Trevor Single Chief Executive Officer Telecare Services Association United Kingdom

Telecare Services Association  Representative trade body for the telecare and telehealth industry  Membership – over 360 organisations Telecare and Telehealth Service Providers (e.g. monitoring centres, mobile response services, installers) Technology suppliers Commissioners & Universities Mainly UK, but growing international membership  Members provide telecare and telehealth service delivery to over 1.7 million users 1.4 million (pendant alarm) 0.3 million (personal & environmental sensors)  TSA Integrated Telecare and Telehealth Code of Practice World first Quality standard for service delivery to the patient / user Over 140 organisations externally accredited

Why do we need to promote the adoption of telecare and telehealth? Do we need to change?

 15.5m people in the UK have LTCs (more than 1 in 4 of the population)  In the next five years over 65s will rise from 9.3m to 16.8m  1 million people are carers  700k people with dementia – within next 30 years figure will double and cost £50bn a year

There is a growing demand for health and care services and ever increasing expectations from the public NHS BudgetChronic diseasePopulation age profile

Impact on Hospital Services Acute Beds:  107,444 in England – a decline of 33% in last 5 years  51,000 occupied by 65 years or older Age:  65% of people admitted to hospital are over 65 years of age.  Over 85 account for 25% bed days Length of Stay:  Average length of stay 7.7 days.  Those over 85 years spend 8 days longer than those aged under 65 years. Why do we need to promote the adoption of telecare and telehealth?

Examining the case for telecare and telehealth  Department of Health funded a Whole Systems Demonstrator project (£45m / US$70m) to show what telehealth and telecare is capable of  Largest randomised clinical trial in the world to review the use of telecare and telehealth (launched in 2007)  3 projects in Newham, London; Kent and Cornwall – each with around 2,000 patients Aims a clear evidence base to support important investment decisions see how technology can support people to live independently, take control and be responsible for their own health and care.

Headline findings – December 2011  Telehealth headlines (5 December 2011) show reductions in; – mortality by 45% – emergency admissions by 20% – A&E visits by 15% – bed days by 14% – elective admissions by 14%  Quality of life remains broadly the same  Despite high cost of programme in WSD utilisation changes show an overall saving of around £180 per head  To achieve the benefits needs service transformation  Patient satisfaction very high - age is no barrier

Enabling three million people to benefit from telehealth and telecare services over the next five years

TSA Mission & Activities - to lead and support the Telecare and Telehealth sector to enhance people’s independence and quality of life by inspiring, promoting and driving strategy, innovation and standards  Unlocking the potential of the telecare and telehealth industry  Working with Government on key strategic developments, such as ‘3millionlives’  Developing universal quality standards, including the Integrated Telecare and Telehealth Code of Practice  Offering help and advice to those developing and delivering telecare and telehealth products and services.  Bringing the industry together through key events, including the annual International Telecare and Telehealth Conference.

Next Steps / Opportunities  increase engagement in promotion of telecare & telehealth;  adopt best practice by existing providers;  identify scope for partnering opportunities;  encourage innovative approaches to technology enabled health and social care services.