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The Newham Story – Independent Living

The Newham Story – Independent Living. Charles Lowe charles.lowe@newham.gov.uk 07860 619424. Newham. Unitary – contiguous boundary with PCT & Acute Trust Population 244k in 2001 (now c 254k) 40% under 25 61% from non-White ethnic groups 17.3% had "limiting long-term illness"

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The Newham Story – Independent Living

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  1. The Newham Story –Independent Living Charles Lowe charles.lowe@newham.gov.uk 07860 619424 Supporting Independence

  2. Newham • Unitary – contiguous boundary with PCT & Acute Trust • Population 244k in 2001 (now c 254k) • 40% under 25 • 61% from non-White ethnic groups • 17.3% had "limiting long-term illness" • Over 100 languages spoken • 13.3k all-pensioner households • 36.22 sq. km. Supporting Independence

  3. NeAT • Assisting vulnerable people to live independently, in control, with dignity and purpose… • …by helping manage the risks • Newham Council, Newham Homes, NHS trusts, Police, Fire Service and voluntary bodies • 4000+ installations by end 2007/8, & carer recording • Strong desire to add telehealth monitoring Supporting Independence

  4. The three golden rules of telecare • Nothing works the way you expect • Nothing works the way you expect • Nothing works the way you expect Supporting Independence

  5. Original standard • 2x smoke • 2x flood • Extreme temperature • PIR • Pendant • Carephone Supporting Independence

  6. Four of the biggest reasons why people opt for institutional care in Newham • Carer exhaustion • Regular enuresis • Falls • Distraction burglary Therefore need to expand/personalise assessment & range of kit considered & consider context Supporting Independence

  7. eg consider: • Bed sensor • Chair sensor • Falls detector • Enuresis sensor • Novel PIR uses • Cooker/gas sensor shut off • Bogus caller protector • Door sensor/communicator • Domiciliary care Supporting Independence

  8. Financial Benefits • Residential care • Nursing care • Waking care • Travel • Hospital admission • Ambulance/A&E Quality of life improvement is greater benefit! Supporting Independence

  9. It’s not just the kit • Engage all partners • Build into care p’ways/involve practitioners • Charging policy • Sort marketing • Establish protocols • Integrate systems • Change processes • Challenge ‘as is’ metrics Supporting Independence

  10. Some Issues • Securing the right referrals • Installation/ICES/dispersed/non-dispersed • Alert handling/Control Centre • Dementia • Lost kit • Influencing residential care • Influencing sheltered accom/housing assns • Appropriate response • Payer ≠ beneficiary Supporting Independence

  11. Putting telecare in perspective Supporting Independence

  12. To live independently I need… …where electronics helps lots Telehealth sen-sors, medicine reminders Proactive environmental sensors …health care in my own home …a safe environment …assurance of good care Monitoring of meals, dietary help, Internet shopping Electronic carer recording & support Assistive technology …food & drink I like BAN/PAN, GPS, mobile comms to c/centre …help when I’m travelling ...appropriate response if things go wrong Appropriate response team, proactive calling Local media, local activities, employment/ occupation …contact with friends & family, including giving reassurance …mental stimulation User-friendly communications Supporting Independence

  13. Broadband communications SAP EPR/ESCR Knowledge base Case mgt software …and supported by: Telehealth sen-sors, medicine reminders Proactive environmental sensors Monitoring of meals, dietary help, Internet shopping Electronic carer recording & support Assistive technology BAN/PAN, GPS, mobile comms to c/centre Appropriate response team, proactive calling Local media, local activities, employment/ occupation User-friendly communications Supporting Independence

  14. Broadband communications SAP Case mgt software EPR/ESCR Knowledge base …so they can interwork, eg: Telehealth sen-sors, medicine reminders Proactive environmental sensors Monitoring of meals, dietary help, Internet shopping Electronic carer recording & support Electronic carer monitoring Sensors show service user in but not following usual cooking routine – msge for carer if due, o/wise call, arrange meal if cannot cook. Change in blood pressure or blood sugar triggers req-uest to change diet and prompts eLearning sessions BAN/PAN, GPS, mobile comms to c/centre Appropriate response team, proactive calling Reserve transport to day centre event; be reminded ahead of time Local media, local activities, employment/ occupation User-friendly communications Supporting Independence

  15. Thank you Charles Lowe charles.lowe@newham.gov.uk charles.lowe@btinternet.com 07860 619424 Supporting Independence

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