1. DH Housing LIN Virtual Care Village Eileen Waddington – Independent Consultant Peter Woodhouse – Cumbria County Council

2. Why? Small rural Extra Care Schemes Review of Home Care Managing risk for people with care needs at home People want it Better use of resources Focus for integration

3. Why? Growing Older People’s population Closure of Community Hospitals

4. Dispersed Accommodation Community Support Network Existing Accommodation Sheltered Housing Unit (Extra Care)

5. Community Support Network Telecare Integrated Support Team

6. Who is it for? Older People with care needs People with long term conditions Anyone with a need Single Assessment Process SW, OT, Community Nursing High level prevention Alternative route – low level prevention

7. Risk Management Wandering Falls Heat Extreme Smoke / Fire / Carbon Monoxide Natural Gas / Shut off Valve Flood

8. The Equipment Base Unit + Telephone Line 13 amp socket Sensors – wireless technology Relatively easy to install / de-install most sensors

9. Control Centre Identifying the problem 2-way communication with client Call appropriate responder

10. Integrated Support Team Emergency services District Nursing services Home Carers Alarm Providers own response service Housing Visitor / Mobile Warden Family, friends and neighbours Volunteer service – remote rural areas

11. Benefits – Service User Promotes independence and well-being Improves choice (stay at home) Risks managed Supports family and friends / carers Reduced need to access residential care and hospital based services

12. Benefits - Practitioner Exception reporting Reports on request Avoid crisis Assist in review of care needs Mainstream addition to menu of services available to meet needs

13. Benefits - Commissioners Reduce access to hospital and residential care services Link to Telehealth development Opportunity for dis-investment in accommodation based intensive services in favour of investment in community based risk management, care and support services

14. Charging / Costs Equipment – Free Fitting / de-installation – Free Ongoing weekly service charge to service user for –Monitoring (control room) –Maintenance + battery replacement –Alarm providers response service £8.22 per week approx

15. Subsidy Arrangements £4.50 approx subsidy from SP for community alarm element of the service – currently limited to certain tenure types and specific properties Investigating potential for SSD subsidy for Telecare element of the package Need shift in provision of SP funded Community Alarm service to all tenure types

16. How have we achieved this? Secure Strategic Sign-up Meaningful involvement of all partners in service design and development Support from the Telecare provider re information / training and staff time to support practitioners

17. Workshop Approach Agree: (ownership + acceptance) Care Pathway Equipment and Fitting Response arrangements Use of database Charges to service users and subsidy Information pack / training

18. Where Are We Now 24 successful referrals after 5 months for Carlisle pilot Larger project area Sensors by assessment – no longer using a standard core package Only use ½” gas shut-off valve Developing local action plans for countywide implementation

19. Service Development Issues Rural response service Subsidy arrangements District Councils – Alarm providers Equitable service charge Equitable service specification + standards Training / Information Database / Information Sharing DFG funding option?

20. The End Any Questions?