1. Modelling the Potential for Telecare and Telemedicine Tom Bowen & Paul Forte The Balance of Care Group ORAHS 2005, Southampton, UK 4 August 2005

2. Content What is telecare? Modelling requirement to support local councils Balance of Care model Demonstration

3. What is Telecare? Equipment provided to support people in their own homes with remote monitoring –Community alarm service –Motion or fall monitors –Diagnostic monitors –Consultation and communication devices

4. Some devices

6. The Virtual Visiting solution Nurse Desktop Virtual Visiting Servers Network Patient Doctors 3G Mobile

7. Project aims To help social services to develop business cases for funding from 120million government grants over 2 years To develop a decision support tool to identify and cost potential for: –reduced admission to residential care –reduced cost of home care packages –potential cost savings to the NHS (eg through reduced admissions to hospital)

8. What were addressing in the Balance of Care model Local policy direction: –support for development of strategies involving telecare Demonstration of cost effective approaches: –telecare in the context of the organisation and provision of other health and social services

9. The Balance of Care model Older People high dependency low dependency medium dependency

10. The Balance of Care model Older People high dependency low dependency medium dependency long -term care bed community nurse Voluntary & Private sector NHS Local Authority nursing home physiotherapist care assistant day care centre respite care

11. The Balance of Care model Older People high dependency low dependency medium dependency long -term care bed community nurse Voluntary & Private sector NHS Local Authority nursing home physiotherapist care assistant day care centre respite care option1 option 2 option 3

12. Policy assumptions in this version Focus on social care Restrict to current supported clients Invest in reactive telecare only Populate model for Telecare Valley council

13. The Balance of Care model Older People high dependency low dependency medium dependency

15. Published Model and Guidance http://www.dh.gov.uk/PublicationsAndStatistics/Publi cations/PublicationsPolicyAndGuidance/Publications PolicyAndGuidanceArticle/fs/en?CONTENT_ID=411 5303&chk=AZNQjz

16. Potential strategic implications of telecare Organisational issues: –supporting partnership working; innovative connections; workforce development Information issues: –sharing of data, information and intelligence; common definitions Engaging people: –harnessing drive of health and social care professionals –facilitating client and carer engagement