Mitchell-Jones Prize 2024: Honouring Natalie Nunes and Team for Initiative to Improve Patient Care

The 2024 Mitchell-Jones Prize was awarded to a project led by Miss Natalie Nunes, Consultant Obstetrician and Gynaecologist at Chelsea and Westminster Hospital NHS Foundation Trust, for her team’s work on the SIPS App. This innovative digital tool monitors hyperemesis gravidarum (HG), a severe form of nausea and vomiting during pregnancy that can lead to dehydration, weight loss, and severe health complications. The app aims to improve clinical outcomes and reduce hospital visits for women affected by this challenging condition by enabling remote management.

The Mitchell-Jones Prize, presented at the Association of Early Pregnancy Units (AEPU) Annual Scientific Meeting, recognises exceptional initiatives that enhance patient care in early pregnancy settings. By celebrating innovation and excellence, the award encourages healthcare professionals to implement strategies that improve outcomes for women experiencing early pregnancy complications.

Developed in collaboration with Chelsea and Westminster Hospital NHS Foundation Trust, Luscii™, and the NWL Virtual Hospital Remote Monitoring Nursing Team, the SIPS App facilitates remote monitoring of HG. Our Innovation and Evaluation Theme evaluated the app using a mixed-methods approach, combining quantitative app data and hospital records with qualitative user interviews. The evaluation demonstrated high engagement with the app, particularly in tracking symptom severity, wellbeing, and treatment progress. Although there was no significant difference in symptom scores between app users and non-users, the SIPS app significantly reduced hospital attendance and expedited treatment for other health conditions. Qualitative feedback highlighted the app’s effectiveness in enhancing self-management, although some users reported challenges with registration and found certain interactions impersonal.

The SIPS app shows great promise in remotely managing patients with HG, improving clinical outcomes, and optimising healthcare resources. Ongoing research and app enhancements are expected to maximise its impact on patient care.

This award is a testament to the dedication and collaborative spirit of the entire team, whose innovative approach is shaping the future of maternity care and improving outcomes for women with hyperemesis gravidarum.