1. Implementation of GPG – a practical viewpoint Anne Reoch Clinical Lead Stroke and Cardiovascular Diseases Scottish Centre for Telehealth and Telecare (NHS 24) Scotland (UK)

2. What is CVD? heart disease cerebra vascular disease - (stroke) Cardiovascular Disease (CVD)

3. CVD in Europe 42% of all deaths main contributor to the disease burden 12,000,000 lost DALYs (19% of total)

4. Managing CVD – main challenges primary & secondary prevention medication adherence supporting self management reducing hospital admissions supporting carers

5. RTM GPG Estonia Veneto Malopolska Auvergne South & East Scotland

6. Lessons Learned

7. Telehealth, Telemedicine, Telecare?

8. Putting telemedicine into practice Effective Clinical leadership

9. Technology Robust equipment Dedicated technician User Contract

10. Governance Need secure data sharing – one EHR!

11. Evaluation Understood Comparable Relevant

12. Funding Business planning that makes sense to clinicians Substitution of service not addition Work in collaboration with management & finance

13. We know Helps achieve standards Improve access to services Facilitate & promote self management Improved public awareness It could help integration

14. We know Can help reach disadvantaged groups

15. Implementation of GPG – a practical viewpoint Anne Reoch Clinical Lead Stroke and Cardiovascular Diseases Scottish Centre for Telehealth and Telecare (NHS 24) Scotland (UK) anne.reoch@nhs.net anne.reoch@nhs.net