1. BT’s Assisted Living For Independence (ALFI) and ” Facelook” project in Suffolk
Steve Powell BT Global Health
Business Development Manager

2. Assisted Living For Independence (ALFI)
Service -
Assisted Living For Independence (ALFI) is BT’s integrated Telehealth and Telecare service, comprising the pro-active remote monitoring of health status for long-term condition sufferers and emergencies for those in need of support for independent living. It offers a full range of clinical and care monitoring, and associated services
Solution -
ALFI is unique in utilising the latest technologies to provide a fully integrated and fully managed service across the different health, social care and housing organisations from which users will be referred. This will drive the sharing of information across these sectors, supporting the multidisciplinary teams to ensure targeting of services at the right time, enabling efficient use of resources
Benefits -
ALFI offers real benefit to users by maximising their independence and improving their quality of life, allowing them to live in comfort and confidence in their own homes for longer. It also offers significant benefit to social and health care professionals, enabling care pathways and services to be re-designed, offering real economic savings without compromising health and social care outcomes

3. The ALFI Model Central Platform – Centre of Excellence Client 1
Inherited from Cornwall
Developed as our Centre of Excellence
Clients are added in other regions in a ‘hub and spoke’ model
The central platform provides Integrated monitoring service including Telecare, and Nurse led Telehealth and Telecoaching
National stock control, decontamination and logistics service
National installation service
Data Mining and Analytics management for all clients
Central Platform – Centre of Excellence
Service Desk
Technical Support
Clinical Triage
Logistics
Installers
Systems
Installers
Service Desk
Referral
Patients
Clinical Triage
LOCALISED PLATFORM AND SERVICE -
Telecare and Telehealth delivered locally:
In home monitoring equipment and other home devices, BT Home hub or 3G from stock
Installation and removal services using local assessors and installers
Nurse liaison staff covering each local Clinical Commissioning Group/Social Services
Service take-on and transition of staff
Client 1
Installers
Service Desk
Referral
Patients
Clinical Triage
Client 2

4. Transforming the way care is delivered to people in the community
Our aim is to support a range of individuals from high risk, complex users to patients with chronic conditions requiring vital sign or movement monitoring needs or simply having the safety of an emergency alarm.
We are technology agnostic bringing the best technology to support patients with a wide range of needs in the community. We can deliver to scale, have a broad geographical reach and can deliver and integrate across broadband, the NHS N3 network and 3G.
Our portfolio is set to develop and expand to enable the treatment of larger sections of the population for long term monitoring, disease management and supported care
Pathway Redesign
Service Interlock
Partnership
Management Reporting
Review current pathways
Redesign pathways to suit future state
Bring the right technologies to support the redesign
Agree measurable outcomes
Agreeing service operating procedures such as escalations and handovers
Implementing clinical governance
Working in partnership to deliver the service
Deliver the highest quality service
Managed by BT
Reporting of outcomes through balance scorecards
Identify service improvements through data analysis

5. BT Cornwall
Term: Years with Cornwall Council and two Health Trusts – PCH and CFT
Contract placed directly with BT.
The scope of the deal:
Internal help desk.
ICT provision including desktop, print, server and application support.
Data centre operations.
Transactional Shared Services – Finance, HR, Payroll.
Document and Information Management including print
Telehealth / Telecare.
Process improvement linked to all of the above.

6. Truro College

7. Facelook was a 6-month trial with Suffolk PCT , British Red Cross &BT
Research shows that people who are socially isolated often become depressed and lonely. Facelook aims to alleviate this through Skype video chats with a Red Cross volunteer, family and friends. It will also help the elderly to remain independent in their own homes.
Facelook was a 6-month trial with Suffolk PCT , British Red Cross &BT
~28 installations through East Suffolk (Nov 2012 – May 2013).
Pilot concluded at end of June 2013 with interview based analysis.
BT providing:
Trials management
Broadband
Wi-Fi routers
Installation and technical support
Trial analysis and support
Q&A :
Is the trial commissioned or approved by the Suffolk PCT?   Yes A Transformation Fund grant was awarded by the CCG. To test the technology, get feedback from triallists and validate readiness for target user groups.
What evaluation is planned?  We will have a control group and we have generated a questionnaire, to be able to formulate a measurable outcome. We will also learn about the impact of upstream bandwidth.
Is the TelyHD low cost VC device (£150) a new supplier to BT / or in our portfolio? BTB are looking at them, potentially to bring them into portfolio.
Have the Suffolk PCT said how a service would work or be funded, post-trial? No.  
It can be argued that funding responsibility may fall to LG (social care) or voluntary sector or PCT. Do we have any indication of who the funding agency may be for such a service in future? No. However the creation of health & wellbeing boards means that there is more likelihood of that question being resolved, particularly if a trial is successful.
Note. Flagged to the BT regional boards for awareness by Andrew Johnson who is on the regional board for the midlands.

8. Why TV Based? Key Learning In this target group, everyone has a TV.
It is a familiar and trusted device to build upon.
Key Learning
Every installation was different, the majority difficult.
Broadband and Wi-Fi are key challenges.
Most users were not frightened of the technology.
Most struggled with the complex user experience.
There was also some genuine fear of the technology.

9. Some numbers … 28 live triallists: 7 drop-outs
20% aged 60 to 73 years old
55% aged 83 to 92 years old
25% aged 93 to 98 years old
7 drop-outs
4 struggled with technology, 3 had change of circumstances
5 users exceeding monthly broadband usage limit
Facelook filmed and appeared ‘BBC East’ news.
YouTube promotional video.

10. Next Steps Progressing as a Challenge Cup entry.
Develop workable business case.
Identify device and user experience improvements.
Progress to larger trial / pilot with BT Cornwall
Rethink the interfaces we expose to our customers.