Involving the person at the centre of the decision-making process is a crucial tenet of Scotland’s ‘Living it Up’ Project, which is using co-production to shape the way that new technologies facilitate services, products, and information to support people to manage their Long Term Conditions and wellbeing. Contributed by: Joint Improvement Team & Scottish Centre for Telehealth and Telecare

1. Telehealth and Telecare:
Living it Up
18 March 2014
Social Work Expo – Session 44
1
JIT is a strategic improvement partnership between the Scottish Government, NHS Scotland, CoSLA, the Third
Sector, the Independent Sector and the Housing Sector

2. The JIT and SCTT: An Effective Collaboration
The Joint Improvement Team (JIT) is a unique
strategic improvement partnership between the
Scottish Government, NHS Scotland, CoSLA, the
Third Sector, the Independent Sector and the
Housing Sector
The Scottish Centre for Telehealth & Telecare
(SCTT) was established to support and guide the
development of telehealth and telecare throughout
Scotland.

3. 3
December 2012:
National Delivery Plan
Significant role of
Telehealth and Telecare
in the reform of health,
care, housing and
wellbeing in Scotland

4. 4
4 Objectives
> Telehealth and telecare will enable choice and control in health,
care and wellbeing services for an additional 300,000 people
> People who use our health and care services, and the staff
working within them, will proactively demand the use of
Telehealth and Telecare as positive options
> There is a flourishing Innovation Centre where academics,
care professionals, service providers and industry innovate to
meet future challenges and provide benefits for Scotland‟s
health, wellbeing and wealth.
> Scotland has an international reputation as a centre for the
research, development, prototyping and delivering of innovative
Telehealth and Telecare services and products at scale.

5. 5
> “Telehealth” - provision of health services at a distance using a range of
digital and mobile technologies. This includes the capture and relay of
physiological measurements from the home/community for clinical review
and early intervention and “teleconsultations” where technology such as
email, telephone, telemetry, video conferencing, digital imaging, web and
digital television are used to support consultations between professional
to professional, clinicians and patients, or between groups of clinicians.
> “Telecare” is the provision of care services at a distance using a range of
analogue, digital and mobile technologies. These range from simple
personal alarms, devices and sensors in the home, through to more
complex technologies such as those which monitor daily activity patterns,
home care activity, enable „safer walking‟ in the community for people with
cognitive impairments/physical frailties, detect falls and epilepsy seizures,
facilitate medication prompting, and provide enhanced environmental
safety.
> “Telehealthcare” is used as an overarching term to describe both
telehealth and telecare together.

6. Living it Up (LiU)
Janette Hughes
LiU Programme manager
Programme led by NHS 24
Funded by:

7. 1. LiU overview
2. 2012 – phase 1
3. 2013 – phase 2

8. LiU Scope
Budget - £10.3m
Timeframe – June „12 – May „15
Users – 55,000
Locations – 5 regions (Lothian, Forth Valley,
Moray, Western Isles & Highlands)

9. “Effective services must be designed with and for
people and communities”
The future delivery of public services - Christie report

10. Vision
LiU Services will help transform health, care
and wellbeing the same way that the
internet has transformed financial services,
social interactions and information and
advice
• Focussed on the person within their
community
• Increasing digital inclusion
• Facilitating health and care integration

11. dallas LiU aim
LiU will co-design sustainable and
innovative improvements and
choices in health, care and
wellbeing for 55,000 by 2015.

12. By 2015
• LiU will provide a choice of access routes whilst at home
or „out and about‟; - Web, TV or smart phone.
• LiU will provide a personalised and integrated menu of
services, information, products and social activities to
support social, health, care, intellectual and personal
interests.
• LiU will „keep you connected‟ - creating and sustaining
relationships with family, friends, neighbours, local
communities and health and care professionals.
• LiU will stimulate innovation and wealth creation by
open innovation of new products, services, applications,
and creation of employment opportunities.

13. High level outcomes
1. Healthier living – Individuals and communities are able and motivated to look
after and improve their health and wellbeing, resulting in more people living in
good health for longer with reduced health inequalities.
2. Independent living – People with disabilities, long term conditions or who
become frail are able to live as safely and independently as possible in the
community, and have control and choice over their care and support.
3. Carers – people who provide unpaid care to others are supported and able to
maintain their own health and wellbeing.
4. Effective resources – The most effective use is made of resources across
health and social care services, avoiding waste and unnecessary variation.
5. Engaged workforce – People who work in health and social care services are
positive about their role and supported to improve care and treatment they
provide.
6. Wealth creation –Increase in GDP, innovation and employment opportunities

14. Health, Care & Wellbeing – person focussed
Increasing;
1. Choice
2. Control
3. Connectedness
4. Collaborations
5. Contributions
6. Communities
wider world
locality
home
wider world
locality
home

15. Who is LiU aimed at?
A. General
Population
15%
B. Active &
Healthy >50
years
20%
C. 50 - 75 years
with or at risk of
Long Term
Condition
25%
D. 75+ with
LTC/Frailties
25%
E. Service
providers
15%

16. Target population – 55,000 users
Total Population 5,200,000 Based on 2010 Census data
Lothian Highland
Forth
Valley Moray
Western
Isles
% 49% 24% 19% 6% 2%
Age group 50 plus 550,000 269,500 132,000 104,500 33,000 11,000
Target size - 10% of 50+ 10% 55,000 26,950 13,200 10,450 3,300 1,100
Sub Groups
A. General Population 15% 8,250 4,043 1,980 1,568 495 165
B. Active & Healthy 50 - 70 years 20% 11,000 5,390 2,640 2,090 660 220
C. 50 - 75 years with or at risk of
Long Term Condition 25% 13,750 6,738 3,300 2,613 825 275
D. 75+ with LTC/Frailties 25% 13,750 6,738 3,300 2,613 825 275
E. Service providers 15% 8,250 4,043 1,980 1,568 495 165
Total 100% 55,000 26,950 13,200 10,450 3,300 1,100
Recruitment timescales Lothian Highland FV Moray WIsles
March 2013 1,500 735 360 285 90 30
March 2014 13,000 6370 3120 2470 780 260
March 2015 40,500 19845 9720 7695 2430 810
Total 55,000 26,950 13,200 10,450 3,300 1,100

17. 1/ 2012 Solution exploration

26. LiU Service design

31. 2/ 2013/14 Focus

33. 3
LiU prototypes – Version 3.0

34. Portal – The Hub

35. Sign up - Profile – Makes it personal

36. Shine – What are you good at?

37. Discover – What‟s available to you locally?

38. Flourish
The Flourish service will support the
Health and social care element of Living
it Up, some ideas so far;
• Telehealth/Telecare
• Digital postcards
• What keeps you well tool
• Calendar reminders
• Doctors appointments
• Experienced guides
• Games

39. Connect – Who would you like to talk to?

40. Join – LiU for a
richer experience
• Personalise
• LiU profile
1. Owned by user
2. Edited by user
3. Shared by user
• Allows LiU to
personalise the user
experience and help
us shape the service

41. 4
Refer to Appendix for benefit descriptions
Benefits

42. How can LiU help you?
• One stop shop – linking local developments
effectively together
• Convenient and accessible – taking local and
national services into the home and community
• Generating new ideas and spotting
opportunities
• Supporting self management, increasing
choice and control
• Developing a personal profile that will be
owned by the user and shared with their circles
of care

43. Many thanks
Join us now – www.livingitup.org.uk