18th October 2016 Connected care – personalised, coordinated and closer to home – the future? Thanks for invite. Delighted to be here because I consider technology has a massive part to play in helping people living with dementia to live well and safely at home. You will soon discover that I am no expert in technology, but we have a roomful of them….I want to come at the issue from the perspective of providers of homecare and the people they serve. Bridget Warr CBE, Chief Executive, UKHCA

Introducing UKHCA UKHCA is United Kingdom Homecare Association Ltd (UKHCA) is the professional association of home care providers from the independent, voluntary, not-for-profit and statutory sectors. UKHCA promotes high standards of care and provides representation with national and regional policy-makers and regulators. The Association represents over two-thousand members across the United Kingdom, in England, Wales, Scotland and Northern Ireland.

Our Vision and Mission UKHCA’s Vision Our vision is of a United Kingdom where a choice of high quality, sustainable home-based care is available to everyone who would benefit. UKHCA’s Mission As a member-led professional association, our mission is to promote high quality, sustainable care services so that people can continue to live at home and in their local community.

What is homecare? Support to live as full and independent a life as possible Personal care Other assistance Can be by the hour or live-in Paid for by the state or privately Delivered by regulated service, self-employed or Personal Assistant Support to live as full and independent a life as possible. Personal care Support with eating and drinking Medication prompting   Other assistance Help with correspondence/managing finances etc Accompanying on trips Housework Companionship

Where are we now? c. 1 million people a year receive homecare Over 70% is funded by the state Some 1,200 people are delayed in hospital awaiting community support c. 1 milion people receive support to live at home at any given time and many more could use it 70% is funded by the state; Payment almost universally low; even below the cost of delivery On a sample day in May 2016 there were 1,217 people in hospital with a delayed discharge date awaiting homecare. This is a 55% increase compared to the same day in May 2015. (from our homecare and delayed discharges document)

We know People want to be at home until they die People recover from illness/injury better at home Government, NHS and LA policy recognises this Care at home is usually cheaper Care at home is cheaper than hospital care and usually cheaper than residential care

What’s the problem? Funding Recruitment and retention of staff Complex business models Growing demographic need Increased complexity of support needs Homecare providers exiting the market Lack of effective collaboration Brexit? Lack of effective collaboration between disciplines and services. If this is just about saving money, we are in the wrong place. Must be more efficient, technology can help, but those time savings are to enable us to enhance the service.

What is needed? Creative solutions That complement and enhance (not replace) personal contact. Things that are simple to use Things that are joined/joinable up  Affordable and reliable  

An introduction to people using homecare Over 70 (or younger with learning or physical disabilities) May be living with dementia Likely to have several long term health conditions May live alone Not very mobile or dextrous; unsteady Likely to be lonely May have family/friends living at a distance   Loneliness is an increasing challenge and impacts on health and well-being.

An introduction to people delivering homecare Predominantly women Most work part-time No formal qualifications required Emotional intelligence Two-thirds aged 25 - 54 On the move Often rushed High turnover Mostly low-paid CARING   85% women Caring values essential Even distribution of age Anecdotally – more likely to have smart phone than a computer Homecare organisation spend over 300m (UK) hours per year in people’s homes. Build relationships and access and insight to people’s needs and preferences.

Where might technology help? Helping the individual  Making information accessible Virtual healthcare Helping informed choice Monitoring and alarms Alerting carers Facilitating communication with friends and family Daily living activity support Maintaining independence and dignity  

Cont.. Helping the business Information sharing Enhancing collaboration and joined up services Scheduling and invoicing Automation and tracking Record forming and keeping Submitting bids Training and recording development Promotion   Reporting and evidence of compliance/quality

So our challenge is.. Solutions must work for the individual They should be readily understandable to non-techies They should work together They should enhance the person's life, independence, dignity

Questions for us all What more can technology do to help? How should we all work together to make it happen? How can affordable and understandable technology be developed? What support will people need? How do we plan to make this happen? Joint service development? Routes to market? Influencing government policy? It’s all about what people and what they want and need. Freeing up resource to improve people’s experience and life.

How to contact me bridget.warr@ukhca.co.uk enquiries@ukhca.co.uk