The Newham Story Independent Living

1
The Newham Story Independent Living

• Charles Lowe
• charles.lowe_at_newham.gov.uk
• 07860 619424

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Newham

• Unitary contiguous boundary with PCT Acute
  Trust
• Population 244k in 2001 (now c 254k)
• 40 under 25
• 61 from non-White ethnic groups
• 17.3 had "limiting long-term illness"
• Over 100 languages spoken
• 13.3k all-pensioner households
• 36.22 sq. km.

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NeAT

• Assisting vulnerable people to live
  independently, in control, with dignity and
  purpose
• by helping manage the risks
• Newham Council, Newham Homes, NHS trusts, Police,
  Fire Service and voluntary bodies
• 4000 installations by end 2007/8, carer
  recording
• Strong desire to add telehealth monitoring

4
The three golden rules of telecare

• Nothing works the way you expect
• Nothing works the way you expect
• Nothing works the way you expect

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Original standard

• 2x smoke
• 2x flood
• Extreme temperature
• PIR
• Pendant
• Carephone

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Four of the biggest reasons why people opt for
institutional care in Newham

• Carer exhaustion
• Regular enuresis
• Falls
• Distraction burglary

Therefore need to expand/personalise assessment
range of kit considered consider context
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eg consider

• Bed sensor
• Chair sensor
• Falls detector
• Enuresis sensor
• Novel PIR uses
• Cooker/gas sensor shut off
• Bogus caller protector
• Door sensor/communicator
• Domiciliary care

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Financial Benefits

• Residential care
• Nursing care
• Waking care
• Travel
• Hospital admission
• Ambulance/AE

Quality of life improvement is greater benefit!
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Its not just the kit

• Engage all partners
• Build into care pways/involve practitioners
• Charging policy
• Sort marketing
• Establish protocols
• Integrate systems
• Change processes
• Challenge as is metrics

10
Some Issues

• Securing the right referrals
• Installation/ICES/dispersed/non-dispersed
• Alert handling/Control Centre
• Dementia
• Lost kit
• Influencing residential care
• Influencing sheltered accom/housing assns
• Appropriate response
• Payer ? beneficiary

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Putting telecare in perspective
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where electronics helps lots
To live independently I need
Proactive environmental sensors
Telehealth sen-sors, medicine reminders
a safe environment
health care in my own home
assurance of good care
Monitoring of meals, dietary help, Internet
shopping
food drink I like
Electronic carer recording support
Assistive technology
BAN/PAN, GPS, mobile comms to c/centre
...appropriate response if things go wrong
help when Im travelling
Appropriate response team, proactive calling
Local media, local activities, employment/ occupat
ion
contact with friends family, including giving
reassurance
mental stimulation
User-friendly communications
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and supported by
Proactive environmental sensors
Telehealth sen-sors, medicine reminders
Monitoring of meals, dietary help, Internet
shopping
Assistive technology
Electronic carer recording support
BAN/PAN, GPS, mobile comms to c/centre
Appropriate response team, proactive calling
Local media, local activities, employment/ occupat
ion
User-friendly communications
14
so they can interwork, eg
Proactive environmental sensors
Telehealth sen-sors, medicine reminders
Monitoring of meals, dietary help, Internet
shopping
Electronic carer recording support
Electronic carer monitoring
Sensors show service user in but not following
usual cooking routine msge for carer if due,
o/wise call, arrange meal if cannot cook.
Change in blood pressure or blood sugar triggers
req-uest to change diet and prompts eLearning
sessions
BAN/PAN, GPS, mobile comms to c/centre
Appropriate response team, proactive calling
Reserve transport to day centre event be
reminded ahead of time
Local media, local activities, employment/ occupat
ion
User-friendly communications
15
Thank you

• Charles Lowe
• charles.lowe_at_newham.gov.uk
• charles.lowe_at_btinternet.com
• 07860 619424