Building Telecare in England

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Building Telecare in England

West Midlands Regional Event 8 September 2006
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Building Telecare in England

• People are living longer but they are less
• likely to have family support close at hand
• Over the next fifty years, the over 65s will
• rise from 9.3 million to 16.8 million
• 6 million people are carers
• The number of people requiring community based
  health and social care support is expected to
  increase considerably over next decade
• People will have higher expectations, they will
  want greater control and be able to manage their
  own risks
• People want their independence and must retain
  their dignity

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• It can be as simple as the basic community alarm
  service, able to respond in an emergency and
  provide regular contact by telephone
• It may include detectors and monitors such as
  motion or falls detectors and warnings about fire
  and gas escape that can trigger a warning to a
  response centre

• Telecare is as much about the philosophy of
  dignity and independence as it is about equipment
  and services
• Equipment is provided to support the individual
  in their home and tailored to meet their needs

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What is telecare?

• Telemedicine - monitoring vital signs, such as
  blood pressure, and transmitting the data to a
  response centre or clinicians computer, where it
  is monitored against parameters set by the
  individuals clinician
• Evidence that vital signs are outside of normal
  parameters triggers a response
• Needs to be part of the local health and social
  care pathway for managing long term conditions

• As a preventative mode - services programmed to
  monitor an individuals health or well-being with
  early warning of deterioration, prompting a
  response from family or professionals
• Safety and
• security
• through
• bogus caller
• and burglar
• alarms

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Alerts, measurements in the home bells, sirens,
screen readout
Other AT devices
Home Sensors CO, PIR, pressure mat etc - Spec
11.1.1, 11.1.2 and 11.1.3
Alerts to users, carers etc eg pagers
Alerts, info to mobile phones, home PCS etc
Integrated Telecare
Monitoring (including parameters), response/call
handling
Installation, maintenance
Autodiallers, phone line, 3g/GPRS transmission
modules, broadband
Home visits, users/carers, emergency services,
clinician response etc
Cameraphones - Spec 11.1.2
Community alarm handset/pendant Spec 11.1.4
and 11.1.3
Standalone glucose monitors Spec 11.1.6
Autodiallers, phone line, 3g/GPRS transmission
modules, broadband
Cameras Spec - 11.1.2
Autodiallers, phone line, 3g/GPRS transmission
modules, broadband
Housing systems, door entry, bogus caller - Spec
11.1.2 and 11.1.3
Sensors worn by users, falls, wristcare,
wandering etc Spec 11.1.1, 11.1.2 and 11.13
Telehealth units Spec 11.1.3
Telehealth peripherals glucose, peak flow,
weight etc Spec 11.1.2 and 11.1.3 also 11.1.5,
11.1.6, 11.1.7
Medication monitoring Spec 11.1.11
Environmental controls Spec 11.1.3
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Telecare offers choice and flexibility of service
provision from community alarms and sensors to
vital signs monitoring The potential of telecare
is gaining in recognition

• An estimated 90 of people want to live in their
  own home
• Approx 500,000 older people live in care homes
• As many as 35 of these people could be supported
  in their own homes or in extra care housing with
  telecare

• Over 1.6m emergency admissions were made in
  2003/4 telecare has the potential to reduce
  unnecessary admissions and improve quality of
  life

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The use of mobile telephones to send a text
message which will alert people when their
hospital/doctors appointments are due

. To send text messages about changes in the
weather, especially helpful for asthma sufferers
16-34 years olds were the most likely to
repeatedly miss appointments
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Telecare is a vital key to unlocking the future

• New demands will need to be managed
• Health and social care commissioners need
• to make decisions on investment in
  technology
• Services will take on new patterns to meet
• changing care and support needs and to give
  people a choice
• It is not realistic to plan to deliver care and
  support services in the way we do at present
• We must embrace new ways of working to meet the
  needs and aspirations of our service users and to
  take advantage of new and developing technologies

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Aims to increase the number of people who can
benefit from telecare services 80m in grant
finance over two years from April 2006 Designed
to help local authorities and partners address
challenges of a changing and ageing society
increased expectations, choice, control,
independence and dignity Co-ordinated approach
to create best possible atmosphere for industry
to flourish
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PTG expected outcomes

• Support for
• hospital discharge and intermediate care
• those who wish to die at home with dignity
• reduced acute hospital admissions
• reduced need for residential/nursing home care
• reduce burden on carers more personal freedom
• reduction in accidents and falls in the home

• Contribute to
• the development of a range of preventative
  services
• wider health, housing and social care policy
  agendas
• care and support for people with long term health
  conditions
• an increased choice and independence for service
  users
• increased user re-assurance, less risk-averse
  policies, responsive to lifestyles

Help to unlock resources and redirect them
elsewhere
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Implementation of telecare

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The National Framework Agreement for Telecare

• The national framework agreement allows
  organisations involved in telecare implementation
  to simplify procurement arrangements and get best
  value from the Preventative Technology Grant.
• Organisations can continue to procure from
  outside the framework agreement but they will
  need to take into account EU tendering
  requirements and any local best value audit or
  scrutiny.
• There will be no charges for using the PASA
  framework. It covers installation, maintenance,
  monitoring and response as well as equipment.

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National Framework Agreement

• Organisations are able to mix and match - eg
  equipment may be procured using the framework and
  the response service arranged with a local
  provider under an existing service level
  agreement if that will meet the needs of the
  local community.
• Service commissioners are able to compare costs
  under the framework with any existing
  arrangements.
• Details of suppliers and products/services that
  are included within the National Framework
  Agreement are available via NHS E-cat (PASA's
  electronic catalogue).
• Details on how to access NHS E-cat or receive
  further information regarding the framework
  agreement are available on www.car.csip.org.uk/tel
  ecare

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• CSIP Telecare eNewsletters
• The Care Services Improvement Partnership (CSIP)
  is responsible for providing general
  implementation support to organisations building
  their telecare programmes. Our plan is to
  maintain a monthly e-newsletter to keep
  organisations up to date with progress on this
  important Government initiative to support people
  at home. In recent months, features we have
  focussed on include
• Recent publications including PT Grant Circular
• Developing a National Framework Agreement for
  Telecare
• Telecare Services Association Codes of Practice
• Telecare innovations and implementation
• Making it happen - further help from CSIP
• MHRA - Centre for Assistive Technology
• Event listing

http//www.icesdoh.org/register.asp
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SOME USEFUL WEB SITE ADDRESSES

• Building Telecare in England, DH (July 2005) and
  Local Authority
• Circular LAC(2006)5
• http//www.dh.gov.uk/PublicationsAndStatistics/Pub
  lications/
• National Framework Agreement for procurement of
  telecare
• http/www.pasa.nhs.uk/eat/telecare
• CSIP Telecare implementation guide and factsheets
  
• www.cat.csip.org.uk/telecare
• CSIP CD ROM - Telecare living with
  independence
• www.changeagentteam.org.uk
• CSIP information telecare_at_csip.org.uk

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FURTHER INFORMATION

• Ian Salt ian.salt_at_cat.csip.org.uk
• Rachel Denton rachel.denton_at_csip.org.uk
• Tracey Bond tracey.bond_at_cat.csip.org.uk