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Yorkshire and the HumberAn Overview of Telehealth in the Region                                Marie Buchan               ...
Welcome to Yorkshire and the HumberBirthplace of........   David Hockney   James Bond’s Aston Martin DB5   The Bronte S...
As many 2012 Olympic Gold Medal winners             as Australia !
But on a much more serious note.............
Yorkshire and       Humber Region• Population 5.2 million• 15,906 square kilometres• Hull, Leeds, Sheffield and York• Rura...
Airedale NHS     Foundation Trust• Positioned in the north west of the  Yorkshire and Humber region• Population of 220,000...
Long Term Conditions Almost one in three people are living with a long term    condition   That 30%+ of the population c...
Population Trends The region’s population as a whole is projected to increase by  455,000 between 2011 and 2031 The regi...
Modelling suggests that between2010 and 2020 CHD will rise from 6.0% to 6.6% of the population, equivalent to  49,000 peo...
These factors represent a hugequality and efficiency challenge for our        region’s health services
Telehealth in Y&H in 2010 Some health communities in Y&H were embarking on  significant developments:    Airedale - trai...
A Strategy for the Region Chief Executive of NHS Yorkshire and the Humber, the  Strategic Health Authority keen to progre...
Yorkshire & Humber Telehealth Hub Partnership made up of :    3 of the region’s health organisations (Airedale FT,     U...
Telecoaching               Telemonitoring            TelemedicineTelecoaching uses a        Remote monitoring         Remo...
A Test of Breadth and Scale Run for 12 months with project management support from  the SHA Workbooks and Toolkits creat...
EvaluationUndertaken by the 2020Health Organisation to look at: Benefits to patients Impact on services and activity Re...
Things Move On White paper Equity and Excellence: Liberating the NHS  (July 2010) – consultation until October 2010 Nati...
3millionlives Campaign Following the reported success of the Whole System  Demonstrator projects Government concordat an...
3millionlives Y&H Approach Commissioned the NHS Technology Adoption Centre to  facilitate events and work with organisati...
Digital First (formerly named Digital by Default) A ‘call to action’ NHS organisations encouraged to utilise existing di...
Digital First Y&H Approach RIF Bursaries offered to CCGs and Trusts to support  deployment of High Impact Innovations inc...
Other Telemedicine Projects inY&H  Regional Telemedicine Stroke project deployed   equipment in all Trusts in Y&tH (Aired...
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M. buchan yorkshire and the humber. an overview of the telehealth in the region

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M. buchan yorkshire and the humber. an overview of the telehealth in the region

  1. 1. Yorkshire and the HumberAn Overview of Telehealth in the Region Marie Buchan Telemedicine Manager Airedale NHS Foundation Trust
  2. 2. Welcome to Yorkshire and the HumberBirthplace of........ David Hockney James Bond’s Aston Martin DB5 The Bronte Sisters Jeremy Clarkson Yorkshire Puddings and......................
  3. 3. As many 2012 Olympic Gold Medal winners as Australia !
  4. 4. But on a much more serious note.............
  5. 5. Yorkshire and Humber Region• Population 5.2 million• 15,906 square kilometres• Hull, Leeds, Sheffield and York• Rural areas
  6. 6. Airedale NHS Foundation Trust• Positioned in the north west of the Yorkshire and Humber region• Population of 220,000• Small towns – Keighley, Ilkley, Skipton, Colne• Serves patients in the Craven and Wharfedale areas of the Yorkshire Dales
  7. 7. Long Term Conditions Almost one in three people are living with a long term condition That 30%+ of the population consume around 70% of the NHS budget  Over 50% of GP appointments  Almost 65% of outpatient appointments  Almost 75% of bed days Three out of every five people aged over 60 are likely to suffer from a long term condition
  8. 8. Population Trends The region’s population as a whole is projected to increase by 455,000 between 2011 and 2031 The region’s population will become more ethnically diverse, the projections suggest that by 2031, 13% of the population with be from ethnic minorities as opposed to the 10% seen in 2011 The population will also age over the period, moving from 29 people of retirement age for every 100 of working age in 2011 to 43 people of retirement age for every 100 of working age by 2031 This rise in the elderly population equates to a population aged over 65 in the region of 980,000 in 2011 rising to 1,440,000 by 2031
  9. 9. Modelling suggests that between2010 and 2020 CHD will rise from 6.0% to 6.6% of the population, equivalent to 49,000 people COPD will rise from 3.7% to 3.9% of the population, equivalent to 24,000 people Hypertension will rise from 30.8% to 32.3% of the population, equivalent to 186,000 people Stroke will rise from 2.7% to 2.8% of the population, equivalent to 21,000 people CVD will rise from 6.9% to 7.6% of the population, equivalent to 59,000 people Diabetes will rise from 7.5% to 8.5% of the population, equivalent to 77,000 people
  10. 10. These factors represent a hugequality and efficiency challenge for our region’s health services
  11. 11. Telehealth in Y&H in 2010 Some health communities in Y&H were embarking on significant developments:  Airedale - trailblazers in the use of telemedicine  Barnsley - blended service model  Hull - success with HF  North Yorkshire and York - aiming to reach 2000 Most other health communities were running small pilots involving very low patient numbers
  12. 12. A Strategy for the Region Chief Executive of NHS Yorkshire and the Humber, the Strategic Health Authority keen to progress Telehealth in the region Chief Execs of the region’s Trusts agreed an approach Utilised over £900k Regional Innovation Funds (devolved from Department of Health to support Innovation in the regions)
  13. 13. Yorkshire & Humber Telehealth Hub Partnership made up of :  3 of the region’s health organisations (Airedale FT, University of Hull and NHS Barnsley)  Yorkshire and Humber Health Innovation and Education Cluster (HIEC)  NHS Yorkshire and the Humber Offering Telehealth services to the rest of the region Services included:  Telecoaching  Telemonitoring  Telemedicine
  14. 14. Telecoaching Telemonitoring TelemedicineTelecoaching uses a Remote monitoring Remote videoone to one interaction tools capture consultations betweenwith audio, visual physiological healthcareand/or interactive measurements and professionals andcommunications, used relay them to a central patients which supportto support the practice location for review care outside ofof health care/social normally an suppliers hospital.care, enabling self care intranet site. Used to reduce LOS,and improved condition support earlymanagement. discharge, and admission avoidance.
  15. 15. A Test of Breadth and Scale Run for 12 months with project management support from the SHA Workbooks and Toolkits created by the HIEC Procurement advice from the Advance Digital Institute (ADI) All partners looked at the sustainability of the services Explored possible sources of future funding from the Technology Strategy Board, the EU etc
  16. 16. EvaluationUndertaken by the 2020Health Organisation to look at: Benefits to patients Impact on services and activity Return on investment Sustainability of the approach and services Lessons for the futureDue for publication in a few weeks time.
  17. 17. Things Move On White paper Equity and Excellence: Liberating the NHS (July 2010) – consultation until October 2010 National Chief Executives Innovation Review (June 2011) Innovation Health and Wealth, Accelerating adoption and diffusion in the NHS (Published Dec 2011)  Listing ‘Six High Impact Innovations’ including:  3millionlives  Digital First
  18. 18. 3millionlives Campaign Following the reported success of the Whole System Demonstrator projects Government concordat announced in January 2012 Improve the lives of 3 million people living with long term conditions Over 5 years Accelerating the use of Telecare and Telemonitoring technologies
  19. 19. 3millionlives Y&H Approach Commissioned the NHS Technology Adoption Centre to facilitate events and work with organisations to progress their Telehealth action plans Regional Innovation Fund bursaries offered to support deployment of High Impact Innovations including 3ml Delivery of 3ml aligned to CQUIN payments for Trusts Y&H have put 3 Partnerships forward to act as Pathfinders with the DH
  20. 20. Digital First (formerly named Digital by Default) A ‘call to action’ NHS organisations encouraged to utilise existing digital communication technologies e.g. mobile phones, websites, social networking, clinical systems etc To reduce unnecessary face to face contacts and DNAs On the basis that so many of these technologies are so readily available, why would they not take the opportunity to improve services to patients in this way
  21. 21. Digital First Y&H Approach RIF Bursaries offered to CCGs and Trusts to support deployment of High Impact Innovations incl. Digital First Delivery of Digital First aligned to CQUIN payments for Trusts Involving Y&H organisations in discussions with DH on issues such as barriers to deployment, how to calculate potential savings, organisational readiness etc Support Y&H organisations to deploy digital technologies Share good practice and learning across Y&H Promote the success of Y&H organisations
  22. 22. Other Telemedicine Projects inY&H  Regional Telemedicine Stroke project deployed equipment in all Trusts in Y&tH (Airedale and Martin Dawes are delivery partners in this)  Y&H Burns Network is working on a pilot to see if the same approach and infrastructure can benefit burns patients
  23. 23. Thank you for listening

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