Telecare in Portsmouth-

1
Telecare in Portsmouth- Moving into the
mainstream.27th March 2008

• CHAIN Event- Coventry
• 27th March 2008
• Health Improvement and Development Service
• Directorate of Health, Housing and Social Care

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Telecare Integrated service model
Entry (Re) assessment of need
Care package development
Review
Social services
Telecare service providers
Telecare prescription response protocol
Primary care
Response
Acute care
Housing services
Equipment suppliers
Home survey
Call handling
Social Housing landlords
Equipment provision
Monitoring
Installation and maintenance
Source Barlow Curry 2006
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Progress during PTG Yr1- 2

• Telecare has been built on existing community
  alarm platform. Successful scheme with 1000
  customers
• Initially Very small scale
• Alarm/call monitoring centre is in Southampton
• Partnership with University of Portsmouth to
  develop evaluation programme initial pilot
  schemes falls management and medication
  management in early dementia.
• Starting gradual roll-out as mainstream service,
  to all user groups, managing wider range of
  risks. Most mainstream referrals are for people
  with dementia their carers

4
Progress during PTG yr 2

• Set up shop front telecare demonstration/
  marketing /assessment facility in partnership
  with Age Concern Portsmouths Bradbury Centre in
  North End
• Other demo areas fitted in day resources for
  Learning Disabilities and Physical Disabilities,
  Community Equipment Service
• Fitting telecare in Intermediate Care / Step-down
  facility and 6 rehab flats
• Awareness raising with staff, vol. orgs
  community groups
• Use of Telecare in other environments such as
  schools

5
Progress during PTG yr 2

• Integrate with existing systems, eg SWIFT care
  pathways
• All new social care assessments screened for
  Telecare potential
• Panel requiring evidence of Telecare assessment
• Ensuring telecare is included in joint
  commissioning strategies and local service
  development plans.
• Operational engagement with PCT in a number of
  areas e.g. telecare included with joint equipment
  review.
• Telecare assessor training for front line staff
  Nov Jan, Mar regular training programme
  bi-monthly
• Testing dementia tracking devices prior to pilot
  phase in 2008
• Using PCT led Vascular Prevention Programme
  (VPP) Risk Lifestyle work stream for
  developing a telehealth pilot

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Challenges

• Competing initiatives within Health, Social Care
  and Housing
• Range of stakeholders
• Strategic engagement of PCT
• Joint investment
• Whole system change not an isolated new
  service, needs to be integrated into health/care
  pathways should be catalyst for change leading
  to whole system working
• Leadership need for committed leaders at a
  senior level, to champion Telecare and advocate
  for sustainable, mainstream service.
• Absence of a 24X365 mobile response service
  remains single biggest gap

7
Structure
Workforce development, technology procurement,
marketing and Sales, no clear structure
yet- PCC in house lead
Installation and Servicing
existing PCC in house Community Alarm team,
Homecheck
Monitor contracted to 3rd party
(currently Southampton )
Response based on developing current
Independent Living Service
( role for LAH Concierge and ESO standby
teams)
NHS Specialist medical responses
Customer
NHS Social packages
NHS medical care
Social Care packages New Existing
Community alarm (silver)
Community alarm (gold)
Sheltered housing
Funding
G Fund Community Housing
HRA
G Fund - Social Services
NHS
Charge to client
Service charge
FAB Assessment
Free at point of delivery
Charge
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Telecare in Portsmouth- in numbers

• 1000 Community alarm customers
• 1500 Sheltered Housing clients
• Falls Pilot 13
• Medication Management pilot 6 (still
  recruiting)
• Other stand-alone AT 13
• Current mainstream telecare users 47
• Frontline mulit-agency staff assessor trained as
  of March 2008 77
• Growth in mainstream referral numbers (last
  4months) Dec 07 13, Jan 08 20, Feb 08
  28, Mar 08 (up to 25th) 21
• Sources of referrals Social Work/Care Manager
  64.7, OT/OTA 13.5, Physio 2.7,
  Community Alarms 8, Self/Family 9.5,
  Other agencies 1.6
• 53 of existing social care packages could
  benefit from a Telecare intervention.
• 1800pa average potential saving on individual
  care packages

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Key lessons learnt

• The technology is only as good as the
  infrastructure that supports it
• Telecare 20 technology, 80 people
• Telecare must be integrated into existing health
  and community care pathways
• Response protocols must be as tailored to the
  individual as the technology package

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For further details on Telecare implementation in
Portsmouth, please contact

• Jonathan Smith- Deputy Head
• Health Improvement Development Service (HIDS)
• Or
• Rosanne Brown Telecare Co-ordinator
• Health Improvement and Development Service (HIDS)
• Directorate of Health, Housing Social Care
• Portsmouth City Council
• Tel [phone]
• E-mail jonathan.smith_at_portsmouthcc.gov.uk
• rosanne.brown_at_portsmouthcc.gov.uk
• www.hids.org.uk