Telecare

1. Telecare Paddy Corscadden Telecare Development Manager City of Edinburgh Council

2. Aims • What is Telecare, why use it • Benefits • Risks and issues • Joint Improvement Team, Telecare funding • Edinburgh Experience

3. What is Telecare? • Telecare is the continuous, automatic and remote monitoring of real time emergencies and lifestyle changes over time in order to manage the risks associated with independent living’ Quoted in briefing Paper: What is Telecare?: Telecareaware.com 05/2006

4. Telecare Equipment The central hub that detects all the wireless signals and dials out to Community Alarm Community alarm Picks up when you have had a fall and raise an alarm automatically Falls detector Detects when you have left bed and not returned. Turn on a light Raise an alarm Bed occupancy detector

5. Telecare Equipment • Can raise an alert and shut the cooker down. • Can be isolated Cooker isolator systems • Can be linked to cooker system and raise alarms to CAS Natural gas and heat sensors Flood and smoke detectors

6. Audio and visual prompt at medication time. Can be linked to CAS Medication dispenser • Detects when someone has left house and not returned- raise alert Wander alert • monitor arm and leg movements. • If a tonic clonic seizure is detected an alarm will be raised. Epilepsy monitor

7. Habit monitoring CAS Telecare Sending unit Call handling system Response Handling Health Care workers Family and Friends Info only Police CAS

8. Why use it ? • 1 person in 88 has dementia • (about 7% costing about 17bn a year) • 600 older people have fallen in the UK in the last 24hrs • 16 % of the population is not in good health or with a limiting long term illness • About 30 % of older people are inappropriately placed • Scottish Executive Reducing places in long term care

9. Perspective • 7% over 65 in 2007 • 20% over 65 in 2050 • Dept of Health can’t say whether life expectancy is increasing faster than health expectancy.

10. Perspective • 5 reasons why people choose long term care • Carer exhaustion • Regular enuresis • Falls • Distraction burglary • Safety issues

11. Customers Independence, more confidence Increased safety Choice Benefits of Telecare • Carer • Respite • Peace of mind

12. Benefits to Service Providers • Residential care • Nursing care • Waking care • Travel • Hospital admission • Ambulance/A&E • Long term savings • Support packages can be focused elsewhere

13. RisksEthical considerations

14. Risks -Technology From this ($3995 in 1983) 5 mega pixel camera WIFI GPS MP3 player Video camera Radio Video conferencing Internet Organiser Voice activation • To this (£500)

15. How to access Telecare • How to access telecare services • Assessment and Advice Service, Services for Communities. • Request an assessment via an Occupational Therapist, Social Worker, etc

16. A detailed carenap is best • (but not always available) • Clear and detailed client history, medical issues, social history • Access arrangements. • For installations and responses

17. Who is paying for service • Has potential charges been discussed with customer. • Who owns property, • Private rented, CEC, HA, owner occupied • Clearly agreed response protocols, • do we contact customer, family, ambulance service, police.

18. Conclusion • The assessment and response process are key to a successful service. • Telecare is not a cut price alternative to personal services • It is not suitable for every client • Ethical and governance issues need further consideration • The security possibilities of telecare are attractive to vulnerable customers • Charging may be an issue

19. Points to consider • Telecare is just starting out • Can we afford not too use it? • What are the alternatives? • More care homes • More staff • More hospitals

20. Contact Details • Paddy Corscadden • Paddy.corscadden@edinburgh.gov.uk • www.edinburgh.gov.uk/telecare