Transcript Mountbatten Group Telecare Pilot Project

Telecare in Portsmouth‘Moving into the
mainstream’.
27th March 2008
CHAIN Event- Coventry
27th March 2008
Health Improvement and Development Service
Directorate of Health, Housing and Social Care
Telecare Integrated service model
Entry
(Re) assessment of need
Care package
development
Review
Social services
Telecare service
Primary care
providers
Response
Acute care
Housing services
Telecare
prescription
&
response
protocol
Equipment suppliers
Call
handling
Home survey
Social Housing landlords
Monitoring
Installation
and
maintenance
Portsmouth City Council
Source: Barlow & Curry 2006
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Equipment provision
Putting People First
Progress during PTG Yr1- 2
Telecare has been built on existing community alarm platform.
Successful scheme with 1000+ customers
Initially Very small scale
Alarm/call monitoring centre is in Southampton
Partnership with University of Portsmouth to develop evaluation
programme & initial pilot schemes: falls management and
medication management in early dementia.
Starting gradual roll-out as mainstream service, to all user groups,
managing wider range of risks. Most mainstream referrals are for
people with dementia & their carers
Portsmouth City Council
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Putting People First
Progress during PTG yr 2
Set up shop front telecare demonstration/ marketing
/assessment facility in partnership with Age Concern
Portsmouth’s Bradbury Centre in North End
Other demo areas fitted in day resources for Learning
Disabilities and Physical Disabilities, Community
Equipment Service
Fitting telecare in Intermediate Care / Step-down
facility and 6 rehab flats
Awareness raising with staff, vol. orgs & community
groups
Use of Telecare in other environments such as schools
Portsmouth City Council
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Putting People First
Progress during PTG yr 2
Integrate with existing systems, eg SWIFT & care pathways
All new social care assessments screened for Telecare potential
Panel requiring evidence of Telecare assessment
Ensuring telecare is included in joint commissioning strategies
and local service development plans.
Operational engagement with PCT in a number of areas e.g.
telecare included with joint equipment review.
Telecare assessor training for front line staff Nov & Jan, Mar
regular training programme – bi-monthly
Testing dementia tracking devices prior to pilot phase in 2008
Using PCT led Vascular Prevention Programme (VPP): Risk & Lifestyle
work stream for developing a telehealth pilot
Portsmouth City Council
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Putting People First
Challenges
Competing initiatives within Health, Social Care and Housing
Range of stakeholders
Strategic engagement of PCT
Joint investment
Whole system change – not an isolated new service, needs to be
integrated into health/care pathways – should be catalyst for
change leading to whole system working
Leadership – need for committed leaders at a senior level, to
champion Telecare and advocate for sustainable, mainstream
service.
Absence of a 24X365 mobile response service remains single
biggest gap
Portsmouth City Council
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Putting People First
Workforce development, technology procurement, marketing and Sales,
no clear structure yet- PCC in house lead
Structure
Installation and Servicing
Homecheck
existing PCC in house Community Alarm team,
contracted to 3rd party (currently Southampton )
Monitor
Response
Service
based on developing current Independent Living
(+ role for LAH Concierge and ESO standby teams)
Customer
NHS & Social
packages
Social Care
packages
Community
alarm
(silver)
Community
alarm
(gold)
Sheltered
housing
New
NHS
Specialist medical
responses
NHS medical care
Existing
Funding
G Fund – Community
Housing
HRA
G Fund Social
Services
Charge
Charge to client
Service
charge
FAB
Assessment
Portsmouth City Council
NHS
Free at point of delivery
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Putting People First
Telecare in Portsmouth- in
numbers
1000+ Community alarm customers
1500+ Sheltered Housing clients
Falls Pilot = 13
Medication Management pilot = 6 (still recruiting)
Other stand-alone AT = 13
Current mainstream telecare users = 47
Frontline mulit-agency staff assessor trained as of March 2008= 77
Growth in mainstream referral numbers (last 4months):
Dec 07 = 13,
Jan 08 = 20, Feb 08 = 28, Mar 08 (up to 25th) = 21
Sources of referrals: Social Work/Care Manager = 64.7%, OT/OTA =
13.5%,
Physio = 2.7%, Community Alarms = 8%, Self/Family = 9.5%,
Other agencies = 1.6%
53% of existing social care packages could benefit from a Telecare
intervention.
£1800pa average potential saving on individual care packages
Portsmouth City Council
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Putting People First
Key lessons learnt
The technology is only as good as the infrastructure
that supports it
Telecare = 20% technology, 80% people
Telecare must be integrated into existing health and
community care pathways
Response protocols must be as tailored to the
individual as the technology package
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For further details on Telecare implementation in Portsmouth, please
Jonathan Smith- Deputy Head
contact:
Health Improvement & Development Service (HIDS)
Or
Rosanne Brown Telecare Co-ordinator
Health Improvement and Development Service (HIDS)
Directorate of Health, Housing & Social Care
Portsmouth City Council
Tel: 023 92 688394
E-mail: [email protected]
[email protected]
www.hids.org.uk
Portsmouth City Council
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Putting People First