Www.saphe.info SAPHE - policy and uptake SAPHE Steering Committee 15 September 2006

www.saphe.info

SAPHE - policy and uptake

SAPHE Steering Committee15 September 2006

Discussion

• Pervasive healthcare policy development– Telecare vs. e-Health

• Market models– Public sector vs. Consumer driven

• SAPHE exploitation & communication plans

Policy background

• Over 20 government reports since 1998 have called for telecare

• Targets in Delivering C21 NHS IT Support (reiterated by ODPM in Nov 2005)

• £80m+ via Preventative Technology Grant (PTG) for telecare, plus equivalent programmes in Wales and Scotland

• Partnerships for Older People Projects (POPP): 9 out of 19 projects in first wave

• Whole system telecare demonstrator across a unitary authority, with telecare in c.9,000 homes, to start Jan 2007 (?)

• Telecare supports strategic health policy agenda: care outside hospitals, capacity management (bed blocking), chronic disease management & focus on prevention and self care

Government and other official reports mentioning telecare published annually

012

3456

789

1998 1999 2000 2001 2002 2003 2004 2005

Royal Commission on Long Term Care

National strategic programme for IT in the NHS

Building Telecare in England

Business models

Public provision

Private consumer demand

• Designed system• Internal regulation • Tendency to lowest

common denominator• Oppressive requirement

for evidence base before adoption

• Inertia• Can meet objectives of

NHS care provision• Poorly defined or complex

customer relationships

• Emergent systems• Ad hoc standards• Responsive to consumer

demands• Fragmented suppliers and

systems• Lack of integration• No inherent equity• Potential for emergence

of non-optimal oligopoly supply chains

Public sector business model

• The telecare ‘supply chain’ involves several key stages:– Needs assessment– Care package development– Development of telecare prescription & response protocol– Home survey– Equipment provision– Installation and maintenance– Monitoring of the individual– Call handling– Response in the event of an exception / problem– Review and reassessment of needs

• Different public, private and voluntary sector partners will be responsible for different stages

• These will come together in different configurations depending on the telecare application (e.g. conditions specific vital signs monitoring v. general safety & security monitoring)

Entry

(Re) assessment of need

Care package development

Home survey

Telecare prescription&response protocol

Equipment provisionInstallation and

maintenance

Monitoring

Call handling

Response

Review

Telecare supply chain – key stages

Source: Barlow & Curry 2006

Entry



Home survey



maintenance

Monitoring

Call handling

Response

Review

Different agencies / companies involved in different stages in different configurations …

PCT / Acute / Social Services?


Entry



Home survey



maintenance

Monitoring

Call handling

Response

Review

Telecare supply chain

Telecare equipment supplier 1


Entry



Home survey



maintenance

Monitoring

Call handling

Response

Review

Telecare equipment supplier 2



Entry



Home survey



maintenance

Monitoring

Call handling

Response

Review

Specialist call centre / NHS Direct etc 1



Entry



Home survey



maintenance

Monitoring

Call handling

Response

Review

Specialist call centre / NHS Direct etc 2



Entry



Home survey



maintenance

Monitoring

Call handling

Response

Review

Voluntary sector, relatives, neighbours



Entry



Home survey



maintenance

Monitoring

Call handling

Response

Review

Voluntary sector, relatives, neighbours

PCT / Acute / Social Services



Private supply chain

• Individual consumer making purchasing decisions• Supply routes:

– Traditional alarm suppliers– High street retailers– Insurance– Health service providers– Direct sales to customers

• Issues– Trust and confidence: consumers and health professions– System integration– Emergence of monopoly suppliers eliminating innovations

Exploitation & Communication Plans

Technical approach1. Develop a novel telecare system based on experience

from Care in the Community Centre and UbiCare Centre

2. Establish formal requirements for the specification and testing of such a system

3. Modelling the value to providers and users and the potential ways in which such novel telecare systems could be deployed

4. Running a trial to demonstrate effectiveness and validating the value and deployment models


Innovations1. Intelligent ‘blob’ ambient motion sensor

2. Wireless sensing – low cost versatile nodes

3. Wireless sensing – low cost ambient installation

4. Wireless sensing – unobtrusive vital signs and context sensing

5. Data fusion and feature recognition

6. System value modelling

7. Trial of an integrated wireless sensing system for pervasive healthcare applications


Expected Deliverables From Project1. Monitoring software

2. Wireless nodes

3. Ambient sensors, especially intelligent ‘blob’ sensor

4. Wearable physiological sensors

5. Trials results

6. Telecare business models

7. SAPHE prototype system

How to exploit each of these?

SAPHE Potential market

• Target market: chronic disease management; also be applicable to care of the elderly

• Major diseases: CHD, Hyper-tension, COPD, Asthma, Diabetes, Stroke and Dementia. – total prevalence in UK is

approximately 17M ( allowing for co-morbidities, approx 10M)

• Target users: seriously affected of these - 1.5M to 2M people in UK– £2.2bn UK market potential in UK

(based on annual value of sales and services at around £1,200 each)

– the world market potential of £40bn by 2020.

SAPHE market by disease

CHD34%

Hyper-tension10%

COPD13%

Asthma2%

Diabetes3%

Stroke8%

Dementia30%

Project Dissemination Activities

• Detail planned publications.– D02 – Service and End User Requirement– D03 – Details of specification and service model scenarios– D06 – SAPHE Prototype architecture analysis– D07 – Service Requirement for large scale deployment– D11 – Pre-trial cost benefit deployment models– D16 – Post-trial analysis– D19 – Telecare deployment business models– Top level technical specification– Complete user and trial system specification, and outline

trial design– Completed and verified system and trial approvals– Final Report

Stakeholders

• SAPHE Steering Committee• Government:

– Department of Health and NHS – Department of Social Security– DTI

• Healthcare Technologies KTN/Medilinks• Commercial Customers• Community Activities• Research Community • User Communities• Pervasive Computing/Wireless/Healthcare

Community Press

Documents

Www.saphe.info SAPHE - policy and uptake SAPHE Steering Committee 15 September 2006