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Peter Hay Presentation Beyond 2010-SMART Living

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  • National Policy - White Paper OHOCOS Directive / Putting People First: A shared vision and commitment to the transformation of Adult Social Care’, and ‘Local Authority Circular: Transforming Social Care’ Customer needs & demands - independence, wellbeing and dignity through greater control over their care and support Demographics ' - Eight of the wards covered by Heart of Birmingham tPCT are in the most deprived 5% of wards in England, with Aston and Sparkbrook being in the most deprived 1% of electoral wards in England. Projections of a 34% rise in over 85s in next 20 years Need to reduce Health Inequalities Increase in long term conditions,1 in 4 mild–moderate mh Highest increase of people with stroke , heart conditions and reported diabetics Sparkbrook / Ladywood (national) IB rates (Source: P/health Directorate Hobtpct)
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    • 1. Assistive Technology Transforming Services PETER HAY STRATEGIC DIRECTOR ADULTS &COMMUNITIES
    • 2. Drivers For Change Demand for high quality, self-sustaining services Pressure Changes in supply Cultural changes and rising expectations Changes in demand
      • Pressures on resources and need for efficient service delivery
      • Need to drive up quality and improve commissioning
      • Emphasis on locally-led services
      • Development of new forms of care through new technologies
      • Need to raise skill levels across the workforce to deliver new ways of working
      • Need to develop integrated services
      • Cultural shift : seeing people including carers as active citizens rather than passive recipients
      • More people with the capacity to buy private care
      • Citizens expecting Higher standards in delivery
      • Demographic trends
      • People who do not meet eligibility criteria
    • 3. Options for the Council 1) Maintain current budget (bottom line) – Raise eligibility criteria and provide services to only critical service users and disregard self funders. 2) Fund the demographic projections (top lines) – BCC projection suggests an additional £270m funding requirement over 10 years. This does not include projections for asylum seekers, “other adult services” and service strategy, which account for £34m of the current budget. Work by the LSE assumes a higher starting budget, includes these elements, and results in an additional 10 year funding requirement of £500m. A direct comparison with the BCC projections is not possible, but the LSE work does suggest additional funding will be required. 3) Transformation – Increase capability to meet growing demand by up to 50%, improving services to self funders and increasing community capacity. This will result in an estimated saving of £230m against the BCC demographic projections. This will still require an increase in year on year funding to maintain current levels of services. LSE projection Budget projection 10 years Costs Transformation projection BCC projection
    • 4. Why telecare in Birmingham?
      • The Council’s Vision for Telecare Services in Birmingham forming an enabling role and bringing about a strategic shift to prevention by supporting people in their own homes with a range of accessible technologies.
      • Our model includes partners in NHS Direct use their existing “triage” service. Ensuring we have access to their clinical advice.
      • Telecare delivers transformation through
      • Early identification of low level need through 24 hr monitoring
      • Provides alternatives to traditional methods of costly care and support
      • Supporting people to live in their own homes for longer
      • Reduce need for residential care/hospital admissions
      • Underpins our Future operating model and customer Journey
    • 5. Telecare in Customer Journey Referral First Response Enablement Support Plan Monitor & Review Second response SDS Assessment
    • 6. Friends and family Tele-carer Care response service Emergency services NHS Direct Care professionals Independent Living, care closer to home Records
      • Social Care
      • Housing
      • Personal Health Record
      Telehet Pill dispensers Sensor networks Medication tracking Lights Doors / Windows Motion / Activity Bed Kitchen Bathroom Telecare Service Sits within our provider function Source: NHS Connecting for Health Telecare seen as part of a wider Sys tem care profs
    • 7. Opportunities through Telecare
      • Innovation during difficult economic times
      • Focus on outcomes, self care and management of long term conditions
      • Cost effectiveness as part of support package
      • Services and support for the wider population with stakeholder involvement
      • Alignment with other priorities eg LTC management, individual care plans vascular screening
      • Personalised services with budget options, choice and control
      • Huge Cost Benefit Case
    • 8. Telecare cost/ benefits profile
    • 9. Major Achievements
      • Citywide Telecare Strategy
      • Agreed set of Benefit targets integrated into the Future Operating Model
      • Forms part of strategic approach to Prevention
      • Supports JSNA focus ( falls, stroke ,LD)
      • Built into enablement service model
      • Independent Service User evaluation demonstrates positive quality of life
      • Robust cost modelling completed and monitored against targets .
      • Has reduced need for costly homecare and night care (LD)