modelling the potential for telecare and telemedicine tom bowen & paul forte the balance of care...

Modelling the Potential for Telecare and Telemedicine

Tom Bowen & Paul Forte

The Balance of Care Group

ORAHS 2005, Southampton, UK4 August 2005

Content

• What is telecare?

• Modelling requirement to support local councils

• Balance of Care model

• Demonstration

What is Telecare?

Equipment provided to support people in their own homes with remote monitoring

– Community alarm service

– Motion or fall monitors

– Diagnostic monitors

– Consultation and communication devices

Some devices                                                                     

The Virtual Visiting solution

Nurse Desktop

Virtual Visiting Servers

Network

Patient

Doctor’s 3G Mobile

Project aims

• To help social services to develop business cases for funding from €120million government grants over 2 years

• To develop a decision support tool to identify and cost potential for:– reduced admission to residential care

– reduced cost of home care packages

– potential cost savings to the NHS (eg through reduced admissions to hospital)

What we’re addressing in the Balance of Care model

• Local policy direction:– support for development of strategies involving

telecare

• Demonstration of cost effective approaches:– telecare in the context of the organisation and

provision of other health and social services

The Balance of Care model

OlderPeople

highdependency

lowdependency

mediumdependency

The Balance of Care model

OlderPeople

highdependency

lowdependency

mediumdependency

long -termcare bed

community nurse

Voluntary &Private sector

NHS

LocalAuthority

nursing home

physiotherapist

care assistant

day care centre

respite care

The Balance of Care model

OlderPeople

highdependency

lowdependency

mediumdependency

long -termcare bed

community nurse

Voluntary &Private sector

NHS

LocalAuthority

nursing home

physiotherapist

care assistant

day care centre

respite care

option1

option 2

option 3

Policy assumptions in this version

• Focus on social care

• Restrict to ‘current’ supported clients

• Invest in reactive telecare only

Populate model for ‘Telecare Valley’ council

The Balance of Care model

OlderPeople

highdependency

lowdependency

mediumdependency

P6 Unsupported at home (aged over 65)

P1 Care Home Residents(not EMH)

P2 Care Home Residents(EMH)

P3 Frailty CaseManagement

(Severe)

P4 Other long term careneeds

(Moderate)

P5 Other low intensityneeds(Minor)

Published Model and Guidancehttp://www.dh.gov.uk/

PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4115303&chk=AZNQjz

Potential strategic implications of telecare

• Organisational issues: – supporting partnership working; innovative

connections; workforce development

• Information issues: – sharing of data, information and intelligence;

common definitions

• Engaging people:– harnessing drive of health and social care

professionals– facilitating client and carer engagement