1. National Mental Health Programme Dr Stella Clark Clinical Lead for Mental Health NHS 24 Cathy Dorrian Service Development Manager Scottish Centre for Telehealth & Telecare

2. Overview History of SCT, NHS 24 and SCTT NHS 24 current Mental Health Services Dementia workstream

3. SCTT SCT formed in 2006 by SGHD £1M recurring funding SCT merged with NHS24 1st April 2010 National Telecare Development Programme (TDP part of JIT) was transferred into NHS 24 and merged with SCT from 1st April 2011 Now known as the Scottish Centre for Telehealth & Telecare

4. SCTT 4 National key programmes of work: Stroke & CVD LTCs with a focus on COPD Mental Health Paediatrics – funded separately via NDP

5. SCTT Supported by National infrastructure plan Training & Education Convergence between health & social care - Telehealth & Telecare - SCTT

6. Mental Health Strategic Framework Based on NHS 24’s workstreams -Providing unscheduled care -Improving Health -Improving access

7. Shetland Dementia Service 1 WTE specialist nurse/Dementia Services Development Manager 1 session Consultant Old Age Psychiatrist ‘Dementia-only’ service Initial assessment, diagnosis, advice on management & follow-up Use of technology in providing supervision, direct clinical care and education Future expansion to include other conditions that fall under the remit of Old Age Psychiatry Assisted NHS Shetland to meet HEAT Target for Dementia

8. Shetland Dementia Service No clear pathway for diagnosis and management Managed by GPs, hospital doctors and social workers with little specialist input If specialist input was necessary, patients would have to be transferred to Aberdeen

9. Diagnosis of 64 referrals, February 2010- January 2011 DiagnosisNumbers Alzheimer’s Disease13 Vascular Dementia7 Mixed Dementia6 Lewy Body Dementia3 Parkinson’s Dementia1 Mild Cognitive Impairment3 Alcohol Related Dementia1 Personality Disorder1 Depression2 No Diagnosis27

10. Work with Alzheimer Scotland People with dementia and their carers Focus groups across Scotland Understand how NHS 24 -Provides a better OOHs service to this group -What technologies would help maintain independent living

11. Dementia Services Feasibility Study – proof of concept Aim - To provide specialist assessment and treatment for care home residents with mental health problems and to offer advice, support and education to care home staff utilising video conferencing facilities.

12. Care Home

13. Dementia Services - Aims To improve management of behavioural and psychiatric symptoms of dementia (BPSD). Improve recognition and treatment of functional disorders in the care home population. Improve end of life care/palliative for elderly patients with mental health problems.

14. Dementia Services – Future Developments Cognitive stimulation therapy via VC Falls prevention work Ongoing CPD for staff Links with Iris Murdoch Centre

15. Some successes using VC Model of Care Teleneurology & Teleneuropsychology Use of video conferencing to support mental health services to Orkney, Shetland Psychotherapy for Eating Disorders in Grampian and Highland Head & Neck Cancer Clinics & Surgical review Clinics

18. And some challenges Infrastructure IT staff New NHS builds/premises Winning hearts and minds Getting Telehealth & Telecare into service redesign BUT – just because it can be difficult…….doesn’t mean we shouldn’t do it…..!

19. Thank you! cathy.dorrian@nhs.net

20. Telecare & Telehealth Doreen Watson Joint Improvement Team – Action Group 29 th September 2011

21. National Agenda Aims and Objectives of Telecare “To support as many people as possible to live at home for as long as they want to, in comfort and safety, with the best possible health and quality of life.” (“The Vision” JIT Action Plan 2012) To provide flexible and responsive 24 hr care and support To reduce risks through the application of telecare To improve the quality of life of the service users and their carers To have health, housing and social care services working in partnership. To engage partnerships in the on going training and development of services

22. Telecare and Telehealth Dementia – Door Contacts Smoke and Heat Detector Natural Gas Detector Falls and Mobility Medication – Pill Dispenser Flood Detector Just Checking Global Positioning System (GPS)

23. Contact Details Doreen Watson dkawatson@hotmail.co.uk tele – 0141 639 5618 mobile - 07518598319

24. Questions