Monday, December 15, 2014

Vital-Sign “Optical Monitor” to be Tested at Broadmoor

Vital-Sign "Optical Monitor" to be Tested at Broadmoor


Patients at Broadmoor Hospital could be set to test a camera that remotely monitors a person’s vital signs, such as their heart rate or breathing. But before you go thinking that such cameras would, of course, be a huge invasion of the patients’ privacy, they are simply detection devices and don’t actually send pictures at all.


Broadmoor HospitalBroadmoor is a high-security psychiatric hospital where staff take care of around 200 men suffering from severe mental health problems.


Staff need to carry out regular checks on the patients throughout the night, to make sure they are all alive and well. However, some patients need to be checked on as many as four times in an hour. And every time a member of staff enters the room, they have to flash their torch or turn on the light so that they can see what they're doing. Of course, this is likely to disturb the patient in question.


But the optical monitors could take those checks out of the equation altogether, allowing staff to concentrate on the patients that need their help the most.


The technology, created by high-tech company Oxehealth working with Broadmoor, allows for remote monitoring of a person’s vital signs, even when they are inside a secure room.


The cameras are mounted on the wall and monitor the chest movements of a person, which helps to estimate breathing rate. Subtle changes in skin colour called by microblushes - made through the movement of blood beneath the skin - combined with a sophisticated algorithm to calculate a person's heart rate.


And as the devices uses infra-red, it works just as well in the dark as in a brightly lit room. This means that patients wouldn't have to be disturbed so often through the night, being woken up just to make sure they are still breathing.


Broadmoor clinical director and consultant forensic psychiatrist Dr Amlan Basu is already thinking about the benefits of installing the technology in patients' rooms. "My hope is that... nursing staff will be freed up to perhaps spend their time more effectively by actually engaging with patients," he said.


Oxehealth has already tested the technology on premature babies and kidney patients at Oxford University Hospitals Trust. The optical monitors ran alongside conventional monitoring equipment, to test and compare their accuracy.


Both the peer-reviewed and published initial results were promising, so Oxehealth and Broadmoor have decided to step up their game. Monitors for temperature, blood pressure and blood oxygen levels are now being incorporated into the device as well.


Jonathan Chevallier, chief executive for Oxehealth, said that the technology had the potential to be extended into a broad range of settings, outside of the hospital scene. For example, optical monitors could be set up in a care home to keep an eye on residents' health, or perhaps even in prisons or on a car dashboard. Another idea is that it could give older people a little more peace of mind about their health.


“If you are over the age of 65, you probably have friends who have had a stroke,” he explained. “You probably don’t spend too much time thinking about it because it is a bit scary. But if you knew there was a technology you could have in your home… and it’s going to detect when you’re developing an irregular heartbeat, so you can see your doctor and avoid a stroke, I think that’s a massive benefit.”


To begin with, the optical monitors will be tested by volunteer staff at Broadmoor hospital. If they prove successful, some patients will be able to issue their consent to have the cameras tested on them.


Friday, December 12, 2014

England and Wales Water Charges to Fall

England and Wales Water Charges to Fall


We don't get to tell you often enough that your bills are going to fall slightly over the next few years. But according to England and Wales water regulator Ofwat , that is just what is going to happen to your water bills.


Not including inflation, household water bills will be falling by an average of 5% by 2020. In terms of real money, this means that water bills will be around £20 less than they are today - depending on the area you live in and how much you’re paying now.


Out of the 18 water and sewage companies in England and Wales, only three had yet to have their price terms already set by Ofwat - Bristol Water (a water-only company), Thames Water and United Utilities.


These three firms have now had their price changes determined, with United Utilities informed it must cut its costs by 3%. Thames Water has been told that its rates need to fall by 5% - and not the rise of 3% it had previously proffered - and Bristol Water has to cut its own charges by a whopping 21%.


Ofwat have been able to order these price drops because of a sustained period of low interest rates, allowing the companies to borrow more cheaply for infrastructure projects which are among their most costly outgoings.


All of the water and sewage companies will still be able to add inflation, as measured by RPI, and some critics have suggested that this could actually result in the consumer paying more than they are already.


However, the CCW (Consumer Council for Water) said that these changes are the good news they appear to be for the customer.


“Most water companies and the regulator have listened to customers and delivered a deal which reflects the services they want, at a price most find acceptable,” stated CCW chief executive Tom Smith.


Cathryn Ross, Ofwat chief executive, explained that the ruling enables water companies to invest around £44 billion (about £2,000 per household) over the next five years. She said that the changes will mean customers getting more for their money.


“Where companies stepped up to do the best they could for their customers, we did not need to intervene,” she said. “But where companies fell short, we stepped in to make sure customers get a good deal. Now the hard work begins!”


She added that companies will only be able to gain the trust and confidence of their consumers if they deliver and that those that do, won’t struggle at all in the coming five years. “Those that don’t will be hit in the pocket and face a tough five years instead,” she concluded.


The companies have two months to accept the terms. If they don’t, they can seek a referral from the Competition and Markets Authority. Either way, we can look forward to the changes coming into effect from April next year.