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Edinburgh Telecare Development programme. Paddy Corscadden Telecare Development programme Manager. Aims. Background Project bid Project plans Progress to date Pro’s and Con’s Risks Lessons learned Future plans. Why use it ?. 1 person in 88 has dementia

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edinburgh telecare development programme

Edinburgh Telecare Development programme

Paddy Corscadden

Telecare Development programme Manager.

slide2
Aims
  • Background
  • Project bid
  • Project plans
  • Progress to date
  • Pro’s and Con’s
  • Risks
  • Lessons learned
  • Future plans
why use it
Why use it ?
  • 1 person in 88 has dementia
    • (about 7% costing about 17bn a year)
  • 600 older people have fallen in the UK in the last 24hrs
  • 16 % of the population is not in good health or with a limiting long term illness
  • About 30 % of older people are inappropriately placed
  • Scottish Executive Reducing places in long term care
strategic challenges demography
Strategic Challenges - Demography

Demographic Change in Scotland 1911-2031

85+

  • Less than 2% of population
  • 20% of total bed days in NHS Lothian
slide5
By 2020 old age and ill health will require every school leaver to enter care roles
  • Shifted balance of care 16% to 27%, aiming for 40%
  • Reduced Care Home bed capacity
  • Improved delayed discharge performance
  • Dept of Health can’t say whether life expectancy is increasing faster than health expectancy.
perspective
Perspective
  • 5 reasons why people choose long term care
    • Carer exhaustion
    • Regular enuresis
    • Falls
    • Distraction burglary
    • Safety issues
pre development
1st generation equipment

Not fit for purpose

Excluding most vulnerable clients (and most costly to care for)

Pre development
project bid
Project bid

National development programme.

OPCP (Live better in later life)

Project award £685K (06-09)

Match funding of £700k (06-09)

Project board – decision makers

Regular feedback to Scottish Government

project plan
Project plan
  • Infrastructure
  • Concept building
  • System mapping
  • Training
  • Dedicated resource to lead
  • Telecare champions at all levels
infrastructure
Infrastructure
  • Upgrade to 3g equipment
  • Upgrade to all Sheltered Housing
  • Telecare champions
  • Promo, Promo, Promo
  • Change and evolve
  • Outcomes
concept building
Concept building
  • Maldelvic Sq
  • Overnight programme
  • Falls programme
  • Telehealth
  • Builds enthusiasm and promotes successful change.
telecare equipment
Telecare Equipment

The central hub that detects all the wireless signals and dials out to Community Alarm

Community alarm

Picks up when you have had a fall and raise an alarm automatically

Falls detector

Detects when you have left bed and not returned.

Turn on a light

Raise an alarm

Bed occupancy detector

telecare equipment1
Telecare Equipment
  • Can raise an alert and shut the cooker down.
  • Can be isolated

Cooker isolator systems

  • Can be linked to cooker system and raise alarms to CAS

Natural gas and

heat sensors

Flood and smoke detectors

slide15

Audio and visual prompt at medication time.

Can be linked to CAS

Medication dispenser

  • Detects when someone has left house and not returned- raise alert

Wander alert

  • monitor arm and leg movements.
  • If a tonic colonic seizure is detected an alarm will be raised.

Epilepsy monitor

slide16

Habit monitoring

CAS

Telecare

Sending unit

Call handling system

Response Handling

Health Care workers

Family and Friends

Info only

Police

CAS

progress to date
Progress to date
  • Referral rates up 600% over the 3 years
  • Form 100 users to 2600 new users
  • Mainstreaming over next 2 years
  • Single shared assessments 85%
  • Robust multi-agency telecare provision.
  • Impact on bed days, etc
partnership working
Partnership working
  • Health & Social Care
    • Social Workers
    • Occupational Therapists
    • Learning disability services
  • NHS Lothian
    • Occupational Therapists
    • Hospital medical / nursing staff (primary care)
    • Community based medical / nursing staff
partnership working cont
Partnership working Cont..
  • SFC
    • Assessment & Advice
    • Visiting Support
    • Sheltered Housing Support Services
    • Housing management
    • Housing Property Services
    • Charging Team
    • Supporting people team
partnership working cont1
Partnership working Cont..
  • Registered Social Landlords
    • Medelvic Square (Cairn)
    • Margaret Blackwood
    • Edinvar
  • Telecare equipment providers / developers
  • Telecare Services Association
    • Accreditation
  • Joint improvement Team (JIT)
pro s
Pro’s
  • Spend to save
  • Need to change practice now – not in 15 years time.
  • Choice
  • Better evidence to support assessments
risks technology
Risks -Technology

From this (£2000) in 1983)

5 mega pixel camera

WIFI

GPS

MP3 player

Video camera

Radio

Video conferencing

Internet

Organiser

Voice activation

  • To this (£500)
con s
Con’s
  • 24/7 monitoring.
  • Loss of human contact.
  • Maintenance costs.
  • Charging for service.
lessons learned
Lessons learned
  • Not right for everyone
  • The more complex the client the more complex the package.
  • Capital investment needs some revenue investment.
  • Peoples needs change – technology highlights this – you can’t ignore it.
  • Staff skill mix
slide26
The assessment and response process are key to a successful service
  • Risk adverse society
  • It takes years, time and money
the future
The future
  • Integration of telecare and telehealth
  • ADL monitoring
  • GPS technology
points to consider
Points to consider
  • Telecare is just starting out
  • Can we afford not too use it?
  • What are the alternatives?
    • More care homes
    • More staff
    • More hospitals