The PErfect Patient PAthway (PEPPA) test bed (Sheffield region)

Who is involved?

Sheffield Teaching Hospitals NHS Foundation Trust is the lead organisation, working with:

  • NHS Sheffield Clinical Commissioning Group
  • Sheffield Health and Care NHS Foundation Trust
  • Healthwatch Sheffield
  • Sheffield City Council
  • Sheffield Children’s Hospital NHS Foundation Trust
  • Working Together Vanguard
  • Commissioners Working Together
  • Primary Care Sheffield
  • Sheffield City Region Local Enterprise Partnership (LEP)
  • University of Sheffield School of Health and Related Research
  • Sheffield Hallam University (SHU)
  • Heath Innovation Network – Yorkshire and Humber
  • NIHR CLAHRC Yorkshire and Humber
  • General Electric
  • IBM and Apple
  • Kinesis Health Technologies
  • St Bernard Location Service and TSSM
  • Insulcheck
  • WellKom International
  • Medtronic
  • Humetrix
  • Aseptike Ltd
  • Oviva
  • TEVA
  • Tinder Foundation
  • Big White Wall
  • Inhealthcare

Affiliated partner organisations include:

  • Centre for Integration of Medicine and Innovative Technology
  • National Centre for Sport and Exercise Medicine
  • Medilink
  • Medipex
  • NIHR Devices for Dignity Healthcare Technology Cooperative
  • NIHR MindTech Healthcare Technology Cooperative
  • Sheffield Cubed
  • South Yorkshire Housing Association
  • The Northern Health Science Alliance
  • Voluntary Action Sheffield
  • Yorkshire Ambulance Service

Patient population size

Our Test Bed covers the population of the Sheffield City region which is just over two and a half million people.


The Perfect Patient Pathway Test Bed aims to create the ‘perfect patient pathway’ to bring substantial benefits for patients suffering from long term health conditions, such as diabetes, mental health problems, respiratory disease, hypertension and other chronic conditions.

The aim is to keep patients with long term conditions well, independent and avoiding crisis points which often result in hospital admission, intensive rehabilitation and a high level of social care support.

The test bed will:

  • Create an ‘ecosystem’ for innovations in technology to be tested before being embedded as routine care on a wide scale with patients across the Sheffield City region. The approach will ensure technology is at all times embedded in transformed care services and clinically robust ways of working.
  • Use technological innovations to promote and support whole-person care. The programme will combine technologies to provide a personalised package of support for each patient, which addresses their needs in the round.
  • Shift self-care from the margins to the mainstream. Through rolling out home-based monitoring devices and smartphone apps at scale, patients will be supported to understand their condition and how best to manage it at home. For the more vulnerable, discrete remote monitoring systems will support independent living – giving peace of mind to patients, families and professionals. This includes everything from monitoring falls risk through gait assessment, tracking location for people with dementia, and sensors on televisions (monitoring for sensory problems), kettles and fridges (mobility, nutrition) and even curtains (mobility, air quality).
  • Provide equally for people’s physical and mental health needs. The Test Bed partners will provide technology with a particular focus on care and self-care for people with mental health problems (including dementia), as well as using technology to support the mental well-being of patients with long term conditions.
  • Use data to drive real change and improve effectiveness. A ground-breaking Intelligence Centre will collate and analyse data and trends to enable health and social care organisations to anticipate changing demand and patterns in long term conditions at both individual patient level and across the region’s population.
  • Challenge health and care providers to think and work differently. Empowered self-care will fundamentally change the dynamics and power relationships between patients and health and care professionals, enabling joint decision making.

The Perfect Patient Pathway test bed will enable health and social care organisations across the Sheffield region to share data and plan, in partnership and with patients, the best way to deliver care to people with long term conditions based on their needs and wants and using the latest technology to support this.

The test bed will initially focus on people with three or more long term conditions across the Sheffield City Region. The vision for the programme is to create a model that will support holistic care for people, irrespective of age, condition or health status, and that will be spread across England.