Welcome and introduction - Health Innovation Network...In residential care homes… • 6% increased achievement in preferred place of death • 78.5% increase in Sutton residents

Welcome and introduction

Viv Parry

Chair - Vivienne Parry OBE, health and science writer, presenter and broadcaster

New Care Models programme

Sir Sam Everington OBE

GP, Chair of Tower Hamlets CCG, and National Advisor at the New Care Models programme

New Care Models programme

William Roberts

National Care Homes Lead, NHS England

Our work in Sutton

13 October 2016

Chris Elliott: Chief Clinical Officer, Sutton CCGMary Hopper: Director of Quality, Sutton CCG

Sutton Homes of Care Vanguard Programme

4

Overview: The population of Sutton

1213 Care Home Beds

80 Care Homes 203,048Residents in Sutton

14166 aged 75+4450 aged 85+

£1.1M

275 people were

eligible to receive Funded Nursing Care

1770 A&E

presentations from Care Homes

1034Emergency Admissions

Health funded home care packages

Fully funded nursing home placements

£10 M

594 residents in NHS Funded

Nursing Home placements

5

Our Partners

Working in collaboration with:

• NHS England

• New Care Model Programme

• SWL Collaborative Commissioning

• Care Quality Commission

• Health Education England - South London

• Academic Health Science Networks

• Other Care Home Vanguards

Sponsored by:

The National Institute for Health and

Care Excellence (NICE)

… All our Care Homes in Sutton

6

NEW MODEL OF CARE

Inte

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Sutton Homes of Care Vision

The vision is implemented through the 3 ‘pillars’:• Integrated Care• Care Staff Education and

Development• Quality Assurance and Safety

Our vision is to have a vibrant, high-quality care home market in Sutton delivering care that embraces the national nursing values of patient care – Care, Compassion, Competence, Communication, Courage and Commitment (the ‘6Cs’).

7

In residential care homes…

• 6% increased achievement in preferred place of death

• 78.5% increase in Sutton residents offered an advance care plan

• 10.9% increase in Sutton residents with a CMC record

• 100% of residents who died with a CMC record achieved their PPD

What we have achieved (1/2)

• 9% reduction in ambulance call outs and conveyances

• 10% - 18% reduction in A&E attendances and unplanned admissions

• 4 days reduction in length of stay in hospital

(results from preliminary evaluation of Hospital Transfer Pathway)

• Reduction of £50k in medicines costs from Nov15 to Mar16 through resident

medication reviews

8

Genuine partnership and collaborative working

(across sector) enabling more joined-up services

Enhanced communication across local health and social care

Bi monthly care home forums for care home mangers

Joint intelligence sharing across partners

Positive impact on care home staff work roles

Engagement with residents and families

Collaborative working with other five care home

Vanguards: Embedding the Enhanced Health

In Care Homes Framework into practice

What we have achieved (2/2)

9

Sutton Homes of Care

Great care is a partnership10

The Hospital Transfer Pathway

13 October 2016

Viccie Nelson: Vanguard Programme Director, Sutton CCGChristine Harger: Vanguard Quality Assurance Lead, Sutton CCG


11

NEW MODEL OF CARE

Supported by three pillarsIn

tegr

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An overview

12

Achievements to date:

Quality Assurance and Safety Pillar

• Joint Intelligence Group

• Quality dashboard developed

• Policy for medicines management in development

13

Achievements to date:Care Staff Education and Training Pillar

Training / Education

• E-learning packages

• Classroom based training

• Bespoke interventions from link staff

• Student nurse mentorship training

underway

Summary of resources

• Concerned About A Resident poster

• Priorities ‘For Care of the Dying

Person’ poster

• Red Bag poster and film

• Reference cards, posters and film

Care Home Forums14

http://www.suttonccg.nhs.uk/vanguard/Pages/default.aspx

Achievements to date:

Integrated Care Pillar

• Care Home Support Team in place

• Pilot in 6 Nursing Homes: Health and Wellbeing Reviews

• Dementia assessment using DeAR-GP

… and …

• Hospital Transfer Pathway

15

The Hospital Transfer Pathway

16

How we achieved this (1/2)

1. Corridor conversations with partners revealed there were several issues with

the admission/discharge of residents

2. Set up a meeting with all partners involved in care providedo Care homes

o Local hospital

o Ambulance service

o CCG

3. Held “no-blame” conversations to discuss all issues in detail

4. Collaboratively proposed solutions to overcome these issues

5. Continued to work together to implement the pathway

17

How we achieved this (2/2)

Issues identified

• No standard paperwork

• Lost documents

• Loss of residents’ belongings

• Medicines disappear

• No system in place to track residents

through the hospital

• Care homes find it difficult to get

information from hospitals

• Care homes receive lots of phone calls

about the residents’ clinical ‘situation’

• Poor communication between hospitals

and care homes on discharge

• Residents staying in hospital for longer

periods than necessary

Solutions proposed

• Transfer bag

• Standard paperwork to assist

ambulance staff and A&E staff

• Baseline information about the resident

• Better communication between care

homes and hospitals at all points of the

resident’s journey

• Senior staff from care homes to visit

residents in hospital within 48 hours of

admission

18

The standardised paperwork

• CARES Handover Process

• Older Persons Assessment Form

For baseline information

• CARES Escalation Record

To capture the acute episode

• This is Me

(or equivalent)

• MAR Sheet

19

The magic of Red Bag

• 2 or 3 per home depending on size & need

• Serial number to track

• Space for name tag on front

• Spacious inside to hold change of clothes

and personal items

• Separate compartment inside to hold

glasses and visual aids, dentures, hearing

aids and other personal aids

• Sleeve on side to hold paperwork (securely

fastened with velcro)

• Includes a set of cleaning instructions

20

• Standard documentation enhances clinical decision making

• Improves residents experience

• Supports collaborative working and communication

• Alerts hospital staff that the patient comes from a care home

• Aids early discharge and involves care homes in discharge planning

National guidance

• NICE Guideline 27: Transition between inpatient hospital settings and

community or care home settings for adults with social care needs

• NICE quality standard [QS120] Medicines optimisation

• CQUIN Indicator N2: Reduction in Emergency Admissions.

Supports best practice

21

Demonstrable impact to date

• 179 residents of care homes have been tracked through our local

hospital in the last nine months

• Average length of stay with a bag was 13.4 days, compared to

17.4 days without a bag

Residents with a Red Bag have 4 days less

in hospital than those without a Red Bag

Note: Data kindly collected by Integration and Transformation

Team and Oder People Nurses at our local hospital

22

Training film and poster

https://www.youtube.com/watch?v=XoYZPXmULHE23

https://www.youtube.com/watch?v=XoYZPXmULHE

Perspectives

24

Short film: The red bag from a residents perspective

https://youtu.be/MP03jUtBXmA

https://youtu.be/MP03jUtBXmA

Sutton Homes of Care

Great care is a partnership

http://www.suttonccg.nhs.uk/VANGUARD 25

http://www.suttonccg.nhs.uk/VANGUARD

@HINSouthLondon

www.hin-southlondon.org

Our Focus on Care Homes

Rebecca Jarvis

Programme Director, Health

Innovation Network

The Health Innovation Network is the

Academic Health Science Network (AHSN)

for South London, one of 15 AHSNs across

England.

We connect academics, NHS

commissioners and providers, local

authorities, patients and patient groups,

and industry in order to accelerate the

spread and adoption of innovations and

best practice, using evidence-based

research across large populations.

Working as catalysts of change across

health and social care economies,

we enable health improvements and

economic growth.

Population

3 Million

Healthcare

Workforce of

60,000+

55Member

Organisations

12South London

Boroughs

Together with our members we have prioritised health challenges for our local

communities…

Clinical Themes Cross-cutting themes

Patient &

Public

Involvemen

…creating clinical and cross-cutting themes, with patient and public involvement

running throughout all of our programmes.

Diabetes

Dementia

Musculoskeletal

Alcohol

Economic Growth

Technology & Information

Digital Health

Patient Experience

Education & TrainingAtrial Fibrillation

Patient Safety

www.hin-southlondon.org | @HINSouthLondon

Why focus on care homes?

• 70-80% of residents are living

with dementia

• One third of people living with dementia

• Estimated 9000 people in south London

• Negative press

• High annual staff turnover

• Low pay

• Poor access to training and development


Care homes in south London

356CARE HOMES

for older people

12,760BEDS

>100CARE HOME

PROVIDERS


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Kingston upon Thames

Sutton

Croydon

Bexley

Bromley

Merton

Greenwich

Wandsworth

Richmond upon Thames

Lambeth

Lewisham

Southwark

LA funded placements Self funded/vacant beds

Proportion

of Local

Authority

funded

placements

in each

Borough


Aashna House

in Lambeth





Morden College

in Greenwich



South London Care Homes Network

• Engage the sector in the work of the HIN

and our members

• Disseminate innovation and best practice

• Share information about local, national and

legal requirements

• Communicate a positive image and

reputation of the sector

• Find out about local and national

initiatives for workforce development

and research

• Network with others from the sector

and with industry


https://vimeo.com/185712372/59992645ce

https://vimeo.com/185712372/59992645ce


Care Homes leads network

• Contracts monitoring teams

• CCG & Local Authority

Commissioners

• Care home liaison teams

• Quality improvement teams


HIN projects with Care Homes

• DeAR-GP: Detecting dementia

in care homes

• Barbara’s Story – dementia

awareness training

• My Catheter Passport –

promoting good catheter care

Working with Sutton Homes of Care

Spreading

the Red Bag

across

south

London


Thank you

Panel Q&A session• Sir Sam Everington OBE

• William Roberts

• Chris Elliott

• Mary Hopper

• Viccie Nelson

• Christine Harger

• Rebecca Jarvis

Workshops: Morning session

Option Part 1 Part 2 Location

1 Family Perception of Care Audit: St Christopher’s

Hospice

Increasing resident engagement and inclusion through

democratic participation: NDTi (National Development

Team for Inclusion)

Lil Patrick (Third

Floor)

2 Southwark Care Homes Enhanced GP Service and

Multi-Disciplinary Team

The future of collaborative working across care and

education providers enabling the delivery of bespoke,

high quality higher apprenticeship: Greenwich and

Bexley Community Hospice

Max Nasatyr (Third

Floor)

3 Better Together: An Integrated Approach to Enable

Active Residents in Care Homes (ARCH): St Georges

University Hospitals NHS Foundation Trust

DeAR-GP- Dementia Assessment and Referral to GP:

Health Innovation Network

South Bank room 1

4 Making Mealtimes Matter: Bromley Healthcare CIC The Behaviour and Communication Support Service

(BACSS): South West London St. Georges Mental Health

NHS Trust

Fred Miller (Third

Floor)

5 In the Garden: Spare Tyre Theatre Company South Bank room 2

(LG Floor)

E n h a n c e d h e a l t h i n c a r e h o m e s

Airedale and Partners

Enhanced Health in Care Homes Vanguard

Innovations in Telemedicine and the Digital Care Hub– learning from a Care Homes Vanguard

Rachel BinksNurse Consultant – Digital & Acute CareAiredale NHS Foundation Trust




Telecare

Telecoaching

Telemonitoring

Teleconsultation

Digital Health




A system designed by default

Some people seem to do quite well without waiting for healthcare support…







Teleconsultation Prison health care

Care at home

Nursing & residential care

Supporting end of life patients

24/7 clinical hub

improving patient experience

changing patient flow

reducing costs

Electronic shared recordconnecting primary & secondary care now

connecting whole health & social care economy tomorrow

right care today




right time – care anywhere




right place - replicable model

475 Nursing/Residential Care Homes + 50 in implementation

Supporting > 14,000 residents

NEWCASTLE

LEEDS

MANCHESTER

BIRMINGHAM

LONDON




Provide, safe, effective high standards of care

To support residents to stay at home

Support residents/nurses/

carers in the planning

and delivery of care

Escalate to community

teams out of hours

Aims of the service




Gold Line

GP Triage

Intermediate Care Hub

Acute Care Team

Single Point of Access

Complex Care Team

Other services delivered from the digital care hub

Shared record

Registered practitioners

Visual contact




http://www.health.org.uk/gold-line

http://www.airedale-trust.nhs.uk/services/telemedicine/

Video insight into our telemedicine and Gold Line Service

http://www.health.org.uk/gold-line

http://www.airedale-trust.nhs.uk/services/telemedicine/




Data from End of Life Care Profiles PHE and district wide reporting (CSU)

National data England 2013

AWC 2013 Bradford District 2013

Bradford City 2013

GSF/Gold LineYear 2013/14

All deaths in hospital

48.3 36.0 45.9 50.4 14%

All deaths at home

22.4 20.1 24.5 23.1 41%

All deaths in care homes

21.6 33.2 19.0 19.7 22%

All deaths in hospice

5.5% 8.8 8.3 4.6 23%




Call sheet




ReportingNursing Homes

Residential Homes

Day Current Month

Last Month

% Variance

YTD Day Current Month

Last Month

% Variance

YTD

Monday 128 85 51% ↑ 213 Monday 194 153 27% ↑ 347

Tuesday 117 74 58% ↑ 191 Tuesday 174 121 44% ↑ 295

Wednesday 83 83 0 ↔ 166 Wednesday 152 121 26% ↑ 273

Thursday 76 79 4% ↓ 155 Thursday 128 104 23% ↑ 232

Friday 88 108 19% ↓ 196 Friday 145 160 9% ↓ 305

Saturday 106 107 1% ↓ 213 Saturday 153 174 12% ↓ 327

Sunday 110 76 45% ↑ 186 Sunday 197 108 82% ↑ 305 Time Current

MonthLast

Month%

VarianceYTD Time Current

MonthLast

Month%

VarianceYTD

Morning 295 255 16% ↑ 550 Morning 456 379 20% ↑ 835

Afternoon 413 357 16% ↑ 770 Afternoon 687 562 22% ↑ 1,249

Hours Current Month

Last Month

% Variance

YTD Hours Current Month

Last Month

% Variance

YTD

In Hours 344 329 5% ↑ 673 In Hours 466 419 11% ↑ 885

Out Of Hours 364 283 29% ↑ 647 Out Of Hours 677 522 30% ↑ 1,199

Total 708 612 1143 941




Reason for callNursing Homes Residential Home

Purpose Current Last % Variance YTD Current Last % Variance YTD

Advance Plan/DNAR 0 0 0 ↔ 0 0 0 0 ↔ 0

Agitation/Confusion 0 0 0 ↔ 0 0 0 0 ↔ 0

Anxiety 1 4 75% ↓ 5 8 11 27% ↓ 19

Bowel concerns 0 0 0 ↔ 0 1 0 100% ↑ 1

Breathing difficulties 18 14 29% ↑ 32 31 17 82% ↑ 48

Catheter concern 12 10 20% ↑ 22 26 22 18% ↑ 48

Cerebral event 1 0 100% ↑ 1 0 0 0 ↔ 0

Chest infection 75 65 15% ↑ 140 68 46 48% ↑ 114

Chest pain 2 0 100% ↑ 2 7 9 22% ↓ 16

Death 0 0 0 ↔ 0 0 0 0 ↔ 0

Dehydration 12 6 100% ↑ 18 24 7 243% ↑ 31

Emotional distress 7 4 75% ↑ 11 6 8 25% ↓ 14

EOL Symptoms 0 0 0 ↔ 0 0 0 0 ↔ 0

Eye Infection (eye) 8 9 11% ↓ 17 21 7 200% ↑ 28

Falls 49 31 58% ↑ 80 119 91 31% ↑ 210

General Deterioration 0 0 0 ↔ 0 0 0 0 ↔ 0

Head Injury 0 0 0 ↔ 0 0 0 0 ↔ 0

Medication issue 0 0 0 ↔ 0 1 0 100% ↑ 1

Nausea 4 1 300% ↑ 5 6 5 20% ↑ 11

Other 239 197 21% ↑ 436 398 251 59% ↑ 649

Pain Management 39 24 63% ↑ 63 68 50 36% ↑ 118

Seizure 5 5 0 ↔ 10 10 3 233% ↑ 13

Skin complaints 86 25 244% ↑ 111 106 86 23% ↑ 192

UTI (suspected) 68 41 66% ↑ 109 109 76 43% ↑ 185

Vomiting 13 10 30% ↑ 23 18 10 80% ↑ 28

Wound care 11 5 120% ↑ 16 17 30 43% ↓ 47




Outcome of calls

Nursing Homes Residential Homes

Referral Current Month

Last Month

% Variance YTDCurrent Month

Last Month

% Variance YTD

collaborative care team 0 1 100% ↓ 1 0 3 100% ↓ 3

community matron 2 3 33% ↓ 5 4 12 67% ↓ 16

district nurse 12 5 140% ↑ 17 60 72 17% ↓ 132

palliative care service 0 1 100% ↓ 1 0 0 0 ↔ 0

palliative care physician 0 0 0 ↔ 0 0 1 100% ↓ 1

Referral to social services 0 1 100% ↓ 1 0 0 0 ↔ 0

Referral to GP 224 204 10% ↑ 428 258 223 16% ↑ 481

GP out of hours service 170 115 48% ↑ 285 209 152 38% ↑ 361

Intention (would have) Current Month

Last Month


Last Month

% Variance YTD

called their GP 509 342 49% ↑ 851 721 509 42% ↑ 1,230

attended A&E or called an ambulance 56 38 47% ↑ 94 85 68 25% ↑ 153

contacted community nursing 8 9 11% ↓ 17 69 58 19% ↑ 127

Not have contacted an alternative healthcare provider

20 6 233% ↑ 26 32 18 78% ↑ 50

Not applicable 57 56 2% ↑ 113 137 76 80% ↑ 213

Outcome Current Month

Last Month


Last Month

% Variance YTD

Patient remained in place of residence 618 527 17% ↑ 1,145 1,018 779 31% ↑ 1,797

Ambulance request for patient 83 65 28% ↑ 148 123 110 12% ↑ 233

Hospital notified of death 7 2 250% ↑ 9 9 9 0 ↔ 18




What would you have done?

0

50

100

150

200

250

300

350

W/C

07

/12

/20

15

W/C

14

/12

/20

15

W/C

21

/12

/20

15

W/C

28

/12

/20

15

W/C

04

/01

/20

16

W/C

11

/01

/20

16

W/C

18

/01

/20

16

W/C

25

/01

/20

16

W/C

01

/02

/20

16

W/C

08

/02

/20

16

W/C

15

/02

/20

16

W/C

22

/02

/20

16

W/C

29

/02

/20

16

W/C

07

/03

/20

16

W/C

14

/03

/20

16

Called an ambulance

Contacted a GP

Contacted a community nurse

Done nothing

Question not asked (follow upetc)




Actual GP referrals

0%

10%

20%

30%

40%

50%

60%

70%

80%

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

Referred toOOH GP %

Referred toIn Hours GP%

Referred GP(both In &Out of Hours) %




Clinical assessment by Hub nurse

Onward refer if required to HCP for home visit

Request prescription

GP surgery informed by NHS secure mail

GP triage




"Of all the changes in the 15 years I have been working this is the greatest change which has reduced workload I can remember. I don't mind the extra "late" duty doc visit as this is more than made up in the drop in other visits. A big thank you to all involved."

GP feedback




“The innovation that telemedicine promises is not just doing the same thing remotely that used to be done face to face, but awakening us to the many things that we thought required face to face contact, but actually do not.”

David D Asch MD, MBA, Perelman School of Medicine, University of Pennsylvania

Innovation potential




Support for care home staff using the VTR

Support for DNs and community teams – do they need to attend?

Overview and clinical support of care home staff developing enhanced roles

Remote outpatient clinics

Remote training and clinical support




Technology Enabled Health – the art of the possible…

Questions

Workshops: Afternoon session

Option First presenter Second presenter Location

1 Namaste Care: To Honour the Spirit Within: Ebury

Court Care Home

The role of the OT within the Mental Health Care Home

Intervention team (MHCHIT) to promote activity

engagement in care homes: South London and Maudsley

NHS Foundation Trust

Max Nasatyr (Third

Floor)

2 Southwark Care Homes Enhanced GP Service and

Multi-Disciplinary Team

The future of collaborative working across care and

education providers enabling the delivery of bespoke,

high quality higher apprenticeship

Lil Patrick (Third

Floor)

3 Care homes: Implementing, sustaining and

evidencing the delivery of quality end of life care: St

Christopher's Hospice

An Innovative Integrated Model of Care for Nursing

Homes: The Royal Marsden NHS Foundation Trust

South Bank room 1

4 RADIQL (Reminiscence Arts and Dementia Impact on

Quality of Life): measurably improving the

Wellbeing of older people with dementia in

residential

care homes: Age Exchange

Reducing loneliness in care homes through trained

volunteers: Embracing Age

Fred Miller (Third

Floor)

5 In the Garden: Spare Tyre Theatre Company South Bank room 2

(LG Floor)

NHS Sunderland and Whzan delivering

best practice in care home telehealth

13th October 2016

Rachael Forbister

Telehealth Lead, Sunderland CCG

John Cooling

Chairman, Solcom Ltd

Contents

• The Care Model

• Case Example: Improving Care in Care Homes

• How we did it

• Expected Outcomes

• The Challenges

• Whzan

• Isle Of Wight

• Next steps

The Care Model

@ATBSunderland

Case Example: Improving Care in Care Homes

Complex healthcare needs, multiple long termconditions

Skills within residential care homes not

necessarily sufficient

Communication challenges between providers

Residents currently do not have equitable access to healthcare which can lead to hospital admissions

The need to improve early detection of acute illness in residents

Provides care closer to home to improve patient experience

• What is NEWS

• NEWS is the National Early Warning Score• Ensures a standardised means of identifying and

responding to deteriorating or acutely ill patients in the community and in-hospital setting.

• Simple scoring system using 6 physiological measurements

• Determines an overall score which is risk rated• Provides a continuous record of the patient

physiological status throughout.• More effective handover to other Health Care

professionals i.e. GP’s, OOH’s, community nurses, ambulance and Acute hospital staff.

• What It means to Care Homes

• Aids recognition of clinical deterioration• Standardises acute illness assessment in

the community care setting• Enable communication to other HCP’s

using a common language• Defines appropriate level of on-going care

required.• Supports professional/clinical leadership

within homes• Promotes collaborative working with other

external healthcare colleagues

• Video clip

https://www.youtube.com/watch?v=7TV0V7QCTAQ&feature=youtu.be

How we did it!

Reduction in 111 and 999 calls

Reduction in A&E visits and emergency admissions

Improved early detection of acutely unwell residents

Sharing of clinical information across all providers

Promotes collaborative working with providers

Improved safety and quality of information on handover

Expected Outcomes

The Challenges!

Standard tools

Engagement

Cultural change

Scale and Sustainability

Scope Creep!

Interoperability

Whzan TELEHEALTH

Established 1998.

On the Isle of Wight.

Specialists in Internet of Things.

Bespoke software / system creators for pharmaceutical, health and nuclear industries.

Telehealth system created in 2010 with NHS South Central

Specialists in telehealth monitoring of LTCs and elderly care at home and in homes.

Winners of 2016 HSJ Best Value in Telehealth with NHS Sunderland.

A little bit about Solcom LTD & Whzan Telehealth

Whzan TELEHEALTH

JV between Local Authority and NHS Acute Trust, St Mary’s

Included within the programme, IW integrated care hub. 999/111 aware of residents and patients who are being monitored.

GPs on board.

Delivered by “Equipment Services” department. Thus maintaining a cost effective overview of the resident needs and provide backup.

Isle of Wight care home experience

Whzan TELEHEALTH

Improved patient safety and care by early detection of changes in condition using NEWS, MUST, Abbey Pain.

Improved outcomes for residents, happier for longer

Reductions in calls to 999, OOH and A&E.

Reductions in hospital stay, so important for elderly to avoid further deterioration in mobility and health.

Increased family involvement and comfort.

Monitoring is taken to the resident.

Care Home monitoring objectives

Whzan TELEHEALTH

Get all possible parties onside, as per Rachael.

Appreciate care home culture as being risk averse.

Review care home protocols, is 999 a default position?

Develop relationship with care home owner as well as Registered Managers, improves roll out.

Include local ambulance service within the proposal to improve care home protocols.

Training of care home staff. NEWS and MUST, a very positive deal here!

Determine who is deemed to be management of the care home and who is accepting responsibility. Inform care home GP.

Delivering an installation, issues.

Whzan TELEHEALTH

The Whzan tablet application can be used to collect the readings of a resident and present them as a chart so a visiting clinician can see the trends.

Care workers are empowered as Whzan will lead them through assessments (e.g. NEWS) and show the results on a green/amber/red screen.

Set the alert parameters of a resident so that readings are consistent with their historic condition.

The information can be shared with clinicians, or viewed on a patient portal.

Data reports, exports and links to other system are available. can be uploaded to the patient record…..if……EMIS, System One co-operate! However, they will try to charge you!!

Information and Data, definitely NOT the tricky bit.

Whzan TELEHEALTH

Engage with the care home owner and manager.

Inform the local GP.

Work with the protocols, but keep in mind this is about improved safety and appropriate use of primary and secondary care.

Roll out slowly, with sufficient Whzan tablets, e.g. a system per floor in a care home.

Present early to care home staff and let them train on the equipment to understand how easy it is to use. Encourage them to take their own readings.

Let the family know there is something new for improved safety.

Setting up

Whzan TELEHEALTH

Homes need about 2/3 weeks to get used to something new.

Carers take about 10 minutes to learn how to use Whzan.

NEWS limits get adjusted for patients who have abnormal symptoms

Almost all residents welcome this new form of care, it gives them comfort, reduces anxiety.

Remind users to recharge the system overnight!

Ask for feedback, Whzan development is based on it.

Medication changes are common in the first few weeks.

IW report one admission or ambulance saved per care home per week.

Our experience

Whzan TELEHEALTH

Enhancements, just ask and we’ll deliver.

Enhancements are shared with whole user group.

They come for free and can be remotely installed.

NHS users share their protocol documents.

Extra features to make life easier with a step down facility….”Whzan lité”.

Where to next?

Contact details and question time?

• Rachael Forbister

• [email protected]

• @Rforbister

• John Cooling

• [email protected]

mailto:[email protected]

mailto:[email protected]

Closing remarks

Viv Parry

Chair - Vivienne Parry OBE, health and

science writer, presenter and broadcaster

Thank you!

Presentations:

www.hin-southlondon.org/clinical-areas/dementia/resources

Documents

Welcome and introduction - Health Innovation Network...In residential care homes… • 6% increased achievement in preferred place of death • 78.5% increase in Sutton residents