Part A Equipment 180,000 Difference between Implied and Book Value 180,000
The King’s Fund/University Medical Centre Utrecht ... MacKenzie.pdfProgress Across Scotland (Mar...
Transcript of The King’s Fund/University Medical Centre Utrecht ... MacKenzie.pdfProgress Across Scotland (Mar...
The King’s Fund/University Medical Centre UtrechtInternational Congress on Telehealth & Telecare
KEEPING IT SIMPLE IN SCOTLAND
Moira MackenzieJoint Improvement Team, Scottish Government
Impending Doom? Or Opportunity?
Durer: The Four Horesment of the Apocalypse
A vision of the future?
Kirsty McGregpr of Community Care http://www.communitycare.co.uk/static-pages/articles/into-the-virtual-future/ Dec 2010
Telecare & Telehealth in Scotland: Background> Launch of both activities in 2006> Different approaches adopted e.g. funding, facilitation
& support, evaluation> Small to medium projects but generally unconnected
local/national developments> Confusion around terminology and accountabilities> Huge enthusiasm and ministerial support> Good progress made to date
Progress to Date: Telecare£20m development programme and facilitation providedby SGAims:to help more people in Scotland live at home for longer, with safety and security, by promoting the use of telecare.
provide the foundation on which telecare can become an integral part of community care services across Scotland
Initial Objectives Increase number of telecare service users to 75,000 by
2010, including 9,000 with a diagnosis of dementia Reduce avoidable admissions to care homes, and of
unplanned admissions and readmissions to hospital Reduce the need for more expensive forms of
intervention Reduce the pressure on carers Improve quality of life for service users
Measuring Progress Initial expectations set out in business case (2006-8) Telecare Strategy (2008-10) Subject to considerable monitoring & review since outset
Gateway Review 2007York Health Economics Consortium Evaluation 2008Quarterly Returns from PartnershipsAnnual Progress Reports – Newhaven Research
Contributions to other research e.g. Leeds University 2009, feedback from other evaluations
Telecare Action Plan to 2012
Progress Across Scotland (Mar ‘10) Approx 180,000 people with
telecare services in Scotland All 32 local partnerships making
progress 29,117 people have received a
telecare service as a result of TDP, over 2,000 with dementia diagnosis
Approx £10m of TDP funding had been spent out of total £14m allocated (75%) at end March
Indicative gross benefits estimated £48m
Continuing positive feedback from Carers/Service Users
Source: Newhaven Research (2010)
Outcomes Partnership Expectations
Partnership Achievements
Reduction in delayed discharges from hospital 967 611Reduction in the number of unplanned hospital admissions 1,088 2,793Reduction in the number of care home admissions 2,036 1,190Number of persons able to maintain themselves at home throughreceipt of a telecare service (2009/10 quarterly average) 10,085
Efficiencies Partnership Expectations
Partnership Achievements
Number of hospital bed days saved due to reduction in number of delayed discharges 10,674 7,013Number of hospital bed days saved due to reduction in number of unplanned hospital admissions. 10,922 23,747
Reduction in number of care home bed days purchased 43,313 205,308
Number of nights sleepover care saved 16,902 12,895
Number of home check visits saved 85,778 50,472
Progress Monitoring Results 2009/10
Innovation & Integration Demonstrators Monitoring ‘Health at Home’(A&B, Lanarkshire, Lothian) Preventing & Managing Falls(Falkirk, P&K, South Ayrshire) Development of local training
& Awareness Raising Programmes
(Fife, Edinburgh, Falkirk/FV) Housing & Care Models(Highland, Inverclyde, West Lothian) Promotion of telecare across
different user groups
Progress: TelehealthHealth Boards prompted to fund telehealth via annual allocations. A Scottish Centre for Telehealth was established as Advisory Body within NHS Scotland
Aims- Facilitate the introduction of national telehealth services- Assist health boards with telehealth pilot projects
Progress across Scotland (Apr 2010)Telehealth> Significant Stroke Management &
Paediatrics Programmes> Support provided to Health
Boards in their Telehealth projects
> Awareness Raising> Review of SCT progress
undertaken and move into NHS24 now complete
> Telehealth Champions Network Launched in 2010
> Strategic Framework for Telehealth published to 2012
Criteria used for identification of services for national roll-out
> Economics (cost effectiveness)> Practicability> Conformity with government
objectives> Severity of disease> Service profile> Net cost to NHS Scotland
Telehealth Priorities to 2012 4 National Programmes:
stroke, paediatrics, mental health & COPD/Pulmonary Rehab
Underpinning Activities:Technology standards, Education & training, Stakeholder engagement, Convergence with telecare
Challenges Need for more co-ordinated strategy, leadership and
investment at both local & national level, which actively addresses our wider service pressures & priorities
In some areas there is still a project mentality instead of seeing a significant service redesign opportunity
Equipment and data integration yet to be resolved Initially slow but gathering momentum – huge enthusiasm
from carers and practitioners working with the technology Telehealth & Telecare at different stages, and need for
integrated community based services & care pathways
Joining it all together Phase 1 (2006-9): Raise
awareness/develop local & national expertise
Phase 2 (2010-12): Joint strategic drive, strengthen underpinning infrastructure & expand/integrate national programmes (90% roll-out/10% innovation) = Robust Platform
Phase 3 (2013-15): Health & Social Care integration. Increase scale of development to inform national expansion. Increase innovation/data integration & analysis.
Expansion
Innovation
An incremental approach to change
Implementing joint governance and reporting framework, linking to wider agenda
Merging Telecare & Telehealth under NHS 24 from April 2011
Integrated Education and Training approachDeveloping detailed proposals for 2013
onwards which inform integrated health and care models
Ongoing capture and review of experience
and finally … The Evidence Challenge
Good evidence for good outcomes Good evidence for efficiencies and savings
BUTMultiple claims for the same savingsReal or notional savings?Gross or net savings/costs?
Conclusion – Must be ‘whole system’ Must be “greater than the sum of the parts”
And it has to be done to generate any evidence!
The Wright Brothers 1903