Hello, my name is Nellie
Looking for the Nellie application? Using Chrome or Firefox go to https://semphn.nellie.org.au
(registered users only)
Nellie® is an automated SMS-based persona who interacts with patients by sending and receiving text messages to help patients with a wide variety of self-management behaviours and tasks. Nellie is available to clinical teams across South Eastern Melbourne, where ‘she’ has helped more than 1000 patients to work towards their management goals.
The underpinning methodology and technology is Simple Telehealth, developed in 2008 in the UK. Known there as Florence (or Flo), it is adopted widely across the UK’s National Health Service. Florence has improved the lives of tens of thousands of patients with a range of conditions including asthma, diabetes, COPD, and heart conditions. The outcomes achieved so far are getting unprecedented recognition by key public health and research organisations in the UK.
The system is clinician-led using existing or newly-developed protocols/pathways, with a high level of flexibility to tailor Nellie’s messaging to meet individual patient needs. This, coupled with Nellie’s friendly and supportive persona, has been shown to improve patient engagement with their action plan, leading to improved patient outcomes.
Nellie has been used across a wide range of conditions and purposes. She has most-commonly been used to help patients to implement their walking/physical activity plans, followed by blood pressure monitoring for the purposes of diagnosing (or excluding) hypertension, or for improving blood pressure levels in hypertensive patients. Other ways that Nellie is helping patients include managing diabetes with pathways for providing education messages, or blood glucose monitoring; medication reminders and check-ins; daily weight checks for patients with heart failure; managing mood and wellbeing… And many more. Contact us for more information.
The Simple Telehealth website has an extensive library of academic articles and case studies proving the effectiveness of the system. The Health Foundation has a short guide on how to implement support for self-management and why it improves outcomes.
This video has the stories of Melbourne patients and a GP who have benefited from Nellie:
This short video created by the Health Foundation tells the stories of three people who have used Flo:
Dr Geoff Campbell a GP in south east Melbourne, describes his experience so far using Nellie for hypertension diagnoses:
Local case studies
Shared Action Plans
Shared action plans often drive the structure of Nellie's messages. Some of the action plans already exist, such as the National Asthma Action Plan. Others are developed specifically for the protocol, though they are generic and can be used with or without Nellie. They are usually handed out to patients when they start on the protocol. Below are sample images of the plans.
South Eastern Melbourne PHN acknowledges the traditional custodians of the land our catchment covers, the Boon Wurrung and Wurundjeri people. We pay respect to them, their culture and their Elders past, present and future, and uphold their relationship to this land.
While the Australian Government Department of Health has contributed to the funding of this website, the information on this website does not necessarily reflect the views of the Australian Government and is not advice that is provided, or information that is endorsed, by the Australian Government. The Australian Government is not responsible in negligence or otherwise for any injury, loss or damage however arising from the use of or reliance on the information provided on this website.