From its base at Chelsea and Westminster Hospital, CW+ is a charity that exists to make care better for patients and their families. They invest in financially sustainable innovations, facilities and technologies that improve clinical outcomes for patients at Chelsea and Westminster and beyond, including several health apps per year.


Rapid prototype built before evolving the product in the build phase
Build approach enables efficiencies for future CW+ apps through reuseable components
Clinicians prescribe a programme of hand exercises from a library of over 90 instructional videos, with personal notes and built-in patient reminders.

The challenge

CW+ commissioned IE to build a hand therapy app to support patients recuperating from hand trauma or surgery. 

The app needed to allow clinicians to prescribe a bespoke programme of exercises for each patient – from a library of video demonstrations – to aid recovery from their specific hand injuries.

Importantly, the app needed to based on reusable components, providing a framework for future apps to be built more efficiently. 

The solution

We built a rapid prototype using Telerik before evolving the product in the build phase, enabling the client to quickly see what they were getting, give feedback from internal and patient focus groups, and make changes as needed. 

We took care to build in efficiencies so that, where possible, components are reusable for future CW+ apps.

The app supports healthcare professionals to prescribe a programme of hand exercises from a library of over 90 instructional videos. The videos show demonstrations by hand therapy clinicians, filmed especially for the app. 

An intuitive ‘favourites’ system is used to bookmark relevant content and this can be supplemented further with notes for each patient. Clinicians can schedule reminders through the app to help patients meet their recommended exercise times and frequency.

Next steps

The app is currently being tested by focus group of clinicians and patients on both iOS and Android devices, ready to be populated with content. 

Although the project is primarily aimed at supporting staff and patients at Chelsea and Westminster, CW+ intends to keep it open to help other areas of the health service.


4,800 hand injury patients seen every year by the trust
90+ instructional videos showing patients how to perform prescribed hand exercises