lga masterclass 3 video: digital discharge

We all know someone personally whose life story took a sharp turn after an admission to hospital. Professionally you might have seen firsthand what a crisis point a hospital stay can trigger in someone’s care needs, and too often you will have seen hospital discharge as the turning point at which interventions accelerate and independence nosedives.

Our third LGA Digital Masterclass unpicks the  key challenges of discharging clients and suggests a pathway for making it most effective for the service users and families.

Watch the full masterclass below and join others via the events section of our website.

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– Thank you everyone for coming.

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I’m very pleased to introduce this masterclass

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on Digital Discharge.

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The third masterclass of five,

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which forms part of the Local Government Association

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CHIP Digital Support Offer.

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My name’s Georgia.

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I’m from the LGA CHIP digital team,

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leading on this programme,

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which is funded by NHSX, now NHSTD of course.

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It’s great to be working

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with Rethink Partners on this programme,

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who’ve developed a really useful tool

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for the masterclass today.

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But before we get to that,

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there’s just a few ground rules we’d like to cover.

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If we could have the next slide please, Elle.

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We recommend you turn your videos off

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to ensure best connectivity.

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If you can please put yourself on mute as well

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to avoid audio interference,

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that would be much appreciated.

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Please do hold your questions until our Q and A.

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However, you can add them in the chat if you wish.

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If you do ask a question or have any comments,

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please do state your name and organisation.

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As you can see, we’ve started recording this webinar,

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as we’ll be sharing the recording alongside the slides,

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materials and Q and As in an email soon after the session.

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If you do wish, you can also tweet about this event online

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via the #LGADigital hashtag,

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but please be aware that if you do tweet,

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others may not wish to feature.

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Next slide please, Elle.

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So today, we’ll be covering why hospital discharge

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is a key time to consider technology.

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We’ll discuss some of the tech adoption challenges unique

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to the hospital pathway,

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and we’ll hear council and NHS experiences

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in using technology in discharge.

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If I could have the Next slide please, Elle.

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You can see, we’re really lucky

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to have with us together today, Julie Harrison

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from Birmingham City Council,

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taking us through care tech and action,

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and Lina Ramsden from NHSEI, talking about virtual wards,

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but first, we have Rethink Partners’ CEO, Clare Morris,

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who’ll be talking to us

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about hospital discharge and technology.

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So I’ll pass straight onto her.

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Thanks, Clare.

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– Lovely, thanks, Georgia.

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Good morning everybody.

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Lovely to see some familiar and some new faces

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on the session this morning.

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There are two kind of themes to the session this morning.

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So, obviously, it’s about technology and how it can be used

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as part of the discharge pathway.

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But kind of woven throughout that

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is also the kind of theme of integration really

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and joint working between social care and the NHS.

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And if ever there was a time and a moment

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where that needs to work really well together,

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it is very much as people are getting ready

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to be discharged from hospital

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and during those first really crucial weeks

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when people come home.

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So really great to have Lina here with us today.

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And I know joint working between NHS and social care

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is always a topic that all of you are interested in.

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So, do feel free to kind of pick Lina’s brains

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and post some of those opportunities and challenges

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and when we get to the discussion point.

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Next slide please, Elle.

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So, some of you might know or remember

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that I used to work in the NHS

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and I led a CTG for five years in Essex.

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And hospital discharge was

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and remains a bit of a passion of mine.

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And that was really brought to life for me

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when an Essex County Council

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actually commissioned some research probably

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about 10 years ago now about the impact

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of hospital discharge on older people

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and their long-term outcomes,

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and it really kind of shocked me

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and woke me up to this issue.

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What that research showed very much was just

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how much hospital admission and hospital stay

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is such a huge driver of demand for social care.

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And that is because it can have a profoundly negative impact

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on people’s long term care needs.

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Obviously, if somebody’s ill or they’ve had an accident,

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they’ve broken their hip,

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you know, fractured neck, a femur remains

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a number one cause for admission

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for people over the age of 75.

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They may need to be in hospital.

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But the whole point about discharge

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is they need to be in hospital

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when they are in their acute phase,

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but as soon as they are well enough to go home,

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they should be supported to go home quickly.

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And there’s lots of really international research

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on kind of quite how damaging it is

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for people’s long term outcomes.

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If I don’t get home quickly,

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I was just brushing up yesterday,

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found some really kind of quite powerful statistics.

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So, for every 10 days

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that somebody spends in hospital beyond the point

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at which they need to be there,

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but it creates 10 years negative impact

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on their muscle tone and function.

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So, for every extra day,

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that’s a year of muscle tone that they will lose.

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And those for our older people,

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that’s really hard to regain.

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They won’t get that back again.

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And, you know, those of you involved in this work will know,

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you know, there are real people in our hospitals

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and real families that are impacted by hospitalisation.

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And it’s a moment of crisis.

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Obviously, can be a point of change,

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materials that changing care needs,

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but it is in our gift not to make that worse

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by keeping people in hospital

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and in the wrong place for longer than they need to be.

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And just some really kind of interesting research,

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I’ll post the link in shortly,

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but hospitalisation for older people,

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it decreases their physical function.

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That is known, we know that.

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It increases their dependence.

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It can decrease their health related quality of life.

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And that declines both when they’re in hospital,

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but also in those first few weeks post-hospital discharge.

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So if we want to kind of get people back up,

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living independently, living good quality of lives,

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then getting them home quickly is just vital.

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And, you know, it is a point when they are dealing often

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with the challenges of adjusting

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to a change in their physical function,

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to the impact of their illness

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and the repercussions of their illnesses and homes.

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And yet we also know, from research and surveys,

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that older people want to live

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in their own homes as long as possible.

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So, there’s such an opportunity here,

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but also such kind of pressure,

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and really easy, I think, for people

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and really long lasting impact on their lives

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to get lost as we are doing this work.

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And for some people,

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they will never go home once they’ve been in hospital,

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and that’s quite a shocking thing,

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I think, for us to sort of contemplate.

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They’ve had an accident, they’ve got an illness,

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they are possibly rushed into hospital

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in the back of an ambulance.

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They go to hospital,

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they’ve not said goodbye.

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They’ve not tidied up.

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They might even have left the washing up out

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and food in the fridge.

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And to think that people who’ve lived in that place

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and that building, that home,

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for 50 years may never go back again

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and may never get to say goodbye

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and close their lives down.

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And that’s the real kind of human impact,

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I think, of this work.

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And I just would ask you to kind of hold that in your head

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as we are talking about things today,

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because I absolutely believe

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that introducing technology,

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both to help people get home quickly and safely,

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but also to introduce technology

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in those few weeks after they’ve gone home

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to support their reablement,

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to support their rehabilitation and their recovery,

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and to help them perhaps to adjust

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to a change in their circumstances,

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but to use technology

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to help them to stay living independently in their own home

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is absolutely vital.

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And you can hear that I’m so passionate about this,

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and yet it is something that gets overlooked,

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that’s forgotten.

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It’s not an embedded part of our health

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and social care processes at the moment.

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And those of us who work

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in the care technology space know how transformational

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and supportive technology can be.

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So, that is the kind of heart of the challenge,

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I think, I’m kind of putting out to us all today

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is how can we think about technology

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at a time when there are so many other things

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to think about, frankly?

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We’ll see some of the real life experience

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of the pressure of hours and minutes

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that we have at the moment in trying to get people home.

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Discharge has become an increasingly high national priority.

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We’ve got proper discharge guidance

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for the first time over the last couple of years.

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And COVID has absolutely focused people’s minds

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on that opportunity and the necessity

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for supporting effective hospital discharge.

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And during COVID, under the pressure

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of kind of getting people out of hospitals

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so that those beds are free for people,

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obviously, who are suffering from COVID

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or we thought they needed during the pandemic.

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We have moved heaven and earth

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and we have shifted things enormously,

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and there’s been ring-fenced funding

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for social care from the NHS to expedite that

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and make all of that smooth.

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That funding ends at the end of April this year.

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And so, there’s an additional challenge

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of how we don’t think back into the way we were before,

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but how we keep that kind of laser-like focus

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on the importance of getting people home.

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And Lina’s going to talk about virtual wards

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but that’s a really important way

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in which the kind of reach of the hospital

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is extending out into people’s homes

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and really also trying to think differently about

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how we can care for people best in their own setting.

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Discharge to assess is at the heart

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of the sort of policy push at the moment.

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And discharge to assess has been around

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for quite a few years,

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but we’re really starting to embrace it now.

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And the real sort of concept of discharge to assess

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is that when someone is in hospital and in a hospital bed

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and probably at their lowest (indistinct),

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that is not a good time for them and their families and us

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to be making decisions about their long term care needs.

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They are probably at the peak of their need.

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And if we have good,

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if they can get home and we have good reablement,

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good rehabilitation and recovery support,

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I’d argue with technology absolutely in that,

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their needs will diminish,

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and we can then assess their needs at a point

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when they’re not at their peak of their needs,

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and we can make that long term planning,

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absolutely, more to be strength based

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and to build on what that person actually wants

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from their lives and what they truly are capable of.

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Next slide please, Elle.

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So just a reminder for those who may not be immersed

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in discharge, we have a national guidance.

255
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There’s a link on this slide,

256
00:11:48,960 –> 00:11:52,510
but we broadly now talk about discharge pathways

257
00:11:52,510 –> 00:11:55,220
with this language now.

258
00:11:55,220 –> 00:11:56,650
Pathway zero, pathway one,

259
00:11:56,650 –> 00:11:58,670
pathway two, and pathway three.

260
00:11:58,670 –> 00:12:00,410
And it’s interesting to me how quickly

261
00:12:00,410 –> 00:12:02,210
that’s become our language.

262
00:12:02,210 –> 00:12:04,050
And it’s actually really helpful, I think,

263
00:12:04,050 –> 00:12:05,990
for health and social dare to work together.

264
00:12:05,990 –> 00:12:07,620
We know what we’re talking about.

265
00:12:07,620 –> 00:12:09,600
We understand what that means.

266
00:12:09,600 –> 00:12:11,950
But just a really quick kind of recap,

267
00:12:11,950 –> 00:12:14,870
and this in the tool that we’ve created

268
00:12:14,870 –> 00:12:16,470
for this masterclass.

269
00:12:16,470 –> 00:12:18,400
So people on pathway zero,

270
00:12:18,400 –> 00:12:20,090
which should be about half of the people

271
00:12:20,090 –> 00:12:21,770
that are going home,

272
00:12:21,770 –> 00:12:24,220
are people who can just go home,

273
00:12:24,220 –> 00:12:26,390
they’re pretty fine, they’re ready to go home,

274
00:12:26,390 –> 00:12:28,930
they need little or no additional support,

275
00:12:28,930 –> 00:12:31,680
they’ve got family, networks around them,

276
00:12:31,680 –> 00:12:34,590
and they can just go home and they’re fine.

277
00:12:34,590 –> 00:12:36,580
I would argue that we should not forget

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00:12:36,580 –> 00:12:38,330
about people on pathway zero

279
00:12:38,330 –> 00:12:40,040
and the opportunity for technology

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00:12:40,040 –> 00:12:41,880
to help them keep safe

281
00:12:43,390 –> 00:12:46,110
in those first few days post-hospital discharge,

282
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potentially avoid readmissions,

283
00:12:48,670 –> 00:12:53,260
but also to help technology maintain that independence,

284
00:12:53,260 –> 00:12:55,290
’cause there are still some pretty needy,

285
00:12:55,290 –> 00:12:58,190
vulnerable people on pathway zero.

286
00:12:58,190 –> 00:13:03,190
Pathway one, so the broad aim is that sort of 45% of people

287
00:13:03,240 –> 00:13:04,820
are on pathway one.

288
00:13:06,240 –> 00:13:08,590
So these are people who do need some help and support

289
00:13:08,590 –> 00:13:09,830
when they go home,

290
00:13:09,830 –> 00:13:12,640
but they might already have existing care

291
00:13:12,640 –> 00:13:14,000
and support in place,

292
00:13:14,000 –> 00:13:16,960
and that is maintained when they go home.

293
00:13:16,960 –> 00:13:19,750
They might need some input from community health teams,

294
00:13:19,750 –> 00:13:22,020
some rehabilitation support,

295
00:13:22,020 –> 00:13:26,430
some reablement support from social care professionals.

296
00:13:26,430 –> 00:13:28,430
So they’re people who can go home,

297
00:13:28,430 –> 00:13:30,910
but need some help during that period.

298
00:13:30,910 –> 00:13:33,960
And this is our biggest opportunity, I think,

299
00:13:33,960 –> 00:13:37,290
to really help people maintain independent living

300
00:13:37,290 –> 00:13:40,600
for longer to minimise the need

301
00:13:40,600 –> 00:13:43,180
for long term care and support.

302
00:13:44,990 –> 00:13:46,990
And so, across pathway zero and one,

303
00:13:46,990 –> 00:13:51,930
95% of older people should be on pathway zero and one.

304
00:13:51,930 –> 00:13:54,990
Pathway two are people who do need to go,

305
00:13:54,990 –> 00:13:56,660
don’t need to be in an acute hospital,

306
00:13:56,660 –> 00:13:59,910
but do need some kind of bedded support

307
00:14:00,840 –> 00:14:04,110
for their rehabilitation, assessment,

308
00:14:04,110 –> 00:14:06,280
and care planning and recovery.

309
00:14:06,280 –> 00:14:08,830
So those are people who are going into rehab beds,

310
00:14:08,830 –> 00:14:10,030
into community beds.

311
00:14:10,030 –> 00:14:11,630
They might be going into nursing homes,

312
00:14:11,630 –> 00:14:14,300
but with rehab supported,

313
00:14:14,300 –> 00:14:18,300
and that is approximately 4% of discharges.

314
00:14:19,280 –> 00:14:20,820
And then pathway three

315
00:14:20,820 –> 00:14:22,630
are those people that I’ve spoken about,

316
00:14:22,630 –> 00:14:25,630
who are probably not going back home

317
00:14:26,470 –> 00:14:31,270
and they are going into a 24 hour bed-based care,

318
00:14:31,270 –> 00:14:33,980
and that should be less than 1% of discharges.

319
00:14:33,980 –> 00:14:35,660
And it kind of should be, really.

320
00:14:35,660 –> 00:14:38,560
You don’t want to go into hospital,

321
00:14:38,560 –> 00:14:41,790
go straight into a care home or possibly a nursing home

322
00:14:41,790 –> 00:14:44,610
and never go home again.

323
00:14:44,610 –> 00:14:46,340
So there’s some ambition

324
00:14:46,340 –> 00:14:48,230
and challenge for us all in these pathways,

325
00:14:48,230 –> 00:14:53,080
but a really helpful framework in terms of how we think

326
00:14:53,080 –> 00:14:55,230
about those pathways out of hospitals.

327
00:14:55,230 –> 00:14:57,060
Next slide please, Elle.

328
00:15:00,840 –> 00:15:04,860
So, how do we overlay technology into that

329
00:15:04,860 –> 00:15:07,150
and what might be some of the technologies be

330
00:15:07,150 –> 00:15:09,950
that we might think about using at that point?

331
00:15:09,950 –> 00:15:13,870
So, I would argue, start at day zero.

332
00:15:13,870 –> 00:15:15,640
Actually, they’re still in hospital.

333
00:15:15,640 –> 00:15:17,860
It’s the day of discharge.

334
00:15:17,860 –> 00:15:21,430
And there are technologies and devices

335
00:15:21,430 –> 00:15:24,320
that we can give people in the hospital

336
00:15:24,320 –> 00:15:25,700
to take home with them,

337
00:15:25,700 –> 00:15:27,750
that can be simply activated

338
00:15:27,750 –> 00:15:29,930
and that will help to keep them safe

339
00:15:29,930 –> 00:15:34,270
for those first few days and weeks post-hospital discharge.

340
00:15:34,270 –> 00:15:37,750
And I’ll show you some of those technologies in a moment.

341
00:15:37,750 –> 00:15:42,530
But, basically, low cost, simple, quick to activate.

342
00:15:42,530 –> 00:15:45,390
It is a time, and I know there’s a lot of different councils

343
00:15:45,390 –> 00:15:48,800
and hospitals initiating Telecare at this point,

344
00:15:48,800 –> 00:15:52,630
but also some more digital solutions at this point.

345
00:15:52,630 –> 00:15:53,810
And some good work happening

346
00:15:53,810 –> 00:15:56,830
about stocking devices being kept in the hospital

347
00:15:56,830 –> 00:15:59,570
and literally being given to the person and activated

348
00:15:59,570 –> 00:16:03,650
so that they can take it home for them.

349
00:16:03,650 –> 00:16:05,850
Quickly, and this may have been assessed

350
00:16:05,850 –> 00:16:07,290
when they’re still in hospital,

351
00:16:07,290 –> 00:16:10,010
but there’s then day one, day two,

352
00:16:10,010 –> 00:16:11,880
actually there’s something they need now.

353
00:16:11,880 –> 00:16:15,240
So in the same way that we might expedite putting equipment

354
00:16:15,240 –> 00:16:16,700
into someone’s home,

355
00:16:16,700 –> 00:16:20,670
can we think about technology going in at this point,

356
00:16:20,670 –> 00:16:22,860
both to keep them safe and for peace of mind,

357
00:16:22,860 –> 00:16:26,500
but also starting to think about their recovery,

358
00:16:26,500 –> 00:16:29,160
reablement, rehabilitation needs.

359
00:16:29,160 –> 00:16:32,650
So are there devices, technologies we can put in

360
00:16:32,650 –> 00:16:35,590
that will help with their recovery and reablement?

361
00:16:35,590 –> 00:16:39,850
And actually, can we get those in pretty quickly?

362
00:16:39,850 –> 00:16:41,540
Hopefully, that happens.

363
00:16:41,540 –> 00:16:44,370
And then, as we are moving through that reablement

364
00:16:44,370 –> 00:16:47,040
and rehabilitation period,

365
00:16:47,040 –> 00:16:50,550
their needs and their needs for technology might change,

366
00:16:50,550 –> 00:16:52,740
but this also might be the first time

367
00:16:52,740 –> 00:16:54,830
that that person has actually used technology

368
00:16:54,830 –> 00:16:57,210
and had technology in their lives

369
00:16:57,210 –> 00:17:00,580
to support their sort of care and daily living needs.

370
00:17:00,580 –> 00:17:03,330
So, we shouldn’t just put it in day two

371
00:17:03,330 –> 00:17:05,940
and forget about it and leave it there.

372
00:17:05,940 –> 00:17:09,440
And thinking about how reablement workers,

373
00:17:10,550 –> 00:17:12,950
in particular, our home care staff,

374
00:17:12,950 –> 00:17:14,869
our community health teams,

375
00:17:14,869 –> 00:17:17,640
can help to support somebody being confident

376
00:17:17,640 –> 00:17:19,800
and using that technology increasingly

377
00:17:19,800 –> 00:17:23,250
as part of daily living is a really important part.

378
00:17:23,250 –> 00:17:25,900
And that’s a new ask of that workforce,

379
00:17:25,900 –> 00:17:27,339
for them to think about themselves

380
00:17:27,339 –> 00:17:30,380
as kind of supporters and adopters of technologies.

381
00:17:30,380 –> 00:17:32,530
And obviously families and carers

382
00:17:32,530 –> 00:17:34,710
are a really important part of building

383
00:17:34,710 –> 00:17:37,080
that confidence there.

384
00:17:37,080 –> 00:17:39,660
And then, kind of from six weeks out in the same way

385
00:17:39,660 –> 00:17:42,140
that we might review somebody’s long term care

386
00:17:42,140 –> 00:17:43,380
and support needs,

387
00:17:43,380 –> 00:17:45,550
let’s review their technology offer,

388
00:17:45,550 –> 00:17:46,880
let’s adapt it.

389
00:17:46,880 –> 00:17:48,680
There might be things they don’t need anymore.

390
00:17:48,680 –> 00:17:51,000
There might some emerging needs.

391
00:17:51,000 –> 00:17:54,100
So, the opportunity to just flex

392
00:17:54,100 –> 00:17:57,130
and shape a personalised approach to technology

393
00:17:57,130 –> 00:18:00,190
to hopefully set people off back in their own homes,

394
00:18:00,190 –> 00:18:03,480
living independently, possibly with new needs,

395
00:18:03,480 –> 00:18:05,570
but actually still able to meet those needs

396
00:18:05,570 –> 00:18:09,250
and how we weave technology through that process,

397
00:18:09,250 –> 00:18:12,310
I think, the opportunity, but it is challenging work.

398
00:18:12,310 –> 00:18:15,690
And it was interesting preparing for this masterclass,

399
00:18:15,690 –> 00:18:17,500
trying to find some good examples.

400
00:18:17,500 –> 00:18:19,020
And I’ve been involved with working

401
00:18:19,020 –> 00:18:21,370
with two or three reablement teams

402
00:18:21,370 –> 00:18:22,600
over the last couple of years,

403
00:18:22,600 –> 00:18:26,350
and it’s really hard to get some of those services

404
00:18:26,350 –> 00:18:29,440
to think about technology along with everything else

405
00:18:29,440 –> 00:18:30,910
that they’re having to think about.

406
00:18:30,910 –> 00:18:32,290
So it’s a real challenge,

407
00:18:32,290 –> 00:18:35,410
and I don’t know that we’ve really cracked this yet.

408
00:18:35,410 –> 00:18:36,910
Next slide please.

409
00:18:40,300 –> 00:18:43,670
(indistinct chatter)

410
00:18:43,670 –> 00:18:47,590
So, not recommending or any of these technologies,

411
00:18:47,590 –> 00:18:49,880
but just some examples of some of the things

412
00:18:49,880 –> 00:18:53,080
that I know councils’ teams are now giving people

413
00:18:53,080 –> 00:18:55,540
as they leave hospital.

414
00:18:55,540 –> 00:18:58,420
And Julie Harrison’s going to talk, in particular,

415
00:18:58,420 –> 00:19:00,900
about their experience of them using Ownfone,

416
00:19:00,900 –> 00:19:04,360
which is the device along the bottom there.

417
00:19:04,360 –> 00:19:07,590
But we’ve got this next generation now,

418
00:19:07,590 –> 00:19:09,840
sort of replacing Telecare,

419
00:19:10,700 –> 00:19:13,870
of these digital devices, GPS devices.

420
00:19:15,120 –> 00:19:17,250
They have different functionalities.

421
00:19:17,250 –> 00:19:19,640
Some of them have falls detectors in,

422
00:19:19,640 –> 00:19:22,350
so they can help know if someone’s fallen,

423
00:19:22,350 –> 00:19:24,810
but they are really simple devices.

424
00:19:24,810 –> 00:19:25,640
They’re not heavy,

425
00:19:25,640 –> 00:19:27,780
they’re not unattractive or too stigmatising.

426
00:19:27,780 –> 00:19:29,140
They can be on people’s necks,

427
00:19:29,140 –> 00:19:31,110
their key-ring attached to their belts,

428
00:19:31,110 –> 00:19:34,400
but it’s the device where they can just push a button

429
00:19:34,400 –> 00:19:35,760
and can speak to somebody.

430
00:19:35,760 –> 00:19:38,480
So you need to have a kind of alarm receiving centre,

431
00:19:38,480 –> 00:19:40,220
monitoring centre behind it.

432
00:19:40,220 –> 00:19:43,550
But they know that they can get help quickly and easily

433
00:19:43,550 –> 00:19:44,440
if they need it.

434
00:19:44,440 –> 00:19:46,960
And these definitely are preventing readmissions

435
00:19:46,960 –> 00:19:49,040
where they’re being used.

436
00:19:50,110 –> 00:19:53,620
What I would say also the benefit of some of these is,

437
00:19:53,620 –> 00:19:58,100
it also helps the hospital staff feel confident

438
00:19:58,100 –> 00:20:00,530
in letting that person go home.

439
00:20:00,530 –> 00:20:03,410
So it doesn’t just give the person themselves confidence

440
00:20:03,410 –> 00:20:06,680
that they can raise help if they need it and their families,

441
00:20:06,680 –> 00:20:08,260
but it also, I think,

442
00:20:08,260 –> 00:20:10,950
allows the hospital staff think actually,

443
00:20:10,950 –> 00:20:13,750
and not want you to hold onto people unnecessarily,

444
00:20:13,750 –> 00:20:15,900
but thinking “it’s okay, that person can go home

445
00:20:15,900 –> 00:20:18,170
because I know they could get help and they’ll be okay.”

446
00:20:18,170 –> 00:20:20,900
And it’s interesting to see the impact

447
00:20:20,900 –> 00:20:22,360
on the kind of mind shift.

448
00:20:22,360 –> 00:20:27,060
These things definitely get people home quicker

449
00:20:27,060 –> 00:20:29,820
and more smoothly and more safely.

450
00:20:29,820 –> 00:20:31,910
So there’s a real opportunity there.

451
00:20:31,910 –> 00:20:33,740
Next slide please, Elle.

452
00:20:36,200 –> 00:20:37,920
And then, as I just said,

453
00:20:37,920 –> 00:20:41,280
thinking about technology in terms of reablement

454
00:20:41,280 –> 00:20:44,880
and rehabilitation, and then those long term care needs,

455
00:20:44,880 –> 00:20:46,290
and we’re back into the world

456
00:20:46,290 –> 00:20:49,910
of all sorts of different types of devices and technologies.

457
00:20:49,910 –> 00:20:51,070
We’ve got smart watches,

458
00:20:51,070 –> 00:20:54,070
we’ve got falls sensors and devices.

459
00:20:55,190 –> 00:20:56,710
There are devices for having people,

460
00:20:56,710 –> 00:21:00,540
again, kind of check in, so rather than calling help,

461
00:21:00,540 –> 00:21:02,420
just pushing a button and saying,

462
00:21:02,420 –> 00:21:04,410
“yeah, I’m okay today,”

463
00:21:04,410 –> 00:21:08,500
we have remote monitoring type technologies sensors.

464
00:21:08,500 –> 00:21:10,970
Don’t want us to forget the kind of consumer tech

465
00:21:10,970 –> 00:21:13,180
that people may already and have in their home.

466
00:21:13,180 –> 00:21:16,010
So how can we help them use Alexas

467
00:21:16,990 –> 00:21:19,060
and other smart home devices.

468
00:21:19,060 –> 00:21:21,810
If their mobility’s reduced or to set up prompts

469
00:21:21,810 –> 00:21:24,180
and reminders for taking medicines,

470
00:21:24,180 –> 00:21:25,770
all sorts of possibilities.

471
00:21:25,770 –> 00:21:28,430
So we then open up into that much broader world.

472
00:21:28,430 –> 00:21:30,590
And we’ve got an adapted tablet there.

473
00:21:30,590 –> 00:21:32,410
Lots of different types of adapted tablets

474
00:21:32,410 –> 00:21:34,160
are available on the market,

475
00:21:34,160 –> 00:21:37,230
but for people who might have not much mobility

476
00:21:37,230 –> 00:21:39,210
or haven’t used technology before,

477
00:21:39,210 –> 00:21:42,000
those video tablets can be a real lifeline

478
00:21:42,000 –> 00:21:46,150
into connecting with friends, family, social contact,

479
00:21:46,150 –> 00:21:50,480
but we can also use those to help deliver reablement

480
00:21:51,890 –> 00:21:56,420
or rehabilitation interventions, virtual consultations.

481
00:21:56,420 –> 00:21:59,540
So, a really practical way of keeping people connected

482
00:21:59,540 –> 00:22:01,160
with their health and care teams,

483
00:22:01,160 –> 00:22:05,430
but them not having to go out all of the time.

484
00:22:05,430 –> 00:22:07,780
And as I said previously,

485
00:22:07,780 –> 00:22:10,880
getting those in for that reablement or recovery period,

486
00:22:10,880 –> 00:22:12,940
but then also adapting and thinking about

487
00:22:12,940 –> 00:22:14,550
what might be needed longer term

488
00:22:14,550 –> 00:22:17,290
as part of that discharge to assess process

489
00:22:17,290 –> 00:22:21,040
and that long term care planning, really crucial.

490
00:22:21,040 –> 00:22:22,540
Next slide please.

491
00:22:24,920 –> 00:22:27,670
So, I hope I’m persuading you all

492
00:22:29,350 –> 00:22:30,510
that this is a good thing,

493
00:22:30,510 –> 00:22:32,260
but it’s a difficult work

494
00:22:32,260 –> 00:22:34,630
and there are a lot of kind of quite practical reasons

495
00:22:34,630 –> 00:22:36,270
why this is hard.

496
00:22:36,270 –> 00:22:39,090
So, when we are still in hospital

497
00:22:39,090 –> 00:22:41,750
and even in those first few days home,

498
00:22:41,750 –> 00:22:43,180
so at the moment in particular,

499
00:22:43,180 –> 00:22:44,340
we’re so pressured,

500
00:22:44,340 –> 00:22:47,030
we are seeing lots of transfers of care.

501
00:22:47,030 –> 00:22:50,980
And a lot of councils are running kind of bridging services,

502
00:22:50,980 –> 00:22:52,920
people aren’t able to get straight from hospital

503
00:22:52,920 –> 00:22:54,260
into reablement.

504
00:22:55,100 –> 00:22:56,930
So people are passing through quite

505
00:22:56,930 –> 00:22:58,640
a few different organisations

506
00:22:58,640 –> 00:23:01,860
and different people responsible for delivering care

507
00:23:01,860 –> 00:23:06,000
over that first kind of 10 day sort of period.

508
00:23:06,000 –> 00:23:08,370
And whose job is it, fundamentally,

509
00:23:08,370 –> 00:23:11,100
to think about technology during those,

510
00:23:11,100 –> 00:23:13,190
I would argue it’s everybody’s job.

511
00:23:13,190 –> 00:23:16,830
But kind of when it’s everybody’s job, it’s nobody’s job.

512
00:23:16,830 –> 00:23:20,250
And at the day of discharge, hospital staff

513
00:23:20,250 –> 00:23:22,760
are trying to make sure people have got transport to home.

514
00:23:22,760 –> 00:23:24,110
They’re trying to find keys.

515
00:23:24,110 –> 00:23:26,910
They’re trying to make sure people have got milk

516
00:23:26,910 –> 00:23:28,150
and food in the fridge.

517
00:23:28,150 –> 00:23:30,120
There’s an awful lot going on.

518
00:23:30,120 –> 00:23:33,380
So to ask those things to also think about technology

519
00:23:33,380 –> 00:23:34,970
is quite a big ask.

520
00:23:34,970 –> 00:23:38,660
And some councils are piloting specialist roles now

521
00:23:38,660 –> 00:23:42,180
in the hospital, who are the tech advisors,

522
00:23:42,180 –> 00:23:43,180
the tech assessors,

523
00:23:43,180 –> 00:23:44,990
and whose job it is solely

524
00:23:44,990 –> 00:23:47,210
to think about technology at that point.

525
00:23:47,210 –> 00:23:49,150
And then, similarly, when we go home,

526
00:23:49,150 –> 00:23:50,890
reablement teams are busy.

527
00:23:50,890 –> 00:23:52,110
They’re doing short visits,

528
00:23:52,110 –> 00:23:54,830
they’re dealing with people with really high complex needs.

529
00:23:54,830 –> 00:23:57,160
So how do we encourage them,

530
00:23:58,960 –> 00:24:01,760
incentivise them to also think about technology

531
00:24:01,760 –> 00:24:03,120
as part of their work?

532
00:24:03,120 –> 00:24:04,150
It’s difficult.

533
00:24:04,150 –> 00:24:07,450
There are a lot of conflicting pressures there.

534
00:24:07,450 –> 00:24:10,680
And my experience is that it isn’t a priority

535
00:24:10,680 –> 00:24:11,780
for any of those teams.

536
00:24:11,780 –> 00:24:13,640
It will fall down their list.

537
00:24:13,640 –> 00:24:16,300
So, thinking about our workforce models

538
00:24:16,300 –> 00:24:20,320
and how we can incentivise that is really crucial.

539
00:24:20,320 –> 00:24:22,450
Mustn’t forget families and carers,

540
00:24:22,450 –> 00:24:23,940
they can be hugely enabling

541
00:24:23,940 –> 00:24:26,270
to helping people to embrace and use technology,

542
00:24:26,270 –> 00:24:27,880
and they need to understand it themselves

543
00:24:27,880 –> 00:24:29,960
and understand why it is a good thing, how it can work,

544
00:24:29,960 –> 00:24:31,950
how it can help them actually support

545
00:24:31,950 –> 00:24:34,640
their loved one better.

546
00:24:34,640 –> 00:24:37,180
Third, quickly, I’m really passionate about this,

547
00:24:37,180 –> 00:24:40,090
but we are very good in the health and care system

548
00:24:40,090 –> 00:24:44,010
of thinking that the technology belongs to the organisation,

549
00:24:44,010 –> 00:24:45,520
not to the person.

550
00:24:45,520 –> 00:24:47,870
And we’ll see in some of Lina’s work

551
00:24:47,870 –> 00:24:49,370
that there’s a real disconnect

552
00:24:49,370 –> 00:24:51,550
between NHS provided technology

553
00:24:51,550 –> 00:24:54,370
and social care provided technology.

554
00:24:54,370 –> 00:24:55,810
And in my dream world,

555
00:24:55,810 –> 00:24:59,270
we have a joined up approach where actually the technology

556
00:24:59,270 –> 00:25:01,200
is with that person.

557
00:25:01,200 –> 00:25:04,180
They get it as they leave hospital or shortly afterwards,

558
00:25:04,180 –> 00:25:05,950
and it stays with them throughout.

559
00:25:05,950 –> 00:25:09,110
And actually, the different services connect with

560
00:25:09,110 –> 00:25:12,640
and use that technology rather than requiring people

561
00:25:12,640 –> 00:25:15,940
to adapt and use our virtual consultation software

562
00:25:15,940 –> 00:25:17,520
or our falls alarm.

563
00:25:18,370 –> 00:25:20,670
We’ve got to adapt around them.

564
00:25:20,670 –> 00:25:22,170
It’s not good for the person.

565
00:25:22,170 –> 00:25:25,390
It’s confusing, it will act as a barrier to adoption,

566
00:25:25,390 –> 00:25:27,510
but also it’s inefficient and expensive.

567
00:25:27,510 –> 00:25:29,620
We don’t need to keep repeating this work.

568
00:25:29,620 –> 00:25:32,310
So how can we embrace that?

569
00:25:32,310 –> 00:25:35,230
Lots of widgety things round recording, tracking,

570
00:25:35,230 –> 00:25:36,510
installing, reviewing,

571
00:25:36,510 –> 00:25:39,100
but actually it’s no good giving somebody something

572
00:25:39,100 –> 00:25:40,500
as they leave hospital,

573
00:25:40,500 –> 00:25:41,840
if we don’t know that they’ve got it,

574
00:25:41,840 –> 00:25:42,810
we don’t know where it is,

575
00:25:42,810 –> 00:25:44,210
we don’t know who’s paying for it,

576
00:25:44,210 –> 00:25:46,180
we don’t know who’s going to retrieve it,

577
00:25:46,180 –> 00:25:47,650
we don’t know what it’s connected to.

578
00:25:47,650 –> 00:25:49,610
So there’s some real kind of detailed process stuff

579
00:25:49,610 –> 00:25:52,070
which needs to be thought through.

580
00:25:52,070 –> 00:25:55,890
And I would also really remind us not to forget

581
00:25:55,890 –> 00:25:58,020
about our community bed.

582
00:25:58,020 –> 00:26:01,670
So, people who are on pathway two,

583
00:26:01,670 –> 00:26:06,130
but then will be going on to pathway zero or pathway one.

584
00:26:06,130 –> 00:26:08,860
So, we focus on our kind of acute hospitals,

585
00:26:08,860 –> 00:26:11,820
but our community beds are really important too.

586
00:26:11,820 –> 00:26:13,460
And there’s a real opportunity to introduce technology

587
00:26:13,460 –> 00:26:15,080
while people are in those beds

588
00:26:15,080 –> 00:26:16,980
as part of their rehabilitation process

589
00:26:16,980 –> 00:26:21,170
and for them to take it home to help bridge on the process.

590
00:26:21,170 –> 00:26:23,670
I absolutely believe, and I’ve seen this happen

591
00:26:23,670 –> 00:26:25,780
in some of the work we’ve been doing in Suffolk,

592
00:26:25,780 –> 00:26:28,510
that targeted use of technology could be the difference

593
00:26:28,510 –> 00:26:30,860
between somebody being on pathway one,

594
00:26:30,860 –> 00:26:34,390
so needing some help and support, and pathway zero.

595
00:26:34,390 –> 00:26:36,380
If we get the tech offer right,

596
00:26:36,380 –> 00:26:39,750
they could actually go home with minimal support,

597
00:26:39,750 –> 00:26:41,880
but the technology providing what they need.

598
00:26:41,880 –> 00:26:44,770
So kind of good for everybody, really.

599
00:26:44,770 –> 00:26:47,300
And I would love it if we embedded technology

600
00:26:47,300 –> 00:26:50,160
into our discharge planning processes in hospitals,

601
00:26:50,160 –> 00:26:52,640
and it was overtly there in the same way

602
00:26:52,640 –> 00:26:54,310
that we think about equipment,

603
00:26:54,310 –> 00:26:57,300
we’ve got our OTs and our therapy teams

604
00:26:57,300 –> 00:26:59,810
actually thinking about technology too.

605
00:26:59,810 –> 00:27:01,040
And experience from councils

606
00:27:01,040 –> 00:27:03,690
is that the hospital therapy teams and the OTs

607
00:27:03,690 –> 00:27:06,470
in particular can be really good champions for this,

608
00:27:06,470 –> 00:27:09,160
if we can support them to do that work well,

609
00:27:09,160 –> 00:27:10,670
but they are pressured and busy,

610
00:27:10,670 –> 00:27:12,450
and they are spending really short amounts

611
00:27:12,450 –> 00:27:13,640
of time with people.

612
00:27:13,640 –> 00:27:16,640
So we need to make that easy for them.

613
00:27:16,640 –> 00:27:18,910
And finally, be persistent.

614
00:27:18,910 –> 00:27:21,250
This is hard work.

615
00:27:21,250 –> 00:27:23,390
It is complicated.

616
00:27:23,390 –> 00:27:26,440
There are lots of reasons to maintain the status quo

617
00:27:26,440 –> 00:27:28,070
and not try to adapt this.

618
00:27:28,070 –> 00:27:30,650
But I think, I hope I’ve persuaded you all.

619
00:27:30,650 –> 00:27:32,690
There are also even more compelling reasons

620
00:27:32,690 –> 00:27:35,020
why we should stick at this.

621
00:27:36,200 –> 00:27:38,780
So, really, this is an area for persistence.

622
00:27:38,780 –> 00:27:40,380
It won’t work the first time.

623
00:27:40,380 –> 00:27:42,560
We’ll have to keep going round the block again,

624
00:27:42,560 –> 00:27:44,550
but if you can find your allies

625
00:27:44,550 –> 00:27:46,240
and find your good technologies,

626
00:27:46,240 –> 00:27:49,970
we can really make a material difference to people’s lives.

627
00:27:49,970 –> 00:27:51,800
Next slide please, Elle.

628
00:27:52,740 –> 00:27:56,160
So, I’m going to hand over now to Julie Harrison,

629
00:27:56,160 –> 00:27:57,710
who has lived and breathed everything

630
00:27:57,710 –> 00:28:01,210
that I’ve just described and will bring it to life for you.

631
00:28:01,210 –> 00:28:04,570
And I know we’ll share very openly some of what has worked

632
00:28:04,570 –> 00:28:06,650
and some of what hasn’t worked in Birmingham.

633
00:28:06,650 –> 00:28:09,890
So, I’m going to hand over to you now, Julie.

634
00:28:09,890 –> 00:28:11,260
– Brilliant, thank you, Clare.

635
00:28:11,260 –> 00:28:12,450
Good morning, everybody.

636
00:28:12,450 –> 00:28:14,280
Lovely to be with you.

637
00:28:14,280 –> 00:28:15,690
So, I’m Julie Harrison,

638
00:28:15,690 –> 00:28:18,440
Commissioning Manager in Adult Social Care.

639
00:28:18,440 –> 00:28:20,160
I’m talking to you about Ownfone today,

640
00:28:20,160 –> 00:28:22,620
and how used around supporting discharge,

641
00:28:22,620 –> 00:28:24,160
but also, we’re using Ownfone

642
00:28:24,160 –> 00:28:27,320
where people haven’t got a telephone line as well

643
00:28:27,320 –> 00:28:28,430
in some instances.

644
00:28:28,430 –> 00:28:30,270
Next slide please, Elle.

645
00:28:32,430 –> 00:28:33,260
Thank you.

646
00:28:34,560 –> 00:28:36,870
So, Anywhere Ownfone,

647
00:28:36,870 –> 00:28:39,130
Anywhere Phone is the new one coming up.

648
00:28:39,130 –> 00:28:40,570
Sorry, that’s on my brain at the moment.

649
00:28:40,570 –> 00:28:43,990
So, Ownfone is used in quite a few councils at the moment,

650
00:28:43,990 –> 00:28:45,730
and you can see the examples there,

651
00:28:45,730 –> 00:28:48,400
ours is the nice, bright red one.

652
00:28:48,400 –> 00:28:50,810
So that connects into our care line centre,

653
00:28:50,810 –> 00:28:54,990
which is our in-house Telecare and monitoring centre.

654
00:28:54,990 –> 00:28:57,210
But there are other people that are using it,

655
00:28:57,210 –> 00:28:59,940
and quite a few units are out and about around the country

656
00:28:59,940 –> 00:29:02,320
as well now working really well.

657
00:29:02,320 –> 00:29:05,270
So if anybody wants to talk to Chris from Anyway Care,

658
00:29:05,270 –> 00:29:07,080
the details are there for you.

659
00:29:07,080 –> 00:29:08,660
Next slide, please.

660
00:29:10,970 –> 00:29:13,740
Brilliant, so this is our Ownfone, as I say.

661
00:29:13,740 –> 00:29:16,370
So, what we started to talk about this

662
00:29:16,370 –> 00:29:20,100
with our care line service was a mobile device.

663
00:29:20,100 –> 00:29:22,350
And fortunately, what we were doing

664
00:29:22,350 –> 00:29:25,850
was talking just as the pandemic was about to hit,

665
00:29:25,850 –> 00:29:28,430
and what happened during the pandemic,

666
00:29:28,430 –> 00:29:30,890
as I’m sure, happened to everybody else,

667
00:29:30,890 –> 00:29:32,480
was our Telecare service just moved

668
00:29:32,480 –> 00:29:35,240
to urgent referrals only.

669
00:29:35,240 –> 00:29:37,320
And obviously people didn’t want to allow people

670
00:29:37,320 –> 00:29:39,800
into their homes during that time either.

671
00:29:39,800 –> 00:29:41,520
So, we were getting massive concerns

672
00:29:41,520 –> 00:29:42,600
like the rest of the country

673
00:29:42,600 –> 00:29:45,020
around delays in hospital discharge.

674
00:29:45,020 –> 00:29:46,750
So what could we do?

675
00:29:46,750 –> 00:29:51,590
So we made the decision to buy 500 Ownfones at that point,

676
00:29:52,960 –> 00:29:55,460
and being able to connect it to our monitoring centre,

677
00:29:55,460 –> 00:29:58,450
but it was quick to deploy.

678
00:29:58,450 –> 00:30:02,540
So, we started talking to our OTs and our social workers

679
00:30:02,540 –> 00:30:06,190
and hospital teams and enhanced assessment beds

680
00:30:06,190 –> 00:30:08,380
about how we could do this and how it would work.

681
00:30:08,380 –> 00:30:11,510
But funnily, they didn’t want to talk to us at that point.

682
00:30:11,510 –> 00:30:16,260
So we were struggling to get any momentum around Ownfone.

683
00:30:17,920 –> 00:30:19,910
bBut then as all the issues started

684
00:30:19,910 –> 00:30:22,750
to be addressed around hospital discharge

685
00:30:22,750 –> 00:30:24,400
and management team got involved

686
00:30:24,400 –> 00:30:27,670
and wanted to really process that through,

687
00:30:27,670 –> 00:30:30,830
we started to get calls into us to say,

688
00:30:30,830 –> 00:30:33,690
“heard you’ve got this, what can we do about it?”

689
00:30:33,690 –> 00:30:35,860
So, Next slide please, Elle.

690
00:30:38,210 –> 00:30:41,460
So, I said we bought 500 in April 2020,

691
00:30:42,610 –> 00:30:44,780
we’ve now purchased 750.

692
00:30:44,780 –> 00:30:46,710
It’s worked that well.

693
00:30:46,710 –> 00:30:49,800
Ownfone comes in four parts.

694
00:30:49,800 –> 00:30:51,780
So those are the parts that comes.

695
00:30:51,780 –> 00:30:54,150
So you get the little phone, you get the lanyard,

696
00:30:54,150 –> 00:30:57,850
you get the electronic cable, so it can charge itself.

697
00:30:57,850 –> 00:30:59,580
And you also get, if you can’t see,

698
00:30:59,580 –> 00:31:02,170
in this white bag here is a holder.

699
00:31:02,170 –> 00:31:05,100
So people can either wear it around the person,

700
00:31:05,100 –> 00:31:07,400
or they can leave it very close to phone

701
00:31:07,400 –> 00:31:09,590
or wherever it is that they want to leave it,

702
00:31:09,590 –> 00:31:13,450
so that they’ve got access to it really quickly.

703
00:31:13,450 –> 00:31:16,200
Today, we’ve issued 737 Ownfones.

704
00:31:17,830 –> 00:31:21,330
And recycling as well, we’ve recycled 104.

705
00:31:22,540 –> 00:31:26,380
We’ve got stocks in six of the hospital teams.

706
00:31:27,590 –> 00:31:31,330
So they hold stocks of about 10 phones,

707
00:31:31,330 –> 00:31:35,760
and in our community enhancement beds as well.

708
00:31:35,760 –> 00:31:37,930
We have lost, unfortunately,

709
00:31:37,930 –> 00:31:39,910
a few devices, so 40 at the moment,

710
00:31:39,910 –> 00:31:41,740
but it keeps rising,

711
00:31:41,740 –> 00:31:44,310
because they’re so mobile,

712
00:31:44,310 –> 00:31:46,390
but I’ll come to that in a minute.

713
00:31:46,390 –> 00:31:49,680
We also, as well as issue it from hospital,

714
00:31:49,680 –> 00:31:52,060
can deliver it to people’s homes.

715
00:31:52,060 –> 00:31:54,760
So if people haven’t got a landline or anything like that,

716
00:31:54,760 –> 00:31:56,410
and an OT referral,

717
00:31:56,410 –> 00:32:00,200
we can deliver it to people’s homes.

718
00:32:00,200 –> 00:32:02,140
Telecare is usually the best one to do,

719
00:32:02,140 –> 00:32:04,560
but we’ve had such an influx in Telecare referrals,

720
00:32:04,560 –> 00:32:06,990
we’re up at 155 a month.

721
00:32:06,990 –> 00:32:10,080
We’ve had real challenges on our system.

722
00:32:10,080 –> 00:32:11,590
And, I think, through the pandemic,

723
00:32:11,590 –> 00:32:14,680
what I’m hearing from social workers and OTs

724
00:32:14,680 –> 00:32:16,940
is that mobility has decreased

725
00:32:16,940 –> 00:32:19,140
because of shielding and various other things.

726
00:32:19,140 –> 00:32:23,750
So, technology is just taking off big time around where,

727
00:32:23,750 –> 00:32:26,520
especially in Birmingham, where we are.

728
00:32:26,520 –> 00:32:29,180
You can lose bits of these kits really easily

729
00:32:29,180 –> 00:32:30,390
as well, unfortunately.

730
00:32:30,390 –> 00:32:32,400
So what we are having to do is talk to Chris

731
00:32:32,400 –> 00:32:33,950
and his team quite frequently and say,

732
00:32:33,950 –> 00:32:36,070
“can we have some more chargers?”

733
00:32:36,070 –> 00:32:38,170
But I have to say Chris and his team are brilliant,

734
00:32:38,170 –> 00:32:41,430
really accommodating and get things through really quickly.

735
00:32:41,430 –> 00:32:43,260
Next slide please, Elle.

736
00:32:46,350 –> 00:32:48,160
So, I know, as a commissioner,

737
00:32:48,160 –> 00:32:49,560
it’s always the question I ask,

738
00:32:49,560 –> 00:32:51,490
so how much is it going to cost me?

739
00:32:51,490 –> 00:32:55,480
So, one Ownfone costs, what I’ve got on there,

740
00:32:55,480 –> 00:32:58,220
if you buy 100, you can get a nice little discount,

741
00:32:58,220 –> 00:33:01,550
but don’t forget the monitoring charge.

742
00:33:01,550 –> 00:33:03,940
So we get a monitoring charge onto care line

743
00:33:03,940 –> 00:33:06,180
for the phone being active.

744
00:33:06,180 –> 00:33:07,450
So, you get a one-off phone

745
00:33:07,450 –> 00:33:09,580
for the one-off charge for the unit.

746
00:33:09,580 –> 00:33:11,480
A SIM charge is an annual charge.

747
00:33:11,480 –> 00:33:13,290
So we get that every year,

748
00:33:13,290 –> 00:33:14,900
as long as that phone’s active,

749
00:33:14,900 –> 00:33:16,140
and then the monitoring charge.

750
00:33:16,140 –> 00:33:18,280
So don’t forget that as well.

751
00:33:18,280 –> 00:33:19,780
Next slide please.

752
00:33:22,650 –> 00:33:24,830
So the benefits, as you can see,

753
00:33:24,830 –> 00:33:27,200
really easy to use, portable.

754
00:33:27,200 –> 00:33:29,280
Social workers love them.

755
00:33:30,590 –> 00:33:31,710
It took a while,

756
00:33:31,710 –> 00:33:34,800
but once they realise how portable they are

757
00:33:34,800 –> 00:33:38,720
and how quick they are to deploy, they really got it.

758
00:33:38,720 –> 00:33:40,330
I’m going to come on to, in a minute,

759
00:33:40,330 –> 00:33:41,830
some of the issues around that actually filling

760
00:33:41,830 –> 00:33:44,960
in the forms behind it, which was quite interesting.

761
00:33:44,960 –> 00:33:49,460
But as soon as that person is handed over the Ownfone,

762
00:33:50,420 –> 00:33:53,270
the social worker or OT or whoever’s with them

763
00:33:53,270 –> 00:33:57,380
should make an immediate connection to the contact centre

764
00:33:57,380 –> 00:33:59,880
so that they know that that phone is live

765
00:33:59,880 –> 00:34:01,820
and the family know it’s live,

766
00:34:01,820 –> 00:34:03,230
the person knows it live,

767
00:34:03,230 –> 00:34:06,940
and the hospital team know it’s live as well.

768
00:34:06,940 –> 00:34:09,290
So I’ve mentioned about the occupational therapist

769
00:34:09,290 –> 00:34:10,510
with no landline.

770
00:34:10,510 –> 00:34:11,989
It’s really quick to order.

771
00:34:11,989 –> 00:34:14,510
Chris and the team are brilliant, as I’ve said.

772
00:34:14,510 –> 00:34:16,739
And what they do (indistinct) provide us

773
00:34:16,739 –> 00:34:18,690
is how active the phones have been,

774
00:34:18,690 –> 00:34:21,659
so we can trace and see who’s using the phones,

775
00:34:21,659 –> 00:34:24,820
and they are easy to recycle once you can get them back in

776
00:34:24,820 –> 00:34:26,489
’cause funnily enough, once we give them out,

777
00:34:26,489 –> 00:34:27,469
people love them.

778
00:34:27,469 –> 00:34:31,340
And when we’ve spoken to a majority of the initial 500

779
00:34:31,340 –> 00:34:34,300
and the people out there using them, really like them,

780
00:34:34,300 –> 00:34:36,659
they really like the mobility.

781
00:34:36,659 –> 00:34:40,110
So, yeah, it’s kind of hard to get some of them back,

782
00:34:40,110 –> 00:34:42,510
but we have managed to recycle some of them.

783
00:34:42,510 –> 00:34:44,340
So, next slide please.

784
00:34:46,940 –> 00:34:49,969
So the issues around, and funnily enough,

785
00:34:49,969 –> 00:34:52,590
we’ve had a big issue this weekend.

786
00:34:52,590 –> 00:34:56,429
So I’ve mentioned about the struggle to deploy.

787
00:34:56,429 –> 00:34:58,720
What we want social workers to do,

788
00:34:58,720 –> 00:34:59,870
as they give the Ownfone,

789
00:34:59,870 –> 00:35:02,130
is obviously prepare for discharge.

790
00:35:02,130 –> 00:35:05,170
So they need to complete a form on our care first,

791
00:35:05,170 –> 00:35:07,660
our care management system.

792
00:35:07,660 –> 00:35:10,180
This must be done so care line know

793
00:35:10,180 –> 00:35:12,020
who the Ownfone’s been given to,

794
00:35:12,020 –> 00:35:15,210
they know the name, they know the address.

795
00:35:15,210 –> 00:35:16,650
Unfortunately, as Clare mentioned,

796
00:35:16,650 –> 00:35:19,040
social workers are extremely busy

797
00:35:19,040 –> 00:35:20,820
and they forget to do this.

798
00:35:20,820 –> 00:35:23,240
And then on Saturday evening,

799
00:35:24,110 –> 00:35:28,020
we had a gentleman activate his Ownphone,

800
00:35:28,020 –> 00:35:29,390
but unfortunately couldn’t,

801
00:35:29,390 –> 00:35:33,280
was having breathing difficulties and couldn’t speak.

802
00:35:33,280 –> 00:35:37,360
The operator, bless her, very diligently

803
00:35:37,360 –> 00:35:38,500
was really concerned.

804
00:35:38,500 –> 00:35:40,830
Couldn’t speak to him, didn’t know who he was,

805
00:35:40,830 –> 00:35:42,350
where he was calling from.

806
00:35:42,350 –> 00:35:46,550
Went back over all the old activations for the week before

807
00:35:46,550 –> 00:35:50,340
and found that one hadn’t had a referral form in

808
00:35:50,340 –> 00:35:53,050
and sent an ambulance to that address.

809
00:35:53,050 –> 00:35:56,910
Fortunately, it was the right address.

810
00:35:56,910 –> 00:35:59,170
We don’t know from the ambulance team,

811
00:35:59,170 –> 00:36:02,610
what happened to that person, but we managed to get,

812
00:36:02,610 –> 00:36:05,040
we still managed to get the ambulance to the right address,

813
00:36:05,040 –> 00:36:06,970
even without the form being filled in.

814
00:36:06,970 –> 00:36:08,850
But I can tell you on Monday morning,

815
00:36:08,850 –> 00:36:11,370
that was a bit scary to find that in your inbox

816
00:36:11,370 –> 00:36:12,600
and how to deal with it.

817
00:36:12,600 –> 00:36:17,600
But the diligence of the care line operator was brilliant.

818
00:36:17,950 –> 00:36:19,770
Social care colleagues as well around Ownfone

819
00:36:19,770 –> 00:36:21,580
at the moment is basic.

820
00:36:21,580 –> 00:36:25,220
But talking to Chris about the development

821
00:36:25,220 –> 00:36:28,180
to be a GPS tracker and a falls detector.

822
00:36:28,180 –> 00:36:30,900
So more functionalities come in on that.

823
00:36:30,900 –> 00:36:33,080
And I’ll talk about that in a minute.

824
00:36:33,080 –> 00:36:35,820
Plus, what we’ve found as well is the Ownfones

825
00:36:35,820 –> 00:36:38,530
are really easy to lose in busy offices.

826
00:36:38,530 –> 00:36:40,560
So we have tried to put them under lock and key

827
00:36:40,560 –> 00:36:41,770
and spreadsheets everywhere,

828
00:36:41,770 –> 00:36:44,430
but you can imagine social workers don’t like those either.

829
00:36:44,430 –> 00:36:46,790
So it’s trying not to be over the top,

830
00:36:46,790 –> 00:36:49,020
but making sure everybody’s safe and people

831
00:36:49,020 –> 00:36:52,040
when they phone through or activate their Ownfone,

832
00:36:52,040 –> 00:36:53,680
care line know where to send the ambulance

833
00:36:53,680 –> 00:36:55,930
or any help that they need.

834
00:36:57,170 –> 00:36:59,000
So, citizens concerns.

835
00:37:00,830 –> 00:37:02,450
I have to say social workers

836
00:37:02,450 –> 00:37:04,800
don’t always show them how to use the Ownfone,

837
00:37:04,800 –> 00:37:07,750
which is a real shame or activate it.

838
00:37:07,750 –> 00:37:11,590
Sometimes they activate it without the person there.

839
00:37:11,590 –> 00:37:12,470
So, which is a real shame,

840
00:37:12,470 –> 00:37:15,470
we’ve got over most of these hurdles now,

841
00:37:15,470 –> 00:37:18,810
obviously we had the hurdle on Saturday.

842
00:37:18,810 –> 00:37:21,810
We also get citizens phoning up care line to say

843
00:37:21,810 –> 00:37:24,890
that their Ownfone’s not working and things like that.

844
00:37:24,890 –> 00:37:27,750
So we go out and have a look and it’s not been charged,

845
00:37:27,750 –> 00:37:29,850
’cause they’re not used to technology

846
00:37:29,850 –> 00:37:32,730
and they lose bits as well.

847
00:37:32,730 –> 00:37:34,860
We’ve also had instances, unfortunately

848
00:37:34,860 –> 00:37:38,280
when somebody’s come out of hospital and gone to an EAB bed

849
00:37:38,280 –> 00:37:41,050
and they’ve had two Ownfones.

850
00:37:41,050 –> 00:37:43,260
So again, social workers, not really checking,

851
00:37:43,260 –> 00:37:47,400
what’s been deployed for that person on discharge.

852
00:37:47,400 –> 00:37:49,530
So we’ve managed to retrieve some of those back,

853
00:37:49,530 –> 00:37:51,820
but we have lost some as well.

854
00:37:51,820 –> 00:37:54,600
And I’ve said about the forget to charge.

855
00:37:54,600 –> 00:37:56,690
So Next slide please, Elle.

856
00:37:59,980 –> 00:38:04,040
And then the big thing for me around Ownfone

857
00:38:04,040 –> 00:38:06,290
is that Telecare units hunt

858
00:38:07,940 –> 00:38:10,910
when they are activated on an emergency call

859
00:38:10,910 –> 00:38:13,220
for an answer and they will not stop

860
00:38:13,220 –> 00:38:15,730
until the answer is made.

861
00:38:15,730 –> 00:38:17,120
Unfortunately with Ownfones,

862
00:38:17,120 –> 00:38:19,310
we have three telephone lines that take all

863
00:38:19,310 –> 00:38:22,680
the 750 Ownfone activations in,

864
00:38:22,680 –> 00:38:25,090
and that call can drop off.

865
00:38:25,090 –> 00:38:27,110
Now we’ve not had that happen,

866
00:38:27,110 –> 00:38:28,710
but it’s just to raise your awareness.

867
00:38:28,710 –> 00:38:31,320
It’s not like a Telecare unit where it will hunt

868
00:38:31,320 –> 00:38:33,890
for an actual answer.

869
00:38:33,890 –> 00:38:35,480
So you do have to be careful with it.

870
00:38:35,480 –> 00:38:38,460
But as I say, we’ve not had any issue with it at the moment.

871
00:38:38,460 –> 00:38:40,540
So next slide please, Elle.

872
00:38:42,750 –> 00:38:45,210
So going forward obviously works really well

873
00:38:45,210 –> 00:38:46,320
in hospital discharge.

874
00:38:46,320 –> 00:38:47,510
The teams really love it.

875
00:38:47,510 –> 00:38:50,650
We just need to make sure they fill the forms in.

876
00:38:50,650 –> 00:38:53,920
I’ve had to send out quite a terse email this week to say,

877
00:38:53,920 –> 00:38:55,630
if we have to take stocks back,

878
00:38:55,630 –> 00:38:57,910
if we get some more of these issues,

879
00:38:57,910 –> 00:39:00,020
hopefully fingers crossed.

880
00:39:00,020 –> 00:39:02,680
We haven’t had many of these issues.

881
00:39:02,680 –> 00:39:03,510
And as you say,

882
00:39:03,510 –> 00:39:07,410
we’ve issued quite a few of these phones out.

883
00:39:07,410 –> 00:39:09,960
So one of the other things we do suggest as well

884
00:39:09,960 –> 00:39:11,800
is so we can recover the Ownfone

885
00:39:11,800 –> 00:39:14,000
so they’re available for hospital discharges.

886
00:39:14,000 –> 00:39:18,160
If the hospital team think that that person needs Telecare

887
00:39:18,160 –> 00:39:21,010
to do two referrals, one for an Ownfone,

888
00:39:21,010 –> 00:39:24,580
and then one for Telecare where we can recover the Ownfone.

889
00:39:24,580 –> 00:39:26,990
So they go back into the hospital discharge team

890
00:39:26,990 –> 00:39:29,590
and that person has a longer Telecare system.

891
00:39:29,590 –> 00:39:31,440
So obviously then it’s hunting

892
00:39:31,440 –> 00:39:34,030
for the call if it’s activated,

893
00:39:34,030 –> 00:39:35,790
but people do love the Ownfone as well

894
00:39:35,790 –> 00:39:40,290
and they don’t want to give it back, bless them.

895
00:39:40,290 –> 00:39:43,240
So, yeah, the better process for recovery

896
00:39:43,240 –> 00:39:45,290
is people do lose them,

897
00:39:45,290 –> 00:39:46,730
but they do love them as well.

898
00:39:46,730 –> 00:39:50,000
So trying to get them back is quite hard.

899
00:39:50,000 –> 00:39:51,810
Originally, when we put the phone out,

900
00:39:51,810 –> 00:39:53,930
we didn’t put a telephone number on the back.

901
00:39:53,930 –> 00:39:57,230
If people wanted to return it or an address thinking

902
00:39:57,230 –> 00:39:58,740
that they would activate the phone,

903
00:39:58,740 –> 00:40:00,510
but then they’ve lost the charger.

904
00:40:00,510 –> 00:40:02,820
So we’ve now done that.

905
00:40:02,820 –> 00:40:04,880
We are starting to get more back now,

906
00:40:04,880 –> 00:40:07,540
people are referring for Telecare.

907
00:40:07,540 –> 00:40:09,310
And the additional functionality, as I said,

908
00:40:09,310 –> 00:40:10,310
talking to Chris,

909
00:40:10,310 –> 00:40:13,400
developing now an Anywhere Fone,

910
00:40:13,400 –> 00:40:16,640
so we can get a GPS tracker, three calls,

911
00:40:16,640 –> 00:40:19,350
and a falls detector in that and an alarm.

912
00:40:19,350 –> 00:40:21,600
So that’s me in a nutshell.

913
00:40:24,780 –> 00:40:25,990
Thank you, Clare.

914
00:40:25,990 –> 00:40:27,360
– Brilliant. Thanks Julie.

915
00:40:27,360 –> 00:40:29,310
And there’s a few questions coming in for you,

916
00:40:29,310 –> 00:40:30,510
but do keep the questions coming in.

917
00:40:30,510 –> 00:40:33,730
I’ll put those to Julie at the end,

918
00:40:33,730 –> 00:40:37,450
but I’m really delighted now to introduce Lina Ramsden,

919
00:40:37,450 –> 00:40:42,200
who’s going to give us a whistle stop tour on virtual wards.

920
00:40:43,990 –> 00:40:47,540
The particular reason that I’ve asked Lina to come is,

921
00:40:47,540 –> 00:40:50,770
you know, virtual wards have expanded during COVID

922
00:40:50,770 –> 00:40:53,580
and as Lina will say, there are many more coming,

923
00:40:53,580 –> 00:40:55,730
but at the moment,

924
00:40:55,730 –> 00:40:58,640
there is quite a disconnect between how the NHS is working

925
00:40:58,640 –> 00:41:01,800
on virtual wards and how social care are participating

926
00:41:01,800 –> 00:41:03,160
in supporting this work.

927
00:41:03,160 –> 00:41:05,320
And I think there’s just a huge opportunity

928
00:41:05,320 –> 00:41:06,770
for us to join (indistinct) better

929
00:41:06,770 –> 00:41:10,050
and I know Lina will set some of that out too.

930
00:41:10,050 –> 00:41:11,880
So I’ll just hand you over to Lina.

931
00:41:11,880 –> 00:41:15,600
She’s the transformation lead for NHSEI

932
00:41:15,600 –> 00:41:18,720
in the Midlands region, urgent and emergency care.

933
00:41:18,720 –> 00:41:20,030
And I think has learned

934
00:41:20,030 –> 00:41:22,610
a huge amount during COVID about virtual wards now,

935
00:41:22,610 –> 00:41:24,080
are our local experts.

936
00:41:24,080 –> 00:41:25,640
So, I’ll hand you over to Lina.

937
00:41:25,640 –> 00:41:27,070
Thanks, Lina.

938
00:41:27,070 –> 00:41:30,170
– Thank you Clare and morning to everyone.

939
00:41:30,170 –> 00:41:31,330
And thank you for inviting me

940
00:41:31,330 –> 00:41:33,830
and this is a great opportunity for me to present today.

941
00:41:33,830 –> 00:41:36,940
So I hope I’ll give justice and enough information.

942
00:41:36,940 –> 00:41:40,220
If not, then we can definitely connect after

943
00:41:40,220 –> 00:41:42,490
and make sure that we continue that relationship.

944
00:41:42,490 –> 00:41:44,070
Next slide, please.

945
00:41:46,100 –> 00:41:48,320
So, we’ll cover quickly today,

946
00:41:48,320 –> 00:41:51,280
the overview in terms of the why the virtual wards,

947
00:41:51,280 –> 00:41:52,960
the definitions and operating model,

948
00:41:52,960 –> 00:41:54,710
the ambition and funding,

949
00:41:54,710 –> 00:41:56,480
some principles and different models.

950
00:41:56,480 –> 00:41:59,050
And I’ll touch briefly on technology enabled solutions

951
00:41:59,050 –> 00:42:02,840
we have so far and some examples of good practise

952
00:42:02,840 –> 00:42:03,670
in the region.

953
00:42:03,670 –> 00:42:05,170
Next slide please.

954
00:42:06,920 –> 00:42:08,780
So, virtual ward overview,

955
00:42:08,780 –> 00:42:12,200
and I’ll start with a why as Clare has done.

956
00:42:12,200 –> 00:42:13,780
Next slide, please.

957
00:42:15,950 –> 00:42:17,780
In terms of the risks for individuals

958
00:42:17,780 –> 00:42:20,050
that are in hospital, as in patients,

959
00:42:20,050 –> 00:42:23,640
there’s 48% of people over 85 die within one year

960
00:42:23,640 –> 00:42:25,640
of hospital admission.

961
00:42:25,640 –> 00:42:27,570
The elderly don’t fear death.

962
00:42:27,570 –> 00:42:29,740
They fear loss of independence.

963
00:42:29,740 –> 00:42:31,830
And if you are admitted through the crowded ED,

964
00:42:31,830 –> 00:42:34,730
you have 43% mortality increase

965
00:42:34,730 –> 00:42:37,480
if admitted for 10 days and more.

966
00:42:38,770 –> 00:42:40,310
As Clare touched upon as well,

967
00:42:40,310 –> 00:42:41,760
in terms of the bedrest,

968
00:42:41,760 –> 00:42:44,920
10 to 20% muscle strength gets lost per week.

969
00:42:44,920 –> 00:42:47,030
If your admission is for more than three days

970
00:42:47,030 –> 00:42:49,180
and can convert independent frail person

971
00:42:49,180 –> 00:42:51,640
to an actually dependent one.

972
00:42:51,640 –> 00:42:54,020
And statistically, if you are 77,

973
00:42:54,020 –> 00:42:56,320
you have more than a thousand days left to live.

974
00:42:56,320 –> 00:42:57,530
And how many of those would you choose

975
00:42:57,530 –> 00:42:59,880
to have it in a hospital?

976
00:42:59,880 –> 00:43:02,430
And what we have adopted across the region

977
00:43:02,430 –> 00:43:04,480
and across kind of national sides

978
00:43:04,480 –> 00:43:07,950
is the mantra in terms of what matters to me.

979
00:43:07,950 –> 00:43:10,110
It’s not what is the matter with me.

980
00:43:10,110 –> 00:43:12,920
We should be asking that and being aware of every patient

981
00:43:12,920 –> 00:43:15,700
and going back to the last thousand days,

982
00:43:15,700 –> 00:43:17,170
it’s not just over 77,

983
00:43:17,170 –> 00:43:18,370
any one of us could still

984
00:43:18,370 –> 00:43:21,110
have only a thousand days left to live.

985
00:43:21,110 –> 00:43:23,440
And I think is being mindful of that powerful message

986
00:43:23,440 –> 00:43:25,560
in terms of what we put our patients through

987
00:43:25,560 –> 00:43:27,440
and why it’s important to pay attention

988
00:43:27,440 –> 00:43:31,310
to every opportunity and every detail we have in our hands.

989
00:43:31,310 –> 00:43:32,810
Next slide please.

990
00:43:34,880 –> 00:43:36,950
So this is just to visually showcase

991
00:43:36,950 –> 00:43:38,650
the kind of chain reaction

992
00:43:38,650 –> 00:43:41,270
of somebody being admitted inappropriately,

993
00:43:41,270 –> 00:43:46,270
or staying rather in a hospital bed where they shouldn’t be.

994
00:43:46,910 –> 00:43:49,440
So for somebody waiting on a trolleys,

995
00:43:49,440 –> 00:43:52,440
and I’m sure you’ve seen many of those in the media,

996
00:43:52,440 –> 00:43:54,250
for a bed and they cannot get

997
00:43:54,250 –> 00:43:55,940
that bed because there’s somebody

998
00:43:55,940 –> 00:43:57,820
there admitted inappropriately,

999
00:43:57,820 –> 00:43:59,230
no one longer needs to stay in the bed.

1000
00:43:59,230 –> 00:44:01,520
And like Clare touched on many discharge pathways,

1001
00:44:01,520 –> 00:44:04,360
we cannot get them into the right care.

1002
00:44:04,360 –> 00:44:05,730
Then as a result,

1003
00:44:05,730 –> 00:44:10,050
we have ambulances waiting outside of our acute trusts.

1004
00:44:10,050 –> 00:44:12,290
And we have quite a lot of long waits at the moment,

1005
00:44:12,290 –> 00:44:15,000
both of our providers in the region,

1006
00:44:15,000 –> 00:44:16,270
WOMASS and EMAS,

1007
00:44:16,270 –> 00:44:18,490
and also somebody who needs it in the community

1008
00:44:18,490 –> 00:44:20,260
the ambulances cannot get to them.

1009
00:44:20,260 –> 00:44:22,260
And just a reminder that actually hospitals

1010
00:44:22,260 –> 00:44:24,860
are there for emergencies

1011
00:44:24,860 –> 00:44:29,440
and for those that need our elective care and critical care

1012
00:44:29,440 –> 00:44:33,010
and making sure that we understand those chain reactions

1013
00:44:33,010 –> 00:44:37,030
and understand where our decisions lie in that chain.

1014
00:44:37,030 –> 00:44:38,610
Next slide, please.

1015
00:44:41,790 –> 00:44:43,160
If we can get through those two.

1016
00:44:43,160 –> 00:44:46,080
Yes and what are the hospitals for?

1017
00:44:47,950 –> 00:44:50,410
So virtual wards, and that’s quite a busy slide,

1018
00:44:50,410 –> 00:44:52,210
so I’ll not read all of it and I’m sure

1019
00:44:52,210 –> 00:44:53,230
the slides will be shared

1020
00:44:53,230 –> 00:44:55,700
and you’ll be a able to kind of read that at your leisure.

1021
00:44:55,700 –> 00:44:59,000
So just quickly touched on the multi-professional principles

1022
00:44:59,000 –> 00:45:00,920
of the virtual wards.

1023
00:45:00,920 –> 00:45:02,810
And as you can appreciate,

1024
00:45:02,810 –> 00:45:05,300
there has been some of the various ways

1025
00:45:05,300 –> 00:45:07,740
in how the virtual wards have been addressed during

1026
00:45:07,740 –> 00:45:11,680
the pandemic and what they kind of becoming to be.

1027
00:45:11,680 –> 00:45:13,630
So what is very clear, actually,

1028
00:45:13,630 –> 00:45:16,780
that it is not a replacement for face-to-face care.

1029
00:45:16,780 –> 00:45:17,610
And I highlighted that

1030
00:45:17,610 –> 00:45:20,340
and that’s extremely important to note.

1031
00:45:20,340 –> 00:45:22,930
Virtual wards allow patients to remain

1032
00:45:22,930 –> 00:45:25,330
or return home quickly.

1033
00:45:25,330 –> 00:45:27,480
And hopefully that that’s the best place

1034
00:45:27,480 –> 00:45:30,170
for them rather than a hospital bed.

1035
00:45:30,170 –> 00:45:31,630
So during the pandemic,

1036
00:45:31,630 –> 00:45:36,530
COVID virtual wards were stood up and a lot of the ICSs,

1037
00:45:36,530 –> 00:45:38,380
apart from one of the ICS in the region,

1038
00:45:38,380 –> 00:45:41,230
took advantage of having the COVID virtual wards.

1039
00:45:41,230 –> 00:45:42,600
And there’s a lot of learning in terms

1040
00:45:42,600 –> 00:45:44,420
of the impact of that.

1041
00:45:44,420 –> 00:45:48,260
But what we also have embraced is the digital technology

1042
00:45:48,260 –> 00:45:51,230
such as pulse oximeters and apps,

1043
00:45:51,230 –> 00:45:55,940
making sure that those patients that can be monitored

1044
00:45:55,940 –> 00:45:57,790
are able to be monitored and we equip them

1045
00:45:57,790 –> 00:46:00,120
with technology to do so.

1046
00:46:00,120 –> 00:46:03,300
So just couple of, you know, drivers for virtual wards.

1047
00:46:03,300 –> 00:46:04,870
So very classic, you know,

1048
00:46:04,870 –> 00:46:08,210
reduction of length of stay for patients,

1049
00:46:08,210 –> 00:46:10,570
relief pressure for acute hospitals.

1050
00:46:10,570 –> 00:46:12,840
As I mentioned, making sure that our ambulances get

1051
00:46:12,840 –> 00:46:14,190
to the right patients

1052
00:46:14,190 –> 00:46:17,870
rather than wait outside of (indistinct),

1053
00:46:17,870 –> 00:46:22,730
improved recovery process for patients and virtual wards

1054
00:46:22,730 –> 00:46:24,240
are very much the priority

1055
00:46:24,240 –> 00:46:27,300
in the 22 and 23 planning guidance

1056
00:46:27,300 –> 00:46:28,830
and currently very high priority

1057
00:46:28,830 –> 00:46:32,000
across different providers for health.

1058
00:46:32,880 –> 00:46:35,220
And the principles of virtual ward is once again,

1059
00:46:35,220 –> 00:46:38,240
it’s what already Clare touched upon,

1060
00:46:38,240 –> 00:46:41,910
is empowering nurses and our allied health professionals

1061
00:46:41,910 –> 00:46:45,200
and partners to lead the change in clinical decision making

1062
00:46:45,200 –> 00:46:48,870
and promote earlier discharge secondary care

1063
00:46:49,790 –> 00:46:53,790
or community led with consultant oversight

1064
00:46:53,790 –> 00:46:55,460
with an MDT approach.

1065
00:46:55,460 –> 00:46:57,280
And it is very time limited.

1066
00:46:57,280 –> 00:46:58,860
Virtual wards are not there forever.

1067
00:46:58,860 –> 00:47:00,770
And making sure that we understand

1068
00:47:00,770 –> 00:47:01,960
and employ those principles

1069
00:47:01,960 –> 00:47:05,460
and have governance in place to allow that

1070
00:47:07,020 –> 00:47:11,700
to also kind of have support for non-specialist teams,

1071
00:47:11,700 –> 00:47:14,150
looking after their spiritual frailty patients

1072
00:47:14,150 –> 00:47:17,450
and special health and care professional skill sets,

1073
00:47:17,450 –> 00:47:19,910
better utilised in a virtual ward setting.

1074
00:47:19,910 –> 00:47:21,640
And like I said, it’s just to mention the few,

1075
00:47:21,640 –> 00:47:23,910
but there’s quite many more in terms of drivers

1076
00:47:23,910 –> 00:47:25,990
and principles for virtual wards.

1077
00:47:25,990 –> 00:47:27,580
Next slide, please.

1078
00:47:29,400 –> 00:47:30,640
I’m a fan of visuals.

1079
00:47:30,640 –> 00:47:32,610
So I wanted to make sure that I shared this.

1080
00:47:32,610 –> 00:47:33,860
And I think this is probably one

1081
00:47:33,860 –> 00:47:35,970
of the really good summaries in terms of

1082
00:47:35,970 –> 00:47:37,970
where virtual ward sets,

1083
00:47:38,840 –> 00:47:42,380
but also to showcase the complexity in terms of managing

1084
00:47:42,380 –> 00:47:44,440
our patient journeys.

1085
00:47:44,440 –> 00:47:46,750
So it’s very self explanatory in terms of

1086
00:47:46,750 –> 00:47:50,220
the different levels of where we actually managing

1087
00:47:50,220 –> 00:47:54,140
the patients and what we actually can offer to our patients.

1088
00:47:54,140 –> 00:47:57,010
So it starts with level one being preventative care

1089
00:47:57,010 –> 00:48:00,380
and level two being long term condition management,

1090
00:48:00,380 –> 00:48:03,110
level three being coordinated care

1091
00:48:03,110 –> 00:48:04,320
and level four, that’s when we start

1092
00:48:04,320 –> 00:48:06,510
to get into a virtual ward care

1093
00:48:06,510 –> 00:48:09,920
and level four B is your hospital at home.

1094
00:48:09,920 –> 00:48:13,680
Now you will appreciate that quite a lot of this model

1095
00:48:13,680 –> 00:48:17,350
has to be supported by quite robust programme,

1096
00:48:18,690 –> 00:48:21,890
definitions, technology, data, workforce

1097
00:48:21,890 –> 00:48:23,260
has to support all of that.

1098
00:48:23,260 –> 00:48:25,330
And I think that’s where the complexities come in.

1099
00:48:25,330 –> 00:48:29,230
But I think for clarity and for visualising

1100
00:48:29,230 –> 00:48:31,070
where it all comes in,

1101
00:48:32,290 –> 00:48:34,550
I think this is quite a powerful and simple image,

1102
00:48:34,550 –> 00:48:36,480
which I don’t think we do very well in NHS,

1103
00:48:36,480 –> 00:48:40,020
things to be quite complex a lot of the times.

1104
00:48:40,020 –> 00:48:41,610
Next slide, please.

1105
00:48:43,230 –> 00:48:45,760
So this very much kind of showcase

1106
00:48:45,760 –> 00:48:48,690
where the virtual ward fits in.

1107
00:48:48,690 –> 00:48:51,340
Now as a programme lead for the region,

1108
00:48:51,340 –> 00:48:52,170
as you can imagine,

1109
00:48:52,170 –> 00:48:56,200
there is quite a lot of confusion in terms of terminology

1110
00:48:56,200 –> 00:48:59,550
and this slide hopefully kind of splits things

1111
00:48:59,550 –> 00:49:01,640
in quite clearer buckets.

1112
00:49:02,510 –> 00:49:06,060
So why don’t we talk about virtual health?

1113
00:49:06,060 –> 00:49:08,680
We mean probably that kind of two things.

1114
00:49:08,680 –> 00:49:11,440
We mean, what is our virtual care?

1115
00:49:11,440 –> 00:49:12,930
So that’s very much provided by

1116
00:49:12,930 –> 00:49:15,120
the enhanced healthcare at home,

1117
00:49:15,120 –> 00:49:18,470
but not as an alternative to hospital.

1118
00:49:18,470 –> 00:49:21,040
And it has couple of examples underneath in terms of

1119
00:49:21,040 –> 00:49:22,910
what it means for stable patients,

1120
00:49:22,910 –> 00:49:26,440
what it means for the escalating patients for acute care

1121
00:49:26,440 –> 00:49:28,840
and for the perioperative care.

1122
00:49:28,840 –> 00:49:31,380
So virtual ward arena is very much

1123
00:49:31,380 –> 00:49:34,190
kind of enhanced health care at home

1124
00:49:34,190 –> 00:49:36,270
as an alternative to hospital.

1125
00:49:36,270 –> 00:49:39,690
So that’s when we talk about those patients that do not need

1126
00:49:39,690 –> 00:49:41,510
to be in an acute bed anymore,

1127
00:49:41,510 –> 00:49:45,940
and how can we actually provide them with support and help

1128
00:49:45,940 –> 00:49:48,860
them to step out of that acute setting

1129
00:49:48,860 –> 00:49:52,020
into a well managed virtual ward arena

1130
00:49:52,860 –> 00:49:55,730
that is very much supported by either nursing

1131
00:49:55,730 –> 00:49:59,750
or consultants or any other professional teams.

1132
00:49:59,750 –> 00:50:00,580
And once again,

1133
00:50:00,580 –> 00:50:02,150
there’s a couple of examples and I’ll expand on them

1134
00:50:02,150 –> 00:50:03,580
a little bit further in a bit.

1135
00:50:03,580 –> 00:50:05,160
Next slide, please.

1136
00:50:08,210 –> 00:50:11,460
So, nationally, ambition for 22 and 23.

1137
00:50:12,440 –> 00:50:13,820
So you’ll be pleased to notice that

1138
00:50:13,820 –> 00:50:16,030
the huge new programme of work.

1139
00:50:16,030 –> 00:50:18,970
So we are starting kind of in a good place

1140
00:50:18,970 –> 00:50:21,660
where we have a lot of learning from COVID virtual wards

1141
00:50:21,660 –> 00:50:22,940
and oximeter at home,

1142
00:50:22,940 –> 00:50:24,630
but we’re expanding the programme

1143
00:50:24,630 –> 00:50:26,980
with an ambition that we will

1144
00:50:26,980 –> 00:50:31,910
have about 40 to 50 virtual ward beds, per 100K population.

1145
00:50:31,910 –> 00:50:33,600
There has been some modelling down

1146
00:50:33,600 –> 00:50:35,930
and we clearly need to review that

1147
00:50:35,930 –> 00:50:38,410
and to kind of break that down a bit further.

1148
00:50:38,410 –> 00:50:39,520
So it could be more than that,

1149
00:50:39,520 –> 00:50:40,920
it could be less than that,

1150
00:50:40,920 –> 00:50:43,720
and it’s not a mandated target at this stage,

1151
00:50:43,720 –> 00:50:47,460
and we need to understand what it means for each ICS.

1152
00:50:47,460 –> 00:50:51,420
And very much ambition sits with the fact that we need

1153
00:50:51,420 –> 00:50:53,680
to maximise the overall bed capacity

1154
00:50:53,680 –> 00:50:55,850
to include virtual wards.

1155
00:50:55,850 –> 00:50:58,060
And it needs to prevent virtual wards from becoming

1156
00:50:58,060 –> 00:51:01,290
a new community-based safe-netting service.

1157
00:51:01,290 –> 00:51:03,870
They should only be used for patients who would otherwise

1158
00:51:03,870 –> 00:51:07,600
be admitted to an NHS acute hospital bed

1159
00:51:07,600 –> 00:51:11,430
or to a facilitated early discharge.

1160
00:51:11,430 –> 00:51:12,860
We need to manage the length of stay

1161
00:51:12,860 –> 00:51:15,170
by establishing clear criteria to admit,

1162
00:51:15,170 –> 00:51:17,260
and to reside to services

1163
00:51:18,420 –> 00:51:21,250
and to just fully exploit remote monitoring technology,

1164
00:51:21,250 –> 00:51:25,080
as we touched upon that earlier on in the day.

1165
00:51:25,980 –> 00:51:29,610
What the expectation is that ICSs will submit their plans

1166
00:51:29,610 –> 00:51:32,800
as a system, not on a side by side basis.

1167
00:51:32,800 –> 00:51:34,310
And that is huge.

1168
00:51:34,310 –> 00:51:36,860
That means that the systems really have to pull together

1169
00:51:36,860 –> 00:51:40,150
in terms of their ambition and what they will do

1170
00:51:40,150 –> 00:51:42,750
for their population for virtual wards.

1171
00:51:42,750 –> 00:51:45,050
And this is a two year transformation programme,

1172
00:51:45,050 –> 00:51:47,030
which is very pleasing to hear for me,

1173
00:51:47,030 –> 00:51:48,560
I’m a transformation professional,

1174
00:51:48,560 –> 00:51:52,120
and I like to see the programmes that actually evolve

1175
00:51:52,120 –> 00:51:55,860
and allow time to be what they truly need to be.

1176
00:51:55,860 –> 00:51:58,110
So this is not just for 22 and 23,

1177
00:51:58,110 –> 00:52:02,070
it’s also for the following year going forward.

1178
00:52:02,070 –> 00:52:03,660
Next slide, please.

1179
00:52:05,380 –> 00:52:07,120
So you’ll be pleased to hear there’s quite

1180
00:52:07,120 –> 00:52:11,010
a lot of funding attached for financial year of 22, 23,

1181
00:52:11,010 –> 00:52:13,770
there’s 200 million available nationally,

1182
00:52:13,770 –> 00:52:18,010
and that some of money will be split into fair share basis.

1183
00:52:18,010 –> 00:52:19,400
And for the Midlands region,

1184
00:52:19,400 –> 00:52:23,480
we have an allocation of 38.8 million for 22, 23,

1185
00:52:25,970 –> 00:52:30,970
and there’s going to be 250 million available for 23, 24.

1186
00:52:30,970 –> 00:52:34,030
We expect ICSs to submit their plans by April 1st,

1187
00:52:34,030 –> 00:52:36,360
so that money will be available for April 1st.

1188
00:52:36,360 –> 00:52:39,220
And we are only asking them to submit their high level plans

1189
00:52:39,220 –> 00:52:40,230
at this stage.

1190
00:52:40,230 –> 00:52:41,600
And we, as a regional team,

1191
00:52:41,600 –> 00:52:43,300
will support them and guide them through

1192
00:52:43,300 –> 00:52:46,320
in terms of what they need to do in terms of their setup,

1193
00:52:46,320 –> 00:52:48,310
their impact, their measuring success

1194
00:52:48,310 –> 00:52:50,080
and all of these wonderful things

1195
00:52:50,080 –> 00:52:52,140
that transformation comes with.

1196
00:52:52,140 –> 00:52:54,340
The second lot of money will be released

1197
00:52:54,340 –> 00:52:56,220
at the second part of the year.

1198
00:52:56,220 –> 00:52:59,810
And that will very much rely on the outputs

1199
00:53:01,520 –> 00:53:03,500
that we will achieve in the first half of the year.

1200
00:53:03,500 –> 00:53:06,440
So systems will be expected to

1201
00:53:06,440 –> 00:53:09,500
have tangible results already by September, October time

1202
00:53:09,500 –> 00:53:13,460
to receive second part of their allocated funding.

1203
00:53:13,460 –> 00:53:15,050
Next slide, please.

1204
00:53:16,800 –> 00:53:20,550
I will not go through the, in terms of the principles

1205
00:53:20,550 –> 00:53:21,770
of the virtual ward,

1206
00:53:21,770 –> 00:53:23,840
but there’s quite a lot of detail attached

1207
00:53:23,840 –> 00:53:25,220
and the expectation attached.

1208
00:53:25,220 –> 00:53:28,170
And I was really actually pleased to see that detail,

1209
00:53:28,170 –> 00:53:29,640
because I know how daunting it is

1210
00:53:29,640 –> 00:53:32,300
to start something new for systems.

1211
00:53:32,300 –> 00:53:34,930
And those guides actually really exist to help them

1212
00:53:34,930 –> 00:53:36,120
and support them through.

1213
00:53:36,120 –> 00:53:37,820
So the national team have done really well

1214
00:53:37,820 –> 00:53:40,030
to support this programme of work.

1215
00:53:40,030 –> 00:53:41,940
So as you would appreciate, you know,

1216
00:53:41,940 –> 00:53:44,750
big emphasis on clinical governance and criteria to admit

1217
00:53:44,750 –> 00:53:47,690
and reside has already
touched upon in terms

1218
00:53:47,690 –> 00:53:51,850
of the escalation procedures and (indistinct) self support.

1219
00:53:51,850 –> 00:53:54,960
So we will really need to involve our patients and support

1220
00:53:54,960 –> 00:53:57,080
our patients for them to have confidence

1221
00:53:57,080 –> 00:53:58,620
in this new way of working.

1222
00:53:58,620 –> 00:54:00,790
And it will be daunting and we’ll need to make sure

1223
00:54:00,790 –> 00:54:03,130
that we listen to all of those anxieties

1224
00:54:03,130 –> 00:54:04,520
that our patient’s voicing.

1225
00:54:04,520 –> 00:54:07,690
And we need to really understand our population

1226
00:54:07,690 –> 00:54:10,630
and, you know, technology doesn’t solve all of the problems.

1227
00:54:10,630 –> 00:54:13,130
I sometimes, even personally, as a patient,

1228
00:54:13,130 –> 00:54:14,230
like to have that face-to-face

1229
00:54:14,230 –> 00:54:15,460
and somebody actually showing me.

1230
00:54:15,460 –> 00:54:20,070
So we mustn’t get consumed by the opportunities

1231
00:54:20,070 –> 00:54:23,300
of technology and really be mindful of what capabilities

1232
00:54:23,300 –> 00:54:25,750
we have upon our patient groups.

1233
00:54:25,750 –> 00:54:27,510
As I mentioned already,

1234
00:54:27,510 –> 00:54:30,890
these are the timely limited interventions,

1235
00:54:30,890 –> 00:54:33,720
and we need to understand

1236
00:54:33,720 –> 00:54:37,220
how we can actually integrate different services

1237
00:54:37,220 –> 00:54:40,490
and how we’re going to be able to expand our services.

1238
00:54:40,490 –> 00:54:42,230
And yes, the digital inclusion,

1239
00:54:42,230 –> 00:54:43,460
as I mentioned, just now,

1240
00:54:43,460 –> 00:54:45,170
is going to be really important.

1241
00:54:45,170 –> 00:54:48,120
Just quickly going back to the clinical governance.

1242
00:54:48,120 –> 00:54:50,770
We’ve been doing a lot of work with our region already,

1243
00:54:50,770 –> 00:54:54,910
and there is a lot of anxiety amongst our clinicians as well

1244
00:54:54,910 –> 00:54:57,550
in how they’re going to manage the virtual wards.

1245
00:54:57,550 –> 00:54:59,090
So we have to work through that.

1246
00:54:59,090 –> 00:55:02,530
Luckily, we have some fantastic clinical champions

1247
00:55:02,530 –> 00:55:03,610
for this already,

1248
00:55:03,610 –> 00:55:06,720
so we’re not starting completely from scratch.

1249
00:55:06,720 –> 00:55:08,500
And, you know, if you have a chance to listen

1250
00:55:08,500 –> 00:55:11,460
to any of those clinical champions speak,

1251
00:55:11,460 –> 00:55:12,520
it’s quite empowering.

1252
00:55:12,520 –> 00:55:14,590
And I think we really need to make sure that we support

1253
00:55:14,590 –> 00:55:17,350
our clinicians as well as nurses and anybody else involved

1254
00:55:17,350 –> 00:55:21,320
in making sure that we don’t just actually say,

1255
00:55:21,320 –> 00:55:22,400
you have to do this.

1256
00:55:22,400 –> 00:55:24,660
We need to make sure that we go through a period

1257
00:55:24,660 –> 00:55:27,900
of understanding where we can get to,

1258
00:55:27,900 –> 00:55:30,370
where our limitations are and what challenges we have.

1259
00:55:30,370 –> 00:55:31,950
Next slide, please.

1260
00:55:34,480 –> 00:55:39,260
So there is different kind of models that we propose

1261
00:55:39,260 –> 00:55:41,360
that could be implemented.

1262
00:55:41,360 –> 00:55:42,900
So mostly, remote.

1263
00:55:42,900 –> 00:55:45,440
So this is based on technology enabled remote monitoring,

1264
00:55:45,440 –> 00:55:49,660
and self-management with minimal face-to-face provision,

1265
00:55:49,660 –> 00:55:53,640
or we have a blended model where technology is enabled,

1266
00:55:53,640 –> 00:55:56,670
but face-to-face provision such as hospital at home,

1267
00:55:56,670 –> 00:55:59,010
and I kind of refer you back to that model

1268
00:55:59,010 –> 00:56:02,840
that I shared that one slide visual.

1269
00:56:02,840 –> 00:56:04,920
So, there’s different ways how we can do that.

1270
00:56:04,920 –> 00:56:05,840
But as I mentioned,

1271
00:56:05,840 –> 00:56:09,850
all of that has to be backed up in terms of the,

1272
00:56:09,850 –> 00:56:11,200
how its manage?

1273
00:56:11,200 –> 00:56:12,880
Who the patient cohorts are?

1274
00:56:12,880 –> 00:56:14,820
So we’re very clear with the patients,

1275
00:56:14,820 –> 00:56:17,760
as well as our colleagues who are managing that,

1276
00:56:17,760 –> 00:56:18,940
that we’re not getting confused

1277
00:56:18,940 –> 00:56:20,690
and we’re not actually creating something

1278
00:56:20,690 –> 00:56:24,610
that isn’t clear and actually does more harm than good.

1279
00:56:24,610 –> 00:56:26,190
Next slide, please.

1280
00:56:27,590 –> 00:56:30,720
So, I think Clare touched upon kind of managing risk

1281
00:56:30,720 –> 00:56:32,090
and, you know, we want to make sure

1282
00:56:32,090 –> 00:56:34,880
that there’s some decision making tools

1283
00:56:34,880 –> 00:56:35,960
that will help our teams.

1284
00:56:35,960 –> 00:56:39,740
And this is just touching on one of them called BRAN tool.

1285
00:56:39,740 –> 00:56:41,100
So it’s all about, you know,

1286
00:56:41,100 –> 00:56:44,610
managing the risk across the entire patient pathway

1287
00:56:44,610 –> 00:56:46,660
and asking those questions at any point

1288
00:56:46,660 –> 00:56:47,810
of the patient journey,

1289
00:56:47,810 –> 00:56:49,660
in terms of, what are the benefits?

1290
00:56:49,660 –> 00:56:50,590
What are the risks?

1291
00:56:50,590 –> 00:56:51,700
What are the alternatives?

1292
00:56:51,700 –> 00:56:53,630
And what if I do nothing?

1293
00:56:53,630 –> 00:56:56,710
And particularly on the alternatives part,

1294
00:56:56,710 –> 00:56:59,250
we need to make sure we equip our teams

1295
00:56:59,250 –> 00:57:02,150
with the knowledge of what’s available.

1296
00:57:02,150 –> 00:57:03,690
You know, we can’t expect everybody

1297
00:57:03,690 –> 00:57:05,260
who’s managing patients day to day

1298
00:57:05,260 –> 00:57:06,100
will also be aware

1299
00:57:06,100 –> 00:57:09,760
what the national and regional teams are working on.

1300
00:57:09,760 –> 00:57:12,410
And I think we just need to make sure that we back any of

1301
00:57:12,410 –> 00:57:15,500
the transformation programme with clear communication across

1302
00:57:15,500 –> 00:57:17,860
all staff groups and make sure that

1303
00:57:17,860 –> 00:57:21,630
we actually practically show how it works.

1304
00:57:21,630 –> 00:57:23,220
Next slide, please.

1305
00:57:25,290 –> 00:57:27,080
And this is to add a bit of humour,

1306
00:57:27,080 –> 00:57:29,690
which if you haven’t seen this little cartoon,

1307
00:57:29,690 –> 00:57:32,110
I really enjoy showing that.

1308
00:57:32,110 –> 00:57:34,040
And I think this is about,

1309
00:57:34,040 –> 00:57:37,390
there is no such thing as no risk or safe,

1310
00:57:37,390 –> 00:57:40,400
it’s just safer or lower risk.

1311
00:57:40,400 –> 00:57:43,610
And that’s something that we need to really be mindful

1312
00:57:43,610 –> 00:57:45,910
when we are implementing virtual wards because

1313
00:57:45,910 –> 00:57:47,440
it will daunting.

1314
00:57:47,440 –> 00:57:50,910
But I think we shouldn’t just stop at, you know,

1315
00:57:50,910 –> 00:57:52,940
a very classic back to baseline,

1316
00:57:52,940 –> 00:57:54,290
medically fit for discharge,

1317
00:57:54,290 –> 00:57:55,770
no safe to go home,

1318
00:57:55,770 –> 00:57:57,190
and we just really need to move forward

1319
00:57:57,190 –> 00:57:58,550
in terms of our thinking.

1320
00:57:58,550 –> 00:58:00,140
Next slide, please.

1321
00:58:02,110 –> 00:58:05,010
So very quickly touching on technology enabled solutions,

1322
00:58:05,010 –> 00:58:08,010
going through next slide and probably

1323
00:58:08,010 –> 00:58:10,350
the next slide after please.

1324
00:58:12,640 –> 00:58:14,790
There are a number

1325
00:58:14,790 –> 00:58:17,510
of technology solutions already implemented across

1326
00:58:17,510 –> 00:58:21,830
the region and some systems use some of them,

1327
00:58:21,830 –> 00:58:23,850
some systems use couple of them.

1328
00:58:23,850 –> 00:58:27,780
And I know when Clare will share the slides after,

1329
00:58:27,780 –> 00:58:30,950
I have more examples in the appendices

1330
00:58:32,290 –> 00:58:35,000
in terms of which system uses which solution.

1331
00:58:35,000 –> 00:58:37,670
Now, all of them play very different part

1332
00:58:37,670 –> 00:58:38,520
in what they address,

1333
00:58:38,520 –> 00:58:42,330
but good news is that across the region,

1334
00:58:42,330 –> 00:58:45,820
we have the platform that enables any technological solution

1335
00:58:45,820 –> 00:58:47,980
to be plugged in and used.

1336
00:58:49,070 –> 00:58:50,450
So I think this is just to kind of showcase

1337
00:58:50,450 –> 00:58:53,560
the plethora of things available.

1338
00:58:53,560 –> 00:58:57,140
Next couple of slides will be very much about

1339
00:58:57,140 –> 00:58:59,260
the examples of good practise.

1340
00:58:59,260 –> 00:59:01,490
So I’m sharing an example from

1341
00:59:01,490 –> 00:59:04,450
the Warwickshire North Care Homes,

1342
00:59:04,450 –> 00:59:07,810
where they used Docobo as a telehealth system

1343
00:59:07,810 –> 00:59:11,360
to manage their COVID virtual wards.

1344
00:59:11,360 –> 00:59:12,960
And, you know,

1345
00:59:12,960 –> 00:59:14,840
I’m not going to read through the whole slide,

1346
00:59:14,840 –> 00:59:19,590
but they’ve seen quite a lot of integrated way of working

1347
00:59:22,030 –> 00:59:23,400
and collaborative working within

1348
00:59:23,400 –> 00:59:26,040
the commissioner’s community and hospital providers

1349
00:59:26,040 –> 00:59:28,970
and PCN clinical leads and county council,

1350
00:59:28,970 –> 00:59:30,560
and of course care homes.

1351
00:59:30,560 –> 00:59:32,580
So if you require any more detail on that,

1352
00:59:32,580 –> 00:59:34,770
I’m more than happy to find out and share about that,

1353
00:59:34,770 –> 00:59:37,540
but just wanted to touch base upon that.

1354
00:59:37,540 –> 00:59:40,090
And the next slide very much focuses about the example

1355
00:59:40,090 –> 00:59:42,360
at Royal Wolverhampton Trust,

1356
00:59:42,360 –> 00:59:44,830
where they actually really embraced

1357
00:59:44,830 –> 00:59:47,560
the non-COVID virtual ward implementation.

1358
00:59:47,560 –> 00:59:52,270
And very much kind of using the internal digital solutions

1359
00:59:52,270 –> 00:59:54,150
to try and manage their patients.

1360
00:59:54,150 –> 00:59:56,640
And I think with a new transformation programme,

1361
00:59:56,640 –> 00:59:59,240
that gives them a good platform to then look

1362
00:59:59,240 –> 01:00:02,560
for any digital solutions kind of long term.

1363
01:00:02,560 –> 01:00:05,640
And if we go through a couple of next slide,

1364
01:00:05,640 –> 01:00:08,640
I also included Dudley Group,

1365
01:00:08,640 –> 01:00:11,490
who actually have been really learning

1366
01:00:11,490 –> 01:00:13,640
from their COVID virtual ward and converted

1367
01:00:13,640 –> 01:00:14,590
that ward into

1368
01:00:14,590 –> 01:00:18,010
their now acute respiratory infection virtual ward.

1369
01:00:18,010 –> 01:00:20,860
And they actually led this
really fantastic piece

1370
01:00:20,860 –> 01:00:24,460
of work internally, where they literally said,

1371
01:00:24,460 –> 01:00:26,560
we need to understand where our patients are.

1372
01:00:26,560 –> 01:00:29,050
We need to understand as clinicians and nurses,

1373
01:00:29,050 –> 01:00:30,090
how we are managing?

1374
01:00:30,090 –> 01:00:31,680
What the length of stay are?

1375
01:00:31,680 –> 01:00:34,840
And it’s just really going down to basics internally before

1376
01:00:34,840 –> 01:00:38,200
they kind of take any of the technology solutions.

1377
01:00:38,200 –> 01:00:40,590
And this has been really great to watch because

1378
01:00:40,590 –> 01:00:43,110
it has been really led
by clinician and nurses

1379
01:00:43,110 –> 01:00:44,780
and it works for them.

1380
01:00:44,780 –> 01:00:46,700
And that’s the key thing
with virtual wards.

1381
01:00:46,700 –> 01:00:49,080
We will have to really tailor make

1382
01:00:49,080 –> 01:00:51,360
what works for every single system.

1383
01:00:51,360 –> 01:00:53,010
One size will not fit all,

1384
01:00:53,010 –> 01:00:55,180
and that’s being really mindful of that.

1385
01:00:55,180 –> 01:00:58,160
So, hopefully we’ll see more examples of that,

1386
01:00:58,160 –> 01:01:00,000
where systems actually embrace the change

1387
01:01:00,000 –> 01:01:01,690
and kind of make it their own.

1388
01:01:01,690 –> 01:01:03,280
Next slide, please.

1389
01:01:04,360 –> 01:01:06,510
There’s a lot of resource nationally.

1390
01:01:06,510 –> 01:01:09,860
So this is a slide just to summarise and give you some links

1391
01:01:09,860 –> 01:01:12,280
in terms of what currently exists.

1392
01:01:12,280 –> 01:01:16,360
And there’s also contacts for the regional team,

1393
01:01:16,360 –> 01:01:18,440
as well as the national team.

1394
01:01:18,440 –> 01:01:19,590
As Clare mentioned,

1395
01:01:19,590 –> 01:01:23,240
I’m the regional team lead for virtual wards

1396
01:01:23,240 –> 01:01:24,820
and very much kind of look looking forward

1397
01:01:24,820 –> 01:01:29,360
to working with anyone and everybody across health

1398
01:01:29,360 –> 01:01:33,140
and social care and anybody else who’s actually involved.

1399
01:01:33,140 –> 01:01:34,540
This is a fantastic opportunity

1400
01:01:34,540 –> 01:01:36,530
to be at the start of the journey.

1401
01:01:36,530 –> 01:01:39,120
This is a two year
transformation programme,

1402
01:01:39,120 –> 01:01:43,720
and there is quite a lot of change that will be revolution,

1403
01:01:43,720 –> 01:01:46,060
both for patients as well as acute trust,

1404
01:01:46,060 –> 01:01:47,600
as well as anybody involved.

1405
01:01:47,600 –> 01:01:50,630
And I’m personally very excited to be leading on this

1406
01:01:50,630 –> 01:01:54,200
and hopefully I can get as many colleagues on board.

1407
01:01:54,200 –> 01:01:55,030
And in the meantime,

1408
01:01:55,030 –> 01:01:58,430
if you need any information or have any questions,

1409
01:01:58,430 –> 01:02:00,750
I have my contact details on this slide.

1410
01:02:00,750 –> 01:02:02,250
Thank you, Clare.

1411
01:02:04,540 –> 01:02:05,600
– Brilliant. Thanks Lina.

1412
01:02:05,600 –> 01:02:07,140
That was brilliant.

1413
01:02:07,140 –> 01:02:08,780
You covered so much ground.

1414
01:02:08,780 –> 01:02:11,890
So I really appreciate that.

1415
01:02:11,890 –> 01:02:13,350
Could you take the slide (indistinct) El,

1416
01:02:13,350 –> 01:02:16,270
and we’ll just move to the Q and A,

1417
01:02:17,470 –> 01:02:19,460
and do feel free if,

1418
01:02:19,460 –> 01:02:21,890
we want more questions in the chat,

1419
01:02:21,890 –> 01:02:23,370
but I’m going to pick up some of the threads

1420
01:02:23,370 –> 01:02:25,620
that we’ve covered already.

1421
01:02:28,610 –> 01:02:31,690
Julie, if you could rejoin us, sorry.

1422
01:02:32,760 –> 01:02:34,180
My screen’s gone,

1423
01:02:35,020 –> 01:02:35,850
slightly gone

1424
01:02:35,850 –> 01:02:37,240
and Lina as well.

1425
01:02:37,240 –> 01:02:40,010
Right, I’m going to just put a couple of questions

1426
01:02:40,010 –> 01:02:40,890
to Lina first,

1427
01:02:40,890 –> 01:02:42,280
but there’s some stuff Julie,

1428
01:02:42,280 –> 01:02:46,530
that we need to kind of go back to for you as well.

1429
01:02:48,490 –> 01:02:49,490
It struck me, Lina,

1430
01:02:49,490 –> 01:02:53,500
and I think there’s been some question in the chat,

1431
01:02:53,500 –> 01:02:57,440
as you were talking that there’s an opportunity.

1432
01:02:57,440 –> 01:02:59,980
I mean, even some of your slides and presentation I guess,

1433
01:02:59,980 –> 01:03:02,230
but how do we start to show

1434
01:03:03,100 –> 01:03:06,580
the social care contribution and fit

1435
01:03:06,580 –> 01:03:09,160
to what you’ve been describing?

1436
01:03:10,410 –> 01:03:11,250
Yeah.

1437
01:03:12,630 –> 01:03:14,020
What do you think about that?

1438
01:03:14,020 –> 01:03:16,050
– Yeah, and I think as a regional team,

1439
01:03:16,050 –> 01:03:18,980
we’re very much cognisant of the fact

1440
01:03:18,980 –> 01:03:22,390
that those connections
haven’t been necessarily made

1441
01:03:22,390 –> 01:03:25,000
in the past or showcased in the past.

1442
01:03:25,000 –> 01:03:29,610
So I know that part of these new transformation initiatives,

1443
01:03:29,610 –> 01:03:33,740
what we are saying to each of our ICSs is understanding

1444
01:03:33,740 –> 01:03:36,950
how the governance will be set up for virtual wards?

1445
01:03:36,950 –> 01:03:40,500
And who actually needs to be on those boards

1446
01:03:40,500 –> 01:03:42,530
or steering groups or whatever they want to call?

1447
01:03:42,530 –> 01:03:43,370
So for example,

1448
01:03:43,370 –> 01:03:47,210
we already have couple of ICSs that set up their boards

1449
01:03:47,210 –> 01:03:48,440
for virtual wards.

1450
01:03:48,440 –> 01:03:50,460
And I know that they’re starting to look

1451
01:03:50,460 –> 01:03:53,710
at their colleagues who attend,

1452
01:03:53,710 –> 01:03:57,940
and I think those invites need to be extended into the arena

1453
01:03:57,940 –> 01:04:00,840
of the social care and care homes,

1454
01:04:00,840 –> 01:04:03,800
and whoever are the most appropriate people.

1455
01:04:03,800 –> 01:04:06,010
And what I’m also saying here, Clare,

1456
01:04:06,010 –> 01:04:09,150
I think if you feel that you need to be part of it

1457
01:04:09,150 –> 01:04:10,630
or get involved, you know,

1458
01:04:10,630 –> 01:04:12,500
more than happy to do those connections.

1459
01:04:12,500 –> 01:04:15,310
And I think this is the time probably where we need

1460
01:04:15,310 –> 01:04:18,410
to kind of get together, not by invite,

1461
01:04:18,410 –> 01:04:20,830
but also raising the hand in saying,

1462
01:04:20,830 –> 01:04:21,830
“I want to play the part

1463
01:04:21,830 –> 01:04:25,190
and I want to understand more connectivity and can I be part

1464
01:04:25,190 –> 01:04:27,100
of the board or steering group?”

1465
01:04:27,100 –> 01:04:28,460
And this is the right time.

1466
01:04:28,460 –> 01:04:29,670
And I know Nottingham ran

1467
01:04:29,670 –> 01:04:33,170
their first ICS virtual ward group two weeks ago.

1468
01:04:33,170 –> 01:04:34,240
I think there’s one coming up on Monday

1469
01:04:34,240 –> 01:04:36,380
and we will be encouraging as a region

1470
01:04:36,380 –> 01:04:39,320
to get more of them set up and running.

1471
01:04:39,320 –> 01:04:41,460
So I think these are the forums where

1472
01:04:41,460 –> 01:04:43,570
we should be either having colleagues sit on

1473
01:04:43,570 –> 01:04:47,480
or invite themselves on really at the stage.

1474
01:04:47,480 –> 01:04:49,120
– So, I mean, when you are kind of,

1475
01:04:49,120 –> 01:04:51,670
if we’re in the home and putting ourselves in the position

1476
01:04:51,670 –> 01:04:54,690
of the patient or resident or service user,

1477
01:04:54,690 –> 01:04:56,850
it’s quite possible that they might

1478
01:04:56,850 –> 01:04:59,940
be receiving home care alongside

1479
01:04:59,940 –> 01:05:01,540
while still being in virtual ward.

1480
01:05:01,540 –> 01:05:03,890
So, there’s just, I mean,

1481
01:05:03,890 –> 01:05:05,610
there’s just a practical kind of joining up

1482
01:05:05,610 –> 01:05:07,150
in sense making isn’t there

1483
01:05:07,150 –> 01:05:10,630
for commissioners and then the care providers to just know

1484
01:05:10,630 –> 01:05:11,640
that this is happening.

1485
01:05:11,640 –> 01:05:13,610
You know, but then also frankly,

1486
01:05:13,610 –> 01:05:16,950
how could we use the home care providers

1487
01:05:17,830 –> 01:05:20,410
to perhaps support some of the,

1488
01:05:20,410 –> 01:05:22,030
you know, stats monitoring or, you know,

1489
01:05:22,030 –> 01:05:24,320
there’s just such an opportunity, isn’t there?

1490
01:05:24,320 –> 01:05:26,250
To sort of think differently about

1491
01:05:26,250 –> 01:05:27,560
what’s happening in people’s homes.

1492
01:05:27,560 –> 01:05:29,810
– Yeah. And I think what
I encourage, you know,

1493
01:05:29,810 –> 01:05:32,750
I’m the service improvement manager through and through,

1494
01:05:32,750 –> 01:05:33,580
and it’s just going,

1495
01:05:33,580 –> 01:05:36,320
taking back to basics and kind of doing a bit of mapping

1496
01:05:36,320 –> 01:05:37,680
in terms of what we have across

1497
01:05:37,680 –> 01:05:40,680
the entire patient population.

1498
01:05:40,680 –> 01:05:43,000
And I know it’s not an easy task a lot of the times,

1499
01:05:43,000 –> 01:05:45,020
but I was talking to our digital leader and I just said,

1500
01:05:45,020 –> 01:05:47,960
“Ian, do we actually have a matrix

1501
01:05:47,960 –> 01:05:50,620
where we understand per each ICS,

1502
01:05:50,620 –> 01:05:54,370
what we have digitally enabled and what technology we use

1503
01:05:54,370 –> 01:05:56,540
and what actually we touch in

1504
01:05:56,540 –> 01:05:58,540
which bit of the patient pathway?”

1505
01:05:58,540 –> 01:06:01,220
And I think that might be one of the really painful,

1506
01:06:01,220 –> 01:06:03,370
but really useful exercises to do.

1507
01:06:03,370 –> 01:06:06,470
And that should be one of our first exercises we do

1508
01:06:06,470 –> 01:06:08,620
at the start of each transformation programme.

1509
01:06:08,620 –> 01:06:12,440
So, yes, if it goes back, if you haven’t been involved,

1510
01:06:12,440 –> 01:06:14,080
it’s the right time to get involved.

1511
01:06:14,080 –> 01:06:14,910
– Yeah.

1512
01:06:14,910 –> 01:06:15,740
– But you’re right.

1513
01:06:15,740 –> 01:06:17,390
There’s going to be a lot of confusion,

1514
01:06:17,390 –> 01:06:19,850
a lot potential duplication, if we’re not careful.

1515
01:06:19,850 –> 01:06:20,690
– Yeah.

1516
01:06:20,690 –> 01:06:21,980
– And if we don’t do that exercise,

1517
01:06:21,980 –> 01:06:25,080
we will be forever spinning in our own circle.

1518
01:06:25,080 –> 01:06:27,260
– Yeah. And just practically
thinking about, you know,

1519
01:06:27,260 –> 01:06:31,270
monitoring and responder services that social care might

1520
01:06:31,270 –> 01:06:34,200
be commissioning or sit behind, you know,

1521
01:06:34,200 –> 01:06:35,530
be that Telecare or some of

1522
01:06:35,530 –> 01:06:37,570
the more modern digital technologies.

1523
01:06:37,570 –> 01:06:40,200
Again, it’s like there’s a workforce

1524
01:06:40,200 –> 01:06:42,810
and a monitoring thing there

1525
01:06:42,810 –> 01:06:44,610
that we need to make sense of the person.

1526
01:06:44,610 –> 01:06:46,280
But it’s a huge opportunity

1527
01:06:46,280 –> 01:06:48,650
to kind of think about that differently as well.

1528
01:06:48,650 –> 01:06:49,520
– And I think you’ll appreciate,

1529
01:06:49,520 –> 01:06:50,990
there’s a lot of pots of money.

1530
01:06:50,990 –> 01:06:51,820
– Yeah.

1531
01:06:52,730 –> 01:06:53,900
– Dedicated for technology.

1532
01:06:53,900 –> 01:06:56,070
So in that pot of money that I mentioned,

1533
01:06:56,070 –> 01:06:59,150
which is 38.8 million for Midlands region,

1534
01:06:59,150 –> 01:07:00,970
but 200 million nationally,

1535
01:07:00,970 –> 01:07:04,870
82% is an expectation will be spent on workforce,

1536
01:07:04,870 –> 01:07:07,660
but about 8% is expected to be spent

1537
01:07:07,660 –> 01:07:10,760
on some sort of technology or licencing.

1538
01:07:10,760 –> 01:07:11,660
So you’re right.

1539
01:07:11,660 –> 01:07:13,390
Once again, we need to
make those connections

1540
01:07:13,390 –> 01:07:16,300
and decided before we spend another X amount

1541
01:07:16,300 –> 01:07:18,650
of million pounds on something different

1542
01:07:18,650 –> 01:07:20,780
to what we potentially already have,

1543
01:07:20,780 –> 01:07:22,430
or has some sort of connectivity.

1544
01:07:22,430 –> 01:07:24,250
So yeah. Huge task.

1545
01:07:24,250 –> 01:07:27,040
But we have an opportunity to do that now.

1546
01:07:27,040 –> 01:07:29,620
And I think that’s the right time to do that.

1547
01:07:29,620 –> 01:07:31,210
– And I just think it’s just kind of underlying,

1548
01:07:31,210 –> 01:07:33,360
what’s so useful to have you here today Lina

1549
01:07:33,360 –> 01:07:35,930
and I can see there’s already a desire to have

1550
01:07:35,930 –> 01:07:38,790
a Midlands much more joined up conversation because

1551
01:07:38,790 –> 01:07:41,650
for me, this falls into people don’t know

1552
01:07:41,650 –> 01:07:42,920
what they don’t know.

1553
01:07:42,920 –> 01:07:44,770
And it would, you know,

1554
01:07:44,770 –> 01:07:47,540
and I think Sam commented about the language,

1555
01:07:47,540 –> 01:07:49,510
a virtual ward,

1556
01:07:49,510 –> 01:07:51,350
unless you know what it is and what it means,

1557
01:07:51,350 –> 01:07:54,500
as a social care commissioner or (indistinct) to think,

1558
01:07:54,500 –> 01:07:56,210
well, that’s nothing to do with me. That’s the NHS.

1559
01:07:56,210 –> 01:07:59,160
But when you look inside the box and see what it is,

1560
01:07:59,160 –> 01:07:59,990
you kind of think,

1561
01:07:59,990 –> 01:08:02,490
well, this is delivering health and care in people’s homes.

1562
01:08:02,490 –> 01:08:04,790
That’s completely my world and my business.

1563
01:08:04,790 –> 01:08:08,000
But I think the more we can kind of raise awareness.

1564
01:08:08,000 –> 01:08:11,240
And then for me I’m always a fan of, you know,

1565
01:08:11,240 –> 01:08:12,500
so yes, get the governance right,

1566
01:08:12,500 –> 01:08:14,910
but actually let’s unpick this at a local level because

1567
01:08:14,910 –> 01:08:16,689
it’ll be different everywhere.

1568
01:08:16,689 –> 01:08:17,529
Won’t it?

1569
01:08:17,529 –> 01:08:19,500
– And I think I’m very aware

1570
01:08:19,500 –> 01:08:22,590
that I shared quite a lot of complex slides

1571
01:08:22,590 –> 01:08:25,960
and there’s a call for a bit
of a national comms campaign

1572
01:08:25,960 –> 01:08:30,569
to simplify the message for patients for as well as

1573
01:08:30,569 –> 01:08:34,450
any healthcare professional or anybody involved in,

1574
01:08:34,450 –> 01:08:36,870
you know, touching the patient at any point.

1575
01:08:36,870 –> 01:08:38,600
And I think that’s really

1576
01:08:38,600 –> 01:08:40,560
what’s going to be kind of the difficult bit.

1577
01:08:40,560 –> 01:08:42,520
And I know, Clare, when you share

1578
01:08:42,520 –> 01:08:44,680
kind of more detail slides, you know,

1579
01:08:44,680 –> 01:08:46,450
there is one slide of definitions,

1580
01:08:46,450 –> 01:08:48,000
but even if you look at those definitions,

1581
01:08:48,000 –> 01:08:50,609
all right , okay, I need to read it three times

1582
01:08:50,609 –> 01:08:54,140
to probably make it clear in my head,

1583
01:08:54,140 –> 01:08:55,620
but it’s just a reminder

1584
01:08:55,620 –> 01:08:58,160
that’s it’s a two year transformation programme.

1585
01:08:58,160 –> 01:09:00,569
Yes, we have a lot of complexity at the minute.

1586
01:09:00,569 –> 01:09:02,710
Yes, we’re picking a lot of different things,

1587
01:09:02,710 –> 01:09:05,960
but it will get clearer the more we talk about it,

1588
01:09:05,960 –> 01:09:09,080
it will become hopefully more simplified.

1589
01:09:09,080 –> 01:09:09,910
And hopefully we will,

1590
01:09:09,910 –> 01:09:12,130
the more we start to talk about it and the more,

1591
01:09:12,130 –> 01:09:14,819
we start to onboard and offboard the patients,

1592
01:09:14,819 –> 01:09:17,450
we’ll do a bit more learning each time.

1593
01:09:17,450 –> 01:09:18,960
And I think this is why it’s so important

1594
01:09:18,960 –> 01:09:20,340
for everybody to be involved,

1595
01:09:20,340 –> 01:09:22,770
so everybody gets the say in

1596
01:09:22,770 –> 01:09:25,370
what their view of the virtual ward is.

1597
01:09:25,370 –> 01:09:28,319
So more than happy to have a volunteer

1598
01:09:28,319 –> 01:09:30,260
on our regional steering group,

1599
01:09:30,260 –> 01:09:33,050
if anybody’s interested.

1600
01:09:33,050 –> 01:09:34,979
– Okay. I think we’ll put that offer out.

1601
01:09:34,979 –> 01:09:36,210
Thanks, Lina.

1602
01:09:36,210 –> 01:09:37,520
And just to say (indistinct),

1603
01:09:37,520 –> 01:09:39,350
we will be sharing the sight in this,

1604
01:09:39,350 –> 01:09:40,979
but Lina had a fuller deck as well.

1605
01:09:40,979 –> 01:09:42,790
So we will share the extended version as part,

1606
01:09:42,790 –> 01:09:44,649
cause there’s much more,

1607
01:09:44,649 –> 01:09:49,649
there’s so much more to say on this topic, isn’t there?

1608
01:09:49,760 –> 01:09:53,050
And the, you know, I’m sure frankly,

1609
01:09:53,050 –> 01:09:54,890
having worked in the NHS as well,

1610
01:09:54,890 –> 01:09:57,970
that virtual wards kind of, you know,

1611
01:09:58,820 –> 01:10:01,410
the join up with community health teams

1612
01:10:01,410 –> 01:10:03,770
and potentially with mental health teams as well

1613
01:10:03,770 –> 01:10:06,130
is another kind of join up challenge.

1614
01:10:06,130 –> 01:10:08,080
And I can sense that is possible that

1615
01:10:08,080 –> 01:10:10,860
that might come first before there’s even

1616
01:10:10,860 –> 01:10:12,560
a thought about social care.

1617
01:10:12,560 –> 01:10:16,380
And I just really encourage us all for social care,

1618
01:10:16,380 –> 01:10:18,260
to just kind of, as Lina says,

1619
01:10:18,260 –> 01:10:19,630
put your hands up and say,

1620
01:10:19,630 –> 01:10:22,300
we want to be part of this.

1621
01:10:22,300 –> 01:10:24,690
– Clare, just to quickly mention the mental health,

1622
01:10:24,690 –> 01:10:27,640
and I’m glad you brought that up.

1623
01:10:27,640 –> 01:10:30,890
The remote monitoring digital solutions

1624
01:10:32,030 –> 01:10:34,490
and all of these solutions are kind of put up on,

1625
01:10:34,490 –> 01:10:38,740
or kind of technology solutions that are available.

1626
01:10:39,960 –> 01:10:41,480
Under remote monitoring,

1627
01:10:41,480 –> 01:10:43,340
we have four component parts that we have.

1628
01:10:43,340 –> 01:10:46,150
So how we manage long time conditions,

1629
01:10:46,150 –> 01:10:48,630
how we support care homes, virtual wards,

1630
01:10:48,630 –> 01:10:50,370
as well as mental health.

1631
01:10:50,370 –> 01:10:53,540
So some of those will have opportunity

1632
01:10:55,800 –> 01:10:56,880
to support mental health.

1633
01:10:56,880 –> 01:11:00,030
And I know when I shared in a fuller deck by ICS,

1634
01:11:00,030 –> 01:11:03,190
you’ll be able to see which solutions actually support that.

1635
01:11:03,190 –> 01:11:05,470
So in the Midlands, I think we have, once again,

1636
01:11:05,470 –> 01:11:08,200
that technology enablement is what that means practically.

1637
01:11:08,200 –> 01:11:11,110
And I think somebody put up in the chat for Julie in terms

1638
01:11:11,110 –> 01:11:13,840
of have we actually measured the impact

1639
01:11:13,840 –> 01:11:15,130
or have we seen the impact?

1640
01:11:15,130 –> 01:11:17,470
And that’s the thing that’s the most difficult bit.

1641
01:11:17,470 –> 01:11:19,260
Technology is almost like the easy part.

1642
01:11:19,260 –> 01:11:21,790
You plug something in and you use it,

1643
01:11:21,790 –> 01:11:22,770
but is measuring that impact

1644
01:11:22,770 –> 01:11:24,470
of mental health sits very much within

1645
01:11:24,470 –> 01:11:28,470
the remote monitoring side of kind of management

1646
01:11:30,420 –> 01:11:33,690
of virtual wards in different parts.

1647
01:11:33,690 –> 01:11:36,040
– And that’s a whole other probably webinar and joining up,

1648
01:11:36,040 –> 01:11:37,400
obviously many people

1649
01:11:37,400 –> 01:11:39,600
with chronic long term mental health conditions

1650
01:11:39,600 –> 01:11:43,240
are under the auspices of social care teams as well.

1651
01:11:43,240 –> 01:11:45,060
And I know social care teams around the country

1652
01:11:45,060 –> 01:11:47,170
are thinking about technology to support.

1653
01:11:47,170 –> 01:11:50,600
So it’s just another opportunity.

1654
01:11:50,600 –> 01:11:52,400
And I’m just going to speak frankly

1655
01:11:52,400 –> 01:11:54,300
to my social care colleagues (indistinct),

1656
01:11:54,300 –> 01:11:57,460
but you know, there’s a lot of funding coming out

1657
01:11:57,460 –> 01:12:00,120
for virtual wards in a way

1658
01:12:00,120 –> 01:12:02,730
that we don’t often see the same level of funding coming

1659
01:12:02,730 –> 01:12:05,510
out for social care technology.

1660
01:12:05,510 –> 01:12:08,540
And I just think there’s a real opportunity

1661
01:12:08,540 –> 01:12:10,790
to expedite some of our work as well.

1662
01:12:10,790 –> 01:12:13,950
And I know, speaking to some councils over

1663
01:12:13,950 –> 01:12:16,030
the last few weeks, you know,

1664
01:12:16,030 –> 01:12:17,900
there there’s a real appetite to kind of get

1665
01:12:17,900 –> 01:12:20,300
on the front foot in the expectation of money coming out

1666
01:12:20,300 –> 01:12:21,890
and knowing what it is you want to do.

1667
01:12:21,890 –> 01:12:24,620
And this just seems to me, such a,

1668
01:12:24,620 –> 01:12:27,910
well, such a compelling opportunity

1669
01:12:27,910 –> 01:12:29,830
that also has potentially some funding with it

1670
01:12:29,830 –> 01:12:34,100
for us to really kind of join stuff up around people

1671
01:12:34,100 –> 01:12:35,060
in their homes.

1672
01:12:35,060 –> 01:12:38,890
Just what an amazing thing that would be.

1673
01:12:38,890 –> 01:12:41,190
Apologies for indulging some of my passion around that,

1674
01:12:41,190 –> 01:12:44,000
but I hope that there’s lots more comments in,

1675
01:12:44,000 –> 01:12:44,840
and we’ll come back.

1676
01:12:44,840 –> 01:12:48,470
Language is coming up as like. We are using this, you know,

1677
01:12:48,470 –> 01:12:50,460
is virtual ward a great term for this?

1678
01:12:50,460 –> 01:12:52,500
You know, is it really describing

1679
01:12:52,500 –> 01:12:55,890
what actually is about health and care and people’s homes?

1680
01:12:55,890 –> 01:12:58,390
But I’ll let you pick that up.

1681
01:12:59,270 –> 01:13:00,380
Just finally then,

1682
01:13:00,380 –> 01:13:03,960
and you touched on this a little bit, Lina,

1683
01:13:05,640 –> 01:13:09,310
the safety issue and the kind of resistance to adoption.

1684
01:13:09,310 –> 01:13:13,400
So, obviously there’s some
concern about people themselves

1685
01:13:13,400 –> 01:13:15,720
and their families wanting to be comfortable with this,

1686
01:13:15,720 –> 01:13:18,040
but I think you hinted at this,

1687
01:13:18,040 –> 01:13:21,030
but my sense is that there’s also, you know,

1688
01:13:21,030 –> 01:13:25,780
there’s quite a lot of resistance amongst clinical staff.

1689
01:13:26,840 –> 01:13:28,560
Could you just talk about that a bit

1690
01:13:28,560 –> 01:13:30,310
and how you’re kind of challenging that?

1691
01:13:30,310 –> 01:13:31,140
Cause I, you know,

1692
01:13:31,140 –> 01:13:35,100
I know particularly hospital teams are so, you know,

1693
01:13:35,100 –> 01:13:38,400
their world does tend to stop at the car park sometimes

1694
01:13:38,400 –> 01:13:41,840
and they don’t appreciate what amazing care

1695
01:13:41,840 –> 01:13:44,300
and how much risk is held in the community,

1696
01:13:44,300 –> 01:13:45,810
kind of without that oversight,

1697
01:13:45,810 –> 01:13:46,740
but I’m just interested in

1698
01:13:46,740 –> 01:13:47,650
what you might be doing to sort of,

1699
01:13:47,650 –> 01:13:51,930
and how the technology might be helping with that as well.

1700
01:13:51,930 –> 01:13:56,310
– You absolutely touched on such a sore point and I think

1701
01:13:56,310 –> 01:14:00,420
that’s what we spend at
least last three months doing

1702
01:14:00,420 –> 01:14:02,880
is having conversations,

1703
01:14:02,880 –> 01:14:05,420
understanding where the anxieties are.

1704
01:14:05,420 –> 01:14:06,680
So unless we understand

1705
01:14:06,680 –> 01:14:08,940
where those kind of pinch points are,

1706
01:14:08,940 –> 01:14:12,190
we can’t address really those points.

1707
01:14:12,190 –> 01:14:13,740
And I think, like I mentioned

1708
01:14:13,740 –> 01:14:16,790
in my presentation kind of luckily COVID

1709
01:14:16,790 –> 01:14:20,150
has given us kind of, well, we had to create a virtual ward.

1710
01:14:20,150 –> 01:14:21,810
We had no choice.

1711
01:14:21,810 –> 01:14:24,970
So I think that automatically has created

1712
01:14:24,970 –> 01:14:28,490
a bit of a platform for us that we can kind of say,

1713
01:14:28,490 –> 01:14:31,230
well, actually we managed COVID,

1714
01:14:31,230 –> 01:14:33,700
we understand that we’re going into different arena now,

1715
01:14:33,700 –> 01:14:35,450
it will not be the same.

1716
01:14:35,450 –> 01:14:36,800
However, we need to understand

1717
01:14:36,800 –> 01:14:38,940
how we can actually still relieve the pressure

1718
01:14:38,940 –> 01:14:39,970
of the acute trust.

1719
01:14:39,970 –> 01:14:43,070
And it’s just going back to those whys.

1720
01:14:43,070 –> 01:14:46,480
I think, like you said, a lot of clinicians, you know,

1721
01:14:46,480 –> 01:14:49,340
they’re seeing the patient in front of them,

1722
01:14:49,340 –> 01:14:50,500
but it’s the why bit that

1723
01:14:50,500 –> 01:14:52,450
we don’t touch upon every single day.

1724
01:14:52,450 –> 01:14:57,210
And luckily we have a fantastic clinical lead nationally,

1725
01:14:57,210 –> 01:14:59,070
(indistinct) Nada Kim,

1726
01:14:59,070 –> 01:15:03,260
who tirelessly talks about taking the risk

1727
01:15:03,260 –> 01:15:05,730
and actually being there to support clinicians

1728
01:15:05,730 –> 01:15:07,270
when they take that risk.

1729
01:15:07,270 –> 01:15:08,420
And also regionally,

1730
01:15:08,420 –> 01:15:10,800
we have two dedicated clinical leads

1731
01:15:10,800 –> 01:15:15,290
who are so passionate and Dudley was one of the examples,

1732
01:15:15,290 –> 01:15:18,540
so Paul is one of our clinical leads and he’s literally,

1733
01:15:18,540 –> 01:15:23,020
you know, being a champion in starting something new.

1734
01:15:23,020 –> 01:15:25,670
And that’s what you want to see from clinical leads.

1735
01:15:25,670 –> 01:15:28,090
And, you know, Paul then kind of takes

1736
01:15:28,090 –> 01:15:30,090
that conversation on with other clinicians.

1737
01:15:30,090 –> 01:15:33,410
So it’s kind of going back to those basics like I said,

1738
01:15:33,410 –> 01:15:34,850
is having those conversations,

1739
01:15:34,850 –> 01:15:36,990
not just kind of pushing a template in front of them,

1740
01:15:36,990 –> 01:15:39,030
’cause that’s where
the resistance comes in

1741
01:15:39,030 –> 01:15:40,820
and giving them the promise

1742
01:15:40,820 –> 01:15:44,350
that they will have that net of safety somewhere

1743
01:15:44,350 –> 01:15:46,570
that we will kind of catch them when they fall.

1744
01:15:46,570 –> 01:15:49,520
And I think there’s a lot to work through in terms

1745
01:15:49,520 –> 01:15:50,930
of that clinical governance,

1746
01:15:50,930 –> 01:15:54,330
but those virtual wards that will already have live,

1747
01:15:54,330 –> 01:15:55,830
we have SOPs.

1748
01:15:55,830 –> 01:15:58,010
So we share those SOPs widely in the region.

1749
01:15:58,010 –> 01:16:01,250
So if somebody who already has frailty on COVID virtual ward

1750
01:16:01,250 –> 01:16:02,910
and somebody who already wants to start,

1751
01:16:02,910 –> 01:16:05,030
we say, well, let’s take something already

1752
01:16:05,030 –> 01:16:06,240
that somebody’s tested.

1753
01:16:06,240 –> 01:16:08,730
So there’s a lot of sharing of understanding and knowledge

1754
01:16:08,730 –> 01:16:11,900
and, yeah, it’s just talking at this stage really.

1755
01:16:11,900 –> 01:16:12,730
– Okay.

1756
01:16:14,920 –> 01:16:16,220
Julie, I’m going to come back

1757
01:16:16,220 –> 01:16:19,800
to some of the questions we’ve got for you.

1758
01:16:23,150 –> 01:16:27,440
There’s a (indistinct) theme about measurement and impact

1759
01:16:27,440 –> 01:16:29,420
and how you might know whether these

1760
01:16:29,420 –> 01:16:33,750
have saved bed days or got people home more quickly.

1761
01:16:34,990 –> 01:16:37,200
And can you, and a question about whether

1762
01:16:37,200 –> 01:16:38,090
or not you can see how much

1763
01:16:38,090 –> 01:16:41,570
people are actually using the Ownfones.

1764
01:16:41,570 –> 01:16:42,760
– So, yes we can see if people

1765
01:16:42,760 –> 01:16:45,110
are using the Ownfones from the activation reports.

1766
01:16:45,110 –> 01:16:48,030
The bed days is an interesting one.

1767
01:16:48,030 –> 01:16:49,410
We not yet and we don’t have

1768
01:16:49,410 –> 01:16:53,610
a fully formed benefits realisation programme unfortunately,

1769
01:16:53,610 –> 01:16:56,010
what I’m just talking to our management team about

1770
01:16:56,010 –> 01:16:58,300
is to bring in a transform tech service

1771
01:16:58,300 –> 01:17:00,560
that will both embed culture change

1772
01:17:00,560 –> 01:17:02,810
and benefits realisation programmes.

1773
01:17:02,810 –> 01:17:05,310
So we can really start to understand

1774
01:17:05,310 –> 01:17:07,540
the impact of deploying,

1775
01:17:07,540 –> 01:17:08,470
savings it’s made,

1776
01:17:08,470 –> 01:17:11,250
but the impact on that person’s life

1777
01:17:11,250 –> 01:17:13,610
and how it’s kept them at home.

1778
01:17:13,610 –> 01:17:15,620
Interestingly, the virtual ward thing,

1779
01:17:15,620 –> 01:17:16,450
we are calling it,

1780
01:17:16,450 –> 01:17:18,770
“Staying Independent At Home.”

1781
01:17:18,770 –> 01:17:21,800
So that’s what we are starting to theme it through

1782
01:17:21,800 –> 01:17:26,050
and actually putting gardening tech in there,

1783
01:17:26,050 –> 01:17:28,140
decluttering all kinds of different things

1784
01:17:28,140 –> 01:17:30,550
to just get people home from hospital.

1785
01:17:30,550 –> 01:17:33,230
So, but yeah, bed day’s really important,

1786
01:17:33,230 –> 01:17:36,250
but no, we’re not counting those at the moment.

1787
01:17:36,250 –> 01:17:40,400
– No. And it’s back in that tricky territory of avoided,

1788
01:17:40,400 –> 01:17:41,230
I suppose, you know,

1789
01:17:41,230 –> 01:17:42,890
you don’t know what would’ve happened if you hadn’t done it.

1790
01:17:42,890 –> 01:17:43,830
So it’s tricky.

1791
01:17:43,830 –> 01:17:45,680
But I do think that,

1792
01:17:45,680 –> 01:17:47,760
just thinking about how

1793
01:17:47,760 –> 01:17:49,490
we might between us kind of a evidence,

1794
01:17:49,490 –> 01:17:50,450
some of those interventions

1795
01:17:50,450 –> 01:17:52,710
would be really interesting and helpful.

1796
01:17:52,710 –> 01:17:54,150
I’m not going to repeat.

1797
01:17:54,150 –> 01:17:54,980
So just to be clear,

1798
01:17:54,980 –> 01:17:57,320
we’re not endorsing Ownfone

1799
01:17:58,360 –> 01:17:59,990
and there’s been some interesting chat

1800
01:17:59,990 –> 01:18:01,440
about different options.

1801
01:18:01,440 –> 01:18:03,980
I think Julie was fairly open about

1802
01:18:03,980 –> 01:18:06,920
some of the deficits of Ownfone and how it, you know,

1803
01:18:06,920 –> 01:18:09,170
what you’ve kind of uncovered using it.

1804
01:18:09,170 –> 01:18:10,700
I guess what I wanted to ask you, Julie,

1805
01:18:10,700 –> 01:18:13,700
is if you were kind of going to buy something like this now,

1806
01:18:13,700 –> 01:18:17,580
what, you know, have you got a kind of model specification

1807
01:18:17,580 –> 01:18:22,250
in your mind that you might sort of put out there?

1808
01:18:22,250 –> 01:18:23,730
– Yeah. I mean, that’s why we were talking

1809
01:18:23,730 –> 01:18:24,600
to Chris about another product,

1810
01:18:24,600 –> 01:18:28,200
’cause what I’m conscious of is Ownfone has worked well

1811
01:18:28,200 –> 01:18:30,940
with social workers and I don’t want to complete confused them

1812
01:18:30,940 –> 01:18:33,380
with a different product.

1813
01:18:33,380 –> 01:18:36,740
So it’s building on what’s working well and having

1814
01:18:36,740 –> 01:18:39,330
that additional functionality in it as well.

1815
01:18:39,330 –> 01:18:43,080
And don’t forget people themselves are saying they like it.

1816
01:18:43,080 –> 01:18:45,810
So if we can have that additional functionality,

1817
01:18:45,810 –> 01:18:48,640
the falls, GPS tracker, that would be brilliant.

1818
01:18:48,640 –> 01:18:50,370
And we’re about to start trialling it.

1819
01:18:50,370 –> 01:18:52,340
Chris is going to be ready for market now.

1820
01:18:52,340 –> 01:18:56,760
So it’s, yes I would be willing to talk about anything,

1821
01:18:56,760 –> 01:18:57,980
but we’ve tried it,

1822
01:18:57,980 –> 01:19:01,440
it’s working and working really well.

1823
01:19:01,440 –> 01:19:03,810
– And that’s an interesting kind of different take on that,

1824
01:19:03,810 –> 01:19:04,650
which is, you know,

1825
01:19:04,650 –> 01:19:06,690
so I suspect you’ve got in your head,

1826
01:19:06,690 –> 01:19:08,710
well, and you’ve kind of shared it in the slides

1827
01:19:08,710 –> 01:19:10,820
and where you had some deficits,

1828
01:19:10,820 –> 01:19:12,250
actually you got a willing provider

1829
01:19:12,250 –> 01:19:14,860
who’s now wanting to develop and address those with you.

1830
01:19:14,860 –> 01:19:15,700
– Yeah.

1831
01:19:15,700 –> 01:19:17,980
– As opposed to somebody who hasn’t got anything might go

1832
01:19:17,980 –> 01:19:18,810
to market and say,

1833
01:19:18,810 –> 01:19:20,200
actually it’s got to work out of the home.

1834
01:19:20,200 –> 01:19:21,530
It’s got to have a GPS tracker.

1835
01:19:21,530 –> 01:19:23,610
Why wouldn’t it have false functionality in it?

1836
01:19:23,610 –> 01:19:24,440
– Yeah.

1837
01:19:24,440 –> 01:19:25,270
– But I think what you’re saying,

1838
01:19:25,270 –> 01:19:27,610
the power of the simplicity of it and the fact

1839
01:19:27,610 –> 01:19:29,620
that it’s now embedded,

1840
01:19:29,620 –> 01:19:34,200
moving on would be possibly a bit of an own goal there.

1841
01:19:35,510 –> 01:19:36,420
Okay.

1842
01:19:36,420 –> 01:19:41,270
And just, I think it was a question about kind of

1843
01:19:41,270 –> 01:19:46,000
a longevity of the Ownfone and kind of what, you know,

1844
01:19:46,000 –> 01:19:50,080
why would you switch it off and switch someone onto Telecare

1845
01:19:50,080 –> 01:19:53,950
if the Ownfone is digitally compatible and is potentially

1846
01:19:53,950 –> 01:19:55,630
delivering what you need longer term?

1847
01:19:55,630 –> 01:19:57,200
just to kind of question.

1848
01:19:57,200 –> 01:20:01,120
– Yeah. So I think I alluded to it in the tracking.

1849
01:20:01,120 –> 01:20:03,630
So if somebody activates the Ownfone,

1850
01:20:03,630 –> 01:20:06,440
it has three telephone lines to go in,

1851
01:20:06,440 –> 01:20:09,390
potentially that call can be dropped.

1852
01:20:09,390 –> 01:20:12,340
Whereas the Telecare units are now IP ready,

1853
01:20:12,340 –> 01:20:14,580
so they are digital ready

1854
01:20:14,580 –> 01:20:16,560
as long as that person’s got Wi-Fi,

1855
01:20:16,560 –> 01:20:18,890
we can put GSMs in as well,

1856
01:20:18,890 –> 01:20:23,420
but Telecare hunts and will not stop until he has got

1857
01:20:23,420 –> 01:20:27,640
a care line operator on the phone to assist that person.

1858
01:20:27,640 –> 01:20:30,220
And that for me is the big one.

1859
01:20:31,290 –> 01:20:32,610
If we can lose a call,

1860
01:20:32,610 –> 01:20:34,740
and we haven’t today, as far as I’m aware,

1861
01:20:34,740 –> 01:20:37,550
that fills me with dread.

1862
01:20:37,550 –> 01:20:39,660
So it just worries me that

1863
01:20:39,660 –> 01:20:43,000
that could happen so that’s where Telecare for me comes in,

1864
01:20:43,000 –> 01:20:44,420
’cause it will hunt.

1865
01:20:44,420 –> 01:20:45,320
– Okay.

1866
01:20:45,320 –> 01:20:49,030
So that’s some really quite detailed functional stuff,

1867
01:20:49,030 –> 01:20:51,480
but kind of really, really important stuff there.

1868
01:20:51,480 –> 01:20:52,310
– Yeah.

1869
01:20:52,310 –> 01:20:53,140
– And just finally, Julie,

1870
01:20:53,140 –> 01:20:54,940
can I just ask you a bit and there was a bit of a comment

1871
01:20:54,940 –> 01:20:58,970
in the chat about the potential for specialist tech roles

1872
01:20:58,970 –> 01:21:01,080
at the backdoor of the hospital or how you,

1873
01:21:01,080 –> 01:21:03,040
have you played with any of that?

1874
01:21:03,040 –> 01:21:05,650
Or what’s your kind of view of the workforce issue?

1875
01:21:05,650 –> 01:21:08,250
Cause you, you know, social work’s not recording things,

1876
01:21:08,250 –> 01:21:11,010
I know has been a bit of a bug bear for you.

1877
01:21:11,010 –> 01:21:13,580
– Always. And they’re very busy people to be fair,

1878
01:21:13,580 –> 01:21:14,550
love them to bits,

1879
01:21:14,550 –> 01:21:16,230
but they are really busy

1880
01:21:16,230 –> 01:21:17,670
and got huge caseloads in Birmingham.

1881
01:21:17,670 –> 01:21:19,780
So totally appreciate that.

1882
01:21:19,780 –> 01:21:22,900
Yeah. Where we’re at to is with all the evidence

1883
01:21:22,900 –> 01:21:25,620
we’ve got through Ownfone and Telecare is that

1884
01:21:25,620 –> 01:21:29,170
as we go into a transform text service,

1885
01:21:29,170 –> 01:21:31,610
I think we need to evolve the service,

1886
01:21:31,610 –> 01:21:34,610
but I would like to have tech advisors available

1887
01:21:34,610 –> 01:21:38,420
and then develop our social workers into being able

1888
01:21:38,420 –> 01:21:39,250
to do that.

1889
01:21:39,250 –> 01:21:41,840
I don’t think to go full hog straight away

1890
01:21:41,840 –> 01:21:43,480
would be really helpful.

1891
01:21:43,480 –> 01:21:47,380
Especially as we see the issues coming through day on day,

1892
01:21:47,380 –> 01:21:48,570
and talking to social workers,

1893
01:21:48,570 –> 01:21:50,660
they don’t want to do that initially.

1894
01:21:50,660 –> 01:21:53,390
But what I am excited about is the virtual tech house

1895
01:21:53,390 –> 01:21:55,750
that potentially could help us do that.

1896
01:21:55,750 –> 01:21:58,000
So, we’ll see where that goes.

1897
01:21:58,000 –> 01:21:59,920
– Okay. And I guess, you know,

1898
01:21:59,920 –> 01:22:01,800
just to finish my thread for the day,

1899
01:22:01,800 –> 01:22:04,470
but if we are thinking about specialist tech facilitators

1900
01:22:04,470 –> 01:22:07,210
to activate social care technology,

1901
01:22:07,210 –> 01:22:09,500
and we’ve got virtual wards roll out, you know,

1902
01:22:09,500 –> 01:22:12,250
can’t we have an integrated health facilitator post

1903
01:22:12,250 –> 01:22:15,030
to supporting all of that stuff together?

1904
01:22:15,030 –> 01:22:16,670
That that would be amazing.

1905
01:22:16,670 –> 01:22:17,510
– It would.

1906
01:22:17,510 –> 01:22:19,920
– As always, thanks so much, Lina and Julie,

1907
01:22:19,920 –> 01:22:21,610
I’m going to hand back to Georgia to wrap up.

1908
01:22:21,610 –> 01:22:24,840
I’ve not left her enough time again, but there we go.

1909
01:22:24,840 –> 01:22:27,280
– (laughs) Five minutes is more than enough.

1910
01:22:27,280 –> 01:22:28,830
Thanks Clare.

1911
01:22:28,830 –> 01:22:29,660
My colleague, El,

1912
01:22:29,660 –> 01:22:32,860
is just about to post some polls in the chat

1913
01:22:32,860 –> 01:22:35,350
and we’d be really grateful if you could fill them out.

1914
01:22:35,350 –> 01:22:37,050
There are two.

1915
01:22:37,050 –> 01:22:39,220
So while I’m speaking, if you could,

1916
01:22:39,220 –> 01:22:40,060
there they are now,

1917
01:22:40,060 –> 01:22:41,540
they’ve just appeared on my screen,

1918
01:22:41,540 –> 01:22:43,230
that would be much appreciated.

1919
01:22:43,230 –> 01:22:44,060
Thank you.

1920
01:22:45,380 –> 01:22:47,690
While you fill that in,

1921
01:22:47,690 –> 01:22:50,550
just a reminder that the tool that Clare presented today,

1922
01:22:50,550 –> 01:22:53,610
as well as an accessible recording and slide deck

1923
01:22:53,610 –> 01:22:57,050
will be available on our CHIP Digital Resource Centre.

1924
01:22:57,050 –> 01:22:59,010
For those of you who haven’t heard about this site yet

1925
01:22:59,010 –> 01:23:00,920
it’s the home of all of our resources

1926
01:23:00,920 –> 01:23:02,980
that are emerging from this programme of work

1927
01:23:02,980 –> 01:23:05,470
and is continually updated.

1928
01:23:05,470 –> 01:23:10,420
So even if you visited it before, please do visit it again.

1929
01:23:10,420 –> 01:23:11,260
Thank you.

1930
01:23:11,260 –> 01:23:15,090
I can see all the responses coming in from the first poll.

1931
01:23:15,090 –> 01:23:17,590
Second poll has just appeared.

1932
01:23:18,570 –> 01:23:21,320
Elle, if we can have the slides up,

1933
01:23:23,440 –> 01:23:24,920
that will be ideal.

1934
01:23:24,920 –> 01:23:27,590
Then I can show you the next events

1935
01:23:27,590 –> 01:23:28,970
in the masterclass series,

1936
01:23:28,970 –> 01:23:32,000
which are the digital access for all masterclass

1937
01:23:32,000 –> 01:23:33,640
and the working with

1938
01:23:33,640 –> 01:23:37,220
the care market
masterclass later in March.

1939
01:23:38,370 –> 01:23:40,120
In advance of these master classes,

1940
01:23:40,120 –> 01:23:41,490
it would be really useful to hear

1941
01:23:41,490 –> 01:23:43,670
how you found this masterclass.

1942
01:23:43,670 –> 01:23:45,350
The polls are essential for that.

1943
01:23:45,350 –> 01:23:47,170
Thank you for filling them out.

1944
01:23:47,170 –> 01:23:49,830
But we also have a short evaluation form,

1945
01:23:49,830 –> 01:23:52,110
which Gemma’s already posted in the chat.

1946
01:23:52,110 –> 01:23:53,240
Thank you, Gemma.

1947
01:23:53,240 –> 01:23:55,670
But I will also send out
a quick email straight

1948
01:23:55,670 –> 01:23:56,930
after the master class.

1949
01:23:56,930 –> 01:23:59,020
It’s only five minutes.

1950
01:23:59,020 –> 01:24:03,250
So please do fill it out if you have the time.

1951
01:24:03,250 –> 01:24:04,830
As you can see the,

1952
01:24:06,150 –> 01:24:08,230
if you do want to continue these discussions,

1953
01:24:08,230 –> 01:24:11,330
please do visit the DTASC network,

1954
01:24:11,330 –> 01:24:13,670
this is a close group for local government colleagues,

1955
01:24:13,670 –> 01:24:16,230
where you can share all things digital,

1956
01:24:16,230 –> 01:24:20,500
essentially experiences, projects, ideas, et cetera.

1957
01:24:20,500 –> 01:24:24,820
So please do join that if you haven’t already.

1958
01:24:24,820 –> 01:24:25,810
And as we said,

1959
01:24:25,810 –> 01:24:27,570
slides and everything will follow

1960
01:24:27,570 –> 01:24:31,160
and will also be posted on that network.

1961
01:24:31,160 –> 01:24:33,340
So just before we close,

1962
01:24:33,340 –> 01:24:35,830
I’d like to say a thank you to Rethink Partners

1963
01:24:35,830 –> 01:24:38,840
for organising this masterclass and Clare for presenting

1964
01:24:38,840 –> 01:24:40,710
the amazing tool we’ve produced.

1965
01:24:40,710 –> 01:24:43,740
Thank you to El for taking us through the slides.

1966
01:24:43,740 –> 01:24:47,390
Thank you to our amazing guest speakers, Julie and Lina,

1967
01:24:47,390 –> 01:24:50,220
we’re so grateful to you both for giving up your time

1968
01:24:50,220 –> 01:24:52,400
and sharing your experiences today.

1969
01:24:52,400 –> 01:24:55,230
Lots of thank yous coming through in the chat

1970
01:24:55,230 –> 01:24:57,740
about how useful it’s been.

1971
01:24:57,740 –> 01:25:01,640
And finally, thank you to everyone else for attending.

1972
01:25:01,640 –> 01:25:03,630
We hope you’ve found it useful and we hope

1973
01:25:03,630 –> 01:25:06,150
to see you at the next one.

1974
01:25:06,150 –> 01:25:09,200
I’ll leave our contact details up on the final page

1975
01:25:09,200 –> 01:25:11,160
for a few minutes.

1976
01:25:11,160 –> 01:25:11,990
But other than that,

1977
01:25:11,990 –> 01:25:13,290
I think I’ll close the masterclass.

1978
01:25:13,290 –> 01:25:14,880
Thank you everyone.

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