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Development of the Falls Assistant App
Laura Halcrow27 April 2015
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Self managementNot all people want or need assessment by
health and social care staff.Health and social care services are changing
to become more person centred and proactive. (E.g. Co-creating health, expert patients and self directed support)
It involves giving individuals an active role in their own care.
It is about giving the person the information and support to make their own decisions and plans to manage their health.
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Why self management for falls?Only 20-25% of falls are reported to a health
professionalOnly around 10% receive assessmentThis makes prevention challenging! Falls are nearly always due to one of more underlying
risk factors.Recognising and modifying these risk factors is
crucial in preventing falls and injuries.Multi-factorial, individualised interventions, based on
risk assessment, can reduce falls by up to 30%.
From: Falls and fractures: developing a local joint strategic needs assessment. (DoH 2009)
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Why use technology?Surveys have shown that 26%
of people over 65 use the internet. This rises to 63% for those between 55-63.
People are becoming more reliant on technology.
Good medium to reach a lot of the public with health information.
NHS Scotland are investing in the use of technology solutions to aid management on LTC’s.
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Introducing Smart Care
Smart Care in Scotland aims..“to improve the health, care and wellbeing of
10,000 people aged 50+ within Ayrshire and Clyde Valley, by enabling a better co-ordinated and more effective approach to falls prevention and management … focusing on the role that ICT services and applications can play in supporting integrated care ”
SmartCare in ScotlandSCTT/NHS 24 has a national responsibility
in Scotland as advisor, facilitator and promoter of technology enabled health, care & wellbeing for 5.2m population
SmartCare overarching pop – 1.1m (20%)
Involving 7 local authorities (22%) – social care/housing/education
3 territorial Health Boards (21%)
Range of voluntary, charitable & independent sector organisations
How
Fill the gaps Improve existing processes and
communicationPromote preventionCollaborate with service users and carersUse technology to improve existing self
assessment tools – triage – MFAImplement SmartCare concept
SmartCare – ICT enablers
Community Engagement
Signposting- local services, events social network
social networkingKeep in touch- Skype family and friendsPrevent isolation – keep active – be part of
something
Living it up
https://portal.livingitup.org.uk/
Diary/Calendar
Diary - enhance coordinationCo ordination - Persons needs will be varied
according to LTC and level of independencePull together key events supportsLink with agencies- GP Hospital
appointmentsAdapting existing systems – home care-
EquipU
Person profile
Who am I – how do I want things organisedPerson held information – input practitioners Key Information SummaryHealth info Social infoComprehensive Integrated information
system Influenced and tested by SmartCare
Falls assistant – self assessmentAn internet based self assessment measure to
reduce an individuals falls risk.This involves the user answering a series of
questions and completing activities about their general health, mobility and environment etc.
Once completed it gives the user an individualised personal action plan which will aid the user to self manage their falls risk.
Resource has been co-produced to ensure it is user friendly.
Paper version will be developed to give service user choice.
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Feedback
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A good way to engage
with people who have refused formal
assessment
A good resource
for families
and carers
Keep it simple!
Make it fun!
A good way to sign post
people
Progress so far!Project charter/business case formulated1st draft producedPresentation around concept made at
Hampden Smart Care event and feedback gained.
May 2014-Present MDT working group formed involving all smart care areas and have met on several occasions.
May 2014-Present – Service user focus group formed involving volunteers recruited from Invigor8 classes. This has met on several occasions and members have been actively involved in coproducing the assessment.
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Progress cont’dSeptember 2014 – Procurement Process - SMG and
TactuumOctober 2014 algorithm formulated for assessment
(on paper), and circulated nationally.November development commenced with SMG and
Tactuum.Presented concept at Smart care European AssemblyJanuary 2015 – First prototype developedFebruary 2015 – Initial testing event with user group
and tool put on Living it up test sight.March 2015 – Clinical testing commenced
Introducing the Falls Assistant App
Falls self assessment section
Advice Given
User testing event
Clinical TestingClinicians were asked to Supervise/observe
service user using Falls assistant appIf existing assessments had been carried out
they were asked to compare results.Clinician then completed a comments form.Service user’s completed SUS and AFRIS
measuresResults were sent to the project team.
Any Questions?
Have a lookhttps://fallsassistant.org.ukFor further queries contact –[email protected]
