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

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

  • Photographs – Gary Baker Photography, Dave Henniker


West Lothian, Scotland


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 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


Smart technology at home


The new developments


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

  • 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

  • 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

  • safety and security

  • independence, choice and capacity building

  • relieving carer stress

  • continuing community relations

  • new community relations


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

  • comparative performance of West Lothian

  • costs of the programme

  • high quality services with control of costs


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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