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

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
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
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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