The Use of Technology to Provide
Accessible Health and Care
The Scottish Experience
Prof George Crooks OBE
NHS Scotland
Population: 5.2 million
Health devolved to Scottish Parliament
NHS Funding: £11.35 billion
All Boards funded directly from Scottish
Government
Public Service funded through taxation
From urban/post industrial cities to very
remote and rural and islands
Principles of mutuality, partnership,
performance
2
NHSScotland:
14 Territorial Health Boards (“hands-on”
healthcare providers)
NHS 24 is:
A statutory national NHS Health Board
Provider of national Telehealth and
Telecare services to the population of
Scotland
The Scottish Centre for Telehealth and
Telecare
Budget for 2011/12: £62 million
3
Shetland
Scotland
Orkney
Highland
Regional Centres
Western Isles
Local & Remote
Centres
Inverness
Fife
Grampian
Aberdeen
Tayside
Forth Valley
Dundee
Glenrothes
Greater Glasgow & Clyde
Clydebank
Ayrshire & Arran
Lothian
Falkirk
South Queensferry
Lanarkshire
Cardonald
East Kilbride
Melrose
Kilmarnock
Dumfries & Galloway
Dumfries
Borders
Telehealth – Health Services provided
using one or combination of:
Telephone
Internet
Telemedicine
Mobile Devices
Digital Television
Telecare/ Home Monitoring
In The Beginning
Evolution!!
Internet
Phone
TV
Mobile
Telecare
Video
SMS
Face
2
Face
Ageing society
Lack of health
professionals
Chronic
conditions
Financial
unsustainability
HLY vs LE
Health
inequalities
Number of Carers
↓
Number requiring care
OUR VISION IS THAT BY 2020:
Everyone is able to live longer healthier lives at home, or in
a homely setting. We will have a healthcare system where
we have integrated health and social care, a focus on
prevention, anticipation and supported self management.
When hospital treatment is required, and cannot be provided
in a community setting, day case treatment will be the norm.
Whatever the setting, care will be provided to the highest
standards of quality and safety, with the person at the centre
of all decisions. There will be a focus on ensuring that
people get back into their home or community environment
as soon as appropriate, with minimal risk of re-admission
INTEGRATION
Scottish Centre for Telehealth
and Telecare
• National Telehealth & Telecare Programmes
established by Scottish Government in 2006
• Parallel programmes but increasingly integrated
activity
• SCT joined NHS 24 in April 2011
• Merged in April 2011 into SCTT within NHS 24
• Telecare Action Plan & Strategic Framework for
Telehealth up to end March 2012
• Now a 3 year integrated, national strategy for
Telehealth & Telecare
THE RESHAPING CARE PROGRAMME
10 Year National Programme 2011-2021
£ 300 million Change Fund 2011 – 2015
32 Partnership Change Plans agreed by:
NHS: primary, acute and mental health services
Local Authority: social care and housing
Third sector
Independent sector
Reshaping Care and Integration Improvement
Network to support partnerships to transform care
National Delivery Plan
for
Telehealth and Telecare
4 OBJECTIVES
Telehealth and telecare will enable choice and control in health,
care and wellbeing services for an additional 300,000 people
People who use our health and care services, and the staff
working within them, will increasingly demand Telehealth and
Telecare as positive options
An Innovation Centre where academics, care professionals,
service providers and industry innovate to meet future challenges
and provide benefits for Scotland’s health, wellbeing and wealth.
Scotland develops an international reputation for research,
development, prototyping and delivering innovative Telehealth
and Telecare at scale.
Keep
It
Simple
SERVICE
REDESIGN
ICT
Education and Training
From Supportive Self Management
To
Co Production
… dashboard …
Using Risk Prediction Tools to help target interventions
Do not use disease specific solutions
ONE
PROBLEM
Efficiency
Productivity
Mobile Technology Enabled Integrated Community Team
Themes from community
engagement
•Giving back
•Caring for others
•Recognising resilience
•Sharing skills and experience with others
•Connecting people and communities
•Technology
Service Model
Local community
Collaboration the Key to Success
The Scottish Assisted Living
Programme Board
SALP Objectives to 2015
• Scotland as test bed for innovative telehealthcare
& telemedicine services/ products
• Centres of Excellence in place to support
collaborative working
• Improved independence, health & wellbeing for
at least 10,000 people with LTC and carers
support
• First stage of National Info & Care Service for
people with long term health & care issues
• Emerging public consumer market for THC
• Creation of new business & employment
opportunities
Innovation Centre
for
Digital Health
•
•
•
•
Funding
University Led
Industry Supported
Delivery Organisations founding PARTNERS
European Engagement