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Achala Patel

Passion for working with clinicians for better patient outcomes. Founder and Managing Director of Entec Health, here to support health innovation with smart health technology.
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Digital transformation of a diabetes foot service, South Derbyshire

SAWC 2020 Virtual July 2020


SAWC Digital Transoformation Poster PDF cover page

Download SAWC 2020 VIRTUAL e-Poster (A4 PDF format) 

© Professor Frances Game (primary author), Doreen Bunting, Dara Coppel, Achala Patel (July 2020).

South Derbyshire has a well-established, integrated multidisciplinary diabetes foot team (MDFT) service. The service was facing increasing pressures from growing demand and challenges with capacity, both factors significantly affecting patient experience and service access. There were a number of barriers to increasing outpatient capacity due to availability of health care professionals, clinical space and the high costs associated with this type of service expansion.
A new model of care has been developed to release capacity in acute clinics and support care closer to home for patients. A digital wound imaging and data management system (Silhouette, ARANZ Medical) has been deployed as a technology enabler to support digital transformation of the integrated MDFT service. Patients can now be seen in community clinics, led by Podiatrists, close to the patient’s home. Escalation and de-escalation of care is facilitated with remote access to real time diabetes foot ulcer assessment data.

The results and key learnings are discussed, higlighting: 
    • Improved communication across the pathway to support improvements in patient care and experience
    • Successful transition of MDFT care from hospital out-patient care to community clinics, closer to patient's home
    • Reduced cost of service delivery based on tariff costs differentials between acute and community 
    • Improved patient satisfaction on time to be seen and confidence in care
    • Maintenance of clinical quality and outcomes
Learn more 

Digital Transformation of a Multidisciplinary Diabetes Foot Service in South Derbyshire, UK
Game, Bunting, Coppel, & Patel, 2020

Download SAWC 2020 VIRTUAL Poster (A4 PDF format)

Visit Entec Health website

Contact Entec Health on 07917 007859 to discuss your requirements for digital technologies for wound care transformation.







NWCSP Wound Care Resources for Patient Self-care

New wound care resources have been released by NWCSP to support COVID-19 planning 

Entec Health is keen to share an important update from the National Wound Care Strategy Programme, for England (NWCSP). With the kind permission of the NWCSP, we have signposted this new information below for your review. 

The NWCSP has developed some key documents that are designed to support self -care / shared care of patients with wounds. These documents have been fast-tracked and co-developed rapidly with a small group of clinicians and patients, to meet the urgent need for such advice in the face of the COVID-19 situation.


Patients and carers screen slide

Visit the National Wound Care Strategy Programme Help & Advice webpage, click here 


These materials can be found on the NWCSP website: 

Please click here to go to the NWCSP Help & Advice web page. Click on Patients & Carers or Healthcare Professionals. 

Please click here to go to the NWCSP Home Page. 

The NWCSP website is evolving and future updates are planned over time to enhance the resources available and further improve site navigation.

The NWCSP are also in discussion with NHS England and NHS Improvement who are considering adopting these documents. 

The contact email for NWCSP is

We hope you find this update of value. 

BUILDING BRIDGES - The London Diabetic Foot Networking Meeting

Bridges image


The Kings Diabetes Foot Team is hosting an evening networking event. Its aim is to establish good working relations and communication between fellow Podiatrists and AHPs who work within the diabetic foot sector. 

Click this link to learn more about the Building Bridges event



South Derbyshire NHS team share their experience with Silhouette for Diabetes Foot care


Learn more about how Silhouette is supporting integrated diabetes foot care in South Derbyshire

Video by kind permission of East Midlands Academic Health Science Network  


A new video from East Midlands Academic Health Sciences Network (EMAHSN) gives an insider view on South Derbyshire's technology-enabled diabetes foot care service which is deploying Silhouette®, an innovative digital wound assessment solution

The new model of care is supporting efficient MDFT service access across Derby Teaching Hospitals NHS Foundation Trust and Derbyshire Community Health Services NHS Foundation Trust by enabling care in community clinics with oversight from acute MDFT clinical leads. The Silhouette solution is empowering staff with remote access to real time diabetes foot ulcer assessment data including digital images, 3D measurements, ulcer healing charts and electronic clinical notes, making referral of care a much simpler process for the clinician.

The video features the Lead Clinicians from the NHS Provider Trusts, the Clinical Commissioning Lead, Patients and collaboration partners EMAHSN as the innovation catalyst and industry partners Entec Health Limited and Aranz Medical Ltd.

Watch the video to get a close and personal account of the digital health innovation journey and the benefits gained from the adoption of the new Silhouette technology in the South Derbyshire diabetes foot care pathway.

 Testimonials from the featured EMAHSN video

 FG, DB,CW - testimonials (3)

MH, testimonial (2)

DC, testimonial (2)



Learn more

Download new case studyDiabetes Foot Care – Integrated diabetes foot pathway, South Derbyshire, February 2019

Visit Silhouette for Diabetes Foot Management Application 

Book a conversation or Silhouette demonstration meeting with Entec Health: Email us at 

Watch Entec Health 2018 Highlights

The team at Entec Health has enjoyed a fantastic year, working together with our customers and partners. As many of you will know, Entec Health supports wound care transformation with a proven portfolio of enabling technologies. The offering includes the Silhouette wound assessment solution and the Wound Care Buddy App. As a team we have achieved some incredible milestones, with a shared mission to enable health innovation and ultimately, to help improve patient experience and patient care outcomes. 

Thank you to all our clients and partners who have made this success possible during 2018. Hope you enjoy watching the 2018 highlights from an amazing year captured in our short review video. 


Watch Entec Health 2018 Highlights here

It has been very rewarding to collaborate with pioneering and committed leaders and teams in the NHS, AHSNs and the wider healthcare community. We have shown that, together, we can develop and deliver new practices and new models of care in diabetes foot care and wound care to support sustainable healthcare services and improved patient experience.

Visit Diabetes Foot Care, Chronic Wound Management, Wound Formulary Management on our website to learn more.

Are you a healthcare innovator with a similar vision for the future? We are here to learn together and collaborate. Please drop us a line at to discuss your future plans for diabetes foot care, tissue viability and community nursing service development.

We look forward to working with our clients and partners in 2019 for more success in digitally-enabled health innovation.

Wishing you a Prosperous, Happy and Healthy New Year for 2019.

Best wishes from all the team at Entec Health



Hounslow and Richmond Community Trust  finalists for Nursing Times Awards 2018



Hounslow and Richmond Community Healthcare NHS Trust Tissue Viability team celebrate Nursing Times Awards 2018 Finalists achievement with collaboration partner Entec Health 

Nursing Times Awards 2018 celebrates nursing achievements and innovation 

Hounslow and Richmond Community Healthcare NHS Trust (HRCH) has been announced as a deserving finalist in the prestigious Nursing Times Awards 2018. The HRCH Tissue Viability team were selected as finalists in the Innovation in Chronic Wound Management category, for their successful implementation of a wound care mobile app which supports wound management and formulary compliance. The app, known as the Wound Care Buddy App, is developed and hosted by Entec Health, a company specialising in digital technologies for wound care transformation. 

The HRCH Trust is the first organisation in the NHS to adopt the Wound Care Buddy App as part of their commitment to enabling their nurses to deliver the best patient care possible. The Wound Care Buddy App has been very well received at the Trust. There has been positive impact for the Tissue Viability Nursing team and District Nurses, helping staff to access essential wound management information rapidly when needed and to use their time more effectively. 

As collaboration partners in the successful adoption of the Wound Care Buddy App by the Trust, Entec Health were fortunate enough to join the NT Awards celebrations with the HRCH team on 31st October 2018, at the Grosvenor House Hotel, London.  

Achala Patel, Managing Director, Entec Health said "My congratulations to the Tissue Viability team at Hounslow and Richmond Community Trust. The Nursing Times Awards night in London was very special. It gave the collaboration team a chance to step back and enjoy the achievement of taking forward a digital initiative for community nursing which is now benefiting clinicians and patient care at the Hounslow and Richmond Community Healthcare Trust. I would like to convey my special thanks to Edwin Chamanga, former Tissue Viability Lead at the Trust who initiated the project and Lillah Irwin, Tissue Viability Nurse and Amrit MangalLead Administrator (Specialist Nursing) who have shown great commitment in ensuring successful implementation of the Wound Care Buddy App for the Trust. " 

See a Virtual Tour of the Wound Care Buddy App

Email to book a conversation or demonstration to find out more.

Visit Entec Health website


The Nursing Times Awards 2018 Innovation in Chronic Wound Management Category is kindly sponsored by L&R, a wound care and compression therapy products company.

Wound Care Buddy App © Entec Health Limited April 2017 ALL RIGHTS RESERVED



Insights, Innovation and Inspiration at Wounds UK 2018 Harrogate Conference, 5-7 November



New WCB hand image-2


New from Entec Health, supported by Wounds UK


Wound Care is seeing a major shift towards a greater focus on outcomes and evidence-based practice to reduce variation in care and enhance patient experience.  

There is recognition that we have come a long way on our journey in managing patients with wounds. However, the recent study by Guest et al “Health economic burden that wounds impose”, Betty’s Story from NHS RightCare and the CQUIN for wound assessment indicate that we have a big opportunity to further advance what can be achieved.

The challenges are there too in delivering safe, effective patient care. Growing demand from an increasing elderly population, financial constraints, not enough hours in the day, staff shortages and keeping up with training are everyday pressures.

This year’s Wounds UK Conference theme is Data, Science and Practice, a very timely and apt focus on data-led, evidence-based practice. Wounds UK Harrogate is a perfect place to take a step back and seek out insights, innovation and inspiration on improving practice and patient care. 

Entec Health will be at Wounds UK Harrogate, 5-7 November 2018, to be part of this mission, to help with new ways of working to achieve success with better practice and better outcomes.

Entec Health invites you to join the team at Stand 73 to learn more about our innovative digital technologies for wound care transformation:

The Wound Care Buddy App, supported by Wounds UK, makes best practice and formulary compliance easy. The digital solution gives clinicians instant access to the Trust’s wound management guidelines and recommended formulary products. Available on iOS and Android mobile devices at the point of care.

The Silhouette digital wound assessment system, developed by ARANZ Medical, makes it possible to image, measure and chart wound healing progress at the point of care. The digital solution gives clinicians secure, remote access to wound status data to support integrated care and new models of care.

3 ways to discover more…

1/ Find us at stand 73 at Wounds UK Harrogate. Book a Digital Technologies for Wound Care demo meeting with Entec Health 

2/ Learn more on the successful implementation of the Wound Care Buddy App at Hounslow and Richmond Community NHS Trust here. 

3/ Check out our videos on innovative healthcare technologies for wound care

Look forward to seeing you at Wounds UK Harrogate 2018.

Best wishes,

Entec Health Team


Wound Care Buddy App © Entec Health Limited April 2017 ALL RIGHTS RESERVED

Entec Health and Wounds UK announce collaboration on Wound Care Buddy App

Wounds UK are delighted to announce that they will be supporting the Wound Care Buddy App, a new mobile app launched by Entec Health Limited.

Entec Health and Wounds UK share a mission to promote best practice in wound care, through a variety of innovative and accessible resources.

The Wound Care Buddy App is a new cloud-based service developed and hosted by Entec Health. This platform allows organisations to tailor their own content providing fast and easy access to their organisation’s wound management guidelines and formulary product listing on mobile devices at the point of care.

New WCB hand image-2Wound Care Buddy App - Sample Home Screen

© Entec Health Limited

Watch the Wound Care Buddy App video here

Wounds UK are pleased to be supporting the introduction and availability of the App which embraces the advantages of digital health to facilitate standardised care and enhanced outcomes.

Rob Yates, Managing Director, Wounds UK said “The team at Wounds UK have been impressed by the technology developed by Entec Health. For us, it was clear to see the clinical and practical benefits that the Wound Care Buddy App offers clinical staff and service providers. We are therefore very pleased to be supporting Entec Health in this exciting venture and look forward to facilitating its wider use and adoption around the UK.”

The App is aimed at supporting the multi-disciplinary team at the forefront of wound care services, including TVNs, District Nurses, Practice Nurses and Link Nurses.

The Wound Care Buddy App offers several benefits:

  • equips and empowers wound care teams to achieve consistency, best practice and compliance with formulary
  • increases efficiency and independence of nursing staff as essential information is available instantly when treating patients
  • generates insightful analytics to demonstrate user engagement by content area
The Wound Care Buddy App is available for purchase by organisations, as an enterprise solution. Users are issued with a licence key once the client account is set up.

Achala Patel, Managing Director, Entec Health added “I am very excited to have Wounds UK supporting the Wound Care Buddy App. Wounds UK is one of the most respected organisations in the sector for professional education. Entec Health is proud to work with Wounds UK to put innovation in the hands of health professionals, to enable better ways of working and support advances in patient care.”

Read about Hounslow & Richmond Community NHS Trust’s successful implementation of the Wound Care Buddy App

Contact Entec Health for further details:


Visit Wound Care Buddy App website

Copyright Wound Care Buddy App © Entec Health Limited April 2017 ALL RIGHTS RESERVED

Entec Health and collaboration partners finalists for HSJ Partnership Awards 2018


Screen Shot 2018-03-27 at 14.12.34.png

The Diabetes Foot Care Innovation team at The HSJ Partnership Awards Night, London, 8 March 2018

The Health Service Journal (HSJ) has announced Entec Health and its collaboration partners as finalists for the best innovation in medical technology category. This recognition is for the novel 3D digital wound assessment technology, Silhouette®, which is enabling effective care of patients with diabetes foot ulceration within acute and community settings.

The Silhouette 3D measurement technology accurately maps ulcer size, progress and response to treatment. The system allows accurate assessment of foot ulcers at the point of care, together with remote access to progress data in real time for all members of the care team.

The significant milestone of being recognised as finalists, comes after successful adoption of Silhouette by Derby Teaching Hospitals NHS Foundation Trusts and Derbyshire Community Healthcare Services NHS Trust, where staff and patient feedback has been extremely positive. 

The initiative has been funded and supported by East Midlands Academic Health Science Network (EMAHSN).

Silhouette has enabled care closer to home for the Southern Derbyshire integrated diabetes foot care pathway. Being seen in the community means reducing the number of outpatient appointments taking place at the hospital out-patient clinic; freeing up time for patients and making it easier to attend appointments.

“I am delighted for Entec Health to be a finalist for the 2018 HSJ Partnership Awards. This is welcome recognition for the tremendous collaboration with our NHS partners,  a Diabetes Innovation project supported by EMAHSN. Congratulations and well done to the team for developing and launching a new model of diabetes foot care in Southern Derbyshire, enabled by Silhouette. Great to see everyone’s effort and commitment to go the extra mile acknowledged.” Achala Patel, Managing Director, Entec Health

You can see more on the project and Silhouette technology in this BBC East Midlands Today news report:

 Screen Shot 2018-03-27 at 14.33.04.pngSilhouette on the news © BBC East Midlands Today

As a result of implementing the Silhouette system, we have been able to safely transfer an increasing portion of patients for treatment in community clinics and have improved waiting times in our out-patient clinic. Importantly, patients are happy with the new model of care. In a survey following introduction of digital ulcer assessment, 71% of patients reported a greater confidence in the care they had received. We are using the Silhouette system to generate automated reports for the GPs which has led to efficiencies and a significant reduction in administration burden for the clinic.”

Professor Fran Game, Consultant Diabetologist, Clinical Director R&D, Derby Teaching Hospitals NHS Foundation Trust.

Download the EMAHSN Impact Report here

Contact to request the EMAHSN Diabetes Foot Digital Solution Business Case.

­­­With 6,000 patients with diabetes needing leg, foot or toe amputations per year, the total NHS spend on ulceration/ amputation is an estimated £651 million, in England. It is widely reported amputation and ulceration can be avoided if proper care is taken at an early stage. NDFA Exec Report 2014 - 2016, published March 2017 

Mike Hannay, Managing Director of the EMAHSN, said: “We are delighted that the partnership with Entec Health Ltd has been recognised at national level for its innovative use of technology to improve care for patients in our region. The Silhouette project is a fantastic demonstration of moving care out of hospital and closer to home which is both welcomed by patients and more sustainable for the NHS.”

Entec Health is an appointed distributor and market partner for Silhouette in the UK. Silhouette is developed and manufactured by ARANZ Medical Limited. Find out more about the projects and further impacts here.

EMAHSN Diabetes Digital Solution Collaboration Partners

Screen Shot 2018-03-27 at 15.42.20.png 

Contact Entec Health to request a Demonstration


Entec Health at CNO Summit 2017

Entec Health is delighted to be participating at the NHS England Chief Nursing Officer's Summit at Hilton Metropole Birmingham 14th and 15th March 2017.


Come and see the Entec Health team at Stand 17 where we will be showcasing:

Silhouette digital 3D wound assessment and remote wound monitoring solution

Wound Care Buddy Formulary Platform and Mobile App Solution

We are also running an Entec Health workshop on 14 March 2017 at 1pm Henley Room, 

"Strategies for reducing unwarranted variation in wound care" Entec Health_workshop_AddressingVariation_WoundCare

See Silhouette product tour video 

Get in touch

See See True Cost of Wound Care - Entec Health blog article

About the CNO Summit

The Chief Nursing Officer for England’s Summit offers an important opportunity for the senior leadership community across the nursing, midwifery and care professions to come together to explore and plan how to use the community's collective knowledge, experience and ambition to respond to and deliver on current pressures and the future design of the health and care system.

The 2017 Summit will build on the work last year when consensus was reached around what became ‘Leading Change, Adding Value: a framework for nursing, midwifery and care staff’; which was launched in May 2016.

Over 500 senior leadership delegates have registered and the CNO Summit 2017 will present a much valued opportunity to engage with peers, learn about strategies and resources and to meet with key industry partners to develop staff, deliver improvements and create new sustainable models of care. 

Visit NHS England CNO Summit 2017 website