delivering assisted living lifestyles at scale · living it up delivering assisted living...
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Living it UpDelivering Assisted Living Lifestyles at Scale Lessons from Scotland for Cornwall
Professor Andrew Chitty, lead digital partner, user experience
Janette Hughes, former programme manager
Campbell Grant, CEO Sitekit, infrastructure developer
Sharing my knowledge and experience
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Janette Hughes (Former LiU programme manager up to 2015) now programme manager with Digital Health and Care Innovation [email protected]
*Acknowledgement – much of the content is the copyright of NHS 24 who remain the programme lead
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The Scottish Government - 2020 Vision
Ref – 2020 Vision (2011)
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Drivers in Scotland
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The billion dollar question?
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The billion dollar question?
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Shifting the model
Traditional paternalistic model of care
EmpoweredDoctor
Empowered Citizen
• Patients reliant on the medical/care system to receive information, diagnosis and referral• Difficult to navigate the health and care system • Intervention usually in response to anecdotal evidence from patient, followed by medical tests• Fragmented commission and little to no incentive to commission technology
Ref – Deloitte Research 2015
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The vision – Using Technology enabled care
Empowered citizen model of care – sharing ownership
EmpoweredDoctor
Empowered Citizen
• Patients informed whenever and wherever, using their interoperable patient record• Co-creation of care packages, proactive prevention and rapid access to services • Technology enabled care - wellbeing, self management and supported discharge• New business models for commissioning Technology at scale
Ref – Deloitte Research 2015
TEC
Ambitious vision
LiU Services will help transform health, care and wellbeing in the same way that the internet has transformed financial services, social
interactions, information and advice.
• Focusing on the person within the community
• Increasing co-design partnerships
• Facilitating health and care integration
• Enabling self management and prevention
• Creating industry opportunities
Funded by:
“To co-design a digital health and wellbeing service for the over 50’s using familiar technology, delivered to over 55,000 by
2015”
Supported by key principles - 6 C’s –
Choice, Control, Collaboration, Contribution, Connectedness and Community.
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Living it Up – a ‘dallas’ project objectives/principles;
REA
L P
EOP
LE
Driven by Co-design, Co-creation and Co-production
Copyright - NHS 24 and GSA
copyright to NHS 24 and GSA
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An online self management hub- building a brand
copyright - NHS 24 and GSA
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SERVICE INNOVATION – Digital and Social prescriptions
VIDEO CONSULTATION
GET ACTIVE
GIVING BACK
HOME & MOBILE
HEALTH MONITORING
CARE CO-ORDINATION
PLANNING
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TECHNICAL INNOVATION – Interoperability is key
EASY
FOR
USERS
Familiar
Technology/
Adaptive Design
EASY FOR NEW
ENTRANTS
Driven by user
needsShare a
common profileFamiliar
Internet
Accounts
Federation
Approach
Plug in and play Integration Support
Self Management Hub philosophy – step up, step down , step off model
Chronic case management
Care management
Supported self mgmt
1. Trusted info2. Experience guides3. Digital postcards 4. Tele-care assessment 5. Smart-care tools
6. Keeping active toolsa. Good day toolb. Activity logc. Community champion videod. Get active
7. SHINE 8. CONNECT 9. DISCOVER
1 2 3
6a 6b
1. Video rehab2. Flo3. A Better plan
1. Motiva2. VC
6d
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1 2 3
Step down
Step off Step up
Step up
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Self support
Step up
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Copyright - NHS 24
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Get the right things in place and then orchestrate!• Political will and legislative/policy framework
• Visible leadership and trusting relationships across sectors at all levels
• Contractual levers and incentives throughout the eco-system
• Co-design, co-create and co-develop change in partnership
• Funding used as a catalyst for change
• Build community assets and invest in the voluntary sector
• Focus on place, home, community and outcomes that matter to people
• Understand local context and empower people to change
• Education - Develop skill mix and capability
