Laura Halcrow
27 April 2015
1
Self management
 Not all people want or need assessment by health and
social care staff.
 Health and social care services are changing to become
more person centred and proactive. (E.g. Co-creating
health, expert patients and self directed support)
 It involves giving individuals an active role in their own
care.
 It is about giving the person the information and
support to make their own decisions and plans to
manage their health.
2
Why self management for falls?
 Only 20-25% of falls are reported to a health
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professional
Only around 10% receive assessment
This makes prevention challenging!
Falls are nearly always due to one of more underlying
risk factors.
Recognising and modifying these risk factors is
crucial in preventing falls and injuries.
Multi-factorial, individualised interventions, based on
risk assessment, can reduce falls by up to 30%.
From: Falls and fractures: developing a local joint strategic needs assessment. (DoH
2009)
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Why use technology?
 Surveys have shown that 26% of
people over 65 use the internet.
This rises to 63% for those
between 55-63.
 People are becoming more reliant
on technology.
 Good medium to reach a lot of the
public with health information.
 NHS Scotland are investing in the
use of technology solutions to aid
management on LTC’s.
4
Smart Care in Scotland aims..
“to improve the health, care and wellbeing of 10,000
people aged 50+ within Ayrshire and Clyde Valley, by
enabling a better co-ordinated and more effective
approach to falls prevention and management …
focusing on the role that ICT services and applications
can play in supporting integrated care ”
SmartCare in Scotland
 SCTT/NHS 24 has a national responsibility
in Scotland as advisor, facilitator and
promoter of technology enabled health, care
& wellbeing for 5.2m population
 SmartCare overarching pop – 1.1m (20%)
 Involving 7 local authorities (22%) – social
care/housing/education
 3 territorial Health Boards (21%)
 Range of voluntary, charitable &
independent sector organisations
How
 Fill the gaps
 Improve existing processes and communication
 Promote prevention
 Collaborate with service users and carers
 Use technology to improve existing self assessment
tools – triage – MFA
 Implement SmartCare concept
SmartCare – ICT enablers
Community Engagement
 Signposting- local services, events social network
 social networking
 Keep in touch- Skype family and friends
 Prevent isolation – keep active – be part of something
Living it up
https://portal.livingitup.org.uk/
Diary/Calendar
 Diary - enhance coordination
 Co ordination - Persons needs will be varied according
to LTC and level of independence
 Pull together key events supports
 Link with agencies- GP Hospital appointments
 Adapting existing systems – home care- EquipU
Person profile
 Who am I – how do I want things organised
 Person held information – input practitioners
 Key Information Summary
 Health info
 Social info
 Comprehensive Integrated information system
Influenced and tested by SmartCare
Falls assistant – self assessment
 An internet based self assessment measure to reduce an
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individuals falls risk.
This involves the user answering a series of questions and
completing activities about their general health, mobility
and environment etc.
Once completed it gives the user an individualised
personal action plan which will aid the user to self manage
their falls risk.
Resource has been co-produced to ensure it is user friendly.
Paper version will be developed to give service user choice.
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Feedback
A good way to
engage with
people who
have refused
formal
assessment
Keep it simple!
A good way to
sign post
people
A good
resource for
families
and carers
Make it fun!
15
Progress so far!
 Project charter/business case formulated
 1st draft produced
 Presentation around concept made at Hampden
Smart Care event and feedback gained.
 May 2014-Present MDT working group formed
involving all smart care areas and have met on
several occasions.
 May 2014-Present – Service user focus group
formed involving volunteers recruited from
Invigor8 classes. This has met on several occasions
and members have been actively involved in
coproducing the assessment.
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Progress cont’d
 September 2014 – Procurement Process - SMG and
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Tactuum
October 2014 algorithm formulated for assessment (on
paper), and circulated nationally.
November development commenced with SMG and
Tactuum.
Presented concept at Smart care European Assembly
January 2015 – First prototype developed
February 2015 – Initial testing event with user group and
tool put on Living it up test sight.
March 2015 – Clinical testing commenced
Introducing the Falls Assistant App
Falls self assessment section
Advice Given
User testing event
Clinical Testing
 Clinicians were asked to Supervise/observe service
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user using Falls assistant app
If existing assessments had been carried out they were
asked to compare results.
Clinician then completed a comments form.
Service user’s completed SUS and AFRIS measures
Results were sent to the project team.
Any Questions?
Have a look
 https://fallsassistant.org.uk
 For further queries contact –
Laura.Halcrow@aapct.scot.nhs.uk