1. Care and Repair Conference Alistair Hodgson & Lesley Middlemiss 20 th May Westerwood Hotel Cumbernauld

3. Drivers for Change

4. 2007 2014 People aged 65+ Scotland Changing use of formal services 89.5% 91.2% 97.5% Charts by Peter Knight JIT 2015

5. Use of formal services by age group Scotland in 2014 Aged 65-74 Aged 75-84 Aged 85+ 97.5% 96.8% 90.2% 87.5% 64.3% Charts by Peter Knight JIT 2015

6. 9 Health & Wellbeing Outcomes – a legal requirement People are able to look after and improve their own health and wellbeing and live in good health for longer. People, including those with disabilities or long term conditions or who are frail are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community. People who use health and social care services have positive experiences of those services, and have their dignity respected. Health and social care services are centred on helping to maintain or improve the quality of life of people who use those services. Health and social care services contribute to reducing health inequalities. People who provide unpaid care are supported to look after their own health and wellbeing, including to reduce any negative impact of their caring role on their own health and wellbeing. People using health and social care services are safe from harm. People who work in health and social care services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide. Resources are used effectively and efficiently in the provision of health and social care services.

7. THE VISION digital tools can also change the delivery of care, facilitate independent living and encourage healthier lifestyles. Just as technology has improved banking, shopping or the way we connect with family and friends;

8. Key themes and insights Key Insights Giving back Information – personalised Getting more involved in their community Using technology better Tools to manage their health, care and wellbeing

9. Technology Enabled Care

10. Connected patients: shifting the balance of power Digital technology empowers people to understand and manage their own health and the health of others 10 75 per cent of the UK population are going online for health information This can be an important enabler of self-management for patients with chronic disease and provide vital support for a growing number of carers It is helping shift healthcare delivery, from a traditional paternalistic approach, towards shared ownership Proliferation on-line communities Traditional paternalistic model of careEmpowered patient sharing ownership Empowered Doctor Empowered Patient Empowered Doctor Empowered Patient Health tech

11. Connected providers: transforming ways of working GP practices have led the way in the move from paper to digital record-keeping but they are still slow to adopt technology in their interface with patients 11 GPs were the first to adopt: However: The full potential for technology to support primary care is widely under-developed Digital record keeping Email consultations Telephone appointments & triage Text messaging How TEC is benefitting providers Airedale NHS Foundation Trust: 210 care homes 113 in discussion Hospital 35% reduction in Hospital admissions, A&E use fell by 53%, Hospital bed days decreased by 59% Telehealth hub accessed by over 6,000 residents

12. Connected providers: transforming home and community care Supporting prevention, early intervention & early discharge from hospital 12 Supporting care at home – COPD Used by 150 patients 40% savings compared to ‘usual care’ = £100,000 26% decrease in GP appointments 70% decrease in hospital admissions 86% reduction in local out of hours services Virgin Care – a mobile working solution for nurse community visits Patient face-time increased by 29% nurses were seeing ~ 2 more patients/ day 60% reduction in paperwork time Home care TEC initiatives can support people with LTCs TEC can support community care staff and improve services to patients Wireless blood pressure, weight & pulse monitors Data stored in patients ‘HomePod’ Data transferred to physician who responds accordingly Hospital GP Patient Community Nurse

13. Key Findings from Deloitte Report 13 As the capacity and capability of digital technology is advancing exponentially, its cost is also falling; Technology enabled care has the potential to increase provider productivity, deliver cost savings, reduce avoidable service use and improve health outcomes; Digital technologies can empower patients and carers by giving them more control over their own health; UK adoption of digital health remains slow - the biggest barriers are cultural and regulatory.

14. Discussion / Questions Tell us if/ how technology currently supports your care and repair services to interact with citizens or other services? – Referrals? Communications? Assets/Stock management? Adaptations? Repairs?.............

15. What do you think the opportunities for care and repair services might be in the future with regards technology enabled care?

16. TEC Programme

17. Principles Citizen Centred : co design and develop solutions and actively participate in management and delivery of their own health and care Self – Management: flexible solutions that supports the management of disease and well being and expand choice and control Familiarity: build on existing and increasingly familiar technologies Innovative: secure continued investment in innovation Economic: focus on best value and building collaborative relationships with industry partners

18. Distribution of clients aged 65+ receiving Community Alarm and/or another Telecare service, by client group, 2015 * From 2015 Local Authorities were asked to record all clients receiving Community Alarms/Telecare at any time during the financial year. Previously only clients receiving these services during the March census week were recorded. Source: Scottish Government Social Care Survey 2013-2015, Home Care Census 2011-2012

19. May & Jimmy’s Story – Life after a stroke

20. Considering Mays story How aware of Technology enabled care would you say care and repair service providers / volunteers are? What examples can you think of where care and repair services currently support citizens with / through technology enabled care?

21. What are the experiences so far in supporting health and care innovation at scale? This is about complex change management and takes time, effort & resources Technology can play a significant part in remodelling our health & care services We need to shift focus from the technology to care supported by technology Incremental implementation – establish key priorities, have robust monitoring in place and ongoing review It can be hugely personalised and empowering for the service user and their carer, but it is not suitable for everyone Needs effective leadership nationally & locally - champions Build on what you have and keep going!

22. What support would Care and Repair services need to be more engaged in the Technology Enabled Care agenda?