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www.icn.csip.org.uk_libraryResourcesTelecareSu

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www.icn.csip.org.uk_libraryResourcesTelecareSu Powered By Docstoc
					 HEALTH                 Performance
                        and support




                          Third sector
Social Care               and others

              Housing
In your area, how many people……
Have dementia?
Fell last night?
Have a long term neurological condition?
Have angina, heart failure, diabetes?
Live alone with poor housing at risk of crime?
Have intensive home care, COPD and depression?
Attend A&E regularly?
Could be in a care home in the next year?
Could benefit from preventative support?
Could benefit from integrated telecare/health services?
        Social
       Care Only                                   Referral                       Single Assessment:
                                                                                  •Contact
                                                                                                                FACs levels:

     Information:
                                                                                  •Overview                     •Annual published arrangements
                                            Referral standards and targets:
                                                                                                                •Critical/Substantial/Moderate/Low
     •Better Care, Higher Standards         •Key Performance Indicators           •Specialist                   •SAP/e-SAP
     •Leaflets                              •RAP
     •FACs                                                                        •Comprehensive
                                                                                                                ??Telecare as preventative services
                                                                                                                when not FACS-eligible??
     Customer Service:
     •Information in other languages
     •Translation services                                                                             No
     •Services for people with sensory or                                              Care Plan?             FACS Level not met:
     communication needs                                                  Review of
     •Charter Mark                                                        Care Plan                           •Information
     •Investors in People
     •Skills for Care, Workforce
                                                                                                Yes           •Advice
     Development, Training
                                                                                 Care Options include         •Self-assessment
     •Approved and Trusted Assessors
                                                                               telecare – direct service,
                                   •Regulations and Guidance on Direct
                                                                                    DP, Ind budget            •Self-purchase
                                   Payments
                                   •Individual Budgets Pilots


Care Pathways                      •Local Financial Assessment                  Financial assessment        Self-assessment/Self-purchase
                                   •Fairer Charging Policies



                                                                                                                Standards for Review:
                                                                                 Service Commenced              •Key Performance Indicators
                                                                                                                •RAP
                                                        Best practice/local standards:
 Long Term Condition                              Yes
                                                        •Base unit plus BP, Pulse, Weight, ECG etc
    Management                      Heart?
                                                        •See equipment and installation


                                             No

                                                        Best practice/local standards:
                                                  Yes
                                                        •Base unit plus BP, Pulse, Weight, ECG
                                  Respiratory?
                                                        peak flow etc
                                                        See equipment and installation

                                             No                                                          •Ethics, COREC,
                                                                                                         governance
                                                        Best practice/local standards:                   •Consent, dignity
                                                  Yes   •Base unit plus BP, Pulse, Weight, ECG           •NSFs for Older People,
                                  Diabetes?             etc                                              CHD, diabetes
                                                                                                         •Care/treatment plan
                                                        See equipment and installation                   requirements
                                                                                                         •Falls programme
                                             No                                                          •Medication review

                                                        Best practice/local standards:
                                                  Yes
                                   Other 1?



                                             No
Care Pathways                                           Best practice/local standards:
                                                  Yes
                                   Other 2?



                                             No

                       Self-assessment/Self-purchase                                      Installation
                                                                                                               •Ethics
  Care Options include                                   Best practice/local standards:
                                                   Yes                                                         •Consent, dignity
telecare – direct service,         Dementia/             •Sensor types eg base unit,
                                                         wandering/GPS, PIR/activity, door contacts            •NSF for Older People
     DP, Ind budget                Cognitive?
                                                         See equipment and installation                        •Care plan requirements



                                              No

                                                         Best practice/local standards:
                                                   Yes                                                         •Falls programme
                                                         •Sensor types eg base unit, PIR/activity,             eligibility
                                     Falls?
                                                         lighting controller, falls monitor                    •NSF for Older People
                                                         See equipment and installation                        •Consent, dignity
                                                                                                               •Care plan requirements
                                              No

                                                         Best practice/local standards:
                                    Activity/      Yes   •Sensor types eg lifestyle/PIR,                        •Medicines
                                   Prompts/                                                                     management
                                                         medication and other prompts and
                                  Reminders?             reminders                                              •Pharmacist’s
                                                                                                                involvement
                                                         See equipment and installation                         •Consent, dignity
                                              No                                                                •Care plan requirements


                                                         Best practice/local standards:
                                                   Yes                                                          •Care plan requirements
                                   Personal/             •Sensor types eg base unit, fire, smoke,
                                     Home                CO, flood, Shut-off, bogus callers
                                    Safety?
                                                         See equipment and installation

                                              No
Care Pathways                                            Best practice/local standards:
                                                   Yes
                                    Carer                •Range of sensors with pager, link to                  •Telecom arrangements
                                   Support?              mobile phone etc
                                                         See equipment and installation

                                              No

                        Self-assessment/Self-purchase                                                 Installation
      LTC model and social care provision
  FACS


  Critical




Substantial

              Social care                                 Health care
              (vulnerable)                                (vulnerable)
 Moderate

                                                                          More
                                                                         complex
   Low                                                                    cases

                             Accessible Health & social care
                                  Information/advice
      LTC model and social care provision
  FACS                FACS eligible                  Discharges – prevent
                                                     reimbursements
  Critical
         Dementia
                                                               COPD

Substantial

              Social care                                     Health care
              (vulnerable)                                    (vulnerable)
 Moderate
                                                                    Falls
                Volunteers                                                    More
                                                                             complex
   Low                                                                        cases

                                 Accessible Health & social care
                                      Information/advice




Examples of current telecare programmes
      LTC model and social care provision
  FACS


  Critical




Substantial
                              Single assessment
                                    Contact
              Social care          Overview               Health care
                                   Specialist
              (vulnerable)      Comprehensive
                                                          (vulnerable)
 Moderate

                                                                          More
                                                                         complex
   Low                                                                    cases

                             Accessible Health & social care
                                  Information/advice




     Commissioning Approach - reactive,
       responsive to highest needs?
       LTC model and social care provision
   FACS


   Critical




 Substantial
                               Single assessment
                                     Contact
               Social care          Overview               Health care
                                    Specialist
               (vulnerable)      Comprehensive
                                                           (vulnerable)
  Moderate

                                                                           More
                                                                          complex
    Low                                                                    cases

                              Accessible Health & social care
                                   Information/advice



Commissioning approach – preventative and
 self care support stops people moving into
             critical/substantial?
      LTC model and social care provision
  FACS


  Critical




Substantial
                              Single assessment
                                    Contact
              Social care          Overview               Health care
                                   Specialist
              (vulnerable)      Comprehensive
                                                          (vulnerable)
 Moderate

                                                                          More
                                                                         complex
   Low                                                                    cases

                             Accessible Health & social care
                                  Information/advice




Commissioning approach - all users where
 needs could be met by telecare? Cost?
User Assessment
                                             Personal
10 hours of home
                      10 times £10.50 per
                      hour transferred to    Budget
care per week         Personal Budget
                                             Account
Current block
contract cost to                             £110 per week
care provider =
£11.00 per hour



                                             User’s savings
Local authority
                       £90 charges per

                                             and
                       week as income to

income
                       the local authority

                                             allowances –
account - £90                                financial
pw                                           assessment
     Personal Budget – example
User Assessment

                                             Personal
                      10 times £10.50 per
10 hours of home      hour transferred to
care per week         Personal Budget
                                             Budget
                      plus £15 per week

                                             Account
                      for telecare
Current block
contract cost to
care provider =                              £125 per week
£11.00 per hour

Telecare - £15 per
week

                                             User’s savings
Local authority
                       £90 charges per

                                             and
                       week as income to

income
                       the local authority

                                             allowances –
account - £90                                financial
pw                                           assessment
     Personal Budget – example

				
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