How Government can enable uptake of telehealth

Dr Iain McNeilMBChB, MRCGP, FIMCRCS(Ed), AFCEM

Medical Director, Pfizer Health Solutions

170611 11089MK

Telehealth is not new

BUT................

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Despite lots of evidence, and hundreds of pilots...

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We keep doing it the same way!

WHY?

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The barriers

• Money

– Short term goals

– Austerity measures

– Procurement rules

– Past failures

– Fear of moving the money

• Governance

– We don’t believe the evidence

– Excessive scrutiny

– RCT ‘scourge’

– Risk aversion

• Conflicting interests

– Local v national

– Primary v secondary v ambulance

– Financial v operational

– Educational v operational

– Clinical v financial

– Operational v clinical

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Leadership failure

Who is in charge?

Who makes the BIG decisions?

Who gives you permission to try - and to fail?

Who has the map?

Failure to recognise that no one sector can do it all

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TOO MUCH FOCUS ON THE TECHNOLOGY

....and not enough on the wrap-around services the technology should support

What can Government do?

The rules Change them The people Give them freedom The system Change it The people Involve them, talk to

them The talk Stop talking, start walking The people Help them The money Chase the rainbows The people Educate them “The leaders” Empower them sssssssssssss

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Help leaders to:

• Help people to accept the evidence – and trust the data

• Invest in the long term for improved outcomes

• Adopt, adapt and improve the technologies

• Drive changes in care pathways and protocols

• Focus on the service not the kit

• Embed telehealth in services designed to help people look after

themselves

• Share decision-making and share the risks - but make a

decision!

• Achieve economy of scale

• Make telehealth the front line - make it ‘normal care’

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Be bold!

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