View stunning SlideShares in full-screen with the new iOS app!Introducing SlideShare for AndroidExplore all your favorite topics in the SlideShare appGet the SlideShare app to Save for Later — even offline
View stunning SlideShares in full-screen with the new Android app!View stunning SlideShares in full-screen with the new iOS app!
Now? – well now the data is being evaluated and peer reviewed prior to publication
What will WSD tell us? 234 interviews so far. Participants & informal carers. Health & social care professionals. What are the service users, informal carers and health and social care professionals’ experiences of telehealth and telecare? 4 Man’r Oxford 3445 participants 470 informal carers What is the effect on carer burden, self-care behaviours and quality of life? What predicts whether people will use the service as planned? What is the clinical impact? 2 UCL 5721 participants Combined Model Does the introduction of telehealth or telecare result in reduction in service utilisation and costs of care? 1 Nuffield 3445 participants 470 informal carers Professional interviews What is the cost−effectiveness of the introduction of telecare & telehealth? 3 LSE 48 key WSD managers and commissioners in health & social services. Staff from 3 WSDAN sites and 3 non WSD related sites What organisational factors facilitate or impede the sustainable adoption and integration of telehealth/telecare? 5 Imperial NO. PARTICIPANTS REQUIRED Question THEME
Technology is only part of the story, you must re-design services to maximize the benefit of the technology
That includes looking again at skill mix and facilities
Clinical engagement is essential, but takes time
Patients are suspicious, and building trust takes time
Patient data was not as good as we thought, disease registers were out of date of inaccurate
Some population groups were very difficult to reach
Good project/programme management is essential
What you do on a small scale does not necessarily scale
If you get it right, and focus on the whole system Work across traditional organisational boundaries Re-design care pathways Educate patients and the public Build clinical advocacy Share Information Develop interoperable systems Re-train staff The rewards are significant…………………..
BUT the key to success is service change not just introduce the “kit” and hope for the best!
This will need significant leadership at all levels as well as raising awareness of what can be achieved and how to use the technology properly
But to lead needs a direction - align incentives, re-train staff, develop interoperability, embed common standards and reduce high unit costs
Government has already committed to support an industry led Code of Practice and invest in DALLAS Yet more could be achieved by encouraging “patient pull” (showing that there is an alternative to using traditional buildings), using the media to give sustained information and ensuring NHS is supported to change