Unlocking the Potential: Telecare & Telehealth for Better Living

1. 1.7m To 3m – What’s With The Numbers? Clive Noak Business Development Manager Telecare Services Association (TSA)

2. Agenda • The TSA: • its role • the range of services supplied • the standards our members aspire to • The current state of telecare, telehealth and telemedicine • The “3 Million Lives” campaign • TSA and the Visually Impaired • Q & A

3. Agenda • The TSA: • its role • the range of services supplied • the standards our members aspire to • The current state of telecare, telehealth and telemedicine • The “3 Million Lives” campaign • TSA and the Visually Impaired • Q & A

4. TSA Independent Objective The UK industry body for telecare and telehealth with a mission of unlocking the potential of both Membership based; currently 340+ member organisations Not for profit organisation, formed in 1995 Develops and embeds high quality standards – expertise that is internationally recognised Members provide telecare and telehealth to over 1.7 million service users Draws support from both commissioners, providers and suppliers

5. TSA • TSA Board • Chair • Vice Chair • 7 NED’s with representation from • England • Scotland • Wales • N Ireland • Suppliers • Service providers • TSA Members • 340+ • Suppliers • Service Providers • Overseas • Third Sector • Related Professional Interest • TSA Staff • CEO • Operations Manager • Marketing Manager • Business Development Manager • Office Co-ordinator • Project Officer • Administrative Assistant

6. TSA Representation Helping to shape and improve the industry • TSA works closely with: • Department of Health • Department for Business Innovation and Skills (BIS) • Welsh Government • Scottish Government & Scottish Centre for Telecare and Telehealth (SCTT) • European Centre for Connected Health • Westminster politicians and senior civil servants • Ofcom • Technology Strategy Board (TSB) • British Standards Institute (BSI)

7. Services And Membership Benefits Publications Networking Fora and Events Knowledge Training Accreditation Conference

8. Networking

9. Events • Invitations to Exclusive Events, including: • The Annual General Meeting • Regional Fora (x 8) • Free to attend for members • Member only rates, and priority booking, for key events, including: • The International Telecare and Telehealth Conference • Training Events

10. Conference • 2011 International Telecare &Telehealth Conference • 826 attendees, 45 exhibition stands • Archbishop Desmond Tutu, Global Ambassador for eHealth • Dr Dawn Harper, GP, co-presenter of Embarrassing Bodies • Dr Peter Carter, Chief Executive, Royal College of Nursing • Jonathan D Linkous, Chief Executive, American Telemedicine Association • Paul Burstow MP, Minister of State for Care Services

11. Fora 2012

12. Training “Telecare Profiling To Service Set Up – Getting It Right” Designed to be interactive and take delegates through the process of needs and risk assessment, service tailoring and set-up; for anyone involved with delivering telecare to service users “Excellent course with lots of ideas to take away with me” “Very thought provoking, need to go back and look thoroughly at the services provided.”

13. Good Practice Guides • Increasing the percentage of telecare alarm calls answered within one minute • Home working for call handlers • Improving standards for service users • Communicating with service users with a hearing loss • Supporting service users with a visual impairment • Dealing with summer pressures • Dealing with winter pressures • Developing simple mCare services to support service users • Developing advanced mCare services to support service users • Extending telecare services to support safety and security in schools and public buildings • Working with the ambulance service • Working with the police • Working with fire and rescue services • Supporting medication adherence with telecare • Using GPS location to manage safe walking

14. Publications

15. Web Site

16. Accreditation Telecare Code of Practice

17. Agenda • The TSA: • its role • the range of services supplied • the standards our members aspire to • The current state of telecare, telehealth and telemedicine • The “3 Million Lives” campaign • TSA and the Visually Impaired • Q & A

18. Background 75% of NHS resources in England are devoted to supporting the lives of the 15.4m people who live with at least one chronic condition. Since 1996, the number of people diagnosed with diabetes in the UK has increased from 1.4m to 2.6m. Predictions suggest that by 2025, nearly 20% of the national wealth will need to be spent on healthcare, unless the existing care model is drastically altered.

19. Definitions Telecare - the continuous, automatic and remote monitoring of real-time emergencies and lifestyle changes over time in order to manage the risks associated with independent living Telehealth- the delivery of healthcare at a distance using electronic means of communication - usually from patient to clinician e.g. a patient measuring their vital signs at home and this data being transmitted via a telehealth monitor to a clinician

20. Definitions Telemedicine - the delivery of healthcare at a distance using electronic means of communication - usually from one clinician to another e.g. a non-specialist GP undertaking an ECG on a patient suspected of heart disease and the transfer of that data electronically to another specialist clinician for discussion/comment eHealth - health services, information and education delivered or enhanced through the internet and related technologies. eHealth encompasses telecare, telehealth and telemedicine Scotland = Telehealthcare

21. Operating Framework The Operating Framework for the NHS in England 2012/13 (24th November 2011) 2. Quality, Long term conditions 2. Quality, QIPP good practice examples, Prevention 4. Finance and business rules, Joint working with local authorities

22. Whole System Demonstrator Programme Proposition analysed - “Does the use of technology as a remote intervention make a difference?” Largest randomised control trial of telehealth and telecare in the world Involved 6191 patients, 238 GP practices across 3 sites (Newham, Kent and Cornwall) 3030 people with one of 3 conditions (diabetes, heart failure and COPD) included in the telehealth trial Launched in May 2008 12 months data on all participants

23. WSD Programme Results • If used correctly telehealth can deliver a… • 45% reduction in mortality rates • 20% reduction in emergency admissions • 15% reduction in A&E visits • 14% reduction in elective admissions • 14% reduction in bed days • 8% reduction in tariff costs

24. WSD Comment/Issues • David Cameron • "We've trialled it, it's been a huge success, and now we're on a drive to roll this out nationwide,“ • "Dignity, convenience and independence for millions of people. And this is not just a good healthcare story. It's going to put us miles ahead of other countries commercially, too.“ • Government hope to save around £1.2b a year by caring for people in their own homes • There are 15.4m people living with long-term conditions in England who could benefit from this kind of technology

25. Agenda • The TSA: • its role • the range of services supplied • the standards our members aspire to • The current state of telecare, telehealth and telemedicine • The “3 Million Lives” campaign • TSA and the Visually Impaired • Q & A

26. DoH - “Three Million Lives Campaign” “at least 3m people with long term conditions and/or social care needs could benefit from using telehealth and telecare” Campaign launched by DoH in partnership with industry, the NHS, social care and professional partners DoH will deploy remote medical devices to an additional 3m people over next 5 years

27. http://www.3millionlives.co.uk/ Formally launched by DoH Ministers on 19th January Concordant prepared between the Secretary of State for Health and the four Trade Associations (ABHI, Medilink, Intellect and TSA) Memorandum of Understanding created between the partners TSA is leading the communications group for the campaign

29. Agenda • The TSA: • its role • the range of services supplied • the standards our members aspire to • The current state of telecare, telehealth and telemedicine • The “3 Million Lives” campaign • TSA and the Visually Impaired • Q & A

30. TSA Good Practice Guide Additional risks faced by people with Visual Impairment Opportunities for improving telecare services and quality of life

31. TSA Members - Suppliers • With thanks to: • Tynetec • Pivotell Ltd • Tunstall • NRS Healthcare

32. Coloured Accessories • Tynetec offer a number of accessories including coloured covers for their Touch Pendant to make it easier for those with a visual impairment to recognise the item

33. Talking Alarms • The Tynetec range of At Home Alarm Units are designed to announce alerts and warnings so that a user with visual impairment can be made aware should an alarm or alert be raised Please wait… dialling for assistance…

34. Vibrating Pagers & Pads • There are a selection of vibrating pagers and vibrating pads that can be used to alert someone with a visual impairment or hearing impairment should there be an alarm or alert on their Telecare System

35. Vibration 5 Alarm Reminder Pill Box • Vibrating and audio reminder alarm • 5 pill Compartments • Large display and back light

36. Emergency Telephone with Two Way Pendant • When user presses the pendant it will dial 5 programmed numbers until a answer is received • Pendant alerts when the battery is low or it goes out of range of the telephone unit • Telephone has large clear buttons and a bright visual ring indicator

37. Memo Minder and Memo Minder Plus • Play pre-recorded messages for those with visual impairments or memory loss • Memo Minder Plus can be set to play different messages depending on the direction from which it is approached • Can be easily wall mounted Memo Minder Memo Minder Plus

38. Working together with other companies • A Novalarm housing association customer recently recruited a blind person to work as an operator in their 24/7 control centre • The role includes full time use of Novalarm’s UMO software to receive alarm calls from telecare users • UMO is used to control the call & display the details of the situation and client to the operator • Novalarm worked closely with Blazie to integrate the JAWS screen reader within UMO • http://www.blazie.co.uk/products/jaws • http://www.freedomscientific.com/jaws-hq.asp UMO 2012

39. Working together with other companies • The operator uses tab keys to move around the screen in the correct order • Incoming alarm calls are displayed with an audio alert, and the call type is identified (e.g. smoke alarm) • JAWS reads out the UMO screen text to the operator in one ear of their headset, using text to speech • The alarm call audio is heard in the other ear of their headset • The operator speaks to the client, determines the correct response to the situation, and contacts the responders • This solution has been working effectively for over 10 months UMO 2012

40. 1.7m to 3m – what’s with the numbers? The current number of telecare/telehealth users in the UK The number of new telecare/telehealth users across the UK to be added within the next 5 years 4.7m the minimum goal to be achieved! Everyone gains

41. Agenda • The TSA: • its role • the range of services supplied • the standards our members aspire to • The current state of telecare, telehealth and telemedicine • The “3 Million Lives” campaign • TSA and the Visually Impaired • Q & A