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Widespread evidence of efficiency and quality of life gains exist today – the benefits are undeniable. Connected care and connected health can dramatically improve the lives of people as well as their carers and is an enabler for re-engineering of health and social care provision whilst creating an integrated healthcare pathway. Here are some examples.

An ADASS Housing Policy Network website supported by Housing LIN which reveals the importance of digital technology, how it supports policy and commissioning objectives, and its benefits in order to equip directors to make informed and future-proof decisions.
An interactive toolkit introduced by Linda Sanders, ADASS Technology Lead, detailing results of research into how assistive technology can support the areas of most concern to directors of adult social services, including detailed practice examples.

Connected Care - Best Practice Guide

A new resource “connected care, best practice review” brings together some of the best examples of technology enabled care from Lancashire, Blackburn with Darwen, Calderdale, Hillingdon, Stockton, Havering and Spain – sharing further Tunstall’s experiences of working in collaboration with our customers using technology enabled care to transform services and change lives.

Download the guide

TechUK – Personal Digital care

This paper by Tech UK looks at the value of technology enabled care, barriers to adoption, and makes recommendations for next steps. It also highlights the practice changes that can be made in the short term.

Download the full report

NHS Calderdale Clinical Commissioning Group (CCG) – Quest for Quality in Care Homes

The Quest for Quality in Care Homes initiative was developed by NHS Calderdale CCG, Calderdale and Huddersfield NHS Foundation Trust, Calderdale Council and Tunstall Healthcare Ltd. The initiative increases support given to 25 care homes in Calderdale, aiming to improve safety and independence by using telecare to help manage risks such as falls.

Highlights were:

  • Emergency admissions, down by 25% year on year at march 2015
  • Hospital stays down 26% year on year at march 2015
  • Cost of hospital stays down from £3.23m in 2013/14 to £2.77m in 14/15 saving £456,166
  • Quest for quality care homes requiring 58% fewer GP visits than non-Quest homes

Download our case study which describes the findings from the first year of the pilot (2014/15). 

Housing LIN: Technology enabled housing with care - Scenarios

This Housing LIN Case Study report is a culmination of the South West Housing LIN Leadership Set's shared learning across the region, and sets out a series of scenarios to demonstrate the improved outcomes from incorporating technology into the housing solution for different individual circumstances. In particular, it describes how technology is changing peoples' lives, reducing dependency and facilitating housing with care solutions for older people across a range of settings.

Download the full report here

Housing LIN: Unleashing the power of digital communications

This White Paper explores the power of technology enabled housing with care.

Tunstall Healthcare sought the opinions of Housing LIN (learning and Improvement Network) members on the future of housing with care with a specific focus on the use of technology and how they may use it to support their ambitions of delivering first class housing, care and support.

Download the report unleashing the power of digital communications.

This supporting report provides essential need to know answers for housing providers, commissioners and managers of adult social care when it comes to considering the best use of technology enabled care, as we enter the digital world.

Download the Q&A report: Revolutionising housing with care – your questions answered.

Association of Directors of Adult Social Services (ADASS): Guide to Supporting Carers through technology enabled care services

As well as describing the different ways technology can help, this report covers top five things we need to challenge when looking at technology enabled care to help support carers

Download the report: Guide to supporting carers through TECS.

ADASS Better Care Technology Results of Call for Evidence

  •  The findings cover 28 examples across England from Brighton to Bury
  • As well as financial savings, you will read about some fantastic people stories.
  1. As a result of the Prime Minister’s Dementia Challenge and Dementia Friendly Communities campaign, Tunstall was asked by the Alzheimer’s Society to chair a task and finish group on Dementia Friendly Technology.
  2. There was overwhelming consensus that the main task of this group was the production of a Dementia Friendly Technology (DFT) Charter
  3. Overall aims of the DFT Charter
  • To improve the accessibility and usability of technology for individuals, commissioners and providers
  • To enable every person with dementia to have the opportunity to benefit from technology appropriate to their needs
  • To enable and encourage high level principals and best practice for those organisations providing services to people with dementia.

Download the Better Care Technology Results of Call for Evidence.

Alzheimer’s UK – Dementia-Friendly Technology Charter

This Dementia-Friendly technology charter was produced as part of the Dementia Friendly Communities strand of the Prime Minister’s Challenge on dementia. The charter, developed by a diverse working group and led by Tunstall Healthcare, gives people with dementia and their carers information on how to access technology. It also provides guidance to health, housing and social care professionals on how to make technology work for people based on their individual needs.

Download the Dementia-Friendly Technology Charter.

Good Governance Institute: Keeping the NHS Great

The Keeping the NHS Great, Delivering Technology Enabled Services discussion paper is the product of a collaboration between The Good Governance Institute (GGI) and Tunstall Healthcare. It was conceived out of a growing recognition that telehealth services have not spread as widely as was expected.

In this paper, we ask a sample of experts and practitioners in health, social care and housing why they thought this was the case, what the barriers to adoption were and what solutions there might be to make it possible for people who might benefit from telehealth to access these service.

The GGI conducted a survey of healthcare professionals in the Spring of 2014, this discussion paper summarises the findings and recommendations of these exercises.

Download the discussion paper.

Good Governance Institute - Innovations In Care

This collaborative white paper from the Good Governance Institute (GGI) and Care England, explores innovations in residential and home care. “Innovations in Care” aims to inform debate around the future of care services across the UK, and comes in the context of the Burstow Commission’s “Key to Care” report.

The paper covers three key areas of care: accommodation and facilities, commissioning and strategic organisation, and the delivery of care itself. In order understand why some health and social care organisations have been more receptive to innovations than others, the paper outlines some of the key barriers to innovations and suggests ways in which these can be overcome.

The idea and much of the content of this paper originated from a roundtable discussion facilitated at GGI’s Clinical Advisory Group (CAG). This group has been meeting regularly over several years to develop thinking about how health and social care organisations can rise to the challenges posed by demographic changes and new patterns of morbidity.

Telehealthcare solutions were a key focus of the group’s discussion informing this white paper, as were training and employment conditions, along with the need for broader systemic innovations and alternative commissioning models in social care.

Download the full report.

AKTIVE - Advancing Knowledge of Telecare for Independence and Vitality in later life.

Findings from AKTIVE study reveal previously unevaluated benefits of telecare.
The AKTIVE Working Papers include:

Better care blog - the importance of evidence 

Joy Hollister, Children, Adults and Housing Group Director at London Borough of Havering, discusses evidencing in Havering in this Better care blog, produced in partnership with ADASS.

University of Salford Report | Telehealth - The effects on clinical outcomes, cost effectiveness and the patient experience: a systematic overview of the literature

Telehealth is seen as a way of improving access to patient care for long term conditions and there is a considerable volume of published literature available. This report provides an overview of the best available evidence by summarising recent systematic reviews. It was found that there is more evidence for some conditions than others, but on the whole the trends are largely positive suggesting that telehealth is effective in:

  • Reducing patient mortality and hospital admissions for chronic heart failure
  • Reducing hospital admissions for COPD
  • Reducing blood pressure in hypertension
  • Improving glycaemic control in diabetes
  • Reducing symptoms in asthma

Download the full report.

CIH Delivering housing, health and care outcomes

The report by CIH and Tunstall Healthcare addresses how redesigned housing solutions can improve health and wellbeing, with particular emphasis on the role of assistive technology.

Read the full report.

Housing LIN Role of Assisted Living Technology for Vulnerable Adults

The new report from Housing Learning Improvement Network (LIN), focuses on the role of assisted living technology in social housing for vulnerable adults.

The report, entitled ‘Supporting Vulnerable Adults:  the application of assistive living technology to support independence’, describes how technology can help support vulnerable people such as those with mental health issues, learning disabilities, those recovering from alcohol or substance misuse, and people fleeing domestic violence.

Read the report.

Care and support at home: An audit of telecare services in England

This GGI report provides a number of recommendations aimed at Government and local authority officials about how telecare services and user outcomes can be improved. It is targeted at policy-makers, local authority councillors with an interest in adult social care, local authority directors of adult social services, and health and wellbeing board members. Its purpose is to encourage decision-makers to understand the current provision of telecare services in England and how services can be improved for the future.

Read the summary report.

Carers and telecare

New research from Carers UK has shown that, despite huge potential benefits of using telecare and telehealth, families caring for ill, frail and disabled loved ones are still facing barriers to accessing the services.

Read the full report.

Housing LIN Role of Assisted Living Technology for Older People Living in General Needs Housing

The report from Housing LIN focuses on the role of assisted living technology within general needs housing. The report is the second in a series of Board Assurance Prompts (BAPs) aimed at leaders and decision makers that are responsible for the management of general housing schemes.

The paper looks at the role of technology to support independence within general social housing for older people. It has been developed in partnership with Nigel Appleton of Contact Consulting and the GGI (Good Governance Institute).

Read the full report.

FACE Summary Report

This report describes the findings of a collaborative project evaluating the potential cost savings arising from the use of telecare.

Read the summary report.

Telecare Development Programme Report

Between August 2006 and March 2011, the Scottish Government made £20.35 million available under the Telecare Development Programme (TDP) to drive the adoption of telecare by local social and health care service providers. This report shows how the funding delivered significant results including thousands of admissions to hospitals and residential care being avoided, and gross savings of approximately £78.6 million.

Read the full report.

GGI Documents

The Good Governance Institute has compiled a series of Board Assurance Prompts (BAPs) aimed at those involved in planning, commissioning and delivering health, housing and social care services.  The reports have been designed to give both practical and strategic support to organisations seeking to incorporate telecare and/or telehealth into their service offering in order to support the provision of excellent care and support.

Read the Reablement Board Assurance Prompt.

Read the Managing Long Term Conditions Board Assurance Prompt.

Read the Implementing Telehealth Services Board Assurance Prompt.

Design to be read in conjunction with the Telehealth and Long Term Conditions BAPs above, this briefing document from Good Governance Institute aims contribute to the debate around one of the most promising opportunities that technology brings to healthcare - telehealth. Includes audit guide.

Read Better Care for People with Long Term Conditions: the Quality and Good Governance of Telehealth.

Strategic Society

The Strategic Society Centre has published a new report, Telecare Ready: Creating a universal entitlement to telecare, as part of its Care Funding Futures work programme. The report calls on the Government to create a universal entitlement to telecare support.

The new report, supported by Tunstall, highlights the need for the implementation of a new strategic framework for telecare policy, which includes a clear and consistent national entitlement and assessment model for telecare, with funding independent from council decisions. It also calls for a telecare service that is free at the point of use, regardless of wealth, or applies some low-level weekly charges.

Download the full report.

IRISS Report

IRISS (Institute for Research and Innovation in Social Services) has published a practice-oriented evidence summary on the subject of supporting unpaid carers through telecare.

Entitled, Supporting unpaid carers: the benefits of telecare, the summary forms part of the IRISS Insights series that has been developed to assist the social services workforce to readily access and use evidence to inform their practice.

Read the full report.


The TATE Project: An Evauation

TATE aimed to pilot the idea that Assistive Technology (AT) can play a significant role in increasing people with learning disabilities' ability to live more independently, and develop skills that enable them to become more competitive in the employement market.

We did see technology leading to:

  • increases in independence, confidence and skill development
  • reduction in conflict with staff where it gave control over events back to people with learning disabilities rather than requiring staff to direct people all the time
  • people doing things that they had never done before, and as importantly, things that people did not think they could do
  • people becming motivated to do things they had not been motivated to do before
  • staff who were not in any way skilled in technology, engaging with equipment and pronouncing themselves better as a result

Click here to read the full report.

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