1. Welcome to Telecare training Day Graham Wilson Helen Clayton Andrea Benstead

2. What are we doing here?  Opportunity  Thinking outside the box  Toolkit for wherever you work to enable independence, choice and safety of your service user, client or patient.

3. Thinking differently…..  Wherever you encounter that individual, ask yourself can telecare help in terms of:-  Risk  Prevention  Reablement  Reintegration

4. So where do we find ourselves…..  Increased life expectancy  Increased expectations  Challenging health and social care budgets  Can we afford it economically.

5. Current situation  Health 2007/08  7.3% GDP  Up from 5.4% within last decade  2011-14 projected savings within health budget of up to 15bn  Social care 2007/08  20.7bn  Up by 1.2% on 2005/06 and 4% on 2004/05  15.3bn spent on elderly care and long term conditions

6. Baby boomers (1946-64)  Generation that wont accept second best  Increased expectations for choice and quality of services  Dispersed network of support.  Longer life expectancy but dependency and QoL may be impaired.

7. Starting to think differently…  Dementia  Limiting long term conditions  Learning difficulties  Wellbeing  Social needs  Economic drivers

8. Dementia  Timebomb  750,000 today expected to increase to 1m by 2025  Managed risk  Earlier involvement  Alzhiemers society National survey  Lincolnshire identified 3,400 on Gp register  Forecast 9,703  68.2% increase by 2025  114 th out of 152 sampled areas.

9. Progressive limiting long term conditions  Number of people with limiting long term condition within Lincs Age range65-7475-8485+total Number of people 28,66524,3229,43862,425

10. Limited life long term conditions  Triggers  Result in psychological distress or physical deterioration.  On average 8,000 admitted nationwide per day following a fall.  £890 as cross threshold  Studies by office of DODPM in 2006 indicated that on average following a fall individuals in some form of care for 26 days.

11. The downward spiral of falls Lying on floor until next morning when carer arrived Risk of hypothermia, pressure damage, incontinence Likelihood of hospital admission Physical and mental health deteriorates. Increase in carer stress Fall when Trying to get up for toilet at night

12. Falls… number of people who have fallen at home (ONS2005) AGE65- 69 70-7475-7980-8485+ MALE18%20%19%31%43% FEMALE23%27% 34%43%

13. Lincolnshire (poppi 2008)  Forecast that 21,840 had difficulty mobilising and at risk of falls

14. Learning disabilities  Choice  Dignity  Inclusion  Risk  Ageing client group often living with elder parents  Changing practice  Reablement  Commissioning of services

15. How can we start to plan…..  Carry on all the same  look for alternatives  Develop Telecare to become mainstream  Shifting the balance……..

16. If we could save………..  1 Admission from a fall  1 week within hospital.  By one month admission to full time care  Supporting  Monitoring  Managing risk  Ensuring choice and well being

17. Feedback…….. I feel I can have a bit more of a normal social life Before the light sensors were installed my husband fell and split his head open during the night. After installation, he has had no more falls. It has really helped We don’t always have to be in the same place. If she wants to be alone the equipment allows this to happen We don’t always have to be in the same place. If she wants to be alone the equipment allows this to happen