1. Professor James Ferguson,
Professor of Remote Medicine,
Robert Gordon University
Clinical Lead,
Scottish Centre for Telehealth and Telecare
Consultant Surgeon in Emergency Medicine,
NHS Grampian

2. Technology Enabled Care in Scotland: The test tube for Europe?

3. Scotland

7. Scotland

8. “Why doesn’t everyone do this?”
Telemedicine
“Why doesn’t everyone do this?”

11. Scottish Telemedicine Action Forum (STAF)
Assessment of new projects
Evaluation of current projects
Designed healthcare
RARARI
SIGN
Clinical effectiveness
Co-ordination
Source of expertise
Collaboration
Cost efficiency
Scottish Telemedicine Action Forum (STAF)
Website
Database
Set National Standards
- Clinical
- Technological
Workshops
Symposia
‘Sharing of ideas’

12. A&E Department, Aberdeen Royal Infirmary.
14 Community A&E Units
>1600 A&E consultations in 1 year
Increasing rate of usage with time
A&E Department, Aberdeen Royal Infirmary.

13. KERR REPORT

14. Kerr Report 2005 ensure sustainable and safe local services;
view the NHS as a service delivered predominantly in local communities rather than in hospitals

15. Pilots

16. Telehealth in Scotland
4 National Programmes:
stroke,
paediatrics,
mental health
COPD
Underpinning activities: Technology standards
- Workforce development
- Stakeholder engagement
- Convergence with telecare

17. COMMUNICATIONS

19. Scotland

21. Scottish Centre for Telehealth and Telecare
National Telehealth & Telecare Programmes established by Scottish Government in 2006
Parallel programmes but increasingly integrated activity
SCT joined NHS 24 in April 2009
Merged in April 2010 into SCTT within NHS 24

22. Organisational Development

23. The Healthcare Quality Strategy for Scotland: Effective
The most appropriate treatments, interventions, support and services will be provided at the right time to everyone who will benefit, and wasteful or harmful variation will be eradicated

26. Mission: To Create CHAOS
The Enemy - SLOTH
Secret
League
Opposed To
Health
Mission: To Create CHAOS

27. CHAOS
Choose
Hospital
Admission as
Only
Solution

29. Creating CHAOS Which environment will do the following?
Increase Inpatient mortality by 20%
Increase Inpatient Length of Stay by 1-3 days
Increase likelihood of errors
Increase complaints and litigation.

30. Emergency Department Crowding

31. ED Door to medical team time 30-day adjusted mortality
P <

33. Dying Well 86% public wish to die at home
12% of patients actually die at home.
“In treating death as a type of illness, our system of technological, life prolonging medical care is failing to meet the needs of patients, who have priorities beyond survival at any cost” Atul Gwande 2015

36. RESEARCH

37. Technology-Enabled Care (TEC) Programme Background
Tied to Health & Wellbeing Outcomes
Designed to significantly extend the numbers of people directly benefiting from technology enabled care and support in Scotland :
Local areas challenged by the Cabinet Secretary to show how technology enabled care contributes to avoiding unnecessary hospital admissions, reduces length of stay and prevents delayed discharges from hospitals in all locations across Scotland.
5 Key Workstreams identified for funded along with an additional overarching Improvement Programme

38. Five priorities for the TEC Programme
Extending the use of home health monitoring
Expanding use of video conferencing across all health and social care sectors, as well as growing its use for clinical/practitioner consultations
Building on the emerging national digital platforms to enable direct access to advice and assistance
Expanding the take up of Telecare with focus on prevention, points of transitions in care and dementia
Exploring the scope and benefits of switching from analogue to digital