1. Eric Goodyer – Professor of Instrumentation
De Montfort University Interdisciplinary Group for Intelligent Transport Systems
DIGITS
Dr Eric Goodyer Professor of Instrumentation De Montfort University

2. LACK OF VALUE ADDED SERVICES
ALIP 3 Barriers To Market Take-Up Public sector Austerity – major impact on provision Private Sector Trusted Brand Awareness Independent Advice Cost Style
It is now well established that telecare needs a new economic model. Reliance on public sector provision has resulted in minimal services being delivered due to austerity, and local government cost restraints. In England the problem has been compounded by the recent NHS reorganisation that broke to geographical link between health-care and local authority adult care services. Significantly Scotland has now transferred adult care services from their Regional Councils to the NHS, which should help to reinstate the move to a single service point for the delivery of care for older people.
There is public resistance to topping up care costs from private means. There is minimal private insurance based cover for older care, but this market is growing.
The most recent ALIP programme identified all these issues in depth.
One way forward is to develop the private sector, so that telecare services can be purchased directly bypassing local government and the NHS. However there are market barriers to the growth of this provision. Is the service being provided by a ‘trusted brand’, is it regulated, where do consumers get independent advice.
Even if these market barriers are addressed, there is also a problem with quality. Many telecare devices are simply not elegant, or are expensive.
One way to drive costs, and to stimulate innovative design is offer value added services over and above telecare. By doing so the consumer will be getting better value for money as the apparatus will be delivering more than healthcare. This could invigorate the market, and open new income streams.
LACK OF VALUE ADDED SERVICES

3. Inter Operability delivers new services
The key to Value Added Service is interoperability. This was demonstrated under our ALIP funded project iCARE.
iCARE provided a Platform for Interoperability for Telecare. Enabling a client based solution to be developed to meet their personal needs, using any devices of choice. iCARE enabled a pilot to be run which provided home and mobile telecare services to a groups of disparate users, using apparatus purchased from a wide variety of suppliers. The services delivered were more than just telecare, interoperability enables new services to be provided using the data made available – for example a PIR sensor can be used to detect that client is sedentary and may need assistance, AND it can be used to provide an input to a home energy management system AND it can be used as an intruder alarm when the client is on holiday.
iCARE demonstrated that a platform for interoperability can be used to deliver service beyond healthcare, and thus open up this market to new services, and different economic models.
The outputs from this study are being fed into the CENELEC working party for open standards for home automation.
P R Moore, C B Wong, X Chen, and E N Goodyer. Distributed Integrated Care Services and Systems. Mechatronics 2012, The 13th Mechatronics Forum International Conference September , 2012, Linz, Austria

4. Telecare Goes Walkabout Motech Care-Clip – GSM IP Based Sat Com next
The market is already evolving away from the traditional pendant alarm connected to a PSTN line and service centre. One good example is the Motech Care Clip, which was designed with the assistance of a panel of older people. It is stylish, easy to use, and is reasonably priced.
The device uses GSM not PSTN, and thus can be used for both Home and Mobile Telecare. Offering the same features as a basic pendant (panic alarm, fall sensor and voice). It include a Satellite Navigation receiver – and therefore can geofence sufferers from mild dementia, and locate them if they wander. It also includes an RF transceiver – and this is an important advance over other comparable devices, in that it can become part of an ad-hoc sensor network. As the data is available to other service providers it goes a long way to enabling the provision of Value Added Services, such as info-mobility and Location Based Services (LBS). LBS services are growing in popularity with the advent of mass market portable devices such as PDAs, and there is no reason why older people should not also access these services using Mobile telecare devices.
This the Care Clip is a credible glimpse of where Telecare is moving. It is Mobile, it is Personal and it connects to Value Added Services outside of the healthcare sector.

5. The Internet of Things – Telecare is just a service among many
The Ringtrack Telematics Platform
Going forward we are now seeing new OEM devices appearing in the market. The Ringtrack RTP is just one example. The module comes with GSM, GPS, RF, on board sensors and I/O expansion. It has a variety of applications, including telecare. It is in use now for asset tracking and environmental monitoring. As it is offered as an OEM module end users can embedded systems that are private or suitable for inter-operability. It is the perfect platform to use for The Internet of Things.

6. Platform for Interoperability
Secure Data Transfer
Personal Care Plan
Security
Home
Telecare
Info-Mobility
Smart
Homes
The key top creating new market models for telecare is to embrace Client driven design via their Personal Care Plan (PCP) and opening up the data via a platform for inter-operability.
Mobile
Telecare
Energy
Management
Location
Based
Services
Assisted
Shopping

7. <Alert> Panic </Alert>
Energy
Management
Assisted
Shopping
Location
Based
Services
Smart
Homes
Security
Info-Mobility
IP Based Datagram
Mobile
Telecare
Home
Telecare EU
Care
Object
Library
<Alert> Panic </Alert>
The next step is the development of an EU wide project to develop the Platform for Interoperability. My view is that it needs to be based on an widely accepted open format, such as XML. With data packets being carried as IP datagrams. Thus Telecare systems will be able to interoperate across the WWW.
It is essential that the data is secure, that privacy is not compromised, and that all is done with the client’s consent.