1. 20 June 2016 Insights

2. Tunstall Healthcare’s vision Tunstall’s vision is to give people the freedom to live as independently, securely, healthily and happily as they are able.

3. Tunstall supports a large client and user base 2.7m Connected Care hubs supplied Tunstall directly monitors 915,000 service users globally 1 via 15 contact centres 530,000 users reside in Assisted Living schemes 250 monitoring centres use Tunstall software to monitor 780,000 users 84,500 individual B2C users pay Tunstall to support them 2 230,000 patients supported by NurseCall systems 12,000 Business clients use Tunstall’s products and services Source: Management estimates Notes: (1) Includes out of hours and disaster recovery support; (2) Includes users who pay in full and who co-pay

4. Sensors have played an important part in enabling efficient and effective care for many years Independent LivingAssisted Living Remote Patient Monitoring and Support Integrated NurseCall Systems Solutions to support carers and users, enabling people to live more fulfilling lives at home and on the move Care Alarms Triggers Automatic fall detectors Environmental detectors Tailored solutions for housing and residential care providers to enhance community and security for residents Same as IL – but Door entry Warden call Site management Solutions to support patients in a community setting, assisting healthcare organisations to manage chronic conditions Remote patient monitoring Patient support programmes Communication solutions to enable clinical teams to provide high quality and efficient care in hospitals Integrated clinical communication systems Nurse location and call escalation Environment and entertainment control Connected CareConnected Health 1957 - ……….

5. BUT THE LANDSCAPE IS CHANGING Traditionally proprietary systems Now Interconnected Interdependent Open

6. IOT

7. How could IOT transform the care landscape?

8. There is a significant untapped opportunity for service extension 47,000 users today with one of Tunstalls customers Opportunities exist to provide added-value services to key holders and informal carers/ family members to enhance peace of mind These groups would be willing to pay for such added-value services e.g. medication management, supported hospital discharge, online information and befriending 8 94,000 informal carers 70,500 key holders 47,000 users Expanding the target market Today IP – Tomorrow Assumptions 1.5 key holders per customer 2 informal carers per customer

9. This wont take place using the traditional methods of sensoring It is bigger It is wider It is challenging WHY?

10. IOT

13. In addition changes to technology in PAN LAN WAN

15. Traditional Today Existing AD Life

16. Tomorrow - voice of support in the Connected Home Mum’s door has been left open f or 30 minutes. Would you like to speak to her now? Click here Mum has not made a hot drink today. You haven’t had a hot drink today. Are you feeling ok? Would you like to speak to your daughter.

17. From 1957 till now Tunstall has a huge amount of data How do we access it Who owns it How do we decipher it How do we make it valuable in delivering high quality cost effective care

18. The move to IOT devices in a care environment is both inevitable and necessary How do we analyse existing data to build effective care systems? How do we integrate all the systems to offer this care? How do we deliver the care need to the right place at the right time?

19. 19 Care propositions span a spectrum of user needs and care settings Increasing separation from carer/support Increasing need of individual Assisted Living Independent Living Connected Health Connected Care Technology is enabling people with greater levels of need to live more independently than was previously possible Allows transition in and out of differing care settings Remote Patient Monitoring and Support Hospital Supported living environment Home Integrated NurseCall Systems Tunstall’s propositions support individuals with lower levels of health and social care need, who are living more independently, through to those with higher dependency in hospital settings Tunstall’s propositions allow the users to stay connected to their carers, relatives and healthcare professionals and receive support aligned to their level of need, regardless of their care setting

20. 20 Connected Home Intelligent use of telecare sensors for risk management Personal safety through sensors for falls, fire, etc. Integrated security and door access Integrated to smart home control & IoT devices Risk-based behaviour monitoring Carers Personal telecare aids care e.g. medication reminders Secure door access Smart geographic routing Visit authentication/billing Mobile alarm handling Behavioural monitoring and virtual visits Monitoring and response centre 24/7 response to alarm sensor activations Triage non-emergencies, escalate as required Proactive health, wellbeing and programme compliance Service-oriented data centric core providing a unified platform for integrated health & care service delivery Data aggregation and analytics Analyse behavioural data to alert unusual patterns Family Contacted by Centre if user alerts raised Alerted for unusual patterns of behaviour Check and assist, minimising emergency escalation View and assess behavioural data of individual at risk Sample solutions Current Emergent Connected person Telecare devices minimise risks in-home Location tracked and calls for help out of home evolution of devices to IP-connected, enabling data, voice and video features Proactive location-based services Personalized healthcare programmes Centralized device management & upgrade Tunstall has a vision for the world of IOT – a journey intertwined with millions of different people Service Bus Critical Comms Non-Critical Comms Core Data Services & BI Master Person Index Admin Portals/UI Automated Decision Support Activity Monitoring Triage Service Management Audit Control APIs / Third Party Interfaces Device Management Tunstall Services Platform Customer Facing Applications Managed Service Applications Telecare monitoring Tunstall cloud- based services Telehealth monitoring

21. 21 FREEDOM to leave their home whenever they wish ENGAGED with social events and access to their community INDEPENDENT help only when you need it WELL-BEING Information and support to lead a healthier lifestyle PEACE OF MIND their loved one is safe and well IN CONTROL support to manage a heavy and increasing workload Care is a complete system Consumer Commissioner Carer