Portsmouth Telecare Initiative Health Improvement and Development Service Portsmouth City Council.
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Transcript of Portsmouth Telecare Initiative Health Improvement and Development Service Portsmouth City Council.
Portsmouth Telecare Initiative
Health Improvement and Development Service Portsmouth City Council
What Is Telecare?
Technology that enables the continuous, automatic and remote monitoring of real time emergencies, as well as lifestyle changes over time, in order to manage risks associated with independent living
Using a combination of sensors and information and communication technologies, telecare supports the delivery of health and social care services to people in their own homes
How Does It Work?
Sensors worn by user or placed in the environment around the user
Wireless sensors placed around home Link to control centre via Home Hub (Community
Alarm) and phone line Sensors can monitor: - the person - falls, inactivity, wandering,
epilepsy, night-time incontinence - the environment - extreme heat or cold, gas,
flood, smoke
How does it Work?
Client activated calls for assistance
Automatically activated calls for assistance. Passive system, doesn’t need the user to initiate the alarm call
Automatically reported activity level monitoring. Preventative as well as reactive
Benefits
Increases choice and independence for users Reduces strain on carers Contributes to care and support for people with Long Term
Conditions Reduces accidents and falls in the home Reduces acute hospital admissions Reduces the need for residential care Supports hospital discharge & community rehab Enables those who wish to die at home to do so with dignity Unlock resources, re-direct elsewhere in the system
Telecare will contribute to a number of important agendas:
National Service Framework For Older people, DoH, 2001
The White Paper ‘Our health, our care, our say’ DoH, 2006
A ‘Recipe for Care’ Prof Ian Philp, National Director for Older People, 2007
‘Putting People First’ A shared vision and commitment to the transformation of adult social care. Chief Executive NHS, Secretary of State for Health, Secretary of State for Work and Pensions, National Care Association et al. 2008
Vision
An integrated service across health, housing and social services that supports people to stay in the community longer or return more quickly after hospital stays.
Funding
The project was initiated through the Preventative Technologies Grant (PTG) from the Department of Health (DoH) which was “to bring about a change in the way that services are delivered to support people living in the community”, The grant was for £80million over two years. Portsmouth’s allocated grant was £283,783
Approach
Started with pilots and was therefore developed from a solid base.
Two pilot schemes were implemented:
Falls Pilot – Falls detection monitors supplied to participants identified as ‘at risk of falling’
Medication Pilot – Medication Carousel to prompt / remind early dementia patients to take medication
Portsmouth’s Smart House
‘SmartHouse’ - working with Community Housing to convert suitable, accessible property
Display of safety and security equipment, telecare, teleheath and environmental control systems
Live link to control centre Demonstration/assessment centre for users, carers Training facility for staff Dispel myths about technology Market the service to the public
Entry
(Re) assessment of need
Care package development
Home survey
Telecare prescription&response protocol
Equipment provisionInstallation and
maintenance
Monitoring
Call handling
Response
Review
Telecare service integration
Source: Barlow & Curry 2006
Social services
Primary care
Housing services
Equipment suppliers
Telecare service providers
Acute care
Social Housing landlords
Fall detectorBed exit monitorChair exit monitorMedication reminder/dispenserWandering person alertNight time incontinence alertEpilepsy alertLow temperature
Activity/InactivityIntruder alarmBogus callerNatural gas Carbon monoxideFlood detectorSmoke
Extreme heat
After assessment, the most appropriate sensors are provided for each situation. There
are many sensors available, e.g.
Response
Call Centre currently in Southampton. Staffed 24 / 7
Record call and contact most appropriate response service
New First Line Response Service developed in Portsmouth
Entry
(Re) assessment of need
Care package development
Home survey
Telecare prescription&response protocol
Equipment provisionInstallation and
maintenance
Monitoring
Call handling
Response
Review
Telecare service integration
Source: Barlow & Curry 2006
Social services
Primary care
Housing services
Equipment suppliers
Telecare service providers
Acute care
Social Housing landlords
Review Process
Questionnaire / interviews conducted with ≈ 36 subjects
All have had telecare items for 6 months +
Review Questions Questions aimed to identify the following:
Fitness for Purpose Portability Comfort Timeliness Utility Responsiveness
Trustworthiness Reliability Safety Maintainability
Acceptability Usability Learnability Compatibility
Review Aims
Does the provision of telecare need to be re-evaluated?
Evaluation Tool-Kit for Social Services Systematic method for continuing
evaluation Justification of telecare
People not Gadgets
The technical aspects of telecare are relatively straightforward, it is the service integration which requires a high level of co-ordination to achieve success.
What Else Is There?
New Technology Is Being Developed Rapidly:
Lifestyle monitoring (e.g. activity, bathroom use, use of kettle and fridge) builds up picture of user’s normal behaviour patterns, available to carer/family or professional.Unusual behaviour triggers alerts that enable early intervention
Long Term Condition monitoring (e.g. in heart and lung conditions, diabetes, asthma) enables user to check own heart, blood pressure, breathing, weight, blood sugar levels, blood oxygen saturation. Results go to Community Matron or GP.
Advice and help can be provided by phone around the clock Results in increased confidence in managing condition at home Can enable timely medical intervention to avoid a crisis arising Reduced emergency admissions to hospital