Telehealth & Telecare Learning Network Amanda Stears, Specialist Physiotherapist    East Lothian and Midlothian PR Service Jane Dernie, Service Lead, NHS Tayside Christine McClusky, Service Development Manager, SCTT

A discussion about the current uses of telehealth to support individuals receiving community based pulmonary rehabilitation.

Telehealth in Pulmonary Rehabilitation Christine McClusky - SCTT/NHS24 Jane Dernie - Service lead, NHS Tayside Amanda Stears - Clinical Lead , NHS Lothian

conference and Delivery Plan 2008 NHS Tayside Timeline 2010 National Project 5 Health Boards Presentations Patient Voices Awards 2011 Project results Home Pilot European Project ITTS AHP Agents of change conference and Delivery Plan Best Practice Guide Webcast 2012

In the beginning… 2008

6 tele-education classes National Pilot 2010 226 Patients 110 Conventional classes 110 Telehealth classes 6 tele-education classes

Pilot results 2011 Mean improvement walking distance 37% Mean improvement in CRDQ scores dyspnoea 2.7, fatigue 2.7, emotional function 2.4 , mastery 1.7 Cost per patient decreased from £131 to £76 per patient The average cost of admission due to exacerbation is £2602, if that admission could be avoided cost reduced by 40% (£1041 saved) One admission per patient per class could save £24,984 per annum in NHS Lothian alone *all figures from Barrow, Godden and McClusky 2011

Pilot Results The Patient Perspective 93% of patients felt safe during exercises 95% felt the class was beneficial 95% found they were able to control their breathing more easily 69% felt very comfortable or comfortable with the idea of doing the class by video link before; and 81% after the programme *all figures from Barrow, Godden and McClusky 2011

Summary Data demonstrates that delivery of pulmonary rehabilitation using video conferencing is at least as good as a traditional model and is acceptable to patients. http://www.sctt.scot.nhs.uk/pulmonaryrehab.html for full report

Home Rehabilitation 2012

Chrissie’s video (from Angus) Place holder Chrissie’s video (from Angus)

European Project 2012 Remote exercise classes for rehabilitation www.transnational-telemedicine.eu VC links for speech therapy services, renal services, emergency psychiatry services and remote diabetes services Smart phones for tracking physical activity, inflammatory bowel disease and internet support for diabetes Remote support in medical and social care emergencies Home based service delivery for patients with multimorbidity Remote exercise classes for rehabilitation

Spreading the word ! Presentations at Conferences - The Kings Fund - British Thoracic Society - Wales E Health Insider Awards www.patientvoices.org.uk/sth.htm

and sharing our successes with the politicians….

Challenges Are there challenges ? Perhaps the question is not always What but Who ? National AHP Delivery Plan Need to embed Telecare and Telehealth as a medium for providing high quality care

Barrack Obama , campaign speech in Chicago , Feb 2008 Making the Change AHP as agents of change conference “Change will not come if we wait for some other person or some other time. We are the ones we’ve been waiting for. We are the change that we seek.” Barrack Obama , campaign speech in Chicago , Feb 2008

The Future Build the momentum! Be the inspiration! Telehealth champions Learn to embrace change Good practice guide

christine.mcclusky@nhs.net amanda.stears@nhslothian.scot.nhs.uk jane.dernie@nhs.net