Community services always seem to be left behind when it comes to advancements in supporting technology as they’re less visible. The NHS long term strategy aims to move services out of hospital, but the systems haven’t been there to manage the transition, until now.
Designed to complement Electronic Patient Record (EPR) and e-rostering systems, Malinko’s e-scheduling tool optimises caseload scheduling for community healthcare teams and helps managers understand their capacity (skilled staff) and demand (patient needs). Outcomes include improved productivity, service delivery, staff safety, patient outcomes, as well as reduced clinical risk and cost.
Innovation funding awarded by Health Innovation Manchester (HinM) enabled co-design of the software ‘blueprint’ with Salford Royal NHS FT, creating an innovative e-scheduling tool made up of three parts:
- Malinko web – used by the office team to schedule planned and unplanned visits using real-time data – providing the same level of visibility as an ambulance service or acute inpatient area.
- Unique clinical scheduling engine – clinically-coded caseloads are safely assigned to appropriately-qualified clinicians, optimising patient visits so non-clinical time, e.g. manual scheduling and route planning, is minimised.
- Malinko mobile app – used by frontline health and social care professionals, the app captures care contact time via check in/check out functionality, which informs future workforce planning. Lone worker protection and messaging features are included.
Malinko frees up time to care, reduces clinical risk and improves productivity by up to 30%.
Compliant with NHS software Clinical Safety regulations: DCB 0129.
Malinko meets six problems experienced by community healthcare teams:
- Scheduling of care and visit booking is manual, convoluted and labour-intensive with multiple points of failure.
- No accurate real-time view capacity and demand.
- No accurate view of where staff are.
- Near impossible to co-ordinate care around a patient.
- No empirical data. Management information is of little use.
- Difficult to align and plan workforce staffing levels to meet the demands of the population.
Using Malinko, realised benefits include:
- A 12% reduction in non-clinical contact time
- A 30% increase in productivity
- Streamlined, more agile teams based on real-time capacity and demand data
- Reduced fuel costs through optimisation of travel routes
- Improvements to clinical care including a 58% reduction in pressure ulcer incidents.
In the North West, five NHS foundation trusts have adopted Malinko in their community services and are realising significant clinical and financial benefits in addition to improved staff morale. Future opportunities include using Malinko to safely triage care across a health economy – with full visibility across all healthcare services.
Support was provided by HInM’s OLS funded Innovation Nexus Business support service, which offers procurement advice, signposting, introductions to clinical experts and trust heads of procurement and assistance with accessing procurement frameworks. Also support was provided through the ERDF GM Sectors Project and the 2018 Regional AHSN Digital Health Accelerator Programme.
Innovation funding (approx. £30,000) was awarded by HInM to enable an initial trial and evaluation at Salford Royal Hospital Community Team.
Since becoming involved with the GM healthcare system and HInM, Malinko has grown significantly (five jobs created in 2018/19 and 12 full time jobs created in 2019/20, plus eight jobs protected. Malinko has also created three offshore jobs and created three part time jobs, protecting one part time job.
Malinko is actively looking to recruit at least five more full time staff members in 2021.
The patient impact is demonstrated in the resource and efficiency savings. By using Malinko instead of the EPR system, senior nurses can schedule and book over 100 patient appointments in just 20 minutes. This saves thousands of hours per annum of senior nursing time on caseload scheduling, freeing up valuable clinical capacity that can used to focus on more complex patient care or training. Patients benefit from better coordinated, place-based care.
Bolton NHS FT District Nurses: Before Malinko approx. 15,500 visits were carried out in January 2019. With Malinko in January 2020 19,587 visits were completed with pretty much the same workforce. A 26% increase.
“Malinko enables our community teams to forward plan by using the empirical data for future planned visits. The teams can easily identify where the shortfalls are whether by competence or grading. Malinko allows you to look ahead at gaps in relation to capacity and demand which will be the enabler for teams to redeploy staffing according to the shortfall for the requirement. Having the right staff in the right place at the right time.
“Using Malinko’s mobile app check in and out functionality to contemporaneously capture care contact time helps us obtain the empirical data about demand. Currently there is no other system that can provide this. Malinko intelligent scheduling engine enables our teams to auto schedule in line with the fairness, skill mix and utilising the staff hours as effective as possible. Malinko reports can be used to detail journeys and job planning based on planned vs actual. Malinko is allowing us to break down clinical care required by service (Insulin, wound care etc), staff grade required and competence. Trends on types of care and pressures can be monitored in advance to build resilience.
“Malinko is designed to allow role-based access. This can be linked to different e expenses interfaces to allow an automated payroll process for expenses. Staff profiles can (client preference) linked with ESR staff posting numbers which is unique and will update various other sources linked via API links with availability. The system allows absences to interface with other systems removing any manual intervention.”
– David McPherson, Systems Implementation Manager, Cambridgeshire Community Services
- Supplier of the Year – NHS in The North Excellence in Supply Awards 2018
- Department of International Trade – top 100 health tech exports
- Partnerships with Northern Care Alliance and Atos Scaler global programme.
The evidence is compelling, NHS organisations that have adopted Malinko have enabled their community services to ‘free up time to care’ by improving productivity by up to 30%. Adopting Malinko has enabled NHS partners to support community services and improve patient outcomes, whilst reducing the clinical risk and the cost of delivering its community services.
Malinko has generated a strong evidence base and a list of NHS clients and are now looking to scale up across other NHS organisations and regions. The company is already listed on Yorkshire and Humber AHSN’s Innovation Exchange and seeks conversations with other AHSNs and NHS trust community health leaders so they can articulate and share best practice’ and better use of clinical nursing time. The company is growing and can meet timescales for adoption of the service.
Malinko would like to hear from AHSNs to help generate awareness of Malinko and also NHS organisations that require e-scheduling services to help make clinical pathways and delivery of clinical activity more efficient.
AHSN support for the company started in 2018 and is continuing, mainly to assist with spread and adoption.
Project contact for further information
Nick Allen FCIPS, Industry Procurement Adviser, Health Innovation Manchester
T: 01612 765 805
Media contact for further information
Lucy Williams, Senior Communications Officer, Health Innovation Manchester
T: 0161 509 3872