Making Telecare Work Theory Into Practice Barry Downs Sandwell MBC

First Observations No standard definition Technology driven Commercially directed Single user group focus Defined habitation areas Assessment free provision TelecareApplications

What Sandwell Envisaged Automated, situation sensitive, risk management An appropriately monitored service for effectiveness Meeting assessed needs via evolving technologies Maximum effect with minimal user input Useable in any type of domestic environment ‘Wireless’, for ease of installation & low disruption

Telecare Values Appropriateness- to the prevailing situation Acceptability- to users, carers & workers Effectiveness- does what it says on the tin Efficiency- best use of finite resources Sustainability- not a short term ‘quick fix’ Accountability- to all stakeholders Flexibility- not a permanent installation

Objectives ‘The Practical Alternative to Eligibility Criteria?’ Enable people to live more safely at home Assist in the process of hospital discharge Support fall & accident prevention strategies Provide focused support for Carers

What Telecare Currently Comprises 1. SmokeHeat PassivityMovement MedicationCold Bed LeavingFalls Door OpeningWandering Gas/COFlooding Some Potential Risk Situations Which Equipment Helps Manage Downwards

What Telecare Currently Comprises 2. Call Monitoring Options Formal Alarm Centres- Public Sector Formal Alarm Centres- Public Sector - Private Sector - Voluntary Sector Informal Carer Monitoring- Short Range Informal Carer Monitoring- Short Range - Medium Range - Long Range Community Monitoring - Faith Groups Community Monitoring - Faith Groups - Secular Support Groups Data Monitoring- Activity Based Data Monitoring- Activity Based - Physiologically Based Self Monitoring- Responding To Stimuli Self Monitoring- Responding To Stimuli

Telecare Characteristics Is Not appropriate for every person or situation Is Not a ‘one size fits all’ service Is a response to identified need Is available to a range of assessors Must be preceded by a user centred assessment Must be supported by a sound responder network Does Accommodate existing practice & process

HighLowMod.HighMod. (e.g – Fear of gas poisoning or explosion) Low +2 = Significant Improvement, +1 = Measurable Improvement, 0 = No Change, -2 = Significant Deterioration, -1 = Measurable Deterioration 6. Support Carer Needs Aid Timely Hosp. Discharge Prevent Hospital Admission Enable Living At Home Falls Prevention Strategies Other (state) Residential Home Care Intensive Home Care Hosp. Trust Funded Services Comm. Trust Funded Service Nursing Home Care Objective Of TelecareLikely ‘No Telecare’ Outcome Care Home Admission Delay (Wks) Probable ‘Telecare’ Resource Impact Respite Reduction (Days Per Year) Hosp Bed Use Reduction (Days) Visits Made Unnecessary (Per Wk.) Care Hours Diverted (No. Per Wk.) Other (state) Address Unmet NeedNo Alternative ServiceNo Opportunity For Resource Shift 5. CONCERN LEVEL – ASSESSMENT OUTCOME QUALITY EVALUATION CONCERN LEVEL – REVIEW Asst. Date Review Date AREAS OF USER / CARER CONCERN Change +0- Evaluation & Management Data

Equipment requestedPrimary Objective ‘No Telecare’ Implications Estimated resource diversion CRB, FDA, DBA1FA, HORE 4 WEEK DELAYED RES CARE PDADIIN 2 HOURS HOME CARE CRB, IRA, 2DCA, 2UTA HOHT 2 HOSPITAL BED DAYS PDAHO, DIRE DELAYED RES CARE BY 4 WKS HZA, FDA, DBA1HORE 3 WKS IN HOSPITAL CRB, FDA, DBA2FAHT 1 DAY IN HOSPITAL PDAHO, CAIN 7 CARE VISITS, 2 CARE HOURS PDAHO, CACT 5 VISITS PER WEEK HZA, FDAHO, FA, HAOTHER 2 CARE HOURS PER WEEK PDAHOIN 7 VISITS PER WEEK HZA, FDAFA, HOOTHER 10 CARE VISITS PER WK, 2 HRS TOTAL HZA, GDA, UTAHORE 6 WKS DELAYED RES CARE PDAHO, CARE, IN 3 WKS RES CARE DELAY Information We Now Expect **Quality Evaluation Data. #5 = Significant Improvement.#7 = Still To Be Reviewed

Activity Snippets 160 Telecare Packages Requested160 Telecare Packages Requested 97 Still Current97 Still Current 13 Incorporate Latest Monitoring Data13 Incorporate Latest Monitoring Data Average Equipment Cost = £250.00Average Equipment Cost = £ Main Requisitioner Group Currently Health OT’sMain Requisitioner Group Currently Health OT’s 120 (2003) (2005) Assessors Trained (ongoing)120 (2003) (2005) Assessors Trained (ongoing) Telecare Now Accepted As MainstreamTelecare Now Accepted As Mainstream Existing Boundaries Being Pushed BackExisting Boundaries Being Pushed Back

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