Homecare can play an integral role in an integrated health system by: 1) Providing rapid response mobile care teams to avoid unnecessary hospital admissions and safely allow early discharges. 2) Implementing telehealth programs to monitor patients' health data in their homes and identify issues before they require hospitalization. 3) Up-skilling homecare workers to provide additional services like phlebotomy to reduce costs and inconvenience for patients.

1. Slide 1
The Role of Homecare in an
Integrated Health System
Wayne Felton
Managing Director MITIE
Healthcare Solutions

2. MITIE – a short commercial break
Strategic outsourcing business
Historically focus on facilities management & energy services
£2 billion revenues
FTSE 250 company
Significant presence in Ireland
Values
• People
• Passion
• Fresh thinking
• Exciting futures

3. MITIE experience in health

4. MITIE in Homecare
• Oct 2012 MITIE acquire Enara Group
• 4th largest homecare provider UK
• Platform for integrated care business
6,000
CARERS
125,000
HOURS/WEEK
15M
VISITS PER ANNUM

5. MITIE in Homecare

6. English health landscape
NHS annual budget £130 bn pa
Increasing demand – 4% pa
CCGs – greater patient choice
Health & Well-Being Boards
Different approaches – degree of integration
9.5m people > 65 1.35m care places (and falling)
Residential care range £28k - £40k pa

7. Homecare
Avoid or defer
admission
Safe early release
Re-ablement

8. Rapid response mobile care teams
• Pilot scheme
• 24/7 mobile teams – commissioned by GP, paramedic,
community health, social services
• Strict SLA – answering times call, care team on-site within 60
minutes
• Avoid admission – particularly winter pressures
• End of life expertise

9. Health & Wellbeing
Telehealth
Millions of touchpoints – home visits
Capture health data
Identify issues – avoid events
Up-skill carers
Phlebotomy example
Avoid costly & inconvenient process
‘Win-win’ scenario

10. Re-ablement
Personal social care Positive outcomes
Occupational therapy Greater independence
Focus on ‘doing with not for’ Improved confidence
User defined goals 63% - no further homecare
Flexible visits 26% - reduced homecare
Continuity care 15% - in year saving
6-10 weeks

11. Managing early release
Bed blockers – cost £800/day
Step down facilities
Care at home
Virtual ward technology

12. The Future?
HEALTH SOCIAL
Combination budgets removes barriers to change
Inclusion of all aspects – inc social housing – cost fall £29k
(100 x cost handrails)
Homecare has a pivotal role to play