© 2008 Tunstall Group Ltd 1 How technology is delivering personalised care and support James Buckley, CEO, Tunstall Group

© 2008 Tunstall Group Ltd 2 Caring for mum with dementia Barbara is in her 80s, has moderate dementia and lives alone. She had been walking away from her home during the night and her family had been keeping a close watch on her and escorting her home on occasions. In addition she had been leaving pans on the cooker unattended This was causing a great deal of stress for the family. Number of people with dementia in UK 700k 1.7m Solution A telecare package was installed including a “property exit sensor” which sent an alert to the 24 hr Careline. The operators managed to reassure Barbara and encourage her to shut the door and come back into the house 87 times in a 3 month period. Only on 3 occasions were the family called out. Cost savings a saving of approx £34,000 has been made in this case, by allowed Barbara to avoid entering residential care for 16 months. Dementia Ageing Chronic Diseases Physical Disabilities Learning Disabilities Mental Health Telecare Solutions Case study kindly supplied by Aragon Housing Association

© 2008 Tunstall Group Ltd 3 Telecare solutions are highly personalised to individual needs Dementia Help to manage and monitor environmental risks Conditions Arising From Ageing Help remotely protect, support and respond to age- related conditions Chronic Diseases Sophisticated health status and vital signs monitoring to enable individuals to be cared for in their homes Physical Disabilities & Sensory Impairment Help users react to alerts and stay in touch with carers Learning Disabilities Manage the safety and security risks Mental Health Help those who suffer panic attacks or phobias to know they can contact someone immediately Telecare Solutions “Telecare to be viewed as integral not marginal” Putting People First Dec 08

© 2008 Tunstall Group Ltd 4 Barnsley’s approach to Individual Budgets One of 13 local authorities to pilot the Individual Budgets programme from June 2006 to December individuals are using Individual Budgets in Barnsley It is making real improvements that are seen and felt by older people and those with long term needs in all aspects of their lives. Benefits in Barnsley created better outcomes for people and supports carers improved the use of resources achieved cultural change & improved communication “We think that our system involving Self Directed Support has put people and their families in control by offering personalised services and giving them the freedom to choose the type of support they want.” Martin Farran, Interim Director of Adult Social Services, Barnsley MBC & Interim Director for Strategy, Barnsley PCT

© 2008 Tunstall Group Ltd 5 How do you make telecare integral not marginal Vital components to integrating telecare in IB strategy Training –Developed telecare training courses for all care managers –Objective being to enable them to prescribe telecare as part of the overall care package Information –Leaflets provided on telecare for both the carer and the cared for –Provided information for family and friends Referral route –Agreement in place with Central Call (Barnsley’s response centre) who administer the telecare equipment –Procedures in place to ensure management of visits Service provider relationship –The national network of response centres is already in place to make this work on a local basis

© 2008 Tunstall Group Ltd 6 Barnsley’s housing and support development Barnsley is using telecare in new build housing schemes Used the Learning Disability Development Fund and Housing Corporation Grant to convert an old property with telecare into 5 self contained flats for people with learning disabilities. The core telecare system can then be personalised to individual tenants needs and purchased through their Individual Budget

© 2008 Tunstall Group Ltd 7 Is there an alternative to telecare? Yes - Traditional support would be the other option Case study: An elderly gentleman who was prone to falling His family had to be around at all times or a paid sitting service had to be available to ensure his safety What if he had a telecare falls package?

© 2008 Tunstall Group Ltd 8 Actual Savings – London Borough of Havering Aisha – Council Tenant High risk of gas explosion and wandering due to dementia Recommendation for residential placement at £404 per week Her wish was to stay at home which she did for the final 35 weeks of her life Aisha got her wish and £14,140 was saved Dementia Ageing Chronic Diseases Physical Disabilities Learning Disabilities Mental Health Telecare Solutions

© 2008 Tunstall Group Ltd 9 Tehream is a single mum who cares for her 2 sons (7 & 12) who are severely autistic and profoundly deaf Her younger child is currently in foster care with regular home visits Tehream has not had a full night’s sleep for ten years and finding it increasingly difficult to manage as her son grows bigger and stronger She could not have a cooker as the children have an extremely high pain threshold and at risk of injuring themselves Her eldest son left the bath running and flooded the kitchen and both are prone to leaving the house by the windows and doors, causing danger to themselves Tehream – caring for children with Disabilities Case Study UK Statistics 11m disabled adults 772k disabled children 2m visually impaired 9m hearing impaired 40% 65+ with hearing loss 85% 65+ with sight problems Source: Prime Minister's strategy unit 2005, “Improving the life chances of disabled people” p34 THE SOLUTION A telecare solution that allows Tehream to know as soon as an incident occurs, via a pager during the day and the under pillow vibrator at night. Dementia Ageing Chronic Diseases Physical Disabilities Learning Disabilities Mental Health Telecare Solutions THE OUTCOME “I have been able to get a good night’s sleep for the first time in many years, as I no longer have to stay awake at night worrying about my sons’ activities. I also know I’m not completely alone in caring for my children. They would both be in foster care if it wasn’t for telecare.” Case study kindly supplied by Wakefield Metropolitan District Council under-pillow vibrator Carer Pager Flood Bed sensor Smoke Property exit Home unit

© 2008 Tunstall Group Ltd 10 Jane – a life of her own after 50 years THE CHALLENGE Jane is in her early 50s and has lived on a hospital ward all her life because she had learning disabilities and no family THE SOLUTION She received her first taste of independence by moving into her own flat kitted out with telecare on a “housing with care” scheme. THE OUTCOME - “I have built up my confidence, have my own place and for the first time in my life I have a part time job.” Dementia Ageing Chronic Diseases Physical Disabilities Learning Disabilities Mental Health Telecare Solutions

© 2008 Tunstall Group Ltd 11 Stephen – telecare has enabled independence THE CHALLENGE Stephen in his early 20s has epilepsy and suffers around 1-2 seizures a week usually at night His mother wants him to live at home and he wants his independence THE SOLUTION We installed a telecare epilepsy package: –epilepsy sensor placed in the bed to alert of seizures at night –fall detector (body worn device) for during the day Both would send an alert to mum (and 24 hour monitoring centre) so she could go to her son’s aid and provide the necessary medication, should he have a seizure. THE OUTCOME - “I was so pleased with telecare, I agreed to Stephen getting his own flat near the family home.” Stephen’s mum Dementia Ageing Chronic Diseases Physical Disabilities Learning Disabilities Mental Health Telecare Solutions

© 2008 Tunstall Group Ltd 12 The challenges Local Authorities –to embed telecare and make these case studies the norm Commissioners –to understand the cost and quality of life benefits The individual –to make every individual aware of the benefits that telecare can bring them

© 2008 Tunstall Group Ltd 13 Summary Cabinet Office publishes 'Realising Britain's Future Potential: Future Strategic Challenges' Feb 08 –“Public services will have to continue to become more tailored and personalised to individual needs, with greater emphasis on innovation, empowering the skills of frontline staff, and effective collaboration between service providers and the public” –“Telecare has the potential to divert older people from moving into residential care and possibly hospital and to support independent living.” (pg 97) Telecare meets personal need by improving the quality of life

© 2008 Tunstall Group Ltd