in Scotland Donna Henderson Service Development Manager Scottish - - PowerPoint PPT Presentation

Telehealth and Telecare in Scotland

Donna Henderson Service Development Manager Scottish Centre for Telehealth and Telecare, NHS 24

Scottish Health Board / Local Authority areas

Health and Care System Drivers

• Long Term Conditions
• Ageing population
• Health Inequalities
• Workforce Challenges
• Affordability
• Sustainability

• Everyone is able to live longer healthier lives at home, or in

a homely setting.

• We will have a healthcare system where we have integrated

health and social care, a focus on prevention, anticipation and supported self management.

• When hospital treatment is required, and cannot be provided

in a community setting, day case treatment will be the norm.

• Whatever the setting, care will be provided to the highest

standards of quality and safety, with the person at the centre

• f all decisions.
• There will be a focus on ensuring that people get back into

their home or community environment as soon as appropriate, with minimal risk of re-admission

Our Vision for 2020:

Framework for Integration

• Consistency of outcomes across Scotland
• Applies in every council and health board area
• Statutory underpinning
• Joint Officer clearly accountable for agreed outcomes
• Professionally led by clinicians and social workers
• Simplifies rather than complicates existing structures
• Achieved with minimal disruption to staff and services
• Integrated budget for primary, community and social care

and some acute services

• 10 Year National Programme 2011-2021
• £300 million Change Fund 2011 – 2015
• 32 Partnership Change Plans agreed by:

– NHS: primary, acute and mental health services – Local Authority: social care and housing – Third sector – Independent sector

• Reshaping Care and Integration Improvement Network to

support partnerships to transform care

Reshaping Care: Integration in Action

Reshaping Care Pathway

12

NHS 24 is:

A statutory national NHS Health Board Provider of national Telehealth and Telecare services to the population of Scotland The Scottish Centre for Telehealth and Telecare Budget for 2011/12: £62 million

Telephone Internet Telemedicine Mobile Devices Digital Television Remote Home Monitoring

Telehealth – Health Services provided using one or combination of:

14

• NHS24.com
• NHS Inform
• Life Begins at 40
• MSK Service
• Social Media
• Care Information Scotland

NHS 24 - Web Services

Starter Kit

Main Menu Drs Appointments NHS Choices Prescriptions Travel Job centre Plus

Report it Slide 30 Choice Based Letting Public Service Repair Your Council

TV

Digital TV

Scottish Centre for Telehealth and Telecare

• National Telehealth & Telecare Programmes

established by Scottish Government in 2006

• Parallel programmes but increasingly

integrated activity

• SCT joined NHS 24 in April 2009
• Merged in April 2010 into SCTT within NHS 24
• Telecare Action Plan & Strategic Framework

for Telehealth up to end March 2012

Telehealth and telecare will enable choice and control in health, care and wellbeing services for another 300,000 people People who use our health and care services will increasingly demand Telehealth and Telecare as positive options Establish an Innovation Centre where academics, care professionals, service providers and industry innovate to meet future challenges and provide benefits for Scotland’s health, wellbeing and wealth. Scotland develops an international reputation for research, development, prototyping and delivering innovative Telehealth and Telecare at scale.

4 Key Objectives

Telehealth in Scotland

• 4 National Programmes:

– stroke, – paediatrics, – mental health – COPD

• Underpinning activities:
• Technology standards
• Workforce development
• Stakeholder engagement
• Convergence with telecare

• Reduced A&E Attendance
• Reduced transfer rates
• More appropriate transfers
• Patients cared for locally
• Reduced delays in receiving

specialist intervention

• Staff supported by senior

decision makers

• Monitoring data forwarded

to emergency centres

Impact

Telecare in Scotland

• Monitoring ‘Health at

Home’ – LTCs, epilepsy, medication

• Preventing & managing falls
• Redesign of supported

housing

• Local training & awareness

raising programmes

• Promotion of telecare

across different user groups

Helsekonferansen 2010

Impact

• Over 163,000 people

receive a telecare service, at least 4,000 people with dementia diagnosis

• All 32 local partnerships

have a telecare service in place

• Gross cost benefits of

£20m TDP funding estimated to be £78.6m

• Continuing positive

feedback from service users and carers

Technology Strategy Board dallas Programme

In 2012 the Assisted Living Innovation Platform launched dallas (delivering assisted living lifestyles at scale), a large scale demonstrator of independent living products and services.

Scotland project – Living it Up

“Effective services must be designed with

and for people and communities” The future delivery of public services - Christie report

dallas LiU aim

LiU will co-design sustainable and innovative improvements and choices in health, care and wellbeing for 55,000 by 2015 Using familiar technology.

Collaboration - Key to Success

Health, Care & Wellbeing – person focussed

• Increasing:
• Self management
• Resilience and Capacity
• Connectedness
• Effectiveness
• Communications
• Knowledge
• Innovation
• Choice
• Collaborations

wider world locality home wider world locality home

http://www.coproductionscotland.org.uk/

Innovation Centre for Digital Health

• Funding
• University led
• Industry Supported
• Delivery Organisations founding

PARTNERS

Embedded in Delivery

Digital Health Institute - Network

Rich Opportunities

• Multiple opportunity flows: companies,

NHS24, bottom up from health and care contexts, top down from policy/exploratory

• Strong relationship management
• Building the ecosystem of large and small

companies, delivery agencies, academia

• Events to build and strengthen network
• Launch in late October 2013

Market Challenges

How does this help me practice better healthcare?

• positive patient / user outcomes are paramount
• internal champions are key

How much time am I going to save / lose?

• resistance to change = concern over time + efficiency
• product disrupts practice + loses time = ^ resistance

How will information be provided / made actionable ?

• information overload / not able to process more data
• enabling technologies need to provide analytics and

provide escalating levels of user patient / user interaction How much risk am I taking?

• risk is always a concern for health and care professionals

Evolution of Telehealthcare solutions

Current solutions Future solutions

• Single application is sold

as a solution

• If using more than one,

providers use multiple dashboards / interfaces

• Lots of single use devices
• r hubs designed for the

application or the target user group

• Purchased by health or

care service providers

• Collecting patient / user

data is the goal

• Many wearable devices

connecting remotely via the cloud to single patient record

• Sophisticated analytics

provide holistic view of users parameters, driving care interventions

• Applications connected via

common user devices

• Purchased by users,

providers and employers

• Driving patient / user

behaviour is the goal

Provide systems, not just technology

• Monitor AND engage with patients / users
• Drive two way patient / user interactions
• Analytics / actionable decision making support , not just more data
• Make systems accessible to smaller providers and patients / users
• Multiple contact methods, follow-up channels to escalate contact

Collect Transmit Analyse Notify Intervene

European Engagement

United4Health ACT SmartCare CASA Momentum

Inaugural European Telemedicine Conference 29th October 2013 Innovation Showcase 30th October 2013 Edinburgh

Donna Henderson

Service Development Manager Scottish Centre for Telehealth and Telecare donna.henderson1@nhs.net