Modelling the Potential for Telecare and Telemedicine
Tom Bowen & Paul Forte
The Balance of Care Group
ORAHS 2005, Southampton, UK4 August 2005
Content
• What is telecare?
• Modelling requirement to support local councils
• Balance of Care model
• Demonstration
What is Telecare?
Equipment provided to support people in their own homes with remote monitoring
– Community alarm service
– Motion or fall monitors
– Diagnostic monitors
– Consultation and communication devices
Some devices
The Virtual Visiting solution
Nurse Desktop
Virtual Visiting Servers
Network
Patient
Doctor’s 3G Mobile
Project aims
• To help social services to develop business cases for funding from €120million government grants over 2 years
• To develop a decision support tool to identify and cost potential for:– reduced admission to residential care
– reduced cost of home care packages
– potential cost savings to the NHS (eg through reduced admissions to hospital)
What we’re addressing in the Balance of Care model
• Local policy direction:– support for development of strategies involving
telecare
• Demonstration of cost effective approaches:– telecare in the context of the organisation and
provision of other health and social services
The Balance of Care model
OlderPeople
highdependency
lowdependency
mediumdependency
The Balance of Care model
OlderPeople
highdependency
lowdependency
mediumdependency
long -termcare bed
community nurse
Voluntary &Private sector
NHS
LocalAuthority
nursing home
physiotherapist
care assistant
day care centre
respite care
The Balance of Care model
OlderPeople
highdependency
lowdependency
mediumdependency
long -termcare bed
community nurse
Voluntary &Private sector
NHS
LocalAuthority
nursing home
physiotherapist
care assistant
day care centre
respite care
option1
option 2
option 3
Policy assumptions in this version
• Focus on social care
• Restrict to ‘current’ supported clients
• Invest in reactive telecare only
Populate model for ‘Telecare Valley’ council
The Balance of Care model
OlderPeople
highdependency
lowdependency
mediumdependency
P6 Unsupported at home (aged over 65)
P1 Care Home Residents(not EMH)
P2 Care Home Residents(EMH)
P3 Frailty CaseManagement
(Severe)
P4 Other long term careneeds
(Moderate)
P5 Other low intensityneeds(Minor)
Published Model and Guidancehttp://www.dh.gov.uk/
PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4115303&chk=AZNQjz
Potential strategic implications of telecare
• Organisational issues: – supporting partnership working; innovative
connections; workforce development
• Information issues: – sharing of data, information and intelligence;
common definitions
• Engaging people:– harnessing drive of health and social care
professionals– facilitating client and carer engagement
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