Delivering Services that are Fit for the Future, from Strategy to Delivery

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Delivering Services that are Fit for the Future,

from Strategy to Delivery

The Scottish Experience Prof George Crooks OBE

Delivering Services that are Fit for the Future,

from Strategy to Delivery

The Scottish Experience Prof George Crooks OBE

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Population: 5.3 million

Health devolved to Scottish Parliament NHS Funding: £11.35 billion

Public Service funded through taxation

All Boards funded directly from Scottish Government

From urban/post industrial cities to very remote and rural and islands

Principles of mutuality, partnership, performance

NHS Scotland

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NHSScotland:

Is an integrated healthcare system

: 14 Territorial Health Boards (“hands-on” healthcare providers)

In 2014 formal integration of health and social care

NHS 24 is:

A statutory national NHS Health Board

Provider of national Telehealth and Telecare services to the population of Scotland

The Scottish Centre for Telehealth and Telecare

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Clydebank

East Kilbride Kilmarnock

Dumfries

Aberdeen

Melrose Glenrothes

Regional Centres

Local & Remote Centres

Dundee

Cardonald

South Queensferry Inverness

Falkirk

Shetland

Orkney

Western Isles

Highland

Grampian

Tayside

Dumfries & Galloway Ayrshire & Arran

Borders Lanarkshire

Lothian Forth Valley

Greater Glasgow & Clyde Fife

Scotland

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In The Beginning

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Evolution!!

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Internet

TV

Telecare Face

2 Face SMS

Video Mobile

Phone

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Ageing society

Chronic conditions

Lack of health professionals

Financial

unsustainability

Health

inequalities HLY vs LE

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OUR VISION IS THAT BY 2020:

Everyone is able to live longer healthier lives at home, or in a homely setting. We will have a healthcare system where we have integrated health and social care, a focus on

prevention, anticipation and supported self management.

When hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm.

Whatever the setting, care will be provided to the highest

standards of quality and safety, with the person at the centre of all decisions. There will be a focus on ensuring that

people get back into their home or community environment as soon as appropriate, with minimal risk of re-admission

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INTEGRATION

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National Delivery Plan for

Telehealth and Telecare

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4 OBJECTIVES

Telehealth and telecare will enable choice and control in health, care and wellbeing services for an additional 300,000 people

People who use our health and care services, and the staff working within them, will increasingly demand Telehealth and Telecare as positive options

An Innovation Centre where academics, care professionals,

service providers and industry innovate to meet future challenges and provide benefits for Scotland’s health, wellbeing and wealth.

Scotland develops an international reputation for research, development, prototyping and delivering innovative Telehealth and Telecare at scale.

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Keep It

Simple

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Innovation Centre Digital Health for

• Funding

• University Led

• Industry Supported

• Delivery Organisations founding PARTNERS

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DHI will co-create sustainable economic growth through new products, services and systems developed together with businesses, academics,

healthcare specialists and citizens

DHI will generate high value health and social care solutions to benefit the people of Scotland

and beyond

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Themes from community engagement

• Giving back

• Caring for others

• Recognising resilience

• Sharing skills and experience with others

• Connecting people and communities

• Technology

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From Supportive Self Management To

Co Production

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“Co production means delivering public

services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours.

Where activities are co produced in this way,

both services and neighbourhoods become far

more effective agents of change”.

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http://www.coproductionscotland.org.uk/

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Helsekonferansen 2010

Living it Up in Scotland

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Living it Up will co-design sustainable and innovative improvements and choices in health, care and wellbeing

for 55,000 by 2015 using familiar

technology.

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Living it Up Scope

Budget - £10.3m

Timeframe – June ‘12 – May ‘15 Users – 55,000

Locations – 5 regions (Lothian, Forth Valley,

Moray, Western Isles & Highlands)

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Person focussed

• Increasing;

1. Choice 2. Control

3. Connectedness 4. Collaborations 5. Contributions 6. Communities

wider world locality

home

wider world locality

home

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Service Model

Local community

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Involve people first

“Effective services must be designed with and for people and communities”

The future delivery of public services - Christie Report

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LiU Services

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LiU Portal – The Hub

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Sign up - Profile – Makes it personal

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Shine – What are you good at?

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Flourish

The Flourish service will support the Health and social care element of Living it Up, some ideas so far;

• Telehealth / Telecare

• Digital postcards

• What keeps you well tool

• Calendar reminders

• Doctors appointments

• Experienced guides

• Games

Some services prototyped in Flourish - Autumn 2013.

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Connect – Who would you like to talk

to?

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Learning from others and sharing good practice.

Building partnerships and securing EU funding for Scotland.

Enhancing Scotland’s reputation to secure inward investment and

create opportunities for Scottish businesses.