Professor George Crooks OBE Digital Health Assembly 2015

Delivering Services that are

Fit for the Future,

from Strategy to Delivery

The Scottish Experience

Prof George Crooks OBE

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Population: 5.3 million

Health devolved to Scottish Parliament

NHS Funding: £12 billion

Public Service funded through taxation

All Boards funded directly from Scottish

Government

From urban/post industrial cities to very

remote and rural and islands

Principles of mutuality, partnership,

performance

NHS Scotland

Clydebank

East Kilbride

Kilmarnock

Dumfries

Aberdeen

Melrose

Glenrothes

Regional Centres

Local & Remote

Centres

Dundee

Cardonald

South Queensferry

Inverness

Falkirk

Shetland

Orkney

Western Isles

Highland

Grampian

Tayside

Dumfries & Galloway

Ayrshire & Arran

Borders

Lanarkshire

Lothian

Forth Valley

Greater Glasgow & Clyde

Fife

Scotland

4

NHSScotland:

Is an integrated healthcare

system: 14 Territorial Health Boards

(“hands-on” healthcare providers)

In 2015 formal integration of health and

social care

NHS 24 is:

A statutory national NHS Health Board

Provider of national Telehealth and

Telecare services to the population of

Scotland

The Scottish Centre for Telehealth and

Telecare

In The Beginning

Evolution!!

Internet

TV

Telecare

Face

2

Face SMS

Video

Mobile

Phone

Helsekonferansen 2010

Ageing society

Chronic conditions

Lack of health professionals

Financial unsustainability

Health inequalities

HLY vs LE

Number of Carers ↓

Number requiring care

OUR VISION IS THAT BY 2020:

Everyone is able to live longer healthier lives at home, or in

a homely setting. We will have a healthcare system where

we have integrated health and social care, a focus on

prevention, anticipation and supported self management.

When hospital treatment is required, and cannot be provided

in a community setting, day case treatment will be the norm.

Whatever the setting, care will be provided to the highest

standards of quality and safety, with the person at the centre

of all decisions. There will be a focus on ensuring that

people get back into their home or community environment

as soon as appropriate, with minimal risk of re-admission

INTEGRATION

THE RESHAPING CARE PROGRAMME

10 Year National Programme 2011-2021

£ 300 million Change Fund 2011 – 2015

32 Partnership Change Plans agreed by:

NHS: primary, acute and mental health services

Local Authority: social care and housing

Third sector

Independent sector

Reshaping Care and Integration Improvement

Network to support partnerships to transform care

National Delivery Plan for

Telehealth and Telecare

4 OBJECTIVES

Telehealth and telecare will enable choice and control in health,

care and wellbeing services for an additional 300,000 people

People who use our health and care services, and the staff

working within them, will increasingly demand Telehealth and

Telecare as positive options

An Innovation Centre where academics, care professionals,

service providers and industry innovate to meet future challenges

and provide benefits for Scotland’s health, wellbeing and wealth.

Scotland develops an international reputation for research,

development, prototyping and delivering innovative Telehealth

and Telecare at scale.

… dashboard …

Using Risk Prediction Tools to help target interventions

Keep

It

Simple

Themes from community

engagement

•Giving back

•Caring for others

•Recognising resilience

•Sharing skills and experience with others

•Connecting people and communities

•Technology

SERVICE

REDESIGN

ICT

Education and Training

An Innovation Centre

for

Digital Health and Care

Innovation Centre for

Digital Health

• Funding

• University Led

• Industry Supported

• Delivery Organisations founding PARTNERS

DHI will co-create sustainable economic growth through new products, services and systems

developed together with businesses, academics, healthcare specialists and citizens

DHI will generate high value health and

social care solutions to the benefit of the

people of Scotland and beyond


Project intake

Apply for membership Describe your

opportunity Develop and

evaluate the idea with us

Satisfy the criteria and

be prioritised Enter

Exploratory Laboratory or Factory

Collaborate, Iterate & Innovate

From Supportive Self Management

To

Co Production

“Co production means delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours.

Where activities are co produced in this way, both services and neighbourhoods become far more effective agents of change”.

http://www.coproductionscotland.org.uk/



Living it Up

will co-design sustainable and innovative improvements and

choices in health, care and wellbeing for 55,000 by 2015.

Living it Up Scope

Budget - £10.3m

Timeframe – June ‘12 – May ‘15

Users – 55,000

Locations – 5 regions (Lothian, Forth Valley,

Moray, Western Isles & Highlands)

Health, Care & Wellbeing – person focussed

• Increasing;

1. Choice

2. Control

3. Connectedness

4. Collaborations

5. Contributions

6. Communities

wider world

locality

home

wider world

locality

home

Service Model

Local community

LiU Services

LiU Portal – The Hub

Sign up - Profile – Makes it personal

Shine – What are you good at?

Flourish

The Flourish service will support the Health and social care element of Living it Up, some ideas so far; • Telehealth/Telecare • Digital postcards • What keeps you well tool • Calendar reminders • Doctors appointments • Experienced guides • Games Some services prototyped in Flourish - Autumn 2013.

Discover – What’s available to you locally?

Connect – Who would you like to talk to?

Professor George Crooks OBE Digital Health Assembly 2015

Healthcare

Transcript of Professor George Crooks OBE Digital Health Assembly 2015