Delivering Tele-mental Health Services in Scotland

Dr Stella Anne ClarkClinical Lead for Mental Health Services

Tony McLaren, National Co-ordinator

NHS 24

“Success is a science; if you have the conditions you get the result”

Oscar Wilde

• Background • Present services• Where we aim to be in 2015

NHS 24 • Access to unscheduled care

• Improving Health

• Improving access to services

InternetTV

Telecare

SMSVideo

Mobile

Phone

the person

Webcam

TELECARE Mental Health National Learning

11th October 2012

Doreen Watson

Joint Improvement Team

Action Group - Telecare

Telecare Almost 44,000 people received Almost 44,000 people received a telecare service as a result of a telecare service as a result of TDP, over 4,000 people with TDP, over 4,000 people with dementia diagnosisdementia diagnosis

Evaluation identified that TDP:Evaluation identified that TDP: Supported 2500 hospital Supported 2500 hospital

dischargesdischarges Avoided 8700 unplanned Avoided 8700 unplanned

admissionsadmissions Avoided 3800 care home Avoided 3800 care home

admissionsadmissions Estimated 162,000 people Estimated 162,000 people

with telecare / community with telecare / community alarm service at March 2011alarm service at March 2011

Telecare Training – NHS Telecare Training – NHS LanarkshireLanarkshire

North Lanarkshire Dementia Demonstrator SiteNorth Lanarkshire Dementia Demonstrator Site One of 3 Demonstrator Sites funded by Scottish One of 3 Demonstrator Sites funded by Scottish

GovernmentGovernment Improving partnership working and testing Improving partnership working and testing

opportunities for single system workingopportunities for single system working Partnership working with NHS Lanarkshire, North and Partnership working with NHS Lanarkshire, North and

South Lanarkshire Councils, Tynetec, Supra UK and South Lanarkshire Councils, Tynetec, Supra UK and the Joint Improvement Teamthe Joint Improvement Team

Kitting out the OT Department with assistive Kitting out the OT Department with assistive technology and Telecare equipmenttechnology and Telecare equipment

Developing a one day training session with Dementia Developing a one day training session with Dementia Champions (equipment, pathways and response to Champions (equipment, pathways and response to Telecare)Telecare)

Planning on-going buzz sessions to raise awareness Planning on-going buzz sessions to raise awareness in clinical teamsin clinical teams

Support clinical decision making and discharge Support clinical decision making and discharge planningplanning

Telecare Training – NHS EducationTelecare Training – NHS Education

• Post Diagnostic Support in DementiaPost Diagnostic Support in Dementia• Pilot Programme designed and deliveredPilot Programme designed and delivered by by

Alzheimer Scotland in Feb/March 2012 on Alzheimer Scotland in Feb/March 2012 on behalf of NHS Education for Scotland and behalf of NHS Education for Scotland and SSSC.SSSC.

• The programme was designed on the basis of The programme was designed on the basis of recommendations from the Scottish Government recommendations from the Scottish Government funded ‘Facing Dementia Together Project’ in East funded ‘Facing Dementia Together Project’ in East Renfrewshire and Renfrewshire (2009-11), specifically Renfrewshire and Renfrewshire (2009-11), specifically the ‘5 pillar’ model of post diagnostic support – the ‘5 pillar’ model of post diagnostic support –

Understanding the illness and managing symptomsUnderstanding the illness and managing symptoms Supporting community connectionsSupporting community connections Peer supportPeer support Planning for future carePlanning for future care Planning for future decision-makingPlanning for future decision-making

Contact DetailsContact Details

Doreen WatsonDoreen WatsonJoint Improvement TeamJoint Improvement TeamAction Group - TelecareAction Group - Telecare

dkawatson@hotmail.co.uk

Unscheduled care

Breathing Space

Unscheduled care

• mental health calls(1-2%)

• Suicide thoughts• Anxiety /depression• Dementia?• LD?

Unscheduled Care

• Training for staff• Information for service users• Mental health staff

Breathing Space

• Free, anonymous, national

• Available 6pm-2am Mon – Thurs 6pm Fri until 6am Mon

• Funded by Scottish Gov & NHS 24

• Listen, advise, support and signpost

• Non-intervention but empowering

• Calls average 20 mins

• 7000 calls per month

Men’s 10k June 2009

Partnerships• BSL Deaf Service

• Formal Partnerships

-Scottish Huntington's

-Princess Royal Trust for Carers

-MacMillan Cancer Support

-Veterans 1st point

-Glasgow’s Helping Heroes

-Motherwell FC

-RNIB

Breathing Space Website

•Launched October 3rd 2005

•600,000 hits Oct 05 to April 2012

•Circa 9,000 a month

•Alternative first stop service

•Available 24/7

•BSL contact via website

Improving Access to services

• Telephone Guided Self help (tGSH)

• Telephone CBT (tCBT)

• Video conference clinics

Guided Self Help• Nationally funded

• Self referral accepted, GP notified

• Trained coaches

• Defined model

• External and internal supervision

• 2-4 sessions per individual

CBT service

• provided by telephone

• Prof Williams’ materials

• Currently available to -7 Health Boards

• GP and self referrals• External Evaluation in 2010

Improving access to services

• Video conference clinics

-Dementia-General Psychiatry -Neuropsychology-Addictions-Psychotherapy for Eating Disorders-Forensic psychiatry clinics in prison

NHS 24 Mental Health Program

Improving Access to Information

• Web based information

• Digital TV

On line and digital TV

• NHS Inform website

• Digital TV Virgin media-most common provider

• Alcohol brief Interventions on line and digital TV

Conditions for success

• Political Support• Vision of Clinical Leaders and academics• Opportunity• Telehealth Organisation established• Accessing EU funds• Expected benefits embedded into national

strategies and delivery plans

2015?

“Success is a science; if you have the conditions you get the result”

Oscar Wilde