Lancashire Telecare Service

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Lancashire Telecare Service

• Steve Sylvester
• Mark Luraschi
• Telecare The Lancashire way
• CSIP Network
• Manchester February 2008

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Lancashire Telecare Service

• Designing the service
• Our vision for a Lancashire Telecare Service
  included a number of key objectives-
• Include a response service available 24/7
• Consistent service across Lancashire
• Meet TSA quality standards
• Be affordable
• Available across all tenures
• Support existing care services
• Appropriate to assessed need
• Include a training and marketing programme

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Lancashire Telecare Service

• Governing principles
• Balance between technology and personal care
• Telecare must not lead to social isolation
• Human contact is still vital to maintaining
  quality of life
• Telecare must be used to complement existing care
  services not just about cost savings

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Lancashire Telecare Service

• First Task was to-
• Keep hold of the 1.7m and fend off the raiders!

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Lancashire Telecare Service

• Vision
• To have a comprehensive and sustainable
  Telecare Service available to all tenures
  available 24 hours/7 days which contributes to
  the overall objective of helping people manage
  their lives and stay independent in their own
  homes as long as possible, to provide support and
  reassurance for carers, to help reduce the number
  of unplanned hospital admissions and speed up
  hospital discharge Lancashire Telecare Strategy
  2006

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Lancashire Telecare Service

• Partnership Approach
• First Step - A working partnership with existing
  Community Alarm providers
• Four lead providers worked closely together to
  agree common procedures
• All local providers invited to work with the four
  leads
• PASA framework used to select equipment
  providers- Chubb Community Care (formerly
  Initial) and Tunstall

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Lancashire Telecare Service

• Achievements to date
• Telecare service which meets all primary
  objectives
• External evaluation commissioned
• Brand developed
• Marketing material - press releases adverts
  freebies telecare week
• Awareness training to over 3500 potential
  referrers
• 5 SMART homes
• Dedicated phone number for Telecare enquires
• Telecare Champions across the County Council
  local offices

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Lancashire Telecare Service

• Costs and Eligibility
• Equipment free to all service users meeting FACS
  banding moderate or above
• Standard weekly service charge 8.86- subject to
  Fairer Charging assessment
• Private users subject to local charge

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Lancashire Telecare Service

• Performance against Targets
• Lancashire Target of 1800 Telecare Service users
• Now have 360 new Telecare service users aged 65
  or over (not including basic pendant alarms)
• Over 40 non Older People Telecare service users
• Very few private Telecare service users

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Lancashire Telecare Service

• What lessons have we learned?
• Nothing is ever as simple as you might think
• Hard to get social work staff on board Should
  have been part of the standard care pathway and
  commissioning process
• Slow to raise public awareness - hard to find
  good local case studies
• Selling Telecare to potential service users -
  challenging
• Confusing for potential service users - Why
  should I pay the extra cost for Telecare instead
  of keeping my existing lifeline service?
• Initial expectations far too high and targets
  unrealistic
• Should have introduced hard targets for each
  locality earlier
• Steep learning curve for all involved

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Lancashire Telecare Service

• So what next?
• Extend the evaluation period until April 2009?
• Work with SP team to combine Community alarms and
  Telecare Tender the service?
• Mainstream the service- how does Telecare fit
  with the new agenda of self directed care and
  FACS review?
• Take Telecare eligibility out of FACS ?
• Expand Telecare usage to other client groups
• Key developments for the next year-
• Increase take up!
• Moving Telecare to be the 24hr control element
  for emergency care
• Marketing
• Expanding the response service to include lifting
  and personal care
• Telehealth

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Lancashire Telecare Service
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Lancashire Telecare Service

• What Can We Use Telecare For?
• Telecare can be used to support
• National Strategies
• PSA17, Our Health Our Care Our Say, NSF OP,
• Stronger Prosperous Communities.
• National Indicators
• NI 125- Achieving independence for OP Through
  Rehab Int Care
• NI 127- Self Reported experience of social care
  users
• NI 128- User Reported Measure of Respect
  Dignity in Their Treatment
• NI 129- End of Life Care- Enabling people to
  choose to die at home
• NI 131- Delayed Transfers of Care from Hospital
• NI 133- Timeliness of Social Care Packages
• NI 134- No of Emergency Bed Days
• NI 136- People Supported to live independently
• NI 139- People over 65 who say they receive Info,
  Advice Support to exercise Choice Control to
  live independently

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Lancashire Telecare Service

• For further information-
• Steve Sylvester/Mark Luraschi Telecare Project
  Managers
• 0779 554 1143/0778 9618136 or e-mail-
• Stephen.Sylvester_at_ssd.lancscc.gov.uk
• Mark.Luraschi_at_ssd.lancscc.gov.uk
• Barbara Roebuck , Training Officer
• 0791 7627388 or e-mail-
• Barbara.Roebuck_at_ssd.lancscc.gov.uk
• Telecare website- www.lancashire.gov.uk/telecare