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Internet solution for pre-opp assessment of patients in their own home.

ID5: Distribute the Product

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Executive Summary

ePAQ has been designed primarily as a clinical tool, to facilitate communication between patients & clinicians. It has been evaluated in a number of studies in terms of its validity, reliability & impact on patient care. Its origins lie in instruments designed for use as Patient Reported Outcome Measures (PROMs) though most importantly the system offers a user-friendly and meaningful measure of outcome, which may be applicable in clinical practice, service evaluation, audit & research. It is a key element in supporting devolved care (including nurse-led clinics) as well as ‘Virtual Clinics’

Quick Detail

Innovation Owner:
Agnes Crutchard
Development stage:
ID5: Distribute the Product

Project Detail

Unmet needs

40% of all pre op screenings in hospital could be done remotely amounting to 1.2 million appointments avoided = £48 million saving. 


Proposed Solution

ePAQ-PO is an electronic Personal Assessment Questionnaire for PreOperative assessment of patients. ePAQ is compatible with touch-screen technology, although it can be used on any computer using a standard mouse and keyboard; further enhancements allow on-line use of the system, with patients completing the questionnaire via the Internet, linked to their hospital IT system. This innovation supports ‘Virtual Clinics’, where ePAQ is combined with telephone consultation (for new & follow-up patients) reducing unnecessary attendances & burden on hospital outpatient facilities. Following treatment, ePAQ progress reports are also automatically generated, to allow objective assessment of outcome.

The software for a generic questionnaire builder was created, facilitating the development of new questionnaires. The user-friendly, versatile and interactive ePAQ platform technology lends itself well to numerous areas of clinical medicine, particularly areas where symptoms and personal data are a key element in assessment, diagnosis and monitoring. ePAQ provides a user-friendly and valuable means of delivering patient-based outcomes data (increasingly demanded for routine clinical practice).

In addition to ePAQ-PF for pelvic floor disorders assessment, ePAQ developed the preoperative assessment (ePAQ-PO), and is planning to develop other electronic questionnaires, including Gynaecological Oncology: ePAQ-GO, hormonal, menstrual & pain: ePAQ-HMP, female sexual function: ePAQ-FSF, male urogenital & bowel: ePAQ-MGB, pre-operative assessment; ePAQ-PO and alcohol & substance misuse: ePAQ-SAM.

It will allow avoidance of unnecessary face to face meeting, initial remote consultation can be followed up by consultation if appropriate; better targeting of treatment; improved patient experience.


Intended benefits

On line screening wouldn’t replace current processes but enhances it by allowing NHS staff by targeting patients with complex health needs. Specifically it avoids unnecessary appointments to preoperative clinic of fit & well patients (e.g. ASA 1) 

Early triage of patients – enhanced patient journey

Improved audit & clinical governance

For perioperative care -

Standards approach to pre-assessment processes

Allows prioritisation for face to face assessments of patients with complex needs

Key Facts


  • Clinical outcomes
  • Patient experience
  • Service efficiency/productivity

Healthcare Areas

  • Primary Care

Health Problems

  • Other


  • Domestic