Telecare Beyond the Preventative Technology Grant

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Telecare Beyond the Preventative Technology
Grant
Rachel Denton PDSI team member Care Services
Improvement Partnership February 2007
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Aims to increase the number of people who can
benefit from telecare services 80m in grant
finance over two years from April 2006 Designed
to help local authorities and partners address
challenges of a changing and ageing society
increased expectations, choice, control,
independence and dignity Co-ordinated approach
to create best possible atmosphere for industry
to flourish
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• It can be as simple as the basic community alarm
  service, able to respond in an emergency and
  provide regular contact by telephone
• It may include detectors and monitors such as
  motion or falls detectors and warnings about fire
  and gas escape that can trigger a warning to a
  response centre

• Telecare is as much about the philosophy of
  dignity and independence as it is about equipment
  and services
• Equipment is provided to support the individual
  in their home and tailored to meet their needs

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• What do older people want from services?
• To remain healthy and happy in their own homes
• To have the information and means to arrange this
  themselves where possible
• To have specialist support when needed and help
  to recover quickly
• Only long term institutional care if essential

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Locator device

• Tag attached to items most frequently mislaid
• Touch-sensitive control panel or buttons
• Can be personalised

You don't get so anxious when you lose something
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Automatic night-light

• Sensor placed under leg of bed
• Light fades up gradually
• User can over-ride at any time

It will help me to feel more settled in my sleep
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Night and day calendar

• Tells day, date and time of day
• Available in several languages
• Can be programmed
• Battery back-up

Before I had to ask the date from my wife.
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Medicine reminder

• Needs to be loaded once a week
• Gives audio signal when medicine due
• Gives reminder every minute for 30 mins
• Can be locked

They the family trusted that their mother would
have the right pills at the right time
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Picture phone

• Can be programmed with favourite numbers and
  pictures
• Still operates like ordinary phone

It is clearly better than my earlier phone. I
don't have to search telephone numbers from notes
or address book
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Palliative Care
Support for family carers
Equipment Accommodation
Person-centred service
Long Term Conditions
Early recognition
Vocational Rehabilitation
Specialist Rehabilitation
Community Rehabilitation Support
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What is telecare?

• Telemedicine - monitoring vital signs, such as
  blood pressure, and transmitting the data to a
  response centre or clinicians computer, where it
  is monitored against parameters set by the
  individuals clinician
• Evidence that vital signs are outside of normal
  parameters triggers a response
• Needs to be part of the local health and social
  care pathway for managing long term conditions

• As a preventative mode - services programmed to
  monitor an individuals health or well-being with
  early warning of deterioration, prompting a
  response from family or professionals
• Safety and
• security
• through
• bogus caller
• and burglar
• alarms

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Housing
Temp Phys Dis
Loneliness/ isolation
Falls
Care homes/Extra care housing
Dementia
Int Care
Telecare
Ageing/ Senility
Home nursing/ADL/Adaptations
Stroke
Single point of contact
Case management (Evercare), ADL home nursing
Chronic disease management/DTOC
Telecare/telehealth
Single assessment process
Home nursing/ADL/Adaptations
User at home
Heart Disease
Valuing people
Supporting people
LD/MH
Sensory/ com loss
COPD
Wheelchairs/ADLs/Adaptations
Care homes/telecare
Continuing care
DFGs
Other Phys Dis
Cancer
Palliative care
MND, MS
Major Phys Dis
Long term conds
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And in the 21st century.
The use of mobile telephones to send a text
message which will alert people when their
hospital/doctors appointments are due

. To send text messages about changes in the
weather, especially helpful for asthma sufferers
16-34 years olds were the most likely to
repeatedly miss appointments
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• Whole system demonstrator pilots
• The intention..
• For people with complex long term health and
  social care needs, we plan to bring together
  knowledge of what works internationally, with a
  powerful commitment to new, electronic assistive
  technologies to demonstrate major improvements in
  care and support

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• Whole System demonstration pilots
• Promoting individuals long term independence
• Improving users and carers quality of life
• Improving the working lives of staff
• More cost effective
• Clinically effective
• Addressing diversity and equality
• Provide an evidence base for future service
  design and care reform

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Social Care
Medical
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• Children and families
• Children as carers quality of life
• Children with disabilities enabling
  independence
• Transition to adult services and independent
  living
• Safety and security within the home environment
• Early information reducing crisis interventions
• Health monitoring at home

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• People with Learning Disabilities
• Enhancing the quality of life
• Privacy and dignity eg reduction in visits to
  the home
• Health monitoring
• Increased independence, confidence, communication
• Less complex care packages combining technology
  and care support
• Reducing risk though remote monitoring

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• Prison population
• Better health promotion and information
• Improved access to clinicians
• Reduced waiting times for appts/second opinions
• Reduced use of medication
• LTC management
• Resettlements programmes
• Reduced cost of bed watches/escorts
• Better information for night officers

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Telecare may be the vital key to unlocking the
future

• New demands will need to be managed
• Health and social care commissioners need
• to make decisions on investment in
  technology
• Services will take on new patterns to meet
• changing care and support needs and to give
  people a choice
• It is not realistic to plan to deliver care and
  support services in the way we do at present
• We must embrace new ways of working to meet the
  needs and aspirations of our service users and to
  take advantage of new and developing technologies

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Telecare offers choice and flexibility of service
provision from community alarms and sensors to
vital signs monitoring The potential of telecare
is gaining in recognition

• An estimated 90 of people want to live in their
  own home
• Approx 500,000 older people live in care homes
• As many as 35 of these people could be supported
  in their own homes or in extra care housing with
  telecare

• Over 1.6m emergency admissions were made in
  2003/4 telecare has the potential to reduce
  unnecessary admissions and improve quality of
  life

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The Challenges Mainstreaming telecare Driving
down costs and increasing performance Finding the
independent evidence Equipment on its own wont
improve the quality of care A whole system
approach Workforce development Vocational
training
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• CSIP Telecare eNewsletters
• The Care Services Improvement Partnership (CSIP)
  is responsible for providing general
  implementation support to organisations building
  their telecare programmes. Our plan is to
  maintain a monthly e-newsletter to keep
  organisations up to date with progress on this
  important Government initiative to support people
  at home.
• In recent months, features we have focussed on
  include
• The National Framework Agreement for Telecare
• Telecare Services Association Codes of Practice
• Telecare innovations and implementation
• Making it happen - further help from CSIP and FAQ
• Forthcoming Events

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SOME USEFUL WEB SITE ADDRESSES

• Building Telecare in England, DH (July 2005) and
  Local Authority
• Circular LAC(2006)5
• http//www.dh.gov.uk/PublicationsAndStatistics/Pub
  lications/
• National Framework Agreement for procurement of
  telecare
• http/www.pasa.nhs.uk/eat/telecare
• CSIP Telecare implementation guide and factsheets
  
• www.cat.csip.org.uk/telecare
• CSIP CD ROM - Telecare living with
  independence
• www.changeagentteam.org.uk
• CSIP information telecare_at_csip.org.uk