Smart technology and community care for older people innovation in west lothian scotland
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Smart technology and community care for older people: innovation in West Lothian, Scotland. by Alison Bowes and Gillian McColgan. Thanks to:. The Health Foundation The Nuffield Foundation Gill McColgan, Sherry MacIntosh, Mike Wilson West Lothian Council Research participants

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Smart technology and community care for older people: innovation in West Lothian, Scotland

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Smart technology and community care for older people innovation in west lothian scotland

Smart technology and community care for older people: innovation in West Lothian, Scotland

by

Alison Bowes and Gillian McColgan


Thanks to

Thanks to:

  • The Health Foundation

  • The Nuffield Foundation

  • Gill McColgan, Sherry MacIntosh, Mike Wilson

  • West Lothian Council

  • Research participants

  • Photographs – Gary Baker Photography, Dave Henniker


West lothian scotland

West Lothian, Scotland


Smart technology in west lothian

Smart technology in West Lothian

  • everyone aged 60 and over (10,000 households – 3,200 as at May 2007)

  • baseline for support for older people

  • augmented if support needs develop:

    • Home Safety Service

    • Home Safety Service Plus

    • Housing with Care

  • challenging stigma


The technology package

The technology ‘package’

  • the home alert console, linking sensors to the Call Centre

  • two passive infrared (PIR) detectors

  • two flood detectors

  • one heat extreme sensor (hot and cold)

  • one smoke detector

    and (optional)

  • other devices to suit the individual


West lothian housing

West Lothian housing


Smart technology at home

Smart technology at home


The new developments

The new developments


The research evaluation

The research evaluation

  • views and experiences of key stakeholders over time

    • older people in the different settings

    • informal carers

    • staff at all levels

  • comparator study in another area

  • file study

  • study of costs


Technology and the model of care

Technology and the model of care

  • The policy context

    • increasing older population

    • promoting independence

    • care in the community

    • multi-disciplinary working

  • Re-engineering services

    • closing residential care homes

    • fewer long stay hospital beds

    • more care at home

    • joint working

    • capacity planning

    • use of smart technology


Dispersed housing users and informal carers views

Dispersed housing: users’ and informal carers’ views

  • staying at home and keeping independence

  • the importance of choice

  • the importance of informal support

  • support for carers

  • neighbourly relations

  • smart technology for safety, security and support


New developments users and informal carers views

New developments: users’ and informal carers’ views

  • safety and security

  • independence, choice and capacity building

  • relieving carer stress

  • continuing community relations

  • new community relations


Staff perspectives

Staff perspectives

  • culture change at all levels

  • changing patterns of work (‘support’, not ‘care’)

  • new working teams

  • multi-disciplinary working

  • limits of the model


Costs

Costs

  • comparative performance of West Lothian

  • costs of the programme

  • high quality services with control of costs


Conclusions

Conclusions

  • changing cultures of care and support for older people

  • technology as a catalyst

  • independence and choice

  • the importance of informal care and support for informal carers

  • normalising strategy

  • community support and participation

  • high quality services and control of costs


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