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Tele-Health/Medicine. Why am I speaking today? LTCs – does what we do now work? system focus assess knowledge / learning styles care planning If we started again?…..suspend disbelief. LTC(s). Complex LTC needs…. Acute care. Stroke…. Acute care. Pneumonia…. HMP – signed contracts
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Tele-Health/Medicine • Why am I speaking today? • LTCs – does what we do now work? system focus assess knowledge / learning styles care planning • If we started again?…..suspend disbelief
LTC(s) • Complex LTC needs…..
Acute care • Stroke….
Acute care • Pneumonia…..
HMP – signed contracts HMP – under contract negotiation HMP Frankland Plus 7 more in County Durham by end 2009 HMP Manchester HMP Full Sutton HMP/YOI New Hall HMPs Garth, Preston & Wymott Isle of Sheppey (3 prisons) Isle of Wight (3 prisons) HMP Verne
Context • QIPP / other National drivers • Shifting the Balance of Care • Evidence base • Will incremental change suffice? • Pilots, prototypes and issues of scale • Existing infrastructure
Issues • Regional vs local ownership/implementation • Avoid incompatible systems within and across sectors • Financial and contract modelling • Workforce • Evaluation • Marketing and engagement
Issues • Managing strategic relationships • Technical specifications • Governance • The overall business case for change
Work in progress – NHS Yorks and the Humber • Meeting 4th November - CEO • Start of a discussion, not the end • Work in hand, initially to clarify the questions that need to be answered • Pace…with care
An integrated solution • Medical record shared • New approach to LTCs • New tools telehealth telemedicine links with other sectors (One box per home, not many!)
Is this approach going to deliver? • COPD • 840 people, 5 yrs • Current spend £22M • ?Future spend £8M….