Living it Up, SmartCare & Falls Prevention

Marlene Harkis, Service Development Manager - marlene.harkis@nhs24.scot.nhs.uk

Beth Murphy, Service Development Manager - beth.murphy@nhs24.scot.nhs.uk

Ann Murray, National Falls Programme Manager – ann.murray3@nhs.net

Living it Up – Self management/Care site

Falls Prevention in Scotland

SmartCare – Digital Tools to support falls prevention and recovery

Digital service- h8ps://portal.livingitup.org.uk/

Increased Community capacity

Hyper-local information

Increased digital participation

Increased supported self management

5 SERVICE INTERVENTIONS

VIDEO CONFERENCING

GET ACTIVE

COMMUNITY CAPACITY BUILDING

PERSONAL CARE PLANNING

HOME HEALTH MONITORING

•  People are better connected to their support circle (including family, friends, informal support and health and care professionals) •  People are empowered to be confident contributors to the Living it Up community, sharing their experiences and knowledge.

•  People are able and motivated to use technology to improve their health and wellbeing

Goals

WhatisSmartCare?

•  SmartCare is a new online person centred service which aims to support people who are at risk of a fall or recovering from a fall.

•  The service promotes enablement, self care, information

sharing and care coordination. •  The service will benefit people managing a long term

condition who want to remain independent in their own home

•  It will also support their family, carers, Health and Social

care sector and providers who support them.

Ac0veEngagement

•  Arangeofstakeholdereventshavebeenorganisedthroughout2013/14,involving:

–  StrategicStakeholders(SG,JIT,NHSScotland,COSLA,CarersScotland)

–  ImplementaOonStakeholders(Fallsleads,HealthBoards,LocalGov,3rdSector)

–  UserandUnpaidCarers–  Industry

•  Peoplehavetorepeattheirhistoryonseveraloccasionstovariousdifferentprofessionals

•  Thepersonortheircarerfeelsresponsibleforrememberingtheirhealthandsocialcarehistory,symptoms,medicaOon,frequencyoffalls

•  InaccurateinformaOoninprofessionalhealthfilee.g.allergies

•  PeopleareexpertsregardingtheirowncondiOonsandwhatsupportsthemmosteffecOvely

Issues

Requirements

As a care service user I want to be able to share the data in

the PHF application with various people so that I don't

need to repeat my story to multiple people

As a health care professional I want the PHF

application to contain information on the

Community Nurse Risk Assessment so that I can

review it

As an informal carer I want the PHF application to

contain information about the care service user's

medication so that I know what they should be taking

As the technical architect I want the PHF to be

supported on a number of platforms so that

inclusiveness is maximised

As a social care professional I want the PHF

application to contain information on the care service user's history of

falls so that I can monitor it over time

SmartCare – ICT enablers

LiUprototypes–SmartCarepoints

Sociallinks Local

assets Selfassessment&Calendar

diary

Personheldrecord

Applica0onScreenshots-PersonHeldFile

20

Applica0onScreenshots–Diary

21

Applica0onScreenshots–SelfAssessmentTool

GetInvolved

•  Signupasstaff-familiariseselfwiththeassets

•  Providefeedbackonwhatyoufind.

•  IntroducesomeofyourexisOngclientsserviceuserstothenewdigitaltools.

Informa0on:DiaryandPHFTestSite:www.pilotsmartcare.uk

FallsAssessmentToolTestSite:

fallsassistant.org.uk

LivingitUp:livingitup.org.uk/smartcare

www.knowledge.scot.nhs.uk/fallsandbonehealth.aspx

Falls Prevention in Scotland

The Up and About Pathway

http://www.scotland.gov.uk/Publications/2014/10/9431

Falls Prevention in Scotland A Framework for Action 2014-16

•  16 key actions for health and social care services across the four stages of the Up and About pathway.

•  actions represent the minimum

standard of care an older person should expect to receive.

•  relevant to all partners involved in the falls and fracture prevention and management pathway.

http://www.scotland.gov.uk/Publications/2014/10/9431

Falls Prevention in Scotland

The Framework in Summary

Stage One is about…

•  Providing easy to access information about staying well, falls prevention and bone health, and

•  Sign posting to relevant services which support falls prevention and management. This includes resources, equipment and services which aim to support health and well being, a safe home environment and a safer community.

Stage Four is about… Intervention to:

•  identify, then minimise, a person’s risk factors for falling and sustaining a fracture, and also

•  enable recovery and independence following a fall.

Stage Three is about…

•  Providing a rapid response to avoid a long lie on the floor, and

•  An appropriate response, which provides both effective management of the immediate situation and consideration of further health and care needs.

Stage Two is about… Through a conversation, identifying people at risk of recurrent falls who would benefit from a more personalised approach to prevention and management.

Any older person who reports a fall, or an injury, loss of function or increased care needs due to a fall has the opportunity to access further assessment and support if it is necessary.

AFrameworkforaWholeSystem,IntegratedApproachtoFallsPreven0onandManagement

PublicAwareness&Co-produc0on

Leadership&Governance:na0onal/local

Organisa0onaldevelopmentandimprovementsupport

Dataforimprovement,informa0on&evalua0onWorkforcedevelopment/SkillMix/Integratedworking

Evidencebasedguidancetoinformprac0ceFunding&Commissioning

WHA

T?(A

pproache

sand

interven

Oons)

HOW?(Enablers)

Technology/eHealth/Datasharing

WHAT?(ApproachesandintervenOons)

HOW?(Enablers)

28Policycontext(Na0onal&Local)

Available now!!!

NHS Inform’s Falls Information Zone

http://www.nhsinform.co.uk