Delivering Tele-mental Health Services in Scotland Dr Stella Anne Clark Clinical Lead for Mental Health Services Tony McLaren, National Co-ordinator NHS 24

“Success is a science; if you have the conditions you get the result” Oscar Wilde

Background Present services Where we aim to be in 2015

NHS 24 Access to unscheduled care Improving Health Improving access to services

the person Webcam

TELECARE Mental Health National Learning 11 th October 2012 Doreen Watson Joint Improvement Team Action Group - Telecare

Telecare  Almost 44,000 people received a telecare service as a result of TDP, over 4,000 people with dementia diagnosis  Evaluation identified that TDP:  Supported 2500 hospital discharges  Avoided 8700 unplanned admissions  Avoided 3800 care home admissions  Estimated 162,000 people with telecare / community alarm service at March 2011

Telecare Training – NHS Lanarkshire North Lanarkshire Dementia Demonstrator Site North Lanarkshire Dementia Demonstrator Site One of 3 Demonstrator Sites funded by Scottish Government One of 3 Demonstrator Sites funded by Scottish Government Improving partnership working and testing opportunities for single system working Improving partnership working and testing opportunities for single system working Partnership working with NHS Lanarkshire, North and South Lanarkshire Councils, Tynetec, Supra UK and the Joint Improvement Team Partnership working with NHS Lanarkshire, North and South Lanarkshire Councils, Tynetec, Supra UK and the Joint Improvement Team Kitting out the OT Department with assistive technology and Telecare equipment Kitting out the OT Department with assistive technology and Telecare equipment Developing a one day training session with Dementia Champions (equipment, pathways and response to Telecare) Developing a one day training session with Dementia Champions (equipment, pathways and response to Telecare) Planning on-going buzz sessions to raise awareness in clinical teams Planning on-going buzz sessions to raise awareness in clinical teams Support clinical decision making and discharge planning Support clinical decision making and discharge planning

Telecare Training – NHS Education Post Diagnostic Support in DementiaPost Diagnostic Support in Dementia Pilot Programme designed and deliveredby Alzheimer Scotland in Feb/March 2012 on behalf of NHS Education for Scotland and SSSC.Pilot Programme designed and delivered by Alzheimer Scotland in Feb/March 2012 on behalf of NHS Education for Scotland and SSSC. The programme was designed on the basis of recommendations from the Scottish Government funded ‘Facing Dementia Together Project’ in East Renfrewshire and Renfrewshire ( ), specifically the ‘5 pillar’ model of post diagnostic support –The programme was designed on the basis of recommendations from the Scottish Government funded ‘Facing Dementia Together Project’ in East Renfrewshire and Renfrewshire ( ), specifically the ‘5 pillar’ model of post diagnostic support –  Understanding the illness and managing symptoms  Supporting community connections  Peer support  Planning for future care  Planning for future decision-making

Contact Details Doreen Watson Joint Improvement Team Action Group - Telecare

Unscheduled care Breathing Space

Unscheduled care mental health calls (1-2%) Suicide thoughts Anxiety /depression Dementia? LD?

Unscheduled Care Training for staff Information for service users Mental health staff

Breathing Space Free, anonymous, national Available 6pm-2am Mon – Thurs 6pm Fri until 6am Mon Funded by Scottish Gov & NHS 24 Listen, advise, support and signpost Non-intervention but empowering Calls average 20 mins 7000 calls per month Men’s 10k June 2009

Partnerships BSL Deaf Service Formal Partnerships -Scottish Huntington's -Princess Royal Trust for Carers -MacMillan Cancer Support -Veterans 1st point -Glasgow’s Helping Heroes -Motherwell FC -RNIB

Breathing Space Website Launched October 3rd ,000 hits Oct 05 to April 2012 Circa 9,000 a month Alternative first stop service Available 24/7 BSL contact via website

Improving Access to services Telephone Guided Self help (tGSH) Telephone CBT (tCBT) Video conference clinics

Guided Self Help Nationally funded Self referral accepted, GP notified Trained coaches Defined model External and internal supervision 2-4 sessions per individual

CBT service provided by telephone Prof Williams’ materials Currently available to -7 Health Boards GP and self referrals External Evaluation in 2010

Improving access to services Video conference clinics -Dementia -General Psychiatry -Neuropsychology -Addictions -Psychotherapy for Eating Disorders -Forensic psychiatry clinics in prison

NHS 24 Mental Health Program Improving Access to Information Web based information Digital TV

On line and digital TV NHS Inform websiteInform Digital TV Virgin media-most common provider Alcohol brief Interventions on line and digital TV

Conditions for success Political Support Vision of Clinical Leaders and academics Opportunity Telehealth Organisation established Accessing EU funds Expected benefits embedded into national strategies and delivery plans

2015? “Success is a science; if you have the conditions you get the result” Oscar Wilde