Kay Phillips, Education Advisor Yorks. and Humber HIEC Judith Clarkson, Director Virtual College

1. Health Sciences and Practice &Medicine Dentistry and Veterinary MedicineHigher Education Academy Subject Centres eLearning in Health 2011 conference collaboration, sharing and sustainability in the current environment An Introduction to Telecare and Telehealth; driving improvement through partnership working Kay Phillips, Education Advisor Yorks. and Humber HIEC Judith Clarkson, Director Virtual College

2. Workshop objective • To explore how an innovative telehealth e-module was developed by a public/private sector partnership and to share; • the content and structure of the module • feedback and evaluations from individual learners and organisations • strategies for adoption and sustainability of the module in HEIs and service • how learning from the project is supporting the development of other learning objects • There will be audience participation throughout!

3. Part 1 Partnership context & module development

4. NHS Health Innovation and Education Clusters (HIEC) Background & Objectives June 2008 High Quality Care for All (Darzi Report) Academic Health Science Centres (x5). Health Innovation & Education Clusters proposed May 2009 Breakthrough to Real Change ‘partnerships between NHS , higher education , industry and other private and public organisations’ ‘quickly bringing benefits of research and innovation directly to patients’ 'increasing quality through implementing best practice' ‘strengthening co-ordination of education and training’ December 2010First Health Innovation and Education Clusters launched

6. Why focus on Telehealth? • Strategic alignment: Yorkshire and the Humber SHA were already investing in telehealth innovation • Political support for telehealth was growing • Strengthening economic case for telehealth • ageing population • increasing prevalence of LTCs • need for new models of care • self-management agenda • care closer to home • cost-effective alternative to hospital and GP surgery

7. March 2011 The Government's Plan for Growth, was issued alongside the Budget statement. It includes: • Assistive living technologies (often referred to as ‘telecare’ and ‘telehealth’) enable health and social care services to be provided remotely, for example by monitoring vital health signs and using sensors to detect movement or falls. Barriers; • lack of properly evaluated evidence, • high cost per unit • low levels of awareness of the benefits this technology can bring. • Emerging WSD project findings to provide the evidence base • The Government is committed to improving the take up of assisted living technology • Aims - achieve scale and bring down cost per unit. • work with the Technology Strategy Board to develop assisted living solutions through supporting R&D, collaboration, innovation and interoperability of service models through an £18 million investment programme across a range of UK sites; • make purchasers, individuals, retailers and government, more confident of assistive technology. • To achieve this, the Government will help establish a code of practicethat can set a standard framework for services and technology, led by industry, toprovide quality assurance to customers and increase uptake; and work with the industry to reduce costs and make GP commissioners and new Local Authority Health and Well Being Boards aware of the benefits of this new technology. http://www.hm-treasury.gov.uk/ukecon_growth_index.htm

8. Telehealth: Barriers & Solutions Awareness Levers & Incentives Market Building Evidence & Business Case Quality Standards Organisational Readiness

9. HIEC Telehealth for LTC: Project Objectives April 2011 • To develop an introductory Telehealth and Telecare education package for staff and service users/carers • To produce practical resources/toolkit for managers & commissioners developing telehealth services • To provide consultancy and expertise to support the rapid implementation of telehealth services

10. Collaborative partners for the module

11. Virtual College - Private sector partner • Formed in 1995 - rapid growth • Ilkley-based • Public and private sector experience/client base • Understanding of health and care contexts • Strong focus on quality and customer experience • Complete blended learning package • Responsive and collaborative approach

13. Over 560,401 registered users!

14. Work based, collaborative approach

15. Different players, different perspectives • A range of organisational cultures • New subject area • No existing provision for comparison • New delivery method • Short timescale What do you imagine were the main priorities and concerns of the 3 core partners at the start this collaboration?

16. Agreed objectives for the module • Launch in the Autumn of 2011 • An introductory module; awareness-raising • Health and Social Care friendly • For multi-professional workforce, including Drs. • Suitable for service users and carers • 2 - 2.5 hrs. duration in bite-sized sessions • On-line assessment of learning • Embedded evaluation

17. What we had as a foundation • VCs expertise • technical platform in place • design technologists • learner management systems • integrated evaluations • funding • academic /research knowledge • IPE experience • contacts with T-health experts • industry links • health & care networks • funding

18. Development Process April to November 2011 • face to face workshops and teleconferencing • initial scoping and agreement of content • storyboard for structure of learning package • academic review & contribution of evidence base/reading/additional information sources • case studies and vignettes sourced from established service providers • review sessions (language, emphasis etc) • pilot phase and further product/technical refinements

19. Part 2. The moduleAn Introduction to Telecare and Telehealth

20. LIVE DEMO http://www.telesolutionsea.co.uk/promotions

21. Feedback - corporate Nottingham City Homes has developed ‘Nottingham On Call’ a call centre supporting over 12,000 homes in the effective use of their telecare equipment.  These properties include the Sheltered Accommodation managed by Nottingham City Homes and the service also offers outsourcing to private homes and other Housing Associations.  The module will be offered to all call centre staff and mobile support officers (the people who go into homes to assess people’s needs and then install the equipment). ‘This is the only course we were able to find that effectively met the needs of our staff.  E-Learning is the most cost effective and resource efficient way of training the team working in this prolific service area.’

22. Feedback - learners “When i found the course was aimed at such a wide range of people iorigenally thought how is this going to work and be satisfactory for everyone. However the use of learning outcomes aided this, along with the layout of the modules ie. i was able to go into as much or as little detail as i liked through clicking on certain parts within the screen.” “Course info was well and logically arranged. Animation and resources beautifully presented. Very balanced amount (not too less, not too much) of learning material; it was easy to keep focused.” “The presentation of information was very knowledge-enhancing.” “A fantastic and comprehensive introduction to the subject presented in an extremely well structured way” “Would be interesting to see more information and demonstrations about what products are actually out there in the real world, how they work, and the potential benefits to the clinicians and organisations who employ them.”

23. Feedback – understanding I understand much more about Telecare and Telehealth after completing the module

24. Feedback - reasons for completing Why did you complete this module?

25. Feedback – educational course? Was this e-learning module provided as part of an educational course?

26. Feedback – ease of access How easy was it to access the system and navigate through the module content?

27. Feedback – further learning interest Would you be interested in further e-learning courses on Telecare and/or Telehealth?

28. Feedback- course recommendation Would you recommend this course to other people?

29. Response to feedback • Feedback suggested that accreditation by the RCN would be helpful - Applied for and secured. • Feedback from RCN required no changes; • “From an educational perspective this is a useful, valuable, valid learning resource for both nursing and social care.” • An Advisory Panel regularly reviews feedback and changes are implemented where required • General feedback – module is more health than social care focussed. Response is to develop a care version • Requests for further resources – in process of creating a development plan.

30. Part 3. Spread and Sustainability

31. UK learners: Developing the workforce Group task Drawing on your knowledge of the further and higher education systems and of the health and social care sectors - What are likely to be the most significant workforce development needs if telehealth and telecare services are to be developed at scale and pace?

32. Update on international interest • Northern Ireland considering suitability of module for countrywide roll-out to support their national telesolutions adoption • Canada considering suitability via the Whole Systems Demonstrator project

34. Want to get involved? Free access to attendees today USE CODE eLIH2011Available 28th June – 27th July 2011 For more information contact: judith.clarkson@virtual-college.co.uk

35. Introducing Telehealth at Scale and Pace A Development Resource for Telehealth Pioneers (HIEC) • Designed to support telehealth implementation • Contains lots of video case studies and patient views • Additional material being added • Can be accessed online • Introducing Telehealth at Scale and Pace: A Development Resource for Telehealth Pioneers - http://www.yhhiec.org.uk/yhtoolkit

36. HIEC Workbooks (in development) • Tele-monitoring for long term conditions; a workbook for implementing new service models • Tele-consultation for health care services; a workbook for implementing new service models Available later this year.

37. Part 4. Incorporating the module into undergraduate and postgraduate learning • University of Hull • Sheffield Hallam University • other developments

38. Curriculum development: Hull University • Two post-registration e-learning modules (Telehealth and Telecare – Levels 6 and 7) launched September 2010 • Short programmes (PgCert Telehealth and Telecare) due for launch 2011/12 • Virtual College module embedded into pre-registration nursing programme from May 2011 • 2nd year students provided with directed study time and module registration details • Completion checked against class register • Early research findings suggest that the module raises awareness and understanding of telehealth and telecare

39. Sheffield Hallam University • We are embedding the module into pre-registration inter-professional learning - Nursing, AHPs • Sits alongside another learning package 'Systems of e-care' developed in-house • Both modules have been very favourably received by the Nursing and Midwifery Lead, Clinical Division of the DH Directorate of Informatics • Adding value to the curriculum and enhancing the employability of our graduates • Next step - installing telehealth simulation at SHU

40. Virtual College work on qualifications • Currently reviewing SQA requirements for Scottish Centre for Telehealthcare to ensure alignment with developing qualifications • Already mapping to UK qualifications such as Apprenticeship in Housing

41. What could you do? Group activity • Is Telehealth currently embedded in your curriculum? If so, please share your experience. • How might you introduce your students to Telehealth and telecare technologies and applications?

42. Part 5. Next steps and future collaborative opportunities • Motivational interviewing and behaviour change module - in development • e-learning sponsorship by industrial partners • links with technology/communications companies • Telehealth research projects - TSB ALIP • Rapid deployment sites

43. Thank you! • If you would like any further information or support there are weblinks and references in the module and the Telehealth Toolkit Please feel free to contact us; • Kay Phillips; k.phillips@shu.ac.uk • Judith Clarkson; judith.clarkson@virtual-college.co.uk • David Barrett; D.I.Barrett@hull.ac.uk