Telecare Reassurance calls service The challenge Loneliness affects millions of people in the UK, and as well as being a social issue it can have a detrimental effect on health. • 3.5 million people aged 65 and over 2 million (49%) of people aged 75 and over live alone • Over 1 million older people say they are always or often feel lonely ‘‘ Our Telecare Service remains a great success in making a difference to the lives of thousands of older and vulnerable adults across the city of Birmingham. Working in partnership with a national charity such as The Silver Line, demonstrates our ambition to learn and to assess how the additional offer of emotional support may play a role in our future service design. It also has allowed us and the BTS to build relationships with a national charity that make future collaboration possible. ’’ Chris Brothwood, Project Manager – Equipment and Technology Enabled Care Services, Birmingham Better Care • 2.9 million older people in the UK feel they have no one to turn to for help and support • Loneliness can be as harmful for our health as smoking 15 cigarettes a day • People with a high degree of loneliness are twice as likely to develop Alzheimer’s than people with a low degree of loneliness How can a Reassurance Calls service help older people to feel less lonely? What we did The Birmingham Telecare Service (BTS) was established in 2012 with the aim of supporting residents of the city to remain living independently in their own homes. The service combines a response service with a range of telecare solutions to support older people and those with long-term needs. Should the telecare sensors detect a problem, such as a fire or flood, they will automatically notify the Tunstall Response monitoring centre, where trained operators can talk to the service user and send appropriate help. Service users can also use a personal pendant to contact the monitoring centre for assistance from anywhere in their home 24 hours a day. There are currently around 15,000 people benefitting from the service. BTS has recently begun working with The Silver Line to evaluate whether offering a Reassurance Calls Service to BTS service users could help to meet some of the challenges presented by loneliness. The Silver Line is a national charity founded by Dame Esther Rantzen DBE which offers information, friendship and advice to older people. Statistics from Later Life in the UK, Age UK, August 2015 The Reassurance Calls Service gives BTS service users who feel isolated or vulnerable emotional support, in addition to the reassurance gained from the telecare service. The Service was offered initially to 100 people, who were regular users of BTS, had recently been discharged from hospital, new users and those who had previously expressed an interest in helping to develop BTS. People receiving the Reassurance Calls service are contacted by a member of The Silver Line Friendship Team once a week for a ten minute chat at a time convenient to them. Following this, service users may then be directed to The Silver Line’s existing befriending service. In addition to supporting lonely older people, information gathered as a result of the Reassurance Calls Service is helping to inform future strategy in Birmingham regarding the use of telecare alongside other enabling service provision. This work is also part of the Birmingham Better Care project, which is evaluating different and new models of care delivery. You can read about how the Reassurance Calls service has helped people overleaf. Telecare George’s story George is in his 90s. He’s been married for over 70 years but lives alone as his wife has advanced dementia and now lives in a care home where George visits her each day. He reports his wellbeing as generally good but he often becomes upset when talking about his wife’s condition. On one Reassurance Call, George was extremely distressed, having just had bad news regarding his wife’s health, and said he found it a relief to talk to someone about it. George has family but does not wish to be a burden to them, which leaves him feeling more isolated as he tries to cope with the emotional distress that the ongoing deterioration of his wife’s condition is causing him. George was matched with a Silver Line Friend, who has been bereaved after a long marriage. When asked how his first call with his Silver Line Friend had gone, George commented on what a lovely lady she was and that he was really looking forward to their next call. Barbara’s story Barbara is in her late 50s, lives alone and is registered disabled. She frequently experiences pain and her ill health impacts negatively on her level of independence, which she finds frustrating. Barbara has some family but no friends and can go for weeks without seeing anyone socially. She reported her mood as being really low, and her outlook on life as quite negative. Barbara expressed how much she enjoyed receiving the Reassurance Calls and was subsequently matched to a Silver Line Friend close to her own age with whom she shared some interests. When The Silver Line contacted her to find out how she and her Silver Line Friend were getting along, Barbara sounded far more positive in general and reported that she and her Silver Line Friend make each other laugh. She also remarked that on weeks when she has no contact with anyone else, she is reassured by the knowledge that she’ll still get a call from her Silver Line Friend for a chat and doesn’t feel as isolated or lonely. Reggie’s story Reggie is 62 years old, has poor mobility and is prone to falling. He has no children and his only family is a brother that lives a great distance from him. He has no friends. He seeks practical support and friendship due to a combination of physical health issues, financial difficulties and for the isolation and loneliness he experiences. Reggie was keen to receive the Reassurance Calls service, and now also calls The Silver Line Helpline for an additional chat every now and then. He has missed several calls from The Silver Line, but each time Reggie has contacted the Helpline to ensure he continued to receive them. During telephone conversations with Reggie, he would talk about the things he was going through. He also expressed his gratitude, saying how much it means to him to have someone to talk to. The Silver Line was able to build up a Pen Picture of him during those calls and he has now been matched to a Silver Line Friend. Names have been changed and photos posed by models to protect identities. If you would like more information about the Silver Line Reassurance Calls service or the Birmingham Telecare Service, please call 0330 1234 042