Marie Buchan

Telemedicine Manager

Airedale NHS Foundation Trust, UK

RICHARD PROJECT

how to change?

using technology to deliver

a more patient centred approach

& achieve better value for money

tele medicine

tele medicine

tele medicine

tele consultation

the “T” options

proof of concept case study 1

Prison Telemedicine Offer

• over 6 years experience

• currently in 20 prisons

• 21 outpatient specialties offering

service through telemedicine link

• A&E urgent care service

• significant cost savings

• suitable for most things

• no significant governance issues

Where it is safe and effective to do so Patients are treated in the Prison, not Hospital

reformed pathway

Cost savings:

• Reduce acute and elective transfers out by ~ 50%

• Average cost per escort episode: £425

• Average cost per bed watch episode: £3,731

Other Benefits:

Improved patient privacy and dignity

Very high patient satisfaction

Reduced prison lockdowns

Less disruption to NHS Acute Trusts

Contributes to QIPP

benefits realisation

case study 2…

care closer to home

care in the community

case study 3…

home teleconsultation

deploying at scale

The Telehealth Hub was created to

support organisations across Yorkshire

& Humber with the rapid deployment

and diffusion of telehealth at scale.

It offers tele coaching, tele monitoring

and tele medicine through a partnership

between Airedale, SWYMHT and Hull

University

patient feedback

“It’s a brilliant concept. I have had asthma all my life and often wait too long before

seeking advice. When I’m feeling poorly it’s nice to just have reassurance...”

“I’m very pleased with Telehealth. I’m only sorry it wasn’t out years ago. It has helped

me a great deal. I mostly become ill after the doctor’s surgery hours, or on Bank

Holidays or weekends when there’s no one to turn to for help… when you are on your

own you panic. Telehealth has been a Godsend to me. Thank you for getting me one.”

“It’s an excellent service, what more can anyone want?”

“I only have one word to describe Telehealth – excellent.”

case study 4 …

nursing and residential care homes

nursing home feedback

“A very good service. It made me feel confident within my job so I could do the best I can for our residents. This service takes the pressure off us as we have access quickly to a health professional…”

“The Doctor was fantastic when one of our dementia patients fell and hurt herself. I would have called an ambulance and she would have endured an A&E visit which would have terrified her. Our consultant saved her from this and reassured me that the cut was superficial and she was fine...”

case study 5 …

supporting stroke patients

case study 6… occupational health

case study 7…

supporting end of life patients

“Telemedicine became our

lifeline – what a wonderful

piece of equipment!

At the press of a button we

could have face-to-face

contact with a medical

team, which is so important

for both a patient and

carer, and that helped to

keep Geoff’s spirits high…” Mrs Walton

case study 8…

A GP’s view

‘…sending a patient to

hospital costs us

money – if we save three

admissions a

year that has already

paid for the cost of

installing our

telemedicine kit…’ Dr Phil Huxley

Earby Surgery

benefits realisation

we are…..

reducing hospital admissions

reducing hospital length of stay

reducing GP home visits

which is… improving patient experience

supporting carers and workforce

releasing time to care

freeing up capacity for reuse, transformation and/or

disinvestment

releasing commissioning resource for

reinvestment

improving care for Doris and Gillian …

and Kenneth?

Thank you

RICHARD PROJECT