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Telecare and Telehealth Telecare and Telehealth
‘ ‘On the Move’ and at On the Move’ and at HomeHome
Dr Malcolm J. Fisk, ChairDr Malcolm J. Fisk, ChairTelecare Services AssociationTelecare Services Association
Suite 8 Wilmslow House,Suite 8 Wilmslow House,Grove Way, Wilmslow SK9 5AGGrove Way, Wilmslow SK9 5AG
www.telecare.org.ukwww.telecare.org.uk
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Telecare Services Association Telecare Services Association
• Represents telecare and telehealth Represents telecare and telehealth ‘industry’‘industry’– full members (241) most with full members (241) most with
monitoring and response servicesmonitoring and response services– associate members (59)associate members (59)– supply sector (41)supply sector (41)– growing focus on telehealth growing focus on telehealth
• Rigorous new Rigorous new (UK)(UK) Code of PracticeCode of Practice– audited independentlyaudited independently– benchmark for commissionersbenchmark for commissioners– 120 organisations accredited120 organisations accredited– now to further embrace telehealth now to further embrace telehealth
• Premier Conference Premier Conference – London Hilton Nov 16-18 Nov 2009London Hilton Nov 16-18 Nov 2009
www.telecare.org.uk
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What is Telecare?What is Telecare?
• Reference Reference point … point … social alarmssocial alarms
• But now But now much moremuch more
• Services not Services not technology technology
Photos: Tunstall Telecom, UK and BIME, Bath University
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What is Telehealth?What is Telehealth?
• Reference point … Reference point … telemedicinetelemedicine
• Part of telecare where Part of telecare where delivered (generally) in delivered (generally) in people’s homes people’s homes
• Different (but Different (but changing?) service changing?) service paradigmparadigm
• Relating to range of Relating to range of health needshealth needs
• Three fociThree fociPhotos:Just Checking; Pivotell; Tunstall Telecom
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Three Foci for Telehealth Three Foci for Telehealth
Monitoring and promotion of well-being• Timers• Vital signs monitors• Telephone / personal support
Medication compliance / concordance• Pill dispensers• Pagers
Response and event recognition• Social alarms• Fall detectors• Seizure detectors
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The Challenge The Challenge of Telecare and Telehealthof Telecare and Telehealth
• Applications in different contexts Applications in different contexts – home; hospitals and institutionshome; hospitals and institutions– for people for people anywhere!anywhere!– for people offor people of all all agesages
• Particular attention toParticular attention to– long term conditions e.g. dementia, COPD, CHFlong term conditions e.g. dementia, COPD, CHF– falls (and seizures?)falls (and seizures?)– medication compliancemedication compliance
• Evolving service frameworks, objectives, staff rolesEvolving service frameworks, objectives, staff roles– responding; helping, signpostingresponding; helping, signposting– assessingassessing– prompting, motivatingprompting, motivating– enabling, empoweringenabling, empowering
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Telecare and Telehealth Telecare and Telehealth Applications in …Applications in …
Home
Street
Transport
Hospital and
Surgery
Workplace School or College
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The Technology ContextThe Technology Context
• Developing technologiesDeveloping technologies– broadbandbroadband– satellite and GPS, etc.satellite and GPS, etc.
• Information issuesInformation issues– transfer of data, imagestransfer of data, images– use of cameras, sensorsuse of cameras, sensors– purpose, privacypurpose, privacy
• Fixed devicesFixed devices– homes, buildings, streetshomes, buildings, streets
• Portable devicesPortable devices– carried / worncarried / worn– implanted (in clinical implanted (in clinical
applications)applications)• For users (patients) and staffFor users (patients) and staff Photo: Innovative Pultrusion Technology
GmbH, Austria
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What People Want What People Want (and carers?)(and carers?)
• Ethical technologies thatEthical technologies that– are well designed, conform to universal principlesare well designed, conform to universal principles– are affordableare affordable– are discreet in home or when worn, carried (implanted?)are discreet in home or when worn, carried (implanted?)– are minimally intrusiveare minimally intrusive– work … for users (patients) and, where appropriate, carerswork … for users (patients) and, where appropriate, carers– are configurable to cater for cognitive impairmentare configurable to cater for cognitive impairment– give user control (and respect privacy)give user control (and respect privacy)– have an accessible on/off/pause switch (?)have an accessible on/off/pause switch (?)– enable control of data communication … how much, when, how, enable control of data communication … how much, when, how,
who to?who to?– offer data security (information stored with person / in home?)offer data security (information stored with person / in home?)
• Technologies supported by appropriate servicesTechnologies supported by appropriate services
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Conclusion Conclusion
• Major service developments are taking place in telecare Major service developments are taking place in telecare and telehealthand telehealth– helping support people at home and ‘on the move’helping support people at home and ‘on the move’– with evolving objectives, staff roles with evolving objectives, staff roles – strategic / government agendas support the changes strategic / government agendas support the changes
• Opportunities for technologies used in the home in Opportunities for technologies used in the home in hospitals, etc. but …hospitals, etc. but …
• Mobile and dispersed technologies may represent a real Mobile and dispersed technologies may represent a real (and bigger?) opportunity(and bigger?) opportunity– subject to appropriate ethical considerationssubject to appropriate ethical considerations– to manage, facilitate, respond … but also toto manage, facilitate, respond … but also to– empower … and ‘liberate’empower … and ‘liberate’
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Thank YouThank You
Dr Malcolm J. Fisk, ChairDr Malcolm J. Fisk, ChairTelecare Services AssociationTelecare Services Association
Suite 8 Wilmslow House,Suite 8 Wilmslow House,Grove Way, Wilmslow SK9 5AGGrove Way, Wilmslow SK9 5AG
www.telecare.org.ukwww.telecare.org.uk
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