1. Rosanne Brown (1), Jim Briggs (2) Richard Curry (2) (1) Portsmouth City Council (2) Centre for Health Care Modelling & Informatics, University of Portsmouth Telecare in Portsmouth

2. What is telecare? Technology that enables the continuous, automatic and remote monitoring of real time emergencies as well as lifestyle changes over time, in order to manage risks associated with independent living

3. Who is telecare for? Useful for anyone that might be vulnerable: older and disabled people living alone people on their own for long periods during the day people with a history of falls people with an on-going illness that may affect their well-being, e.g. diabetes, heart conditions people with dementia or confusion people recently discharged from hospital concerned about how they will cope

4. How does telecare work? Systems tailored to individual need Sensors placed around home Sensors worn by user Link to call centre via Home Hub and phone line Prompts to remind user to do essential task,e.g. take medication, or move away from door (for people who wander) Sensors can monitor: - the environment - extreme temp, gas, flood, smoke - the person - movements, inactivity, falls, blood pressure, breathing, heart rhythms Response generated according to individual protocols

6. LOGISTIC & INFORMATION PATHWAY OF A TELECARE SERVICE Entry (Re) Assessment of Need (SAP) Care Package Development Home survey Telecare Prescription and a Response Protocol Equipment Provision Installation and Maintenance Monitoring Call Handling Community Response Review

7. Telecare’s contribution to local community strategy Health & Social Well-being Vision: ‘A Portsmouth that celebrates individual confidence and good health’ Protecting older people from dangers in their own homes Supporting older people and those with disabilities to continue living at home

8. What’s happening in Portsmouth? Pilot project for falls management Evaluation by University of Portsmouth Telecare will be built on existing community alarm platform, Initial Attendo Current control centre is in Southampton Plans to develop integrated, multi-agency control centre in Portsmouth Plans to develop demonstration Smart House for potential users to try equipment, and for staff training

9. Portsmouth’s pilot project Falls management scheme for 20 users Supporting people who have fallen or who fear falling Members of Mountbatten Centre ‘Strength and Mobility Group’ Already demonstrated motivation to participate in managing their health and well-being Anticipated outcomes of telecare provision - improved confidence, maintenance of ‘fitness gain’ once group finished, reduction in falls

10. Why choose falls? Hip fracture related to falls costs NHS about £1.7bn per year in England Fear of falling leads to loss of confidence resulting in limitations on daily activities, with consequent increased dependency and disability Falls and their consequences, e.g., a long lie, are a major factor in public health and economic issue (10% acute hospital admission, high morbidity and high mortality) Telecare can make a major contribution to improving confidence and mobility, and management of risk, by assuring user of early response in the event of a fall

11. Evaluation By the Centre for Health Care Modelling and Informatics, University of Portsmouth Qualitative and quantitative evaluation Collect data on costs and benefits, demonstrate sustainability Investigate contribution of technology to quality of life Inform further development

12. Further Information For details of local implementation Rosanne Brown Dip COT Telecare Co-ordinator Portsmouth City Council Tel: 023 92 688394 E-mail: rosanne.brown@portsmouthcc.gov.uk