Telecare and TeleHealth: Towards Service Integration and User Empowerment

1. Telecare and TeleHealth: Towards Service Integration and User Empowerment

2. Telecare in Kent - Background • KCC: £2.25m investment in Telecare services, promoting security, independence and wellbeing • Telecare not new - multiple existing community alarm providers; environmental control systems already widespread • Social care / health services must make more use of technology if we are to provide more flexible services for ageing population

3. TeleHealth - a Chronic Disease Management Tool • Self – Managing • Chronic Obstructive Pulmonary Disorder (COPD) • Diabetes • Congestive Heart Disease (CHF) Using: • Unique user friendly interfaces. • Simple telephone connection to the provider via the web. • Customisable, personalised scheduler, reminder and alarm. • Reporting tools include tracking and alerts. • Disease management questions and answers. • Send advice messages to the client.

4. Telecare in Kent - Experiences • 3 pilot sites in Phase 1, from July 2004; 3 more sites in Phase 2, from July 2006, now 800+ service users • ‘Just another tool in the bag’ • Positive feedback from service users and carers - 93% felt more independent since Telecare was installed, and 93% also felt safer in their own homes • Case examples for Telecare and Telehealth

5. Key Lessons So Far • Response / Support infrastructure essential to success • Realising potential of Telecare / Telehealth means • Better use of existing resources, • Improved communication and partnership working between professionals, users and carers, and across agencies, and • More flexible services focused on the needs and priorities of service users and carers

6. Kent Whole System Demonstrator DH Demonstrator sites: Kent, Cornwall, Newham Driven by urgent need to demonstrate benefits: • High satisfaction levels for patients, users and carers / families • Efficiencies across the health and social care system • Improved clinical and social care outcomes Improved integration across the system • Telecare / Telehealth enabling more integrated support for people with long term conditions and social care needs • Integrated care plans, care pathways and IT systems • Robust evaluation arrangements being put in place to establish true impact of Telecare / Telehealth

7. Telecare: The Next 10 Months • Implementation of Whole System Demonstrator - TC and TH • Development of wider Adult Services strategies on Self-Directed Support and modernisation of care management services • Development of final specification followed by market testing exercise (for Telecare support services) • Procurement and County rollout of Telecare June 2008 as mainstream service option

8. Telecare Technology Vision – Connecting for Health WWW Sensor networks Single Assessment Protocol Database, Housing Record, Social Care Record NHS Direct NHS Care Record Care Professionals Older people living independently Telecarer Cholesterol Monitor Blood-pressure Cuff Home Hub Appliance Pedometer Emergency Services Care Response Service, Warden etc Glucose Meter • Home Automation • Security Wireless Network • Lights • Doors windows • Motion / Activity • Bed • Drawers • Kitchen • Bathroom e.g. Text alerts Family, friends and volunteers MedicationTracking

9. The Future • Increasingly sophisticated, interoperable technology • Not a replacement for human contact • Dissemination of learning from WSD The vision - A future in which: • The public benefits privately from this expanding market - on the high street • Wherever you live in Kent, you have equal access to quality telecare services • Services are designed around users’ needs, not providers’ convenience

10. ContactsContacts:Clare SkidmoreTelecare Project Managerclare.skidmore@kent.gov.ukHazel PriceTeleHealth Project Managerhazel.price@kent.gov.ukwww.kent.gov.uk/telecarewww.kent.gov.uk/telehealth