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Lessons from Europe –
a Scottish perspective
Professor George Crooks
Donna Henderson
NHS 24
• NHSScotland
–
–
–
–
£12 billion
14 Health Boards
8 Support Boards
32 Local
Authorities
– Integrated delivery
– Moving towards
social care
integration
OUR VISION IS THAT BY 2020:
• Everyone is able to live longer healthier lives at home, or in a
homely setting.
• We will have an integrated health and social care system, with
a focus on prevention, anticipation and supported self
management.
• When hospital treatment is required, and cannot be provided
in a community setting, day case treatment will be the norm.
• Whatever the setting, care will be provided to the highest
standards of quality and safety, with the person at the centre of
all decisions.
• There will be a focus on ensuring that people get back into
their home or community environment as soon as appropriate,
with minimal risk of re-admission.
“The Scottish Governments
international activities make
crucial contributions to
sustainable economic growth.
We are committed to ensuring
Scotland is a great place to
live, work, learn, invest, visit
and do business with”
http://www.sctt.scot.
nhs.uk/programmes/
european-projects/
Key Objectives
• Actively engaging with European institutions to the
benefit of Scotland and other countries of Europe.
• Building relationships and partnerships to learn from
others, share best practice and collaborate on areas of
mutual interest.
• Enhance Scotland’s reputation in Europe and by so
doing create further opportunities including securing
inward investment and generating economic growth.
• Influence and secure funding from relevant EU funding
programmes to benefit Scotland by supporting the
delivery of key national strategic initiatives.
Key Components of Engagement
EUROPEAN
PARTNERSHIPS
RESEARCH,
INNOVATION &
DEPLOYMENT
EXCHANGE AND
LEARNING
Key Ambitions
“Deliver Government Policy”
• Raise the Profile of Scotland
• Raise the Profile of NHS Scotland
• Promote NHS Scotland as a leader in the
provision of Telehealth and Telecare Services
• Develop Networks and Partnerships to share
best practice and knowledge
• Secure Funding for the NHS and Scotland
EUROPEAN
PARTNERSHIPS
EIP on AHA Action Groups
Reference Sites
+2 Healthy Life Years by 2020
Triple win for Europe
Sustainable
& efficient
care systems
Health & quality
of life of
European
citizens
Growth &
expansion of
EU industry
Integrated care for chronic
conditions, inc. telecare (B3)
Better management of
health: preventing falls
(A2)
ICT solutions for independent
living & active ageing (C2)
Preventing functional
decline and frailty (A3)
Age-friendly cities and
environments (D4)
Reference Sites
Improving prescriptions
and adherence to
treatment (A1)
European Innovation Partnership on
Active and Healthy Ageing (EIP-AHA)
Action
Group
Focus
Scotland’s
Commitment
Represented by
A1
Adherence & Medication
Pharmaceutical
Care for Long Term
Conditions
Scottish
Government
A2
Falls prevention
National Falls
Programme
Scottish
Government
A3
Frailty
Acute Focus on
Frailty
JIT
B3
Integrated care
ICT enabled
integrated health
and social care
NHS24
C2
Independent living
Living it Up
NHS24
D4
Smart cities and communities
Dementia Enabled
Communities
The ALLIANCE
Political added value of the EIP
• inspire for policy action
• support from the ground
• identify good practices
working in real life
• develop policy on active &
healthy ageing
• mobilise efforts &
resources
Joint Action on Chronic Diseases and Healthy
Ageing (28 countries + 5 networks)
High level conferences (e-health, Gastein
Forum, Conference of Partners, Frailty and
Adherence Conferences)
Alignment of priorities in Horizon 2020, CIP
2013, PHP 2013 etc.
Reflection process of the MS: Towards
modern, responsive and sustainable health
systems
NHS SCOTLAND
Is already committed through
EXISTING strategies and
actions to support the
objectives and challenges set
out in the EIP
RESEARCH, INNOVATION &
DEPLOYMENT
European Funding
Streams
• Competitiveness & Innovation Programmes (CIP)
– Designed to support the European Digital Agenda, including healthcare.
– Focus on scaling existing services/pilots and building the evidence base
for telehealth and telecare deployment in Europe.
– SCTT in 3 current projects : United4Health; Smartcare; MasterMind.
• FP 7 Projects
– Focus on research and innovation in health and/or
ICT innovation at development stage.
– SCTT in 2 current projects: UNWIRED Health; eSMART.
• Thematic networks projects
– INTERREG IVC, CIP, Public Health
Programme.
– Focus on sharing results and knowledge across the EU and the use of
digital technologies to improve local service delivery.
– SCTT in 3 current projects: CASA, Momentum, ACT
United4Health (CIP)
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•
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Timeline: January 2013-December 2015
Total budget Scotland: €1,556,478.00
European funding: 50% of budget
Strategic fit: Support health and social care integration (ICT
solutions for the management of people living with long term
conditions in home settings, deployed at scale; costeffectiveness)
• Project impact: +7000 patients with one of the three
conditions (COPD, diabetes and heart failure)
• Scottish partners / implementation sites:
– NHS24 (overall coordinator & lead for Diabetes
workstream);
– 3 Health Boards (NHS Ayrshire & Arran; NHS Greater
Glasgow & Clyde; NHS Lanarkshire)
– 7 Local Authorities (North, South & East Ayrshire Council,
East Renfrewshire & Renfrewshire Councils; North &
South Lanarkshire Council)
SmartCare (CIP)
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•
•
•
Timeline: January 2013 - February 2016
Total budget Scotland: €1,457,195.00
European funding: 50% of budget
Strategic fit: Support health and social care integration
(role of ICT to support integrated care; focus on falls
prevention and management; Living it Up)
• Project impact: 10,000 people (8, 000 patients ad 2,
000 health professionals)
• Scottish partners / implementation sites:
– NHS24 (project partner)
– 3 Health Boards (NHS Ayrshire & Arran; NHS Greater
Glasgow and Clyde; NHS Lanarkshire)
– 7 local authorities (North, South and East Ayrshire
Council, East Renfrewshire and Renfrewhsire
Council; North and South Lanarkshire Council)
MasterMind (CIP)
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•
•
•
Timeline: March 2014 - February 2017
Total budget Scotland: €804,632.00
European funding: 50% of budget
Strategic fit: Enhance wellbeing; support health and
social care integration (computerised Cognitive
Behavioural Therapy programme to treat people with
depression and anxiety)
• Project impact: 800 people
• Scottish partners / implementation sites:
– NHS24 (project partner leading the worksteam on
benefit of cCBT)
– 4 Health Boards (Fife, Shetland, Lanarkshire,
Grampian)
UNWIRED Health (FP7)
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Timeline: January 2014-December 2016
Total budget Scotland: €788,356.30
European funding: 75% of budget
Strategic fit: Support economic growth; support
health and social care integration (mobile eHealth
services for patient empowerment; pre-commercial
procurement process)
• Project impact: Patients and health professionals
• Scottish partners / implementation sites:
– NHS24 (project partner)
– NHS Greater Glasgow and Clyde
CASA (INTERREG IVC)
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•
•
•
Timeline: July 2012 - December 2014
Total budget Scotland: €155,377.00
European funding: 75% of budget
Strategic fit: Exchange learning; develop and
embed good practices (study visits /secondments)
• Project impact: Understanding of health and
social care systems and innovative services in
other countries that can be applied to improve
health and social care delivery in Scotland
• Scottish partners:
– NHS24 (project partner)
Momentum (CIP)
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•
•
•
Timeline: February 2012 - December 2014
Total budget Scotland: €17,001.00
European funding: 100% of budget
Strategic fit: Exchange learning; develop
and embed good practices on telemedicine
services in Europe
• Project impact: European Blueprint for
Telemedicine Deployment at Large Scale
• Scottish partners:
– NHS24 (project partner)
ACT (Public Health Programme)
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•
•
•
Timeline: February 2013 - December 2015
Total budget Scotland: €68,534.00
European funding: 60% of budget
Strategic fit: Exchange learning; develop and
embed good practices on care co-ordination and
telehealthcare services
• Project impact: “Cook book” (indicators that
have influence on the outomes of care
coordination programmes and telehealth
services)
• Scottish partners:
– NHS24 (project partner)
– West Lothian CHCP, supported by ISD
Horizon 2020
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•
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Timeline: 2014 -2020
Total budget : (80 billion EUR)
– 488 m EUR 2014
– 492 m EUR 2015
Objectives:
– Health, demographic challenge and well-being
– Active and healthy ageing, independent living
– Sustainability of healthcare systems
•
Scotland’s participation in 2014:
– 10 proposals submitted
– 2 proposals through to the second stage:
• PIEM3 (Scottish Government, NHS ISD, University of Glasgow) – an Integrated
European Evidence-based Model for the Management of Multimorbidity (Total budget:
€6m)
• HealthMatch (NHS Scotland, JIT) – matching stratified populations to available
services based on combined criteria, inc quality and cost-effectiveness (Total budget
€4-6 m)
– 1 winning proposal
• Cracking the language barrier (NHS24) – to improve machine translation of health text
substitute translators for public health information (Budget for NHS24: €547,425)
•
Identified priorities for 2015:
– PHC 25 – Advanced ICT Systems and services for integrated care (Expected budget: €3-5m)
– PHC 28 – Self-management of health and disease / decision support systems based on
predictive computer modeling used by the patient (Expected budget: €3-5m)
Ambient Assisted Living
Joint Programme
• Timeline: 2015
• Total budget: €1-7m (AAL Association + EC); 60% of
eligible costs for SMEs, up to 50% for large companies, local
authorities, health trusts, up to 100% for charities
• Objectives of the 2015 Call:
Living active and independently at home – the contribution of ICT /
technologies to integrated solutions for supporting active and
independent living of older adults in their homes”
–
Deadline: 28 May 2015
Public Health Programme
• Timeline: June 2014 - 2020
• Total budget: €449,4m (EC DG SANCO)
• Objectives:
– Health promotion, disease prevention, healthy lifestyles
environments;
– Cross-border health threats;
– Innovative, efficient and sustainable health systems;
– Access to better and safer healthcare
• Scotland’s participation in 2014:
– SIMPATHY – Stimulating Innovation Management of
Polypharmacy and Adherence in Older People
– Partner: Scottish Government
– Expected budget: €66,000
INTERREG EUROPE
Programme
• Timeline: 2014 - 2020
• Total budget: €359m (DG Regio)
• Objectives: Knowledge Exchange,
dissemination and embedment of good
practices (research and innovation, ICT)
• First call for proposals mid February
2015
EXCHANGE AND LEARNING
Thematic Networks
Memorandums of Understanding
We have:
• Developed networks with senior officials
and key individuals across Europe
• Secured Scottish input into the EIP Strategic
Plan
• Active membership in the EIP Action Groups
• Secured membership of a number of
European organisations
• Hosted the inaugural European Telemedicine
Conference
• Hosted the International Integrated Care
Conference 2015
Hosted Exchange Visits - 2014
• Basque Minister for Health & Minister for
Social Affairs and Welfare & senior officials;
• Danish Regions and service providers
• Catalan Health Ministry
• Norwegian Government and municipalities
• Swedish municipalities
• Flanders Government and SMEs
• Polish National Health Insurance providers
• Veneto Region
• 1 CASA project Study Visit – 70 participants
from 11 regions
MOUs and Action Plans
• Catalonia
• Basque Country
• Greece
• Norway
• South Denmark
• Kent!
Lessons Learned
Lessons learned
Political
• Ensure you have politcal support and buy-in at
a local level
• Be aware of the politics – at Member State,
Region and local levels
• European Commission - rules of engagement
Networks
• Cultural differences – rules of engagement
• Understand what motivates others
• Prioritise your involvement
Lessons learned
European funded projects
• Be clear about your strategic priorities before
you engage
• Choose your project partners wisely
• Learn how to say NO (politely)!
• Speculate to accumulate - you need to invest
resources
• Don’t expect a high level of success!
• There’s never enough time….start early
• Engage early with local stakeholders – you
need them to deploy
SCTT European
Engagement Team
• European Strategic Leadership –
George Crooks / Donna Henderson
• European Engagement Manager –
Janne Rasmussen
• European Service Development Manager Andrea Pavlickova
• European Project Co-ordinator –
Victoria Hunter
• European Finance Manager –
Morag Keith
• European Project Managers –
Pamela Rennie / Marlene Harkis / Michelle Brogan /
Chris Wright
Support available to Health &
Social Care Partnerships
• Awareness raising - European digital health
and care agenda and funding opportunities
• Signposting partnerships to relevant funding
opportunities
• Matchmaking – linking Scottish partners with
suitable European partners
• Advice and guidance – development of funding proposals
– European project management
Thank you!
http://www.sctt.scot.nhs.uk/