© 2008 Tunstall Group Ltd Confidential Telecare – Improving Lives, Dealing with Deficits

2 © 2008 Tunstall Group Ltd Presenters Kevin Alderson –Public Sector Policy Director Tunstall Healthcare (UK) Ltd Derek Law, MBE –Corporate Director - Adult and Community Services North Yorkshire County Council Seamus Breen –Assistant Director - Commissioning and Partnerships North Yorkshire County Council

3 © 2008 Tunstall Group Ltd Background Strategic Commissioning Strategy 2007 needed solutions beyond traditional Hunch Telecare offered one solution Took risk and invested more than preventative technologies grant

4 © 2008 Tunstall Group Ltd Why we invest heavily in telecare? Changing Lives –Assists living at home, confidence, peace of mind, so –People say they are back in control, have more choice and it gives them back dignity and respect. People like it. It is becoming demand led! –Carers less worry It delivers efficiencies –On average care packages cost £3,400 less –This equated to a saving of £1m otherwise spent on care

5 © 2008 Tunstall Group Ltd Why we invest heavily in telecare? Why does it work in North Yorkshire? –Belief based on good business case –Commissioning Lead and 4 Telecare Co-ordinators –Good partnerships –Mainstreamed; every worker, every team; targets –Leadership at all levels, inc political –4 champions; performance framework –Training; good news stories and investment

6 © 2008 Tunstall Group Ltd Training – the indoctrination! All staff social care awareness training/how to assess need and installation New staff targeted in induction 4,000 trained by co-ordination – other agencies and carers support groups, Fire Service Hands on with individuals using Telecare and carers Installation training pack and guidelines

7 © 2008 Tunstall Group Ltd Changing Lives Leanne 24, diagnosed with Multiple Sclerosis (MS) “I let myself go a bit” says Leanne. “I didn’t feel nice about myself at all. I wasn’t cooking, I was scared of what might happen, I might drop something. I wasn’t getting in the bath a lot. Everything went to pot in here.” At first, Leanne felt that telecare was something for older people, and she was concerned how it would be seen by others. She feels differently having used it. “The stuff that I’ve got doesn’t look old, it’s got everything. Its absolutely fantastic because I feel tons better about myself,” she says. “It’s not just for the elderly. It’s not just for people with disabilities, it’s for everybody who needs it.” “I’m more independent now. It’s made my life easier. I think that’s why I want to get other people to come forward and get the support,” she says.

8 © 2008 Tunstall Group Ltd Changing Lives

9 © 2008 Tunstall Group Ltd What Next? A further 10% increase in usage £700,000 additional investment this year Must be part of first offer alongside re-ablement All social care staff in their assessment must evidence offer New procurement for domiciliary care – should inc Telecare as part of offer

10 © 2008 Tunstall Group Ltd What might you do next? Tactical and Strategic Opportunities

11 © 2008 Tunstall Group Ltd Tactical considerations Key questions –Are you really making the most of this? –Do you know how much this should be worth to you? –(Proven to be at least £1,106,908 last year in NYCC) –Is one of your ADs specifically tasked with delivering the “Telecare Dividend”? Are they delivering? –Are you in a position to “do a North Yorkshire”? Is it in your “first offer” alongside re-ablement? Is it “evidenced” in assessments? Is it truly performance managed? Can your services deliver at scale?

12 © 2008 Tunstall Group Ltd Tactical Recommendation Audit of current position Action plan –From where you are now, to where you need to be –“Telehealthcare Service Development Plan”

13 © 2008 Tunstall Group Ltd Support for this Tunstall –NYCC, Essex, Dudley, Halton, Merton, Northumberland, Blackburn, Leicestershire, and many more CSED –“CSED are able to offer support to councils to help them consider how best to implement Telecare services” JIP / DRD –Regional resources are being applied to this, could these be “tapped into”? Do it yourself –Use internal resources to make it happen

14 © 2008 Tunstall Group Ltd Summary Telecare services definitely improve outcomes and save resources Make certain that you are maximising this opportunity Treat it as URGENT!!!

15 © 2008 Tunstall Group Ltd Strategic approach Integration of Health and Social Care –Looking for 5 CSSRs to work with on this –“Commonwell” work in Milton Keynes –Joined up Health and Social Care systems –Joined up Telehealthcare services If you are interested, please let me know –existing close working between Health and Social Care is essential !!

© 2008 Tunstall Group Ltd Confidential Thank you for listening Questions??