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Sue Scotland
Service Development Manager
Scottish Centre for Telehealth & Telecare
June2016
Christie Commission 2011
• Commissioned by Scottish
Government
• Chaired by Dr Campbell
Christie
• Operated Independent of
the Scottish Government
• Role was to develop
recommendations for the
future delivery of public
services.
Reshaping Care
Community
2020 VISION
Everyone is able to live longer, healthier l
at home or in a homely setting.
Where are we now?
• Ten years after the introduction of free personal care
• Substantial shift in the balance of care
• Main effects of demographic change still to be felt
• Wide variations between local authorities in level of
provision
• Modest moves towards personalisation – self directed
support
• Health spending protected
• Local government experienced cuts
Health & Social Care Integration
9 Health & Wellbeing Outcomes
Technology Enabled Care
https://dhi-scotland.com
Technology-Enabled Care (TEC)
Programme Background
• Supporting the Health & Wellbeing Outcomes
• Designed to significantly extend the numbers of
people directly benefiting from technology enabled
care and support in Scotland :
To enable greater choice and control in health, care &
wellbeing services for an additional 300,000 people
by March 2016, enabling more of our citizens to
remain at home and in their communities.
• Additional investment – national and local
TEC Programme Aims :
• To improve health & wellbeing outcomes for Scottish citizens;
• To embed TEC within strategic planning and service (re)design
processes;
• To expand and integrate the effective use of TEC as a
sustainable & cost effective component of our health, housing
and care services;
• To promote greater use, integration and sharing of
technologies across sectors and services;
• To raise awareness and promote the digital agenda within
health, housing & social care;
• To achieve sustainable and manageable growth in the number
of individuals supported by TEC;
• To routinely use measurement and evaluation for continuous
improvement and service planning.
TEC Programme
H&MHM (Brian)
VC
Platforms
Continua
Apple /
Google/MS/
Amazon
Infrastructure
Services
Web/Mobile App Service Gateway
Core Services
Registration
Authorization
Consent
Gateway to
other services
ALISS / LIU
PHR etc
On demand Access
URL in context
Provision Data
Authorized
Apps
GP
(EMIS
Record)
(Vision
Record)
NHS24
EHR
Patient
Portal
Digital Platform
Device
G/way
Firewall
NHS
Systems
Inf Svcs
Telecare
Telecare Ambitions within TEC Year 1
•Deliver a marked increase in the number of people
supported through the provision of telecare
systems/services.
•Particular focus on upstream prevention, supporting people
at transitional points of care and people with dementia and
their carers.
•Almost 10,000 additional people supported to date from
TEC Year 1 funding
85
90
95
100
105
110
115
120
125
2011 2012 2013 2014 2015
Index(2011=100) Telecare and Homecare provided to individuals aged 65+;
Scotland: Recent trend, indexed
Telecare only
Homecare with
Telecare
Homecare only
Source: Scottish Government ASD; analysis by
P Knight JIT
A2D
Improvement Programme
A Strategic National
Delivery Plan for 2016
onwards• Our over-arching goal is to ensure
Technology Enabled Care makes a
significant contribution to
enhancing the health and well
being of the population of
Scotland, and in so doing addresses
health inequalities, improves
personal outcomes for those with
care needs (including carers) and
supports efficiency and economy
within the health and care systems.
Principles
• Citizen Centred : co design and develop
solutions and actively participate in
management and delivery of their own
health and care
• Self – Management: flexible solutions that
supports the management of disease and
well being and expand choice and control
• Familiarity: build on existing and
increasingly familiar technologies
• Innovative: secure continued investment in
innovation
• Economic: focus on best value and building
collaborative relationships with industry
partners
TEC Programme

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Current challenges and an overview of the National Technology Enabled Care (TEC) Program

  • 1. Sue Scotland Service Development Manager Scottish Centre for Telehealth & Telecare June2016
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  • 11. Christie Commission 2011 • Commissioned by Scottish Government • Chaired by Dr Campbell Christie • Operated Independent of the Scottish Government • Role was to develop recommendations for the future delivery of public services.
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  • 22. 2020 VISION Everyone is able to live longer, healthier l at home or in a homely setting.
  • 23.
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  • 25. Where are we now? • Ten years after the introduction of free personal care • Substantial shift in the balance of care • Main effects of demographic change still to be felt • Wide variations between local authorities in level of provision • Modest moves towards personalisation – self directed support • Health spending protected • Local government experienced cuts
  • 26. Health & Social Care Integration
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  • 28. 9 Health & Wellbeing Outcomes
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  • 34. Technology-Enabled Care (TEC) Programme Background • Supporting the Health & Wellbeing Outcomes • Designed to significantly extend the numbers of people directly benefiting from technology enabled care and support in Scotland : To enable greater choice and control in health, care & wellbeing services for an additional 300,000 people by March 2016, enabling more of our citizens to remain at home and in their communities. • Additional investment – national and local
  • 35. TEC Programme Aims : • To improve health & wellbeing outcomes for Scottish citizens; • To embed TEC within strategic planning and service (re)design processes; • To expand and integrate the effective use of TEC as a sustainable & cost effective component of our health, housing and care services; • To promote greater use, integration and sharing of technologies across sectors and services; • To raise awareness and promote the digital agenda within health, housing & social care; • To achieve sustainable and manageable growth in the number of individuals supported by TEC; • To routinely use measurement and evaluation for continuous improvement and service planning.
  • 38.
  • 39. VC
  • 41. Continua Apple / Google/MS/ Amazon Infrastructure Services Web/Mobile App Service Gateway Core Services Registration Authorization Consent Gateway to other services ALISS / LIU PHR etc On demand Access URL in context Provision Data Authorized Apps GP (EMIS Record) (Vision Record) NHS24 EHR Patient Portal Digital Platform Device G/way Firewall NHS Systems Inf Svcs
  • 43. Telecare Ambitions within TEC Year 1 •Deliver a marked increase in the number of people supported through the provision of telecare systems/services. •Particular focus on upstream prevention, supporting people at transitional points of care and people with dementia and their carers. •Almost 10,000 additional people supported to date from TEC Year 1 funding
  • 44. 85 90 95 100 105 110 115 120 125 2011 2012 2013 2014 2015 Index(2011=100) Telecare and Homecare provided to individuals aged 65+; Scotland: Recent trend, indexed Telecare only Homecare with Telecare Homecare only Source: Scottish Government ASD; analysis by P Knight JIT
  • 45. A2D
  • 47. A Strategic National Delivery Plan for 2016 onwards• Our over-arching goal is to ensure Technology Enabled Care makes a significant contribution to enhancing the health and well being of the population of Scotland, and in so doing addresses health inequalities, improves personal outcomes for those with care needs (including carers) and supports efficiency and economy within the health and care systems.
  • 48. Principles • Citizen Centred : co design and develop solutions and actively participate in management and delivery of their own health and care • Self – Management: flexible solutions that supports the management of disease and well being and expand choice and control • Familiarity: build on existing and increasingly familiar technologies • Innovative: secure continued investment in innovation • Economic: focus on best value and building collaborative relationships with industry partners