1. Health Technology & Supported Self-Care in Liverpool
The International Technology Enabled Care Conference 2017
Carol Hughes
Clinical and Operations Lead
Liverpool Community Health NHS Trust
Title of Presentation goes here

2. 2011: Liverpool’s telehealth journey began
Why Telehealth…
30% of residents in Liverpool have a long-term condition
Aging population
Resources being squeezed
Need a method of looking after large cohorts of patients safely to help alleviate pressures on the health system
So we introduced Telehealth in Liverpool
2011: Liverpool’s Telehealth Journey began…
Obviously our nurses were very happy to start working with Telehealth!
All clinicians loves technology and it’s very easy to use!
Implementation was going to be easy, everyone would embrace it and we’d quickly recruit patients to use the service

3. No We didn’t monitoring understand hub our business Not enough
patients
Information
governance
No GP
buy in
Reality Check…
Information governance challenges
No GP buy in
No hub
Not enough patients
We didn’t understand our business

4. Establish dedicated clinical monitoring hub Enhance offer to GPs
Back to the drawing board
Establish dedicated clinical monitoring hub
Enhance offer to GPs
Designed Primary Care Referral Pathway
Back to the drawing board…
Established the hub
Enhanced offer to GPs
Designed Primary Care referral pathway

5. 1,600 patients Outcome Outcome… Too many patients Not enough staff
System couldn’t cope
1,600 patients

6. “For the first time we feel in control” BUT…
Back to basics
Digital care plans redesigned
Capacity demand management resolved
Standard Operating Procedures defined
Telehealth research published
PROMS showed improvements
Reputation grew – GPs wanted Telehealth
Patient numbers increased safely
Back to Basics…
Care plan redesign
Capacity demand management
Reputation grew
Patient numbers increased
Positive Telehealth evidence
Processes and SOPS defined
Outcome
GPs wanted Telehealth
PROMS shows improvements
Scaled up operations
First time feels like we’re in control but…
“For the first time we feel in control” BUT…

7. Measuring success TSA: Quality Standards Framework…
Couldn’t measure our success in terms of quality
We had had success at scale but we wanted more assurance
Wanted assurance that all our quality standards and governance arrangements we robust
We had NMC NICE etc. to guide us but felt we needed more
Hence why we undertook TCA quality standards assessment – reviewed against industry standards for
In February 2017 successfully accredited to the TSA Quality Standards Framework.
This accreditation, borne out of whole system collaboration, provided patients, staff, the organisation, partners and commissioners with ultimate assurance that the service is safe, effective, caring, resilient and well led.
Thus confirming that the long and difficult journey Liverpool has been on with Telehealth was moving in the right direction.

8. Research study: 22% to 32% reduction in hospital admissions & costs
Today
50% reduction in use of healthcare services
950+ patients
monitored each day
5,100+
94% feel more control, confidence
44% have made lifestyle changes
72% believe their health has improved
Today
950 live
5000+
PROMS
Short report
Research study: 22% to 32% reduction in hospital admissions & costs
94% would recommend to family & friends

9. Back to Basics Early Supported Hospital Discharge
Enhancing support for Community Care Teams
Telehealth+ embracing concept of Every Contact Counts
Increasing Levels of Monitoring
Early Supported Hospital Discharge
The Future
Back to the start
Engagement with clinicians
Some workforce modelling to support expansion
Reviewing Care Plans to ensure they meet the need of service users
Hopefully delivery at greater scale