Connected Health View from Scotland Prof George Crooks OBE Dublin November 2014

2 Population: 5.3 million Health devolved to Scottish Parliament NHS Funding: £12 billion Social Care Funding £3 billion 14 Health Boards, 32 Local Authorities Public Service funded through taxation From urban/post industrial cities to very remote and rural and islands Principles of mutuality, partnership, performance Scotland

OUR VISION IS THAT BY 2020: Everyone is able to live longer healthier lives at home, or in a homely setting. We will have an integrated health and social care system, with 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.

Key Drivers for Change

Ageing society Chronic conditions Lack of health professionals Financial unsustainability Health inequalities HLY vs LE

Projected percentage change in Scotland’s population by age group,

Number of Carers↓ Number requiring care

Themes from community engagement Giving back Caring for others Recognising resilience Sharing skills and experience with others Connecting people and communities Technology

Scottish Centre for Telehealth and Telecare National Telehealth & Telecare Programmes established by Scottish Government in 2006 Parallel programmes but increasingly integrated activity Merged in April 2011 into SCTT within NHS 24 Telecare Action Plan & Strategic Framework for Telehealth up to end March 2012 Developing 3 year integrated, national strategy for Telehealth & Telecare

The NHS in Scotland is facing growing demand for its services and NHS boards need to consider new models of care such as telehealth to help manage current and future demand.

Targeted appropriately, telehealth offers the potential to help NHS boards deliver a range of clinical services more efficiently and effectively. NHS boards should consider the use of telehealth when introducing or redesigning clinical services.

NHS boards should: ensure that telehealth initiatives are supported by business cases that consider the long-term clinical, organisational and cost benefits resulting from the use of telehealth

Source: “More pilots than British Airways?” We want to drive forward at scale...

Additionality

Substitution

Scottish Centre for Telehealth Stroke Services Paediatrics Long Term Conditions Mental Health

Internet TV Telecare Face 2 Face SMS Video Mobile

Living it Up will co-design sustainable and innovative improvements and choices in health, care and wellbeing for 55,000 by 2015, using familiar technology.