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Smart technology and community care for older people: innovation in West Lothian, Scotland

Smart technology and community care for older people: innovation in West Lothian, Scotland. by Alison Bowes and Gillian McColgan. Thanks to:. The Health Foundation The Nuffield Foundation Gill McColgan, Sherry MacIntosh, Mike Wilson West Lothian Council Research participants

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Smart technology and community care for older people: innovation in West Lothian, Scotland

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  1. Smart technology and community care for older people: innovation in West Lothian, Scotland by Alison Bowes and Gillian McColgan

  2. Thanks to: • The Health Foundation • The Nuffield Foundation • Gill McColgan, Sherry MacIntosh, Mike Wilson • West Lothian Council • Research participants • Photographs – Gary Baker Photography, Dave Henniker

  3. West Lothian, Scotland

  4. Smart technology in West Lothian • everyone aged 60 and over (10,000 households – 3,200 as at May 2007) • baseline for support for older people • augmented if support needs develop: • Home Safety Service • Home Safety Service Plus • Housing with Care • challenging stigma

  5. The technology ‘package’ • the home alert console, linking sensors to the Call Centre • two passive infrared (PIR) detectors • two flood detectors • one heat extreme sensor (hot and cold) • one smoke detector and (optional) • other devices to suit the individual

  6. West Lothian housing

  7. Smart technology at home

  8. The new developments

  9. The research evaluation • views and experiences of key stakeholders over time • older people in the different settings • informal carers • staff at all levels • comparator study in another area • file study • study of costs

  10. Technology and the model of care • The policy context • increasing older population • promoting independence • care in the community • multi-disciplinary working • Re-engineering services • closing residential care homes • fewer long stay hospital beds • more care at home • joint working • capacity planning • use of smart technology

  11. Dispersed housing: users’ and informal carers’ views • staying at home and keeping independence • the importance of choice • the importance of informal support • support for carers • neighbourly relations • smart technology for safety, security and support

  12. New developments: users’ and informal carers’ views • safety and security • independence, choice and capacity building • relieving carer stress • continuing community relations • new community relations

  13. Staff perspectives • culture change at all levels • changing patterns of work (‘support’, not ‘care’) • new working teams • multi-disciplinary working • limits of the model

  14. Costs • comparative performance of West Lothian • costs of the programme • high quality services with control of costs

  15. Conclusions • changing cultures of care and support for older people • technology as a catalyst • independence and choice • the importance of informal care and support for informal carers • normalising strategy • community support and participation • high quality services and control of costs

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