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W&M 2009 – Telecare and Telehealth ‘On the Move’ and at Home:

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  • 1.  
  • 2. Telecare and Telehealth ‘ On the Move’ and at Home Dr Malcolm J. Fisk, Chair Telecare Services Association Suite 8 Wilmslow House, Grove Way, Wilmslow SK9 5AG www.telecare.org.uk
  • 3. Telecare Services Association
    • Represents telecare and telehealth ‘industry’
      • full members (241) most with monitoring and response services
      • associate members (59)
      • supply sector (41)
      • growing focus on telehealth
    • Rigorous new (UK) Code of Practice
      • audited independently
      • benchmark for commissioners
      • 120 organisations accredited
      • now to further embrace telehealth
    • Premier Conference
      • London Hilton Nov 16-18 Nov 2009
    www.telecare.org.uk
  • 4. What is Telecare?
    • Reference point … social alarms
    • But now much more
    • Services not technology
    Photos: Tunstall Telecom, UK and BIME, Bath University
  • 5. What is Telehealth?
    • Reference point … telemedicine
    • Part of telecare where delivered (generally) in people’s homes
    • Different (but changing?) service paradigm
    • Relating to range of health needs
    • Three foci
    Photos:Just Checking; Pivotell; Tunstall Telecom
  • 6. Three Foci for Telehealth Monitoring and promotion of well-being • Timers • Vital signs monitors • Telephone / personal support Medication compliance / concordance • Pill dispensers • Pagers Response and event recognition • Social alarms • Fall detectors • Seizure detectors
  • 7. The Challenge of Telecare and Telehealth
    • Applications in different contexts
      • home; hospitals and institutions
      • for people anywhere!
      • for people of all ages
    • Particular attention to
      • long term conditions e.g. dementia, COPD, CHF
      • falls (and seizures?)
      • medication compliance
    • Evolving service frameworks, objectives, staff roles
      • responding; helping, signposting
      • assessing
      • prompting, motivating
      • enabling, empowering
  • 8. Telecare and Telehealth Applications in … Home Street Transport Hospital and Surgery Workplace School or College
  • 9. The Technology Context
    • Developing technologies
      • broadband
      • satellite and GPS, etc.
    • Information issues
      • transfer of data, images
      • use of cameras, sensors
      • purpose, privacy
    • Fixed devices
      • homes, buildings, streets
    • Portable devices
      • carried / worn
      • implanted (in clinical applications)
    • For users (patients) and staff
    Photo: Innovative Pultrusion Technology GmbH, Austria
  • 10. What People Want (and carers?)
    • Ethical technologies that
      • are well designed, conform to universal principles
      • are affordable
      • are discreet in home or when worn, carried (implanted?)
      • are minimally intrusive
      • work … for users (patients) and, where appropriate, carers
      • are configurable to cater for cognitive impairment
      • give user control (and respect privacy)
      • have an accessible on/off/pause switch (?)
      • enable control of data communication … how much, when, how, who to?
      • offer data security (information stored with person / in home?)
    • Technologies supported by appropriate services
  • 11. Conclusion
    • Major service developments are taking place in telecare and telehealth
      • helping support people at home and ‘on the move’
      • with evolving objectives, staff roles
      • strategic / government agendas support the changes
    • Opportunities for technologies used in the home in hospitals, etc. but …
    • Mobile and dispersed technologies may represent a real (and bigger?) opportunity
      • subject to appropriate ethical considerations
      • to manage, facilitate, respond … but also to
      • empower … and ‘liberate’
  • 12. Thank You Dr Malcolm J. Fisk, Chair Telecare Services Association Suite 8 Wilmslow House, Grove Way, Wilmslow SK9 5AG www.telecare.org.uk [email_address]
  • 13.