adass better care technology workshop
TRANSCRIPT
ADASS Innovations workshop 30 October
Better Care Technology
Introductions from Chair: Linda Sanders,
ADASS Telecare Lead
- experiences of 2 successful technology enabled care
services – Birmingham and Havering
- reveal the results of the ADASS Better Care Technology
online member survey
Better Care Technology
Peter Hay, Strategic Director for People
- how innovative preventative models of care
are achieving a transformation of services
across Birmingham
Telecare in Birmingham
Peter Hay
Strategic Director for People
30 October 2014
A stretched response to austerity
Note the scale
is different from
slide 1 and 2 -
Instead of
starting at
£250m it starts
at £150m – slide
1 & 2 baseline
is represented
by the green
horizontal line
Telecare in that landscape
• Original ambition 25K households
• Learning about what works
• Hugely positive satisfaction rates
• Stable in the teeth of demand is some achievement!
• Impact across experience of health and care is where the gold lies!
The future
• Moving into telehealth
• Private pay launch
• Social enterprise structures
• Impact
Better Care Technology
Joy Hollister, Director of Children, Adults &
Housing, London Borough of Havering
- how Havering’s Adult Services team is working in
partnership with Havering CCG to deliver better integrated
care and improve quality of life for the older population.
Assistive Technology
Havering
Joy Hollister
Havering Context
• Outer North East London Borough
• Large numbers of over 85’s
• Hospital in special measures
• Financially challenged Health & Social Care
economy
The Case Developed
• CCG concerned re number of A&E admissions
for falls
• One off joint funding available
• Clear political leadership but ………
• Low sense of belief in benefits
What is AT in Havering?
Objectives: To provide more AT
Increase cohort size
Increased independence to remain at home
Reducing need for homecare or residential care
Reducing need for hospital admissions
Improved sense of safety at home
Improved quality of life
Expected
Benefits:
And…….to underpin the NHS Support for Social Care funded AT projects
0
200
400
600
800
1000
1200
1400
April May Jun July Aug Sept Oct Nov Dec Jan Feb Mar
Axi
s Ti
tle
Hospital Admissions due to falls
2009/10
20010/11
2011/12
2012/13
2013/14
688
805
1081
1194
1154
7.13%
13.02%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
Month1
Month2
Month3
Month4
Month5
Month6
Month7
Month8
Month9
Month10
Month11
Month12
Month13
Month14
Month15
Cohort B: Homecare only Cohort A: AT & Homecare
Benefits Measure 3: Impact on admission to residential/nursing care
On Track
What is ‘On Track’ ?
‘On Track’ uses GPS technology to help people with dementia
maintain their independence.
The Project aims to reduce demand for health and/or
social care by: Reducing admissions to nursing/residential care home
Reducing the need for carers respite
Reducing hospital admission and bed usage
Positive impact on other public services through reduced police call-
outs
The project contributes to an improved quality of life for
people who use services by: Reducing the stress of worry on both the user and the carer
Safety of service user
Quality of life of carer
Case study Mr & Mrs D
Mrs D was diagnosed with Alzheimer’s nine years ago and had gone
missing a couple of times before and this worried Mr D who is her
full-time carer.
“The device always knows where my wife is. It gives me peace of
mind. I know that if she goes missing I can contact the centre and
they will be able to find her.
“I can talk through it as well, so sometimes I take my wife out and
someone from the centre will call through the watch to check we’re
ok. I can tell them that we’ve gone out and when we expect to get
back. It’s really easy to use.”
•Mrs D used the Vega device for 9 months before going into residential
care
•Mr D felt Mrs D would have gone into care 3 months earlier without
the use of the Vega device
3 “extra” months living at home
Cost of Vega device - £560 Cost of 3 months residential care - £7K
= Saving to Havering ASC of c£6.4 K
“TECS” Technology Enabled Care Services
Kevin Alderson
Sales and Marketing Director
Strategic Advisory Services
21
Supporting the connected person Integrating services which count
Supported self management • Tunstall service includes programme design, set up and staff training
• Monthly fees for cloud hosting and full system support
• Licence fee for mPro app and a per month per person fee for mTrax apps for end users to
download onto their own smartphone or tablet
22
Tunstall mPro
• The mobile professional app that allows monitoring
of multiple patients each using Tunstall mTrax
• Key health and fitness indicators are available for
each individual, sortable, colour coded, with drill-
down capabilities
Tunstall mTrax
• The mobile patient / personal app that enables
personal tracking of key health parameters such
as body weight, blood pressure, heart rate, activity,
sleep and more
• Manual entry of data or automated eHealth
Tunstall Health Cloud
The central, secured
information repository of
the system, designed to
keep the mTrax and mPro
applications in sync
myworld | Social inclusion
myworld makes it easy for residents to
• increase contact
• improve relationships
• increase social interaction
23
It makes it so easy to
keep in touch with my
family. They can’t
always visit but this
means they can send
me messages which
make my day.
My son lives in Australia
and it’s made the world
of difference being able
to be in touch with him
so often.
Resident quote
• Connecting residents
• Enables the use of myworld or
own devices
• Ability to provide guest access to
friends and family (grandchildren
encouraged to visit) (free WiFi)
• Scalable shared service
• Designed to exceed minimum
government guidelines (Digital
Britain)
Improving connectivity
24
Site wide WiFi
Digital noticeboard
Information kiosk
Accessing information in real-time
25
New ADASS launch:
Developing a series of metrics for telecare -
Improving quality and outcomes
ADASS Standards and Performance policy network launches a new piece of work, supported by Tunstall Healthcare
Pulls together a series of useful metrics to help local authorities monitor their progress
The metrics cover the following areas of activity - Awareness, referral, assessment, implementation, service review, effectiveness
26
http://www.adass.org.uk/uploadedFiles/adass_content/policy_lead/standards_and_performance/M
etrics%20for%20telecare%2030%209%2014%20final.pdf
Other resources of interest
Dementia-Friendly
Technology Charter
• A charter that helps every person with dementia benefit from technology that meets their needs
• What a good quality technology service should look like. Issues to consider include ethics and consent and the re-evaluation of needs and outcomes
• www.alzheimers.org.uk/technologycharter
“Keeping the NHS great: delivering
technology enabled care services”
• A discussion paper co-authored by Tunstall with research
• www.good-governance.org.uk/keeping-the-nhs-great/
27
Better Care Technology
30 October 2014
Linda Sanders ADASS Telecare Lead
Giving people a life, not a service
ADASS Better Care Technology
Survey 2014
Results – 73 responses (50%)
of ADASS members
30
• Directors we asked to rank their maturity
of service delivery across 13 components
Awareness Referral Assessme
nt Implement
ation
User engage-
ment
Monitoring Information
govern-ance
Alerts Equipment,
integrity and safety
Service review
Effective-ness audit
Innovation Response
Mature service delivery
31
0% 10% 20% 30% 40% 50% 60% 70%
Public Awareness
Referral
Assessment
Implementation
User Engagement
Monitoring Centre
Info gov
Alerts
Eqipment, integrity, safety
Service review
Effectiveness audit
Innovation
Response
Intermediate service delivery
32
0% 10% 20% 30% 40% 50% 60% 70%
Public Awareness
Referral
Assessment
Implementation
User Engagement
Monitoring Centre
Info gov
Alerts
Eqipment, integrity, safety
Service review
Effectiveness audit
Innovation
Response
Basic service delivery
33
0% 10% 20% 30% 40% 50% 60% 70%
Public Awareness
Referral
Assessment
Implementation
User Engagement
Monitoring Centre
Info gov
Alerts
Eqipment, integrity, safety
Service review
Effectiveness audit
Innovation
Response
Underdeveloped service
delivery
34
0% 10% 20% 30% 40% 50% 60% 70%
Public Awareness
Referral
Assessment
Implementation
User Engagement
Monitoring Centre
Info gov
Alerts
Eqipment, integrity,…
Service review
Effectiveness audit
Innovation
Response
Regional networks/forums
related to assistive technology/
telecare • Is your organisation involved in any regional
networks/forums
35
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Yes
No
Areas for support The following chart details ‘high priority’ ratings from
respondents:
0% 5% 10% 15% 20% 25% 30% 35% 40% 45%
Business case development
Integration
Organisational development
Leadership
Evidence
Other
In which service areas do you see the
most benefits from telehealthcare
accruing in the future?
0% 10% 20% 30% 40% 50% 60% 70% 80%
Older people
Learning disab
Physical disab
Mental health
Carers
Embracing new technology and
ways of working Currently using Not currently using Implementation
being considered
Skype
consultations 3% 71% 26%
APPs for wellbeing 7% 49% 44%
Social media for
older people 12% 40% 48%
Integrated telecare
and telehealth 24% 28% 48%
Using personal
budgets to fund
telecare 32% 34% 34%
APPs for health
care 6% 54% 40%
How many users do you
support
• Number of community alarm users
• Number of multi sensors telecare users
• Is there a telehealth service within your area?
39
61% Yes 33% No 6% Don’t know
Average per Council: 4,402
Average per Council: 1,735
Conclusions • The category of ‘Evidence’ ranked highest in terms of the area where respondent
organisations would most benefit from support.
• ‘Older people’ was overwhelmingly identified as the area with the most to benefit from
telehealthcare services. 71% of respondents chose this category as having the greatest
potential to benefit from telehealthcare.
• Next to ‘Older people’, the categories of ‘Carers’, and ‘Learning disability’, are closely
aligned around potential benefit.
• The themes of ‘information-sharing’ and ‘partnership working’ are evident in the survey
responses. The appetite for sharing of best practice and implementation experiences from
around the country is clear from the qualitative responses.
• Responses support the image of a sector undergoing development, with a number of
‘underdeveloped’ or ‘basic’ rankings being qualified by comments relating to service
reorganisation and Better Care Fund implementation planning.
13
Q&A
Thank you
Linda Sanders
ADASS Business Unit
Local Government House
Smith Square
London SW1P 3HZ
Tel: 020 7072 7433
Fax: 020 7863 9133
EMAIL: [email protected] WEB: www.adass.org.uk