1. Yorkshire and the Humber
An Overview of Telehealth in the Region
Marie Buchan
Telemedicine Manager
Airedale NHS Foundation Trust

2. Welcome to Yorkshire and the Humber
Birthplace of........
 David Hockney
 James Bond’s Aston Martin DB5
 The Bronte Sisters
 Jeremy Clarkson
 Yorkshire Puddings
and......................

3. As many 2012 Olympic Gold Medal winners
as Australia !

4. But on a much more serious note.............

5. Yorkshire and
Humber Region
• Population 5.2 million
• 15,906 square kilometres
• Hull, Leeds, Sheffield and York
• Rural areas

6. Airedale NHS
Foundation Trust
• Positioned in the north west of the
Yorkshire and Humber region
• Population of 220,000
• Small towns – Keighley, Ilkley, Skipton,
Colne
• Serves patients in the Craven and
Wharfedale areas of the Yorkshire Dales

7. Long Term Conditions
 Almost one in three people are living with a long term
condition
 That 30%+ of the population consume around 70% of the
NHS budget
 Over 50% of GP appointments
 Almost 65% of outpatient appointments
 Almost 75% of bed days
 Three out of every five people aged over 60 are likely to
suffer from a long term condition

8. Population Trends
 The region’s population as a whole is projected to increase by
455,000 between 2011 and 2031
 The region’s population will become more ethnically diverse, the
projections suggest that by 2031, 13% of the population with be
from ethnic minorities as opposed to the 10% seen in 2011
 The population will also age over the period, moving from 29 people
of retirement age for every 100 of working age in 2011 to 43 people
of retirement age for every 100 of working age by 2031
 This rise in the elderly population equates to a population aged over
65 in the region of 980,000 in 2011 rising to 1,440,000 by 2031

9. Modelling suggests that between
2010 and 2020
 CHD will rise from 6.0% to 6.6% of the population, equivalent to
49,000 people
 COPD will rise from 3.7% to 3.9% of the population, equivalent to
24,000 people
 Hypertension will rise from 30.8% to 32.3% of the population,
equivalent to 186,000 people
 Stroke will rise from 2.7% to 2.8% of the population, equivalent to
21,000 people
 CVD will rise from 6.9% to 7.6% of the population, equivalent to
59,000 people
 Diabetes will rise from 7.5% to 8.5% of the population, equivalent to
77,000 people

10. These factors represent a huge
quality and efficiency challenge for our
region’s health services

11. Telehealth in Y&H in 2010
 Some health communities in Y&H were embarking on
significant developments:
 Airedale - trailblazers in the use of telemedicine
 Barnsley - blended service model
 Hull - success with HF
 North Yorkshire and York - aiming to reach 2000
 Most other health communities were running small pilots
involving very low patient numbers

12. A Strategy for the Region
 Chief Executive of NHS Yorkshire and the Humber, the
Strategic Health Authority keen to progress Telehealth
in the region
 Chief Execs of the region’s Trusts agreed an approach
 Utilised over £900k Regional Innovation Funds
(devolved from Department of Health to support
Innovation in the regions)

13. Yorkshire & Humber Telehealth Hub
 Partnership made up of :
 3 of the region’s health organisations (Airedale FT,
University of Hull and NHS Barnsley)
 Yorkshire and Humber Health Innovation and Education
Cluster (HIEC)
 NHS Yorkshire and the Humber
 Offering Telehealth services to the rest of the region
 Services included:
 Telecoaching
 Telemonitoring
 Telemedicine

14. Telecoaching Telemonitoring Telemedicine
Telecoaching uses a Remote monitoring Remote video
one to one interaction tools capture consultations between
with audio, visual physiological healthcare
and/or interactive measurements and professionals and
communications, used relay them to a central patients which support
to support the practice location for review care outside of
of health care/social normally an suppliers hospital.
care, enabling self care intranet site. Used to reduce LOS,
and improved condition support early
management. discharge, and
admission avoidance.

15. A Test of Breadth and Scale
 Run for 12 months with project management support from
the SHA
 Workbooks and Toolkits created by the HIEC
 Procurement advice from the Advance Digital Institute (ADI)
 All partners looked at the sustainability of the services
 Explored possible sources of future funding from the
Technology Strategy Board, the EU etc

16. Evaluation
Undertaken by the 2020Health Organisation to look at:
 Benefits to patients
 Impact on services and activity
 Return on investment
 Sustainability of the approach and services
 Lessons for the future
Due for publication in a few weeks time.

17. Things Move On
 White paper Equity and Excellence: Liberating the NHS
(July 2010) – consultation until October 2010
 National Chief Executives Innovation Review (June 2011)
 Innovation Health and Wealth, Accelerating adoption and
diffusion in the NHS (Published Dec 2011)
 Listing ‘Six High Impact Innovations’ including:
 3millionlives
 Digital First

18. 3millionlives Campaign
 Following the reported success of the Whole System
Demonstrator projects
 Government concordat announced in January 2012
 Improve the lives of 3 million people living with long term
conditions
 Over 5 years
 Accelerating the use of Telecare and Telemonitoring
technologies

19. 3millionlives Y&H Approach
 Commissioned the NHS Technology Adoption Centre to
facilitate events and work with organisations to progress
their Telehealth action plans
 Regional Innovation Fund bursaries offered to support
deployment of High Impact Innovations including 3ml
 Delivery of 3ml aligned to CQUIN payments for Trusts
 Y&H have put 3 Partnerships forward to act as
Pathfinders with the DH

20. Digital First (formerly named Digital by Default)
 A ‘call to action’
 NHS organisations encouraged to utilise existing digital
communication technologies e.g. mobile phones,
websites, social networking, clinical systems etc
 To reduce unnecessary face to face contacts and DNAs
 On the basis that so many of these technologies are so
readily available, why would they not take the
opportunity to improve services to patients in this way

21. Digital First Y&H Approach
 RIF Bursaries offered to CCGs and Trusts to support
deployment of High Impact Innovations incl. Digital First
 Delivery of Digital First aligned to CQUIN payments for
Trusts
 Involving Y&H organisations in discussions with DH on
issues such as barriers to deployment, how to calculate
potential savings, organisational readiness etc
 Support Y&H organisations to deploy digital technologies
 Share good practice and learning across Y&H
 Promote the success of Y&H organisations

22. Other Telemedicine Projects in
Y&H
 Regional Telemedicine Stroke project deployed
equipment in all Trusts in Y&tH (Airedale and Martin
Dawes are delivery partners in this)
 Y&H Burns Network is working on a pilot to see if the
same approach and infrastructure can benefit burns
patients

23. Thank you for listening