Tunstall LifeCare
Kevin Alderson
Health & Social Care Policy Director
Tunstall Healthcare (UK) Ltd
Pulling this together
• Money!!
• Transformation and personalisation
– “The Case for Tomorrow Facing the Beyond”
•
•
•
•
Demand
Expectations
Resources
Services and the Market
Telehealthcare at Scale Helps
• Saves money and improves outcomes
– Gives you more resources – “breathing space”
• Opportunity for Health & Social Care to work more
closely together
– Encourages cooperation
– Utilises existing local services
• Excellent offer for the general public
– Contributing directly to prevention
Telehealthcare at Scale Helps
NHS “LTC” Patients
Need for Integrated Service
Most expensive group
General Public
Non FACS eligible
80% - 90%
ADASS Members
(Statutory responsibility)
Existing local service
FACS eligible
10% – 20%
Telehealthcare at Scale Helps
• New evidence
– Plus existing evidence!!
• New approaches to making it happen
– Tunstall LifeCare
New Evidence from Hillingdon
•
Reduction in long-term residential and nursing care placements
from 8.08 per week in 2010 to 3.57 per week to end Feb 2012.
•
Reduction of 112 OPS placements from October 2010.
•
Residential/nursing placement headcount at its lowest since April
2008.
•
Reablement with Telecare has led to steady reduction in homecare
hours purchased of 10% from April 2011 to date, forecast continued
year-on-year reduction of 7.8%.
•
1120 TeleCareLine installations against a target of 750 for 2011/12.
Investing to Save:
Assessing the CostEffectiveness of Telecare
• report by FACE Recording and Measurement Systems with the
support of researchers at the British Psychological Society’s Centre
for Outcomes, Research and Effectiveness, based at UCL
• New report shows how widespread, targeted
deployment of telecare could save
– between £3m - £7.8m for a typical council
– equating to 7.4% - 19.4% of the total older peoples’
social care budget
The results – telecare NYCC
45% reduction in residential care costs
38% reduction in overall care costs
26% reduction in community support costs
95% of users said telecare had given them more
confidence
95% of users said telecare helped them feel safer
87% of users said telecare had helped them to
carry on living at home
Summary of Other Evidence
Number of cases reviewed
% delayed admission to
nursing/residential care
Average delay of admission to care
% with reduced home care
Average reduction in home care
Avoided emergency admissions (as
% of users)
Average saving per admission
Wilts
Norfolk
Blackb
urn/Da
rwen
Stockto
n-onTees
Nottin
gham
City
Bristol
Derbyshire
East
Mids
CSED
423
29
114
253
105
199
1037
551
858
10%
38%
13%
28%
22%
25%
30%
16%
47%
13
weeks
32
weeks
13
weeks
52
weeks
4
weeks
13
weeks
-
-
-
76%
28%
25%
8%
-
30%
4%
11%
16%
1h p.
wk
3.5h p.
wk
-
10.5h p.
wk
-
3.5h p.
wk
2h p.
wk
-
-
10%
10%
-
46%
-
23%
-
20%
28%
£
775
£
1,339
-
£
1,566
-
£
2,016
-
-
The results – WSD (telehealth)
45% reduction in mortality rates
20% reduction in emergency admissions
15% reduction in A&E visits
14% reduction in elective admissions
14% reduction in bed days
8% reduction in tariff costs
“3 Million Lives”
• A campaign to transform care for people living
with LTCs where technology is appropriate
• Borne out of the WSD programme, which makes
the case for adoption at scale
• A new way of working between government and
industry, alongside the NHS family to overcome
barriers and develop new business models
• www.3millionlives.co.uk
The solution
Localised solution
• Hillingdon
– local services supported to grow and develop
successfully
• Nottinghamshire
– partnership with Tunstall as lead contractor to deliver
Telecare service across the County
• Leicestershire
– local monitoring and response service subcontracted
to Tunstall as service provider
Birmingham City Council
Birmingham City Council has invested £14 million into a large-scale, city wide telecare service
designed to benefit up to 25,000 people over three years. It is part of the Council’s new
approach which is deploying resources at an early stage to support adults to stay in their own
homes for longer, reducing the need for domiciliary and residential care.
“Birmingham City Council’s pioneering decision to invest in telehealthcare to provide
better quality and more efficient support and care to the people in our communities
marks a significant milestone in how we are improving the lives of adults throughout the
city. It is an accepted fact that the current system of delivering health and social care is
simply unsustainable and innovations like telehealthcare are key to transforming
services, helping us to achieve better for less.”
Peter Hay, Strategic Director for Adults and Communities, Birmingham City Council and
President of the Association of Directors of Adult Social Services
TF3 – Northern Ireland
TF3 is delivering a large-scale telehealth service in Northern Ireland. The service has capacity
to support over 20,000 patients with long-term conditions helping to improve health outcomes
through better engagement with clinicians and enhanced self-management. Over the next six
years TF3 will provide a telemonitoring service to Northern Ireland (RTNI) which will support
over 3,500 people a year, helping to reduce the pressure on frontline services by enabling
people to be cared for in the community.
“By using advanced technology in the right way, we enable patients and carers to
monitor their condition at home, which leads to earlier intervention and reduces
admissions to hospital. This is at the very heart of where our health service needs to go
– we need to be more flexible, put the patient at the centre and ensure more people have
the chance to stay at home with their families.”
Edwin Poots, Minister of the Department of Health, Social Services and Public Safety, Northern
Ireland Executive
Tunstall LifeCare
Tunstall LifeCare - Six Point Plan
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Business case
Leadership plan
Services “fit for purpose”
Winning over the front line
Partner plan
Self funder plan
Telehealthcare at Scale Helps
Less social care demand
Extra Income
Less social care demand
Extra Income
General Public
Non FACS eligible
80% - 90%
NHS “LTC” Patients
Need for Integrated Service
Most expensive group
Less social care demand
Less money spent
Existing local service
FACS eligible
10% – 20%
Telehealthcare at Scale Helps
• Saves money and improves outcomes
– Social Care and Health
• Excellent catalyst for Health & Social Care to work more
closely together
– Encourages cooperation
– Utilises existing local services efficiently
• Excellent offer for the general public
– Contributing directly to prevention
Thank you – any questions???
Kevin Alderson
kevin.alderson@tunstall.co.uk
07740 578000