Care pathway redesign – NHS North Yorkshire and York
NHS North Yorkshire and York was the first NHS commissioner to redesign care pathways for long term conditions patients with the associated implementation of telehealth.
Feedback from phase 1 of the project has shown that the introduction of telehealth has delivered a 40% reduction in non-elective hospital admissions and a further drop of 28% in A&E attendances and it is anticipated that such savings will be a key driver for delivering the overall quality and productivity targets.
Creating new incentives – Gloucestershire
Gloucestershire has a population of more than 600,000 people with approximately 6,000 of those people living with a long-term condition (LTC). To meet this need NHS Gloucestershire is introducing telehealth for 2,000 patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), chronic heart disease (CHD) and diabetes.
Patient information and communication – NHS North Yorkshire and York
Tunstall welcomes the Government’s plans to increase choice in the NHS and to deliver a revolution in the way that health information is collected and delivered to patients. NHS North Yorkshire and York, which is deploying 2,000 telehealth systems has created an online portal for patients, carers and clinicians to find out more about telehealth and its use.
This patient facing information portal is an example of the information revolution in practice and includes:
- How telehealth works
- Patient case studies
- Frequently asked questions
- How an individual can get access to telehealth
- A contact portal for queries and comments
The portal provides a direct access point for patients with an interest in telehealth and acts as both an education and information tool.
Strong leadership – GP engagement and clinical leadership – NHS Tameside and Glossop
NHS Tameside and Glossop has recently deployed a fully-managed telehealth service for patients with COPD.
The Trust serves a population of 240,000 and has a high prevalence of people with long-term conditions living in the area. In 2009-2010, heart failure and Chronic Obstructive Pulmonary Disease resulted in 1,024 emergency hospital admissions for Tameside and Glossop.
This alone equated to a cost of approximately £2.7m, which is predicted to rise to £3.5m annually over the next ten years.
Integration of health and social care – Walsall Metropolitan Borough Council
New technologies such as telehealthcare are well placed to help deliver this integration and Tunstall is working with Walsall Metropolitan Borough Council to better integrate health and social care services, that are helping to deliver benefits to patients and commissioners.
39% of households in Walsall have a long term condition and the commissioning costs for managing emergency admissions, ambulance call outs and outpatient appointments relating to this group has been estimated to cost £12.9 million a year.
Walsall is using new technologies such as telehealthcare to help better manage patients with long term conditions in the community, thus reducing pressures on health and social services.
Walsall is pooling a £2.5m investment in telehealthcare between the health service and the local authority over the next two years and seeks to generate a threefold return on this investment over the next five years.
The experience of Walsall demonstrates the importance of real partnership working to ensure the better integration of health and social care services.