Telecare in Gloucestershire TeleG

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Telecare in Gloucestershire (TeleG)
2007 South West CSIP ConferenceTaunton
Racecourse 16th February 2007

• Sian Waygood
• Head of Integrated Occupational Therapy Service,
  Gloucestershire

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Background to TeleG

• Pilot project in Gloucester Forest of Dean in
  2004 8 Cases
• Telecare Project Management Board
• Partnership working
• Additional Support

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How the TeleG System Works
Wireless alarm
Response
Telecare Monitoring Centre
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Examples of Response Team
Telecare Monitoring Centre Forest of Dean
District Council
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Cost Benefit Analysis

• Strategy Development
• Audit to predict demand
• Reviewed by a group of professionals

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Case 1 Miss Smith
Miss Smith is 80 years old and lives alone in
sheltered accommodation bungalow in the Forest of
Dean. Miss Smith suffers from Parkinson's
disease, has visual impairment and mobility
issues. She has fallen on several occasions.
Miss Smith is enrolled in a Falls Programme to
help her address some of her mobility problems.
Being in sheltered accommodation she already has
a lifeline and her warden and niece would be
prepared to be her responders.

• Cost of Telecare package 501
• TeleG Aims
• Support family carers currently visiting
• Delay residential care by possibly 6 weeks (6
  weeks x 460 average weekly cost for residential
  home 2760)
• Prevent AE Attendance Possibly 1 visit (93)
• POTENTIAL SAVING 2352

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Case 2 Mrs Thompson
Mrs Thompson is 87 years old and lives at home
with her son who is her main carer. A year ago
she had a stroke and clinically has recovered
well. A Community Stroke Coordinator has been
involved in her care at home. She has mobility
issues relating to her stroke and some short term
memory problems. She also has limited hearing
and wears a hearing aid.

• Cost of Telecare package 573
• TeleG Aims
• Support carer
• Delay carer breakdown prevent residential care
  by at least 6 months (460 x 26 weeks 11960)
• POTENTIAL SAVING (11960 573) 11387

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Case 3 Mr Jenkins
Mr Jenkins is 80 years old and lives alone. His
2 daughters visit on a daily basis between the 2
of them. He has recently been discharged from
hospital following 2 falls in 2 days. He has
reduced mobility and is suffering from short term
memory loss and needs prompting with his
medication which his daughters have been doing.
He lives in a ground floor flat in Stroud and
has a very good social network. His neighbour
collects him twice a week to take him to a
luncheon club. The local library volunteer group
also visit and bring him talking books.

• Cost of Telecare Package 1047
• TeleG Aims
• Support family carers currently visiting
• Delay residential care by possibly 6 weeks (6 x
  460 2760)
• Prevent AE Attendance Possibly 1 visit (93)
• POTENTIAL SAVING 1806

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Audit - Savings
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Real Case Examples
Mrs B suffers a reduced blood flow to the stomach
which means that she is unable to digest her food
properly. She has had a large number of falls
which are mainly caused by her passing out due to
lack of nutrition. Mrs B was receiving 5 hours
of home care per week prior to her receiving her
falls detector. Cost of 5 hours homecare per
week 3,640 per year
Cost of telecare package fitted for Mrs B
Falls detector 85.00 Lifeline
Pendant 191.00 Fittings costs
50.00 Monitoring cost 52.00 Administration
5.20 TOTAL COST 383.20
Cost of 2 hours homecare per week 1,456.00 per
year Less cost of telecare package
383.20 TOTAL SAVINGS 1,072.80

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Real Case Examples
Mrs J is registered blind and has been in
hospital several times in the last 12 months
following falls. Her previous hospital stays
over the last 12 months have cost the health
service 18,095.00. Mrs J daughter visits her
several times a day and both Mrs J and her
daughter are very keen for her to stay at home
and be independent.
Cost of the telecare package fitted for Mrs
J Falls detector 85.00 Lifeline 191.00 Fit
tings costs 50.00 Monitoring costs
52.00 Administration 5.20 TOTAL 383.20
Total cost saving assumed at 18,095.00 383.20
17711.80

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Evaluation

• Ongoing to monitor benefit to all stakeholders
• Service User satisfaction survey planned mid 2007
  to establish qualitative benefits.
• External report commissioned

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Key points

• Developing a clear vision strategy
• Early engagement with stakeholders
• Ongoing awareness training
• Limited adjustments to existing protocols/care
  pathways linking to Single Assessment process
• Ongoing monitoring and evaluation to establish
  effectiveness
• Telecare Champions across the County

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Further Information?

• Telecare in Gloucestershire Website
• http//www.gloucestershire.gov.uk/index.cfm?articl
  eid13059
• Telecare Project Manager
• Cheryl.madgewick_at_glos.nhs.uk
• Telecare Project Coordinator
• Holly.gittings_at_gloucestershire.gov.uk