Making implementation count Care Services Improvement Partnership and telecare

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Making implementation count Care Services
Improvement Partnership and telecare
Building Telecare through Effective Procurement
Leeds, 23 November 2006

Jeremy Porteus CSIP Networks
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What is CSIP?
specialist work programmes
cross-cutting work programmes e.g.
assistive technology
Direct payments
housing
general work programmes e.g.
National Learning Improvement
Networks (Commissioning, Integrated Care, Extra
Care Telecare Housing)
White Paper Implementation Support Team/Change
Agents
Participation, Citizenship Empowerment
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The context

• Our health, our care, our say and key policy
  initiatives across health, housing and social
  care
• Building Telecare in England
• Preventative Technology Grant and other funding
  streams (incl. Supporting People, Connected for
  health)
• Integrated and partnership working
• Demographic factors and demand forecasting
• Strategic and joint commissioning, whole systems
• Better procurement, performance management and
  value for money
• Telecare and telehealth as mainstream service
  options
• User choice through direct payments, individual
  budgets

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The opportunities

• An existing framework of services to build
  
  within local economies
• Rapidly developing technology with
  downward pressure
  on prices
• Recognition that services need to be
  redesigned
  and greater choice offered
• Focus on preventative services as well as
  people
  with complex needs and long term
  conditions
• Health and well-being is everyones business
  (personal responsibility/self care to
  response to
  needs)
• Benefits for users - independence with dignity
  (reflect new DH programme)

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The challenges

• Human contact and technology
• Ethical and consent issues
• Savings may accrue in health from a local
  authority investment
• Local authorities and their partners fail to plan
  for telecare and telehealth beyond March 2008
• Poor engagement with users, carers, GPs, third
  sector and other key stakeholders
• Inconclusive benefits for investments made
• Funding leakage and diversion with fragmented
  services and poor uptake of the PT Grant
• Lack of product and service innovation

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The desired outcomes

• Individuals users maintain their independence
  within the community
• Improvement Improved quality of life with high
  service satisfaction
• Impact Reduced adverse impact on carers
• Incidence Reduced admissions to hospitals and
  care homes
• Integrated Ubiquitous, connected technology at
  low cost
• Indicators Cost-effective services with high
  quality standards meeting performance
  requirements
• Intelligence Strong evidence base for telecare
  as a care option

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The approach

• Raised awareness of telecare and local
  information for user choice
• Effective local commissioning in consultation
  with key stakeholders
• A flexible, trained and responsive workforce
• A national framework to provide access to
  technology quickly at best prices
• User-centred standards and protocols developed
  once only from national best practice
• Networks and national CSIP services for rapid
  learning and support (eg factsheets, newsletters,
  masterclasses, events)

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Contact details
Housing Telecare Networks Care Services
Improvement Partnership Department of
Health Wellington House 135-155 Waterloo
Road London SE1 8UG e-mail telecare_at_csip.org.uk
Website www.csip.org.uk/telecare