This document discusses integrated care and wellbeing platforms that converge health and social services. It describes telecare and telehealth services that use remote monitoring technologies to monitor vital signs and detect issues like falls or floods. The goal is to better coordinate services, reduce duplication, and improve outcomes for chronic disease patients. On average, telecare users have more chronic conditions than the general population. The document advocates for more proactive, patient-centered models of integrated care between health and social services. This includes sharing clinical and social data to provide a unified view of the population for clinicians and researchers.

1. Integrated Care and Wellbeing,
Health and Social Services
Platform Convergence
March 2015
Joe Killen, International Business Director

2. Fall DetectorPull Cord
Zone trigger
CO2 Detector
Pressure Mat
Movement detector Trigger Alert trigger Natural Gas Detector
Flood Detector
Smoke Detector
Temeperature Extremes
Telecare
What is Telecare?

3. What is Telehealth Vital Life Sign
Monitoring? Parameters
SPO2
Blood Pressure
Temperature
Weight
ECG
Glucemia
Pathologies
COPD
Diabetes
Chronic Heart
Failure
Circulatory
Hypertension
Intelligent
Home Hub
Peripherals
Mobile
Devices

4. Telecare Users are also Chronic Disease Patients
Average chronic diseases per person
Key Facts
• Telecare population presents a much higher health cost for the total
population
• The average number of chronic diseases in Telecare population is
considerably higher
• Linking clinical and social data from the information systems for health
and social services (betiON), provides an overview of the population,
useful to clinicians, social service professionals and researchers.
Source:- Basque
Health Authority
Blue = general population
Red = telecare users

5. Objectives
Lack of coordination between Social
and Health Service
Duplication of services
Insufficient economic resources
User discontent
Today
Social
Services Health
Services
Tomorrow
Social
Services
Health
Services
Health and Social Care data exchange
Coordination between services and better
prioritisation
Efficient services
User satisfaction
Political gains
Health and Social Care Convergence

6. Tunstall Healthcare
New models of care organisation demonstrate that advanced ICT systems
and services may have the potential to respond to the increasing burden of
chronic disease and the complexity of co-morbidities and in doing so
contribute to the sustainability of health and care systems.
One challenge is to develop integrated care models that are more closely
oriented to the needs of patients and older persons: multidisciplinary, well-
coordinated, anchored in community and home care settings, and shifting
from a reactive approach to proactive and patient-centred care.
EUROPEAN VIEW - HORIZON 2020

7. Tunstall Healthcare
1. The future health of millions of children, the sustainability of the NHS, and the economic
prosperity of Britain all now depend on a radical upgrade in prevention and public health.
1. The NHS will now back hard-hitting national action on obesity, smoking, alcohol and
other major health risks. We will help develop and support new workplace incentives to
promote employee health and cut sickness-related unemployment.
3. The NHS will take decisive steps to break down the barriers in how care is provided
between family doctors and hospitals, between physical and mental health, between
health and social care.
4. Different local health communities will instead be supported by the NHS’ national
leadership to choose from amongst a small number of radical new care delivery options
NHS UK 5 YEAR VIEW – KEY POINTS

8. Health Service
Administration
New Technology Platform
Electronic Health
Records
Social Care Systems
Preventive Healthcare
SOA architecture, (modular, flexible,
scalable)
User/patient centred
Proactive
Service Provider
Business Intelligence
Data mining
Database
Resource Management
Data Management
Voice and data transmission
Mobile/VOIP Communications
Telecare hardware
Telehealth
hardware
End Users
Basic Telecare
Advanced
Telecare
Telehealth
Tele-
consulting
IntegrationServices
Health
Social
Mixed

9. Thank you
© 2013 Tunstall
Joe Killen
International Business Development Director
e: jkillen@tunstall.es