Richard Harding, Project Manager, Innovation Agency Mike Kenny, Head of Programmes, Innovation Agency

Transcription

1 Integrating Assisted Living Technology into New Models of Care: Profile of the ENSAFE Programme (Early Intervention and Prevention for Active Agers) Lancashire & Cumbria Alliance Test Bed Programme Richard Harding, Project Manager, Innovation Agency Mike Kenny, Head of Programmes, Innovation Agency

2 LANCASHIRE AND CUMBRIA INNOVATION ALLIANCE TEST BED @LHHub

3 BACK TO THE VERY BEGINNING

4 PARTNERS Innovators: Philips Speakset Cambridge Cognition umotif Intelesant NHS Simple Tinder Foundation Ixico Clinical Delivery: Fylde Coast Vanguard Better Care Together Vanguard Evaluation: Lancaster University s Centre for Aging Research (C4AR) Governance: Lancashire Care NHS Foundation Trust Lancaster Health Hub The Innovation Agency

5 THE AIM OF THE TEST BED The LCIA Health and Care Test Bed will determine the most effective ways of supporting frail and older people with dementia and other long term conditions to remain well in the community and avoid unnecessary hospital admissions

6 TARGET COHORTS

7 TARGET COHORTS Cohort 1 >55 >25% COPD, HF, Diabetes Cohort 2 >55 >10-25% COPD, HF, Diabetes Cohort 3 >55 <10% COPD, HF, Diabetes, Asthma, CHD, Hypertension Cohort 4 Mild Dementia MMSE 20-26

8 COHORT 1 >55 >25% COPD, HF, Diabetes 6 months Key objective: Reduce healthcare utilisation and improve ability to self-manage x500 Vital signs, coaching & self-management CANTAB Mobile cognitive health assessment Secure video consultation & communication with & between HC professionals Peer to peer support Step down option SMS text messaging for coaching, prompts and reminders Drive better compliance with management plan Support coaching Voluntary groups Hub Care coordination Support to self-manage CASE FINDING Post diagnosis Post discharge Poor compliance TELEPHONE CONTACT To gauge interest Multiple tries Postal back-up RECRUITMENT VISIT Explanation & demo Shared decision & consent Cognitive assessment SYSTEM ENROLMENT Protocol allocation Installation order Message to GP INSTALLATION Technical setup Training First Measurement MONITORING Follow-up call Content roll-out Check-ups

9 COHORT 2 > % COPD, HF, Diabetes 6 months Key objective: Better compliance, adherence and awareness x500 Rapid COPD assessment, symptom tracking and support CANTAB Mobile cognitive health assessment Activity monitoring for HF SMS text messaging for coaching, prompts and reminders Drive better compliance with management plan Support coaching Voluntary groups e.g. breathe easy Hub Regular review calls CASE FINDING Post diagnosis Post discharge Poor compliance TELEPHONE CONTACT To gauge interest Multiple tries Postal back-up RECRUITMENT VISIT Explanation & demo Shared decision & consent Cognitive assessment SYSTEM ENROLMENT Protocol allocation Installation order Message to GP INSTALLATION Technical setup Training First Measurement MONITORING Follow-up call Content roll-out Check-ups

10 COHORT 3 >55 <10% COPD, HF, Diabetes, Asthma, CHD, Hypertension Key objective: Increased health engagement 6 months X 1000 Health APP Increased engagement with health CANTAB Web cognitive health assessment Hub Support coaching Voluntary groups e.g. breathe easy 6-monthly reviews CASE FINDING Annual reviews Direct marketing Community based SELF- INSTALLATION Self install Shared decision Consent COACHING & SIGNPOSTING Protocol engagement with help from hub REVIEW Content roll-out Check-ups

11 COHORT 4 Dementia 6 months x100 Key objective: Improved QOL and experience for PLWD and for their carers Vital signs, coaching & support for carers SMS text messaging for medication reminders & carer well-being Secure video consultation & communication Support coaching Voluntary groups Activity, nutrition & sleep monitoring Hub Regular review calls Video consultation My Brainbook Reminiscence therapy Peer to peer support CASE FINDING Post diagnosis Post discharge Poor compliance TELEPHONE CONTACT To gauge interest Multiple tries Postal back-up RECRUITMENT VISIT Explanation & demo Shared decision & consent Cognitive assessment SYSTEM ENROLMENT Protocol allocation Installation order Message to GP INSTALLATION Technical setup Training First Measurement MONITORING Follow-up call Content roll-out Check-ups

12 GRANT OVERVIEW Cost Centre Value Test Bed (overhead) 51,230 Test Bed (staff) 431,234 BCT 357,111 BFW 29,873 Materials 382,017 Lancaster University Evaluation 383,391 Tinder Foundation 64,200 TOTAL 1,699,056

13 KEY CHALLENGES Co-ordinating the two Vanguards Getting the best out of our range of partners Engagement with the pathways and communities Identifying 1,600 suitable service users Recruiting to the qualitative evaluation Co-ordinating with the national evaluation Recruiting staff to the Test Bed How to sustain and support after the Test Bed Procurement frameworks for the future

14 THANK YOU For more information about the LCIA Test Bed Programme, please contact us on: @LHHub