Yorkshire and the Humber

An Overview of Telehealth in the Region

Marie Buchan

Telemedicine Manager

Airedale NHS Foundation Trust

Welcome to Yorkshire and the Humber

Birthplace of........

David Hockney

James Bond’s Aston Martin DB5

The Bronte Sisters

Jeremy Clarkson

Yorkshire Puddings

and......................

As many 2012 Olympic Gold Medal winners

as Australia !

But on a much more serious note.............

• Population 5.2 million

• 15,906 square kilometres

• Hull, Leeds, Sheffield and York

• Rural areas

Yorkshire and

Humber Region

Airedale NHS

Foundation Trust

• Positioned in the north west of the

Yorkshire and Humber region

• Population of 220,000

• Small towns – Keighley, Ilkley, Skipton,

Colne

• Serves patients in the Craven and

Wharfedale areas of the Yorkshire Dales

Long Term Conditions

Almost one in three people are living with a long term

condition

That 30%+ of the population consume around 70% of the

NHS budget

Over 50% of GP appointments

Almost 65% of outpatient appointments

Almost 75% of bed days

Three out of every five people aged over 60 are likely to

suffer from a long term condition

Population Trends The region’s population as a whole is projected to increase by

455,000 between 2011 and 2031

The region’s population will become more ethnically diverse, the

projections suggest that by 2031, 13% of the population with be

from ethnic minorities as opposed to the 10% seen in 2011

The population will also age over the period, moving from 29 people

of retirement age for every 100 of working age in 2011 to 43 people

of retirement age for every 100 of working age by 2031

This rise in the elderly population equates to a population aged over

65 in the region of 980,000 in 2011 rising to 1,440,000 by 2031

Modelling suggests that between

2010 and 2020

CHD will rise from 6.0% to 6.6% of the population, equivalent to

49,000 people

COPD will rise from 3.7% to 3.9% of the population, equivalent to

24,000 people

Hypertension will rise from 30.8% to 32.3% of the population,

equivalent to 186,000 people

Stroke will rise from 2.7% to 2.8% of the population, equivalent to

21,000 people

CVD will rise from 6.9% to 7.6% of the population, equivalent to

59,000 people

Diabetes will rise from 7.5% to 8.5% of the population, equivalent to

77,000 people

These factors represent a huge

quality and efficiency challenge for our

region’s health services

Telehealth in Y&H in 2010

Some health communities in Y&H were embarking on

significant developments:

Airedale - trailblazers in the use of telemedicine

Barnsley - blended service model

Hull - success with HF

North Yorkshire and York - aiming to reach 2000

Most other health communities were running small pilots

involving very low patient numbers

A Strategy for the Region

Chief Executive of NHS Yorkshire and the Humber, the

Strategic Health Authority keen to progress Telehealth

in the region

Chief Execs of the region’s Trusts agreed an approach

Utilised over £900k Regional Innovation Funds

(devolved from Department of Health to support

Innovation in the regions)

Yorkshire & Humber Telehealth Hub Partnership made up of :

3 of the region’s health organisations (Airedale FT,

University of Hull and NHS Barnsley)

Yorkshire and Humber Health Innovation and Education

Cluster (HIEC)

NHS Yorkshire and the Humber

Offering Telehealth services to the rest of the region

Services included:

Telecoaching

Telemonitoring

Telemedicine

Telemedicine

Remote video

consultations between

healthcare

professionals and

patients which support

care outside of

hospital.

Used to reduce LOS,

support early

discharge, and

admission avoidance.

Telecoaching

Telecoaching uses a

one to one interaction

with audio, visual

and/or interactive

communications, used

to support the practice

of health care/social

care, enabling self care

and improved condition

management.

Telemonitoring

Remote monitoring

tools capture

physiological

measurements and

relay them to a central

location for review

normally an suppliers

intranet site.

A Test of Breadth and Scale

Run for 12 months with project management support from

the SHA

Workbooks and Toolkits created by the HIEC

Procurement advice from the Advance Digital Institute (ADI)

All partners looked at the sustainability of the services

Explored possible sources of future funding from the

Technology Strategy Board, the EU etc

Evaluation

Undertaken by the 2020Health Organisation to look at:

Benefits to patients

Impact on services and activity

Return on investment

Sustainability of the approach and services

Lessons for the future

Due for publication in a few weeks time.

Things Move On

White paper Equity and Excellence: Liberating the NHS

(July 2010) – consultation until October 2010

National Chief Executives Innovation Review (June 2011)

Innovation Health and Wealth, Accelerating adoption and

diffusion in the NHS (Published Dec 2011)

Listing ‘Six High Impact Innovations’ including:

3millionlives

Digital First

3millionlives Campaign Following the reported success of the Whole System

Demonstrator projects

Government concordat announced in January 2012

Improve the lives of 3 million people living with long term

conditions

Over 5 years

Accelerating the use of Telecare and Telemonitoring

technologies

3millionlives Y&H Approach

Commissioned the NHS Technology Adoption Centre to

facilitate events and work with organisations to progress

their Telehealth action plans

Regional Innovation Fund bursaries offered to support

deployment of High Impact Innovations including 3ml

Delivery of 3ml aligned to CQUIN payments for Trusts

Y&H have put 3 Partnerships forward to act as

Pathfinders with the DH

Digital First (formerly named Digital by Default)

A ‘call to action’

NHS organisations encouraged to utilise existing digital

communication technologies e.g. mobile phones,

websites, social networking, clinical systems etc

To reduce unnecessary face to face contacts and DNAs

On the basis that so many of these technologies are so

readily available, why would they not take the

opportunity to improve services to patients in this way

Digital First Y&H Approach RIF Bursaries offered to CCGs and Trusts to support

deployment of High Impact Innovations incl. Digital First

Delivery of Digital First aligned to CQUIN payments for

Trusts

Involving Y&H organisations in discussions with DH on

issues such as barriers to deployment, how to calculate

potential savings, organisational readiness etc

Support Y&H organisations to deploy digital technologies

Share good practice and learning across Y&H

Promote the success of Y&H organisations

Other Telemedicine Projects in

Y&H Regional Telemedicine Stroke project deployed

equipment in all Trusts in Y&tH (Airedale and Martin

Dawes are delivery partners in this)

Y&H Burns Network is working on a pilot to see if the

same approach and infrastructure can benefit burns

patients

Thank you for listening