1. Telehealth and Telecare Introducing the work of the Yorkshire and Humber Health Innovation and Education Cluster (HIEC)

2. Patient Safety Telehealth for long term conditions Maternal & Infant health

3. HIEC Telehealth for long term conditions Project Objectives 1.To develop an introductory Telehealth and Telecare module for staff, service users and carers 2.To produce practical information for managers who want to develop telehealth services 3.To provide expertise to support the rapid implementation of telehealth services

4. Definitions Telecare uses a combination of alarms, sensors and other equipment, usually in the home environment, to help people live more independently (Royal College of Nursing, 2009) Telehealth is the removal of time and distance barriers for the delivery of health care services or related health care activities. (American Nurses Association, 1997)

5. 5 Nothing is ever new……

6. Sharing expertise Clinician Diagnosis of condition Cause of disease Prognosis Treatment options Outcome probabilities Patient Experience of illness Social circumstances Attitude to risk Values Preferences

7. Why do we need to change the way we deliver services? To ensure that the most vulnerable are identified and supported Build better partnerships with users and carers Provide more integrated care Provide more consistent and appropriate expertise Provide support to avoid crises Reduce visits to hospital & GPs Match increasing need and limited resource

8. Drivers for Telecare and Telehealth Source: Office for National Statistics; http://www.statistics.gov.uk

9. The “Living Lab” A mixed economy of managed service offers, system suppliers and change management resource 2000 units 2500 units 250 units 50 units 50/500 units 100 units

11. Telehealth works best with - Long Term Conditions - relatively stable, trends predict deterioration Patients report feeling supported - “someone keeping an eye on me” Essentially single system conditions and primary care focus Integrated into district’s health care systems Clear pathways of care and governance; Inputs and outputs must both change

12. An Introduction to Telecare and Telehealth: E Learning Course To access the module, produced for the HIEC by Virtual College, please go to; www.telesolutions.co.uk or visit the HIEC website for details of this and other resources; www.yhhiec.org.uk