DH Commissioning for People with Long Tem Conditions …對于長期人DH調(diào)試條件…

1、long term conditions whole system demonstratorstim elliswsd programme managerdepartment of healthcsip - outcomes from telecare and advanced assistive technology session aims overall context background to wsds lessons so far next steps20022003200420052006200720082009201020112012secondary carewaiting

2、listsincrease capacitynhs & dh focus long term conditionscommunity focusimproved health outcomescommissioner developmentstronger voice for individuals & communitiesincreased support for self careservice users and carers have more say person-centred care planningintegrated health and social c

3、are services clinicians driving improvementrenewed ltc focuswsds will explore the exciting possibilities opened up by truly integrated health and social care working supported by advanced assistive technologies such as telehealth and telecare. the objectives of the demonstrators are to:improve the c

4、are co-ordination of those with complex health and social care needs through use of an integrated health and social care system including joint health and social care teams using shared information to benefit systematic chronic disease management programmes;place a strong emphasis on patient educati

5、on and empowerment, so that people are fully informed about their condition and are better able to manage it;provide health and social care commissioners with the right incentives to deliver better care for those with complex needs;involve the use of assistive technology (telehealth and telecare) in

6、 order to improve the health and well being of the individuals and achieve efficiencies in service delivery. white paper commitment whole system demonstratorsthe poorest county in england, with a dispersed rural population population of 500,00046% of the population live in settlements of 68% bme; 14

7、0 first languages8.5% of the population are aged 65+17.3% of the population have a limiting long term illnesshighest death rate from stroke and copdhighest diabetes rate in the uk2nd highest chd rate in londoncombination of rural and urban populations population of 1.37m (excluding medway ua). two a

8、reas already piloting telehealth ashford / shepway population of 211,100 & dartford / gravesham / swanley population of 210,0003.5% bme17.3% of the population are aged 65+; 8.4% 75+ and 2.2% 85+within the target population, individuals report having an average of 1.6 of the three target conditio

9、ns of hf, copd, diabetesselecting the wsd sitescornwallnewhamkentwsds key elementsintegrated health & social care teamstelehealthtelecareintegrated health & social care informationpopulation stratificationappropriateassessmentpartnership working: housing, 3rd & independent sectorservice

10、users/clients/patientswsds what its not about !“thanks to the smarter home, a home help is required only twice a year- to adjust the clock!”reference: bruno von niman, gsc#10 etsi, sophia antipolis, france health-, care- and mobile e-servicesthe demonstrators will lead to a better understanding of t

11、he level of benefit associated with telehealth and telecare in an integrated health and social care environment. they will also help fast track future change by addressing the key implementation barriers and providing solutions for the wider nhs and social care.wsd outcomesproving the business casew

12、e will know to what extent the wsd model of care: promotes individuals long term well-being and independence improves individuals and their carers quality of life improves the working lives of staff is more cost effective is more clinically effective provides an evidence base for future care and tec

13、hnology models.demonstrator evaluationservice utilisation impact on costs clinical measures and patient reported quality of lifemechanisms of impact on service user outcomes and variations between subgroupspatient, carer and professional experience organisational context and implementation process q

14、uantitativequalitativekings fund, lse, ucl, oxfordmanchester, oxford, imperialcoordinator role (birmingham )learning so far understand your population plan in advance and recognise the environment will change over the life of your programme clearly define the whole integrated pathway requirements in

15、volve all the key stakeholders ensure you have the right resources ensure you can measure the benefit in a way that satisfies the needs of your key stakeholders employ rigorous programme / project managementlearning to inform wider implementationthrough :promoting more user focused care and improvin

16、g the information available to service usersfacilitating introduction of integrated care pathways including telehealth and telecare by providing the business case for their effectivenesssharing lessons learned by the demonstrator sites through csipencouraging research into the areas that currently provide a barrier to more widespread implementation through the assisted living innovation platformgu