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Involving the person at the centre of the decision-making process is a crucial tenet of Scotland’s ‘Living it Up’ Project, which is using co-production to shape the way that new technologies facilitate services, products, and information to support people to manage their Long Term Conditions and wellbeing. Contributed by: Joint Improvement Team & Scottish Centre for Telehealth and Telecare
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Telehealth and Telecare:Living it Up
18 March 2014Social Work Expo – Session 44
1JIT is a strategic improvement partnership between the Scottish Government, NHS Scotland, CoSLA, the Third
Sector, the Independent Sector and the Housing Sector
The JIT and SCTT: An Effective Collaboration
The Joint Improvement Team (JIT) is a unique strategic
improvement partnership between the Scottish
Government, NHS Scotland, CoSLA, the Third Sector, the
Independent Sector and the Housing Sector
The Scottish Centre for Telehealth & Telecare (SCTT)
was established to support and guide the development of
telehealth and telecare throughout Scotland.
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December 2012:National Delivery Plan Significant role of Telehealth and Telecare in the reform of health, care, housing and wellbeing in Scotland
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4 Objectives
> Telehealth and telecare will enable choice and control in health, care and wellbeing services for an additional 300,000 people
> People who use our health and care services, and the staff working within them, will proactively demand the use of Telehealth and Telecare as positive options
> There is a flourishing Innovation Centre where academics, care professionals, service providers and industry innovate to meet future challenges and provide benefits for Scotland’s health, wellbeing and wealth.
> Scotland has an international reputation as a centre for the research, development, prototyping and delivering of innovative Telehealth and Telecare services and products at scale.
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> “Telehealth” - provision of health services at a distance using a range of digital and mobile technologies. This includes the capture and relay of physiological measurements from the home/community for clinical review and early intervention and “teleconsultations” where technology such as email, telephone, telemetry, video conferencing, digital imaging, web and digital television are used to support consultations between professional to professional, clinicians and patients, or between groups of clinicians.
> “Telecare” is the provision of care services at a distance using a range of analogue, digital and mobile technologies. These range from simple personal alarms, devices and sensors in the home, through to more complex technologies such as those which monitor daily activity patterns, home care activity, enable ‘safer walking’ in the community for people with cognitive impairments/physical frailties, detect falls and epilepsy seizures, facilitate medication prompting, and provide enhanced environmental safety.
> “Telehealthcare” is used as an overarching term to describe both telehealth and telecare together.
Living it Up (LiU)
Janette HughesLiU Programme managerProgramme led by NHS 24
Funded by:
1. LiU overview
2. 2012 – phase 1
3. 2013 – phase 2
LiU Scope
Budget - £10.3m
Timeframe – June ‘12 – May ‘15
Users – 55,000
Locations – 5 regions (Lothian, Forth Valley,
Moray, Western Isles & Highlands)
“Effective services must be designed with and for people and communities”
The future delivery of public services - Christie report
Vision
LiU Services will help transform health, care and wellbeing the same way that the internet
has transformed financial services, social interactions and information and advice
• Focussed on the person within their community
• Increasing digital inclusion• Facilitating health and care integration
dallas LiU aim
LiU will co-design sustainable and innovative improvements and
choices in health, care and wellbeing for 55,000 by 2015.
By 2015
• LiU will provide a choice of access routes whilst at home or ‘out and about’; - Web, TV or smart phone.
• LiU will provide a personalised and integrated menu of services, information, products and social activities to support social, health, care, intellectual and personal interests.
• LiU will ‘keep you connected’ - creating and sustaining relationships with family, friends, neighbours, local communities and health and care professionals.
• LiU will stimulate innovation and wealth creation by open innovation of new products, services, applications, and creation of employment opportunities.
High level outcomes 1. Healthier living – Individuals and communities are able and motivated to look after and improve their health and wellbeing, resulting in more people living in good health for longer with reduced health inequalities.
2. Independent living – People with disabilities, long term conditions or who become frail are able to live as safely and independently as possible in the community, and have control and choice over their care and support.
3. Carers – people who provide unpaid care to others are supported and able to maintain their own health and wellbeing.
4. Effective resources – The most effective use is made of resources across health and social care services, avoiding waste and unnecessary variation.
5. Engaged workforce – People who work in health and social care services are positive about their role and supported to improve care and treatment they provide.6. Wealth creation –Increase in GDP, innovation and employment opportunities
Health, Care & Wellbeing – person focussed
Increasing;
1. Choice
2. Control
3. Connectedness
4. Collaborations
5. Contributions
6. Communities
wider world
locality
home
wider world
locality
home
Who is LiU aimed at?A. General Population
15%
B. Active & Healthy >50 years 20%
C. 50 - 75 years with or at risk of Long Term
Condition 25%
D. 75+ with LTC/Frailties 25%
E. Service providers
15%
Target population – 55,000 usersTotal Population 5,200,000 Based on 2010 Census data
Lothian HighlandForth Valley Moray
Western Isles
% 49% 24% 19% 6% 2%
Age group 50 plus 550,000 269,500 132,000 104,500 33,000 11,000
Target size - 10% of 50+ 10% 55,000 26,950 13,200 10,450 3,300 1,100 Sub Groups
A. General Population 15% 8,250 4,043 1,980 1,568 495 165
B. Active & Healthy 50 - 70 years 20% 11,000 5,390 2,640 2,090 660 220
C. 50 - 75 years with or at risk of Long Term Condition 25% 13,750
6,738 3,300 2,613 825 275
D. 75+ with LTC/Frailties 25% 13,750 6,738 3,300 2,613 825 275
E. Service providers 15% 8,250 4,043 1,980 1,568 495 165
Total 100% 55,000 26,950 13,200 10,450 3,300 1,100
Recruitment timescales Lothian Highland FV Moray WIslesMarch 2013 1,500 735 360 285 90 30March 2014 13,000 6370 3120 2470 780 260March 2015 40,500 19845 9720 7695 2430 810
Total 55,000 26,950 13,200 10,450 3,300 1,100
1/ 2012 Solution exploration
LiU Service design
2/ 2013/14 Focus
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LiU prototypes – Version 3.0
Portal – The Hub
Sign up - Profile – Makes it personal
Shine – What are you good at?
Discover – What’s available to you locally?
Flourish The Flourish service will support the
Health and social care element of Living
it Up, some ideas so far;
• Telehealth/Telecare • Digital postcards • What keeps you well tool • Calendar reminders• Doctors appointments • Experienced guides • Games
Connect – Who would you like to talk to?
Join – LiU for a richer experience
• Personalise• LiU profile
1. Owned by user
2. Edited by user
3. Shared by user • Allows LiU to
personalise the user
experience and help
us shape the service
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Refer to Appendix for benefit descriptions
Benefits
How can LiU help you?
• One stop shop – linking local developments effectively together
• Convenient and accessible – taking local and national services into the home and community
• Generating new ideas and spotting opportunities • Supporting self management, increasing choice
and control• Developing a personal profile that will be owned
by the user and shared with their circles of care
