1. Model of TEC Provision

3. Reaching the population: scaling up TEC
Embedding TEC into every social care process
TEC prompts in every piece of care documentation
Knowledge and competencies of staff
From Trusted Assessor to TEC First
Stock management, delivery and fitting
Technology Enabled Discharges

4. TEC integration with ICES
Released capacity for TEC team for assessments and duty work
Assisted in removing the waiting list and capacity to deal with todays work today
ICES provider knowledge of products
Competencies of engineers for fitting and programming
Range of product types
Diversity in housing providers using Tunstall, Chubb, Tynetec

5. TEC interface with Housing
Multiple main housing providers
Multiple housing providers of smaller numbers of properties - retirement homes and sheltered schemes
Company targets on promoting Lifelines
Housing providers contracts for Telecare Call Centres

6. Responding to telecare alerts
Reliance on informal carers to respond
Numbers of calls going to Ambulance

7. Enhanced Response Service: Falls and Telecare
24/7 365 days a year across Cambs
Working with 6 RSLs and 6 telecare call centres
Sharing information and GDPR
Reasons for calls: falls, personal care, silent
So far has responded to 1570 calls – only 60 then needed to call an Ambulance calls avoided an unnecessary Ambulance call out
43% of people have no other social care package
Next steps

8. Next generation technology
Many new products
Increasing customisation
Expensive initial outlay but also
require ongoing monitoring costs
Focus on more predictive technologies
Look at reasons for admissions
Engagement with further call centres
Grant from NHSE to pilot and evaluate a sample

9. Apps for everything! For visual impairment For hearing impairment
For communication difficulties
For memory difficulties
For autism
For falls and mobility issues
For monitoring your health, exercise or diet
For managing a specific condition
For co-ordinating your care

10. The considerations for using apps
Reliability – battery and signal
Data ownership and security
Data transferability
Ability to use smart phone
Technical support
Costs – up front and ongoing
Professional knowledge
Health apps reviewed

11. Culture shift How to change professionals practice
Trust the technology to inform when a visit is needed
Change practice:
from routine follow up to visit as needed
from face to face contact to using other media
GPs and telehealth at scale

12. Evidence Evidence for TEC has been mixed.
WSD was inconclusive for many reasons
CSED worked on a model of avoided costs
ATT commissioned an independent evaluation done by the University of Bedfordshire
No difference in acute hospital utilisation
20% fewer contacts with GP
40% more telephone contacts with community staff

13. Demonstrating outcomes
To secure investment in TEC need to demonstrate outcomes
Business cases based on cost saving evidence not avoided costs
Ability to demonstrate cost saving in the real world where service users receive multiple interventions – a problem of attribution.
Use DOH method applied to 39 councils demonstrated £1163 gross or
£890 net savings pa per user