ECCH Presentation 10

th

November 2010

     Touches every aspect of our daily lives Speed of change Delivery of health and care today is dependent upon technology But, slow adopter Significant opportunity to improve quality, safety and efficiency

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Improved quality of life, health, well-being & independence To be supported & enabled to self-care & to be involved in decisions about them To have some choice & control over their care & support To have services which are integrated, flexible, proactive & responsive To have services that are high quality, efficient & sustainable (DoH MORI & Others)

     Changing Demography Changing Social Structures Changing Patterns of Disease and Medicine Public Expectations Patient Safety

Projected percentage increase in elderly population (relative to 2006) 140% 120% 100% 80% 60% 40% 20% 0% NI - 75+ Eng 75+ NI - 85+ Eng -85+ 12000 10000 8000 6000 4000 2000 0 Age/Gender Costs – All Services, 2003/04

Age Group Male Female

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In England 15.4 million have an LTC In NI probably 500000+ 90,000 diabetics

[QOF 71000]

30,000 CHF

[QOF 14000]

40,000 COPD

[QOF 25500]  

60% of patients over 65 have at least 1 LTC The >65 pop is set to rise by 50% by 2025

       Those with an LTC 30% of population 52% of all GP appointments 65% of all OP appointments 72% of all I/P bed days Twice as likely to have used SSD within last 6 months Three times as likely to have used Community Nurses within last 6 months Probably >70% of all current healthcare expenditure

P rofes Level 3 Complex co morbidity sio na l Car e Poorly controlled single disease Well controlled (70 80% of LTC Population Wide Prevention

 The remote monitoring of patients who are not at the same location as the health care provider

Examples of equipment

  Standard  B/P cuff  Pulse Oximeter   Scales Glucometer      Upgrades  Videophone  Spirometry Peak Flow meters Stethoscope Dose Monitoring using videocamera ECG Thermometer

       Procurement of a NI-wide Remote Telemonitoring Managed Service on behalf of HSC Trusts 3 Bidders currently in competition Roadshows and various demonstrations as part of stakeholder engagement province wide Detailed requirements finalised Between £2-3 million recurrent for RTNI Award date anticipated – March 2011 Potential to reach 3,000 – 4,000 patients per year

      Patients will: Experience improvements in the quality of care they receive and in the quality of their life, including more timely access to specialist clinical opinion when this is required Experience fewer exacerbation’s of their condition worsening to the extent that they require medical attention and referral to hospital Receive more care at home rather than in a hospital or residential care home, optimising the potential for independent living Receive more and better targeted proactive support, enabling them to take greater control in the management of their own disease Develop a greater understanding of how their behaviour, diet and medication can impact on the development of their chronic disease and on their general health and well being

        The health and social care system will: Have available to it, relevant and timely information which will assist in the operation of patient centred case management and intermediate care schemes Have available, relevant and timely information which will assist in optimising integration in the provision of care between primary, community, secondary and tertiary care sectors Have a further contribution towards developing better and more sustainable models for managing chronic conditions.

Have a further contribution, which will (along with other initiatives) assist in reducing in-patient admissions to hospital and minimising reliance on the acute sector Have a means through which medicines management and medication compliance can be improved Be able to optimise the use of their staffing resources and will be better able to meet the growing needs of the chronically ill population Be able to provide better quality assurance of the services provided as they will benefit from auditable improvements in the flow of quality and timely information between patients and professionals and between professionals.

 Promoting health and well-being  Helping individuals to live independently  Early intervention strategies  Supporting professionals and multi-disciplinary networks  Quality and safety

•Develop resource centre/knowledge base •Sign-posts to local services, networks, voluntary sector.

•Unique position insight to healthcare policies + development of connected health •Develop strategic thinking in connected health Disseminate knowledge and information Act as a “ catalyst ” Coherent use of connected health Facilitate collaboration •Making it happen !! •Bring together the relevant expertise to start up projects •Innovation hub •Advocacy/ Champion for Connected Health •Putting the case forward for use of technology