Doreen Watson - Technology Enabled Care 13 th February 2017
Technology-Enabled Care (TEC) Programme Background – (TEC) is the collective term for telecare, telehealth, telemedicine, mHealth, digital health and eHealth services. • Tied to Health & Wellbeing Outcomes • Designed to significantly extend the numbers of people directly benefiting from technology enabled care and support in Scotland: To enable greater choice and control in health, care & wellbeing services, enabling more of our citizens to remain at home and in their communities. • Benefits from £10 million in funding for 2015/16, with approx £9 million per year for 2016/17 and 2017/18 • Local areas challenged by the Cabinet Secretary to show how technology enabled care contributes to avoiding unnecessary hospital admissions, reduces length of stay and prevents delayed discharges from hospitals in all locations across Scotland. • 5 Key Workstreams identified for funded along with an additional overarching Improvement Programme
Five priorities for the TEC Programme : • Extending the use of home health monitoring • Expanding use of video conferencing across all health and social care sectors, as well as growing its use for clinical/practitioner consultations • Building on the emerging national digital platforms to enable direct access to advice and assistance • Expanding the take up of Telecare with focus on prevention, points of transitions in care and dementia (including exploring the scope and benefits of switching from analogue to digital) • Improvement Programme
Funded Partnerships: 1.Aberdeen City/Bon Accord Care 2.NHS Ayrshire & Arran 3.Argyll & Bute HSCP 4.Angus HSCP 5.Alzheimer Scotland 6.Clackmannanshire & Stirling 28 7.Dumfries & Galloway 8.Dundee HSCP 9.East Renfrewshire 14 20 10.East Lothian 11.Edinburgh City HSCP 1 12.Fife HSCP 13.Glasgow City HSCP 14.NHS Highland 15.NHS24 / SCTT 17.Inverclyde HSCP 3 18.NHS Lothian 19.Midlothian 20.Moray HSCP 21.NHS Lanarkshire 22.Perth & Kinross 23.Renfrewshire HSCP 24.Quarriers Housing 2 25.NHS Tayside 7 26.West Dunbartonshire HSCP 27.West Lothian HSCP 28.NHS Western Isles
EXPANSION OF TELECARE Background Outcomes • • Successful 5 year Telecare A significant increase in the number of people with dementia supported at home/community Development Programme to • Telecare is a mainstream and integrated part of March 2011 care planning • Particular interest on • Example Focus Areas For TEC Funding prevention, care transitions – Raising Awareness and dementia – Dementia (including GPS) – Housing/sheltered housing – Learning disabilities – Self Directed Support – Workforce development – Support for carers – Falls/Fire Safety/Admission Prevention
TELECARE PROGRAMME Telecare is now well established across Scotland (160K) although considerable variation still exists. There continues to be patchy adoption of telecare as a routine response It is predominantly delivered through analogue systems Services are insufficiently mainstreamed Sustainability is too often dependant on external funding with savings and efficiencies not resulting in enhanced core budgets.
TEC EQUIPMENT Scotland Excel Telecare and Telehealth Framework Telecare - Fall Detectors, Bed Occupancy/Monitor – linked to lighting, Chair Occupancy, GPS, Lifestyle Monitoring Video Conferencing – Care Homes Digital Platforms – Living it Up (Smartcare)
Responder Services 20 local authorities are operating or actively working towards the provision of a dedicated, 24 hour, 365 days per year responder service. In other local authority areas, various methods are used to structure the provision of response services, ranging from contracted/purchased services from private providers and the voluntary sector, to utilising home care services and family carer networks. Over the past five years the use of lifting cushions and associated equipment by responder services to assist people remobilise following a fall has grown rapidly and this is now well established within 25 council areas.
Next Steps Service Pathway Redesign – Dementia, Falls, Learning Disabilities Data Analytics Recruitment of National TEC Falls Post National TEC Workforce Development Post 3 Senior Technology Co-ordinators – Alzheimer Scotland Analogue to Digital Universal Telecare
Doreen Watson TEC and Digital Healthcare Innovation dkawatson@hotmail.co.uk For all TEC enquiries, please contact nss.tec@nhs.net @TECScotland
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