Telecare Awareness

Today’s Session

• What is Telecare• Why we need to consider Telecare• How can Telecare be used in Care settings• Linking Telecare with Reablement service• Case Study• Telecare products

What is Telecare?

• Telecare” sometimes referred to as “Assistive Technology” is a service providing support to people in their own homes, using information and commuication technology.

• It can be as simple as a telephone call to check if the person is alright or using sensors around the home that react automatically if something goes wrong.

Why consider Telecare

• Sustained Increases in longevity

• Better survival in the face of illness, disability or injury

• The establishment of rights and responsibilities in relation to social care

• Increased expectations for choice and quality of services

• Throughout England, 4.85 million unpaid carers

The growing need for care

2008 England2008

England2025

Difference2008-2025

All 51,487,500 58,310,700 6,823,200

Aged 65+ 8,279,800 11,587,600 3,307,800

Aged 85+ 1,125,600 1,912,900 787,300

Percentage of whole population aged 65+

16.1 19.9 +40.0%

Percentage of whole population aged 85+

2.2 3.3 +70.0%

Table 1 Population projections for England 2008-2025

Source: 2004-based national population projections, Government Actuary’s Department, Crown Copyright

The growing need for care

Figures may not sum due to roundingCrown copyright 2010

Notes

Figures are taken from Office for National Statistics (ONS) subnational population projections by sex and

quinary age.

Percentage of total population for Hertfordshire Total population, population aged 65 and over and population aged 85 and over as a

number and as a percentage of the total population, projected to 2030

 Hertfordshire 2010 2015 2020 2025 2030

Total population 1,100,800 1,146,000 1,193,700 1,240,400 1,282,600

Population aged 65and over

170,800 191,800 207,800 229,500 258,400

Population aged 85and over

25,000 29,700 35,500 42,300 50,000

Population aged 65and over as aproportion of the totalPopulation

15.52% 16.74% 17.41% 18.50% 20.15%

Population aged 85and over as aproportion of the totalPopulation

2.27% 2.59% 2.97% 3.41% 3.90%

The current system of care and support: unsustainable?

• There are two main reasons why the current system of care and support, without significant change and new approaches to the delivery of care, is unsustainable in the future:

• its rising cost and the lack of sufficient human resources to deliver care in the same way as today.

Technology can help

• Reduce risks in the home or at the care settings.

• Respond rapidly and appropriately when needed.

• Assist in the management of specific conditions

• Enable more people to be discharged in a timely and safe way from hospital care

• Cut some unnecessary costs from the health and social care system

Putting People First

Telecare is central to implementing the government's Putting People First programme of personalising care and intervening earlier.

Falls – the problem

Every day in England …..–8,000 elderly and frail people fall over,

70% at night

–6,000 are bruised and shaken but carry on

–1,800 are hurt and go to A&E

–200 break a hip and 40 die within a year

–8 die immediately from their injuries/trauma

This happens every single day of the year!

Basic “Social Alarm” SolutionPart 1

A Personal Radio

Trigger

Part 2

Simple Social Alarm

Part 4The

Response NetworkThe Response

Centre

Part 3

Care Assist - Portable, efficient and personal

5 button keypad

2.4” display

Optional antenna

Ergonomic design

Micro USB charging port

Pager output port

A perfect solution for onsite care

• Specifically designed for use in specialist care facilities including– Dementia Care– Intermediate Care– Learning Disability– Residential and

Nursing care homes– Respite care

The Use of Telecare in Care SettingsThe use of Telecare, combined with

appropriate support packages, can help

to improve quality of care by reducing

risk and ensuring staff are alerted to any

potential problems quickly.

Telecare in Residential/Nursing Care Settings

Key benefits to residents:

• Reduce the number of residents falling• Reduce the number of residents being

admitted to hospital• Improve residents’ quality of life• Improve dignity and privacy of residents

by negating the need for monitoring visits• Provide peace of mind to relatives

Telecare in Residential/Nursing Care Settings

Key benefits to staff/management:

• Telecare provides additional assistance to staff, helping them feel supported in their role

• Increase staff efficiency and free up their time to engage more meaningfully with residents

• It can enable care home to accept residents with higher care needs.

• Can open minds to other business opportunities to support residents either in the home or returning them to the community via Reablement and use of Telecare.

Case Study - St Cecilia

North Yorkshire County Council and St Cecilia’s a residential home provider for dementia, have trialled the innovative use of Telecare to support people with dementia in a residential setting.

The Telecare equipment, provided by Tunstall Healthcare, was trialled from June 09 to August 10 at St Cecilia’s residential home in Scarborough and was found to have an extremely positive effect on residents’ health.

Case Study - St Cecilia

Evaluation In this setting the project has shown that Telecare can improve quality of life for residents and staff, maximising independence’ in a residential home for people with dementia.

Key outcomes were:-

• Residents’ supported effectively without limiting their choice, where safe to do so.

• More efficient use of staff time to deliver quality time with residents.• Telecare has been embraced as a standard component of supporting

the residents’ best interests when caring in this environment.• It was an unexpected outcome that residents’ skin integrity would

improve but was a result of reduced contact with urine due to enuresis sensors.

Wireless Nurse Call System – coming out soon

• Hardwired input & Reassurance LED

• Surface or flush mount option• Emergency or Call select

setting on Pear push and PC• Cancel at Source

New Development - Wireless Nursecall SystemWhat is Nursecall?

Tunstall Nursecall is a cost effective, wirelessNursecall communications system which enablesTelecare sensors to be used in residential andnursing homes. The use of Telecare sensors,combined with communications technology and tailored support, helps to manage risks and ensurestaff are quickly alerted to potential problems.

Nursecall System

How does it work?

• Nursecall is easily installed into residents’ rooms and communal

• Individual Telecare sensors, including personal pendants, will also raise an alert on the system.

• When an alert is generated, the CareAssist portable Telecare alarm contacts the appropriate care staff via their simple to use pager receivers.

• The care staff will receive a clear text page providing the source and type of alarm call.

• Care staff can then visit the location of the alarm and clear it using the cancel button on the call point.

• This in turn will automatically send a message to all pagers to advise that the call has been dealt with.

Telecare and the Re-ablement

A role beyond Telecare…

• Telecare fits with the re-ablement approach: Outcomes- focused Individual assessment Promoting independence Monitoring progress

• Supports a person to live independently at home • Supports the assessment period: establishing need • Provides the reassurance for family members • Better outcomes for the service user

Medication Dispenser

Provides an effective solution to support medication compliance and self management

Automatically dispensing medication and providing audible and visual alerts to the user each time medication should be taken.

If the user fails to access their medication, an alert is raised to the response centre and or the designated Carer  

• Large dispenser• Used instead of reminder message • To promote compliance and assists self

management

Business Case for Telecare

• Empowerment of service users• Quicker diagnosis and referral for care and

treatment• Better use of Staff time• Prevention, and reduction of hospital

admissions• The glue to a coordinated approach to

support people at home or in a care environment.

Thank you - Any questions?

Vikram Bhakar – Health & Social Care Consultant

Email: Vikram.Bhakar@tunstall.co.ukTelephone: 07713 392655