1. Helsekonferansen 2010 Scotland's National Delivery Plan for Telehealth and Telecare Anne Reoch UK HealthTech Cardiff December 11 2012

2. Helsekonferansen 2010 History of Telehealthcare in Scotland National Delivery Plan 2012 - 2015 SCTT Action Plan Examples European Opinion Q&A

3. Helsekonferansen 2010

4. 4 NHS Scotland: 14 Territorial Health Boards (“hands- on” healthcare providers ) NHS 24 is: A statutory national NHS Health Board Provider of national Telehealth services to the population of Scotland NHS 24

5. Helsekonferansen 2010 Scottish Centre for Telehealth and Telecare SCT Merged with NHS 24 in 2010 JIT Telecare Programme merged with NHS 24 2011 Became SCTT part of NHS 24

6. Helsekonferansen 2010 What’s been achieved? Telehealth examples….. National video conferencing platform Telestroke – 11 out of 14 Boards 147% increase in thrombolysis in these over 2011 Paediatrics – single point of contact OOH COPD classes – access to care in 4 Boards previous unable to access this NHS 24 round the clock access to healthcare

7. Helsekonferansen 2010 What’s been achieved? Telecare examples…. DALLAS (LiU) – 55,000 in 5 Boards over 4 years EXCEL joint procurement process (dynamic ) Telecare Programme – 44,000 people 2006- 2011 – 2,500 discharges, 9,000 avoided admissions, 4,000 avoided admissions to homes

8. Helsekonferansen 2010 And now….. Telehealth and Telecare: Driving Innovation and Improvement Towards 2020 A National Delivery Plan for Scotland to 2015

9. Helsekonferansen 2010 Definitions?

10. Helsekonferansen 2010 10 “Telehealth – is the provision of health services at a distance using a range of digital technologies. This includes the capture and relay of physiological measurements from the home for clinical review and early intervention, often in support of self management; and “teleconsultations” where technology such as email, telephone, telemetry, video conferencing, digital imaging, web and digital television is used to support consultations between professional to professional, clinicians and patients, or between groups of clinicians.” Definition from draft Telehealth & Telecare Strategy 2012-2015

11. Helsekonferansen 2010 “Telecare” is the provision of care services at a distance using a range of analogue, digital and mobile technologies. These range from simple personal alarms, devices and sensors in the home, through to more complex technologies such as those which monitor daily activity patterns, home care activity, enable ‘safer walking’ in the community for people with cognitive impairments/physical frailties, detect falls and epilepsy seizures, facilitate medication prompting, and provide enhanced environmental safety. Definition from draft Telehealth & Telecare Strategy 2012-2015

12. Helsekonferansen 2010 12 “ Telehealthcare ” is used as an overarching term to describe both telehealth and telecare together. Definition from draft Telehealth & Telecare Strategy 2012-2015

13. Helsekonferansen 2010 Telehealth & Telecare National Delivery Plan …… helping to achieve the aims of the Scottish Government Quality Strategy and Scotland’s 2020 Vision!

14. Helsekonferansen 2010 Why do we need it? 10,000 age 100 - UK 2011 1,000,000 age 100 - UK 2071

15. Helsekonferansen 2010 NDP 6 Work Streams Improve & integrate health & care Enhance wellbeing Empower citizens Improve sustainability and value Improve economic growth Exchange learning develop and embed good practise

16. Helsekonferansen 2010 SCTT Action Plan Consultation/Facilitation Services Share innovation & good practise Centre for technical expertise Share innovation New service redesign Continued engagement internationally

17. Helsekonferansen 2010 Major Projects Planned care redesign Unplanned care redesign Scottish Assisted Living Programme Home Health Monitoring Healthcare custodial service redesign Evaluation standardisation National Infrastructure programme Support for unpaid carers Support for patients services Staff training and education Emerging Ideas

18. Helsekonferansen 2010 Telehealth and Telecare – Encourage citizens to use technology to remain healthy self manage monitor / manage LTC remain Independent /active have ability to access planned and unplanned health services when required

19. Helsekonferansen 2010 Key message – keep it simple! anne.reoch@nhs.net