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Bolton slides

Current policy frameworks

In England the 3 million lives programme is set to extend telehealth and telecare to at least 3 million more people over five years from December 2011

David Cameron



Digital Health Modality Descriptions

Telecare – Devices in or away from the home that support independence, that can be used as stand alone or linked to a support service such as a call centre. Many of these devices related to social needs in relation to activities of daily living.

Telehealth – Devices used in or away from the home that enable health parameter measurements such as blood pressure, glucose, weight, wound management that supports decision making around personalised care planning and appropriate interventions.
Tele-health can be used as stand alone or linked to a response service

Mobile Apps & online self management – A growing area of support where people use a mobile device, device or smartphone to manage their own health and well being. This area is mainly aimed at self management and so is most appropriate for the lower levels of need, however increasing use of mobile apps is having an impact in supporting staff and carers in monitoring and care co-ordination

Video Consultations & Tele-Diagnostics – Again growing in popularity and relies on infrastructure being available to support, this includes webex, facetime and skype. This can be between patients and staff, groups of patients and staff and between staff & staff. All allow a non-face to face consultation that enables decisions to be made without the need for anyone to leave their desk or home.
Tele-diagnostics include near patient testing and this needs to be used in selected environments / cohorts. This could be patients / carers testing themselves or could be community staff doing testing in the patients home.

Packages personalised around needs

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

Legal clarity and Bottlenecks

Lack of legal clarity

  • Licensing, Accreditation
  • Registration of telemedicine services and professionals
  • Data protection, Liability, Reimbursement
  • Jurisdiction – e.g. cross border provision of telemedicine services also require
  • egal clarification with regard to privacy
  • Broadband access, standardization
  • Information Governance issues
  • Better Health Using Technology To Support Outcomes

Not a one size fits all

Start of an exciting time, sp. as they get widely available and cheaper

Think beyond traditional ways, be a part of the change

‘The opportunity is Huge and the Time is Now’

No straightforward ‘impact’ of technology
It works well for some people, at some stages of their lives, in some contexts
Not a one size fits all, nor a solution for all the problems in the NHS
Tele Care may not transform the health of its users but it may afford small relative benefits on psychological and health related Quality of Life outcomes