Portsmouth Telecare Initiative Health Improvement and Development Service Portsmouth City Council.
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Post on 12-Jan-2016
Portsmouth Telecare InitiativeHealth Improvement and Development Service Portsmouth City CouncilWhat 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 livingUsing a combination of sensors and information and communication technologies, telecare supports the delivery of health and social care services to people in their own homesHow Does It Work?Sensors worn by user or placed in the environment around the userWireless sensors placed around homeLink 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, smokeHow does it Work?Client activated calls for assistanceAutomatically activated calls for assistance. Passive system, doesnt need the user to initiate the alarm callAutomatically reported activity level monitoring. Preventative as well as reactive BenefitsIncreases choice and independence for users Reduces strain on carersContributes to care and support for people with Long Term ConditionsReduces accidents and falls in the homeReduces acute hospital admissionsReduces the need for residential careSupports hospital discharge & community rehabEnables those who wish to die at home to do so with dignityUnlock resources, re-direct elsewhere in the system Telecare will contribute to a number of important agendas:National Service Framework For Older people, DoH, 2001The White Paper Our health, our care, our say DoH, 2006A Recipe for Care Prof Ian Philp, National Director for Older People, 2007Putting 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. 2008VisionAn integrated service across health, housing and social services that supports people to stay in the community longer or return more quickly after hospital stays.FundingThe 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. Portsmouths allocated grant was 283,783ApproachStarted 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 fallingMedication Pilot Medication Carousel to prompt / remind early dementia patients to take medicationPortsmouths Smart HouseSmartHouse - working with Community Housing to convert suitable, accessible propertyDisplay of safety and security equipment, telecare, teleheath and environmental control systemsLive link to control centreDemonstration/assessment centre for users, carersTraining facility for staffDispel myths about technologyMarket the service to the publicEntry(Re) assessment of needCare package developmentHome surveyTelecare prescription&response protocolEquipment provisionInstallation and maintenanceMonitoringCall handlingResponseReview Telecare service integrationSource: Barlow & Curry 2006Social servicesPrimary careHousing servicesEquipment suppliersTelecare service providersAcute careSocial Housing landlordsFall detectorBed exit monitorChair exit monitorMedication reminder/dispenserWandering person alertNight time incontinence alertEpilepsy alertLow temperature Activity/InactivityIntruder alarmBogus callerNatural gas Carbon monoxideFlood detectorSmoke Extreme heatAfter assessment, the most appropriate sensors are provided for each situation. There are many sensors available, e.g.ResponseCall Centre currently in Southampton. Staffed 24 / 7Record call and contact most appropriate response serviceNew First Line Response Service developed in PortsmouthEntry(Re) assessment of needCare package developmentHome surveyTelecare prescription&response protocolEquipment provisionInstallation and maintenanceMonitoringCall handlingResponseReview Telecare service integrationSource: Barlow & Curry 2006Social servicesPrimary careHousing servicesEquipment suppliersTelecare service providersAcute careSocial Housing landlordsReview ProcessQuestionnaire / interviews conducted with 36 subjectsAll have had telecare items for 6 months +Review QuestionsQuestions aimed to identify the following:Fitness for PurposePortabilityComfortTimelinessUtilityResponsivenessTrustworthinessReliabilitySafetyMaintainabilityAcceptabilityUsabilityLearnabilityCompatibilityReview AimsDoes the provision of telecare need to be re-evaluated?Evaluation Tool-Kit for Social ServicesSystematic method for continuing evaluationJustification of telecarePeople not GadgetsThe 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 users 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 clockResults in increased confidence in managing condition at homeCan enable timely medical intervention to avoid a crisis arisingReduced emergency admissions to hospital
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