Supporting
Improvement,
Integration and
Innovation
Business Plan
2012 - 2015
Supporting Improvement, Integration and Innovation
Contents
IntroductionP2
The role of the Scottish Centre for Telehealth and Telecare P4
Resources P8
SCTT Response to National Delivery Plan P10
Programme Leads/Single Points of Contact P18
Appendix 1 - SCTT Action Plan 2013/14
P21
Page 1
Introduction
1.1Purpose
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.
1.2Background
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.
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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.
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Scottish Flag
Scotland’s
Delivery Plan
International
Engagement
Programmes
& Projects
Twitter/Facebook
SCTT Business
Plan
Scottish Centre
forScottish
Telehealth
and
Centre for
Telehealth
and Telecare
Telecare
Technology
Workstreams
Solutions
Service
Development
& Redesign
Action Plan 2012-2015
Single Point
SPoC
of Contact
SCTT Database
and Website
Roles and
Responsibilities
Consult and
Facilitate
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
• draw on subject matter expertise to work with partners, by blending skills from the SCTT team with local, national
to facilitate developments and support local strategies;
• encourage and support the use and development of digital information, by leveraging the knowledge developing
of business cases;
• act as a conduit between Health Boards, Local Authorities, other Public Sector, Industry and/or other organisations
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
and provide contributions to specialist/national groups as appropriate;
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
Page 6
Page 7
3Resources
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.
Team
Co-ordinator
Head of
Service
Partnership SDM SDM SDM SDM
Improvement
Officer
Project
Co-ordinators
x2
SDM
(Technical)
Head of
Service
European
Engagement
Manager
SDM SDM SDM
Project
Co-ordinator
Communications
Clinical Leads
SCTT Director
Technical
Support
Team
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
b) Community based care including Primary Care, Social Care, Housing.
Page 8
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.
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.
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.
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.
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.
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.
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.
Service Development Managers
The role of the Service Development Manager (SDM)
is to implement and deliver the Programmes 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.
Communication Manager
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.
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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
Programmes
NDP Workstreams
Telehealth & Telecare Projects / Activities
Improve
and
Integrate
Health
and Social
Care
ACCESS TO PLANNED CARE
Provide Health and Care Services to Care Homes and
Community Hospitals
Enhance
Wellbeing
Empower
People
Improve
Sustainability
and Value
Support
Economic
Growth
Exchange
learning;
develop and
embed good
practice
X
Contribute to the implementation of Commitment 6
of the Mental Health Strategy for Scotland, including
Project Ginsberg
X
Expand the Stroke and Cardiac Planned Care
Programme
X
Support the use of telehealth and telecare within
Primary Care services
X
Support technology enabled service redesign within
the Transforming Outpatient Programme
X
Page 10
SCTT
Programmes
NDP Workstreams
Telehealth & Telecare Projects / Activities
HOME BASED
HEALTH
MONITORING
ASSISTED
LIVING
ACCESS TO
UNPLANNED CARE
Improve
and
Integrate
Health
and Social
Care
Work in partnership to deliver the North of Scotland
Paediatric Unscheduled Care Service
X
Support the expansion of 24/7 access to stroke
thrombolysis decision support
X
Work in partnership with SAS to investigate the use of
technology solutions to support paramedics
X
Support use of technology to reduce admissions
to A&E
X
Develop and implement the Scottish Government and
Technology Strategy Board’s dallas programme
in Scotland – Living it Up
Enhance
Wellbeing
Empower
People
Improve
Sustainability
and Value
Support
Economic
Growth
Exchange
learning;
develop and
embed good
practice
X
Implement the European ‘at scale’ Smartcare Project to
support the redesign of integrated care pathways
X
Implement United4Health Programme to support the
management of Long Term Health Conditions (CHF,
COPD and diabetes)
X
Expand Home Health Monitoring solutions
across Scotland
X
Page 11
SCTT
Programmes
NDP Workstreams
Telehealth & Telecare Projects / Activities
CUSTODIAL
HEALTHCARE
Improve
and
Integrate
Health
and Social
Care
Delivery of healthcare and forensic services for people
in Police Custody.
X
Deliver access to services (including specialist health
services) to support people in Scotland’s Prisons
X
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
Enhance
Wellbeing
Empower
People
Improve
Sustainability
and Value
Support
Economic
Growth
Exchange
learning;
develop and
embed good
practice
X
Co-ordinate Scotland’s contribution to the Momentum
Project (thematic network)
X
Co-ordinate Scotland’s contribution to the CASA
Project (thematic network)
X
Support the Implementation of the Transnational
Telemedicine Solutions (ITTS) programme
X
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
X
X
Page 12
SCTT
Programmes
NDP Workstreams
Telehealth & Telecare Projects / Activities
EVALUATION
INFRASTRUCTURE
Improve
and
Integrate
Health
and Social
Care
Support the further development and expansion of
the National Video Conferencing Service in conjunction
with the National Video Conferencing Steering Group
Empower
People
Improve
Sustainability
and Value
Exchange
learning;
develop and
embed good
practice
X
X
Establish a robust baseline of existing projects and
service provision
X
Develop a national approach to evaluation in telehealth
and telecare enabled services
X
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
Support
Economic
Growth
X
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
Enhance
Wellbeing
X
Page 13
SCTT
Programmes
NDP Workstreams
Telehealth & Telecare Projects / Activities
INNOVATION AND
DEVELOPMENT
SUPPORT FOR
PATIENTS AND
SERVICE USERS
SUPPORT FOR
UNPAID CARERS
Improve
and
Integrate
Health
and Social
Care
Enhance
Wellbeing
Empower
People
Recognise the crucial role provided by unpaid carers
and develop solutions to meet their needs and
wellbeing
X
Identify sustainable delivery mechanisms to ensure
that carers have ready access to appropriate, up-todate information about telehealthcare services and
support
X
Investigate potential for national roll out of Baby
Cam services
X
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
X
Improve
Sustainability
and Value
Support
Economic
Growth
Exchange
learning;
develop and
embed good
practice
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
X
X
Page 14
SCTT
Programmes
NDP Workstreams
Telehealth & Telecare Projects / Activities
Improve
and
Integrate
Health
and Social
Care
Work with HEIs and professional bodies to embed
telehealth and telecare competencies
WORKFORCE DEVELOPMENT
Work with HEIs to embed telehealth and telecare
into the core curriculum and develop accredited CPD
modules for qualified staff
Enhance
Wellbeing
Empower
People
Improve
Sustainability
and Value
Support
Economic
Growth
Exchange
learning;
develop and
embed good
practice
X
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
X
Work with NES and SSSC to consider how best to build
Leadership for Innovation into their activity
X
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.
X
Identify and develop a range of web-based resources
to support awareness raising, good practice and
education activities
X
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.
X
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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
• National Services Scotland (NSS)
• East Renfrewshire, Renfrewshire
East and West Dunbartonshire,
Glasgow City and Inverclyde Councils
• NHS Education Scotland (NES)
Nessa Barry
• Scottish Social Services Council (SSSC)
Cathy Dorrian
• NHS Highland, Highland and
Argyll & Bute Councils
• NHS Shetland / Shetland Council
• NHS Fife / Fife Council
• State Hospital
• Support for Patients and Service Users
• Workforce Development
•Evaluation
• Custodial Healthcare
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
• NHS Grampian; Aberdeen City, Donna Henderson
Aberdeenshire and Moray Councils
NHS Orkney / Orkney Council
• European Activity
Janette Hughes
• NHS Lanarkshire; North and South
Lanarkshire Councils
• Enterprise organisations
• Assisted Living
Christine McClusky • NHS Lothian; East,West and Midlothian
Councils; Edinburgh City Council
• Home Based Health Monitoring
• Project Ginsberg Lead
Lucy Robinson
(Temporary Post)
•
Sue Scotland
•
•
•
Page 18
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
Head of
Service /
Clinical Lead
Moira MacKenzie Head of Service
Point of Contact for:
•
•
•
•
Justine Westwood • Head of Service
•
•
Specialisms
Scottish Government – JIT
COSLA
ADSW
ALACHO
• Assisted Living
• Home Based Health Monitoring
• Evaluation Framework
Scottish Government - eHealth
Regional Planning
Directors of Planning / National
Planning Forum
• Innovation & Development
Janne Rasmussen
• European Commission
European
Engagement
• European partners, collaborating
organisations/regions and stakeholders
Manager
• SG Mental Health Division
Stella Clark
Clinical Lead
• European Activity
• Planned Care – Mental Health
• Custodial Services
• Supporting Patients and Service Users
James Ferguson
• Secondary Care
• Unplanned Care (except Cardiac
Clinical Lead and Stroke)
• Primary Care
Anne Reoch
Clinical Lead
• Golden Jubilee National Hospital
• Planned Care (except for Mental Health)
• 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.
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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
ACCESS TO PLANNED CARE
Programmes
Milestones
Timescale
Lead
Provide Health and Care Services to care
homes and community hospitals
Roll out nurse led liason dementia service to 2 further
May 2013
Cathy Dorrian care homes within Highland
Contribute to the implementation of Commitment 6 of the Mental Health
Strategy for Scotland, including
Project Ginsberg
Project Ginsberg
Deliver business case identifying requirements and future
activities to Scottish Government
May 2013
Commence prototyping of Ginsberg platform
Sept 2013
Expand the Stroke and Cardiac
Planned Care Programme
Support proof of concept study with NHS Dumfries & Sept 2013
Galloway for Eating Disorder Service
Cathy Dorrian
Facilitate the development of the Orkney secondary care
rehabilitation service
Sept 2013
Anne Reoch
Explore development of interactive web based cardiac
rehabilitation service
Oct 2013
Work in collaboration with the Scottish Congenital Cardiac Service to improve access via the use of telehealth
Dec 2013
Support the use of telehealth and
telecare within Primary Care services Review results of the Primary Care telehealth & telecare
survey questionnaire
May 2013
Support the development of a Primary Care telehealth
& telecare action plan
Support technology enabled service
redesign within the Transforming
Outpatient Programme
Provide ongoing advice and support on telehealthcare to
the Programme Team
Lucy Robinson
Anne Reoch
Aug 2013
Mar 2014
Anne Reoch
Page 21
SCTT
Programmes
Milestones
Key Activities
Timescale
Lead
ACCESS TO UNPLANNED CARE
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
delivery processes
June 2013
Pilot Service ‘Go Live’
July 2013
Draft evaluation Report Jan 2014
Support the expansion of 24/7 access
Support the feasibility trial of telestroke in New Zealand
June 2013
to stroke thrombolysis decision support
Support negotiations around further acute telestroke links
within Scotland
Work in partnership with SAS to investigate
the use of technology solutions to support
paramedics
NHS Borders/Samsung Project
- Evaluate Samsung Near Patient Testing Service
(NHS Borders and SAS)
May 2013
Identify next steps for proof of concept activity with Samsung
- Scoping workshops to identify and develop innovative
ideas and prototypes
March 2013
Support use of technology to reduce
admissions to A&E
Support proof of concept for satellite broadband to First
Responders within West Ardnamurchan
- Support community engagement activity around VC
and training
April 2013
- Evaluate phase One
May 2013
- Go Live
June 2013
Support the feasibility trial of Teleneurology to Argyll & Bute
June 2013
(Sue Scotland) Anne Reoch
Sue Scotland
Lynn Garrett
Cathy Dorrian
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ASSISTED LIVING
SCTT
Programmes
Key Activities
Milestones
Timescale
Develop and implement the Scottish Government and Technology StrategyBoard’s dallas programme in Scotland – Living it Up
Develop initial prototype of Living it Up for widespread
community engagement and development
May 2013
Expand Living it Up to 6,500 users
Autumn 2013
Formal launch of Living it Up
October 2013
Implement the “Smartcare” Project to
support the redesign of integrated care
pathways
Establish National Programme Steering Group
April 2013
Detailed Project Implementation Plan in place
September 2013
Begin operation of redesigned service model and
recruit initial 260 users
Feb 2014
Work in partnership with JIT to engage
more effectively with housing and
care home communities to expand the use of telehealthcare for tenants and residents
Develop workplan for this activity
June 2013
Implementation of workplan
Mar 2014
Work in partnership with JIT to support the
embedding of telecare within social care
assessment, care planning and review
processes for all client groups and ages
Develop workplan for this activity
June 2013
Realise greater efficiencies in procurement
and asset management
Support the expansion of the Scotland Excel procurement
framework to improve efficiency, quality and integration of
telehealth and telecare data, equipment and services
• Meet all providers to review current performance and developments, and review 2012/13 framework
performance
April 2013
• Develop Action Plan for 2013/14 and consult with
local authority commissioning group
May 2013
• Planned revisions of procurement framework
Dec 2013
Lead
Janette Hughes
To be identified
Alistair Hodgson
Alistair Hodgson
Alistair Hodgson
Page 23
CUSTODIAL
HEALTHCARE
HOME BASED HEALTH MONITORING
SCTT
Programmes
Key Activities
Milestones
Timescale
Implement United4Health Programme to Establish National Programme Steering Group
April 2013
support the management of Long Term Health Conditions (CHF, COPD and diabetes), provide leadership of the diabetes
Develop website for full European Programme
May 2013
workstream for all partners and provide overall co-ordination for the full European
Establish local partnership area (LPA) project teams and
May 2013
programme
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
across Scotland
Lothian Project
- Support the expansion of NHS Lothian’s home Dec 2013
monitoring service to 200 users
Establish service model for national home monitoring service to be provided by NHS 24
June 2013
Pilot service in place to support recruitment to My Care
element of Living it Up
Sept 2013
Delivery of healthcare and forensic services for people in Police Custody. Establish proof of concept study to test feasibility of
delivering services to Police Custody Suite in Fraserburgh.
May 2013
Deliver access to services (including
specialist health services) to support people in Scotland’s Prison
Establish roll out plan including
- 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
Christine
McClusky,
Anne Reoch
& Janne
Rasmussen
Christine
McClusky
Cathy Dorrian
Page 24
EUROPEAN ACTIVITY
SCTT
Programmes
Key Activities
Milestones
Timescale
Lead
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
Successful appointment of EIP Reference Site status
July 2013
for Scotland
Manage the implementation of the B3 workplan across
9 action areas
Mar 2014
- Develop an interactive repository for action group
Oct 2013
- Map current health & care integration activity
across Europe
Dec 2013
Co-ordinate Scotland’s contribution to the
Momentum Project (thematic network)
Provide input to good practice guide on Telemedicine
Jan 2014
Strategy & Management
Janne
Rasmussen
Co-ordinate Scotland’s contribution to the CASA Project (thematic network)
Co-ordinate Scotland’s input to the programme of 5 study
Apr – Dec 2013
visits including hosting the Oct event
Donna
Henderson
Produce practical guidelines for staff secondments
June 2013
Identify European best practice from CASA experience
Dec 2013
Continue to support Programme Steering Group Mar 2014
Support the Implementing Transnational Telemedicine Solutions
(ITTS) Project
Identify specific programme opportunities and engage with
Scottish stakeholders to submit funding proposals
Janne
Rasmussen
Mar 2014
Provide leadership and facilitation for the B3 Action Group To March 2014
on Integrated Care
Donna
Henderson
Cathy Dorrian
Contribute to local data collection, and work packages on
Mar 2014
Co-ordinate Scotland’s contribution to
the Advanced Care Coordination and
patient adherence and staff engagement
Telehealthcare Programme (ACT)
Janne
Rasmussen Co-ordinate Scotland’s bids for future
Successful submission of at least 2 proposals
Mar 2014
CIP-ICT / FP7 calls and identify at least
2 further programmes of activity
Janne
Rasmussen
Page 25
INFRASTRUCTURE
SCTT
Programmes
Key Activities
Milestones
Timescale
Support the further development and expansion of the National Video
Conferencing Service in conjunction
with the National Video Conferencing
Steering Group
Support the development and implementation of the
July 2013
National Video Conferencing Service (single point of contact service desk and national bridging service.)
Support the development and implementation of a sustainable business model to provide shared services
such as technical support, multi-site bridging, and central
infrastructure management.
Sept 2013
Develop a scaleable and cost effective platform to provide secure video and service links between health, social care,
the third sector and service users’ homes
Sept 2013
To better support inter-agency working, review options to develop a cross agency
model for video architecture across the public sector
Engage with the SWAN (Scottish Wide Area Network) team
with a view to improving and developing shared video
services across the public sector in Scotland.
Mar 2014
EVALUATION
Programme of meetings to be agreed and implemented
April 2013
Establish robust and regular meetings between the telehealthcare and eHealth
communities to identify and develop
opportunities for effective collaboration
Lead
Hazel Archer
Hazel Archer
Alistair
Hodgson
Establish a robust baseline of existing
projects and service provision
Test and populate first phase database
April 2013
Launch a national database of telehealth and telecare services in Scotland
May 2013
Publicise and promote usage
Oct 2013
Review operation and engagement levels
Jan 2014
Develop a national approach to evaluation
in telehealth and telecare enabled services
Complete consultation on proposed impact
measurement framework
April 2013
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 and telecare research and evaluation to
develop the evidence around the
effectiveness, efficiency and acceptability
of interventions in telehealth and telecare
Publication of the YHEC Report on Cost Effectiveness of
April 2013
Telecare for people with Dementia
Alistair
Hodgson
Round table discussions on Measuring Impact/Evaluation
Nessa Barry
Collaborate to develop toolkit
May 2013
Nessa Barry
Nessa Barry
Page 26
SUPPORT FOR PATIENTS
AND SERVICE USERS
SUPPORT FOR
UNPAID CARERS
SCTT
Programmes
Milestones
Key Activities
Recognise the crucial role provided by unpaid carers and develop solutions to meet their needs and wellbeing
Timescale
Lead
Support and implement the annual workplan for Carers Scotland, Dec 2013 and the work of the Carers Branch within Scottish Government
Lynn
Garrett
Identify sustainable delivery mechanisms
Support and implement the annual workplan
Mar 2014 to ensure that carers have ready access to
for Carers Scotland
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
Lynn
Garrett
Investigate potential for national roll out of
Baby Cam services
Develop pilot in Princess Royal Maternity Hospital
Sue Scotland
Commencement of pilot
Oct 2013
Interim Evaluation Jan 2014
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
Develop opportunities to enable telehealthcare services to be
accessed via Self Directed Support Develop a range of user and patient
focused information sources
Develop Heart Zone, providing national quality assured
June 2014
information to assist in self management of short and long term heart disease
Establish content review groups for heart disease and stroke
across Scotland to ensure suitable/accurate
Meeting with SG colleagues in SDS to identify opportunities and workplan
Alistair
Hodgson
June 2013
Anne
Reoch
April 2013
Page 27
WORKFORCE DEVELOPMENT
INNOVATION AND
DEVELOPMENT
SCTT
Programmes
Key Activities
Milestones
Timescale
Lead
Support the development of a 10 year
Provide input to a draft roadmap May 2013
roadmap for DHCIP
Final DHCIP workplan in place
July 2013
Moira
Mackenzie
Enhance the work on the Step Change 2015 Broadband Infrastructure Project by
ensuring the full benefits for health and social care are realised
Alistair
Hodgson
Identify solutions for the delivery of telehealth and telecare
Mar 2014
services to people who live in areas with limited or no mobile
or broadband connectivity
Contribute to the establishment of the Support the implementation of the Digital Health Institute
Mar 2014
Digital Health and Care Innovation
Centre in support of technology enabled
integrated care
Moira
Mackenzie
Work with HEIs and professional bodies to
embed telehealth and telecare competencies
Progress UK wide ‘Supporting Employers with the Workforce Implications of Assistive Technologies’ Project and associated
implementation plan
Mar 2014
Nessa Barry
Work with HEIs to embed telehealth and
telecare into the core curriculum and develop accredited CPD modules for qualified staff
Undertake a baseline survey of academic staff in health, allied health and social care to identify the barriers and extent to
which telehealth and telecare is being embedded into
undergraduate curriculum
May 2013
Nessa Barry
Disseminate findings and develop appropriate next steps
June 2013
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
Help promote newly developed accredited and non-accredited
training and courses e.g. launch of Glasgow Caledonian
Telehealthcare MSc
Mar 2014
Support the development of TSA good practice protocols between telecare services and national emergency services
•Telecare/Ambulance Service Guidelines to be launched at
Learning Network Event
May 2013
•Support wide dissemination
June 2013
•Initiate similar activity with Fire Service
May 2013
Nessa Barry
Alistair
Hodgson
Page 28
WORKFORCE DEVELOPMENT (cont)
SCTT
Programmes
Key Activities
Milestones
Timescale
Lead
In partnership with JIT, support the National Dementia
June 2013
Demonstrators to develop good practice guidelines for
Telecare & Dementia
Alistair
Hodgson
Develop guidelines and standards for telecare asset Mar 2014
management – including storage, maintenance/repair, battery replacement
Alistair
Hodgson
Work with NES and SSSC to consider how best to build Leadership for Innovation into their activity
Develop joint framework with NES and SSSC to support
Technology Enabled Learning and Development
May 2013
Nessa Barry
Undertake consultation and dissemination of draft approach
August 2013
Publish final version of Co-ordinated Action Plan
Sept 2013
Implement 2013 Webcast Programme (14 events/monitor
Nov 2013
Organise and deliver an annual programme of Learning Network activities to support no. of ‘hits’), and evaluate previous years activity
workforce development, knowledge transfer Co-ordinate and host May Telehealth & Telecare Learning
May 2013
and shared learning of good practice from Scotland, UK and beyond.
Network Event (anticipated 200 people)
Nessa Barry
& Donna
Henderson
Co-ordinate European Telemedicine Conference (anticipated 350 people)
Oct 2013
Identify and develop a range of web-based resources to support awareness raising, good
practice and education activities
Continue to develop and expand the telehealthcare portal Mar 2014
Nessa Barry
- Host on-line elements of Learning Network events
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.
Support the strategic Telehealth programme for nurse
directors & AHP leads
April 2013
Nessa Barry
Implement resulting actions
May 2013
Review, meet with HR to scope out opportunities
Mar 2014
- Develop learning pathways
Page 29