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W9   technology and the ageing society - hazel price
 

W9 technology and the ageing society - hazel price

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  • Regular monitoring showed a reduction of 77 A&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 W9 technology and the ageing society - hazel price Presentation Transcript

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