1. SmartCare Marlene Harkis Service Development Manager Scottish Centre for Telehealth and Telecare

2. Process of redesign The technology/digital tools How are we doing it Timeline

3. Background

4. SmartCare in Scotland aims To improve the health, care and wellbeing of 10,000 people aged 50+ within Ayrshire and the Clyde Valley. It will do this through better co-ordination and an improved approach to falls prevention and management. It will fully utilise ICT services and applications that are vital in supporting integrated care.

5. Geographical Focus NHS 24 has a national responsibility in Scotland as advisor, facilitator and promoter of technology enabled health, care & wellbeing for 5.2m population SmartCare’s overarching pop – 1.1m (20% of Scotland’s population) Project involves : – seven local authorities and three territorial Health Boards – Range of voluntary, charitable & independent sector organisations – Service users and carers

6. Intense support Rehabilitation and enablement Staying independent Community wellbeing 6 Hospital or care home Increasing Frailty 250 750 2000 3000 User Stratification

7. Active Engagement A range of stakeholder events have been organised throughout 2013/14, involving: – Strategic Stakeholders (SG, JIT, NHS Scotland, COSLA, Carers Scotland) – Implementation Stakeholders (Falls leads, Health Boards, Local Gov, 3rd Sector) – User and Unpaid Carers – Industry

8. Community Pathway Single point of entry Basic screening Data entered onto common database Enrolment onto Falls Prevention programme Single point of entry Basic screening Data entered onto common database Enrolment onto Falls Prevention programme Integrated Falls Prevention Plan Actioned Update database Integrated Falls Prevention Plan Actioned Update database Falls plan monitored Regular review Falls plan monitored Regular review Triage Care co- ordinator identified Update database Triage Care co- ordinator identified Update database Signposting for self-help Agree interventions Create Integrated Falls Prevention Plan/ Goals/ Outcomes Co-ordinate delivery Agree interventions Create Integrated Falls Prevention Plan/ Goals/ Outcomes Co-ordinate delivery

10. What is SmartCare?

11. SmartCare – ICT enablers

12. Independence and Enablement Self assessment, fast access to falls pathway other services Professional Assessment  Basic screening information  Triage tool  Multifactorial assessment Care plan -Intervention  Use ICT enablers to improve compliance/motivation  Personal targets  Apps for exercise, personal targets, diet, gamification  Inform multidisciplinary assessment and hospital admission

13. Co-ordination – persons needs will be varied according to LTC and level of independence Pull together key events & supports - diary - Link with agencies - Home care - GP Hospital appointments Adapting existing systems – home care, equipment Diary/Calendar

14. Person Held File Shared information -Remove duplication/repetition -Improve accuracy Ownership- person - Share with key supports Who I am -how I want things organised -anticipatory care Health and Social care - input from self, carers, care providers, - Health and social care

15. Signposting – local services, events Social networking - Peer groups, experience guides, blogs Keeping in touch – Video conferencing family, friends, carers Preventing isolation – Keeping active Community Connections

16. How?

17. LiU Platform

18. LiU prototypes – SmartCare points Social links Local assets Self assessment & Calendar diary Self assessment & Calendar diary Person held record

19. Co Production Engage with key stakeholders Use the lessons learned from LiU Reference group test - adjust – try again Third sector engagement

20. Procurement Framework – skilled industry partners Work in collaboration Direct user involvement

21. Points to consider The contribution you can make to the design of the tools How technology will change the delivery of care What will your customer expect in the future How we can support digital inclusion

22. Improved outcomes Shared information = Accurate assessement of need = effective intervention Calendar = Agreed care plan = minimal changes = early notification of changes = support carers Self assessment = early identification = self management Community connections = keep active= health & wellbeing Sustainable

23. SmartCare IMPLEMENTATION TIMELINE 2013 – 2016 Oct 13 Jan-15 Feb-15 Mar-15 Apr-15 Feb 2016 User & Carer Events Suppliers Events Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 July-14 Aug-14 Sept-14 Oct-14 Nov-14 Dec-14 Evaluation Before Sample Contract Awarded User & Carer Event Co Design Event Suppliers Prototype Testing SmartCare on LiU Platform Procurement LiU Go Live Procurement issue tender invite Launch Event General Assembly Evaluation 2 nd Sample Review Project Completion

24. For more information, contact Marlene.harkis@nhs24.scot.nhs.uk www.sctt.scot.nhs.uk www.livingitup.org.uk