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Tele-Health/Medicine

Explore the shift towards telehealth in long-term care, focusing on system assessment, knowledge enhancement, and tailored care planning. Evaluate the effectiveness of current approaches and discuss the potential for transformation in the LTC sector. Delve into the complexities of LTC needs and the impact on acute care for conditions such as stroke and pneumonia. Analyze national drivers like QIPP and evidence-based practices, considering workforce implications and strategic relationship management. Join the discourse on integrated solutions and the business case for change in healthcare.

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Tele-Health/Medicine

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  1. Tele-Health/Medicine • Why am I speaking today? • LTCs – does what we do now work? system focus assess knowledge / learning styles care planning • If we started again?…..suspend disbelief

  2. LTC(s) • Complex LTC needs…..

  3. Acute care • Stroke….

  4. Acute care • Pneumonia…..

  5. HMP – signed contracts HMP – under contract negotiation HMP Frankland Plus 7 more in County Durham by end 2009 HMP Manchester HMP Full Sutton HMP/YOI New Hall HMPs Garth, Preston & Wymott Isle of Sheppey (3 prisons) Isle of Wight (3 prisons) HMP Verne

  6. Context • QIPP / other National drivers • Shifting the Balance of Care • Evidence base • Will incremental change suffice? • Pilots, prototypes and issues of scale • Existing infrastructure

  7. Issues • Regional vs local ownership/implementation • Avoid incompatible systems within and across sectors • Financial and contract modelling • Workforce • Evaluation • Marketing and engagement

  8. Issues • Managing strategic relationships • Technical specifications • Governance • The overall business case for change

  9. Its not about the boxes……

  10. Work in progress – NHS Yorks and the Humber • Meeting 4th November - CEO • Start of a discussion, not the end • Work in hand, initially to clarify the questions that need to be answered • Pace…with care

  11. An integrated solution • Medical record shared • New approach to LTCs • New tools telehealth telemedicine links with other sectors (One box per home, not many!)

  12. Is this approach going to deliver? • COPD • 840 people, 5 yrs • Current spend £22M • ?Future spend £8M….

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