Tele-Health/MedicineTele-Health/Medicine

Why am I speaking today?Why am I speaking today? LTCs – does what we do now work?LTCs – does what we do now work?

system focussystem focusassess knowledge / learning stylesassess knowledge / learning stylescare planningcare planning

If we started again?…..suspend disbeliefIf we started again?…..suspend disbelief

LTC(s)LTC(s)

Complex LTC needs…..Complex LTC needs…..

Acute careAcute care

Stroke….Stroke….

Acute careAcute care

Pneumonia…..Pneumonia…..

HMP Frankland

Plus 7 more in County Durham by end 2009

HMP Full Sutton

HMP Verne

HMP/YOI New Hall

HMP Manchester

HMPs Garth, Preston & Wymott

HMP – signed contracts

HMP – under contract negotiation

Isle of Sheppey (3 prisons)Isle of Wight

(3 prisons)

Context Context

QIPP / other National driversQIPP / other National drivers Shifting the Balance of CareShifting the Balance of Care Evidence baseEvidence base Will incremental change suffice?Will incremental change suffice? Pilots, prototypes and issues of scale Pilots, prototypes and issues of scale Existing infrastructure Existing infrastructure

IssuesIssues

Regional vs local ownership/implementationRegional vs local ownership/implementation Avoid incompatible systemsAvoid incompatible systems

within and across sectorswithin and across sectors Financial and contract modellingFinancial and contract modelling Workforce Workforce EvaluationEvaluation Marketing and engagementMarketing and engagement

IssuesIssues

Managing strategic relationshipsManaging strategic relationships Technical specificationsTechnical specifications GovernanceGovernance The overall business case for changeThe overall business case for change

Its not about the boxes……

Work in progress – NHS Yorks and Work in progress – NHS Yorks and the Humberthe Humber

Meeting 4Meeting 4thth November - CEO November - CEO Start of a discussion, not the endStart of a discussion, not the end Work in hand, initially to clarify the questions that Work in hand, initially to clarify the questions that

need to be answeredneed to be answered Pace…with carePace…with care

An integrated solutionAn integrated solution

Medical record sharedMedical record shared New approach to LTCsNew approach to LTCs

New toolsNew toolstelehealthtelehealth

telemedicinetelemedicinelinks with other sectorslinks with other sectors

(One box per home, not many!)(One box per home, not many!)

Is this approach going to deliver?Is this approach going to deliver?

COPDCOPD 840 people, 5 yrs840 people, 5 yrs Current spend £22MCurrent spend £22M ?Future spend £8M….?Future spend £8M….