Edinburgh Telecare Development programme

1. Edinburgh Telecare Development programme Paddy Corscadden Telecare Development programme Manager.

2. Aims • Project bid • Infrastructure building • Progress to date • Areas of innovation • Mainstreaming • Installs • Funding • Future plans

3. 1st generation equipment Not fit for purpose Excluding most vulnerable clients (and most costly to care for) Pre development

4. Project bid National development programme. OPCP (Live better in later life) Project award £685K (06-09) Match funding of £700k (06-09) Project board – decision makers Regular feedback to Scottish Government

6. Infrastructure • Upgrade to 3G call handling • Policies procedures • Upgrade to Sheltered Housing systems • Mainstream assessment processes • Mainstream service

7. Training • Smart training flat • Training suites in each hospital • Introduction to Telecare • Advanced telecare • 850 staff trained • Hosted visits • Joint work with JIT re: a national telecare training programme.

8. Madelvic Square • 14 flats extra care sheltered housing • Base line telecare systems • Individual assessed packages • Myamegio systems • Results – 3 from care home 2 from Hospital awaiting LTC • 3 previously house bound • £30k investment – projected £60k in savings

9. Telecare Falls project • Joint funding with JIT, NHS and City of Edinburgh for 150 packages • Evaluation from NHS and supported by Edinburgh University. • Evaluation software trial. • Commenced Oct 09 – 15 receiving support. • Linked to Lothian Falls Strategy

10. Overnight project • Reduction in Commissioners budgets • No new overnight cover allowed • Tendering for new contracts across Health & Social Care / Supporting People Providers • Direct Payments / Personalisation Agenda • Inconsistent Reviews of Care/Support Package of Care ( CEC and Providers) • Development & Implementation of Telecare / JIT £s

11. 96 clients assessed, with a further 29 still to be assessed • 21 clients received Telecare Service to enhance their current support/care package only • 46 Standard Installations took place within the target of 14 days • 07 bespoke installations (for example diabetes monitor, use of a Wander Alert to facilitate CAS to allow a client with learning disabilities to learn appropriate gate keeping skills, use of the bed occupancy monitor to alert carer to Complex Partial Seizures)

12. Outcomes

13. Providers slow to engage – worked hard to keep momentum Tendering Process – ‘never the right time’ Direct Payments – Not an effective way to ‘protect’ clients from budget efficiency savings LD Review Team – duplication ensure other dept’s clear on project Lessons Learned

14. Areas of innovations • Tynetec Cooker isolator • Hobangle • Tynetec falls detectors and Altera software

15. Altec response • BS8521 – European open protocol Locater GPS Evorn GPS systems

16. Progress to date • Referral rates up 600% over the 3 years • From 100 users to 2600 new users • Mainstreaming over next 2 years • Single shared assessments 85% • Robust multi-agency telecare provision. • Impact on bed days, etc

17. Installation Teams Aims • Shift from 3rd party to in house. • Dedicated engineer and dedicated installer

18. Installation Mapping

19. 24hrs Prior To Installation • Program Telecare Equipment • Bench Testing Equipment • Box Equipment & Adaptations • Collate paperwork

20. During Installation Explain Installation Process to Client Check Power points and Phone Lines For installation Complete Quality Installation Range test Equipment Fully explain equipment to Client/Carer Check over clients information & arrange Access for emergency call outs Stuart Barclay - Telecare Installation Team

21. Challenges During Installation • No Phone line within the clients House. • Phone Line Providers – slow data transfer • Power and Phone line to more than 3metres apart • Blank spots within the clients house. • Client does not want the equipment anymore. • Environment does not support Telecare Devise. • Equipment failure in Clients House

22. Challenges During Installation

23. Challenges During Installation

24. Challenges During Installations

25. Repairs & Maintenance Installations need to be Supported by Repairs & Maintenance. Install £1million of Equipment you still need £100,000 for Repairs and Maintenance. Out of hours Repairs Service. Yearly Equipment Maintenance – Battery management. Stuart Barclay - Telecare Installation Team

26. Stuart Barclay - Telecare Installation Team

27. Actual Cost Saving Stuart Barclay - Telecare Installation Team

28. Funding 09-10 • NHS Lothian £50 (Long term conditions gp) • £200k Services for Communities ongoing support • £500k Health and Social Care partnership funding. • £200k Scottish Government Funding

29. Areas to consider • Community safety budget • Long term conditions groups • Demographic monies • Hospital closures • Learning disabilities strategies • Older people capacity plans • Non typical telecare work • Telecare champions at all levels

30. The future • TSA accreditation • Domestic Violence project • Significant planned uptake on LD • Support of Care Homes (Myamaego) • GPS role out • Bogus caller