The document summarizes several case studies that demonstrate how telemedicine is being used to improve healthcare delivery and reduce costs. Specifically, it discusses how telemedicine has (1) reduced acute and elective transfers out of prisons by 50% and saved over £425 per escort episode, (2) provided care closer to home for patients through teleconsultations and home telehealth programs, and (3) supported stroke patients, occupational health, end-of-life care, and nursing home residents through remote consultations. Feedback from patients, doctors, and nursing home staff was also overwhelmingly positive about the benefits and convenience of telemedicine.

1. RICHARD PROJECT
Marie Buchan
Telemedicine Manager
Airedale NHS Foundation Trust, UK

2. how to change?
using technology to deliver
a more patient centred approach
& achieve better value for money

3. the “T” options
tele medicine
tele medicine
tele consultation
tele medicine

4. proof of concept case study 1
Prison Telemedicine Offer
• over 6 years experience
• currently in 20 prisons
• 21 outpatient specialties offering
service through telemedicine link
• A&E urgent care service
• significant cost savings
• suitable for most things
• no significant governance issues

5. reformed pathway
Where it is safe and effective to do so Patients are treated in the Prison, not Hospital

6. benefits realisation
Cost savings:
• Reduce acute and elective transfers out by ~ 50%
• Average cost per escort episode: £425
• Average cost per bed watch episode: £3,731
Other Benefits:
Improved patient privacy and dignity
Very high patient satisfaction
Reduced prison lockdowns
Less disruption to NHS Acute Trusts
Contributes to QIPP

7. case study 2…
care closer to home

8. care in the community

9. case study 3…
home teleconsultation

10. deploying at scale
The Telehealth Hub was created to
support organisations across Yorkshire
& Humber with the rapid deployment
and diffusion of telehealth at scale.
It offers tele coaching, tele monitoring
and tele medicine through a partnership
between Airedale, SWYMHT and Hull
University

11. patient feedback
“It’s a brilliant concept. I have had asthma all my life and often wait too long before
seeking advice. When I’m feeling poorly it’s nice to just have reassurance...”
“I’m very pleased with Telehealth. I’m only sorry it wasn’t out years ago. It has helped
me a great deal. I mostly become ill after the doctor’s surgery hours, or on Bank
Holidays or weekends when there’s no one to turn to for help… when you are on your
own you panic. Telehealth has been a Godsend to me. Thank you for getting me one.”
“It’s an excellent service, what more can anyone want?”
“I only have one word to describe Telehealth – excellent.”

12. case study 4 …
nursing and residential care homes

13. nursing home feedback
“A very good service. It made me feel confident
within my job so I could do the best I can for our
residents. This service takes the pressure off us
as we have access quickly to a health
professional…”
“The Doctor was fantastic when one of our
dementia patients fell and hurt herself. I would
have called an ambulance and she would have
endured an A&E visit which would have terrified
her. Our consultant saved her from this and
reassured me that the cut was superficial and she
was fine...”

14. case study 5 …
supporting stroke patients

15. case study 6…
occupational health

16. case study 7…
supporting end of life patients
“Telemedicine became our
lifeline – what a wonderful
piece of equipment!
At the press of a button we
could have face-to-face
contact with a medical
team, which is so important
for both a patient and
carer, and that helped to
keep Geoff’s spirits high…”
Mrs Walton

17. case study 8…
A GP’s view
‘…sending a patient to
hospital costs us
money – if we save three
admissions a
year that has already
paid for the cost of
installing our
telemedicine kit…’
Dr Phil Huxley
Earby Surgery

18. benefits realisation
we are…..
reducing hospital admissions
reducing hospital length of stay
reducing GP home visits
which is…
improving patient experience
supporting carers and workforce
releasing time to care
freeing up capacity for reuse, transformation and/or
disinvestment
releasing commissioning resource for
reinvestment

19. improving care for Doris and Gillian …
and Kenneth?

20. RICHARD PROJECT
Thank you