1. CASA
Study visit Kent County Council
10th-12th December 2012
Presentation based on report of experts
Fabian Dominguez
Lead Partner CASA
8th May 2014, Brussel

2. CASA
• Delegation:
• Pascal Coorevits (Ugent)
• Bart Vanrumste (KULeuven)
• Fabian Dominguez (Government of Flanders)

3. CASA
Visits
1. Hawkinge House
• Nursing home for people with dementia (mainly)
• Technology used: Personal Alarm System with 4 gradations of urgency
• Business model: rent of room and infrastructure, costs of care, hotel costs
and medical costs – last 3 costs = freedom of choice of provider

4. CASA
Visits
2. Estuary View GP Practice
• GP Practice with multidisciplinary team: GP’s,
GP’s with special interests, and paramedics
(fysiotherapists)
• Advantages: patients can receive services that
are otherwise only offered in general hospitals
(X-ray, A&E for simple wounds, paramedic
consultations)

5. CASA
Visits
3. East Kent NHS Trust Hospital
• Presentation of Telemedicine projects
• Da Vinci Surgical System
• Videoconferencing application used for CVA-patients
• Digitalization of tests (bloodpressure, temperature,…) – VitalPAC
system
 Prioritization of patients
 Monitoring of actions of nursing staff and departments

6. CASA
 check if values of patients are within normative values
 Large scale deployment within hospital (+/- 50 departments)

7. CASA
Visits
4. University of Kent
• Presentation of studies on Telemedicine
• 2004: Kent Telecare pilot
• 2005: Kent Telehealth pilot
• 2007: Whole System Demonstrator
 Largest countrywide RCT study on assistive technologie (>1000 test
subjects)
 Target group: patients with COPD, diabetes, chronic heart conditions

8. CASA
 Results regarding total amount of days in hospital:
• Positive outcome for use of telemedicine in comparison to
control group that was not provided with telemedicine
equipment
• Presentation of preliminary study on Telecare:
 Group was provided with a Tunstall PAS-system: press button,
fire and CO-detector. Control group did not have a press button

9. CASA
Visits
5. Conclusion of experts
• Interesting experience
• Nursing home + GP practice: innovative business models
• East Kent NHS hospital + University of Kent: technological innovations
• Innovative character of applications
 Not the state-of-the-art aspect was impressive, but the often large
scale implementation of the applications in Kent County
 Advantages demonstrated by several studies > innovation is
important and feasible

10. Thank you
Fabian Dominguez
Social Affairs and Public Health attaché
Permanent Representation of Belgium to the European Union
P.A.: Ministry of Welfare, Public Health and Family Affairs
Staff of the Secretary-General
Koning Albert II-laan 35, bus 30
BE-1030 Brussels
Fabian.dominguez@wvg.vlaanderen.be