Milton Keynes Council and Milton Keynes Community Health Services (PCT) are working with leading provider Tunstall Healthcare to provide integrated telehealthcare support to local people living with COPD (Chronic Obstructive Pulmonary Disease).
Results show that 79% of end users and 88% of carers experienced major benefits from taking part in the programme, and 168 hospital admissions and 85 GP visits were avoided.
Previously, telehealth and telecare systems have run independently, and service users in receipt of both services have had records on each system. Not only does this double the amount of data entry, it also means that health and social care professionals must make decisions based on incomplete information about a patient/client.
This issue has been addressed within the European Union co-funded Commonwell project initiative, which aims to overcome the communication gaps which separate health and social care service provision. Ten partners working in four member states cooperated to develop integrated service delivery in order to better support older people and those with long term conditions.
Milton Keynes Council's Telecare service working in partnership with Milton Keynes Foundation Trust Hospital and Community Nursing Service (Community Matrons and District Nurses), provided more than 100 patients with telecare and telehealth equipment in their homes. All patients were provided with a Tunstall Lifeline Connect+ home telecare unit, which allowed them to raise a call for help if they require assistance, either by pressing the button on the unit or on their personal trigger. This in turn raised an alert at a monitoring centre where trained operators were available to talk to patients 24 hours a day, and action an appropriate response. The patients also used mymedic telehealth equipment to measure their vital signs daily, and these results could also be viewed at the monitoring centre, where the relevant clinician could be notified if necessary, enabling them to take prompt action to stabilise the patient's condition and thereby avoid unplanned episodes of care, such as hospital admission.
The new project means that, for the first time, the same monitoring centre receives alerts and information from telecare and telehealth equipment, allowing both sets of data to be viewed together.
Sandra Rankin, Head of Service at Milton Keynes thinks the system has huge advantages
We are starting to join up information from different systems in order to get a more holistic view of the person and tailor the support on offer. A health and Social Care system that talk to each other enables us to give a much better response to needs. It also means the district nurses and community matrons can prioritise their workloads more easily, because they have extra information about patients from the telecare equipment. The integrated system also avoids wasted home visits as health professionals can easily see on the system if, for example, a patient has been taken into hospital.
The pilot phase of the project ran from September 2010 to August 2011, and was subject to evaluation using quality of life measures and cost savings calculations. The results of the evaluation process, from the perspective of users, relatives and care professionals, were very positive, including:
In terms of cost savings, 168 hospital admissions and 85 GP visits were avoided based on 108 patients enrolled in the service. In summary, the project provides clear evidence of the benefits of integrated health and social care support underpinned by telecare and telehealth to people with long term health and care needs.
Cllr Debbie Brock, Cabinet Member for Adult Social Care Health & Wellbeing at Milton Keynes Council said:
My congratulations go to all involved with the CommonWell Pilot, which has demonstrated to users of the service, their families & carers that Telehealth can provide appropriate support and greater reassurance for the management of long term conditions and confidence that help will be given when needed. This project highlights the way forward for whole system benefits for investing in preventative initiatives within the community setting.