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The Use of Technology to Provide Accessible Health and Care The Scottish Experience

The Use of Technology to Provide Accessible Health and Care The Scottish Experience Prof George Crooks OBE. NHS Scotland.

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The Use of Technology to Provide Accessible Health and Care The Scottish Experience

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  1. The Use of Technology to Provide Accessible Health and Care The Scottish Experience Prof George Crooks OBE

  2. NHS Scotland Population: 5.2 millionHealth devolved to Scottish ParliamentNHS Funding: £11.35 billionAll Boards funded directly from Scottish GovernmentPublic Service funded through taxationFrom urban/post industrial cities to very remote and rural and islandsPrinciples of mutuality, partnership, performance 2

  3. NHSScotland:14 Territorial Health Boards (“hands-on” healthcare providers)NHS 24 is:A statutory national NHS Health BoardProvider of national Telehealth and Telecare services to the population of Scotland The Scottish Centre for Telehealth and Telecare Budget for 2011/12: £62 million 3

  4. Shetland Scotland Orkney Highland Regional Centres Western Isles Local & Remote Centres Inverness Fife Grampian Aberdeen Tayside Forth Valley Dundee Glenrothes Lothian Greater Glasgow & Clyde Falkirk Clydebank South Queensferry Lanarkshire Ayrshire & Arran Cardonald East Kilbride Borders Melrose Kilmarnock Dumfries & Galloway Dumfries

  5. Telehealth – Health Services provided using one or combination of: Telephone Internet Telemedicine Mobile Devices Digital Television Telecare/ Home Monitoring

  6. In The Beginning

  7. Evolution!!

  8. Ageing society Lack of health professionals Chronic conditions Financial unsustainability HLY vs LE Health inequalities

  9. Number of Carers ↓ Number requiring care

  10. OUR VISION IS THAT BY 2020: Everyone is able to live longer healthier livesat 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 of 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

  11. INTEGRATION

  12. 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 2011 Merged in April 2011 into SCTT within NHS 24 Telecare Action Plan & Strategic Framework for Telehealth up to end March 2012 Now a 3 year integrated, national strategy for Telehealth & Telecare

  13. THE RESHAPING CARE PROGRAMME • 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

  14. National Delivery Plan forTelehealth and Telecare

  15. 4 OBJECTIVES Telehealth and telecare will enable choice and control in health, care and wellbeing services for an additional 300,000 people People who use our health and care services, and the staff working within them, will increasingly demand Telehealth and Telecare as positive options 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.

  16. KeepItSimple

  17. SERVICE REDESIGN ICT Education and Training

  18. From Supportive Self Management To Co Production

  19. … dashboard … Using Risk Prediction Tools to help target interventions

  20. Do not use disease specific solutions ONE PROBLEM

  21. Efficiency Productivity

  22. Mobile Technology EnabledIntegrated Community Team

  23. Themes from community engagement Giving back Caring for others Recognising resilience Sharing skills and experience with others Connecting people and communities Technology

  24. Service Model Local community

  25. Collaboration the Key to Success

  26. The Scottish Assisted Living Programme Board

  27. SALP Objectives to 2015 Scotland as test bed for innovative telehealthcare & telemedicine services/ products Centres of Excellence in place to support collaborative working Improved independence, health & wellbeing for at least 10,000 people with LTC and carers support First stage of National Info & Care Service for people with long term health & care issues Emerging public consumer market for THC Creation of new business & employment opportunities

  28. Innovation CentreforDigital Health Funding University Led Industry Supported Delivery Organisations founding PARTNERS

  29. European Engagement

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