The Florence (FLO) telehealth texting system


Community Diabetes Nurses at Derbyshire Community Health Service have embraced the Florence (FLO) telehealth texting system to support the patients that they see with diabetes. This is a free texting service for the patient and has been used for medication reminders and glucose results; with impressive results both in terms of patient outcomes and in changing the way that the diabetes nurses are working. Over 250 patients with both type 1 and type 2 diabetes are using this technology following identification from the community team. The system allows the specialist nurses to monitor patients remotely, to set individual target ranges for patients and receive e mail alerts if the patient is out of an agreed individual target range. Patients have responded positively to this cost-effective system and it has reduced the number of face-to-face contacts required. Patients report that they feel more supported.


With the increasing numbers of patients developing diabetes (Diabetes UK states it will increase to fi ve million in 2025 from 3.2 million in 2012) and without additional resources for clinical staff, new ways of working need to be embraced by the health service. The use of digital technology is an additional tool that can be used effectively as part of a diabetes care package.


To use technology to support patients managing their diabetes and how this would impact service delivery. To see how and whether the telehealth service could improve patient experience and outcomes, and reduce the number of face-to-face contacts needed.

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QiC Diabetes Finalist 2016
Digital and Technology Solutions in the Treatment and Management of Diabetes
The Florence (FLO) telehealth texting system
by Derbyshire Community Health Services NHS Foundation Trust


Michelle Denyer

Job title:
Lead community diabetes specialist nurse
Place of work:
Derbyshire Community Health Service

Quality In Care Diabetes

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  • 2021 KEY DATES
  • Open for entry:
    Tuesday 20 April 2021
  • Extended Entry Deadline:
    Monday 12 July 2021
  • Judging day:
    Tuesday 7 September 2021
  • Awards ceremony:
    Thursday 14 October 2021