Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event. Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development. This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being. More information is available online: www.expo.nhs.uk

1. New technologies in social care: what is
NICE’s role ?
Gillian Leng, Deputy CEO, NICE
Mark Campbell, Associate Director, Medical Technologies
Evaluation Programme, NICE
Alyson Scurfield, CEO, Telecare ServicesAssociation

2. An overview of NICE
Evidence-based
products:
Guidance
Qualitystandards
Evidence summaries
Evidence alerts
Accredited evidence
Prescribingadvice
Indicator sets
Dissemination
and adoption
support:
NICE Evidence Services
NICE website
Pathways
Apps
E-alerts
Implementationtools
Audiences:
NHS
Patients and the
public
Publichealth
Local government
Social care
Commissioners

4. Guidance and quality standards
Evidence Guidance
Quality
Standards
A comprehensiveset of
recommendations for a particular
condition or service area
‘Sentinel markers’
A prioritised set of concise, measureable
statements designed to drive quality
improvements across a pathway of care.

5. Products to publish in 2015
Guidelines
Home care
Social care of older people withmultiple longterm conditions
Transitionbetween inpatient hospital settings andcommunity orcare home settings
Challenging behaviour of people withlearning disability
Children’s attachment
Quality standards
Managing medicines in care homes
Pressure ulcers
Challenging behaviour of people withlearning disability

6. Home care guideline
• Publication September 23
• Focusses on older people receiving home care and their
carers
• For commissioners, providers, care workers and home care
managers
• Care Act describes what organisations need to do - the
guideline focusses on “what works” in terms of how they
fulfil those duties
• Includes recommendations on visit length.

7. Homecare guideline and telecare
• Guideline definition: ‘technology that provides support and assistanceto
people with social care needs’
• Limited evidence on the components of telecare used as part of a home care
package for older people, and their impact.
• General recommendations on how to support people to use telecare

8. Draft recommendation
• Offer people using home
care services information
about options for telecare
that could help them.
• Include information on
potential risks and benefits,
so they can make an
informed decision.

9. NICE evaluation of new
technologies in social care

10. What do decision makers need to
know about new technologies?
Product
value
service users

11. How can innovative technology help? (1)
User
benefits
Decision
or care
nearer
home
Enable
self
care
Enhance
dignity
Reduce
unnecessary
interventions
Improve
comp-
liance

12. How can innovative technology help? (2)
System
benefits
One-off
device
implant
Reduce
length of
stay
Different
staff grade
or type
Reduce
hospital-
isation
Speed up
recovery

13. Type of technology NICE Product
Incremental development of
implantable devices to provide
remote monitoringfacilities
IPG463. Insertionanduse of implantable pulmonary artery pressure monitors
in chronic heart failure
Combinationof conventional
medical device andapp features
Published MIBs:
- Detectionof suspectedatrial fibrillationwiththe AliveCor Heart Monitorand
AliveECGapp
- Visensia forearly detectionof deteriorationof vital signs inadults in hospital
Digital products as part of standard
care
Draft guideline on ‘Social care of older people withcomplex care needs and
multiple long-termconditions’
“1.1.6The healthor social carepractitioner leading the assessment should discuss with the person
any telecareoptions that may support them so that they can make informed choices about their
usefulness to help managetheirconditions, potentialbenefits, risks and costs.”
Populationinterventions Excess winterdeaths andmorbidity and the healthrisks associatedwithcold
homes
Includes consideration ofuse of smart meters to identify homes usingless
energy thanexpected

14. Evaluation issues
• Enabler versus intervention
• Types, quantity and quality of evidence
• Regulatory requirements and status
• What’s the decision problem ?
– Population (including setting)
– Intervention
– Comparator
– Outcomes

15. Quality Standards for the evolution of
Technology enabled Care
Alyson Scurfield
Chief Executive, Telecare Services Association

16. TSA Code of Practice
R2R Model

17. Process Modules

18. Standards Modules

19. Collaboration

20. New TECs Landscape

21. Mobile Technology
• Mobile communication
• GPS integration

22. Mobile Technology

23. Mobile Telecare Apps

24. Mobile Telehealth

25. What are the issues
Communications
• Mobile coverage
• Next generation networks
• Dispelling myths – Mobile doesn’t work!!!
• IP - Analogue to digital shift
• Standards
Interoperability
• Equipment
• Back office systems and infrastructure
Potential Duplication of Standards – Service and Technical

26. Standards Steering Board
TSA Code
of Practice
Service Users
Technology
Comms/IP
Health
EthicsCommissioners
Auditors
Service
Provision
Care & Support