Opportunities in Technology & Care - Donna Henderson (JIT), Rowan Norrrie (WHI Project)


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Opportunities in Technology & Care - Donna Henderson (JIT), Rowan Norrrie (WHI Project)

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  • We come out of Kerr. The Minister impressed by Minor Injuries work done by Ferg and other projects in Grampian.
  • Overriding all of this is the need to secure money to cover Telecare’s development over the period – difficult in current financial climate. New 5 year strategy in which we might commit to: Closing the gap between first generation and second generation telecare market penetration – e.g. doubling the number of the over 65 population receiving second generation telecare services to 60,000 people by 2015 and doubling it again to 120,000 by 2020 Significantly raising the numbers of people in Scotland enjoying telehealth services – e.g. to 3% of the over 65 population by 2015 and 10% by 2020 All people over 85 provided with a telehealthcare package All people with dementia provided with a telehealthcare package All people with an elevated risk of injury through falling provided with a telehealthcare package All patients with a long term condition (LTC) associated with elevated risks of emergency admission to hospital provided with a telehealthcare package As part of this we’d need to work jointly with SCT and other partners, provide a national demonstrator centre to showcase positive approaches to THC – and ensure that all of this is reflected in other key policy agendas. Has been a pleasure to outline this to you. Happy to take a few questions if you have any and perhaps we can discuss some of what I’ve covered in the next 5 to 10 minutes or so. Additional £4m Scottish Government funding for 2010/11 (£120k per partnership) Match investment of equal or greater amount by local health and social care parnterships Used to embed Telecare Services & prompt move to delivery of integrated Telehealthcare (e.g. Falls) Anticipate further 13,000 people & 21,000 hospital bed days avoided Telehealth & Telecare Champions Networks National Telehealthcare Event – 3rd Nov 2010
  • Resistance to change – e.g. job security, Confidence in technology – lack of 24/7 support and infrastructure
  • The industry group will participate in: Business process mapping Advise on previous lessons learned Assist with the development of alternative models involving the private sector / consumer market e.g. around supported wellness and healthcare. Assist with technological solutions to issues encountered, if appropriate. New partners should gain a better understanding of the practical challenges and dependencies associated with embedding telehealthcare at scale and of emerging market opportunities. development of telehealthcare education and training business process mapping / service redesign technology solutions
  • Opportunities in Technology & Care - Donna Henderson (JIT), Rowan Norrrie (WHI Project)

    1. 1. Opportunities in Technology and Care WHI event, 7 th September 2010 Donna Henderson Telecare Development Programme
    2. 2. It’s ‘Time for Action’…..
    3. 3. Definitions <ul><li>Telecare: Remote or enhanced delivery of care services to people at home or in community using telecommunications/ICT </li></ul><ul><li>Telehealth: Provision of health services at a distance using a range of digital technologies, including VC, broadband, telephone </li></ul>
    4. 4. Basic Telecare Service Elements 1. Something happens in the home 2. An alert is sent via the telecare equipment 3. The detail of the situation is reviewed by a trained operator 4 . An appropriate and timely response
    5. 5. Expanding Range of Telecare Equipment Wristcare Medication Reminder Wayfinder Locator Epilepsy sensor
    6. 6. Telehealth
    7. 7. Developments in Scotland since 2006 <ul><li>Telehealth </li></ul><ul><li>Significant Stroke Management & Paediatrics Programmes </li></ul><ul><li>Support provided to Health Boards in their Telehealth projects </li></ul><ul><li>Awareness Raising </li></ul><ul><li>Review of progress undertaken and successful move into NHS24 now complete </li></ul><ul><li>Telehealth Champions Network Launched </li></ul><ul><li>Telecare </li></ul><ul><li>All 32 local partnerships progressing telecare programmes </li></ul><ul><li>25,833 people received telecare services as result of TDP </li></ul><ul><li>Basic telecare services moving to enhanced provision </li></ul><ul><li>Independent review of progress identified ‘promising start’ </li></ul><ul><li>Telecare Learning Network Established </li></ul>
    8. 8. What next? <ul><li>JIT/SCT recognise benefits of a strategic & integrated approach to achieve shared outcomes – </li></ul><ul><li>Ensuring better, local and faster access to public health and care services </li></ul><ul><li>Improving the quality, delivery and efficiency of public health and care services </li></ul><ul><li>Better supporting the citizens and carers of Scotland </li></ul><ul><li>Connecting the population of Scotland to appropriate, timely care </li></ul>
    9. 9. Telehealthcare <ul><li>“ The convergence of telecare and telehealth to provide a technology enabled and integrated approach to the delivery of effective, high quality health and care services ” </li></ul>
    10. 10. Innovation & Integration - Telehealthcare <ul><li>Monitoring ‘Health at Home’ </li></ul><ul><li>Preventing & Managing Falls </li></ul><ul><li>Housing & Care Models </li></ul>
    11. 12. A Phased Approach to Telehealthcare <ul><li>Phase 1 (2006-9) : Raise awareness/develop local & national expertise </li></ul><ul><li>Phase 2 (2010-12) : Joint strategic drive, strengthen underpinning infrastructure & expand/integrate national programmes (90% roll-out/10% innovation) = Robust Platform </li></ul><ul><li>Phase 3 (2013-15 ): Increased innovation/data integration & analysis, mainstream & national services </li></ul>Expansion Innovation
    12. 13. Phase Two: Telehealthcare Priorities (2010/12) <ul><li>Further expansion : 13,000 additional telehealthcare service users </li></ul><ul><li>Integration : Care pathways for Falls Prevention & Management/COPD etc, </li></ul><ul><li>Joint Telehealthcare Action Plan : JIT/SCT/NHS24– linked to key policy agendas e.g. Reshaping Care/NHS Quality Strategy </li></ul><ul><li>Roll out of 4 National Telehealth Programmes : Stroke, Paediatrics, Mental Health & COPD </li></ul><ul><li>Implement Telehealthcare Education & Training Strategy : 7 Workstreams </li></ul><ul><li>Effective Procurement Options & Standards </li></ul><ul><li>Support Key Areas of Innovation </li></ul><ul><li>Continue to M onitor and Evidence progress – learn as we progress </li></ul>
    13. 14. Telehealthcare Education & Training Action Plan <ul><li>7 workstreams; </li></ul><ul><li>Ethical framework & common principles </li></ul><ul><li>Knowledge & Skills Framework </li></ul><ul><li>Core Curriculum & Continuing Professional Dev. </li></ul><ul><li>Induction & Accredited Training (SVQ’s) </li></ul><ul><li>Carer Awareness Raising & Training </li></ul><ul><li>Innovation in Education & Training </li></ul><ul><li>Phase 2 for Acute Sector Health Staff </li></ul>
    14. 15. Cultural issues <ul><li>Resistance to change </li></ul><ul><li>Fear of increased risk and inferior service provision </li></ul><ul><li>Lack of confidence in technology </li></ul><ul><li>Impersonal </li></ul><ul><li>Perceived lack of service user acceptance / usability </li></ul>
    15. 16. Integration issues <ul><li>Service Delivery Integration: e.g. Falls Prevention & Management pathways, Stroke, Older People Services. Will require service (business process) redesign. </li></ul><ul><li>Equipment Integration: Interoperability issue restricting choice of equipment and expansion of services. </li></ul><ul><li>Data Integration: Limited use of data from telehealth & telecare within case/care management. </li></ul>
    16. 17. Opportunities to support expansion <ul><li>In order to expand at scale, we need to: </li></ul><ul><li>Build on our own experience and that of others </li></ul><ul><li>Explore funding options within UK and Europe </li></ul><ul><li>Develop partnerships with academia and industry </li></ul><ul><li>Embed technology into redesigned services </li></ul>
    17. 18. We welcome your views on… <ul><li>How can the experience and skills of industry best play into the mainstreaming of telehealthcare in Scotland? </li></ul><ul><li>What can we (JIT / SCT) do to involve industry partners more effectively in the development of telehealthcare in Scotland? </li></ul>
    18. 19. Contact <ul><li>Moira MacKenzie </li></ul><ul><li>Telecare Development Programme Manager </li></ul><ul><li>Joint Improvement Team </li></ul><ul><li>[email_address] </li></ul><ul><li>Donna Henderson </li></ul><ul><li>Consultant </li></ul><ul><li>Joint Improvement Team </li></ul><ul><li>[email_address] </li></ul>