Hazel Price Programme Manager Kent Whole System Demonstrator Programme Promoting & Sustaining Independence in a Community ...
Promoting & Sustaining Independence in a Community Setting Kent’s pedigree <ul><li>Telecare   </li></ul><ul><li>Started in...
Promoting & Sustaining Independence in a Community Setting Kent Telehealth Evaluative Development Pilot Objective : To pro...
Promoting & Sustaining Independence in a Community Setting <ul><li>Summarising briefly, we found that Telehealth: </li></u...
Promoting & Sustaining Independence in a Community Setting So what savings could potentially be generated  for Long Term C...
Promoting & Sustaining Independence in a Community Setting <ul><li>Whole System Demonstrator </li></ul><ul><li>Clinical co...
Promoting & Sustaining Independence in a Community Setting Mainstreaming <ul><li>Challenges :  </li></ul><ul><li>Pilots st...
Promoting & Sustaining Independence in a Community Setting A vision for Kent? To have a ‘platform’ that facilitates the us...
Promoting & Sustaining Independence in a Community Setting Thank you Any questions? Hazel Price, Kent WSD Programme Manage...
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W9 technology and the ageing society - hazel price

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  • Regular monitoring showed a reduction of 77 A&amp;E visits and 849 bed days of care for people contributing to the data over six months. The confidence interval ranged from a saving of £2,718 to a saving of £1,038. This figure is statistically significant at the 0.01 level which means we are 99% confident that the savings fall between these two figures .
  • W9 technology and the ageing society - hazel price

    1. 1. Hazel Price Programme Manager Kent Whole System Demonstrator Programme Promoting & Sustaining Independence in a Community Setting
    2. 2. Promoting & Sustaining Independence in a Community Setting Kent’s pedigree <ul><li>Telecare </li></ul><ul><li>Started in July 2004 with 3 pilot sites. </li></ul><ul><li>By the time WSD commenced we had 6 sites with telecare with </li></ul><ul><li>over 1,100 users. </li></ul><ul><li>Just another ‘tool in the bag’: </li></ul><ul><ul><li>Part of support package, </li></ul></ul><ul><ul><li>Personal budgets. </li></ul></ul><ul><li>From the original pilot we knew : </li></ul><ul><ul><li>93% felt more independent, </li></ul></ul><ul><ul><li>93% also felt safer in their own homes </li></ul></ul><ul><ul><li>reduction in residential placements </li></ul></ul>
    3. 3. Promoting & Sustaining Independence in a Community Setting Kent Telehealth Evaluative Development Pilot Objective : To progress and evaluate the exploitation of emerging Assistive Technology in the field of ‘Telehealth’ to improve the life outcomes of 250 older people with chronic disease management requirements in Kent. <ul><li>£1M funding from KCC. </li></ul><ul><li>Partnership with PCTs </li></ul><ul><li>250 TeleHealth monitors. </li></ul><ul><li>Pilot time line March 2005 to December 2007. </li></ul><ul><li>Health Ethics Approval. </li></ul><ul><li>Eligibility criteria. </li></ul><ul><li>Measuring health and quality of life. </li></ul>
    4. 4. Promoting & Sustaining Independence in a Community Setting <ul><li>Summarising briefly, we found that Telehealth: </li></ul><ul><li>Brings piece of mind to patients and carers. Some patients </li></ul><ul><li>and carers experienced life changing positive outcomes. </li></ul><ul><li>Reduced unscheduled hospital appointments and A&E visits. </li></ul><ul><li>It is estimated that over a six month period in 2006/7 the </li></ul><ul><li>Telehealth intervention saved on average £1,878 per patient. </li></ul>
    5. 5. Promoting & Sustaining Independence in a Community Setting So what savings could potentially be generated for Long Term Conditions management across Kent? <ul><li>A rough extrapolation of the savings to Kent across the three </li></ul><ul><li>LTCs of COPD; CHD and Diabetes using the 2006/7 HES data </li></ul><ul><li>would generate a cost saving of around £7,560,000 . </li></ul><ul><li>The range is a cost saving of £10,942,000 to £4,180,000 </li></ul><ul><ul><li>This figure is statistically significant at the 0.05 level which means we </li></ul></ul><ul><li>are 95% confident that the savings fall between these two figures . </li></ul>
    6. 6. Promoting & Sustaining Independence in a Community Setting <ul><li>Whole System Demonstrator </li></ul><ul><li>Clinical concerns: </li></ul><ul><li>Reduced contact </li></ul><ul><li>‘ Too busy’ – more work </li></ul><ul><li>Threat to role </li></ul><ul><li>Increase anxiety, increase contact </li></ul><ul><li>RTC & equality (both TH and TC) </li></ul><ul><li>Concerns about participants: </li></ul><ul><li>Acceptability of the technology </li></ul><ul><li>compliance </li></ul><ul><li>Success criteria: </li></ul><ul><li>Telecare and telehealth success criteria from our pilots were key to delivery </li></ul><ul><li>As was the Programme team with their unique mix of skills, knowledge and experience </li></ul><ul><li>WSD has seen telecare rolled out county wide. </li></ul>
    7. 7. Promoting & Sustaining Independence in a Community Setting Mainstreaming <ul><li>Challenges : </li></ul><ul><li>Pilots status since 2004 </li></ul><ul><li>TC and TH not core business </li></ul><ul><li>Staff & culture of continuous change </li></ul><ul><li>Equitable access to services </li></ul><ul><li>Demographics </li></ul><ul><li>What’s next? </li></ul><ul><li>Industrialisation of TC and TH </li></ul><ul><li>Commissioning a Governing Body in the form of the Kent Technology Strategy Group </li></ul><ul><li>Developing a Strategy for AAT . </li></ul><ul><li>Changing commissioning practices rather than AAT being an additive! </li></ul>
    8. 8. Promoting & Sustaining Independence in a Community Setting A vision for Kent? To have a ‘platform’ that facilitates the use of a whole range of AAT to be used across a wide spectrum of users. <ul><li>Considerations: </li></ul><ul><ul><li>GP Consortia </li></ul></ul><ul><ul><li>Personal budgets </li></ul></ul><ul><ul><li>Self funders </li></ul></ul><ul><ul><li>Personal health budgets </li></ul></ul><ul><ul><li>Private/ family commissioning </li></ul></ul><ul><ul><li>AAT market </li></ul></ul><ul><ul><li>‘ the platform’ </li></ul></ul><ul><li>Challenges & opportunities? </li></ul><ul><li>GP consortia </li></ul><ul><li>Data, sharing & privacy </li></ul><ul><li>Private market </li></ul><ul><li>Plug and play technology </li></ul><ul><li>Infrastructure and support systems </li></ul><ul><li>Cloud computing </li></ul><ul><li>Smart metering </li></ul>
    9. 9. Promoting & Sustaining Independence in a Community Setting Thank you Any questions? Hazel Price, Kent WSD Programme Manager [email_address]
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