Telecare and TeleHealth: Towards Service Integration and User Empowerment

Telecare and TeleHealth: Towards Service Integration and

User Empowerment

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

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.

TeleHealth - a Chronic Disease Management Tool

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

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

Kent Whole System DemonstratorDH 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

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

Telecare Technology Vision – Connecting for Health

Older people

living independently

WWW

Home HubAppliance

GlucoseMeter

Pedometer

Blood-pressure

Cuff

Cholesterol Monitor

MedicationTracking

Single Assessment Protocol Database, Housing Record, Social Care Record

Home AutomationSecurity Wireless Network• Lights• Doors windows• Motion / Activity• Bed• Drawers• Kitchen• Bathroom

Sensornetworks

Care Professionals

Family, friends and volunteers

NHS Care Record

NHS Direct

Telecarer

Care Response Service, Warden etc

Emergency Services

e.g. Text

alerts

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

Contacts

Contacts:

Clare SkidmoreTelecare Project Manager

clare.skidmore@kent.gov.uk

Hazel PriceTeleHealth Project Managerhazel.price@kent.gov.uk

www.kent.gov.uk/telecare

www.kent.gov.uk/telehealth