Telecare
Assessor
Training
www.portsmouth.gov.uk
What is Telecare?
• Telecare is the remote or enhanced delivery of health
and social care to people in their own homes, using a
combination of alarms, sensors and other equipment to
help people live independently.
• Telecare can raise a call for help in emergency
situations, such as a fall, a fire or a flood, as well as
monitoring lifestyle changes over time.
• Telecare is not intended to replace human contact
but is designed to support safety, independence and
well-being of users, and to support carers.
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Major benefits over traditional
alarm services
• Passive system, doesn’t need the user to initiate
the alarm call
• Environmental as well as person-centred
• Preventative as well as reactive
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Assistive technology
Assistive technology = A generic term for any device or equipment
which enables someone to undertake an activity of daily living with
greater safety and/or independence.
The definition now extended from equipment such as bath seats,
wheelchairs and stair lifts, to include newer stand-alone and Telecare
home safety and security, lifestyle reassurance and remote vital signs
equipment.
Stand alone
used directly by the person or
carer (not linked to alarm
monitoring centre)
Stand alone examples
• Recorded message memo
minders
• Plug that releases the water
in a bath before it overflows if
tap left running
Telecare
automatically sends a signal
to an alarm monitoring centre
to call for assistance
Stand-alone
Telecare
Telecare examples
• Fall detector raises alert
even if user unconscious
• Door exit monitors that
raise alert if person leaves
building at inappropriate time
What is the difference?
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Telecare System
Wireless sensors
A
L
A
R
M
Home
Hub
Monitoring
Centre
Response
Team
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Emergency Response Teams
Mobile Warden
Telecare
Control
Centre
Relatives
& friends
Rapid Response
Unit
Falls pick-up
service
Duty Social
Worker
An
appropriate
response
Fire
service
24 Hour
--Nurse
24 hour
Gas fitter
Emergency
plumber
24 hr.
Home Care
Police
Out-of-hours
GP
Air ambulance
Ambulance
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Telecare Characteristics
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Not appropriate for every person
Not a ‘one-size fits all’ solution
Person-centred & needs-based, not equipment-led
Promotes independence and safety
Supported by a robust response infrastructure
Integrates into existing practice, process and service
provision
• Supports health and social care provision
• Considers ethical issues
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Telecare service integration
Entry
(Re) assessment of need
Care package
development
Review
Social services
Telecare service
Primary care
providers
Response
Acute care
Housing services
Telecare
prescription
&
response
protocol
Equipment suppliers
Call
handling
Social Housing landlords
Monitoring
9 Barlow & Curry 2006
Source:
Installation
and
maintenance
Home survey
Equipment provision
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Why use Telecare?
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‘Telecare offers the promise of enabling
thousands of older people to live
independently, in control and with dignity
for longer.’
‘Telecare is as much about the philosophy
of dignity and independence as it is about
equipment and services.’
Building Telecare in England DoH July 05
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Policy Drivers - DH documents
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Building telecare in England
Our health, our care, our say
Putting people first
Delivering care closer to home
Carers’ Strategy
NHS Next stage Review- Primary & Community
care (Darzi report)
• Supporting people with long-term conditions
• Valuing people now
• National Dementia Strategy
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How can Telecare be used?
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Environment
Pop-up plug
Flood detector
Smoke detector
Gas / CO detector
Extreme temperature detector
Security
Barking dog recording
PIR-activated external lighting
Intruder alert
Bogus caller panic button
Door / window contacts
Video door entry system
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Safety
Fall detector
Bed / chair occupancy sensor
Pull cord
Water temperature alert
Sounder beacon / vibrating
alarm
Memo minder
Door exit monitor – wander alert
GPS tracker / locator
Social
Telecare 24/7 monitoring may
reduce need for pop-in visits
Need to be aware of need for
contact with real people
Consider volunteers to visit at
home or integrate into
community activities
Enable meaningful social
interaction
Interactive systems, via settop box, to provide info on local
services, health advice, etc.
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QuietCare Lifestyle Monitoring
Passive infra red motion sensors, in various rooms of house, send info every
few hours to centre, noteworthy changes flagged-up, appropriate action can be
taken before crisis develops. Useful for assessment purposes
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Health
Medication dispenser
Epilepsy sensor
Enuresis (night-time
incontinence) sensor
Reminders and coaching by
mobile phone (condition
management)
Remote vital signs monitoring
(see next slide)
Telehealth peripherals
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Telehealth Benefits
For users and carers:
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the right care, in the right place, at the right time
regular, consistent monitoring of vital signs
avoids crises arising
timely, proportionate interventions
assisted self-management / patient education in keeping
well
care closer to home
fewer surgery and clinic visits
fewer hospital admissions
better outcomes
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Telehealth Benefits (cont’d)
For health services:
• Consistent with PCT strategic planning goals, (care closer to the
patient, more efficient, pro-active case management of long-term
conditions, personalised care, improving health education, improved
patient experience, increased numbers of people able to die at
home)
• better use of GP and other health practitioner time
• better prioritisation for intervention - urgent patients can be seen
faster
• reduced ambulance call-outs
• reduced trips to A&E
• reduced admissions to hospital
• earlier discharge from hospital
• high quality & value for money
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Development of in-house
response service
• Since 2009, Portsmouth Rehabilitation and Reenablement Team (PRRT) have provided a night time (9pm
to 6am) response service to support Telecare users’ own
responders.
• They are trained in risk assessment, first aid, moving &
handling, use of Mangar Elk (lifting cushion)
• They feedback to NHS & social care, to close information
loop on fallers
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Impact on Local Services
• Reducing demand on ambulance services
• Preventing unnecessary admissions to hospital
and residential care
• Supporting earlier discharges from hospital,
community rehab
• Enabling independence, dignity and choice
• Improving preventative services
• Supporting carers
• Stronger links between health & social care
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Cost of Telecare
• Charges can be taken into account in financial
assessment for care package, as disabilityrelated expense
• No cost is made to the customer for stand-alone
equipment if identified need during community
care assessment. This is currently recharged to
Adult Social Care.
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Key lessons learnt
• The technology is only as good as the
infrastructure that supports it
• Telecare = 20% technology, 80% people
• Telecare must be integrated into existing health
and community care
• Technology package and response must be
tailor-made to individual
• Service must be reviewed and adjusted as
necessary
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Referrals for telecare
• Individual can self-refer
• Carer can refer
• Professional can refer using the on line professional
referral form on the web site
• You can phone on 0800 731 2228 or email:
telecare@portsmouthcc.gov.uk for more information.
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Useful references
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www.dhnetworks.org.uk/telecare
www.wsdactionnetwork.org.uk
www.chubbcommunitycare.co.uk
www.tunstallgroup.com/home.aspx
www.telemedcare.co.uk
www.quietcare.co.uk
www.pivotell.co.uk
www.atdementia.org.uk
www.telecareaware.com
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