Technology enabled living – using digital technology to empower

citizens to lead independent healthy lives Workshop 3: Self monitoring and sensors

Steve Peddie & Diane Cooper, Warrington Council Nigel Burns, Health Checks at Home

By 2026 the Warrington Old Age Dependency Ratio (OADR) will overtake the national average, leading to multiple stresses on the Adult Social Care system.

There is an increasing role and need for technology to plug the shortfall of: • Reduced labour market i.e. the ability to provide traditional care interventions like domiciliary care tasks • Increasing demand on public services because of an increasingly older population • Increasing age of informal carers reducing the opportunity of another care route for individuals • Reducing social care budgets (with WBC looking to find savings of £40m by 2020)

These factors are conflated by the changing expectations of the next generation of service users for an increase in choice, control & convenience.

Older Age and Dementia • Number of people with dementia will almost double within the next 15 years

• In 2015 - 2,401 people living with dementia in Warrington; many more undiagnosed

• 1 in 20 people over 65 years, 1 in 5 over 80 years, almost 1 in 3 age 90 and above

• 2/3 of people with dementia live in the community; often with spouse or family member as their main carer

Sight Loss Hearing loss

Assistive technology is any product or device that maintains or improves the ability of individuals with

disabilities or impairments to communicate, learn and live independent, fulfilling and productive lives.

The range of disabilities AT can help includes:

• cognitive impairments • communication disorders • mobility problems & fallers • learning disabilities • mental health disorders • blindness and low vision • deafness and hard of hearing • autism spectrum disorders

Preventing: • Falls

• Injuries to service users and carers

• Social isolation & associated depression

• Anxiety & fear

• Deterioration in physical health

• Reduced function & independence

• Dependency on others (& costly care services)

• Hospital & care home admissions

Problem / Question: Can assistive technology ever provide a safe, reliable and ethical alternative to care?

So, what about this???

Just because you should doesn’t mean that you will What concerns your service user?

• Why should I have that in the house?

• How much does it cost?

• What will my friends think?

• Will I be bothered by phone calls?

Any innovation needs to have a tangible benefit to the service user

Modern AT can • Avoid unplanned admission by identifying illness

before it becomes critical

• Be designed for appearance as well as function

• Be discreet

• Enhance social inclusion

• Make life less hassle

• Let people live safely at home for longer

So here are some innovations

Inclusive Telecare

Discreet Technology

Activity Monitors

Case Studies

In groups…

• What do service users really want?

• How can monitoring and sensor devices support these individuals?

• What are the benefits and challenges?

Feedback………..

Telecare service objectives

Should: • be considered in every new assessment & review

• be part of a personalised, outcomes-focussed assessment of needs and risks

• be situation sensitive and responsive

• not be a ‘one fits all’ service

• meet needs through evolving technologies

• enable people to live more safely at home

• provide focussed support to carers

• support the demand management agenda – instead of, not just as well as

The diagram below identifies the key stages in the care technology lifecycle

Process redesign across all elements of the care technology service lifecycle.

It must be easy to refer to the service and all referrals must meet the necessary criteria for care purchasing eligibility or private pay.

The assessment should take place in the home with the service user present. Sufficient capacity for urgent and routine installations to consistently occur within agreed timescales

All potential referrers must be aware of care technology and understand how it can help address needs and achieve outcomes for service users

Minimum of annual review for all service users. Need to ensure those receiving care technology only (not other care support) are also reviewed.

There must be agreed protocols for mitigating risks if there is a fault detected with the technology and sufficient capacity for urgent repairs 365 days/ year.

consistent and agreed standards. Protocols must be clear and be communicated regarding client risk and escalation to relevant team.

2) Referral and Qualification

3) Assessment and Installation

4) Monitoring and Responding

5) Maintenance and Repair

6)Review

1) Awareness and Identified Need

Care Technology

Service Lifecycle

Educating our staff: Learning Objectives • Understand the benefits and limitations of care technology

• Have an awareness of the impact of multiple sensor alarms on the Carecall operators – don’t over prescribe!

• Understand the referral pathway and prescribing process

• Know how to capture savings – real savings = reduction in care package, as a result of an intervention. Avoidance savings = prevent or delay the development of need for care and support.

• Recognise the need for technology development & the national digital transformation agenda

• Read, research & learn (e.g. Transforming Social Care Through the Use of Innovation and Technology (LGA, November 2016)

• Recognise the need to be creative & innovative

• Report successes – positive service user outcomes

• We need champions & mentors to grow the service & meet our savings targets