www.portsmouth.gov.uk telecare assessor training
TRANSCRIPT
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Telecare Assessor Training
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What is Telecare?
• Telecare is the remote or enhanced delivery of health and social care to people in their own homes, using a combination of alarms, sensors and other equipment to help people live independently.
• Telecare can raise a call for help in emergency situations, such as a fall, a fire or a flood, as well as monitoring lifestyle changes over time.
• Telecare is not intended to replace human contact
but is designed to support safety, independence and well-being of users, and to support carers.
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Major benefits over traditional alarm services
• Passive system, doesn’t need the user to initiate the alarm call
• Environmental as well as person-centred• Preventative as well as reactive
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Assistive technology = A generic term for any device or equipment which enables someone to undertake an activity of daily living with greater safety and/or independence.The definition now extended from equipment such as bath seats, wheelchairs and stair lifts, to include newer stand-alone and Telecare home safety and security, lifestyle reassurance and remote vital signs equipment.
Assistive technology
Stand-alone Telecare
What is the difference?
Stand aloneused directly by the person or carer (not linked to alarm monitoring centre)
Stand alone examples• Recorded message memo minders• Plug that releases the water in a bath before it overflows if tap left running
Telecare automatically sends a signal to an alarm monitoring centre to call for assistance
Telecare examples• Fall detector raises alert even if user unconscious• Door exit monitors that raise alert if person leaves building at inappropriate time
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Telecare System
A
L
A
R
M
Wireless sensors
Response Team
Monitoring Centre
Home Hub
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Emergency Response Teams
Falls pick-upservice
24 Hour --Nurse
Relatives& friends
Duty Social Worker
TelecareControl Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Mobile Warden
24 hr. Home Care
Rapid ResponseUnit
Air ambulance
An appropriate response
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Telecare Characteristics
• Not appropriate for every person• Not a ‘one-size fits all’ solution• Person-centred & needs-based, not equipment-led• Promotes independence and safety• Supported by a robust response infrastructure• Integrates into existing practice, process and service
provision• Supports health and social care provision• Considers ethical issues
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Entry
(Re) assessment of need
Care package development
Home survey
Telecare prescription&response protocol
Equipment provisionInstallation and
maintenance
Monitoring
Call handling
Response
Review
Telecare service integration
Source: Barlow & Curry 2006
Social services
Primary care
Housing services
Equipment suppliers
Telecare service providers
Acute care
Social Housing landlords
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Why use Telecare?
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‘Telecare offers the promise of enabling thousands of older people to live independently, in control and with dignity for longer.’
Building Telecare in England DoH July 05
‘Telecare is as much about the philosophy of dignity and independence as it is about equipment and services.’
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Policy Drivers - DH documents
• Building telecare in England• Our health, our care, our say• Putting people first• Delivering care closer to home• Carers’ Strategy• NHS Next stage Review- Primary & Community
care (Darzi report)• Supporting people with long-term conditions• Valuing people now• National Dementia Strategy
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How can Telecare be used?
Environment
Pop-up plugFlood detectorSmoke detectorGas / CO detectorExtreme temperature detector
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Security
Barking dog recording PIR-activated external lightingIntruder alertBogus caller panic buttonDoor / window contactsVideo door entry system
Safety
Fall detectorBed / chair occupancy sensorPull cordWater temperature alertSounder beacon / vibrating alarmMemo minderDoor exit monitor – wander alertGPS tracker / locator
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Social
Telecare 24/7 monitoring may reduce need for pop-in visits Need to be aware of need for contact with real peopleConsider volunteers to visit at home or integrate into community activities Enable meaningful social interaction Interactive systems, via set- top box, to provide info on local services, health advice, etc.
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QuietCare Lifestyle MonitoringPassive infra red motion sensors, in various rooms of house, send info every few hours to centre, noteworthy changes flagged-up, appropriate action can be taken before crisis develops. Useful for assessment purposes
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Health
Medication dispenserEpilepsy sensorEnuresis (night-time incontinence) sensorReminders and coaching by mobile phone (condition management)Remote vital signs monitoring(see next slide)
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Telehealth peripherals
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Telehealth Benefits For users and carers:
• the right care, in the right place, at the right time• regular, consistent monitoring of vital signs• avoids crises arising• timely, proportionate interventions • assisted self-management / patient education in keeping
well• care closer to home• fewer surgery and clinic visits• fewer hospital admissions• better outcomes
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Telehealth Benefits (cont’d)For health services:
• Consistent with PCT strategic planning goals, (care closer to the patient, more efficient, pro-active case management of long-term conditions, personalised care, improving health education, improved patient experience, increased numbers of people able to die at home)
• better use of GP and other health practitioner time• better prioritisation for intervention - urgent patients can be seen
faster• reduced ambulance call-outs• reduced trips to A&E• reduced admissions to hospital• earlier discharge from hospital• high quality & value for money
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Development of in-house response service
• Since 2009, Portsmouth Rehabilitation and Re-enablement Team (PRRT) have provided a night time (9pm to 6am) response service to support Telecare users’ own responders.
• They are trained in risk assessment, first aid, moving & handling, use of Mangar Elk (lifting cushion)
• They feedback to NHS & social care, to close information loop on fallers
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Impact on Local Services
• Reducing demand on ambulance services• Preventing unnecessary admissions to hospital
and residential care• Supporting earlier discharges from hospital,
community rehab• Enabling independence, dignity and choice• Improving preventative services• Supporting carers• Stronger links between health & social care
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Cost of Telecare
• Charges can be taken into account in financial assessment for care package, as disability-related expense
• No cost is made to the customer for stand-alone equipment if identified need during community care assessment. This is currently recharged to Adult Social Care.
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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• Technology package and response must be
tailor-made to individual• Service must be reviewed and adjusted as
necessary
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Referrals for telecare
• Individual can self-refer• Carer can refer• Professional can refer using the on line professional
referral form on the web site
• You can phone on 0800 731 2228 or email: [email protected] for more information.
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Useful references
• www.dhnetworks.org.uk/telecare• www.wsdactionnetwork.org.uk• www.chubbcommunitycare.co.uk• www.tunstallgroup.com/home.aspx• www.telemedcare.co.uk• www.quietcare.co.uk• www.pivotell.co.uk• www.atdementia.org.uk• www.telecareaware.com