventional care', 'Article', '1999-12-01 00:00:00', NULL, NULL, 'Proceedings Telemed 99, Seventh International Conference of Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (84, 'Interactive television for an urban adult mental health service: the Guy\'s Psychiatric Intensive Care Unit Telepsychiatry Project', 'Article', '1999-12-01 00:00:00', NULL, NULL, 'Proceedings Telemed 99, Seventh International Conference of Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (85, 'Evaluating telemedicine for minor injuries units', 'Article', '1999-12-01 00:00:00', NULL, NULL, 'Proceedings Telemed 99, Seventh International Conference on Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (86, 'Transforming Local Care', 'Article', '1999-12-01 00:00:00', NULL, NULL, 'Proceedings Telemed 99, Seventh International Conference of Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (87, 'A pilot study of radiotelemetry for continuous cardiopulmonary monitoring of patients at home', 'Article', '1999-12-01 00:00:00', NULL, NULL, 'Proceedings Telemed 99, Seventh International Conference on Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (88, 'Evaluation of a teledental PC videoconference link in the delivery of a restorative dentistry service to remote dental practices in Scotland', 'Article', '1999-12-01 00:00:00', NULL, NULL, 'Proceedings Telemed 99, Seventh International Conference of Telemedicine and Telecare', NULL, '1111-01-01 00:00:00'),
  (89, 'Re-engineering communication patterns in medical consultations: A new role for Telemedicine', 'Article', '1997-01-01 00:00:00', NULL, 'Cluster randomised controlled trial using telemedicine at the primary secondary care interface: findings of a pilot study.', NULL, NULL, '2003-08-01 00:00:00'),
  (90, 'Cluster randomised controlled trial using telemedicine at the primary secondary care interface: findings of a pilot study', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 1999 Vol2 No2 126-130', NULL, '2003-08-01 00:00:00'),
  (69, 'Teledermatology - experience of setting up an integrated teledermatology service', 'Article', '1999-06-01 00:00:00', NULL, NULL, 'Telemed, Jerusalem June 1999', NULL, '2000-03-03 00:00:00'),
  (70, 'AIDMAN - Advanced Iformatics Distributed Medical Access Network', 'Article', '1999-08-01 00:00:00', 967335515, NULL, 'MIE99, Ljubljana, Slovenia, Aug 1999, p625-30', NULL, '2000-03-03 00:00:00'),
  (71, 'Teledermatology - UK experience of setting up an Integrated teledermatology service', 'Article', '1999-08-01 00:00:00', 967335515, NULL, 'MIE99, Ljubljana, Slovenia, Aug 1999, p274-7', NULL, '2000-03-03 00:00:00'),
  (91, 'The AIDMAN Project - a telemedicine approach to cardiology investigation, referral and outpatient care', 'Article', '1999-11-01 00:00:00', NULL, NULL, 'Telemed 99, London, Nov 1999, p32-4', NULL, '2000-03-03 00:00:00'),
  (92, 'Trying to make a professional development easier with new technology distributed learning - a pilot project in healthcare', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'BR J Healthcare Comput Info Manage; 16(9), 24-5', NULL, '1111-01-01 00:00:00'),
  (98, 'The use of telemedicine for remote trauma management in minor accident and treatment service', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'European Telemedicine 98/99; 103-104', NULL, '2003-07-31 00:00:00'),
  (99, 'Problems of telemedicine', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'Emergency Nurse 1999; 7(5):29 -32', NULL, '2003-07-31 00:00:00'),
  (100, 'Telemedical consultation system - how to choose', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'Emergency Nurse 1999: 7(6):11-13', NULL, '2003-07-31 00:00:00'),
  (101, 'Training users of telemedicine', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'Emergency Nurse 1999; 7(7):29-31', NULL, '2003-07-31 00:00:00'),
  (102, 'Colour perception in telemedicine', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 1999;5:211-219', NULL, '2003-07-31 00:00:00'),
  (103, 'Supervising trauma life support by telemedicine', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2000;6 Supplement 1:7-11', NULL, '2003-07-31 00:00:00'),
  (104, 'How do teleconsultations for remote trauma management change over a period of time', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2000;6 Supplement 1:12-15', 'r', '2003-07-31 00:00:00'),
  (105, 'A comparison of telemedicine with face to face consultation', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2000;6 Supplement 1:178-181', NULL, '2003-07-31 00:00:00'),
  (106, 'Transfer of telemedical support to Cornwall from a national telemedicine network during a solar eclipse', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2000;6 Supplement 1:182-186', NULL, '2003-07-31 00:00:00'),
  (107, 'Level of diagnostic confidence and accuracy in teleradiology for minor injuries work', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Journal of Telelmedicine and Telecare 2000;6 Supplement 1-196', NULL, '2003-07-31 00:00:00'),
  (108, 'Telemedicine - the technology and its applications', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Emergency Nurse 2000; 7(10):6-8', NULL, '2003-07-31 00:00:00'),
  (109, 'Quality assurance in minor injuries telemedicine', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2000; 6 Supplement 1:212', NULL, '2003-07-31 00:00:00'),
  (96, 'Minor Injuries Telemedicine', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 1999;5(suppl 3):S3:1-S3:50', NULL, '1111-01-01 00:00:00'),
  (97, 'Evaluation of patient views undertaken by North Manchester CHC', 'Report', '1111-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-08-27 00:00:00'),
  (94, 'Parliamentary debate on Telemedicine', 'Report', '2000-05-04 00:00:00', NULL, 'On 4th May, Dr Howard Stoate MP obtained an adjournment debate in the House of Commons on the subject of telemedicine.  The response by the parliamentary Under-Secretary for Health (Ms Gisela Stuart) includes information that may prove valable and quotable.  Link to the Hansard record.', 'Hansard Record', NULL, '1111-01-01 00:00:00'),
  (64, 'The Legal and Ethical Aspects of Telemedicine', 'Book', '1998-05-01 00:00:00', NULL, NULL, NULL, 'This book addresses some of the legal, ethical and policy issues that could potentially hold back the progress of telemedicine into the mainstream of medical practice.  Currently the creation of appropriate standards, best practices and legal framework has not caught up with the rapid developments which are being made in telemedical technology and systems.  Issues such as consent and confidentiality, data protection, access to records, medico-legal risks and the practice of telemedicine across state and regional boundaries are examined.  It is vital for clinicians, managers and lawyers to come to grips with these aspects of telemedicine and the book provides a reference source for the various legal and clinical problems which may be encountered.', '1111-01-01 00:00:00'),
  (111, 'Report on Telehealth in Canada', 'Report', '2000-03-01 00:00:00', NULL, NULL, NULL, 'In March 2000 The Keston Group (www.keston.com), in collaboration with Infotelmed Communications Inc (www.infotelmed.ca), was commissioned by Industry Canada (www.strategis.ic.ca) to review the state of the telehealth industry in Canada.  Industry Canada has granted permission for portions of that report to be given wider publicity.  To that end, the Executive Summary and an Extract describing on-going telehealth programs in Canada have been posted to Keston Group web site.  [Note from Trevor D Cradduck, the Keston Group and Jocelyn Picot, Infotelemed Communications Inc.]', '1111-01-01 00:00:00'),
  (75, 'The Impact of Telemedicine on Healthcare Management', 'Book', '1999-01-01 00:00:00', 9051994842, 'This book offers a comprehensive source of information not only for experts but also for target groups.  It provides background information on legal issues concerning further development, and evaluation of telemedicine applications.', NULL, 'This book offers a comprehensive source of information not only for experts but also for target groups.  It provides background information on legal issues concerning further development, and evaluation of telemedicine applications.  The work also presents numerous projects covering the clinical fields of emergency medicine, surgery, oncology, cardiology, endocrinology, ophthalmology, dermatology, radiology, patholody, psychiatry and other clinical specialities.  Recognizing the Internet as a major source of information on issues related to telemedicine and information technology in general, a \'Webliograpbhy\' provides links to a selection of the most relevant Web sites on the Internet.', '1111-01-01 00:00:00'),
  (122, 'Telemed & Telecare 2000 - Kirkwood et al, J', 'Article', '1111-01-01 00:00:00', NULL, NULL, NULL, NULL, '1111-01-01 00:00:00'),
  (121, 'Telemed & Telecare 1999 - Freir et al, J', 'Article', '1111-01-01 00:00:00', NULL, NULL, NULL, NULL, '1111-01-01 00:00:00'),
  (1, 'The reality of virtual learning', 'Article', '2001-01-04 00:00:00', NULL, NULL, 'Therapy Weekly', NULL, '2003-09-09 00:00:00'),
  (18, 'Conferencing: a way of meeting \'like minds\' from all over the world without leaving home!', 'Article', '2000-12-01 00:00:00', NULL, NULL, 'Occupational Therapy News', NULL, '2003-09-09 00:00:00'),
  (21, 'Telematics - the potential of Computer Mediated Communication in Professional Practice', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Psychiatric Care 5(2) pp72-75', NULL, '2003-09-09 00:00:00'),
  (28, 'The utilisation and practical aspects of tele-ophthalmology between South Africa and the United Kingdom', 'Article', '2001-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare Suppl', NULL, '2003-09-08 00:00:00'),
  (38, 'The role of telemedicine in multicare trials', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 6(6):343-7', NULL, '2003-09-08 00:00:00'),
  (125, 'Post-operative evaluation of patients following ophthalmic surgery', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare. 6:S1; 84-86', NULL, '2003-09-30 00:00:00'),
  (126, 'Telemedicine in ophthalmology', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'British Journal of Ophthalmology. 83(11): 1254-6', NULL, '1111-01-01 00:00:00'),
  (123, 'Telemedicine versus face to face patient care: effects on       professional practice and health care outcomes (Cochrane review)  Abstract', 'Report', '2003-01-24 00:00:00', NULL, 'It is not possible to have a copy of the whole report on the website, because of copyright, but this takes you to the abstract and tells you where to find the full version:      \nhttp://www.imbi.uni-freiburg.de/cochrane/cochrane/revabstr/ab002098.htm', NULL, NULL, '1111-01-01 00:00:00'),
  (59, 'The Development of Telemedicine in the United Kingdom', 'Report', '1996-11-01 00:00:00', NULL, 'This report follows on from Telemedical Activity in the United Kingdom: A Review and Assessment.  It proposes some further applications across other medical disciplines and other sectors of the NHS.', NULL, 'This report follows on from Telemedical Activity in the United Kingdom: A Review and Assessment.  It proposes some further applications across other medical disciplines and other sectors of the NHS.\n\nThis study was commissioned by the R&D Division of the Department of Health and undertaken by researchers from LSU College, University of Southampton.  It is a companion study to an earlier one reviewing activity in telemedicine in the UK.  The objective was to identify potential applications of telemedicine and to propose a scenario for the development of telemedicine.\n\nThe study briefly describes some of the recent applications of telemedicine and, building on these, proposes some future applications across other medical deisciplines and other sectors of the NHS.  Both benefits and opportunities are described.\n\nTelemedicine is a new way of delivering healthcare allowing a change  from a centralised service to one which is patient centred, resource efficient and where decisions are made at a local level close to the patient.  \n\nThe study concludes that to gain maximum benefit from telemedicine, its impact across the NHS as a whole must be studied now, along with opportunities for revenue generation.  Without such concerted research, the development of telemedicine will remain unco-ordinated, with activity focused in specialist areas led by academic researchers and commerical organisations.', '1111-01-01 00:00:00'),
  (27, 'The First Telemedicine Link For The British Forces', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'J R Army Med Corps 1998: 144: 125-130', 'In January 1998 a telemedicine link was established between the Hospital Squadron (from 22 Field Hospital) in Sipovo, Bosnia and the Royal Hospital Haslar, United Kingdom (UK).  This link uses a high resolution digital camera, laptop computer, satellite telephone and a landline to obtain specialist opinions in radiology, dermatology, plastic surgery, orthopaedics, urology, ophthalmology, pathology and maxillo-facial surgery.  This is the Defence Medical Services\' first such link from an operational scenario.  As such, this pilot study provides a useful testbed to enable clinicians in the three services to gain experience in this developing field, and to help dertermine the military applications of telemedicine.', '2004-02-03 00:00:00'),
  (120, 'Radiology, Teleradiology & PACS', 'Book', '2000-07-01 00:00:00', NULL, NULL, NULL, '\nProduced by Royal College of Radiologists, the whole document is available on www.rcr.ac.uk/pubtop.asp?PublicationID=52', '1111-01-01 00:00:00'),
  (34, 'Supervision in Adult Nursing', 'Article', '1111-01-01 00:00:00', NULL, NULL, NULL, NULL, '1999-09-15 00:00:00'),
  (54, 'A simple lossless compression method - interval number method', 'Article', '1998-10-29 00:00:00', NULL, NULL, 'Proceedings of the 20th Annual International conference of the IEEE Engineering in Medicine and Biology Society - Biomedical Engineering Towards the Year 2000 and Beyond.  Vol.20, Ch928, No Ptl-6', NULL, '1999-10-29 00:00:00'),
  (55, 'Assessment of Wavelet Compression for Angiograms', 'Article', '1999-05-17 00:00:00', NULL, NULL, 'Radiology 1999', NULL, '1999-10-29 00:00:00'),
  (56, 'Evaluation of Wavelet Image Compression on Medical Images Using Pictorial Texture Quality Scales (PTQS)', 'Article', '1999-06-23 00:00:00', NULL, NULL, 'Proceedings 13th International Congress and Exhibition (CARS\'99) pp 466-470', NULL, '1999-10-29 00:00:00'),
  (66, 'What is the impact and applicability of telemedicine on primary care in a rural-based practice using videoconferencing technology?', 'Thesis', '1111-01-01 00:00:00', NULL, 'Three case studies are presented to show the constraints of applying telemedicine in a mixture of rural-based environments.  A questionnaire-based survey quantified the adoption of telemedicine and videoconferencing technilogies in 47 practices in West Dorset, Devon, Cornwall and Somerset.  Further considerations for the adoption or non-adoption of this technology are elucidated by the survey and discussed.', 'BSc Dissertation, Bournemouth University', NULL, '1111-01-01 00:00:00'),
  (95, 'Telemedicine and Telehealth', 'Book', '2000-01-01 00:00:00', NULL, NULL, NULL, '\n\n\"I recommend this book for the practitioner of health care who is trying to understand and utilise new technologies in the delivery of health care.  This book is by far the most comprehensive resource on telehealth\".  Charles Safran, MD, Director, American Medical Informatics Association.\n\n\"In this book Drs Darkins and Cary have looked at the provision of electronic health care services from virtually every angle - medical, social, technical, political and economic.  No single volume can answer every question about a topic so diverse and for which implementations are often so specialised.  That said however, these authors set the stage for nearly everyone involved in planning or evaluating a telemedicine program policy, or research project.  The case for (or sometimes against) the use of telecommunications in health is made clearly from nearly every point of view.  You would have to spend years in the field to approach the amount of thought and consideration that has gone into this book.  It will most certainly be on my shelf for years to come.  Thank you for giving me the opportunity to read it\"  Douglas A Perednia, MD, Founder and President, Association of Telemedicine Service providers.\n\nThe link to the publishers listing is:  http://www.springerjournals.com/store/page1302_8.html', '1111-01-01 00:00:00'),
  (112, 'NHS Executive lists of European Telematics Projects', 'Book', '1111-01-01 00:00:00', NULL, 'All the UK projects in the current IVth framework are listed on the internet via the National Inventory Project.\nhttp://www.open.gov.uk/govoline/niphone.htm', NULL, NULL, '1111-01-01 00:00:00'),
  (113, 'Telemedicine: Health Guidance Note', 'Book', '1111-01-01 00:00:00', NULL, NULL, NULL, NULL, '1111-01-01 00:00:00'),
  (114, 'An Introduction to Telemedicine', 'Book', '1999-06-01 00:00:00', NULL, NULL, NULL, 'An introduction to the developing field of telemedicine, this text explores all the major aspects of telemedicine and explains what it is and why it is growing in importance. It explains how to assess the need for telemedicine service and how this can be developed and evaluated.', '1111-01-01 00:00:00'),
  (115, 'The telemedicine industry in Australia: from fragmentation to integration\n', 'Report', '1998-06-01 00:00:00', NULL, NULL, NULL, 'This report concluded that despite the establishment of some isolated, and world class, telemedicine networks, telemedicine in Australia remains fragmented and uncoordinated. If it is to live up to its potential and be widely diffused throughout the health sector, it must become integrated into mainstream health care. Such integration would require  active participation by all parties, inlcuding the Government, business and consumers. For more information on the uneven diffusion of telelmedicine seervices in Australia, click on http://www.dist.gov.au/telelmed.pdf.\n', '1111-01-01 00:00:00'),
  (116, 'Handbook of Telemedicine', 'Book', '1999-06-01 00:00:00', NULL, 'The main purpose of this book is to structure the basic knowledge linked to teaching to provide practising telemedicine as well as an overview of the technology developments linked to this new discipline.', NULL, 'The main purpose of this book is to structure the basic knowledge linked to teaching to provide practising telemedicine as well as an overview of the technology developments linked to this new discipline.  As expressed in the title, the book is precisely structured as a \"handbook\" whose main value is the joint opinion of all the participating authors of what are the minimum teaching requirements for anyone that would like to learn telemedicine.', '1111-01-01 00:00:00'),
  (117, 'Subspeciality adnexal ophthalmological examination is possible using telemedicine', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare. Suppl', '\n', '2003-09-30 00:00:00'),
  (118, 'Local Implementation Strategy Guidance (NHS Executive)', 'Book', '1111-01-01 00:00:00', NULL, NULL, NULL, 'Annex H of the guidance describes telemedicine policy and gives details of the Telemedicine Policy Team and a list of NHS Regional Office Telemedicine Leads.\n\nURL: http://www.doh.gov.uk/nhsexipu/implemen/flis/guidance/annexes/annexh.htm\n', '1111-01-01 00:00:00'),
  (119, 'Teleradiology:  An Introduction and Definition', 'Book', '1111-01-01 00:00:00', NULL, NULL, NULL, 'This book from the BIR (British Institute of Radiology) Teleradiology Working Party aims to highlight the benefits and problems associated with teleradiology and to assist in the purchase of equipment by providing a glossary of terms and a checklist.\n\nISBN 0 905749 45 6; 48 pp; list price #10.00.  See the BIR website for more details.', '1111-01-01 00:00:00'),
  (80, 'Smart Care Technologies - meeting whose needs?', 'Article', '1999-12-01 00:00:00', NULL, NULL, 'Proceedings Telemed 99, Seventh International Conference of Telemedicine and Telecare', 'Recent funding programmes supporting research and development in telecare have argued for a shift in perspective from a technology-driven approach to one that is needs-led.  While this is in the interests of both users and technologists, achieving this goal is not straightforward.  This paper outlines some of the conceptual, methodological and practical problems that potentially constrain a needs-led approach and illustrates the emergent issues with a case study of the development of an intelligent home monitoring system to support the independent living of older people in the UK.  The research indicates clear differences between users and technologists in the way problems, needs and requirements are understood and defined.  This in turn has consequences on the way assistive technologies are developed and implemented.', '1111-01-01 00:00:00'),
  (110, 'Primary Care Groups and Telemedicine: More Questions than Answers', 'Report', '2000-07-01 00:00:00', NULL, 'A report by Dr Roger Peppiatt, a GP from Kent.\n\nAbstract:\n\n\"The purpose of this report is to give an overview of telemedicine and its potential applications to primary care in the United Kingdom.  It was written during the period April to July 2000.  Information was gathered from a number of (mainly) UK sources, including the published literature of telemedicine, meetings of the Telemedicine Forum of the Royal Society of Medicine, discussions with a number of key workers in the field, and visits to several projects.\n\nIt was felt that restricting the report to UK projects would give it greater value to its intended audience, UK primary care groups.  This does not diminish the importance of research and experience in other countries including the US, Australia and Scandinavia.\n\nTelemedicine is a method of changing how people work and behave.  This concept will strike a chord with GPs and nurses working in primary care.  This report focuses on these issues rather than on technology.\n\n', NULL, 'Abstract:\n\n\"The purpose of this report is to give an overview of telemedicine and its potential applications to primary care in the United Kingdom.  It was written during the period April to July 2000.  Information was gathered from a number of (mainly) UK sources, including the published literature of telemedicine, meetings of the Telemedicine Forum of the Royal Society of Medicine, discussions with a number of key workers in the field, and visits to several projects.\n\nIt was felt that restricting the report to UK projects would give it greater value to its intended audience, UK primary care groups.  This does not diminish the importance of research and experience in other countries including the US, Australia and Scandinavia.\n\nTelemedicine is a method of changing how people work and behave.  This concept will strike a chord with GPs and nurses working in primary care.  This report focuses on these issues rather than on technology.\"\n\nAfter introducing the concept of telemedicine and types of telemedicine available, the report goes on to describe the main applications relevant to primary care, which include dermatology and the treatment of minor injuries.  It then deals with practical issues including successful project management and evaluation, followed by conclusions and recommendation for consideration by primary care groups.\n\nThroughout this report the term \"prmary care group\" is used to encompass both groups and trusts.', '1111-01-01 00:00:00'),
  (124, 'The Development of a New Model For Community Telemedicine Services', 'Review', '2001-01-01 00:00:00', NULL, NULL, NULL, 'A paper describing the results of this project and titled \"The Development of a New Model For Community Telemedicine Services\" ( J Thie , A McIntosh) was presented at TELEMED 2001 in London during January 2001. A copy of the paper can be obtained from Andrew McIntosh at Tunstall Group Ltd.  An abstract of  the paper follows.\n\n\nThe SAFE 21 project began in 1996 to define the next generation of community alarm systems, using the existing infrastructure of monitoring centres and service providers to extend availability and services to new groups of users.\n\nA focus of this project has been the development and trialing of a telemedicine system which allows a patient at home to be  monitored.\n\nOur objectives were to develop a system using the community alarm control centre and additional technology to monitor a patient\'s medical condition (heart and breathing parameters) at home, relay the data to a doctor or nurse, and to demonstrate the feasibility of delivering a community based service to a standard that is acceptable to both patients, healthcare professionals and monitoring  service providers.\n\nIn a pilot based at Newcastle upon Tyne, the Community Care Alarm Service and Regional Medical Physics Department developed and provided a service to three local hospitals.\n\n23 patients used a telemedicine monitor in their homes for up to a week and participated in an evaluation. Clinical teams from the RVI Hospital in Newcastle and the Dryburn Hospital in Durham accessed their patients\' data using a PC.\n\nA total of 100 patient days of monitoring were conducted. 11 service provider staff were involved in delivering the service and 4 clinical professionals used the service. Patient and clinical user satisfaction was high and service provider staff agree that  monitoring at home can be performed reliably and safely by professional staff and patients through the implementation of training and new procedures and protocols.\nA paper describing the results of this project and titled \"The Development of a New Model For Community Telemedicine Services\" ( J Thie , A McIntosh) was presented at TELEMED 2001 in London during January 2001. A copy of the paper can be obtained from Andrew McIntosh at Tunstall Group Ltd. An abstract of  the paper follows.\n\nThe paper describes the monitoring system, the service delivery process and the pilot results, which demonstrate the viability of the service.\n\nThis new model for delivering community telemedicine monitoring services can be readily applied to existing community based support services such as community alarms and NHS Direct.\n\nSafe 21 Telemedicine work continues in Newcastle Upon Tyne with the Health Action Zone Innovation project at Shield Court. This is a nurse lead intermediate care unit supported by telemedicine links with specialist doctor and nursing staff in neighbouring hospitals.  Details of this project will be posted seperately on the database.', '2001-05-27 00:00:00'),
  (127, 'A study of videoconferencing for postgraduate continuing education in\ndentistry in the UK - the teachers\' view', 'Article', '2001-07-01 00:00:00', NULL, NULL, 'European Journal of Dental Education', 'Eur J Dent Educ 2001;  5: 113-119\nPaper by PROVIDENT - see project on http://www2.tis.bl.uk:8047/tm/owa/projects.details?pcode=761', '2003-09-08 00:00:00'),
  (128, 'Telemedicine and Elderly Care: Towards an Internet Blood Pressure Monitoring Service', 'Report', '2000-11-01 00:00:00', 1586031465, 'Proc. MEDINET 2000: 5th World Congress on the Internet in Medicine, Brussels', NULL, NULL, '1111-01-01 00:00:00'),
  (129, 'The UK Telemedicine Information Service', 'Report', '2000-11-01 00:00:00', 1586031465, 'Proceedings MEDNET 2000: 5th World Congress on the Internet in Medicine, Brussels', NULL, NULL, '1111-01-01 00:00:00'),
  (130, 'System issues for successful telemedicine implementation', 'Article', '2000-09-01 00:00:00', 14604582, NULL, 'Health Informatics Journal, vol 6, no 3', NULL, '1111-01-01 00:00:00'),
  (131, 'Measuring the readership of a health-related website', 'Article', '1999-09-01 00:00:00', 1357633, 'Proceedings International Congress on Telehealth and Multimedia, Edmonton, Canada', 'Journal of Telemedicine and Telecare, vol 6 supplement 2 (2000) p3-5', NULL, '1111-01-01 00:00:00'),
  (133, 'Telemedicine and telecare', 'Article', '2000-01-01 00:00:00', 953542742, 'Current perspectives in health informatics (Chapter in book)', NULL, NULL, '1111-01-01 00:00:00'),
  (134, 'The Telemedicine Information Service - keeping patients remotely informed', 'Article', '2000-07-01 00:00:00', NULL, 'Abstract submitted to the International Congress on Medical Librarianship.', NULL, NULL, '1111-01-01 00:00:00'),
  (135, 'Telemedicine as a means of Healthcare Delivery', 'Article', '2000-02-01 00:00:00', NULL, 'Poster presented at the Making Medical Informatics Work conference.', NULL, NULL, '1111-01-01 00:00:00'),
  (136, 'Telemedicine in primary care', 'Article', '1999-11-02 00:00:00', NULL, 'Poster presented at the Portsmouth & South East Hampshire Primary Care Research Group conference.', NULL, NULL, '1111-01-01 00:00:00'),
  (137, 'Care pathways and the information for health strategy', 'Article', '1999-12-01 00:00:00', 14604582, 'Proceedings of International Symphonium on Health Inforamtion management Research, Sheffield, pp139-145 - June 1999', 'Health Informatics Journal vol 5, no 4, p 209-212', NULL, '1111-01-01 00:00:00'),
  (150, 'Telemedicine in rural care - Part 1: Developing and evaluating a nurse led initiative', 'Report', '2000-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-07-31 00:00:00'),
  (139, 'Assessing the readership of the UK National Database of Telemedicine', 'Report', '1999-09-01 00:00:00', NULL, 'Presented at 4th Annual World Congress on the Internet in Medicine, Heidelburg, Germany.', NULL, NULL, '1111-01-01 00:00:00'),
  (141, 'Continued Development of the National Database of Telemedicine (NDTM2)', 'Article', '1999-01-22 00:00:00', NULL, 'Final report on project D.H. reference 1216972', NULL, NULL, '1111-01-01 00:00:00'),
  (142, 'Internet developments and their significance for healthcare', 'Article', '2001-08-13 00:00:00', 3077640, 'Report prepared for Dr R G Curry (UPEL contract TRA9898567), September 1998', 'Medical Informatics and the Internet in Medicine, vol 24, no 3,1999,p149-164', NULL, '1111-01-01 00:00:00'),
  (151, 'Telemedicine in rural care - Part 2: Assessing the rural issues', 'Report', '1111-01-01 00:00:00', NULL, 'Nursing Standard Vol 15 No 32 pages 33-38.', 'Nursing Standard', NULL, '2003-07-31 00:00:00'),
  (144, 'The UK National Database of Telemedicine website', 'Report', '1998-11-01 00:00:00', 14639394, NULL, 'Proceedings MEDNET 98 (3rd Annual World Congress on the Internet in Medicine), London, P33', NULL, '1111-01-01 00:00:00'),
  (152, 'Improving access to Health Care and Video Consultation', 'Article', '2000-01-01 00:00:00', NULL, 'Nursing Standard Vol 15 No 33 pages 33-37', 'Nursing Standard', NULL, '2003-07-31 00:00:00'),
  (146, 'Lessons learned from an Internet GP information system', 'Article', '1998-01-01 00:00:00', 3077640, NULL, 'Medical Informatics, vol 23, no 3, pp245-151', NULL, '1111-01-01 00:00:00'),
  (154, 'Teledermatology', 'Book', '1111-01-01 00:00:00', NULL, 'See http://www.rsm.ac.uk/pub/bkwootton2.htm', NULL, NULL, '1111-01-01 00:00:00'),
  (148, 'An Internet information system for GPs', 'Article', '1998-01-01 00:00:00', 13681613, 'See http://www.shef.ac.uk/~is/publications/infres/paper41.html', 'Information Research, vol 3', NULL, '1111-01-01 00:00:00'),
  (149, 'Evaluation of Nurse Led Telemedicine', 'Report', '2000-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-07-31 00:00:00'),
  (153, 'Selection of Pulse Oximetry Equipment for Ambulatory Monitoring', 'Article', '2001-01-01 00:00:00', NULL, NULL, 'Journal of Medical Engineering and Technology', NULL, '2003-07-31 00:00:00'),
  (155, 'National Telehealth Plan for Australia and New Zealand ', 'Report', '1111-01-01 00:00:00', NULL, 'See http://www.health.gov.au/healthonline/telehealth.htm', NULL, NULL, '1111-01-01 00:00:00'),
  (189, 'Assistive Technology and Telecare - forging solutions for independent living', 'Report', '2003-01-01 00:00:00', 1861344627, 'See http://www.bris.ac.uk/Publications/TPP/pages/rp046.htm', NULL, 'This report provides a comprehensive review and analysis of current policy and practice, as well as making recommendations for the future.', '2003-09-08 00:00:00'),
  (157, 'Wound Care ', 'Article', '2002-04-01 00:00:00', NULL, NULL, 'Br J Nursing 2002 (Supplement) 11; S38-S52. 2002; 11: 137-140', NULL, '1111-01-01 00:00:00'),
  (158, 'Data Multiplexing Strategies for Mobile Applications', 'Report', '2000-03-01 00:00:00', NULL, NULL, 'International Conference on Mobile Communication Technologies-3G 2000, London', NULL, '2003-08-01 00:00:00'),
  (159, 'Emergency Multimedia Demonstrator', 'Report', '2000-12-01 00:00:00', NULL, NULL, 'Demonstration at TETRA World Congress 2000, Rome', NULL, '2003-08-01 00:00:00'),
  (160, 'Signal Multiplexing Equipment', 'Report', '2000-01-22 00:00:00', NULL, NULL, 'UK Patent No. 0001387.0', NULL, '2003-08-01 00:00:00'),
  (161, 'Emergency Multimedia Transmission over TETRA', 'Report', '2000-03-01 00:00:00', NULL, NULL, 'TETRA Applications Conference, London', NULL, '2003-08-01 00:00:00'),
  (162, 'Emergency Multimedia Transmission over TETRA', 'Report', '2001-12-01 00:00:00', NULL, NULL, 'TETRA World Congress 2001, Nice', NULL, '2003-08-01 00:00:00'),
  (163, 'Emergency Multimedia Transmission over TETRA', 'Report', '2002-04-01 00:00:00', NULL, NULL, 'TETRA Applications Conference, London', NULL, '2003-08-01 00:00:00'),
  (164, 'Bringing Advanced Voice and Data Capabilities of TETRA to Emergency Services', 'Report', '2002-05-01 00:00:00', NULL, NULL, 'TETRA Asia Pacific Conference, Singapore', NULL, '2003-08-01 00:00:00'),
  (165, 'Matching technology to needs', 'Book', '1111-01-01 00:00:00', NULL, 'Staff workbook', NULL, NULL, '2002-08-13 00:00:00'),
  (166, 'Smart Support at Home - An evaluation of Smart Technology in Dispersed Housing', 'Report', '1111-01-01 00:00:00', NULL, 'Dundee Evaluation', NULL, NULL, '2002-08-13 00:00:00'),
  (167, 'People at Home and in Touch ', 'Report', '1111-01-01 00:00:00', NULL, 'Feasibility Report', NULL, NULL, '2003-10-21 00:00:00'),
  (168, 'People at Home and in Touch ', 'Report', '1111-01-01 00:00:00', NULL, 'ICT Pilot Evaluation Report', NULL, NULL, '2003-10-21 00:00:00'),
  (169, 'People at Home and in Touch ', 'Report', '1111-01-01 00:00:00', NULL, 'Teesdale Pilot Evaluation Report', NULL, NULL, '2003-10-21 00:00:00'),
  (170, 'External cueing systems in the rehabilitation of executive impairments of action', 'Article', '1998-01-01 00:00:00', NULL, NULL, 'Journal of the International Neuropsychological Society, 4: 399-408', NULL, '1111-01-01 00:00:00'),
  (171, 'George: Learning to Live Independently With NeuroPage', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'Rehabilitation Psychology, 44: 284-296', NULL, '1111-01-01 00:00:00'),
  (172, 'Reducing everyday memory and planning problems by means of a paging system: a randomised control crossover study ', 'Article', '2001-01-01 00:00:00', NULL, NULL, 'Journal of Neurology, Neurosurgery and Psychiatry; 70: 477-482', NULL, '1111-01-01 00:00:00'),
  (174, 'Telecare in practice: a telecare initiative focusing on carers of older people based on ACTION', 'Article', '2001-03-01 00:00:00', NULL, NULL, 'Health Informatics Journal, 7(1):41-8', NULL, '2003-09-26 00:00:00'),
  (175, 'Telecare delivery of health and social care information ', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Health Informatics Journal, (in press)', NULL, '2003-09-26 00:00:00'),
  (176, 'Scenario-based Drama as a Tool for Investigating User Requirements with Application to Home Monitoring for Elderly People\r\n', 'Report', '2003-01-01 00:00:00', NULL, 'See http://www.computing.dundee.ac.uk/staff/stephen/publ.html', 'HCI International, June 22-27, Crete, Greece, 2003 ', NULL, '2002-08-29 00:00:00'),
  (177, 'Issues Surrounding the User Centered Development of a New Interactive Memory Aid', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Cambridge Workshop on Universal Access and Assistive Technology (CWUAAT) 25th - 27th March 2002', NULL, '2002-08-29 00:00:00'),
  (178, 'A systematic assessment of assistive technology - I Hagan (et al)', 'Report', '2002-02-01 00:00:00', NULL, NULL, 'Journal of Dementia Care Vol 10 No 1 Jan/Feb 2002,  pp26 to 28 ', NULL, '2002-09-05 00:00:00'),
  (179, 'What about a Hi-Tech Pad? ', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Available online: http://www.fp.rdg.ac.uk/equal/AT/what_about_a_hi.htm', NULL, '2002-09-10 00:00:00'),
  (180, 'ASTRID: A Social and Technological Response to Meeting the Needs of Individuals with Dementia and their Carers', 'Book', '2000-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-09-11 00:00:00'),
  (181, 'ASTRID: introducing assistive technology', 'Article', '1111-01-01 00:00:00', NULL, NULL, 'Journal of Dementia Care, Vol. 8, issue 4 pp. 1819	', NULL, '2003-09-11 00:00:00'),
  (182, 'Safe at Home - Using Technology to Support People with Dementia in their own homes in Northamptonshire', 'Report ', '2002-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-08-06 00:00:00'),
  (183, 'Building a local infrastructure that supports the use of assistive technology in the care of people with dementia ', 'Report', '2002-01-01 00:00:00', NULL, NULL, 'Research Policy & Planning 2002', NULL, '2004-02-03 00:00:00'),
  (184, 'The design of a care model and associated peripherals to assist with non-compliance of medication', 'Report', '2001-05-31 00:00:00', NULL, NULL, 'Submitted to IEEE EMBS 2001', NULL, '2002-09-18 00:00:00'),
  (185, 'An internet approach to delivery and management of medication in the home', 'Report', '2001-03-30 00:00:00', NULL, NULL, 'Submitted to Belfast 2001', NULL, '2002-09-18 00:00:00'),
  (186, 'An IT approach to the design and management of medication in the home', 'Report', '2001-01-01 00:00:00', NULL, 'Requirements analysis', 'Technology and Health Care, vol. 9, pp. 33-34, 2001', NULL, '2002-09-18 00:00:00'),
  (187, 'A robotic aid for medical compliance at home ', 'Report', '2001-01-01 00:00:00', NULL, NULL, 'IEEE Workshop on Robotics, Korea, pp. 1-16, 2001', NULL, '2002-09-18 00:00:00'),
  (188, 'The Use of Information and Communication Technology (ICT) to Support Independent living for Older and Disabled People', 'Report', '2002-10-01 00:00:00', NULL, 'See http://www.tis.bl.uk/dh/ices/curry_report_abstract.htm', 'See http://www.icesdoh.org (full version of report)', NULL, '1111-01-01 00:00:00'),
  (190, 'Telepsychiatry and e-Mental Health', 'Book', '2003-01-01 00:00:00', 1853155497, 'Edited by Richard Wootton, Peter Yellowlees and Paul McLaren', NULL, 'Focusing on both clinical and educational applications, the international team of authors demonstate the broad sprectrum of technologies currently available to health professionals including video, internet and telephony.\r\n\r\nEdited by Richard Wootton, Peter Yellowlees and Paul McLaren', '1111-01-01 00:00:00'),
  (191, 'Drama on Video to Provoke Older Users to Discuss Requirements for Supportive Technology', 'Report', '2002-11-01 00:00:00', NULL, 'See http://www.computing.dundee.ac.uk/staff/stephen/publ.html', 'Recent Advances in Assistive Technology and Engineering (RAATE), Birmingham, 18-19 November 2002\r\n', NULL, '2002-08-29 00:00:00'),
  (156, 'OTELO', 'Articles', '2002-01-01 00:00:00', NULL, 'See http://www.rsm.ac.uk/acadam/telemed02.htm http://www.smau.it/smausalutec http://healthcom2002.loria.fr/', NULL, NULL, '1111-01-01 00:00:00'),
  (192, 'Don\'t Shoot the Messenger', 'Report', '2001-08-01 00:00:00', 1859242251, 'The transition from HARMONI to NHS Direct in West London', NULL, 'This major study charts the evolution of one of the largest UK providers of telephone-based access to primary care - the NHS Direct call centre in West London.  This centre serves a catchment population of about 1.35m, handles a quarter of a million calls annually and was the first to combine NHS Direct with an existing GP out-of-hours co-operative (HARMONI), which already used the pilot computerised software (TAS).  This study was commissioned to answer the question:  \"Has NHS Direct increased the workload of GPs?\"  It sets out to track trends in GP workloads, changes in the pattern of referrrals, the evolution of working practices, and the transformation of relationships between doctors, triage nurses and call handlers at West London.  It also includes a detailed evaluation of the role of computerised patient call records in management decision making.  The study used both longitudinal and cross-sectional analysis, involving over 25,000 anonymised patient computer records spread over three annual study periods (1998, 1999 and 2000), and some two dozen in-depth interviews with key personnel.  With over 100 tables and graphs (many in colour), this volume provides detailed evidence of the way in which a major NHS Direct site has developed and what the impact has been.  For example, the quantitative data indicate significant changes in referring behaviour, while the qualitative data show a change in the triage nurses\' role from gatekeeper to patient advocate.  This study will be of interest to all those concerned with the provision of seamless primary care, the impact of the government\'s modernisation programme, and current trends in nurse-based telephone triage.  Its findings are applicable to the future development of NHS Direct and its relationship with GP out-of-hours care.  For further information on how to obtain a copy telephone +44 (0)20 8411  5857 or email A.Mark@mdx.ac.uk.  It can also be purchased from the Kings Fund Book Shop.\r\n', '1111-01-01 00:00:00'),
  (193, 'A randomised trial of the safety and effectiveness of minor injuries telemedicine (conference abstract). ', 'Article', '2002-01-01 00:00:00', NULL, NULL, 'Emergency Medical Journal 2002;19:276', NULL, '2004-02-03 00:00:00'),
  (194, 'Can nurses working in remote units accurately request and interpret radiographs? ', 'Article', '2002-01-01 00:00:00', NULL, NULL, 'Emergency Medical Journal 2002;19:68-70', NULL, '2004-02-03 00:00:00'),
  (195, 'The effect of resolution, compression, colour depth and display modality on the accuracy of accident and emergency telemedicine.', 'Article', '2001-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2001;7(suppl 1):S1:6-S1:7.', NULL, '2004-02-03 00:00:00'),
  (196, 'A development and evaluation template for minor injuries telemedicine. ', 'Article', '2001-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare; 7(1):58-60.', NULL, '2004-01-27 00:00:00'),
  (197, 'A development and evaluation template for minor injuries telemedicine (conference abstract). ', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Emergency Medicine Journal; 17:304.', NULL, '2004-01-27 00:00:00'),
  (198, 'Telemedicine in Accident and Emergency: the story so far. ', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Emergency Medicine Journal 2000;17:157-164.', NULL, '2004-02-03 00:00:00'),
  (199, 'Telemedicine:  A guide to assessing telecommunications in health care.', 'Article', '1996-01-01 00:00:00', NULL, 'Committee on evaluating clinical applications of telemedicine.  Institute of Medicine, 1996.', NULL, NULL, '2003-07-14 00:00:00'),
  (200, 'Evaluating Health Care Information Systems Methods and Applications.', 'Article', '1996-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-07-14 00:00:00'),
  (201, 'Mastering the dynamics of innovation.', 'Article', '1994-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-07-14 00:00:00'),
  (202, 'Medical Innovation: A Diffusion Study', 'Article', '1996-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-07-14 00:00:00'),
  (203, 'Diffusion of Innovations', 'Article', '1983-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-07-14 00:00:00'),
  (204, 'Initiative & Inertia Case Studies in the NHS', 'Article', '1985-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-07-14 00:00:00'),
  (205, 'Videoconferencing and Palliative Care', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'European Journal Palliative Care, 2000; 7:168-171', NULL, '2003-07-31 00:00:00'),
  (206, 'Using videoconferencing in palliative care', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Palliative Medicine 2000; 14: 519-528', NULL, '2003-07-31 00:00:00'),
  (207, 'The effectiveness of palliative care education delivered by videoconferencing compared with face-to-face delivery', 'Article', '2003-05-01 00:00:00', NULL, NULL, 'Palliative Medicine 2003; 17: 344-358', NULL, '2003-07-31 00:00:00'),
  (208, 'Controlled trial of discharge planning by videolink in a UK urban mental health service: responses of staff and service users.', 'Article', '2002-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2002; 8:S3:44-46', NULL, '2003-08-27 00:00:00'),
  (209, 'The North Lewisham Telepsychiatry Project: beyond the pilot phase.', 'Article', '2002-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2002; 8:S2:98-100', NULL, '1111-01-01 00:00:00'),
  (210, 'The use of videoconferencing to enhance tertiary mental health service provision to the Island of Jersey', 'Article', '2002-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2002; 8:S2:36-38', NULL, '1111-01-01 00:00:00'),
  (211, 'Telemedicine and Telecare: What can it offer mental health services?', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'Advances in Psychiatric Treatment 2003;9:54-61', NULL, '1111-01-01 00:00:00'),
  (212, 'Social Alarms:  Older People\'s Services in Transition', 'Book', '2003-06-01 00:00:00', 1861345062, NULL, NULL, 'Healthcare, social welfare and housing policy agendas, while emphasising the importance of supporting the independent living of older people at home, have generally failed to take account of the actual or potential role played by social alarms and telecare.  This book draws on research and practice throughout the developed world. It documents the emergence of these important technologies and considers their potential in different contexts. \r\nThe book:  offers the first international appraisal of social alarms and telecare; examines the links with smart homes, activity and lifestyle monitoring; and considers the potential of such technologies for older people with high levels of support need.  It is argued that social alarm and telecare technologies must be brought into the mainstream of service frameworks and configured in ways that are user-led if their true potential is to be harnessed. \r\n  The book is of immense importance to policy makers and practitioners in healthcare, social welfare and housing. It signals the potential, the challenges and the threats\r\nassociated with social alarm and telecare technologies. As such it must be compulsory reading for every current or potential service provider.  Contents: Introduction: what are social alarms?; Social theory and social alarms; A critical review of the literature; The origins of social alarms; Social alarms in England and Wales; Social alarms in Scotland; Social alarms in Ireland; Social alarms (PRS) in North America; Social alarms in the rest of the world; Social alarms: international\r\ncomparisons; Social alarms and smart homes; Social alarms, telemedicine and telecare; Falls, lifestyle monitoring and dementia care; Conclusions.', '1111-01-01 00:00:00'),
  (213, 'Teleconsulting - a practical account of pitfalls, problems and promise, experience from the TEAM project group.', 'Article', '1995-11-01 00:00:00', NULL, 'Supplement to the Journal of Telemedicine and Telecare.', 'Telemed \'95 Medicine on the Super Highway 8/9 November 1995 pp11-13 ', NULL, '2003-08-01 00:00:00'),
  (214, 'Telemedicine in Primary Care:  The Evolution of a Telemedicine Service for a Rural Area based on its identified needs.', 'Article', '1995-01-01 00:00:00', NULL, NULL, '1st International Conference on Medical Informatics \'95.', NULL, '2003-08-01 00:00:00'),
  (215, 'Telemedicine Kept Simple: Images in Paediatric Cardiology', 'Article', '2000-01-01 00:00:00', NULL, NULL, NULL, NULL, '2003-08-01 00:00:00'),
  (216, 'Teledermatology overview - Teledermatology in Practice', 'Report', '2003-01-01 00:00:00', NULL, NULL, 'Clinical & Experimental Dermatology 2003: 28: 356-359', NULL, '2003-07-31 00:00:00'),
  (217, 'Quality of Life and Home Parenteral Nutrition: a controlled study of Telemedicine', 'Abstract', '2002-08-02 00:00:00', NULL, 'Accepted for European Society for Parenteral and Enteral Nutrition (ESPEN) 2002', 'Clinical Nutrition Volume 21 August 2002 Page 8 (0-29)', NULL, '1111-01-01 00:00:00'),
  (218, 'A randomnised controlled trial of home telecare.', 'Article', '2002-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2002; 8(2): 58-61', NULL, '2003-07-29 00:00:00'),
  (219, 'Getting beyond \"trial and error\": Lessons from the implementation of a home telecare service.', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2003;9(1):55-56', NULL, '2003-07-29 00:00:00'),
  (220, 'Problems with implementation - The Story of a Home Telecare Trial', 'Article', '1111-01-01 00:00:00', NULL, 'San Francisco, JosseyBass Inc.  In press.', 'In: Whitten P, Cook D eds. Understanding Health Commumications Technologies: A case study approach', NULL, '2003-07-29 00:00:00'),
  (221, 'Science and sensibility: Hidden technologies in the conduct of a randomised controlled trial.', 'Article', '2003-09-01 00:00:00', NULL, NULL, 'Proceedings Medical Sociology 35th Annual Conference - York. In press', NULL, '2003-07-29 00:00:00'),
  (222, 'DIAS - the Diabetes Advisory System:  An outline of the system and the evaluation results obtained so far.', 'Article', '1997-01-01 00:00:00', NULL, NULL, 'Computer Methods and Programs in Biomedicine 1997; 54: pp 49-58', NULL, '2004-02-04 00:00:00'),
  (223, 'A weekly intensive training programme for Type 1 diabetes.', 'Article', '2001-01-01 00:00:00', NULL, NULL, 'Diabetic Med 2001; 19 (suppl 2): pp131', NULL, '2004-02-04 00:00:00'),
  (224, 'Understanding the promise and challenge of Assistive Technology in the Home.', 'Article', '2001-12-01 00:00:00', NULL, NULL, 'Property People, December 2001.  \r\n', NULL, '2004-02-06 00:00:00'),
  (225, 'Home for life: introducing Assistive technology into the existing homes of older people. ', 'Article', '2001-01-01 00:00:00', NULL, NULL, 'Gerontology (International Journal of Experimental, Clinical and Behavioural Gerontology) 47 (Suppl 1) 1-718', NULL, '2004-02-06 00:00:00'),
  (226, 'Shower success: older people talking about baths and showers.', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'Working with older people.  Volume 7, issue 2, pp. 25-29 \r\n', NULL, '2004-02-06 00:00:00'),
  (227, 'Assistive technology and older people: Listening to their views', 'Article', '2003-06-01 00:00:00', NULL, NULL, 'Housing, Care and Support, June 2003, Vol 6 No. 2, pp. 27-30 \r\n', NULL, '2004-02-06 00:00:00'),
  (228, 'Assisitve technology and its role in housing policies for older people', 'Article', '2003-08-01 00:00:00', NULL, NULL, 'Quality in Ageing August 2003, Vol 4, No 2, pp 4-12 ', NULL, '2004-02-06 00:00:00'),
  (229, 'Assisting quality of later life', 'Article', '2001-04-01 00:00:00', NULL, NULL, 'ASI Journal, April 2001, p. 32 ', NULL, '2004-02-06 00:00:00'),
  (230, 'New Ideas for Care @ Home.', 'Book', '2000-01-01 00:00:00', 1861342160, NULL, NULL, 'Telecare', '2004-02-10 00:00:00'),
  (231, 'Using Information and Communication Technology to Support\r\nIndependent Living by Older, Disabled and Vulnerable People', 'Report', '2003-07-01 00:00:00', NULL, '\r\nSee http://www.icesdoh.org.uk/downloads/ICT-Older-People-July-2003.pdf', 'Department of Health Report', 'Telecare', '2004-02-10 00:00:00'),
  (232, 'Will patients accept follow-up by telephone? A survey of ambulatory patients\' attitudes in the UK. ', 'Article', '1997-01-01 00:00:00', NULL, NULL, 'Rheumatology in Europe 1997; 26/4: 156-158', NULL, '2004-02-11 00:00:00'),
  (233, 'Telemedicine and beyond (Conference report)', 'Report', '1997-11-10 00:00:00', NULL, NULL, 'J Roy Coll Physicians November 1997; 31:694-695', NULL, '2004-02-11 00:00:00'),
  (234, 'Following up outpatients by telephone: pilot study', 'Article', '1998-10-10 00:00:00', NULL, NULL, 'BMJ 1998; 316:1647', NULL, '2004-02-11 00:00:00'),
  (235, 'Outpatients/ambulatory care with innovative use of the simple telephony system (telephone folow up)', 'Article', '1998-12-01 00:00:00', NULL, 'Chapter in book.', 'European Telemedicine 1998/99; 14-146.', NULL, '2004-02-11 00:00:00'),
  (236, 'Email contact between doctor and patient', 'Article', '1999-01-01 00:00:00', NULL, NULL, 'BMJ 1999; 318: 1428', NULL, '2004-02-11 00:00:00'),
  (237, 'Internet helps communication between doctors and patients', 'Article', '2000-01-01 00:00:00', NULL, 'Letter to the editor', 'BMJ 2000; 320: 59', NULL, '2004-02-11 00:00:00'),
  (238, 'Tele-rheumatology: outpatient telephone follow up and cyber clinics', 'Article', '2001-01-01 00:00:00', NULL, 'Chapter in book', 'Elsevier', NULL, '2004-02-11 00:00:00'),
  (239, 'Tele-rheumatology: telephone follow up and cyberclinic', 'Article', '2001-01-01 00:00:00', NULL, NULL, 'Computer Methods and Programs in Biomedicine 2001, 64:189-95', NULL, '2004-02-11 00:00:00'),
  (240, 'The doctor will text you next . . . is there a role for the mobile telephone in healthcare?', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'BMJ 2003; 324:627', NULL, '2004-02-11 00:00:00'),
  (241, 'Audit Commission Report on Assistive technology', 'Report', '2004-02-12 00:00:00', NULL, 'http://www.audit-commission.gov.uk/reports/NATIONAL-REPORT.asp?CategoryID=&ProdID=BB070AC2-A23A-4478-BD69-4C19BE942722', NULL, NULL, '2004-02-18 00:00:00'),
  (242, 'The design of pilot telecare projects and their integration into mainstream service delivery', 'Paper', '2003-01-01 00:00:00', NULL, NULL, 'Paper in Journal of Telemedicine and Telecare, Vol.9, S1, pp. 1-3', NULL, '2004-03-03 00:00:00'),
  (243, 'Integrating telecare into mainstream care delivery', 'Paper', '2003-01-01 00:00:00', NULL, NULL, 'Paper in Journal - IPTS Report, Vol. 74, pp. 4-10.  Available at http://www.jrc.es/home/report/report_main.html ', NULL, '2004-03-03 00:00:00'),
  (244, 'Smart home, dumb suppliers?  The future of smart homes markets', 'Book', '2003-01-01 00:00:00', NULL, 'Home design, social perspectives on domestic life and the design of interactive technology.', 'Chapter in Book - Harper, R. (ed.) Home Design. Social perspectives on domestic life and the design of interactive technology. Springer Verlag.', NULL, '2004-03-02 00:00:00'),
  (251, 'Teleneurology in Northern Ireland: a success', 'Article', '2002-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2002; 8(Suppl. 3):S3:46-47', NULL, '2004-03-08 00:00:00'),
  (246, 'New care delivery models and the deployment of telecare.', 'Article', '2003-09-01 00:00:00', NULL, NULL, '3rd International Conference on the Management of Healthcare & Medical Techology, Warwick', NULL, '2004-03-02 00:00:00'),
  (247, 'Will technological innovation create the true lifetime home?', 'Article', '2003-06-01 00:00:00', NULL, NULL, 'ESRC Accessible Housing conference, London.  To be published by Housing Studies.', NULL, '2004-03-02 00:00:00'),
  (248, 'Flexible homes, flexible care, inflexible attitudes?', 'Paper', '2003-04-01 00:00:00', NULL, 'The role of telecare in supporting independence', 'Paper in Journal - Keynote speech and paper, HSA Spring Conference, York.  To be published by Housing Studies.', NULL, '2004-03-03 00:00:00'),
  (252, 'Telemedicine in surgery', 'Article', '2003-06-09 00:00:00', NULL, NULL, 'British Journal of Surgery, Volume 90, Issue 6, Pages 647-658', NULL, '2004-03-24 00:00:00'),
  (250, 'Simulating Health and Social Care Delivery', 'Article', '2003-07-01 00:00:00', NULL, NULL, '21st Internations Conference of the System Dynmaics Society, New York', NULL, '2004-03-02 00:00:00'),
  (253, 'Teleneurology by email', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2003; Volume 9, No. 6, Suppl 2, pp. 42-43 ', NULL, '2004-04-13 00:00:00'),
  (254, 'Use of the Intrnet to optimize self-management of Type 1 diabetes: preliminary experience with DiasNet', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2003; Volume 9, No. 3, Suppl 1, pp. 50-52', NULL, '2004-04-13 00:00:00'),
  (255, 'A role for tele-education in the centralization of accident and emergency services', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2003; Volume 9, No. 3, Suppl 1, pp. 33-34', NULL, '2004-04-13 00:00:00'),
  (256, 'Involving users in the development of patient health information: outcomes and lessons learnt.', 'Article', '2004-03-03 00:00:00', NULL, NULL, 'University of Bath, HCI Group Seminar Series 2004 http://www.cs.bath.ac.uk/~hci/HCI-Seminars/', NULL, '2004-04-19 00:00:00'),
  (257, 'Web-/Kiosk-Based Health Information on Falls Delivered to Older People: an innovative experience.', 'Article', '2003-04-30 00:00:00', NULL, NULL, '3rd Pan American Congress of Gerontology, 30 Apr-04 May 2003', NULL, '2004-04-20 00:00:00'),
  (258, 'Education and screening for falls using web and touch pad technology.', 'Article', '2002-11-28 00:00:00', NULL, NULL, 'Care of the Elderly, 28-29 November 2002, London.', NULL, '2004-04-20 00:00:00'),
  (259, 'Web-/Kiosk-Based Health Information on Falls Delivered to Older People in Tower Hamlets.', 'Article', '2002-11-05 00:00:00', NULL, NULL, 'NHS Modernisation Agency - Modernising Older People\'s Services, 05-06 November 2002, Brighton.', NULL, '2004-04-20 00:00:00'),
  (260, 'Web-/Kiosk-Based Health Information on Falls.  Falls Prevention Conference - Taking positive steps to avoid trips and falls.', 'Report', '2002-11-26 00:00:00', NULL, NULL, 'Falls Prevention Conference, 26/11/02, Edinburgh. http://www.hebs.scot.nhs.uk/services/pubs/pdf/FallsPreventionReport.pdf', NULL, '2004-04-20 00:00:00'),
  (261, 'Web-/Kiosk-Based Health Information on Falls Delivered to Older People in Tower Hamlets.', 'Article', '2002-09-06 00:00:00', NULL, NULL, NULL, NULL, '2004-04-20 00:00:00'),
  (262, 'Web-/Kiosk-Based Health Information on Falls Delivered to Older People in Tower Hamlets.  EUPA Full-day workshop \'A New Research Agenda for Older Adults\'.', 'Article', '2002-09-03 00:00:00', NULL, NULL, 'EUPA Full-day Workshop, BCS HCI 2002.', NULL, '2004-04-20 00:00:00'),
  (263, 'Web-/Kiosk-Based Health Information on Falls Delivered to Older People in Tower Hamlets.  EUPA Full-day Workshop \'Culture and Website Usability\'.', 'Presentation', '2002-09-02 00:00:00', NULL, NULL, 'EUPA Full-day Workshop, BCS HCI 2002.', NULL, '2004-04-20 00:00:00'),
  (264, 'Activity analysis of telemedicine in the UK', 'Article', '2003-10-14 00:00:00', NULL, NULL, 'Postgrad Med J 2004; 80:335-338', NULL, '2004-06-16 00:00:00'),
  (265, 'Is it fractured or just broken? Evaluation of a telemedicine fracture review clinic', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2003; Volume 9, No. 3, Suppl 1, pp. 31-33', NULL, '2004-06-16 00:00:00'),
  (266, 'Using wireless technology to develop an effective personal telemedicine service ', 'Article', '2000-01-01 00:00:00', NULL, NULL, 'Centre for Communications Engineering, University of Ulster', NULL, '2004-06-16 00:00:00'),
  (267, 'Air Sea Rescue, telemedicine style', 'Article', '2004-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2003; Volume 8, No. 2, Suppl 2, pp. 26-28\r\n', NULL, '2004-06-16 00:00:00'),
  (268, 'Minor Injuries telemedicine:  Who ya gonna call?', 'Article', '2003-01-01 00:00:00', NULL, NULL, 'Journal of Telemedicine and Telecare 2003; Volume 9, No. 3, Suppl 1, pp. 14-16', NULL, '2004-06-16 00:00:00'),
  (269, 'Global Teledermatology:  A Specific Web Application for Dermatological Consultation', 'Article', '2004-01-01 00:00:00', NULL, NULL, 'Internet Health 2004; 3(1);e3', NULL, '2004-06-22 00:00:00');

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  (83, 22),
  (83, 106),
  (84, 22),
  (84, 106),
  (84, 109),
  (85, 22),
  (89, 23),
  (89, 24),
  (89, 25),
  (89, 90),
  (90, 23),
  (90, 24),
  (90, 25),
  (90, 89),
  (90, 90),
  (91, 23),
  (91, 24),
  (91, 25),
  (91, 90),
  (92, 26),
  (92, 27),
  (93, 27),
  (93, 215),
  (94, 27),
  (96, 27),
  (98, 29),
  (99, 29),
  (100, 30),
  (100, 87),
  (101, 30),
  (102, 30),
  (103, 50),
  (104, 205),
  (104, 206),
  (104, 207),
  (106, 31),
  (106, 213),
  (108, 124),
  (114, 32),
  (114, 33),
  (114, 34),
  (114, 35),
  (115, 32),
  (116, 32),
  (117, 33),
  (117, 34),
  (118, 33),
  (120, 36),
  (120, 83),
  (121, 36),
  (122, 36),
  (125, 37),
  (130, 39),
  (130, 40),
  (130, 41),
  (130, 42),
  (130, 43),
  (130, 44),
  (130, 45),
  (130, 46),
  (130, 47),
  (130, 48),
  (130, 53),
  (131, 39),
  (131, 40),
  (131, 41),
  (131, 42),
  (131, 43),
  (131, 44),
  (131, 45),
  (131, 46),
  (131, 47),
  (131, 53),
  (132, 39),
  (133, 53),
  (134, 42),
  (134, 53),
  (135, 41),
  (136, 42),
  (137, 48),
  (138, 47),
  (139, 48),
  (142, 213),
  (143, 213),
  (143, 214),
  (145, 86),
  (147, 52),
  (149, 50),
  (151, 50),
  (152, 50),
  (153, 50),
  (155, 72),
  (155, 73),
  (156, 195),
  (160, 54),
  (160, 55),
  (160, 56),
  (161, 54),
  (161, 55),
  (161, 56),
  (162, 54),
  (163, 54),
  (164, 54),
  (165, 56),
  (166, 56),
  (167, 56),
  (168, 56),
  (169, 37),
  (170, 37),
  (171, 52),
  (173, 52),
  (175, 88),
  (209, 62),
  (211, 63),
  (211, 65),
  (212, 64),
  (214, 66),
  (220, 74),
  (221, 74),
  (222, 75),
  (223, 75),
  (224, 76),
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  (229, 79),
  (231, 81),
  (232, 82),
  (234, 82),
  (235, 83),
  (236, 84),
  (237, 86),
  (238, 87),
  (239, 87),
  (240, 87),
  (241, 87),
  (246, 69),
  (246, 70),
  (246, 71),
  (246, 91),
  (247, 69),
  (247, 70),
  (247, 91),
  (248, 70),
  (248, 91),
  (249, 69),
  (249, 70),
  (249, 71),
  (250, 70),
  (251, 69),
  (251, 71),
  (252, 69),
  (252, 71),
  (253, 91),
  (254, 216),
  (256, 92),
  (262, 92),
  (277, 96),
  (277, 193),
  (277, 194),
  (277, 195),
  (277, 196),
  (277, 197),
  (277, 198),
  (278, 97),
  (280, 98),
  (281, 99),
  (281, 100),
  (282, 103),
  (282, 104),
  (282, 107),
  (283, 104),
  (283, 107),
  (284, 106),
  (285, 106),
  (285, 109),
  (286, 106),
  (287, 106),
  (287, 109),
  (288, 106),
  (288, 109),
  (289, 106),
  (290, 106),
  (290, 109),
  (291, 106),
  (291, 109),
  (292, 109),
  (299, 189),
  (302, 110),
  (303, 95),
  (304, 95),
  (327, 129),
  (347, 1),
  (347, 18),
  (347, 21),
  (349, 1),
  (353, 232),
  (353, 233),
  (353, 234),
  (353, 235),
  (353, 236),
  (353, 237),
  (353, 238),
  (353, 239),
  (353, 240),
  (355, 153),
  (356, 153),
  (357, 28),
  (357, 38),
  (357, 117),
  (357, 125),
  (357, 126),
  (358, 28),
  (358, 38),
  (358, 117),
  (359, 28),
  (360, 28),
  (360, 38),
  (361, 38),
  (362, 38),
  (363, 38),
  (364, 217),
  (374, 124),
  (377, 127),
  (378, 127),
  (379, 127),
  (380, 127),
  (387, 127),
  (401, 128),
  (401, 129),
  (401, 130),
  (401, 131),
  (401, 133),
  (401, 134),
  (401, 135),
  (401, 136),
  (401, 137),
  (401, 139),
  (401, 141),
  (401, 142),
  (401, 144),
  (401, 146),
  (401, 148),
  (409, 129),
  (410, 129),
  (410, 134),
  (411, 128),
  (411, 130),
  (411, 135),
  (411, 136),
  (412, 128),
  (412, 130),
  (412, 135),
  (412, 136),
  (413, 134),
  (414, 137),
  (414, 144),
  (417, 142),
  (418, 144),
  (424, 146),
  (424, 148),
  (430, 150),
  (430, 152),
  (436, 149),
  (436, 150),
  (437, 149),
  (437, 150),
  (438, 152),
  (440, 174),
  (440, 175),
  (443, 208),
  (443, 209),
  (443, 210),
  (443, 211),
  (444, 208),
  (444, 209),
  (446, 209),
  (453, 153),
  (454, 153),
  (455, 117),
  (456, 117),
  (457, 117),
  (457, 125),
  (458, 117),
  (459, 125),
  (460, 125),
  (461, 125),
  (462, 125),
  (471, 154),
  (472, 154),
  (501, 158),
  (501, 159),
  (501, 160),
  (501, 161),
  (501, 162),
  (501, 163),
  (501, 164),
  (502, 158),
  (502, 160),
  (502, 161),
  (502, 162),
  (503, 158),
  (503, 160),
  (504, 159),
  (505, 160),
  (505, 161),
  (505, 162),
  (506, 163),
  (520, 166),
  (528, 171),
  (528, 172),
  (529, 175),
  (530, 175),
  (532, 176),
  (532, 190),
  (532, 191),
  (533, 177),
  (534, 177),
  (535, 177),
  (536, 177),
  (542, 178),
  (545, 179),
  (545, 225),
  (545, 227),
  (545, 228),
  (546, 182),
  (546, 183),
  (547, 180),
  (547, 181),
  (548, 182),
  (548, 183),
  (549, 242),
  (549, 243),
  (549, 244),
  (549, 246),
  (549, 247),
  (549, 248),
  (552, 184),
  (552, 185),
  (552, 186),
  (553, 184),
  (553, 185),
  (554, 184),
  (554, 185),
  (554, 186),
  (554, 187),
  (555, 186),
  (555, 187),
  (559, 188),
  (559, 231),
  (560, 188),
  (560, 231),
  (561, 189),
  (562, 190),
  (563, 123),
  (564, 123),
  (565, 123),
  (566, 123),
  (567, 192),
  (568, 192),
  (571, 193),
  (572, 193),
  (572, 195),
  (573, 193),
  (574, 195),
  (581, 268),
  (588, 199),
  (589, 200),
  (590, 200),
  (591, 200),
  (592, 201),
  (593, 202),
  (594, 202),
  (595, 202),
  (596, 204),
  (597, 203),
  (598, 207),
  (599, 207),
  (602, 208),
  (603, 208),
  (604, 208),
  (605, 208),
  (606, 209),
  (607, 210),
  (608, 210),
  (609, 210),
  (610, 210),
  (611, 212),
  (613, 213),
  (614, 218),
  (614, 219),
  (614, 220),
  (614, 221),
  (615, 218),
  (615, 219),
  (615, 220),
  (615, 221),
  (616, 218),
  (616, 219),
  (616, 220),
  (616, 221),
  (617, 218),
  (617, 219),
  (617, 220),
  (617, 221),
  (618, 218),
  (618, 219),
  (618, 220),
  (618, 221),
  (619, 218),
  (619, 219),
  (619, 220),
  (619, 221),
  (620, 219),
  (621, 220),
  (622, 220),
  (637, 222),
  (637, 223),
  (637, 254),
  (638, 223),
  (638, 254),
  (639, 254),
  (640, 222),
  (640, 254),
  (641, 222),
  (642, 222),
  (643, 223),
  (644, 223),
  (648, 224),
  (648, 225),
  (648, 226),
  (648, 227),
  (648, 229),
  (649, 225),
  (650, 225),
  (650, 227),
  (651, 225),
  (651, 229),
  (652, 225),
  (653, 225),
  (654, 230),
  (655, 230),
  (660, 232),
  (673, 251),
  (673, 253),
  (674, 253),
  (675, 253),
  (677, 242),
  (677, 243),
  (677, 246),
  (677, 248),
  (678, 244),
  (678, 247),
  (682, 252),
  (683, 252),
  (684, 252),
  (691, 255),
  (691, 265),
  (691, 267),
  (691, 268),
  (692, 255),
  (693, 255),
  (693, 265),
  (693, 268),
  (694, 255),
  (694, 265),
  (694, 267),
  (694, 268),
  (695, 255),
  (695, 265),
  (695, 267),
  (695, 268),
  (696, 256),
  (696, 257),
  (696, 258),
  (696, 259),
  (696, 260),
  (696, 261),
  (696, 262),
  (696, 263),
  (697, 257),
  (697, 262),
  (698, 256),
  (698, 257),
  (698, 258),
  (698, 259),
  (698, 260),
  (698, 261),
  (698, 262),
  (698, 263),
  (699, 256),
  (699, 257),
  (699, 258),
  (699, 259),
  (699, 260),
  (699, 261),
  (699, 262),
  (699, 263),
  (701, 177),
  (704, 264),
  (705, 265),
  (705, 268),
  (706, 266),
  (707, 267),
  (708, 269),
  (709, 269),
  (710, 269),
  (711, 269),
  (712, 269),
  (713, 269),
  (714, 269),
  (715, 269),
  (716, 269);

INSERT INTO `teisro`.`writes_about`(`perscode`, `projectcode`)
VALUES (7, 201),
  (8, 21),
  (11, 201),
  (12, 201),
  (13, 201),
  (14, 201),
  (15, 201),
  (16, 501),
  (17, 21),
  (18, 21),
  (19, 21),
  (20, 21),
  (21, 21),
  (22, 21),
  (23, 21),
  (24, 21),
  (25, 21),
  (26, 21),
  (27, 21),
  (28, 21),
  (31, 51),
  (32, 581),
  (32, 591),
  (33, 581),
  (33, 591),
  (34, 581),
  (35, 581),
  (36, 581),
  (37, 581),
  (43, 741),
  (46, 651),
  (46, 1288),
  (47, 651),
  (48, 651),
  (49, 21),
  (49, 71),
  (49, 91),
  (49, 224),
  (49, 651),
  (49, 1091),
  (50, 111),
  (50, 651),
  (50, 1288),
  (52, 71),
  (52, 401),
  (53, 71),
  (54, 71),
  (55, 21),
  (55, 71),
  (55, 224),
  (57, 71),
  (57, 244),
  (58, 71),
  (59, 71),
  (59, 224),
  (60, 71),
  (60, 224),
  (61, 71),
  (61, 224),
  (62, 71),
  (62, 224),
  (63, 71),
  (63, 224),
  (67, 191),
  (67, 1263),
  (68, 191),
  (68, 1263),
  (69, 191),
  (70, 191),
  (71, 81),
  (71, 721),
  (72, 81),
  (73, 81),
  (74, 81),
  (75, 81),
  (77, 831),
  (78, 831),
  (79, 831),
  (81, 91),
  (81, 111),
  (82, 91),
  (83, 21),
  (83, 91),
  (84, 21),
  (84, 91),
  (85, 91),
  (89, 101),
  (89, 491),
  (90, 101),
  (90, 491),
  (91, 101),
  (91, 491),
  (92, 211),
  (93, 211),
  (93, 901),
  (94, 211),
  (96, 211),
  (98, 111),
  (99, 111),
  (100, 721),
  (101, 721),
  (102, 721),
  (103, 401),
  (104, 791),
  (106, 121),
  (106, 313),
  (114, 781),
  (115, 781),
  (116, 781),
  (117, 781),
  (118, 781),
  (120, 224),
  (121, 224),
  (122, 224),
  (125, 434),
  (130, 302),
  (130, 552),
  (131, 302),
  (131, 552),
  (132, 302),
  (133, 302),
  (134, 302),
  (135, 302),
  (136, 302),
  (138, 552),
  (139, 552),
  (142, 313),
  (143, 313),
  (145, 573),
  (147, 731),
  (149, 401),
  (151, 401),
  (152, 401),
  (153, 401),
  (155, 741),
  (160, 821),
  (161, 821),
  (162, 821),
  (169, 434),
  (170, 434),
  (171, 731),
  (173, 731),
  (175, 882),
  (235, 224),
  (236, 51),
  (237, 573),
  (238, 721),
  (239, 721),
  (240, 721),
  (241, 721),
  (246, 931),
  (247, 931),
  (248, 931),
  (249, 931),
  (250, 931),
  (251, 931),
  (252, 931),
  (253, 931),
  (254, 951),
  (256, 981),
  (262, 981),
  (277, 1091),
  (280, 21),
  (281, 21),
  (282, 21),
  (283, 21),
  (284, 21),
  (285, 21),
  (286, 21),
  (287, 21),
  (288, 21),
  (289, 21),
  (290, 21),
  (291, 21),
  (292, 21),
  (353, 13),
  (364, 24),
  (377, 761),
  (378, 761),
  (379, 761),
  (380, 761),
  (387, 761),
  (440, 1217),
  (443, 1220),
  (443, 1221),
  (443, 1291),
  (444, 1220),
  (444, 1221),
  (446, 1221),
  (501, 1249),
  (502, 1249),
  (503, 1249),
  (504, 1249),
  (505, 1249),
  (506, 1249),
  (520, 1255),
  (529, 1217),
  (530, 1217),
  (532, 1262),
  (533, 1263),
  (534, 1263),
  (535, 1263),
  (536, 1263),
  (542, 1264),
  (545, 1268),
  (546, 1270),
  (547, 1269),
  (548, 1270),
  (553, 1274),
  (554, 1274),
  (555, 1274),
  (571, 1091),
  (572, 1091),
  (573, 1091),
  (574, 1091),
  (588, 852),
  (589, 852),
  (590, 852),
  (591, 852),
  (592, 852),
  (593, 852),
  (594, 852),
  (595, 852),
  (596, 852),
  (597, 852),
  (598, 791),
  (599, 791),
  (602, 1220),
  (603, 1220),
  (604, 1220),
  (605, 1220),
  (606, 1221),
  (607, 1291),
  (608, 1291),
  (609, 1291),
  (610, 1291),
  (613, 313),
  (614, 1288),
  (615, 1288),
  (616, 1288),
  (617, 1288),
  (618, 1288),
  (619, 1288),
  (620, 1288),
  (621, 1288),
  (622, 1288),
  (637, 1311),
  (638, 1311),
  (640, 1311),
  (641, 1311),
  (642, 1311),
  (643, 1311),
  (644, 1311),
  (648, 1268),
  (649, 1268),
  (650, 1268),
  (651, 1268),
  (652, 1268),
  (653, 1268),
  (657, 1316),
  (660, 13),
  (691, 1331),
  (692, 1331),
  (693, 1331),
  (694, 1331),
  (695, 1331),
  (696, 1332),
  (697, 1332),
  (698, 1332),
  (699, 1332),
  (701, 1263),
  (703, 1333),
  (708, 1334);

INSERT INTO `teisro`.`written_about`(`pubcode`, `projectcode`)
VALUES (232, 13),
  (233, 13),
  (234, 13),
  (235, 13),
  (236, 13),
  (237, 13),
  (238, 13),
  (239, 13),
  (240, 13),
  (4, 21),
  (5, 21),
  (6, 21),
  (7, 21),
  (8, 21),
  (9, 21),
  (10, 21),
  (11, 21),
  (12, 21),
  (98, 21),
  (99, 21),
  (100, 21),
  (101, 21),
  (102, 21),
  (103, 21),
  (104, 21),
  (105, 21),
  (106, 21),
  (107, 21),
  (108, 21),
  (109, 21),
  (217, 24),
  (117, 33),
  (125, 33),
  (126, 33),
  (84, 51),
  (17, 71),
  (19, 81),
  (20, 81),
  (22, 91),
  (89, 101),
  (90, 101),
  (29, 111),
  (31, 121),
  (51, 191),
  (2, 201),
  (26, 211),
  (27, 211),
  (36, 224),
  (83, 224),
  (57, 244),
  (39, 302),
  (40, 302),
  (41, 302),
  (42, 302),
  (43, 302),
  (44, 302),
  (45, 302),
  (53, 302),
  (213, 313),
  (214, 313),
  (50, 401),
  (37, 434),
  (23, 491),
  (24, 491),
  (25, 491),
  (13, 501),
  (46, 552),
  (47, 552),
  (48, 552),
  (86, 573),
  (14, 581),
  (15, 591),
  (16, 651),
  (30, 721),
  (87, 721),
  (72, 741),
  (73, 741),
  (127, 761),
  (32, 781),
  (33, 781),
  (34, 781),
  (35, 781),
  (205, 791),
  (206, 791),
  (207, 791),
  (54, 821),
  (55, 821),
  (56, 821),
  (49, 831),
  (85, 831),
  (199, 852),
  (200, 852),
  (201, 852),
  (202, 852),
  (203, 852),
  (204, 852),
  (88, 882),
  (215, 901),
  (69, 931),
  (70, 931),
  (71, 931),
  (91, 931),
  (216, 951),
  (92, 981),
  (96, 1091),
  (193, 1091),
  (194, 1091),
  (195, 1091),
  (196, 1091),
  (197, 1091),
  (198, 1091),
  (97, 1111),
  (174, 1217),
  (175, 1217),
  (208, 1220),
  (209, 1221),
  (156, 1245),
  (157, 1246),
  (158, 1249),
  (159, 1249),
  (160, 1249),
  (161, 1249),
  (162, 1249),
  (163, 1249),
  (164, 1249),
  (165, 1255),
  (166, 1255),
  (167, 1256),
  (168, 1256),
  (169, 1256),
  (176, 1262),
  (177, 1263),
  (178, 1264),
  (179, 1268),
  (224, 1268),
  (225, 1268),
  (226, 1268),
  (227, 1268),
  (228, 1268),
  (229, 1268),
  (180, 1269),
  (181, 1269),
  (182, 1270),
  (183, 1270),
  (184, 1274),
  (185, 1274),
  (186, 1274),
  (187, 1274),
  (218, 1288),
  (219, 1288),
  (220, 1288),
  (221, 1288),
  (210, 1291),
  (222, 1311),
  (223, 1311),
  (254, 1311),
  (255, 1331),
  (256, 1332),
  (257, 1332),
  (258, 1332),
  (259, 1332),
  (260, 1332),
  (261, 1332),
  (262, 1332),
  (263, 1332),
  (269, 1334);

-- Re-enable foreign key checks

-- End of script
