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Support and Assessment for Fall Emergencies (SAFE) Trial Integrating telecare systems for chronic disease management in the community University of Swansea. Lead Researcher: Professor Helen Snooks An evaluation of the costs and benefits of computerised on-scene decision support for emergency ambulance personnel to assess and plan appropriate care for older people who have fallen Newcastle University. Lead researcher: Professor Carl May Key questions: •How do different constituencies understand integration of •telecare within and across sectors? •What principles should drive interactions between health agencies, social care, private sector and users? •How can expertise and experience be shared and valued? Background Falls in older people account for a 8% of London 999 calls Older people who fall have a high risk of: •Falling again, Injury, Disability, •Loss of independence, Death Falls intervention from A&E has been effective; can a similar intervention triggered by on-scene paramedics work? Method Group-work and interviews to build sets of principles: •Service users •Primary care professionals •Private sector services and suppliers •Social care professionals Aim: To assess costs and benefits of hand-held CDS technology for on-scene assessment and care of older people who fall and call 999 Objectives: To compare intervention and control group patients at one and six months: •number of further falls where a 999 call is made •number of A&E attendances and hospital admissions •quality of life, independence and satisfaction of patients/carers •operational ‘process’ indicators: on-scene times, job cycle times •impact on resource utilisation within the NHS and costs to patients and their families Principles? •Why are there problems integrating telecare systems with other services? •What do constituencies need to understand about each other? •How can mechanisms be developed to enable different constituencies to hear each other? Policy relevance •Much is already known – no need for masses of new data •Move beyond local demonstration projects and •‘white paper demonstrator’ •Services requires users’ knowledge about everyday integration processes •Need to find ways to engage and co-ordinate users’ knowledge and practice Research Methods •Cluster RCT •Comparison of processes and outcomes of care •Qualitative follow-up of older people who have fallen •focus groups with crews before and after implementation •interviews to capture views re implementation issues The Policy Research Programme, Department of Health commissioned six projects to provide more evidence on the role of ICT in healthcare, the effects on quality of care and ultimately the quality of life of patients using ICT solutions for their health needs Information and Communication Technology Research Initiative www.ictri.port.ac.uk Supporting the self management of obesity: The role of ICTs Objectives • map ‘information landscapes’ of those involved in the self management of obesity from provider and user viewpoints • identify opportunities and challenges posed by ICTs in the self management of obesity • identify specific IT, information and health literacy skills and needs of those seeking to make use of ICTs in this context • design and run a series of workshops to address skills needs • identify ways to better organise local health information to support obesity self management • evaluate impact of participation in workshops in terms of its ability to lead to increased, innovative and effective uses of ICTs to support the self management of obesity in one locality University of Brighton. Lead researcher: Professor Flis Henwood Information and self care Information and support central to self care agenda: •expert patient programme •patient trainers initiative Little research into: •how ‘user engagement’ in self care is secured and sustained •role of ICTs in supporting such engagement Overall aim: ‘to examine the potential for increased, innovative and effective uses of information and communication technologies (ICTs) in the self management of obesity in one locality’ KEY Project stages Figure 1: Project flow diagram outputs Provider mapping Methods, stages, outputs: Focus groups User mapping Assets and needs analysis Participatory learning workshops Learning support materials User Survey Report New ICT tools New information design ideas evaluation Database of local health info provision Consensus event New community health ICT initiatives Final report New community health ICT initiatives Guidelines for good practice in local health information provision