Member Info for Barnacle

🛡️ 1. What is the Innovator Passport?

The Innovator Passport, announced in the NHS 10-Year Health Plan, is being introduced over the next two years via the MedTech Compass platform. Once a technology is robustly assessed and approved by any NHS organisation, it can be adopted across all NHS trusts without needing to be reassessed each time.

This central approval model is designed to reduce administrative duplication and eliminate barriers to roll-out.

✅ 2. Why Bleepa Qualifies

Proven NHS deployment: Bleepa has been successfully piloted and contracted by trusts like QVH and Northern Care Alliance, with demonstrable improvement in referral times and diagnostics workflows.

Regulatory suitability: As a firmly established digital health technology, Bleepa has met clinical governance, data protection, and user-safety standards—key criteria for passport eligibility.

NIA backing: Bleepa was named a 2025 Fellow of the NHS Innovation Accelerator — a programme that spotlights and scales validated NHS‑ready healthtech. Innovations selected as NIA Fellows are precisely those capable of broader NHS adoption, aligning with the passport’s goals.

🎯 3. What the Passport Means for Bleepa

Faster, smoother NHS-wide rollout: Once approved by one trust, Bleepa can be deployed across others without repetitive local vetting.

Reduced bureaucracy: Earlier hurdles with local procurement and compliance can be bypassed—speeds up access and delivery.

Broad NHS access: Adoption won't be limited by trust boundaries; Bleepa can be quickly made available across the health service once centrally approved.

I can see the share price heading back up to the placing price of 20p this month. We're due some news... An ICB contract or two could easily double this price. And if the Innovator Passport kicks in, who knows where we'll be.... Fingers crossed!

Speaks of Feedback's work with the Queen Victoria Hospital to me.......

"A new ‘innovator passport’ – to be introduced over next two years – will allow new technology that has been robustly assessed by one NHS organisation to be easily rolled out to others. "

"The passports mean that once a healthcare tool has been assessed by one NHS organisation, further NHS organisations will not be able to insist on repeated assessments, reducing the need for local NHS systems to spend their limited resources on bureaucratic processes that have already been completed elsewhere."

Would certainly think so Bill. It's work with QVH provides "a pioneering blueprint of the symptom-based pathway and the ultimate enabler to clinical re-design as it has demonstrated the ability to cut wait times and improve patient care.":

"Throughout the process, the work carried out at QVH has been, and continues to be, showcased in multiple arenas through ICS and national webinars. The national diagnostic team became aware of the programme, which was very much supported by their leadership team through Prof Mike Richards.

The QVH breathlessness pathway was made a national exemplar, and the team has worked across NHS England with others aiming to emulate the programme.

The whole project has been included as a case study in the report by the All-Party Parliamentary Group for Diagnostics 2024 report on CDCs. This approach provides a pioneering blueprint of the symptom-based pathway and the ultimate enabler to clinical re-design as it has demonstrated the ability to cut wait times and improve patient care."

https://feedbackmedical.com/wp-content/uploads/2025/01/QVH_CDC_CaseStudy_Digital.pdf

From QVH Board Meeting in May 25:

HSJ Partnership Award

In April we were awarded the Most Effective Contribution to Clinical Redesign Award at the HSJ Partnership Awards 2025 for reducing patient wait times and unnecessary hospital appointments through a digital breathlessness pathway. Our collaboration with med-tech company Feedback Medical was also shortlisted in the ‘Best Contribution to Improving the Efficiency of NHS Services’ category. We were recognised for our pilot project providing a straight-to-diagnostic breathlessness pathway using Feedback’s Bleepa software. It has achieved significant improvements in efficiency and patient wait times and our team has been asked to share our best practice both regionally and nationally with others interested in adopting similar symptom-based pathways.

Yes, Feedback have been piloting Bleepa with GPs at QVH for some time now:

https://feedbackmedical.com/case-study/digital-breathlessness-pathway

Asynchronous Collaboration & Rapid Access

GPs involved in the pilot had direct access to full diagnostic data (imaging, blood results, spirometry, etc.) via Bleepa, allowing them to collaborate virtually with specialists.

Instead of sending patients to clinics, GPs could manage cases locally or get specialist input digitally—saving time and reducing patient visits .

A GP from Moatfield Surgery, Dr Minesh Patel, emphasized that Bleepa streamlined the whole process—from triage to one-day testing and receiving specialist advice—without adding to GP workload

The platform provides a secure chat where GPs and specialists discuss cases, share diagnostic results, and make joint decisions asynchronously

Thanks for the link PR. Here is a summary of the 3 Year Spending review:

Here’s a comprehensive summary of the NHS-related outcomes from the 11 June 2025 3-year Spending Review:

🏥 NHS Funding Overview

£29 billion real-terms boost in annual day-to-day NHS spending between 2023–24 and 2028–29, equivalent to around £226 billion by 2028–29, or ~3.0% real‑terms annual growth for NHS England 

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Equivalent overall DHSC budget rise is about 2.8% per year in real terms 

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Capital Investment Surge

£2.3 billion real‑terms increase in health capital spending from 2023–24 to 2029–30—a rise of 20% in real terms 

gov.uk

Funding allocated for:

Enhanced technology, including the NHS App, federated data platform, and shared patient records 

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Hospital and primary care upgrades, including £30 billion over five years for maintenance, addressing RAAC risks and the NHS estate 

gov.uk

Reform Agenda & Performance Goals

Support for the Plan for Change initiative, aiming to reduce waits so that 92% of non-urgent patients begin consultant-led treatment within 18 weeks by end of this Parliament 

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NHS Providers emphasise a "three-shift" strategy: moving from hospitals to community care, from treatment to prevention, and from analogue systems to digital tech 

Productivity & Efficiency

The government projects 2% annual productivity gains in the NHS, unlocking potential £17 billion in savings over three years, to be reinvested in care 

pharmaceutical-journal.com

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Agency staffing reductions are targeted to reduce dependency and cost .

I got a feeling that July will be a good month for news, and let's hope that Feedback will be riding the wave....

Hi Vas,

From RNS 28th April '25

"The end of the national price for diversion payments under ERF provides greater contracting flexibility between the Company and ICBs as it stands to be paid for every patient hosted on the platform instead of linking payment to the number of successful diversions, aligning to Feedback's standard G-Cloud pricing and licencing model. The Company believes the increased financial pressures and simpler model of licensing will make its products more compelling and accessible to customers and remains confident that once the current landscape settles, ICBs will be positioned to finalise budgeting decisions."

So I believe payment is structured as below for Users such as the Northern Care Alliance:

1. Subscription Model (SaaS)

Per‑user subscription: Bleepa operates on a software-as-a-service basis, with an annual licence cost per user, subject to a minimum number of users—usually hospital-wide or departmental implementation.

Set-up fees: There’s typically a one-off implementation fee to cover integration with PACS and training support.

Optional hosting: Feedback Medical provides cloud hosting by default; on-premises hosting is available at additional cost.

But then for ICBs and Neighbourhood Health services there is an alternative price structure based on patient episodes:

2. Per-patient-episode pricing: Some NHS customers can be charged on a usage basis—per episode of care—depending on volume, also with a minimum threshold.

So there is huge potential for revenue generation, just need to see some contracts signed, but I feel we will not have to wait long...

Https://feedbackmedical.com/feedback-medical/delivering-a-neighbourhood-health-service-for-london/

Bleepa forming the crucial technology layer to facilitate transition to neighbourhood delivery

"Feedback plc (AIM: FDBK, "Feedback" or the "Company"), the clinical infrastructure specialist, has positively demonstrated the benefits of its Bleepa platform as part of the first ever simulation of the Neighbourhood Health Service in conjunction with the UK's leading enterprise management consultancy, PPL."

Bleepa getting some good exposure to decision makers. - "The plans and delivery involve many key stakeholders, both from a central and local perspective, to work together including NHS England, the Greater London Authority, London Councils, the Office for Health Improvement and Disparities, integrated care boards and local authorities across all London boroughs and the voluntary sector."Neighbourhood Health Service Simulation

From BBC News:

The chancellor says the government has, in less than a year, recruited 1,700 more GPs, delivered 3.5 million more appointments, and cut waiting lists by more than 200,000.

Reeves then announces she is "increasing the NHS technology budget by almost 50%", with £10bn of investment to "bring our analogue health system into the digital age, including through the NHS app".

There should be a lot of discussions going on at the moment, deadline for IAPs in a few weeks, next month should be very interesting...

Indicative Activity Plans:

"Under the NHS Standard Contract IAPs must now be agreed for any ‘Services Paid for on an Activity Basis’ (which excludes block arrangements) within three months of the service commencement date or by 30 June 2025 for existing contracts. "

https://www.burges-salmon.com/articles/102kat9/new-activity-management-processes-implemented-in-2025-6-nhs-standard-contract/#:~:text=Indicative%20Activity%20Plans%3A,June%202025%20for%20existing%20contracts.

From FDBK Trading Update - 28th April:

"The ERF has been replaced by a fixed funding allocation to ICBs for elective recovery (totalling £5.3bn* for 2025/26), linked to ICB indicative activity plans which we believe must be submitted by 31 May 2025, and places increased pressure on ICBs to deliver activity within a fixed financial envelope.

The end of the national price for diversion payments under ERF provides greater contracting flexibility between the Company and ICBs as it stands to be paid for every patient hosted on the platform instead of linking payment to the number of successful diversions, aligning to Feedback's standard G-Cloud pricing and licencing model. The Company believes the increased financial pressures and simpler model of licensing will make its products more compelling and accessible to customers and remains confident that once the current landscape settles, ICBs will be positioned to finalise budgeting decisions."

"The Company continues to progress contract conversations with a growing number of ICBs at a local level and remains positive about the broader environment and opportunity - especially with the continued focus on waitlist rationalisation within the NHS, and the compelling workflow and cost benefits that Feedback provides. The increasing focus on digitisation and the flexibility of the Company's solutions - which can be tailored to the broader changing landscape, underpin management's confidence that Feedback remains positioned to generate strong returns. Together with our primary care partner the Company continues to pursue opportunities linked to the government's Neighbourhood Health model which we believe is likely to form a key component of the NHS 10-Year plan and lead to opportunities later in the year."

So 5 London region ICBs are involved in this, it would make sense for them all to adopt Bleepa.

An amazing opportunity of Feedback, could these be some of the ICBs that they are in conversations with?

🩺 Bleepa & Neighbourhood Health Service Simulation (Today, 5–6 June 2025)

On-site simulation live now: Community healthcare teams across London are actively engaging in a two-day live simulation led by social enterprise PPL to test the “Neighbourhood Health Service” model.

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Bleepa’s pivotal role: Feedback plc’s clinical communication platform Bleepa is the only UKCA-certified medical-device‑grade app for image sharing and coordination. It’s being utilised as the core collaboration tool and is integrated into new neighbourhood care delivery models—a significant endorsement.

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Official support from London stakeholders: NHS England’s London region, all five Integrated Care Boards (ICBs), London Health & Care Partnership, local councils, and the Greater London Authority have published the “London Case for Change” and “Target Operating Model,” forming the strategic foundation for this endeavour.

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Bottom line: The live simulation marks a major milestone in the shift toward hospital‑to‑community, analogue‑to‑digital, and sickness‑to‑prevention care models. Bleepa’s involvement demonstrates practical digital interoperability in action.

Worth a read:

https://www.england.nhs.uk/london/wp-content/uploads/sites/8/2025/05/A-Neighbourhood-Health-Service-for-London-TOM-1.pdf

Https://www.england.nhs.uk/london/2025/05/13/london-unveils-vision-for-a-neighbourhood-health-service-to-transform-care-across-the-capital/?utm_source=chatgpt.com

There is a significant event occurring today related to the Neighbourhood Health Service (NHS) in London. A two-day behavioural simulation is taking place on June 5–6, 2025, in Central London. This simulation aims to test the practical implementation of the NHS model, bringing together health and care professionals, voluntary sector representatives, and residents to interact within a fictional neighbourhood setting. The goal is to evaluate how services can collaborate effectively to improve outcomes and equity at the neighbourhood level.

The simulation is part of a broader initiative led by NHS England (London Region), London’s Integrated Care Boards, London Councils, the Greater London Authority, and other partners. They have collectively endorsed the publication of “The London Case for Change” and the “London Target Operating Model and Next Steps for Implementation” for a neighbourhood health service in London. This marks a major milestone in the capital’s journey to transform health and care.

🏥 Neighbourhood Health Service: London’s Vision for Community-Based Care

In May 2025, NHS London unveiled a comprehensive plan to transform healthcare delivery through a Neighbourhood Health Service. This initiative aims to shift care from hospitals to community settings, emphasizing prevention and digital integration. The strategy involves collaboration among NHS England (London Region), Integrated Care Boards, local councils, and other partners to deliver coordinated, person-centered care within communities. A simulation of this model was planned for May 2025 to test its practical implementation .

Post on Linkedin from Tom Oakley:

📣 Fantastic to see community teams from across London coming together on Bleepa for the first ever simulation of the Neighbourhood Health Service.

The transition to integrated neighbourhood teams (INTs) will necessitate a new digital infrastructure that allows multiple services to come together around the patient, both to share information and collaborate. This is exactly what Bleepa was built for and it is fantastic to see it in practice underpinning today's simulation.

It is great to work with PPL to show the art of the possible and to demonstrate how this pioneering vision from Department of Health and Social Care can be made into a reality for citizens across the capital and the rest of the UK.

Here's to unlocking the left shift!

- Hospital to community

- Sickness to prevention

- Analogue to digital

Also from the Interims back in Feb., Feedback are in....

• Preliminary discussions with NHSE about Bleepa being included in new delivery models for neighbourhood care

and additional locations to deploy Feedback’s products.

Looking very interesting....