ILC-UK, New Dynamics of Ageing and the Actuarial Profession debate: Improving care, tackling isolation and reducing costs? Can new technology live up to its promise?
Telecare and telemedicine can improve health outcomes and save money, argued the Prime Minister late last year. The Whole System Demonstrator (WSD) programme was set up by the Department of Health to attempt to, amongst other things, explore the evidence base as to the effectiveness and cost-effectiveness of these technologies.
The findings were striking. “If delivered properly, telehealth can substantially reduce mortality, reduce the need for admissions to hospital, lower the number of bed days spent in hospital and reduce the time spent in A&E” argued the DH.
The randomised control trial of over 6,000 patients found that if delivered properly, telehealth can deliver:
45% reduction in mortality rates
20% reduction in emergency admissions
15% reduction in A&E visits
14% reduction in elective admissions
14% reduction in bed days
8% reduction in tariff costs
Yet whilst claims about the potential of technology have been made for many years, embedding such technologies into people’s homes and lives has proved difficult.
The usability and accessibility of new technologies, the digital divide, a lack of funding for prevention, and a lack of trust and knowledge among healthcare professionals are among the many reasons why new technologies have sometimes failed to meet their potential.
At this event, Leela Damodaran, discussed how research into new technologies can help us age well and provide an overview of NDA research findings. She also highlight how we can most effectively deliver new technology.
Speakers presented the current evidence base in relation to the cost effectiveness of healthcare technologies.
ILC-UK presented findings of new work, supported by Nominet Trust, which will explore whether we can nudge people online.
As well as the debate, there were a number of Technology Showcases: Mappmal: hospitalfoodie; SomnIA; Design for Ageing Well; TACT3; Envision to envisage; Making the Kitchen Easier; NANA; Keeping Older People Connected; Safety on Stairs
Agenda from the event
15.00 – 16.30
Technology Showcases
16.30 – 16.35
Baroness Sally Greengross – Chief Executive, International Longevity Centre – UK
16.35 – 16.40
Alan Walker - Professor of Social Policy and Social Gerontology, Director of the New Dynamics
16.40 – 17.00
Mark Hawley – Professor of Health Service Research, University of Sheffield
17.00 – 17.10
Dr Nick Goodwin – Senior Fellow, Health Policy, The King’s Fund
17.10 – 17.25
Leela Damodaran – Professor of Participative Design and Change Management, Loughborough University
17.25 – 17.35
David Sinclair – Assistant Director, Research and Strategy, International Longevity Centre – UK
17.35 – 18.25
Discussion and Debate
18.25 – 18.30
Close - Baroness Sally Greengross – Chief Executive, International Longevity Centre – UK
18:30
Refreshments/Networki
Ähnlich wie ILC-UK, New Dynamics of Ageing and the Actuarial Profession debate: Improving care, tackling isolation and reducing costs? Can new technology live up to its promise?
Ähnlich wie ILC-UK, New Dynamics of Ageing and the Actuarial Profession debate: Improving care, tackling isolation and reducing costs? Can new technology live up to its promise? (20)
ILC-UK, New Dynamics of Ageing and the Actuarial Profession debate: Improving care, tackling isolation and reducing costs? Can new technology live up to its promise?
1. Improving care, tackling isolation
and reducing costs? Can new
technology live up to its promise?
16 May 2012
This event is kindly supported by the New Dynamics of Ageing
#tech4care
2. Welcome
Baroness Sally Greengross
Chief Executive
ILC-UK
This event is kindly supported by the New Dynamics of Ageing
#tech4care
3. The New Dynamics of Ageing
Research Programme
Alan Walker
Director
The New Dynamics of Ageing Research Programme
This event is kindly supported by the New Dynamics of Ageing
#tech4care
4. THE NEW DYNAMICS OF AGEING RESEARCH
PROGRAMME
2005-13
ALAN WALKER
DIRECTOR OF THE NDA PROGRAMME
5. THE NEW DYNAMICS OF AGEING RESEARCH
PROGRAMME
The NDA is a multidisciplinary research
collaboration to both investigate the new dynamics
of ageing and the various influences shaping them;
and to show how their consequences can be
managed to achieve the maximum benefits for older
people and society
ESRC, EPSRC, BBSRC, MRC, AHRC
Budget = £22 million
2005 – 2013
35 projects, 136 senior researchers, 29 post docs,
22 PhDs, 128 others
6. THE NEW DYNAMICS OF AGEING RESEARCH
PROGRAMME
PROGRAMME OBJECTIVES
Generate new knowledge: life course influences,
changes and increasing diversity in meaning and
experience of ageing
To encourage and support the development of new
multi- and interdisciplinary perspectives on ageing
To encourage comparative research and provide new
opportunities for UK science to link with other countries
To support a new generation of multidisciplinary
researchers
To provide a sound evidence base for policy, practice
and product development so that research contributes
to well-being and quality of life
7. THE NEW DYNAMICS OF AGEING
RESEARCH PROGRAMME
www.newdynamics.group.shef.ac.uk
8. Is technology for older people cost
effective? Do we know and does it
matter?
Mark Hawley
Professor of Health Services Research
University of Sheffield
This event is kindly supported by the New Dynamics of Ageing
#tech4care
19. „support ratio' = working age population divided by
pensionable age population
• 2002 – 3.35
• 2011 - 3.10
• 2021 - 3.09
• 2031 - 2.53
• 2050s - < 2.2 in the 2050s
20. Long-term conditions
Heart Failure
• Over 15 million people in Chronic
England have a Long-Term Obstructive
Condition (LTC) Pulmonary
Disease
• The treatment and care of Diabetes
those with LTCs accounts
for around 70% of total Stroke
health and social care spend Chronic Pain
etc.....
Department of Health: Raising the Profile of Long Term Conditions Care
A Compendium of Information
26. What impact does telehealth have
on long-term conditions
management?
Dr Nick Goodwin
Senior Fellow, Health Policy
The King‟s Fund
This event is kindly supported by the New Dynamics of Ageing
#tech4care
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46. The role of ICTs in ageing well
Leela Damodaran
Professor of Participative Design and
Change Management
Loughborough University
This event is kindly supported by the New Dynamics of Ageing
#tech4care
47. ILC-UK, NDA and the Actuarial Profession debate “Improving care, tackling
isolation and reducing costs? Can new technology live up to its promise?”
Staple Inn Hall, High Holborn, London. 16th May 2012.
The role of ICTs in ageing
well
Can new technology live up to its promise?
Leela Damodaran and Wendy Olphert
Department of Information Science, Loughborough University
48. NDA Project gestation
2005 NDA First Call for proposals: (only 2 projects were funded in the first
round of NDA ).
Nov 2007 Submission of outline bids for Collaborative Research Projects (CRP)
Dec 2007 Invitation to submit a full proposals for CRP
Mar 2008 Submission of full proposals for a CRP
Oct 2008 Funding awarded for CRPs
Jan 2009 CRP project work began!
Feb/Mar 2012 Pulling it all together.....
Apr/June 2012 Dissemination and Exploitation
Apr 1st 2012 - Impact
Mar 31st 2013
48
49. Contents
• Defining features of the NDA programme
• Overview of NDA technology projects
- Components in common
- Outputs/outcomes of investments in technology
projects
- Policy implications
• Forward strategies to promote implementation of NDA
outcomes and recommendations.
.
49
50. Defining Features of the NDA
• Recognition that complex multi-faceted issues of ageing
demand a multi disciplinary approach.
• Innovation of the preparatory network grant - (adopted in the
form of a catalyst grant on LLWB programme).
• Central role of older people as research participants.
• Research user engagement from early stages in the research
process.
• Policy formulation as an integral component
of the project work.
50
51. NDA Technology Projects
1. Mappmal, hospitalfoodie: Multidisciplinary Approaches to a Prototype for Prevention of Malnutrition in
Older People: Products, Places, People and Procedures.
2. SomnIA: Optimising Quality of Sleep Among Older People
3. Design for Ageing Well: Improving the Quality of Life for the Ageing Population Using a Technology
Enabled Garment System
4. TACT3 – Tackling Ageing Continence through Theory, Tools and Technology
5. Envision – envision to envision: Innovation in Envisioning Dynamic Biomechanical Data to Inform
Healthcare and Design Practice
6. Making the Kitchen Easier: Transitions in Kitchen Living
7. NANA: Novel Assessment of Nutrition and Ageing
8. Sus-IT: Sustaining IT Use by Older People to Promote Autonomy and Independence
9. Safety on Stair: Biomechanical and Sensory Constraints of Step and Stair Negotiation in Old Age
51
52. Components in Common
• End user engagement
• Collaborative exploration of issues and
potential solutions
• Co-design of prototypes and demonstrators
• Early engagement of users of research
• Motivating/facilitating adoption of solutions
through demonstrators and prototypes
• Sharing emerging findings with policy-makers
52
53. Outputs/Outcomes of Investments
• Prototypes e.g.
– Hospitalfoodie – a food and nutrition management system
– Musical pillow and background lighting unit to promote quality of sleep
– Wearable technologies in activewear to encourage healthy exercise and social engagement
• Demonstrators e.g.
– Adaptivity framework – identifying appropriate accessibility options for computer users
– Software tool to support envisioning of biomechanical/movement data
• Training aids e.g.
– An on-line resource where the voices, experiences and actions of older people enhance existing
guidance on kitchen design across the life course
– Tailor made exercise training – to enhance the competence and confidence of older people to
mitigate both the reality and fear of falls.
• Design tools and toolkits e.g.
– Measurement toolkit for capture of data on nutrition, cognition, physical and mental health.
– Inclusive design guide to publicly accessible toilets
– Design concept catalogue
• Engaged research users (including older people, service providers, designers, developers etc.)
• Policy recommendations
53
54. Benefits from the Investment
• Individuals:
– More autonomy/independence
– Better health, safety and wellbeing
– Improved quality of life
• Providers and developers of services and
equipment:
– Better match to needs of older people
£7 million – Greater uptake of technology
research – Fewer „failures‟
investment • Society:
– Improved social inclusion
– Economic benefits
– Sustainability
54
55. Policy Implications
• Application of technology needs to meet the expressed
needs of older people.
• Ensuring older people stay engaged in design and
planning.
• Encouraging attention to research findings and their
implications.
• Eliciting solutions from business, government and third
sector.
• Changing hearts and minds of many
stakeholders.
• Promoting investment.
55
56. So, can new technology live up to
its promise?
Yes............
the NDA research evidence
shows
that it has the potential to do so
but......
only as part of an integrated
sociotechnical strategy
56
57. Forward Strategies to Exploit NDA
Research
• Promote awareness of
needs
• Whose responsibility?
57
58. Meeting Needs of Older People
Needs include:
• Informed decision making and control
• Affordability (actual or perceived)
• Social inclusion
• Addressing concerns about
- privacy
- security of data
- stigmatization (being seen to need support -
relates to appearance of devices)
• Adequate support in the community
• ICT skills/confidence and access
(Damodaran & Olphert 2010)
59. Whose Responsibility?
Individual Private sector?
citizens?
Government Agencies/Third
(central and sector?
local)?
59
60. How do we Move Forward
Todays debate:
• Develop a compelling vision of Ageing Well;
• A widely shared vision;
• Robust and well-found policies (to support and promote
implementation of the vision);
• Strategic alliances, partnerships and collaborations
• Leadership!
60
61. Strategic Alliances and
•
Partnerships
Policy makers
• BBC
• Business sector
• Third Sector
• Education and Healthcare
• Professional bodies
– all have an important part to play in achieving a
„joined-up‟ strategy for Ageing Well
61
63. We have the technology, the research know-how,
the expertise – and the precedent of bringing
together relevant parties to achieve societal
change e.g. the Digital Switchover support for
older people – lets get off the starting blocks
63
65. Thank You
for listening!
Acknowledgements
Funding from the ESRC‟s New Dynamics of Ageing Programme
(Grant Number RES-353-25-0008)
65
66. Can technology improve care?
David Sinclair
Assistant Director, Policy and Communications
ILC-UK
This event is kindly supported by the New Dynamics of Ageing
#tech4care
67. Can technology improve care?
David Sinclair, International Longevity Centre -
UK
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
68. The role for new technologies
134 years ago– first two way
phone call made
In 2000 – ½ world had never
owned a phone
By 2007 ½ the world had a
mobile phone
It took 75 years for telephones
to reach 50 million users
It took 4 years for the internet to
reach 50 million
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
69. Google knows! Location Based Services
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
70. My Society/Fixmystreet.com
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
71. Tripadvisor for Care Homes
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
72. Ocado for care
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
73. Technology to facilitate active ageing
Volunteering
Gradual Retirement
(slithers of time)
Opportunities for fun
Opportunities to
participate in society
http://www.flickr.com/photos/richardstubbs/593367
9919/sizes/m/in/photostream/
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
74. Web facilitating access to Information and
Advice
• More confident consumers of care with raising
expectations rather than patients
• More tests available online/instant response
(telehealth/care/monitoring)
• Greater access to information about conditions
(accuracy?)
• Expectations to become more focused on “fix
it”, prevent it, cure it?
• Growth in health tourism. What about care tourism?
(Travelodge/recuperation in Spain)
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
75. Challenge 1: Usability
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
76. Usability
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
77. Challenge 2: Motivating and inspiring the older
population
“But how much smaller do
we want a phone?”
Some/many do want new
technology but: “I don‟t
want to live in a smart-
home – I‟d rather be dead” http://www.flickr.com/photos/un_photo/5
832685007/sizes/z/in/photostream/
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
78. Challenge 3: Can’t continue to ignore the
ethical issues
Moral and ethical
debates – cant afford
to ignore them
Must help older people
choose technology
when it is right for
them (tagging/urine
tests)
Privacy
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
79. Challenge 4: Technology wont tackle the
fundamental problems
The first rule of any technology used in a business is
that automation applied to an efficient operation
will magnify the efficiency. The second is that
automation applied to an inefficient operation will
magnify the inefficiency.
Bill Gates
(Let‟s get the basics right first!)
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
80. Challenge 5: Digital Exclusion
Quarter 4: 2011:
Q 4 2011: 8.2 8.2 million never
million n
used the internet
Proportion of age cohorts ever having used the internet (Source: ONS)
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
81. Challenge 6: No culture of private purchase of
health/care technologies
Personalisation?
Access to
information and
advice?
But Health Apps are
biggest growth area http://www.flickr.com/photos/thousandshipz/4679235/sizes/m/in/phot
ostream/
for Iphone.
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
82. Policy implications
Usability: Perhaps we need a legislative approach?
Or would this constrain innovation?
Inspiring and engaging the older consumer: How
can we tackle “its not for me”
Addressing ethics: Need to be more up front with
consumers about the use of technology
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
83. Complacency about technology: Technology is a
tool. But not a magic bullet.
Digital Exclusion: Do we need compulsion? Can we
nudge?
Creating a culture of private purchase: Need
healthcare technology on the BBC breakfast sofa.
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
84. Contact
David Sinclair
Head of Policy and Research
International Longevity Centre – UK
davidsinclair@ilcuk.org.uk
Twitter.com/ilcuk
Twitter.com/sinclairda
The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.
85. Panel Debate and Q&A
• Is technology a red herring. Will it really save money and
improve costs?
• Why has healthcare technology not reached the consumer at
the same speed as other consumer technologies?
• What can we learn from the NDA and other research
presented today to improve access to technology?
• How can we create a market for new products and convince
people to buy them?
• Will personalisation drive greater demand for new products
and new technology?
• How can we deal with some older people’s hesitation to use
technology (and should we?)
86. Improving care, tackling isolation
and reducing costs? Can new
technology live up to its promise?
16 May 2012
This event is kindly supported by the New Dynamics of Ageing
#tech4care
Hinweis der Redaktion
ANOTHER CONSEQUENCE – ISSUE FOR SOCIETYAnother consequence of the growing older population is the growing number of people with long-term conditions, such as heart failure, COPD etc. (STATISTICS) So this is a huge issue for society - the government, for the NHS and for local councils, and as the older population grows, this issue will only become more acute
2006 -Innovation of Preparatory Networks by ESRC.2006 -Our bid for funding for a “prepnet” succeeded.Nov 2006 – Oct 2007 12 month network “Adapting support to sustain autonomy: understanding the implications of changing capabilities for older ICT users” – todevelop a proposal for a collaborative research project (CRP)
