Birmingham WIN slides

NHS England

2014-17 National Delivery Plan

  • To support Integrated Care
  • Management of long term conditions and the enablement of seven day services
  • Work with NHS, Social Care, Housing and other key stakeholders to simplify procurement and commissioning processes

The Whole System Demonstrator (WSD) was the largest randomised control trial of telehealth and telecare in the world, involving 6191 patients and 238 GP practices across three sites in England. Findings showed a reduction in A&E visits, hospital admissions and mortality rates for diabetes, heart failure or COPD. More information is available from the Department of Health and King’s Fund websites.

Virtual Clinic: Primary care enhanced service to care home

  • 23% reduction in A/E attendances after intervention
  • 29% reduction in A/E admissions
  • No change in comparator care homes
  • Staff education, sustained benefit
  • Not perceived as threatening

Reducing the Incidence of Falls in Nursing Homes: Does it work?

>100 people supported with AT / 14 Nursing Homes.

Feedback from early adopters :

> 90% staff satisfaction

30-40% reduction in falls in 1 early adopter home

Relatives feel people cared for in a safer environment

Night staff happy that it removed need for hourly checks

Difficulties in introducing and sustaining technologies

Stakeholders need to take into consideration patients needs and care priorities:
Packages personalised around needs and benefits

  • Dementia package
  • Falls package
  • Learning difficulties package
  • Safe and secure at home package
  • Winter chills package
  • Personalised to meet individual need

Do we need to make it part of
Comprehensive Geriatric Assessment?

Assistive Technology: benefits

  • Reassurance and safety
  • Confidence and self management
  • Early safer discharges from hospitals
  • Timely medication
  • Improve dignity
  • Improve independence
  • Sense of well being
  • Reduced readmissions
  • Remote areas consultation
  • Monitor drug effects
  • Help in recreational, household activities or personal care
  • No travelling or parking chaos
  • Reduced loneliness
  • Reduced health care associated infections
  • Reduced waiting times
  • Lesser follow ups
  • Help with 7 day working

Patients want to be at home, not in hospitals
But then, what are the barriers?