Members of the Telepathways board have seen telehealth assistive technology demonstrated by three leading companies – Docobo, Phillips and Tunstall.
The equipment enables patients to monitor their vital signs and send information through to health staff who monitor trends and will contact them if the readings show any cause for concern.
Registered Charity Number 251983
This form has been amended after being submitted to the Charity and sent out to review
| New Services and Innovations in Healthcare
Application for funding over £20,000 |
| 1. Title of application Service transformation supported by assistive technology – Telepathways feasibility study |
| 2. Contact details of principal applicant (Note 1) | ||
| Title: Ms
|
First name: Gill | Surname: Baker |
| Job title: Assistant Director, Adult Community Services | ||
| Department: | ||
| Organisation: Lambeth Community Health | ||
| Address: Gracefield Gardens Health and Social Care Centre, 2 – 8 Gracefield Gardens, London SW16 2ST | ||
| Contact telephone no: 020 3049 4747 | ||
| Email: Gill.Baker@lambethpct.nhs.uk | ||
| Details of co-applicant(s) | ||
| Title:
|
First name: | Surname: |
| Job title: | ||
| Department: | ||
| Organisation: | ||
| Address: | ||
| Contact telephone no: | ||
| Email: | ||
| If there is more than one co-applicant, copy the rows above the required number of times and paste them below in order to enter their details. | ||
| 3. Organisation | |
| Tick the organisation to which the grant would be paid (one only). | |
| Guy’s and St Thomas’ Foundation NHS Trust | |
| NHS Lambeth | x |
| NHS Southwark | |
| South London and Maudsley NHS Foundation Trust | |
| King’s College London | |
| NOTE: Applications can only be accepted from Guy’s and St Thomas’ Foundation NHS Trust, Lambeth/Southwark PCTs or South London and Maudsley NHS Foundation Trust. However, if the applicant is employed by both one of these beneficiaries and King’s College London, the grant can be paid to King’s College London. | |
| 4. Amount requested (round to the nearest £500) (Note 2) | |
| Amount: £160,921 | Over how many months? 9 months |
| 5. Partnership (Note 3) |
| If the project involves working across organisational boundaries, please list the names of all of the organisations involved below: |
|
| 6. Charity’s funding theme | |
| Buildings and environment | |
| Clinical innovation | X |
| Staff development | |
Please describe:
No – there is no current funding stream for this innovation
This is a project with national significance because of its service transformation focus across organisational boundaries and its well-developed partnership. In contrast to other exemplar sites such as the Department of Health Whole System Demonstrators in Kent, Cornwall and Newham which focus on telehealth and telecare only our partnership works across the care spectrum including acute and community services, GP commissioning collaborative, public health and primary care as well as council stakeholders and patients. This gives the feasibility study a unique level of scope and ambition in terms of its potential for service transformation.
Our aim is to examine and trial how Assistive Technology (AT) can support the delivery of service transformation to benefit patients in Lambeth (and Southwark). Both boroughs are areas of deprivation with growing numbers of older people with complex healthcare needs and co morbidities where AT will provide particular benefits. Service transformation supported by AT involving telecare, telehealth and telemedicine and continuing clinical innovation will have a major impact on improving outcomes, cost effectiveness of care and moving care closer to home with reduced use of unplanned care. Subject to the findings of the feasibility study we intend to develop a major bid next year in order to implement a telepathways programme.
Charitable funding will enable this project to take place.
This programme of work is aimed primarily at older people with long term conditions and/or complex health needs in Lambeth (and Southwark). In particular those people at risk of being admitted/re-admitted to hospital. |
|
| 7. Summary of project (less than 50 words) |
| How assistive technology (AT) can benefit patients and staff, deliver service transformation and support the Out of Hospital agenda. It will include an AT trial in order to build clinical confidence locally.
The feasibility study will review AT innovations, establish a framework for economic evaluation and develop a business model. |
| 8. Consultation (Note 5) |
| We have consulted patients through the Lambeth Community Health Patient Involvement and Partnership Forum, including representatives from Lambeth LINks. We discussed the proposals at a meeting on 13th September and they strongly supported the proposed feasibility study and confirmed their continued involvement.
We have consulted the following clinicians and stakeholders who support our innovative proposal. Most of them are represented on our clinical reference group which met on 10th September and/or Telepathways Board.
|
| 9. Description of project (less than 4 sides of A4 excluding references) | |
| 1. Background/context
The Charity awarded Lambeth Community Health (LCH) £20,000 to undertake a scoping study and set up a Telehealth Board with representatives from health and social care to explore priorities for telehealth. We launched a Telepathways board in June – its name underlining our wish to emphasise service transformation supported by assistive technology (AT) and clinical innovation. The bid for further work is as a result of focused progress to date on telepathways and the potential for integration. The aim is to support the leadership of a sustainable whole systems approach to telehealth and telemedicine and this is ground breaking. This work is aligned with NHS Lambeth’s Strategic Plan and LCH’s 5 year Business and Transformation Plan both of which highlight moving care out of hospital and anticipates the development of telehealth to enable this. What is Assistive Technology? Assistive technology (AT) has been described by the Kings Fund Whole Systems Demonstrator (WSD) Action Network 2010 as, ‘A range of electronic and assistive technologies generally known as telehealth, telemedicine and telecare used to support people at home and maintain independence. It will include telephone-based disease management approaches and newer developments (e.g. pervasive sensors, wearable devices). There are over 2000 devices in the Telecare National Framework catalogue and new products are coming onto the market daily. The technology is very important, but the assessment, monitoring and response arrangements are vital to cost-effective services’.[i]
. Our literature search[ii], visits to exemplar sites such as Newham Whole System Demonstrator (WSD), the Docobo reference group[iii] and information on the Leicester[iv], Norfolk[v], Wiltshire[vi], Birmingham[vii], Stoke on Trent [viii]initiatives and the Blackpool telehealth pilot [ix] show the potential of AT initiatives in relation to specific conditions such as Chronic Obstructive Pulmonary Disease (COPD) and heart failure but that the systematic care transformation potential has not been fully realised.[x] Health and social care, acute/ community/primary care are not joined up and most telehealth initiatives are small scale, or pilots. The most extensive trial is the WSD demonstrator project currently being evaluated. The Scottish Centre of Telehealth is focusing on telehealth and telemedicine in relation to key conditions including COPD, stroke, paediatrics and mental health. [xi]It is clear from the experience of the Veterans Administration service transformation in the USA [xii] that AT can support whole scale service transformation and integration and that is the driver for our current application.
1.1. What is the position nationally and in Lambeth and Southwark? Telecare is well established as an emergency response system. Lambeth (and Southwark) already use telecare to enable people to live safely in their homes, including those with dementia.[xiii] It also benefits sheltered housing residents. [xiv]
Telehealth is less well developed and implementation is not universal. The Department of Health WSD Project in Newham, Kent and Cornwall is reviewing telehealth and telecare, but not telemedicine.[xv] There is an increasing number of competing UK suppliers and larger telecoms companies entering the market. [xvi]There is no systematic use of telehealth in Lambeth (or Southwark) though the Sandmere Road GP practice ran a pilot a few years ago. There are a number of sites where text messaging is being used to prompt patients to act on health messages, for example for diabetes patients to check blood sugar levels or to give patients test results, for example in sexual health.[xvii]
Telemedicine is being used in a number of instances e.g. to assist in diagnosing stroke at Guy’s and St Thomas’ NHS Foundation Trust. This is also a priority for the Scottish Centre for Telehealth.[xviii] Acute colleagues have expressed interest in telemedicine in other areas (see 1.2. below) and see potential for improving continuing professional development for clinical teams across acute and primary care. Commissioners and partners in the acute sector have expressed particular interest in implementing telemedicine to support more out of hospital care.
1.2.What our scoping study achieved (May to September 2010) We have raised the profile and understanding of the potential for AT to improve care with Kings and Guy’s and St Thomas’ NHS Foundation Trusts, the End of Life and Diabetes modernisation initiatives, the GP commissioning collaborative, NHS Lambeth, Lambeth council and other key stakeholders to achieve transformational change, securing partner engagement and commitment to work with us in the next phase. We launched the Telepathways Board in June 2010 and established a clinical reference group to agree initial priorities for telehealth. Gill Baker chairs the LCH patient involvement and partnership forum which strongly supports our initiatives. We have viewed the main suppliers’ equipment (Docobo, Tunstall and Phillips). Our visits include the Newham Whole System Demonstrator (WSD) project and Scottish Centre for Telehealth which are exemplar models of care and Building Research Establishment Willmott Dixon health campus. We have established an intranet website for telepathways locally.
Gill Baker attends the council’s Assistive Technology Fast Track Steering Group to explore the potential of integrating telehealth and telecare locally. We are working with the End of Life Care and Diabetes Modernisation Initiatives which identified Telehealth /Telemedicine as priorities and will ensure there is no duplication of effort. LCH has submitted an expression of interest to the British Heart Foundation to provide one of eight national sites for developing telepathways and if successful this would extend our AT trial. We are members of both the Hospital at Home work stream (part of the integration process between Lambeth and Southwark community services and GSTT) and the Out of hospital programme board, both of whom have identified Telehealth in their objectives.
Following discussions at the Telepathways board in June and the Telepathways Clinical Reference Group in September 2010 we have identified a number of clinical areas where there could be substantial benefits from using AT locally:
With further innovation using Telehealth/ Telemedicine or texting for:
2. What we want to do Our ambition is to achieve maximum benefit for the local population in terms of access to AT, increased self management of health, improved quality of care and patient experience. Benefits for the local health economy will be smarter, leaner, more productive services with reduced outpatient appointments and admissions.
We will engage patients and staff with the AT available and consult with them to test the priorities listed in 1.2 to ensure the benefit for the local population and staff. We will arrange events to develop an agreed set of priorities and will use this as a forum to test AT devices. We will appoint a team including patients to do a more in-depth exploratory study and the expertise we need is included in section 3. The GP commissioning collaborative is fully engaged and strongly supports our work.
We will develop the telepathways partnership to investigate innovative uses of AT as part of a whole systems approach to service change and improvements in patient care. This will include a trial implementation of telehealth technology new to Lambeth. This is essential as it is a means to building clinical and managerial confidence in telesystems and it will build a platform from which to develop more innovative approaches. This will report to the Telepathways Board.
We will identify how to transform and integrate services in Lambeth (and later in Southwark) using AT to provide a better service for patients and more efficient use of resources. We have developed strong partnerships for this work and consulted widely. There has been a very positive response to our plans which provides an excellent foundation for the next stage. Further study is needed for three reasons:
3. Implementation The next stage will be led by the Telepathways Board, supported by a Project Director, project manager, patients, an economic analyst and IT specialist. We will work with academic departments.
Governance arrangements GPs, the GP commissioning collaborative, the acute sector (KCH and GST), Lambeth and Southwark councils, Lambeth Community Health and NHS Lambeth are represented on the Telepathways Board. It will receive regular updates from the Clinical Reference Group and IT work streams. We are working with patients through the Patient Involvement and Partnership Working Group and other focus groups. We aim to ensure effective communication through regular discussion and input to the project.
Outline project plan More detail is supplied in Question 12 of the application form Stage 1 November to January 2011 – Establish scope of collaboration with Diabetes and End of Life Care modernisation initiatives. – Selection of conditions; criteria for selecting patients; planning and initial implementation of trial Stage 2 – February to April 2011 –Confirm appointment of agency to develop economic evaluation Explore and confirm other areas for implementation of AT solutions and their potential locally -Trial implementation phase in key conditions -Confirm appointment of AT expertise input Stage 3 –May to July 2011 -Final report to Telepathways board with recommendations – Application for a major grant, subject to commissioner support and a strong evaluation report
4. The Evidence base The main sources of evidence we have reviewed are from England, Scotland[xix] and the United States. There are a number of small pilots and trials in the UK many of which show enhanced patient experience and cost avoidance. NHS North Yorkshire and York recently decided to purchase 2000 telehealth units primarily for patients with COPD, diabetes and heart failure, following a successful trial, which will make this the largest single telehealth project. [xx]The major DoH randomized control study of 6,000 patients in three sites, Cornwall, Kent and Newham has reported positive findings in the WSD Action Network and is currently being evaluated.[xxi] In the USA the Veterans Administration redesigned treatment from a hospital based model to primary and outpatient care[xxii] and reductions in hospitalizations have been by other US healthcare providers through telehealth. [xxiii]
5. How patients and/or staff will benefit Improving services for patients and streamlining care to benefit patients and staff are at the core of this work. AT puts the patient in charge and encourages self management. There is strong evidence from pilots of patient satisfaction and carers also find benefits. The Newham WSD project has produced videos in which patients describe the difference it has made to their lives – reduced visits to the GP for routine tests; reassurance as they can take action if any of their observations are out of line and trained staff who monitor the telehealth system and follow up when there are problems.
There are many AT products used by social services to help older, frail people to stay safely in their own homes for as long as possible. AT can help people, for example with early stage dementia by reminding them to take their medicine, turn off a pan burning on the stove, or take their keys with them when they go out. They enable people with a history of falls to return home from hospital and avoid moving into residential care prematurely because if they fall, an alarm is triggered. Alarms connect to a local authority call centre or alert a carer living in the same property. There is an emergency response (a visit or a phone call) to those living alone to check they are safe.
AT helps people with long term conditions understand their condition better through self monitoring and education. For example someone with diabetes and heart problems may experience a sudden drop in their blood pressure. Through daily monitoring of their blood pressure, blood sugar and oxygen levels they know better when to take action when these are unusual. This gives the patient greater confidence and helps take pressure off carers. Clinical staff monitor trends in observations remotely and can offer reassurance or a visit if there is a sudden or unexplained change in readings. Newham WSD has written and video case studies from their trial. [xxiv]
In some cases we anticipate that patients will be long term users of AT. In other cases it is a transitional form of support. Including an AT trial as part of the feasibility study will help us to get patients and clinicians’ views about the most effective use of the technology for patients locally.
6. What steps have been taken to ensure that all members of the target group identified earlier have equal access to the benefits of the project? The Telepathways board and the project team are committed to ensuring that the development of the telehealth and telemedicine solutions recognises and takes account of the diverse and deprived nature of the population of Lambeth. This is integral to the project
7. How many staff and/or patients will benefit? The feasibility study will test out the use of AT using 40 telehealth units. These will support more than 40 patients at home. We assume about 20 will be used with the same patient for the 9 months, 20 will be rotated between at least 2 patients and so we aim to introduce telehealth to at least 60 patients their carers and the acute, community and primary care teams looking after them. Up to fifty staff will be involved in the project. 8. Justification of the costs requested
The proposed costings have been developed in conjunction with and approved by the Director of Finance at LCH. |
|
| 10. Anticipated benefit(s) of carrying out the project (Note 7) |
| List below up to a maximum of five project objectives and for each objective:
list its corresponding output(s).Describe how you will know that this output has contributed to beneficial change.
a) To identify where this intervention could make the greatest difference to patients and clinicians in relation to end of life care and long term conditions including cancer, heart disease, COPD, diabetes. The potential for innovation in relation to pathology, mental, sexual health and out of hours emergency care needs to be explored. This next phase includes a trial of AT locally for a small number of specific areas where potential benefit is believed to be greatest in order to continue to build clinical confidence in their use.
Outputs
b) To gather together more data and undertake more detailed analysis of AT innovation. This will enable us to contrast and compare the AT expected to develop within the next year or so. This will inform our strategic investment decisions and likely business model with respect to use of AT in the future.
Outputs
c) To develop a realistic framework on which an economic evaluation of the telepathways project could be carried out. This will provide a way to identify the costs and benefits of widespread implementation of AT in Lambeth and Southwark and establish what is affordable and sustainable.
Outputs
d) To keep patient care, safety and experience at the centre of this proposal taking account of any changes in service delivery and maintaining LCH commitment to Equity and Excellence: Liberating the NHS (2010).
Outputs
e) To work in collaboration with the Diabetes MI Teams and the End of Life care MI who plan to use telehealth solutions in the next phase of their work. It is proposed that the Diabetes MI and this work to develop AT are interdependent and that this can be reflected in the governance, project arrangements, and potentially sharing of resource (subject to DMI Programme Proposal approval at November Trustees). Outputs
|
| 11. Medical equipment |
If the proposal includes the cost of any piece of equipment over £50k, please state: N/A
|
| 12. Project management (Note 8) – | |||||||||
| Key task or major milestone | Anticipated month of completion after start (place x in box) | ||||||||
| 1-
4 |
5-
8 |
9-
12 |
13-
16 |
17-
20 |
21-
24 |
25-
28 |
29-
32 |
34-
36 |
|
Stage 1 November December January 2011
|
X
X x
X
X
X
X
X
X
X X
X
X
X |
x
|
x
|
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Stage 2 February March April 2011
|
X
X
X
X
X
X
X
X
X
X
X
X
X
X
|
||||||||
Stage 3 May June July 2011
|
X
X
X
X |
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| Who will take day-to-day responsibility for delivering this project? If you are requesting funds for a Project Manager, please state that here. | Bid includes funding for part time Project Director supported by project manager and small project team, comprising patients and specialists including an economic analyst and IT specialist | ||||||||
| 13. Evaluation (you are unlikely to be able to answer this question correctly without reading Note 9 in the guidelines first and this may jeopardise the success of your application)
|
| We are keen that the main proposal we are planning to submit next year is fully evaluated. It is with this in mind that we are proposing to develop an economic framework during this feasibility stage which will give us a mechanism to develop the detailed evaluation in the full project next year.
Evaluation of the full project is vital and will be an integral part of the future proposal. We are clear in our understanding that evaluation should not be just a post hoc adjunct to the programme but an integral design from the start.
We anticipate that the telepathways project board will review the implications of the feasibility programme against the milestones proposed in the project plan. This will include monitoring the project team and scrutinizing the appointment of expert input into the economic framework for evaluation and in getting the appropriate level of AT expertise.
At this stage however we are planning to undertake a small piece of action research to seek to gather detailed learning particularly from the small scale AT trial. We will recruit qualitative research expertise interested in IT implementation to assist in the design of this and in carrying out this work. We suggest the findings of this will inform our future proposal for much more widespread implementation of AT across Lambeth and Southwark.
Our aims in this piece of work will be to
|
| 14. Sustainability (Note 10) | |||||||||||||||
Please tick one of the boxes below:
|
| 15. Ethical approval | |
| Tick which of the following applies | |
| The project will not require ethical approval. | x |
| The project is likely to require ethical approval. | |
| 16. Assessors (Note 11) | |
| Name: Alasdair Liddell | Name: Dr Adrian McLachlan |
| Job Title: | Job Title: GP and Chair of Lambeth Commissioning consortium |
| Organisation: | Organisation: |
| Email:Alasdair@alasdairliddell.com | Email: adrian.mclachlan@gmail.com |
| Please give below the names of people or organisations that you do not wish the Charity to approach to comment on this grant application (no reason required).
|
|
| 17. Start date (Note 12)
|
| November 2010 |
| 18. Expenditure on the project (Note 13) | ||||
| The costs described in this table should equal the total cost of the project, not just what the Charity is being asked for. . | ||||
| Year 1 | Year 2 | Year 3 | Total | |
| A: Building works over £5,000 (please append a detailed cost breakdown)
|
||||
| B: Equipment over £5,000 (list items and indicate VAT separately) | ||||
| C: TOTAL CAPITAL (A+B)
|
||||
| D: Consumables (inc. pieces of equipment costing less than £5k) | ||||
| Telehealth hubs | 50,000 incl VAT | |||
| 40 telehealth hubs with GPRS no need for phone line | ||||
| 40 manual entry oximeters | ||||
| 40 manual entry BP monitors
40 patient monitored years access to teleheath infrastructure 4 half day training sessions |
||||
| E: Other revenue costs | ||||
| Patient involvement | 10,000 | |||
| Economic evaluation framework
50 days work from academic dept or agency
|
24,000 | |||
| AT expert input 50 days from academic dept or agency | 14,000 | |||
| Social Science expert for qualitative evaluation of AT trial | 15,000 | |||
| Room hire | 1500 | |||
| Project Manager 2 days week 80 days | £24,000 | |||
| Report writing end report 18 days | £8,000 | |||
| GP time | £765 | |||
| F: Salaries (enter the totals from the salaries form) |
£13,656 |
|||
| G: TOTAL REVENUE COSTS (D+E+F) | ||||
| TOTAL COSTS (C+G) |
£160,921 |
|||
| 19. Funding the project (Note 14) | ||||
| Please enter details of all sources of funding associated with the project, including exchequer, special purpose and other charitable funds. | ||||
| Funding source | Year 1 | Year 2 | Year 3 | Total |
| Guy’s and St Thomas Charity | £160,921 | |||
| Total funding for project | £160,921 | |||
| 20. Surplus This question N/A
If the project involves any future cost savings and/or the generation of additional income complete the financial model below: |
||||||
| Financial changes arising from this project: | ||||||
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||
| £ | £ | £ | £ | £ | ||
| Income | ||||||
| Increased income from commissioning bodies | ||||||
| Increased other income (e.g. client fees) | ||||||
| Total | ||||||
| Savings | ||||||
| Savings in staffing | ||||||
| Savings in consumables | ||||||
| Savings in running costs | ||||||
| Other savings | ||||||
| Total | ||||||
| Additional ongoing costs not covered by grant | ||||||
| Training | ||||||
| Maintenance | ||||||
| Staffing | ||||||
| Other (please specify) | ||||||
| Total | ||||||
| Net cost savings as a result of grant (= (income + savings) – additional costs) | ||||||
| 21. Loans |
| If the grant is likely to result in a net cost saving or income generation, then please state why a loan or a part grant / part loan would not be appropriate.
|
| 22. Declarations | ||
| If the principal applicant or any of the co-applicants holds directorships of companies or trusteeships of charities, the details should be disclosed below. | ||
| Name | Directorships | Trusteeships |
Please refer to the guidelines about what to do with the form once completed.
Q23. Staff costs working sheet (this form must be completed by a finance/payroll officer)
Employer (tick) |
Grade & Spine Point
|
Present Salary + LW | Increment date |
Salary after Increment |
Increase in Y1 due to Inflation(Specify % used)
|
Other Allowances(Specify)
|
Employers NI |
Super-annuation |
F/Time P/Time |
Total cost (Year 1) |
Total cost (Year 2) |
Total cost (Year 3) |
||
Trust |
Other |
£ | (mm/yy) | £ | £ | £ | £ | £ | % | £ | £ | £ | ||
| Example | x | 1A 08 | 19,869
+ 2,134 = 22,003 |
05/06 | 20,811
+ 2,134 = 22,945 |
1,038
(3%) |
1,766 | 3,336
(14%) |
100%
|
28,928 | ||||
| Staff | ||||||||||||||
| Project Director 1 day week 32 days | LCH | 8C XN1006 | 22,378+2,072 = 24,450 | DEC 2009 | 24,450- | 0 | 0 | 2454.18 | 3,423
|
20% | 6,066 | 7,590 | ||
| Totals | £13,656 | |||||||||||||
| Please note that you should ask Personnel or Payroll to verify the salaries listed above and the Personnel/Payroll Manager should sign below | ||||||||||||||
[i] King’s Fund Whole System Demonstrator Action Network frequently asked questions http://www.wsdactionnetwork.org.uk/frequently_asked_questions/index.html
[ii] Whole System Demonstrator Action Network resource library http://www.wsdactionnetwork.org.uk/resources/index.html
[iv] Leicester County Council and the University Hospitals of Leicester, evaluation of trial with 43 patients with COPD (preventative technology grant 2007)
Evaluation by Scullion J, Bee J, Verity S, Wardle P, Mitchell-Issett C JRB 25.8.09 –
[v] Norfolk – Evaluation of Assisted Technology grant (2008) Cordis Bright consultants
‘best use of telehealth and telecare’ category of the E-Health Insider Awards 2009 in association with BT
http://www.e-health-insider.com/comment_and_analysis/592/normal_for_norfolk
[vii] Birmingham – 166 patients with AT in their homes and 1: 1 support Birmingham OwnHealth http://birminghamownhealth.co.uk/
[viii] Stoke on Trent COPD initiative http://www.allbusiness.com/company-activities-management/operations-quality-control/13978241-1.html
http://www.telecare.org.uk/files/48286/FileName/Conference-Brochure09.pdf
[ix] Blackpool Vitaline – 12 month trial extended to provide short term support to people leaving hospital
Camden cardiopods in some GP surgeries http://www.ehiprimarycare.com/news/4990/cardiopod_launched_at_nhs_camden
[x] King’s Fund- Mike Clark and Nick Goodwin, Sustaining innovation in telehealth and telecare WSDN briefing paper (2010) The King’s Fund, Department of Health and NHS
Barriers to medical adoption – NHS Technology Adoption Centre – 2009 report http://www.technologyadoptionhub.nhs.uk/assets/_files/documents/apr_10/nhs__1271416227_Organisational_and_Behavioural.pdf
[xi] Telehealth and COPD – http://www.sct.scot.nhs.uk/copd.html; potential of telehealth for mental health http://www.sct.scot.nhs.uk/mentalhealth.html
[xii] Darkins A et al. (2008): The Systematic Implementation of Health Informatics, Home Telehealth, and Disease Management to Support the Care of Veterans with Chronic Conditions. Telemedicine & e-Health, 14(10), 1118-1126. Link: www.liebertonline.com/doi/abs/10.1089/tmj.2008.0021
[xiv] Lambeth and Southwark are both involved in the Department of Health Assistive Technology Fast Track programme for 12 London boroughs
Lambeth also recently approved a business case for installing AT alarm systems in sheltered housing which has 1200 residents http://www.cirruscom.co.uk/uploads/news/158.pdf
[xv] Whole System Demonstrator Action Network http://www.wsdactionnetwork.org.uk/
[xvi] Ofcom – Plum consultants and Segentia (2010) Assisted living technologies for older and disabled people in 2030 – a final report for Ofcom
King’s Fund- Mike Clark and Nick Goodwin, Sustaining innovation in telehealth and telecare WSDN briefing paper (2010) The King’s Fund, Department of Health and NHS
[xvii] Anatole Menon-Johansson discussion with Gill Baker about his successful work in Chelsea and forthcoming academic paper re benefits of using texting for results in sexual health.
Also, Designing Comprehensive Prevention Programmes presentation http://www.nccid.ca/en/files/Dr._Menon-Johansson_Presentation.pdf
[xix] ttp://www.sct.scot.nhs.uk
[xx] Ehealth news Europe September 2010 http://www.ehealthnews.eu/industry/2105-telehealth-revolution-set-to-benefit-more-north-yorkshire-patients
[xxi] WSD Action Network http://www.wsdactionnetwork.org.uk/
[xxii] Darkins A et al. (2008): The Systematic Implementation of Health Informatics, Home Telehealth, and Disease Management to Support the Care of Veterans with Chronic Conditions. Telemedicine & e-Health, 14(10), 1118-1126. Link: www.liebertonline.com/doi/abs/10.1089/tmj.2008.0021
Source: Chumbler NR et al. (2009): Mortality risk for diabetes patients in a care coordination, home-telehealth programme. Journal of Telemedicine and Telecare, 15(2), 98-101.
Link: jtt.rsmjournals.com/cgi/content/abstract/15/2/98
[xxiii] Deborah Peikes, Arnold Chen, Jennifer Schore, Randall Brown Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures among Medicare Beneficiaries – 15 randomized trials
American Medical Association 2009 – reprinted JAMA February 11 2009 Volume 301, No 6
Pages 603 – 618
Boutwell, A. Griffin, F.Hwu, S.Shannon,D. Effective Interventions to Reduce Rehospitalisations: A compendium of 15 promising interventions, Cambridge MA: Institute for Healthcare Improvement 2009
The group meets at 12.30, Friday 10th September at Gracefield Gardens.
The Telepathways Partnership held its first meeting today, 30th June 2010.
Excellent turnout and valuable discussions.
260510Telepartnership_Board_-_DRAFT_TERMS_OF_REFERENCE
Telepathways Partnership 