Supporting Improvement, Integration and Innovation Business Plan 2012-2015
Supporting Improvement, Integration and Innovation Contents Introduction The role of the Scottish Centre for Telehealth and Telecare Resources SCTT Response to National Delivery Plan Programme Leads/Single Points of Contact Appendix 1 - SCTT Action Plan 2013/14 P2 P4 P8 P10 P18 P21 Page 1
Introduction 1.1 Purpose The Scottish Centre for Telehealth and Telecare (SCTT) sits within the governance, management and reporting structure of NHS 24. This business plan details key activities and deliverables for the Scottish Centre for Telehealth and Telecare from 2012-15. It also provides our response to the Scottish Government s National Delivery Plan for Telehealth and Telecare, as endorsed by NHS Scotland and COSLA. The business plan covers a three year timescale, and will be reviewed and updated on an annual basis to provide a rolling 3 year programme of activity. 1.2 Background Formally established as an integrated function within NHS 24 from April 2011, SCTT acts as an advisor, facilitator and promoter of Telehealth and Telecare in Scotland. SCTT operates on a high strategic level, providing support to the National Telehealth and Telecare Advisory Board (NTTAB) which is chaired by the Director of the Joint Improvement Team on behalf of the Scottish Government. NTTAB has representation from a broad range of key stakeholders and national champions of this agenda. SCTT also facilitates and supports the Digital Health and Care Innovation Partnership (DHCIP) which reports directly to the Life Sciences Advisory Board (jointly chaired by the Cabinet Secretary for Health & Wellbeing) and the Innovation Partnership Board. In addition, SCTT provides representation on a number of high level programme boards and interest groups to champion the Telehealth & Telecare agenda. SCTT also supports operational development, working in partnership with local, national and international stakeholders. There is an array of programmes and projects, trials and pilots now in place in Scotland some of which have moved into mainstream service provision. Significant progress has been made against the priorities identified within the Telecare Action Plan (2010-12) and the SCT Strategic Framework (2010-12), as noted in the National Delivery Plan. The SCTT team captures lessons learned and promotes knowledge transfer to support a technology enabled and integrated approach to the delivery of high quality health and care services in Scotland. Page 2
1.3 Key Principles SCTT will support our key stakeholders to adopt and expand the use of Telehealth & Telecare to: improve access to person centred care; enable people to stay at home or in the community for as long as is appropriate and avoid the need for unplanned care where possible; enable people to better manage their own health and wellbeing, and improve their quality of life; improve access to specialist care services (where possible allowing consultation at home /from local heathcare facility/ hospital to hospital or hospital / healthcare facility to specialist s home /office/to care home); supporting opportunities for regional or national services where relevant; safely and appropriately enable people to return to their homes or community as early as possible, after admission to hospital or care home; streamline care pathways to enable sustainable health and care services; effectively plan and manage appropriate transition from pilot projects to at-scale mainstream services; and support economic growth. Page 3
Scottish Flag International Engagement Scotland s Delivery Plan SCTT Business Plan Twitter/Facebook & Projects Technology Workstreams Solutions Service Development & Redesign Scottish Centre for Telehealth and Scottish Centre for Telehealth Telecare and Telecare Action Plan 2012-2015 Roles and Responsibilities Single Point SPoC of Contact Consult and Facilitate SCTT Database and Website Research & Innovation Share Learning & Good Practice Cloud Icon 2 The role of the Scottish Centre for Telehealth and Telecare In order to support stakeholders to achieve their priorities and meet the objectives and activities of the National Delivery Plan, the SCTT has identified the following 6 key roles. 2.1 Provide consultation and facilitation services We will identify a single point of contact within SCTT to support and communicate effectively with our stakeholders and provide contributions to specialist/national groups as appropriate; draw on subject matter expertise to work with partners, by blending skills from the SCTT team with local, national and international expertise in a complementary and supportive way; help our stakeholders to identify and secure funding opportunities and, if requested, assist in the development of business cases; act as a conduit between Health Boards, Local Authorities, other Public Sector, Industry and/or other organisations to facilitate developments and support local strategies; encourage and support the use and development of digital information, by leveraging the knowledge developing within Scotland relating to using multiple delivery channels; influence and inform national policy and strategic priorities by working in partnership with the Scottish Government, COSLA, and other key stakeholders. Page 4
2.2 Share information and good practice, outcomes and evaluation We will identify new and share existing evaluations and evaluation techniques to measure the impact of telehealth and telecare; develop and maintain a national database of telehealth and telecare services in Scotland which will act as a supportive sign posting tool for those setting up new services; continue to promote good practice and facilitate shared learning across Scotland via the Telehealth and Telecare Learning Network; capture and share lessons learned to accompany the outcomes and evaluations from any projects and services that we are involved in; develop and share cost and volume models which can help to address the invest-to-save requirements to scale up telehealth and telecare; link with other ongoing outcomes activities, contributing where appropriate; do this in partnership with our stakeholders, using our national role to disseminate information to all interested parties. 2.3 Carry out research and promote innovation We will continually horizon scan for emerging technologies and identify where they may be appropriate for Scotland to consider adoption in partnership with relevant key stakeholders; carry out, publish and disseminate research, helping to identify the next best thing. 2.4 Provide technical expertise We will where requested, provide technical advice to our stakeholders, when they would like some support navigating the options of telehealth and telecare solutions, integrating with local technical requirements and working with the National Video Conferencing Infrastructure; review the availability of solutions in Scotland and beyond, so that we are informed about possibilities and integration; work in partnership to develop and expand the National Video Conferencing service within both NHS Scotland and the wider public sector; identify technologies which can receive requests for information from service users and provide sign posting to reliable sources; work with partners to develop a range of web based training tools for professionals, service users and their carers to support adoption of new technology solutions. 2.5 Support the development of new services and service redesign programmes We will identify solutions to benefit the wider Scottish health, care and wellbeing agendas; help identify funding opportunities; provide, where appropriate, Project and Programme Management facilitation and support; provide, where required, clinical advice on the best ways to safely adapt clinical services to incorporate telehealth and telecare; where appropriate, help manage specific local projects and programmes to support our stakeholders as they implement telehealth and telecare services; if opportunities arise for NHS 24 to deliver national services centrally, design manage and deliver those services for the benefits of the wider community, drawing out opportunities for economies of scale. 2.6 International engagement We will. continue to act as Scotland s Ambassador for Telehealth and Telecare in Europe, establishing positive relationships; continue to identify relevant opportunities for Scotland; continue to represent Scotland on relevant European Networks, capturing and sharing good practice locally, nationally and internationally as appropriate; co-ordinate Scotland s participation in the European Innovation Partnership on Active and Healthy Ageing. Page 5
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3 Resources Ringfenced funding of approximately 1m per annum is provided by the Scottish Government to NHS 24 as part of its general allocation to support the Scottish Centre for Telehealth & Telecare. This funding is used predominantly for our staffing resource. 3.1 SCTT Team The SCTT team has a number of different roles, all of which support delivery of the SCTT Business Plan and our contribution to the National Delivery Plan. SCTT Director Clinical Leads Team Co-ordinator Partnership Improvement Officer SDM SDM Head of Service SDM SDM Project Co-ordinators x 2 SDM SDM (Technical) Technical Support Team SDM Head of Service SDM European Engagement Manager Project Co-ordinator Communications Director The Director of the SCTT provides strategic leadership and overall accountability for the team. Key responsibilities include strategic relationship building at a senior level across Scottish Government, Health Boards, COSLA, Local Authorities, ADSW and other key stakeholders; identifying strategic synergies; identifying and scoping future activities and opportunities; establishing and managing international relationships at a senior European Commission and Partner level; and informing national and international policy. Heads of Service There are two Heads of Service posts in SCTT which support and deputise for the Director. These posts provide programme and project coverage of: a) Hospital, Institutional and Emergency Based Health & Care and Primary Care The Heads of Service support strategic development; line manage team members; hold strategic Single Point of Contact roles; develop and prioritise funding bids; identify potential NHS 24 Service Delivery options; work in collaboration with the European Engagement Manager to develop European Opportunities and are responsible for the prioritisation and delivery of the SCTT Business Plan. European Engagement Manager In recognition of the expanding role of the SCTT within Europe, a European Engagement team is being established. Led by the European Engagement Manager, this team will predominantly carry out the activities identified in section 2.6 of this Business Plan. b) Community based care including Primary Care, Social Care, Housing. Page 8
Clinical Leads The Clinical Leads are aligned to and support the activities of SCTT. Although not part of the formal line management structure, they are drawn from elsewhere within NHS 24 or from partner Health Boards. Clinical Leads inform the strategic activities of the team; champion the development of telehealth and telecare in Scotland; represent SCTT nationally and internationally; create strategic networking opportunities and develop positive relationships with key stakeholders; identify where SCTT and telehealth/ telecare can add value and initiate opportunities for programmes of work; carry out awareness raising activities, and provide specific advice on the role telehealth and telecare can have in supporting clinical service redesign. Clinical Leads generally have a specialist clinical area of expertise and act as a single point of contact (SPOC) for relevant strategic groups. Service Development Managers The role of the Service Development Manager (SDM) is to implement and deliver the and Projects detailed in the action plan; provide support to partners carrying out Service Redesign; provide Consultation and Facilitation Services to partners where required; work with partners to identify funding opportunities; share information and good practice; carry out research and innovation (including horizon scanning); provide technical expertise and advice to stakeholders; support the development of the National Videoconferencing Service; promote technology integration, standards and support workforce development. In addition, the Service Development Managers act as the single point of contact (SPOC) for local and special interest organisations. Additional Service Development Manager posts can be recruited to provide time limited programme management support to specific activities where additional resources are secured e.g. Project Ginsberg. Project Managers Where required and funded, the SCTT will employ project managers to support the implementation of specific elements of the work programme. This will either be from the existing pool of project management resource within NHS 24, or on a project by project basis. Communication Manager To support the significant activity around Communications, a Communication Manager post is in place. This post is line managed within the NHS 24 Communications Team, where workload activity is discussed, prioritised and agreed with SCTT senior management. Technical Support The SCTT has a small team providing technical support to the delivery of both the programmes and the projects. These resources are aligned on a regional basis across Scotland and will work in conjunction with the National Video Conferencing Team. The team is managed by the SDM who has a specific Technical Lead role for SCTT. Partnership Improvement Officer The Partnership Improvement Officer post is jointly funded by SCTT and the Joint Improvement Team, and line managed within SCTT. The post develops strategic and policy links within the Scottish Government; facilitates and supports the National Telehealth & Telecare Advisory Board; manages Ministerial and Parliamentary correspondence. This post is also responsible for raising the profile of telehealth and telecare as part of relevant national programmes e.g. Reshaping Care for Older People initiative, Digital Strategy. Project Co-ordinator The provision of project administrative support is carried out by the post of Project Co-ordinator. In addition to project administration, this post supports risk and issue management; provides updates to the central project repository; co-ordinates meetings and project documentation; establishes and maintains the National Database of Telehealth and Telecare Services, and maintains the Lessons Learned Logs. Team Co-ordinator The SCTT Team Co-ordinator provides PA support to the Senior Management Team; provides administrative support and travel co-ordination for the SCTT team; and provides administrative support for national Programme Boards as appropriate. Page 9
4 SCTT Response to the National Delivery Plan The following table maps the 12 key programmes and associated projects that are being progressed by SCTT in partnership with key stakeholders against the specific workstreams identified within the National Delivery Plan. Specific deliverables for this financial year are detailed in Appendix 1: SCTT Action Plan. SCTT Telehealth & Telecare Projects / Activities NDP Workstreams Improve and Integrate Health and Social Care Enhance Wellbeing Empower People Improve Sustainability and Value Support Economic Growth Exchange learning; develop and embed good practice ACCESS TO PLANNED CARE Provide Health and Care Services to Care Homes and Community Hospitals Contribute to the implementation of Commitment 6 of the Mental Health Strategy for Scotland, including Project Ginsberg Expand the Stroke and Cardiac Planned Care Programme Support the use of telehealth and telecare within Primary Care services Support technology enabled service redesign within the Transforming Outpatient Programme Page 10
SCTT Telehealth & Telecare Projects / Activities NDP Workstreams Improve and Integrate Health and Social Care Enhance Wellbeing Empower People Improve Sustainability and Value Support Economic Growth Exchange learning; develop and embed good practice ACCESS TO UNPLANNED CARE Work in partnership to deliver the North of Scotland Paediatric Unscheduled Care Service Support the expansion of 24/7 access to stroke thrombolysis decision support Work in partnership with SAS to investigate the use of technology solutions to support paramedics Support use of technology to reduce admissions to A&E ASSISTED LIVING Develop and implement the Scottish Government and Technology Strategy Board s dallas programme in Scotland Living it Up Implement the European at scale Smartcare Project to support the redesign of integrated care pathways HOME BASED HEALTH MONITORING Implement United4Health Programme to support the management of Long Term Health Conditions (CHF, COPD and diabetes) Expand Home Health Monitoring solutions across Scotland Page 11
SCTT Telehealth & Telecare Projects / Activities NDP Workstreams Improve and Integrate Health and Social Care Enhance Wellbeing Empower People Improve Sustainability and Value Support Economic Growth Exchange learning; develop and embed good practice CUSTODIAL HEALTHCARE Delivery of healthcare and forensic services for people in Police Custody. Deliver access to services (including specialist health services) to support people in Scotland s Prisons Co-ordinate Scotland s participation in the European Innovation Partnership on Active and Healthy Ageing to inform transformational care service redesign in Scotland, and develop opportunities for industry EUROPEAN ACTIVITY Co-ordinate Scotland s contribution to the Momentum Project (thematic network) Co-ordinate Scotland s contribution to the CASA Project (thematic network) Support the Implementation of the Transnational Telemedicine Solutions (ITTS) programme Co-ordinate Scotland s contribution to the Advanced Care Coordination and Telehealthcare (ACT) Project Co-ordinate Scotland s bids for future CIP-ICT / FP7 calls and identify at least 2 further programmes of activity Page 12
SCTT Telehealth & Telecare Projects / Activities NDP Workstreams Improve and Integrate Health and Social Care Enhance Wellbeing Empower People Improve Sustainability and Value Support Economic Growth Exchange learning; develop and embed good practice INFRASTRUCTURE Support the further development and expansion of the National Video Conferencing Service in conjunction with the National Video Conferencing Steering Group Better support inter-agency working, review options to develop a cross sector and agency model for video architecture across the public sector Establish robust and regular meetings between the telehealthcare and ehealth communities to identify and develop opportunities for effective collaboration Establish a robust baseline of existing projects and service provision EVALUATION Develop a national approach to evaluation in telehealth and telecare enabled services Link with academic leaders in telehealth and telecare research and evaluation to develop the evidence around the effectiveness, efficiency and acceptability of interventions in telehealth and telecare Page 13
SCTT Telehealth & Telecare Projects / Activities NDP Workstreams Improve and Integrate Health and Social Care Enhance Wellbeing Empower People Improve Sustainability and Value Support Economic Growth Exchange learning; develop and embed good practice SUPPORT FOR UNPAID CARERS Recognise the crucial role provided by unpaid carers and develop solutions to meet their needs and wellbeing Identify sustainable delivery mechanisms to ensure that carers have ready access to appropriate, up-todate information about telehealthcare services and support SUPPORT FOR PATIENTS AND SERVICE USERS Investigate potential for national roll out of Baby Cam services Develop tools and materials which enable people with disabilities and long term health and care issues to comfortably and confidently use telehealthcare to support their lifestyles INNOVATION AND DEVELOPMENT Support the development of a 10 year roadmap for Digital Health and Care Innovation Partnership Enhance the work on the Step Change 2015 Broadband Infrastructure Project by ensuring the full benefits for health and social care are realised Contribute to the establishment of the Digital Health and Care Innovation Centre in support of technology enabled integrated care Page 14
SCTT Telehealth & Telecare Projects / Activities NDP Workstreams Improve and Integrate Health and Social Care Enhance Wellbeing Empower People Improve Sustainability and Value Support Economic Growth Exchange learning; develop and embed good practice Work with HEIs and professional bodies to embed telehealth and telecare competencies Work with HEIs to embed telehealth and telecare into the core curriculum and develop accredited CPD modules for qualified staff WORKFORCE DEVELOPMENT Work with key stakeholders to ensure that education and training opportunities and areas of good practice are accessible for our health, care and housing workforce Work with NES and SSSC to consider how best to build Leadership for Innovation into their activity Organise and deliver an annual programme of Learning Network activities to support workforce development, knowledge transfer and shared learning of good practice from Scotland, UK and beyond. Identify and develop a range of web-based resources to support awareness raising, good practice and education activities Investigate the potential to manage a rolling programme of care practitioners into temporary seconded posts within SCTT (or other appropriate locations) where they can contribute to the work and learn about telehealth and telecare potential. Page 15
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5 Programme Leads/Single Points of Contact The tables below detail the Single Points of Contact (SPOC), Programme Lead and Specialist team roles. Geographically focused SPOCs are responsible for regular meetings with their health boards and local authorities, where they will provide an update on the SCTT activity against the Priority Action Areas detailed in this plan, exchange ideas/ information and discuss and agree actions/opportunities which may help address local challenges. SCTT Leads are establishing increasingly strong and supportive roles with their respective health boards, local authorities and other key stakeholders. * Staff changes may occur over time. For the latest SPOC and Programme Lead information, visit www.sctt.scot.nhs.uk Service Development Manager Point of Contact for: Programme Lead Hazel Archer NHS Glasgow & Clyde Infrastructure East Renfrewshire, Renfrewshire East and West Dunbartonshire, Glasgow City and Inverclyde Councils National Services Scotland (NSS) Nessa Barry NHS Education Scotland (NES) Support for Patients and Service Users Scottish Social Services Council (SSSC) Workforce Development Evaluation Cathy Dorrian NHS Highland, Highland and Custodial Healthcare Argyll & Bute Councils NHS Shetland / Shetland Council NHS Fife / Fife Council State Hospital Lynn Garrett NHS Ayrshire and Arran Access to Planned Care North, South and East Ayrshire Councils Support for Unpaid Carers NHS Dumfries and Galloway / Dumfries and Galloway Council NHS Western Isles/Western Isles Council HIS Donna Henderson NHS Grampian; Aberdeen City, European Activity Aberdeenshire and Moray Councils NHS Orkney / Orkney Council Janette Hughes NHS Lanarkshire; North and South Assisted Living Lanarkshire Councils Enterprise organisations Christine McClusky NHS Lothian; East,West and Midlothian Home Based Health Monitoring Councils; Edinburgh City Council Lucy Robinson Project Ginsberg Lead (Temporary Post) Sue Scotland NHS Borders / Borders Council Access to Unplanned Care NHS Forth Valley/ Falkirk, Stirling & Clackmannanshire Councils NHS Tayside ; Perth and Kinross, Angus and Dundee Councils Scottish Ambulance Service Page 18
Head of Service / Clinical Lead Point of Contact for: Specialisms Moira MacKenzie Scottish Government JIT Assisted Living Head of Service COSLA Home Based Health Monitoring ADSW Evaluation Framework ALACHO Justine Westwood Scottish Government - ehealth Innovation & Development Head of Service Regional Planning Directors of Planning / National Planning Forum Janne Rasmussen European Engagement Manager European Commission European Activity European partners, collaborating organisations/regions and stakeholders Stella Clark SG Mental Health Division Planned Care Mental Health Clinical Lead Custodial Services Supporting Patients and Service Users James Ferguson Secondary Care Unplanned Care (except Cardiac Clinical Lead and Stroke) Anne Reoch Primary Care Planned Care (except for Mental Health) Clinical Lead Golden Jubilee National Hospital Unplanned Care Cardiac and Stroke Dermatology Page 19
5.1 Monitoring & Reporting We will use robust governance methods to manage our activity and provide transparent reporting to our stakeholder communities. To monitor and evaluate the progress against the annual action plan associated with the business plan, the SCTT has established a number of milestones for each key activity. Progress against each programme will be monitored through the NHS 24 Project Governance Framework. Activities which directly contribute to the national Telehealth & Telecare Delivery Plan will be reported on a quarterly basis to the National Telehealth and Telecare Advisory Board. NTTAB are responsible for providing an annual update to the Scottish Government on Delivery Plan progress. 5.2 Summary of Key Deliverables from 2012/13 Supported the publication of the Scottish Government s A National Telehealth & Telecare Delivery Plan for Scotland to 2015 in partnership with COSLA and NHS Scotland. In December 2012, secured 1.6m for Scotland s participation in the United4Health Programme (deployment of telehealth services for people with Long Term Conditions). Successful completion of the Technology Strategy Board s dallas competition in April 2012, with 10.35m secured for the implementation of the Living it Up programme. Raised Scotland s profile in Europe by leading the EIP s B3 Action Group on integrated care and facilitating Scottish representation on all 6 Action Groups. Shared good practice and learning on telehealthcare in Scotland (over 400 conference and learning network participants, over 520 webcast views, delivered content direct to 150 participants in nursing and allied health professionals training programmes, joint improvement programme with JIT including events and web-ex s). Provided project and relationship management support to an innovative collaboration between Samsung, NHS Borders and the Scottish Ambulance Service to provide early identification of specific heart conditions prior to hospital admission. In partnership with NHS Lothian, 02 and NHS 24 service delivery, implemented a contact centre based home health monitoring support service for patients with COPD and heart failure - the service now supports around 50 patients per month. Published the Alarm Monitoring and Response Services in Scotland Report with the Joint Improvement Team in October 2012, which established a profile of telecare response services across Scotland, and identified a number of key recommendations for action. Facilitated a telehealth enabled rehabilitation service in the Western Isles Stroke Unit, which has resulted in a >30% reduction in the average length of hospital stay since its introduction in 2011. Worked with NSS and the National VC Project Board to secure ehealth funding of 420k for the establishment of a National Video Conferencing Service starting in Spring 2013. Facilitated the expansion of neurology clinics in NHS Dumfries & Galloway by using desktop video conferencing to undertake reviews - four clinics have been held since September 2012 with 24 patients seen to end March 2013. This provides a local service closer to where patients live, reducing travel for patients and consultants. Page 20
6 Appendix 1: SCTT Action Plan 2013-14 This action plan details the 12 key programmes and associated projects being progressed by SCTT in this financial year. It should be noted it does not include all activity, and does not reflect the significant stakeholder engagement and awareness raising activities undertaken. It should also be noted that there are large scale programmes of activity that may be reflected in a single row e.g. support for EIP B3 Action Group, Borders/Samsung developments, Living it Up, therefore assumptions should not be made on the level of activities within each Programme. Key Activities Milestones Timescale Lead Provide Health and Care Services to care Roll out nurse led liason dementia service to 2 further May 2013 Cathy Dorrian homes and community hospitals care homes within Highland ACCESS TO PLANNED CARE Contribute to the implementation of Project Ginsberg Commitment 6 of the Mental Health Deliver business case identifying requirements and future May 2013 Lucy Robinson Strategy for Scotland, including activities to Scottish Government Project Ginsberg Commence prototyping of Ginsberg platform Sept 2013 Support proof of concept study with NHS Dumfries & Sept 2013 Cathy Dorrian Galloway for Eating Disorder Service Expand the Stroke and Cardiac Facilitate the development of the Orkney secondary care Sept 2013 Anne Reoch Planned Care Programme rehabilitation service Explore development of interactive web based cardiac Oct 2013 rehabilitation service Work in collaboration with the Scottish Congenital Cardiac Dec 2013 Service to improve access via the use of telehealth Support the use of telehealth and Review results of the Primary Care telehealth & telecare May 2013 Anne Reoch telecare within Primary Care services survey questionnaire Support the development of a Primary Care telehealth & telecare action plan Aug 2013 Support technology enabled service Provide ongoing advice and support on telehealthcare to Mar 2014 Anne Reoch redesign within the Transforming the Programme Team Outpatient Programme Page 21
SCTT Key Activities Milestones Timescale Lead Work in partnership to deliver the North of Support the recruitment of a Clinical Lead April 2013 Lynn Garrett Scotland Paediatric Unscheduled Care Service Complete associated NHS 24 supporting service June 2013 (Sue Scotland) delivery processes Pilot Service Go Live July 2013 Draft evaluation Report Jan 2014 ACCESS TO UNPLANNED CARE Support the expansion of 24/7 access Support the feasibility trial of telestroke in New Zealand June 2013 Anne Reoch to stroke thrombolysis decision support Support negotiations around further acute telestroke links within Scotland Work in partnership with SAS to investigate NHS Borders/Samsung Project May 2013 Sue Scotland the use of technology solutions to support - Evaluate Samsung Near Patient Testing Service paramedics (NHS Borders and SAS) Identify next steps for proof of concept activity with Samsung March 2013 - Scoping workshops to identify and develop innovative ideas and prototypes Support use of technology to reduce Support proof of concept for satellite broadband to First Lynn Garrett admissions to A&E Responders within West Ardnamurchan - Support community engagement activity around VC April 2013 and training - Evaluate phase One May 2013 - Go Live June 2013 Support the feasibility trial of Teleneurology to Argyll & Bute June 2013 Cathy Dorrian Page 22
SCTT Key Activities Milestones Timescale Lead Develop and implement the Scottish Develop initial prototype of Living it Up for widespread May 2013 Janette Hughes Government and Technology StrategyBoard s community engagement and development dallas programme in Scotland Living it Up Expand Living it Up to 6,500 users Autumn 2013 Formal launch of Living it Up October 2013 Implement the Smartcare Project to Establish National Programme Steering Group April 2013 To be identified support the redesign of integrated care pathways ASSISTED LIVING Detailed Project Implementation Plan in place September 2013 Begin operation of redesigned service model and Feb 2014 recruit initial 260 users Work in partnership with JIT to engage Develop workplan for this activity June 2013 Alistair Hodgson more effectively with housing and care home communities to expand the use Implementation of workplan Mar 2014 of telehealthcare for tenants and residents Work in partnership with JIT to support the Develop workplan for this activity June 2013 Alistair Hodgson embedding of telecare within social care assessment, care planning and review processes for all client groups and ages Realise greater efficiencies in procurement Support the expansion of the Scotland Excel procurement Alistair Hodgson and asset management framework to improve efficiency, quality and integration of telehealth and telecare data, equipment and services Meet all providers to review current performance April 2013 and developments, and review 2012/13 framework performance Develop Action Plan for 2013/14 and consult with May 2013 local authority commissioning group Planned revisions of procurement framework Dec 2013 Page 23
SCTT Key Activities Milestones Timescale HOME BASED HEALTH MONITORING Implement United4Health Programme to Establish National Programme Steering Group April 2013 Christine support the management of Long Term McClusky, Health Conditions (CHF, COPD and diabetes), Anne Reoch provide leadership of the diabetes & Janne workstream for all partners and provide Develop website for full European Programme May 2013 Rasmussen overall co-ordination for the full European programme Establish local partnership area (LPA) project teams and May 2013 recruit/identify project managers Detailed project implementation plan in place - technology and services to deliver U4H agreed models of care Sept 2013 Commence operation of LTC services and recruit initial 300 users Jan 2014 Expand Home Monitoring solutions Lothian Project across Scotland - Support the expansion of NHS Lothian s home Dec 2013 Christine monitoring service to 200 users McClusky Establish service model for national home monitoring June 2013 service to be provided by NHS 24 Pilot service in place to support recruitment to My Care Sept 2013 element of Living it Up CUSTODIAL HEALTHCARE Delivery of healthcare and forensic Establish proof of concept study to test feasibility of May 2013 Cathy Dorrian services for people in Police Custody. delivering services to Police Custody Suite in Fraserburgh. Deliver access to services (including specialist health services) to support Establish roll out plan including people in Scotland s Prison - Dermatology services in Lanarkshire & Lothian September 2013 - Epilepsy services for HMP Perth and HMP Castle Huntly March 2014 - MH services to HMP Shotts - MH services to HMP Kilmarnock -Digital TV trial to HMP Addiewell Page 24
SCTT Key Activities Milestones Timescale Lead EUROPEAN ACTIVITY Co-ordinate Scotland s participation Successful appointment of EIP Reference Site status July 2013 Janne in the European Innovation Partnership for Scotland Rasmussen on Active and Healthy Ageing to inform transformational care service redesign Identify specific programme opportunities and engage with Mar 2014 in Scotland, and develop opportunities Scottish stakeholders to submit funding proposals for industry Provide leadership and facilitation for the B3 Action Group To March 2014 Donna on Integrated Care Henderson Manage the implementation of the B3 workplan across Mar 2014 9 action areas - Develop an interactive repository for action group Oct 2013 - Map current health & care integration activity Dec 2013 across Europe Co-ordinate Scotland s contribution to the Provide input to good practice guide on Telemedicine Jan 2014 Janne Momentum Project (thematic network) Strategy & Management Rasmussen Co-ordinate Scotland s contribution to the Co-ordinate Scotland s input to the programme of 5 study Apr Dec 2013 Donna CASA Project (thematic network) visits including hosting the Oct event Henderson Produce practical guidelines for staff secondments June 2013 Identify European best practice from CASA experience Dec 2013 Support the Implementing Continue to support Programme Steering Group Mar 2014 Cathy Dorrian Transnational Telemedicine Solutions (ITTS) Project Co-ordinate Scotland s contribution to Contribute to local data collection, and work packages on Mar 2014 Janne the Advanced Care Coordination and patient adherence and staff engagement Rasmussen Telehealthcare Programme (ACT) Co-ordinate Scotland s bids for future Successful submission of at least 2 proposals Mar 2014 Janne CIP-ICT / FP7 calls and identify at least Rasmussen 2 further programmes of activity Page 25
SCTT Key Activities Milestones Timescale Lead INFRASTRUCTURE Support the further development and Support the development and implementation of the July 2013 Hazel Archer expansion of the National Video National Video Conferencing Service (single point of Conferencing Service in conjunction contact service desk and national bridging service.) with the National Video Conferencing Steering Group Support the development and implementation of a Sept 2013 sustainable business model to provide shared services such as technical support, multi-site bridging, and central infrastructure management. Develop a scaleable and cost effective platform to provide Sept 2013 secure video and service links between health, social care, the third sector and service users homes To better support inter-agency working, Engage with the SWAN (Scottish Wide Area Network) team Mar 2014 Hazel Archer review options to develop a cross agency with a view to improving and developing shared video model for video architecture across the services across the public sector in Scotland. public sector Establish robust and regular meetings Programme of meetings to be agreed and implemented April 2013 Alistair between the telehealthcare and ehealth Hodgson communities to identify and develop opportunities for effective collaboration Establish a robust baseline of existing Test and populate first phase database April 2013 Nessa Barry projects and service provision Launch a national database of telehealth and telecare May 2013 services in Scotland Publicise and promote usage Oct 2013 Review operation and engagement levels Jan 2014 EVALUATION Develop a national approach to evaluation Complete consultation on proposed impact April 2013 Nessa Barry in telehealth and telecare enabled services measurement framework Finalise Impact Measurement Framework & Toolkit June 2013 Complete design & commission on-line resources to support users August 2013 Formal launch and dissemination Sept 2013 Link with academic leaders in telehealth Publication of the YHEC Report on Cost Effectiveness of April 2013 Alistair and telecare research and evaluation to Telecare for people with Dementia Hodgson develop the evidence around the effectiveness, efficiency and acceptability Round table discussions on Measuring Impact/Evaluation May 2013 Nessa Barry of interventions in telehealth and telecare Collaborate to develop toolkit Page 26
SCTT Key Activities Milestones Timescale Lead SUPPORT FOR UNPAID CARERS Recognise the crucial role provided by unpaid Support and implement the annual workplan for Carers Scotland, Dec 2013 Lynn carers and develop solutions to meet their and the work of the Carers Branch within Scottish Government Garrett needs and wellbeing Identify sustainable delivery mechanisms Support and implement the annual workplan Mar 2014 Lynn to ensure that carers have ready access to for Carers Scotland Garrett appropriate, up-to-date information about telehealthcare services and support Support the development and hosting of a programme of May 2013 carer-related interactive learning events via Learning Network programme Investigate potential for national roll out of Develop pilot in Princess Royal Maternity Hospital Sue Scotland Baby Cam services Commencement of pilot Oct 2013 SUPPORT FOR PATIENTS AND SERVICE USERS Interim Evaluation Jan 2014 Develop tools and materials which enable Develop opportunities to enable telehealthcare services to be Alistair people with disabilities and long term health accessed via Self Directed Support Hodgson and care issues to comfortably and confidently use telehealthcare to support their lifestyles Meeting with SG colleagues in SDS to identify opportunities June 2013 and workplan Develop a range of user and patient Develop Heart Zone, providing national quality assured June 2014 Anne focused information sources information to assist in self management of short and long Reoch term heart disease Establish content review groups for heart disease and stroke April 2013 across Scotland to ensure suitable/accurate Page 27
SCTT Key Activities Milestones Timescale Lead INNOVATION AND DEVELOPMENT Support the development of a 10 year Provide input to a draft roadmap May 2013 Moira roadmap for DHCIP Mackenzie Final DHCIP workplan in place July 2013 Enhance the work on the Step Change Identify solutions for the delivery of telehealth and telecare Mar 2014 Alistair 2015 Broadband Infrastructure Project by services to people who live in areas with limited or no mobile Hodgson ensuring the full benefits for health and or broadband connectivity social care are realised Contribute to the establishment of the Support the implementation of the Digital Health Institute Mar 2014 Moira Digital Health and Care Innovation Mackenzie Centre in support of technology enabled integrated care Work with HEIs and professional bodies to Progress UK wide Supporting Employers with the Workforce Mar 2014 Nessa Barry embed telehealth and telecare competencies Implications of Assistive Technologies Project and associated implementation plan WORKFORCE DEVELOPMENT Work with HEIs to embed telehealth and Undertake a baseline survey of academic staff in health, May 2013 Nessa Barry telecare into the core curriculum and develop allied health and social care to identify the barriers and extent to accredited CPD modules for qualified staff which telehealth and telecare is being embedded into undergraduate curriculum Disseminate findings and develop appropriate next steps June 2013 Work with key stakeholders to ensure that Help promote newly developed accredited and non-accredited Mar 2014 Nessa Barry education and training opportunities and training and courses e.g. launch of Glasgow Caledonian areas of good practice are accessible for our Telehealthcare MSc health, care and housing workforce Support the development of TSA good practice protocols between telecare services and national emergency services Telecare/Ambulance Service Guidelines to be launched at May 2013 Learning Network Event Support wide dissemination June 2013 Initiate similar activity with Fire Service May 2013 Alistair Hodgson Page 28
SCTT Key Activities Milestones Timescale Lead In partnership with JIT, support the National Dementia June 2013 Alistair Demonstrators to develop good practice guidelines for Hodgson Telecare & Dementia Develop guidelines and standards for telecare asset Mar 2014 Alistair management including storage, maintenance/repair, Hodgson battery replacement WORKFORCE DEVELOPMENT (cont) Work with NES and SSSC to consider how Develop joint framework with NES and SSSC to support May 2013 Nessa Barry best to build Leadership for Innovation into Technology Enabled Learning and Development their activity Undertake consultation and dissemination of draft approach August 2013 Publish final version of Co-ordinated Action Plan Sept 2013 Organise and deliver an annual programme of Implement 2013 Webcast Programme (14 events/monitor Nov 2013 Nessa Barry Learning Network activities to support no. of hits ), and evaluate previous years activity & Donna workforce development, knowledge transfer Henderson and shared learning of good practice from Co-ordinate and host May Telehealth & Telecare Learning May 2013 Scotland, UK and beyond. Network Event (anticipated 200 people) Co-ordinate European Telemedicine Conference Oct 2013 (anticipated 350 people) Identify and develop a range of web-based Continue to develop and expand the telehealthcare portal Mar 2014 Nessa Barry resources to support awareness raising, good practice and education activities - Develop learning pathways - Host on-line elements of Learning Network events Investigate the potential to manage a rolling Support the strategic Telehealth programme for nurse April 2013 Nessa Barry programme of care practitioners into directors & AHP leads temporary seconded posts within SCTT (or other appropriate locations) where they Implement resulting actions May 2013 can contribute to the work and learn about telehealth and telecare potential. Review, meet with HR to scope out opportunities Mar 2014 Page 29