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Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Helping to keep people in a lower care group for longer
Requiring no formal care (P6)
Low intensity needs (P5)
Other long term care needs (P4)
Case managed
(P3)
With Telecare
EMH amp Non-EMHCare Homes (P1 amp P2)
Requiring no formal care (P6)
Low intensity needs (P5)
Other long term care needs (P4)
Case managed
(P3)
No Telecare
EnvironmentalAnd Security Social Medical
Nutrition Cognition
Mobility
Fire Flood
GasIntruders
Cardiac arrest
Medication
Asthma attack
AdvancedLifeline
Unit
Response Team
Contact ampCoordination centre
Wireless alarm
Smart Sensors
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty SocialWorker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Emergency Care Support Team
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty Social
Worker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Yes = 22No = 0
(last one began in October 2008)
All 22 Authorities are now delivering Telecare services
Each Authority has a Lead Officer for Telecare Lead Officers are members of an all Wales LIN Independent evaluation of Telecare in Wales
will be presented to the Minister in February 2010
The evaluation will be based on the extent to which Telecare achieves outcomes such as later admissions to Residential care reduced hospital admissions reduced DToCs etc
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Helping to keep people in a lower care group for longer
Requiring no formal care (P6)
Low intensity needs (P5)
Other long term care needs (P4)
Case managed
(P3)
With Telecare
EMH amp Non-EMHCare Homes (P1 amp P2)
Requiring no formal care (P6)
Low intensity needs (P5)
Other long term care needs (P4)
Case managed
(P3)
No Telecare
EnvironmentalAnd Security Social Medical
Nutrition Cognition
Mobility
Fire Flood
GasIntruders
Cardiac arrest
Medication
Asthma attack
AdvancedLifeline
Unit
Response Team
Contact ampCoordination centre
Wireless alarm
Smart Sensors
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty SocialWorker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Emergency Care Support Team
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty Social
Worker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Yes = 22No = 0
(last one began in October 2008)
All 22 Authorities are now delivering Telecare services
Each Authority has a Lead Officer for Telecare Lead Officers are members of an all Wales LIN Independent evaluation of Telecare in Wales
will be presented to the Minister in February 2010
The evaluation will be based on the extent to which Telecare achieves outcomes such as later admissions to Residential care reduced hospital admissions reduced DToCs etc
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
EnvironmentalAnd Security Social Medical
Nutrition Cognition
Mobility
Fire Flood
GasIntruders
Cardiac arrest
Medication
Asthma attack
AdvancedLifeline
Unit
Response Team
Contact ampCoordination centre
Wireless alarm
Smart Sensors
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty SocialWorker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Emergency Care Support Team
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty Social
Worker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Yes = 22No = 0
(last one began in October 2008)
All 22 Authorities are now delivering Telecare services
Each Authority has a Lead Officer for Telecare Lead Officers are members of an all Wales LIN Independent evaluation of Telecare in Wales
will be presented to the Minister in February 2010
The evaluation will be based on the extent to which Telecare achieves outcomes such as later admissions to Residential care reduced hospital admissions reduced DToCs etc
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
AdvancedLifeline
Unit
Response Team
Contact ampCoordination centre
Wireless alarm
Smart Sensors
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty SocialWorker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Emergency Care Support Team
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty Social
Worker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Yes = 22No = 0
(last one began in October 2008)
All 22 Authorities are now delivering Telecare services
Each Authority has a Lead Officer for Telecare Lead Officers are members of an all Wales LIN Independent evaluation of Telecare in Wales
will be presented to the Minister in February 2010
The evaluation will be based on the extent to which Telecare achieves outcomes such as later admissions to Residential care reduced hospital admissions reduced DToCs etc
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Emergency Care Support Team
Rapid ResponseTeam
Liftingservice
24 Hour --Nurse
24 hr Home Care
Relativesamp friends
Mobile WardenDuty Social
Worker
Community Alarm Centre
Out-of-hoursGP
Fireservice
Ambulance
Police
Emergency plumber
24 hour Gas fitter
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Yes = 22No = 0
(last one began in October 2008)
All 22 Authorities are now delivering Telecare services
Each Authority has a Lead Officer for Telecare Lead Officers are members of an all Wales LIN Independent evaluation of Telecare in Wales
will be presented to the Minister in February 2010
The evaluation will be based on the extent to which Telecare achieves outcomes such as later admissions to Residential care reduced hospital admissions reduced DToCs etc
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Yes = 22No = 0
(last one began in October 2008)
All 22 Authorities are now delivering Telecare services
Each Authority has a Lead Officer for Telecare Lead Officers are members of an all Wales LIN Independent evaluation of Telecare in Wales
will be presented to the Minister in February 2010
The evaluation will be based on the extent to which Telecare achieves outcomes such as later admissions to Residential care reduced hospital admissions reduced DToCs etc
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Yes = 22No = 0
(last one began in October 2008)
All 22 Authorities are now delivering Telecare services
Each Authority has a Lead Officer for Telecare Lead Officers are members of an all Wales LIN Independent evaluation of Telecare in Wales
will be presented to the Minister in February 2010
The evaluation will be based on the extent to which Telecare achieves outcomes such as later admissions to Residential care reduced hospital admissions reduced DToCs etc
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
All 22 Authorities are now delivering Telecare services
Each Authority has a Lead Officer for Telecare Lead Officers are members of an all Wales LIN Independent evaluation of Telecare in Wales
will be presented to the Minister in February 2010
The evaluation will be based on the extent to which Telecare achieves outcomes such as later admissions to Residential care reduced hospital admissions reduced DToCs etc
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Individuals Offered Telecare = 15 641 (8631)
Telecare not progressed = 2433 (901)
Telecare Service delivered = 12986 (7514)
Telecare service removed = 1450 (778)
New users since the inception of TCG funding = 12117 (4005)
Individuals receiving Telecare at 31 March 2009 = 13384 (6489)
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
21 Older People 20 people at Risk of Losing independence 20 Dementia 20 Falls 19 Hosp Discharge 19 DToCs 19 Critical amp Substantial Needs 18 Receiving Social services 17 Community Reablement
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
16 Physical Disability 16 People with Learning Difficulties 14 Carers 14 Mental Health 14 Home Care service Users 13 Chronic Diseases 13 people with Moderate Needs 13 Preventative Agenda 13 People Living Alone
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
12 Intermediate Care 12 Long Term Conditions 12 Sensory Impairment 11 Open Access 7 Victims of crime 7 Domestic Violence 7 Extra Care Housing 7 Other
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Yes = 18 (17) No = 4 (5)
Average No of Hours per week = 23
(lowest is 8)
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
WTE of 98 across 18 authorities Previously 69 across 16 authorities and
before that 46 across 14
Average of 445 per authority (433) (307)
Relatively evenly spread across Assessment Installation Review Response amp Removal
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Yes = 9 (6)
No = 13 (16)
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Piloting = 1Developing = 3Scoping = 9No Plans = 2
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Social Services 10 (9) Social Services amp Housing 4 (8) Housing 3 (4) Social Services amp Health 3 Social Services Health amp Housing 2
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
21 Social Services 20 Housing Dept 19 Health Trust 18 LHB 15 Care amp Repair 13 Supporting People 11 Fire amp Rescue
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
10 Voluntary Organisations 10 RSL 8 Ambulance 8 Primary care 6 Police 5 CSP 1 Community Equipment 1 CORGI Installer
An average of 88 active partners per authority
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Yes = 10 No = 12
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Yes = 19 (17) (15)
No = 3 (5) (7)
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Yes = 15 (12) (9)
No = 7 (7) (13)
No Reply = 0 (3) (0)
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
The re-engineering of the way we deliver an integrated health and social care service
Are we still doing this
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Assistive Technology ndash Current Pathway
Complete Paper Work1Trigger appropriate Domain
2Eligibility Criteria3FACS
4Produce Care plan (outlining which
equipment suitable to meet need)
5Check key holders
6Referral to Careline(Own paper work)7Contract and Installation date to customer8Unified Assessment Diary entry
Is client known to
social services
Yes
Refer To Customer
Care TeamNo
Careline
NHS OT (EMH)
Housing
Vol Orgs
Unified Assessment appropriate
domain triggered
Hospital SW
Customer Care
Officers
Social OT
Social Work Team
Direct Referral by phone Fax
or some form of UA
Client is opened to Telecare Team
Customer Care refer client to SW team for
social care needs
No
Agree visit with Client
Client is allocated to team member
Other needs
identified
Yes
Refer to relevant agencies
(Trigger domains)
No
CCO send completed enquiry form
Yes
Telecare TeamCompletes Userrsquos Perspective UA
Is installation ok
Case dormant pending review
(Open to team manager)
Yes
Support visit
No
Add services
to carecom
Yes
No
Order stock
Inform Careline of imminent
installation
Using supplied software
Programme equipment to clients needs
Remove stock from store
Contract electrician to
install
Contract Corgi registered Plumber to
install
Contract electrician to
install spur and socket
Book handyman to
install
Is phone point in
best position
Is there a power point
nearby
Is gas detector required
Is required equipme
nt in stock
Is gas shut off valve
required
Yes
No
Yes
No
Yes
No
Book handyman to
installYes
No
Is smoke detector required
Confirm visit time with
client
Yes
No
2nd Visit
Deliver and
Install equipment
Including adjustment to
programming as required
Train Client on use of equipment
1st VisitComplete Specialist Telecare Assessment with client
1Personal Details2Reason for referral3Current MedicalHealth Conditions4Nature of Clients NeedsProblemsRisks5DisabilitySensory Impaired6Key holdersResponse Persons Details7Clients existing Support ServicesNetwork8Reasons for Telecare Assessment9Assessors CommentsNotes 1Equipment Required
Client agrees to care plan
No
Close CaseNFA
Yes
Review
CCOrsquos check if
Telecare is only service required
Are clientrsquos needs
still being met
Yes
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Tighter Eligibility Criteria vs Low level Preventative Services
Cuts to Services vs Earlier Intervention to Promote Independence
Traditional vs Telecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
QuestionWhat will prevail -Short term survivalism or
long term sustainabilityAnswer
Organisations will need to work together in partnership and with innovation if we are
going to meet the challenge to demonstrate that preventative services are more efficient in the
long run
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
The re-engineering of the way we deliver an integrated health and social care service
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Internet
Telecom
Telephone PDA VPN
LAN Intranet Internet
Satellite
Social Services
Housing
NHS amp NHS DIRECT
Independent Providers
Family amp Friends
GPrsquos
Carers amp OTrsquos
Voluntary Sector
Emergency Services
Monitoring amp Co-
ordinationCentre
Middleware
Software
National EHR amp Social Care
Record
Social alarms
Mobile alarms
Videophones
Telehealth
Lifestyle Monitoring
Wireless
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
County 4
County 2 County 1
County 3
TELECAREMONITORING
CENTRE247
ResponseResponseTeam 1
ResponseTeam 2
ResponseTeam 3
ResponseTeam 4
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Home
Clinic
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Coordination amp Contact
centre 8amndash6pm Mon - Fri
Integration of Services Cost-effectively
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Community Alarms would become a large scale plank of service delivery (integrating Social Care Health amp Housing Support)
With the sophistication to manage different groups of needs reliably amp robustly
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
The service would need the capacity to digest and make accessible the information that comes from delivering the service
-- not just to enable more people to stay at home
--- but also to gather the evidence needed to commission services more effectively
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Becausehellip
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Community Care Support Team
Community Therapist
UAP Assessor
GP
Communitynurse
ATInstaller
HomeCare
Meals on Wheels
Housing SupportTeam
Optician
CommunityPharmacist
Community CareInformation amp
Coordination Centre
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Note Not Call Centre Not Control Centre Not Community Alarms Not Social Alarms Not even Monitoring amp Response Centre
Contact amp Co-Ordination Centre
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
A service to those who would have only very occasional contact when an emergency occurshellip and
A service to those for whom the the care technology is an intimate part of their everyday coping at home ndash supported by a close and trusting relationship with the staff at the contact and co-ordination centrehellip and
A service to everyone in-between
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Critical (Acute)
Substantial
(Complex)
Moderate
(Vulnerable)
Low
(Universal)
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
-
200
400
600
800
1000
1200
1400
1600
Critical Substantial Moderate Low
Series1
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
0
2
4
6
8
10
12
14
16
Acute Complex Vulnerable Universal
Wales
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
0
2
4
6
8
10
12
Acute Complex Vulnerable Universal
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
BT21CNSkyTalk Talk Interoperability Codes of Practice Accredited Training ndash Professionalisation Charging for Telecare Integration of Telecare amp Telehealth Partnerships and Pooled Budgets Regionalisation Where on the needs pyramid do we target
telecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
External Evaluation from Imperial College London
AggregationSummationAnalysis of All LA Evaluations
Data from lsquoBuying Solutionsrsquo (PASA) lsquoDesktoprsquo Survey of Telecare in UK amp Beyond Economic Analysis ndash The effect of the Telecare
Capital Grant on the Health amp Social Care Economies (Randomised Sample Study)
A WALES EVIDENCE BASE FOR TELECARE
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
We will have created a Wales-Wide Evidence Base for Telecare
Identified the effect that Telecare is having on the Health and Social Care Economies in Wales
Identified the Contribution that Telecare is making to the challenges set in Fulfilled Lives Supportive Communities and Designed for Life
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
Lee DavisWelsh Assembly Government
07808 727466029 2080 1410
LeeDavisWalesGSIgovuk
wwwssiacymruorguktelecare
