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Adass Spring Seminar Taming Technology slides 17.4.13 v2
- 1. ADASS Spring Seminar Taming Technology for Personal Benefit 18.4.13
- 2. Making Prevention Real Low High Point of Change in Circumstances Increasing dependence on services Dependence Age
- 3. Making Prevention Real Low High Point of Change in Circumstances Level of independence maintained Increasing dependence on services Dependence Need for more intensive support / care Age
- 4. Making Prevention Real Low High Level of independence maintained Dependence Age
- 7. Mary missed her cups of tea • Her arthritis made it hard to lift her kettle • She struggled to prepare hot drinks • She cancelled her weekly tea party • She missed her friends visiting • She became dehydrated • She was regularly admitted to hospital Until her new kettle arrived – It cost £55 – She remains independent – She has not been admitted to hospital since – She demonstrates it to her friends when they meet at her tea party each week
- 8. West Midlands Regional Initiatives Automated Pill Dispenser Project : The right pills at the right time delivering the right outcomes Saving social care and the NHS 431k. The two largest areas of savings are from reductions in medication prompting visits at the patient’s home and reduced hospital re-admissions for those on the pill dispenser.
- 9. The two largest areas of savings are from reductions in medication prompting were visits at the patient’s home and reduced hospital re-admissions for those on the pill dispenser. Home visits amounted to £107k ie 52% of total social care savings, and hospital admissions amounted to £151k and ie 68% of total health saving
- 10. West Midlands Regional Initiatives Learning Disabilities & Technology Sandwell & Wolverhampton: Challenging traditional methods of intensive support using complimentary packages of technology and support • In Sandwell 70 service users with high cost packages were re-assessed. In 31 casers, less support hours were provided as technology replaced the need for a physical presence being required • Encouraged positive risk taking and promoted the independence of service users and greater choice and control • Actual budget savings in 2012/13 = £465,460 • Supporting People Budget 65% and Pooled LD Budget 35% • All levels of technology provided, including standalone AT, Telecare and Virtual Visiting systems • Similar levels of savings made in Wolverhampton
- 12. Technology for Whole Life Services Provision for Children’s Services In Schools for teaching gifted children Allowing 1st line nurse triage in schools Supporting Foster Parents & Looked After Children Assessments / Reviews / Regular Contact / Safeguarding Supporting Younger People Technology to support daily lifestyles Remote peer support at work for young people who require it Continued Support Through Life Provision of technology throughout a person’s life Enabling greater independence Positive risk taking Services delivered in the community
- 13. Contacts Jim Ellam, Assistive Technology Project Lead, Staffordshire County Council jim.ellam@staffordshire.gov.uk Alasdair Morrison, STAY Service Manager, Sandwell MBC Alasdair_Morrison@sandwell.gov.uk Matt Bowsher – Assistant Director Dudley MBC Matt.Bowsher@dudley.gov.uk
- 14. Telehealthcare – bringing care home Making it happen What have we learned??
- 15. Contents • Examples of making it happen – Scale, speed and certainty • Some lessons learned
- 16. Examples of large scale telehealthcare delivery Scale, Speed, Certainty…
- 17. North Yorkshire Long term commitment to Telecare Background • Started in 2006 with the PTG funding • Monitored performance and identified £1.1m net saving over 12 months for 330 cases • Partnership approach with local service providers • Full programme of Telecare awareness training for front line teams and partners • Subsequently added reablement services, with Telecare embedded 17 Source:- NASCIS data NYCC Comparator Group % England % 2009-10 519 655 79% 710 73% 2010-11 496 637 78% 687 72% 2011-12 490 658 74% 696 70%
- 18. First of its kind City-wide telecare service 27,000 people over 3 years to benefit Background • Birmingham is most ethnically diverse city in UK, with population in 2011 of 1.073 million • 65+ population will increase around 23% to reach 168,000 inhabitants, by 2030 • Birmingham is ranked the 9th most deprived Local Authority in England • The prevalence of diabetes is estimated to be 9.1%, (Eng prevalence 7.6%) • Birmingham has higher rates of hospital admissions (5.2%) due to falls than Eng (3.3%) Telehealthcare service – key successes • Investment of £14 million over three years making it the largest, city-wide telecare service in UK • Launched on 1 February 2012 by former Health Minister Paul Burstow MP and is benefitting 7000 people • It has created new jobs and is locally based, locally developed and locally resourced. Outcomes • Significant savings, in excess of £900,000 to date • Reduced waiting times for social care • Reduced ambulance call outs Tunstall is responsible for providing a „whole service‟ for Citizens ANALYSIS REFERRAL ASSESSMENT INSTALLATION MONITORINGRESPONSEMAINTENANCEREPORTING http://www.guardian.co.uk/government-computing-network/2012/feb/02/telecare-birmingham-city-council http://bhwbb.net/?wpfb_dl=308 “Telecare has given me much more confidence and peace of mind. I can sleep easy now, knowing someone is there to help” Louis
- 19. Blackburn with Darwen Integrated telehealthcare programme Background • ranked the 17th most deprived LA in England (out of 354) • 85+ to increase by 30% by 2025 to 1,600 • 1,100 patients with 4+ emergency admissions pa • Adult social care had to find efficiencies of £6.6m (15%) during 11/12 Integrated working • Joint funding integrated telehealthcare programme (BwD Council – telecare, NHS BwD Teaching Care Trust Plus – telehealth) • Joint infrastructure cost is shared equally • Demand managed programme with acute sector Outcome highlights • Total net savings achieved for telecare and reablement £2.2m in 11/12 (£1.4m from telecare and reablement, £800k from telecare alone) • Residential care admissions reduced by 18% in 11/12 • Telecare users have risen from 60 to 1000 in 18 months 19
- 20. London Borough of Hillingdon Background • The overall strategy is to reduce the reliance on long term residential/nursing placements enabling people to remain living in their own homes rather than be placed in institutional care • 1,120 TeleCareLine installations (target 750 for 2011/12) Outcomes • Cost savings – £4.7m saved in first year – Second year figures available very soon, but savings trajectory has been maintained • Prevention – residential and nursing home placements halved – Reduction in long-term residential and nursing care placements from 8.08 per week in 2010 to 3.57 per week to end Feb 2012 • Accessibility – telecare free to everyone over 85 • Reablement – highest number of referrals come from hospital discharge teams, after self referrals – Reablement with telecare has led to steady reduction in homecare hours purchased of 10% from April 2011 to date, forecast continued year-on-year reduction of 7.8% 20
- 21. What have we learned?? “Whole service” model required Commit to scale Spread out from Social Care
- 22. “Whole Service” Delivery Model the enabler to scale 22
- 26. Conclusions • “Whole service” model is essential – Offered to the whole population • Tailored to meet local circumstances and to maximise local efficiencies26
- 27. Conclusions • Scale and speed delivers the impact – Birmingham – 10 per week to 150 per week – BWD – 10 per month to 80 per month – Hillingdon – 12 per month to 120 per month 27
- 28. Conclusions • Nothing to do with technology – Leadership – Cultural change – Performance management – Solid processes 28
- 29. Conclusion • Spread out from social care – NHS – Telehealth services – General population – self funder services 29 Existing local service FACS eligible 10% – 20% NHS “LTC” Patients Need for Integrated Service Most expensive group General Public Non FACS eligible 80% - 90% ADASS Members (Statutory responsibility)
- 30. Thank you for listening Kevin.alderson@tunstall.co.uk 07740 578000
Hinweis der Redaktion
- Help people to help themselves; a key component of Making It Real An outcomes focus across integrated services is essential- technology is an enabler for thisIntegrating technology into an initial service offering (i.e. a default component of assessment and support planning) is essentialTechnology is broader than telecare and can range from shoe horns to complex toolsIn order to sustain investment in preventative services both qualitative (human experience) and quantitative (cash savings and cost avoidance) is required.Technology is an enabler of choice and control but must be as a response to individual need and not define those needs.
- Heard about it at a carers group – went to argos and purchased one off the shelf and now getting on with her life.