telecare in portsmouth- ‘moving into the mainstream’. 27 th march 2008 chain event- coventry 27...

Telecare in Portsmouth- ‘Moving into the

mainstream’.27th March 2008

CHAIN Event- Coventry

27th March 2008Health Improvement and Development Service

Directorate of Health, Housing and Social Care

2 Putting People FirstPortsmouth City Council

Entry

(Re) assessment of need

Care package development

Home survey

Telecare prescription&response protocol

Equipment provisionInstallation and

maintenance

Monitoring

Call handling

Response

Review

Telecare Integrated service model

Source: Barlow & Curry 2006

Social services

Primary care

Housing services

Equipment suppliers

Telecare service providers

Acute care

Social Housing landlords


Progress during PTG Yr1- 2

Telecare has been built on existing community alarm platform. Successful scheme with 1000+ customers

Initially Very small scale

Alarm/call monitoring centre is in Southampton

Partnership with University of Portsmouth to develop evaluation programme & initial pilot schemes: falls management and medication management in early dementia.

Starting gradual roll-out as mainstream service, to all user groups, managing wider range of risks. Most mainstream referrals are for people with dementia & their carers


Progress during PTG yr 2

Set up shop front telecare demonstration/ marketing /assessment facility in partnership with Age Concern Portsmouth’s Bradbury Centre in North EndOther demo areas fitted in day resources for Learning Disabilities and Physical Disabilities, Community Equipment ServiceFitting telecare in Intermediate Care / Step-down facility and 6 rehab flatsAwareness raising with staff, vol. orgs & community groupsUse of Telecare in other environments such as schools


Progress during PTG yr 2

Integrate with existing systems, eg SWIFT & care pathways

All new social care assessments screened for Telecare potential

Panel requiring evidence of Telecare assessment

Ensuring telecare is included in joint commissioning strategies and local service development plans.

Operational engagement with PCT in a number of areas e.g. telecare included with joint equipment review.

Telecare assessor training for front line staff Nov & Jan, Mar regular training programme – bi-monthly

Testing dementia tracking devices prior to pilot phase in 2008Using PCT led Vascular Prevention Programme (VPP): Risk & Lifestyle work stream for developing a telehealth pilot


Challenges

Competing initiatives within Health, Social Care and Housing

Range of stakeholders

Strategic engagement of PCT

Joint investment

Whole system change – not an isolated new service, needs to be integrated into health/care pathways – should be catalyst for change leading to whole system working

Leadership – need for committed leaders at a senior level, to champion Telecare and advocate for sustainable, mainstream service.

Absence of a 24X365 mobile response service remains single biggest gap


Stru

cture

Cu

stom

er

Fu

nd

ing

Ch

arg

e

Workforce development, technology procurement, marketing and Sales, no clear structure yet- PCC in house lead

Installation and Servicing existing PCC in house Community Alarm team, Homecheck

Monitor contracted to 3rd party (currently Southampton )

Response based on developing current Independent Living Service (+ role for LAH Concierge and ESO standby teams)

NHS Specialist medical responses

Community alarm(silver)

Community alarm(gold)

Sheltered housing

Social Care packages

New Existing

NHS & Social packages

NHS medical care

G Fund – Community Housing

HRA G Fund -Social Services

NHS

Charge to client Service charge

FAB Assessment

Free at point of delivery


Telecare in Portsmouth- in numbers

1000+ Community alarm customers1500+ Sheltered Housing clientsFalls Pilot = 13Medication Management pilot = 6 (still recruiting)Other stand-alone AT = 13Current mainstream telecare users = 47Frontline mulit-agency staff assessor trained as of March 2008= 77 Growth in mainstream referral numbers (last 4months): Dec 07 = 13, Jan 08 = 20, Feb 08 = 28, Mar 08 (up to 25th) = 21Sources of referrals: Social Work/Care Manager = 64.7%, OT/OTA = 13.5%, Physio = 2.7%, Community Alarms = 8%, Self/Family = 9.5%, Other agencies = 1.6%53% of existing social care packages could benefit from a Telecare intervention.£1800pa average potential saving on individual care packages

9

Key lessons learnt

The technology is only as good as the infrastructure that supports it

Telecare = 20% technology, 80% people

Telecare must be integrated into existing health and community care pathways

Response protocols must be as tailored to the individual as the technology package


For further details on Telecare implementation in Portsmouth, please contact:

Jonathan Smith- Deputy Head

Health Improvement & Development Service (HIDS)

Or

Rosanne Brown Telecare Co-ordinator

Health Improvement and Development Service (HIDS)

Directorate of Health, Housing & Social Care

Portsmouth City Council

Tel: 023 92 688394

E-mail: [email protected]

[email protected]

www.hids.org.uk

telecare in portsmouth- ‘moving into the mainstream’. 27 th march 2008 chain event- coventry 27...

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