Case Studies

We value our relationship with our partners and are proud of the work we have done. In this section we look at some reference case studies. We have selected these references to show partnership working and best value in delivering the best solution for the individual.

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Telecare In Hackney

Hackney is a borough in the East of London and has a population of over 210,000, it is one of the most ethnically diverse and most socially deprived in the United Kingdom.

Diversity is important since there is very good evidence that poorer health is associated with poverty and that some minority communities suffer disproportionately from ill health (often compounded by poverty).

Local Context

The Mayor of Hackney’s first priority, is to ‘improve services and increase opportunities for all, raising the life chances of the most disadvantaged”. The Hackney Telecare strategy built on this aim and developed a two year Telecare project which aimed to support 600 individuals in the community using Telecare by April 2008, this number excluded a small Telehealth project of up to 50 patients.

DOH Policy

In July 2005, the Department of Health (DOH) published “Building Telecare in England” which set out its vision for the role of Telecare in meeting the Government agenda. It described in detail the aims and expected outcomes of the Preventative Technology Grant which was cascaded to Local Authorities from April 2006.

2 Year Telecare Project

The London Borough of Hackney initially undertook a two year Telecare Project funded by the Preventive Technology Grant, this was supplemented by other budgets such as supporting people funding. The intention was that Telecare would not be a time limited project but that the project would act as a spring board for a fully mainstreamed Telecare service. It was intended that the project would not only establish Telecare within Hackney but would build a robust foundation for the ongoing mainstreamed service.

Hackney derived the following key deliverables for their telecare service:

  • Steering group of key stakeholders and partners
  • Project Manager and project support team
  • Establishment of telecare flat
  • The commissioning of Value for Money telecare service support mainly- * Technology source and supply * 24/7 telecare enabled call centre provision * Skilled telecare assessors * Telecare Installers * Telecare maintenance/replacement service * Appropriate rapid response 24/7
  • Programme of awareness raising and training for front line staff
  • Awareness raising programme in the wider community including City Of Hackney PCT
  • Development of Telecare Champions
  • Service provisions workstream
  • Protocols and pathways fro telecare referrals, assessment and escalation etc
  • Provision of telecare/telehealth packages tailored to suit individuals needs (600 by April 2008)
  • Establishment of a benefits realisation programme which encompasses Key Performance Indicators and a performance management framework
  • Payment mechanisms for the provision of the service

    Raising the Telecare profile within Hackney

    The Telecare project team worked closely with the following operational areas:

  • Intermediate Care
  • Sheltered Living Schemes
  • Care Management
  • Mental Health
  • Falls Service
  • Discharge Support
  • PCT Health and Commissioning Senior Managers
  • Fire Brigade
  • Community Matrons
  • Local Acute hospital Trust

    The Hackney Telecare Team’s Telecare Change Manager identified Telecare Champions from the operational areas and worked closely between the
    project and the teams to ensure that the technology fitted their particular clients needs and that the change required to embed Telecare was successful.
    The group meets on a regular basis within a Telecare champion’s forum where ideas and knowledge is exchanged and support given for the challenges of
    the change management required to embed Telecare.

    Technology partners

    Selecting the right technology and partner for the project was of particular importance to Hackney, after reviewing different suppliers from the PASA National Framework Agreement a decision was taken to work with Chubb Community Care who install all new and upgraded Telecare.

    Telecare Training

    Telecare training was also identified as an important part of the change process that needed to be undertaken in order to ensure Telecare was imbedded
    in the services longer term, this included transfer of skills and competencies from the specialist Telecare assessors.

    Hackney developed a number of ways of educating clients and professionals including:-

  • Ongoing training to raise awareness
  • Telecare Assessment Training
  • Champions Group
  • Dedicated Telecare change agent
  • Team and one to one meetings
  • Telecare Referral and assessment tools

    Keeping the profile high

    In order to raise the profile of Telecare a number of actions have and will constantly be undertaken namely:

  • Telecare Show Flat
  • Telecare Official launch
  • Telecare Presentations
  • User Leaflets and marketing materials

    Where are we now

    As part of the initial project, Telehealth was identified as an important element and as of March 2008, the first phase of this project is underway. To date over 650 Telecare installations have been undertaken in Hackney and the project team is actively working to handover the project to the
    operational teams.

    Hackneys overall aim is to delay or prevent deterioration and promote the independence of older people and their carers in community settings within
    Hackney by the effective provision of Telecare. The long term goal when they initially set out on the project was to have telecare mainstreamed by 2008/9 and they are pleased to say that they are on schedule to do this.

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