Your trusted partner for the digital journey

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The digital effect

And we stand on the brink of another step change, as the Internet of Things becomes an increasingly accepted part of daily life, making control of the home environment more convenient and accessible.

With BT, our national telecoms infrastructure provider, announcing that by 2025 everyone will have been moved from analogue to IP Voice telephone services, the UK’s move to digital is already underway.

However, many health, housing and care organisations have yet to fully realise the potential of digital technology to transform service delivery, making it more person-centred, preventative and integrated.

Tunstall’s focus is on developing solutions and services to support users, families and providers as we progress along the digital journey.

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We are all, both personally and professionally, increasingly relying on digital services. As consumers, we are benefi ting in many different aspects of our daily lives whether it provides more choice, value, greater availability or convenience. Taking entertainment as an example, we have progressed from three mono television channels to an unimaginable choice of digital content, available whenever, wherever and on whichever device we want it.

The benefi ts of digital, provided by Internet Protocol (IP) technology, are clear• Always on

• Able to handle voice, video and information as data

• Fast

• Data rich

• Future ready

“Better tech means better healthcare. We want to double down on the huge advances we’ve made in technology within NHS and social care. To promote collaboration and change, we need more transparency, better use of data, more interoperability, and the enthusiastic adoption of technological innovation that can improve care.”Health and Social Care Secretary Matt Hancock speaking at the Royal College of Physicians, 30 July 2020

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The delivery of digital and mobile technology represents a huge opportunity to improve quality of life, making it easier for formal and informal carers to provide the right level of care. It also dramatically increases the choices available to enable people to remain active and thrive in their own homes as they age, and to manage their own health, without the need for statutory services.

Digital technology makes new models of service delivery achievable, with the power to:

• Empower and enable

• Safeguard and support

• Bring people closer together

• Give increased control over the way people live their lives

The potential of digital is being recognised throughout the UK, with Informed Health and Care: a digital health and social care strategy for Wales, Northern Ireland’s Health and Social Care Board’s eHealth and Care Strategy and Scotland’s Digital Health & Care Strategy all setting out plans for the increased use of digital technologies in health and social care services. Digital technology has a key role to play in implementing the aims of England’s Care Act 2014 to increase preventative care and support carers, and forms a central part of the NHS Long Term Plan.

With continuing funding challenges in health, housing and social care along with rising demand, using technology to increase the viability and sustainability of public sector services has to be a priority.

A massive opportunity

“I want to work with everyone across the NHS and social care system to embrace the next generation of technology. The opportunities of new technology, done right across the whole of health and social care, are vast.”Matt Hancock, Health and Social Care Secretary, Speech 20 July 2018

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CONNECTED HEALTHCARE ECOSYSTEM CLOUD-BASED SERVICES

BUSINESS SERVICES DEVICE MANAGEMENT CONSUMER SERVICES

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RESPONSIVE INDEPENDENT LIVING

GROUP LIVING

PREDICTIVE

From the user perspective Connected Healthcare provides four different sorts of solutions

What is Connected Healthcare?

RESPONSIVE SOLUTIONS Minimise the consequences of an important event. They create an alarm when a life critical event has happened and communicate the details to someone else to provide the appropriate response.

PREVENTATIVE SOLUTIONS Create opportunities for early interventions to avoid a crisis. Alerts are typically by text or email and sent to informal and formal carers.

ENABLING SOLUTIONS Support greater social and digital inclusion and provide more control over the home environment.

PREDICTIVE SOLUTIONS Use data analytics to provide greater insight, anticipating possible events and enabling appropriate intervention.

Digital Connected Healthcare will uniquely enable all the elements to link together in real time, all the time - service users, the devices that support them, service providers, formal and informal carers, social care, health and housing providers. This will lead to signifi cant enhancements in the quality of care and support provided in the home.

Tunstall’s digital Connected Healthcare eco system, using cloud-based software will support a new generation of solutions which can provide intelligent, unobtrusive and person-centred care and help to manage demand using innovative service models. Digital technology unlocks the potential for models of care to become not just responsive and preventative. Our Cognitive Care model will use data-driven insights to not just react to events, but predict and even prevent them, transforming the way health and social care is delivered.

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Tunstall’s focus is on digital technology solutions which underpin new models of care for the delivery of cost effective and coordinated health and social care in the community.

Our solutions will continue to becoming increasingly digital and cloud-based, creating a more connected and intelligent world where services and data provide stakeholders with vital information, enabling family members to support loved ones remotely and creating a new environment for the delivery of care services.

The journey to full digital connectivity in 2025 may not be straightforward, but the gains are signifi cant. There are still some unknowns and challenges around how and when our national infrastructure will change, and concerns over data sharing, privacy and security will all need to be resolved.

Our plan is to negotiate these challenges on behalf of our customers, and continue our focus on innovation and development between now and 2025 to build strong digital foundations for the future. Central to this will be our plans for our cloud-based software suite.

The journey to 2025 will be characterised by a change in approach towards much greater collaboration, both from joining up care systems and from service providers, to the benefi t of all the stakeholders.

We will continue to partner with the public sector to integrate care delivery, manage demand, develop strategy and redesign health, housing and social care services. We will focus on more person-centred, proactive, preventative, and sustainable services using digital technology as an enabler.

The art of the possibleThe possibilities are vast, but how can we expect digital to affect health, social care and housing?

In broad terms, digital solutions offer opportunities to:

• Enhance the user experience

• Provide greater immediacy and convenience

• Increase focus on preventative and enabling solutions

• Review and enhance services as they move from analogue to digital

• Create new services that improve outcomes

• Use data and insight to provide more personalised services

• To use a new set of tools to tackle current challenges such as social/digital exclusion

• To develop proactive, predictive preventative solutions

• To join up services across housing, health, social care and other areas to deliver greater effi ciencies and better outcomes

Much of the technology is already at or close to market, and IoT in the home is already offering new methods of providing support and reassurance for independent living. In time, solutions from different suppliers will become interoperable and more intelligent through software tools such as If This Then That (IFTTT). Data analytics will be employed to provide more meaningful actionable insight, eventually becoming predictive and enabling earlier, lower cost interventions e.g. a change in medication may avoid the need for an A&E admission. There are already examples where analogue constraints have already been swept away by digital solutions, such as our Communicall Vi IP group living system which provides Wi-Fi and enables multiple alarm calls, internal phone calls and door entry to be concurrent.

What is certain to change is the scale of Connected Healthcare use, the systems that underpin it and the way the data and resulting insights are used. Technology will become central to service delivery, with providers aligning business structures and strategies around available and future technology, rather than simply including technology in existing approaches.

The journey to 2025

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Join us on the journey

What is the roll out programme for the digital phone infrastructure?We know that BT expects to have changed all UK phone lines from analogue signalling to “IP Voice”, which is an IP/digital connection, by 2025. BT has also stated that new analogue lines for business and ISDN lines will no longer be available for sale after 2020, and it also proposes to cease selling all analogue phone lines in 2023 with a complete withdrawal by 2025. The full roll out programme is not yet clear, but we currently understand several million homes are expected to be connected by mid-2020.

What is Tunstall doing to manage the digital transition?Tunstall has been working closely with BT and other communications providers, testing equipment and developing solutions to help our customers manage the transition to digital effectively. We’re working with industry bodies such as the European Committee for Electrotechnical Standardization (CENELEC), the British Standards Institution (BSI) NOWIP Working Group, and the TEC Services Association (TSA), infl uencing the development of new standards for the digital age.

Will my analogue products still work?Tunstall has been working with BT at its digital services lab since July 2018, undertaking thorough testing of its products. We continue to work with BT, and also with other communication providers including Virgin, Sky and Talk Talk.

Independent Living solutionsThe testing completed to date at the BT lab has confi rmed that Tunstall home units that support STMF or DTMF (Lifeline 1000, 2000, 400, 4000, Lifeline Connect, Lifeline Vi/Vi+) will work on the IP Voice platform. However:

• This relates to Lifelines over BT to BT networks into a PNC monitoring centre only.

• This relies upon the use of a dedicated port. Both BT and Virgin have both confi rmed that ATA and EBUL (respectively) ports are being supplied with digital home routers, along with a one hour Battery Backup Unit, from now until 2025.

Tunstall’s IP home unit, the Lifeline Smart Hub, gives a future proof option, as it can operate on an analogue basis, with digital operation activated once the IP network is in place.

Group Living solutionsMore recent Communicall systems (Communicall with DECT, Vision, Connect, Vi and Vi IP) are expected to operate using a BT digital hub on the scheme, subject to various software and hardware upgrades depending on the system. Older Communicall systems (Communicall CT2 and EL, and Telecare Overlay) may need additional upgrade work; Tunstall Account Managers can advise on what may be required. Systems over 25 years old (Piper Haven, Piper Group) may require replacement to ensure continued operation; please contact us for advice.

BT has yet to announce how long its transition solution will remain available for, and so we would advise customers to plan a replacement programme which replaces analogue units with digital, to ensure continued operation in the new IP environment and the ability to take full advantage of the digital opportunity.

Frequently asked questions

You can view more FAQs at uk.tunstall.com/digital-journey

Given the current cyclical nature of investment in service provision, for example upgrades to extra care provision or renewing community alarm assets, the next couple of years provide a critical window for providers to examine the impact of the digital shift and plan a replacement programme.

Tunstall has already gained much valuable experience from digital transitions in Scandinavia, and ongoing programmes in Australia and Germany. This experience, along with our signifi cant ongoing investment in Innovation and Development, ensures that we will be well placed to help our customers manage the digital evolution, ensuring continued operation in the new IP environment and the ability to take full advantage of the digital opportunity.

Contact us to fi nd out more about the resources we have available to help providers refi ne their strategies and make cost effective decisions which maximise the potential of technology to transform the way we deliver health, housing and social care, improving people’s lives.

Contact your Tunstall Account Manager, email hello@tunstall.com, and sign up to receive our Digital Updates at uk.tunstall.com/digital-journey.

© 2020 Tunstall Group Ltd. Tunstall Healthcare (UK) Ltd is a member of the Tunstall Group.t: 01977 661234 e: enquiries@tunstall.com w: uk.tunstall.com @TunstallHealth

About Tunstall Tunstall has been at the forefront of technology innovation for the health, housing and social care markets for over 60 years. Its pioneering software, hardware and services enable new delivery models which can transform community-based health and social care, and enable people to live independently and with an improved quality of life.

Tunstall’s Connected Health and Care solutions are underpinned by IP enabled platforms and infrastructure, supporting the innovative use of technology including IoT, SaaS and cellular communications. It offers an end-to-end solution, including training and consultancy, service and maintenance, and monitoring services which make more proactive and personalised models of care possible, and focus health and care teams where they are most required.

Tunstall works with social care providers, healthcare services, retirement living providers, and nursing and care organisations in 38 countries, improving the lives of millions of people, including those living with dementia, learning disabilities, physical disabilities and long term health conditions.