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Emerging Telecare Strategy2010 - 2015
Andrea Cannon January 2011
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What Is Telecare
Built upon Community Alarm or “Lifeline”
Community alarm – provided by boroughand district councils in Surrey
– Alarm unit plugs into telephone socket
– Telephone plugs into alarm unit
– Linked to pendant from which person can summon help at the press of a button
– In a person presses the button - telephone call via the alarm unit to a care centre – any time of the day or night
– Trained staff will hold details of family, keyholders, and so on
• Will be able to talk to the person summon help• Will summon emergency assistance if the person cannot speak
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PIR (Intruder / Inactivity)
Bed Sensor
Smoke Detector
Temperature Extreme Sensor
Fall Detector
Flood Detector
Other Sensors
CO / Gas Detector
Bogus Caller Button
Medication Dispenser
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The Benefits Of Telecare
Supports people to live independently athome
– Increased confidence
– Less intrusive support
– Can help people recover independence after period in hospital or other crisis
– Support end of life care in the homeGiving family carers peace of mind
Can prevent people coming to harm
Can offer support in residential care settings
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The “CAT” scheme
Community Alarm Telecare dischargeproject
Provision of alarm free of charge for 12 weeks following hospital discharge,for those who do not already have theservice
Also available to people who have been the victim of a distraction burglary
Many people opt to keep and pay for the alarm having enjoyed the benefits for the free period
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Telecare: The Vision
“Working in partnership to ensure that all those in Surrey who may benefit from Telecare and/or
Telehealth technology are fully advised as to the possibilities available and have easy access to a high quality equipment and response service to
enable them to live independently and with peace of mind in their homes”
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Some Of The Potential Barriers
People are nervous of the technology – and worried that support by people will be taken away and they will be lonely
The possibilities offered by Telecare are not understood – either by the public or professionals across the agencies
At present there is not a consistent “offer” across Surrey – the 11 boroughs and districts have different approaches and prices – inequity of access
Lack of a callout service to respond to emergencies
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Challenges - Financial
How can we pay for the service – not justthe equipment but the installation andmaintenance at a time when budgets areunder pressure
Particularly challenging in the more rural areas – staffing really stretched
How can we make this work financially across the public sector economy?
What would be the fairest approach for charging for services?
All agencies – need to think through their financial business plans
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Developing The Strategy
• Key partners involved to date• Borough and district councils• Adult Social Care• Health• Users and carers
• We want to spread the word and involve• More people in the community• Local communities through parish and town councils• Residential care and supported living providers
• The Telecare Summit – a key opportunityfor us to show what Telecare can offer andto help shape our strategy
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Our Universal Offer
Everyone should have access to advice and information about Telecare: what it is and how to access it
All should have the ability to trial a Telecare service for up to 12 weeks to see if it works for them
The CAT scheme to continue: free community alarm for 12 weeks on discharge from hospital
The majority of people will contribute to the cost of their service if they would like to benefit from it – although those eligible for an Adult Social Care service will get help
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Our Basic Principles
Improving the independence, safety and confidence of vulnerable people living at home
Peace of mind and enhanced well-being for family carers
Equality of access to Telecare across the County with local access to services
People are supported to use Telecare to achieve “re-ablement”
Accessible information
Services delivered in a timely fashion
Equipment supplied is good quality and fit for purpose
Value for money
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The Adult Social Care Perspective
Preventative services – a key part of personalisation
Telecare – a core part of the “menu” to support independence and enable people to stay at home
Want to “mainstream” Telecare so that it is always part of people’s thinking when discussing support plans with people
If used effectively, can be really cost effective and save money – enabling scarce resources to be targeted more effectively
Good for people and good for the public purse
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Some Key Areas Requiring Further Work
Making best use of Telecare to address dementia
Expanding the use of Telecare to support people with learning disabilities in Surrey
Working with our providers to make best use of Telecare in residential care and supported living settings
Working with health colleagues to ensure that professionals understand how Telecare might support end of life care
Ensuring that Telecare opportunities are embedded in “respite” and “re-ablement services” – so that people are exposed to the technology and gain confidence in its use
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The Next Stage - Telehealth
Surrey Works
Surrey PCT
Surrey University
Businesses
Surrey Central Health
A lot of activity – looking for
funds for project work.
Have been many short-term
small pilots – want to do more
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Feedback To Date From Users And Carers
Have tried to seek views in a number of ways – and the response broadly positive
Detailed feedback from Empowerment Board Conference which has informed and will be attached to Strategy
Action for Carers - also a positive response to date
Surrey LINK – broadly positive but concern that there should not be variable service across Surrey
All – keen on clarity of cost
People also interested to know more about Telehealth/Telemedicine
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Action Plan Priorities for 2010/11
• Promotion of Telecare to the localcommunities and professionals:
• Surrey Telecare Website
• Leaflets and literature at different outlets- including doctor surgeries, libraries, hospitals,
• Via the new citizen’s hub in Epsom & Ewell
• Through Surrey Information Point
• Demonstration site and demonstration kits
• Pilot activities:
• Telecare Dementia Project
• The Faith project
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Priorities for 2010/11- Adult Social Care
• Ensuring Telecare solutions offered to people as part of a possible support package
• Embedding Telecare in Adult Social Care processes and procedures for both long-term and short-term packages
• Targeted training, guidance and access to information for Adult Social Care staff and other professionals
• Improving links with local Telecare teams
• Identifying budget to sustain CAT scheme and equipment 2011/12
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Action Planning: 2011 And Beyond
Preparing For A Sustainable Future
– Roll out the training programme across Adult Social Care and other agencies, including voluntary sector agencies and service providers
– Make best use of the new demonstrator site in Cobham and mobile demonstrator kits, so that people can use, touch and experience Telecare
– Give similar opportunities in respite and re-ablement settings
– Enhance the Surrey Telecare website
– Make best use of newly emerging citizen’s hubs in Redhill and other areas
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Action Planning: 2011 And Beyond
A focus on equalities
– Map who provides what in Surrey, identify areas of inconsistency to beaddressed and establishconstructive solutions
– Ensure there are appropriate Telecaresolutions for people with hearing/visual impairment
– Ensure literature is accessible to all
– Investigate scope to establish common charging policy across Surrey
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Action Planning: 2011 And Beyond
Response service: explore the potentialof a 24-hour callout service to avoidreliance on families, neighbours oremergency services
– Map current out of hours support across Adult Social Care, hospitals, borough councils and sheltered housing
– Consider options around coordinating current arrangements or buying a service commercially
– Link with ambulance service to quantify calls which did not need their expertise and a “blue light” service
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Action Plan : April 2011 and Beyond
Create the Business Case across theagencies to ensure Telecare is fundedinto the future
– Invest to save commitment from Surrey to address anticipated growth
– Joint working across boroughs and districts to make best use of staffing and other resources
– Effective use of Telecare equipment across Surrey – competitive purchase prices and effective storage and re-cycling of equipment
– Effective use of revenue income by boroughs and districts to ensure provision self-financing into the future
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Telehealth/Telemedicine
• Focus of Strategy at the moment: to focus on Telecare
• Keen to ensure Telecare part of thinking ofhealth professionals
• Want to ensure that GP commissionershave an awareness of Telecareopportunities moving forward
• Health colleagues will want to develop Telehealth/Telemedicine opportunities
• This will be key focus in future years of Strategy
• In the meantime - will actively link with project opportunities which emerge through Surrey Works
• E-rural project
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Feel free to answer any questions at the market place and over the breaks
How can we improve things? Are we thinking along the right lines? What have we forgotten?
We want your feedback and ideas over the next couple of months
– Through the workshops today
– Through comments on the flipcharts around the room
– Through feedback forms available from the Information Desk
– Individual feedback: today or via e-mail or letter
– At any forums where it would be useful for us to come along
Consultation Opportunities
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Our Suppliers
We want to thank all the suppliers who have supported today’s event
– Just Checking
– Tynetec
– Tunstall Telecom
– Turin UK
– Buddi
– Pivotell
– Bosch
– Tallon
– Cirrus
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Contact Details
Contact details for feedback:
Andrea Cannon:
Surrey County Council
Elmbridge Civic Centre
High Street
Esher, KT10 9SD
01372 832980
