lga masterclass 5 video: working with the care market

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Ok,

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we’ve got a packed schedule,

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so I think we’ll make a start.

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Thank you everyone for coming.

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I’m very pleased to introduce our final masterclass on working

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with the care market part of the local government Association CHIP Digital Support

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Programme.

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My name is Georgia I’m from the LGA CHIP digital

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team leading on this programme.

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Which is funded by NHS, NHS X now NHS TD.

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As always, a joy to be working with Rethink Partners who

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developed a very useful tool for the masterclass today also a bit sad today because

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it’s the final of course but hopefully it will be

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a really useful one to end on and before we get to

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that,

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there’s just a few ground rules. Next slide please, Elle.

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So we do recommend that you turn your videos off to

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ensure best connectivity you can also please put yourself on

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mute to avoid audio interference,

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that’ll be much appreciated.

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Please do hold questions until our Q&A. However you can add

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them in the chat as we go along if you

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wish. If you do ask a question or have any comments

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please state your name and organisation. As you can see

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we’ve started recording this webinar we’ll be sharing a recording alongside slides, materials

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and Q&A in an email after the event. If you

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wish you can also tweet about this event online by

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the hashtag

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#LGADigital but please do be aware

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if you do tweet that others may not wish to

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feature next slide please Elle.

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So today we will be covering working with the care market

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on expanding the use of care technology to improve quality of life, independence

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and workforce productivity. We’ll be hearing real-life experience from two councils

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who have been doing this work and sharing Core approaches and recognising

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the need for adaptation depending on the context and aims

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of the work. We’re really lucky

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to have with us today Marie Spittle from Dudley

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council we’ve also got Claire Hall-salter, Helen Cottrell and Julie Edmonds

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from Telford and Wrekin Council and additionally we’ve got an extra

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section today looking at links across the whole programme including a

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Slido poll so pleased do have your phones at the

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ready. But first of all, Rethink Partners’ Clare Morris will be

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introduction to working with the care market on care technology.

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Thanks Clare.

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Thanks Georgia and good morning everybody lovely to have you with us this morning.

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It’s lovely and sunny here.

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I hope it is with you all. So working with the care market is a big topic

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and one that I’m hearing lots of councils are interested and starting to do work on

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at the moment and in a slight break in tradition this morning,

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we’ve developed quite an extensive tool to support this masterclass,

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so I’m actually going to walk us through the tool because its sets everything I want to say about this topic and

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thanks upfront to our two councils Dudley and Telford and Wrekin who have

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been our co-production partner this masterclass and for this tool also

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a lot of what is in this tool is actually

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capturing the journey that they’ve been on and are still

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going on to really guide how you can work effectively with

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care providers, be that care homes, domiciliary home care or

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supported living, all sorts of other providers to really think about

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how we can help them with a number of things through our use of care technology

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So when we use care technology as councils,

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we obviously are very focused on the user,

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the resident and how technology can support them to

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live independently but we want to involve care providers in this

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work and there’s a number of reasons for that,

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but it might be that

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we want to help that person make best use of technology and

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actually need them to help build confidence maybe provide a bit of adhoc support.

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But particularly we’ve been seeing with the next-generation

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technologies, we’re moving away from tele-care model which goes

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through to a monitoring centre and is almost siloed and separate from our

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work with a care market and then the tools we’re starting to put

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out in people’s homes in people’s lives can really

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help enhance and stretch that care.

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our care delivery model and have kind of real benefit for care providers

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if we can help them to kind of see, engage and

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huddle round the work that we’re doing.

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So the big question. Why would we want

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to engage with care providers in this work and also

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why would they want to engage with us in it

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and as I said it is absolutely everywhere I go at the moment.

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Every council is thinking about how

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they engage care providers in their care technology work

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There’s a few drivers for this and at the heart there is something about

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the care workforce -productivity and efficiency. We’re all living

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through a really challenging time in terms of capacity in

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the care markets and our care providers are Shrinking their

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offer with handbacks, clients being declined but also I

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think as Dudley will share, we’re seeing a level of risk

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and acuity and complexity that care providers are wanting to

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hold also kind of shrinking as they’re struggling to get

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good workers. So a really important driver for this work is how the care

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technology can help the care provider to deliver their care more

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efficiently and release their workforce capacity which obviously then

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helps with our capacity and our ability to place

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people and commission people into care.

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It’s really important that we are thoughtful and clear

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about why we want to do this work

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In the beginning of that engagement with care providers.

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So we’ve developed a kind of 5-step approach to

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how you might begin this work and take it forward right

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from those beginnings and thinking about what this is

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for what we might want to achieve through to the

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early engagement, piloting, moving with your early adopters

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through to them thinking about ok,

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we’ve done this with 1, 2, 3 providers now and now

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we want it to be mainstream.

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We want it to be a part of all of our work with all

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of our partners in this market segment.

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I’m just going to talk us through this tool and how it can

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help you. Next slide please, Elle.

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So, key to this. What are your drivers?

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But what are theirs and we really need throughout this

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work to put ourselves in the shoes of the care

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provider and actually different levels of the care provider

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What might it mean for a care worker and

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what might it mean for a manager in a care

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home what it might mean for a small business

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owner what might it mean for some of our national

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providers and thinking about it from all of those perspectives

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its a really important part of that those first early

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steps of planning. Essentially we think there are 3 drivers

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but there may be more, so doing that thinking and planning upfront

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is important.

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Obviously we think that care technology can improve outcomes for

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people whether they’re living in their own homes with care and

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support or whether they’re in a residential setting but

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we also know that care technology can prevent an escalation of care

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needs and can help people live at home for longer, so being clear

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about that

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is kind of really important.

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I’ve talked about the workforce pressures and those can and

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do translate into financial pressures.

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There’s no point in having these conversations.

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with the care market without being clear about the financial context

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that all of this work is taking place in and

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I’ll come onto that in a bit more detail because we

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need to think about their financial context as well as

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ours. But we’ve seen during covid for example

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the care market really starting to innovate and particularly use of

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video, prompts, reminders, some of those things to actually alleviate

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their own pressure.

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So there can be we need to create a setting where there is a win for

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residents, for the councils and commissioners

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and also a win for the care provider and that

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is genuinely possible in this work.

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But we need not to be greedy as councils. We need to make sure that the

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benefits are shared across all and then is a more subtle

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but actually quite important driver here which

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is about the wider digital maturity of our care providers

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and NHS EI department of social care are being

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really clear now about wanting care providers to

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Increase use of digital tools and a strong focus on shared care records

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and wanting the social care market to engage with that

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but there is now a kind of national target over the next few years

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for all care providers to be operating from digital

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Care record systems, digital care plans and quite how that happens is yet

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to be set out,

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but actually beginning this with this type of technology can

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be a really useful first step.

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Into what first small businesses that have been running for a long time

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might feel an area where they’re stepping with some trepidation so

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the wider skills of digital inclusion can be really important. Next slide please

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Can I make sure your microphones

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are on mute please.

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I can hear some page-turning in the background.

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Thank you

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So step 2 is understanding your starting points that again being thoughtful

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about where you are and we’ve developed a fairly simple matrix for you

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to actually think about across six key dimensions.

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Where is your care market

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Where are particular providers in terms of digital maturity. This

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will help you anticipate and help them flush out

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where some of the challenges might be in them doing

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this work. So the first three dimensions are leadership,

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skills and risk appetite. So leadership is things

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like you know how digitally mature and confident are

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the leaders themselves and again thinking about who we are meaning

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when we’re talking about leaders

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Are we talking about national management teams or actually, are we

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talking about regional teams, are we talking about

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the leader of a particular home or care provider

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so finding and understanding the kind of starting point for

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leaders is really important.

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I guess the point being don’t start with an organisation where you’re

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struggling to get leaders around the table to think about

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this work and that’s in terms of your starting point.

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We need to work with the enthusiasts and find the early adopters

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And this tool can really help you do that. Skills – how confident

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are are their workforce what skills, any additional training

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that we might need to do. How can we help

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them become familiar. Confident about the technology that we’re planning to adopt.

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Risk appetite, so things like information governance. How do we manage across that, but also really

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important thinking about the risk in terms of workforce and financial risk and

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really unpicking with them how what you’re proposing may help address

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some of the risks that they’re carrying and mitigate those for them

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next slide please, Elle.

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Next 3 we have picked are capacity, digital bias and financial Investments

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so the funding model. So of course.

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We might think that when a care provider is stretched

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And struggling for capacity

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This is a good solution for them and we did

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find with some of the work we did with Rethink during covid that when people were

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were stretched in a crisis

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they were ready to think the unthinkable and start thinking

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about using digital technologies differently but not everyone will be in

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that place so you may also have care provider that are

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really stretch for capacity and I just can’t deal with

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this now. I’ve just got to get through

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So capacity is an interesting one. It could be a

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motivation for adoption,

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but it also might be a blocker so really

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sensitive conversations to be had there. Digital bias

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and we’ve swept in there some of the themes we picked

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the last masterclass,

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but what’s the connectivity like, what do they think the

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appetites of clients is

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This is where you might come across some preconceptions about

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whether older people or adults with learning disabilities are willing and

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capable of taking up technology and where you kind of

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need to be confident about your experiences of those things and really kind

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of push through some of the assumptions that people might hold and

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financial investment and the funding. So really basic things.

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Who is funding the technology who’s funding the technology and the pilot.

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We found and with one of our co-production councils,

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that while still provider was really up for it, they said I need

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Extra staff capacity during the first 6 weeks of this to double run

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and to help us through so thinking about how you

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want to pump prime and fund some of that up

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front but also be thoughtful about the funding model longer-term.

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Is the council expecting to fund this long term? Are you expecting to make

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savings to cover the cost? Is there going to be a risk in game share model

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and you just need to be open in conversation with care providers and you

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may not know the answers to some of those questions. It is

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a pilot.

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It’s an exploration, so having an open book approach to

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where the benefits and financial benefits fall is really useful and important

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when you’re doing this early phase work,

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Next slide please.

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So step 3 is really about how you engage and but some of the thinking that

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you’ve been doing you may already have started to engage with care

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providers, but a lot of the kind of common rules to

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engagement apply to this work of course they do but in

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doing this work. This is a journey and exploration. Particularly if you’re

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starting to do this work for the first time so the care providers will

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have questions, they will have come up with practical issues.

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They will probably have some great ideas about the how

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they might be able to use technology and how staff might

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engage with it,

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so a really kind of open, mutual conversation is

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is really helpful at this point. Stand in their shoes, listen and you yourself

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will learn so much from your first early adopter work

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that will inform your approach to scale and roll out

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so a really kind of open mindset.

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And you will see from some of our co-production councils,

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you know care provider on the project team in all

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of the conversations.

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Just part of the team basically planning thinking through this

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work.

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Honest, straightforward.

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Yes,

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we might need to save some money and but we

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are open to seeing how that works ,or actually we don’t need to save

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money there are the drivers for this we genuinely want

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to improve outcomes we want to improve

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independence, so really open about what you’re

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doing this work for as well and people will sniff out a rat stuff that

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you’re hiding it will pull it down and will break

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the trust and creating that trust between everybody in

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this is really important.

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A really good way to do that is focusing always

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on the resident and the benefits for them but also

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focusing on the Frontline care workers and Care staff.

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They are hugely important to this and they can sabotage.

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As well as embrace and enhance this work. Make

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it easy for them listen to their issues, respond , help

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put in additional support and whatever they might need. Moving on how

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you capture the experiences, the stories and then start to create peer

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 champions in your local market.

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You can work with you on this work really useful

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and most importantly, don’t try and do this with

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the naysayers and the cynics. Find your proactive up for

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it care providers whatever sector they’re in. They will be your best partners

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and they will help you get this moving and then

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later on you can start to to work with those

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who are perhaps a bit more sceptical or sitting a bit on the fence and it’s

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much more powerful to influence those people if you’ve got real local

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experience of doing it and you’ve got a peer who can

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talk them through what it’s been like warts and all for them.

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Next slide please, Elle. Step 4 for any transformation

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 this is not a static process you know do that thinking, do that strategic

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planning, identify needs, choose technology

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ideally with a care provider make those make that tech

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selection together if you’re procuring something new for this work cover

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off all your kind of governance bases get it out

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there and then review it and then go round that

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loop again.

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You will need to tweek.

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You need to learn and the first couple of weeks.

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are kind of crucial but then actually over the longer

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term looking sort of 6-weeks 8-weeks out is the tech

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still being used, what’s happening when people become comfortable with

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it and so just constantly going around that review and iteration loop

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as a dynamic process.

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It is really important.

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And finally step 5, so

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once you have started

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this work.

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How do you main stream it?

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How do you start to build it out and how

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do you sustain it and there’s a lot of kind

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of different moving parts in this but some really important

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lessons from our councils around procurements and the technology

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procurement and how you do that well upfront to make sure you

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can scale and sustain it longer term and we just

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link back to a previous rethink LGA product on procurement at this point

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funding at the heart of this issue.

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Is the question who pays for the technology who owns

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the technology who is responsible for supporting updating things that

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we have to cover with our normal tech offers and and

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being open and transparent about that Working that through and

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it is different for different sectors.

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I would say, so supported living model, care home model,

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domiciliary care model, the funding and financial models behind that

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and how you make sure everyone gets a benefit are

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different. Connected to whether you’re purchasing care in a block

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or on a fixed price or can reduce hours, so some thoughtfulness,

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but not kind of not rocket science around a different

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model funding model for different market sectors is really important.

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Evaluation impact and benefits tracking so we need to know this has

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worked. We need to know what it’s like for staff what

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it’s like for the user, we need to track the capacity benefits all of that

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need to be set out up front. It will be important

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for you if you want to scale this to make

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your case for investment

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back to the council longer term but it’s also important for us to know

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whether it’s worked and we’ve achieved what we wanted to achieve and

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developing a framework that allows the unexpectedness to emerge as well.

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Is really important because it may not achieve what you

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thought it wanted to achieve

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but it may achieve something entirely different. Again during Covid

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some of the video roll out work we were involved with, we

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really thought it was about connecting people to services,

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but what we found more importantly was it was about

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connecting people to friends and family and social networks and

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that enhanced wellbeing sustainability as much as connecting to

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services. Capture stories as you go along and from

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different perspectives. Staff case studies , manager case studies as well as

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user carer family case studies and commissioning really thinking

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hard about then.

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So this is something we want as part of our

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core care offer in our place.

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How do we build that into market intentions, commissioning frameworks,

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into our contracts?

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How do we pick up the nuance about whether we want them to provide

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their own technology or ours and thinking

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absolutely upfront about data at this point because the data

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is where the prizes is and making sure that you as

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the council will have access to use the data to

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support care assessment reviews but also longer-term planning and commissioning.

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so you can aggregate the data so again It’s not rocket science but some things to

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really pay attention to and engaging commissioning colleagues over this

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work up front really important and finally governance.

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This is the thing that slows us down every time and can

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actually stop projects that seem on track so

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really pay attention to governance and particularly

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GDPR implications, privacy, consent all of those all of those pieces.

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Right that’s a whistle stop through the tool is available on the LGA Rethink

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Partners digital platform but I’m now going to hand over

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to Marie from Dudley who’s been leading the work there

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and Marie Spittle is the head of service, access and prevention

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but she’s also the technology lead for Adult Social Care

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in Dudley so hopefully Marie will bring to life everything

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00:23:18,600 –> 00:23:22,490
That I’ve just kind of been capturing Marie over to you.

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00:23:22,500 –> 00:23:24,190
Thanks Clare.

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I’m just going to talk you through our journey

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of working with the care market around the digital collaboration

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so morning everyone. Next slide please

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00:23:39,500 –> 00:23:43,690
We started to work with my improvement network around Rita.

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This is Rita it’s reminiscence interactive therapy activities

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so next slide, please.

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00:23:57,100 –> 00:24:01,490
We chose Rita to start to work with the care home

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market and that was to provide digital support,

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00:24:04,800 –> 00:24:07,790
so I’ll talk you through some of the outcomes that

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00:24:07,800 –> 00:24:10,490
we achieved with a care market through the use of

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00:24:10,500 –> 00:24:16,090
Rita . Next slide please.

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With regard to just some background within Dudley, we

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00:24:21,200 –> 00:24:26,190
had a standard residential and nursing home rate and what

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00:24:26,200 –> 00:24:29,690
we found was the placements were reducing when we were

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00:24:29,700 –> 00:24:34,990
trying to look to home someone with dementia or complex challenging

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00:24:35,000 –> 00:24:40,690
behaviours. Providers were requesting enhanced

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rates to provide support and alongside that additional one-to-one support

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00:24:45,500 –> 00:24:49,490
payments so in April 2018 we started to work

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in collaboration with My Improvement network and that was to

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provide greater systems to a pilot group of care homes

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00:24:57,000 –> 00:25:02,790
to try and show the benefits of that digital reminiscence within

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00:25:02,800 –> 00:25:06,890
the sector. We chose Rita because it was being used

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00:25:06,900 –> 00:25:07,290
in Dudley group

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of hospitals so we went along

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to actually witness the patient experience and because of the

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00:25:14,900 –> 00:25:17,090
positive outcomes that were being achieved.

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00:25:17,100 –> 00:25:21,590
What we wanted to try and do was transition that

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00:25:21,600 –> 00:25:24,590
from hospital to residential nursing homes.

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So people who were engaging in more familiar that the

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00:25:29,800 –> 00:25:30,290
care homes

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00:25:30,300 –> 00:25:34,290
could use that tool to support people within their journey

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00:25:34,300 –> 00:25:40,590
next slide please

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00:25:40,600 –> 00:25:43,190
So with regard to our ambitions when we set out,

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00:25:43,200 –> 00:25:48,290
it was to demonstrate how technology and digital systems

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00:25:48,300 –> 00:25:53,190
could help support improve the care for people with dementia and

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00:25:53,200 –> 00:25:58,690
challenging behaviours and that was around engagement and stimulation and

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that was also

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00:25:59,200 –> 00:26:02,390
to be able to provide support within that care team

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on a cohort basis rather than on a one-to-one basis.

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00:26:06,100 –> 00:26:09,890
We wanted to try and innovate the way in which services

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were delivered and move away from more traditional models of

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care and behaviours and we felt that this would provide

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care teams with an alternative,

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but what the evaluation showed us was a much richer picture. Next slide

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00:26:26,100 –> 00:26:31,990
please. We started with the awareness sessions

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with our social worker teams and our care assessment teams and

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00:26:37,200 –> 00:26:39,590
what we wanted to do is try and demonstrate the

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00:26:39,600 –> 00:26:42,290
outcomes that could be achieved for individuals that they were

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working with and for their informal carers,

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but you know really reiterating for the organisation we

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wanted to make better use of our resources.

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So we initially purchase 13 units back in 2018

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and then once we had that

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00:26:59,100 –> 00:27:02,690
initial feedback ,we invested in a further 15 at that time

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We didn’t only make them available to residential and nursing

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homes, but

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we also provided them with in our dementia gateway,

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which was to provide day opportunities for people with dementia.

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00:27:15,600 –> 00:27:20,590
We provided Rita within our unicorn centre which supports

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people with a learning disability, within our carers hub that supports

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00:27:25,700 –> 00:27:29,590
informal carers out in ,the community and within Queen’s Cross

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00:27:29,600 –> 00:27:33,490
which is a hub in itself and it’s a facility

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00:27:33,500 –> 00:27:38,590
that supports younger people with physical disabilities but it also hosts a range of

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00:27:38,600 –> 00:27:42,790
a peer support cafe and groups. Next slide please.

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How did we evaluate the use of Rita? It was

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definitely in partnership with the tech provider My Improvement Network. Each

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00:27:53,900 –> 00:27:57,290
site completed comprehensive feedback forms.

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00:27:59,200 –> 00:28:04,690
Sorry has somebody got the mic on I’ve got sound coming in my ear

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So each site completed a comprehensive feedback form and we used those

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to create case studies.

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00:28:19,500 –> 00:28:21,090
Hi Marie, you’re on mute currently.

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00:28:21,100 –> 00:28:27,190
Sorry about that so

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00:28:27,500 –> 00:28:35,590
Did you hear about the evaluation part

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00:28:35,600 –> 00:28:35,990
Ok sorry about that?

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00:28:36,000 –> 00:28:41,090
I didn’t think it was, no problem.

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00:28:41,100 –> 00:28:45,490
So it was definitely in partnership with the tech provider My

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Improvement Network. Each site complete a comprehensive feedback forms and

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00:28:50,800 –> 00:28:53,990
we wanted to know both qualitative and quantitive data.

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So they reported things around falls and hospital admissions.

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And in terms of one-to-one support,

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but all sites bar none reported significant improvement in all

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areas. Next slide please. The My

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00:29:14,300 –> 00:29:18,290
Improvement Network then supported all of the homes involved in

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terms of developing their own journey and case study regarding

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00:29:21,500 –> 00:29:25,990
Rita and what that could be useful then was that share

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00:29:26,000 –> 00:29:29,990
that with CQC in terms of their inspection regime and

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also in terms of family and social workers

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00:29:35,100 –> 00:29:37,790
to understand

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what Rita andwhat difference Rita had made within

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their care home setting. Next slide please. So

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initial impact and outcomes in terms of there was a

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reduction in falls the reduced need for one to ones but

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also came back was

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00:29:59,100 –> 00:30:04,390
the quality of the one-to-one that improved so you

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00:30:04,400 –> 00:30:06,890
know rather than a care staff sort of sitting in

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00:30:06,900 –> 00:30:11,990
someone’s room who got challenging behaviour you know to

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00:30:12,000 –> 00:30:17,390
try and provide that regular on-site support they

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00:30:17,400 –> 00:30:18,190
were able to it and

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00:30:18,200 –> 00:30:22,490
have more meaningful engagement and interactions in terms of some

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00:30:22,500 –> 00:30:27,190
of the content thats included on Rita and that help that

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00:30:27,200 –> 00:30:33,190
intergenerational engagement so younger carers working with the older

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00:30:33,200 –> 00:30:36,590
people and really understanding and learning more about that individual.

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00:30:36,600 –> 00:30:40,790
It’s improved hydration and nutrition. One of our care homes

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00:30:40,800 –> 00:30:45,390
gave an example of somebody who really struggled to eat

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00:30:45,400 –> 00:30:49,090
and prior to eating time that share sort of cooking

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00:30:49,100 –> 00:30:54,190
programmes, food pictures and it actually improved

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00:30:54,200 –> 00:30:58,590
that person’s eating habits. It improves social

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00:30:59,100 –> 00:31:02,190
inclusion by moving away from that one to one and

484
00:31:02,200 –> 00:31:05,790
being more in common areas with other residents within the

485
00:31:05,800 –> 00:31:08,990
home you tell people to engage with their past to

486
00:31:09,000 –> 00:31:12,390
be part of the present and there was some really

487
00:31:12,400 –> 00:31:16,290
positive feedback from the care team themselves as I said.

488
00:31:16,300 –> 00:31:20,490
iI reduced hospital admissions and it really improved the life

489
00:31:20,500 –> 00:31:26,190
of residents. Next slide please.

490
00:31:26,200 –> 00:31:30,390
This then drilled down into the homes experience so we’ve seen

491
00:31:30,400 –> 00:31:34,090
the case studies and but this that they really sort

492
00:31:34,100 –> 00:31:34,590
of worked with us

493
00:31:34,600 –> 00:31:38,490
in terms of cost savings. Now to be

494
00:31:38,500 –> 00:31:38,890
clear,

495
00:31:38,900 –> 00:31:42,890
we didn’t interpret it as cost-savings.

496
00:31:42,900 –> 00:31:44,690
It was more of a cost diversion,

497
00:31:44,700 –> 00:31:48,090
so we never took anything out of the budgets with regard to residential and

498
00:31:52,300 –> 00:31:55,490
nursing home placements because as you are aware the demand for

499
00:31:55,500 –> 00:31:57,890
that we would just trying to make better use of our resources

500
00:31:59,000 –> 00:32:00,690
Next slide please,

501
00:32:00,700 –> 00:32:05,790
so as I said few

502
00:32:05,800 –> 00:32:09,690
hospital admissions reported across all sites all sites

503
00:32:09,700 –> 00:32:12,590
fully embraced Rita and that was with the support from

504
00:32:12,600 –> 00:32:16,090
My Improvement Network who would go in and regularly train

505
00:32:16,100 –> 00:32:20,990
staff, retrain staff in terms of the use of Rita

506
00:32:21,000 –> 00:32:26,090
we had care homes reporting that they were able to

507
00:32:26,100 –> 00:32:30,290
meet the needs of a residents with very complex needs

508
00:32:30,300 –> 00:32:34,090
who transferred from a high-cost placement and what they did

509
00:32:34,100 –> 00:32:37,090
in terms of telling us their story was that they said

510
00:32:37,100 –> 00:32:39,390
you know we were able to do that with 5 other

511
00:32:39,400 –> 00:32:42,790
residents so if we take the high-cost

512
00:32:42,800 –> 00:32:47,990
placement fees and we interpreted that we could place these at the

513
00:32:48,000 –> 00:32:51,190
standard rate the people at the standard rate all in

514
00:32:51,200 –> 00:32:56,790
all we saved £165,000 per annum. Something

515
00:32:56,800 –> 00:32:58,290
that we didn’t anticipate

516
00:32:59,000 –> 00:33:03,590
was the reduction in resident on resident safeguarding incidents, so that

517
00:33:03,600 –> 00:33:09,190
was around people being engaged and having that interaction

518
00:33:09,200 –> 00:33:13,290
which stopped that challenge for the staff and for the

519
00:33:13,300 –> 00:33:17,190
people within the home as I have already touched on

520
00:33:17,200 –> 00:33:18,690
about the quality of one-to-one,

521
00:33:18,700 –> 00:33:21,490
but there was also less requests for one to one

522
00:33:21,500 –> 00:33:22,090
support.

523
00:33:22,100 –> 00:33:24,190
Another care

524
00:33:24,200 –> 00:33:26,990
home said we were able to continue to support

525
00:33:27,000 –> 00:33:31,190
somebody when their condition had deteriorated so they’d become

526
00:33:31,200 –> 00:33:34,590
more complex and more challenging but rather than saying we

527
00:33:34,600 –> 00:33:36,990
can no longer meet the needs, through the use of Rita,

528
00:33:37,000 –> 00:33:41,390
they could meet those those ongoing needs rather than asking for

529
00:33:41,400 –> 00:33:44,990
the social worker to reassess and the person moving placement

530
00:33:45,000 –> 00:33:48,690
and they interpreted that saving as £20,000

531
00:33:48,700 –> 00:33:53,790
per year so it was definitely in partnership and that

532
00:33:53,800 –> 00:33:58,690
initial costs per resident was set £176.60 as a one-off cost and it

533
00:33:58,700 –> 00:34:04,090
Supported the total of 265 residents. Next

534
00:34:04,100 –> 00:34:09,090
slide please. So pre covid,

535
00:34:09,100 –> 00:34:14,489
the project in all our sites involved

536
00:34:14,500 –> 00:34:16,290
to improve the outcomes for the residents,

537
00:34:16,300 –> 00:34:19,389
but more importantly for their family as well.

538
00:34:19,400 –> 00:34:24,190
What carers said to us was that Rita enabled them to

539
00:34:24,199 –> 00:34:28,389
have meaningful interactions with their loved ones where sometimes they

540
00:34:28,400 –> 00:34:33,690
struggled and so that meant that there was greater

541
00:34:33,699 –> 00:34:39,590
sort of feedback and interactions from those informal carers. The

542
00:34:39,600 –> 00:34:44,690
homes described Rita as a tool in their toolbox. One

543
00:34:44,699 –> 00:34:49,290
of many but that they could switch those interactions and

544
00:34:49,300 –> 00:34:54,790
activities on very quickly when required so.

545
00:34:54,800 –> 00:34:58,290
Understanding and knowing more about the person and what interests

546
00:34:58,300 –> 00:34:58,790
them you know. Some get there wedding, favourite artists

547
00:34:58,900 –> 00:35:04,390
westerns,

548
00:35:04,400 –> 00:35:10,190
you know TV programmes to

549
00:35:10,200 –> 00:35:15,390
know that much more and so should have more person-centred

550
00:35:15,400 –> 00:35:18,290
planning and well-being and was at the forefront of care

551
00:35:18,300 –> 00:35:19,090
decisions.

552
00:35:19,100 –> 00:35:22,190
We then plan to roll out Rita to all our

553
00:35:22,200 –> 00:35:22,890
care settings in Dudley.

554
00:35:22,900 –> 00:35:28,090
We had awareness sessions face-to-face at

555
00:35:28,100 –> 00:35:33,090
a local venue to start and to really engage those

556
00:35:33,100 –> 00:35:38,490
care teams. Next slide please and

557
00:35:38,500 –> 00:35:41,390
then what we’ve all gone through was the pandemic so

558
00:35:41,400 –> 00:35:44,090
that so we didn’t get to the rollout

559
00:35:44,100 –> 00:35:45,190
next slide please,

560
00:35:45,200 –> 00:35:50,290
but what we found in covid were working in

561
00:35:50,300 –> 00:35:51,590
a different space now,

562
00:35:51,600 –> 00:35:56,690
 you know care providers and the care home

563
00:35:56,700 –> 00:36:00,290
market you know they’ve looked at Rita, have interacted with Zoom

564
00:36:00,300 –> 00:36:05,290
to interact with relatives using Team calls they’ve

565
00:36:05,300 –> 00:36:08,690
invested on you know online medication records and

566
00:36:08,700 –> 00:36:13,790
ordering systems and we invested with iPads

567
00:36:13,800 –> 00:36:16,390
but have also invested with iPads to connect to

568
00:36:16,400 –> 00:36:20,890
loved ones FaceTime via people’s phones and I think you

569
00:36:20,900 –> 00:36:23,290
know if we looked at our own technology we’re

570
00:36:23,300 –> 00:36:26,090
definitely working in a different space now and if you

571
00:36:26,100 –> 00:36:28,790
think about smart lighting, ring doorbells.

572
00:36:28,800 –> 00:36:32,790
Just in terms of how everything’s took off and our

573
00:36:32,800 –> 00:36:33,790
social work team.

574
00:36:33,800 –> 00:36:37,090
So looking at the way they deliver services so

575
00:36:37,100 –> 00:36:42,190
virtual assessments and reviews interacting with homes

576
00:36:42,200 –> 00:36:46,290
and the managers through Team calls so you know we’ve

577
00:36:46,300 –> 00:36:48,290
all moved in this digital space, which

578
00:36:48,300 –> 00:36:51,290
I think is a positive space for the work that we want

579
00:36:51,300 –> 00:36:55,790
to try to achieve and the use of WhatsApp.

580
00:36:55,800 –> 00:37:00,190
I think we’re all parts of groups and Twitter, fFcebook, Tiktok,

581
00:37:00,200 –> 00:37:03,090
I think you know in the pandemic we saw sort of

582
00:37:03,100 –> 00:37:04,090
care homes,

583
00:37:04,100 –> 00:37:06,090
you know, whether it’s on the local news and what

584
00:37:06,100 –> 00:37:08,090
they were doing in terms of their residents.

585
00:37:08,100 –> 00:37:10,890
I think we sort of all probably learnt to cook

586
00:37:10,900 –> 00:37:16,590
something new do different exercises and developer hobbies and interests

587
00:37:16,600 –> 00:37:19,290
so I think that really gives us a good platform

588
00:37:19,300 –> 00:37:22,190
to work from. Next slide,

589
00:37:22,200 –> 00:37:27,690
please. The lessons learnt for us looking

590
00:37:27,700 –> 00:37:28,090
back.

591
00:37:28,100 –> 00:37:31,590
We started out as it being a local authority priority

592
00:37:31,600 –> 00:37:36,190
as opposed to being that shared priority with markets

593
00:37:36,200 –> 00:37:39,790
and providers. Did we engage with the right

594
00:37:39,800 –> 00:37:41,290
people in the care homes?

595
00:37:41,300 –> 00:37:46,790
You know there’s the transitioning there’s turnover

596
00:37:46,800 –> 00:37:50,390
should we have gone more towards the board leadership

597
00:37:50,400 –> 00:37:52,790
teams in the first place and then work with our

598
00:37:52,800 –> 00:37:54,790
care teams and managers on the ground?

599
00:37:54,800 –> 00:37:58,790
I think we all talk about our pilots how often our

600
00:37:58,900 –> 00:38:02,590
pilots deliver sustainable and widespread change and it’s a question

601
00:38:02,600 –> 00:38:07,690
I haven’t got the answer. Commissioners were out the loop and

602
00:38:07,700 –> 00:38:08,990
You’ll meet Sajad today.

603
00:38:09,000 –> 00:38:13,590
He’s one of our lead commissioners but should we have involved equality and

604
00:38:13,600 –> 00:38:16,890
safety officers in the home and working with the home

605
00:38:16,900 –> 00:38:21,090
with them with social workers and we didn’t build any

606
00:38:21,100 –> 00:38:25,990
incentives into the pilot the opportunity for care providers was

607
00:38:26,000 –> 00:38:30,790
to receive Rita and free training and refresher training ,but

608
00:38:30,800 –> 00:38:34,190
did we miss a trick there? And that’s another question

609
00:38:34,200 –> 00:38:37,390
that we need to ask ourselves. Next slide please,

610
00:38:37,400 –> 00:38:42,390
So

611
00:38:42,400 –> 00:38:45,790
we’ve now started to re-engage with our care homes.

612
00:38:45,800 –> 00:38:49,090
We’ve recently held virtual events with them.

613
00:38:49,100 –> 00:38:52,790
We have them around the timing of events and to

614
00:38:52,800 –> 00:38:57,790
make sure where increased engagement you know avoided a winter

615
00:38:57,800 –> 00:39:01,790
pressures and you know, in terms of them coming out

616
00:39:01,800 –> 00:39:04,890
of lockdown and things we’ve worked with them to say

617
00:39:04,900 –> 00:39:05,890
when is best for you.

618
00:39:05,900 –> 00:39:11,790
We involve commissioners Rethink were there to support us,

619
00:39:11,800 –> 00:39:15,390
but we also heard the stories within the event and the impact that Rita

620
00:39:15,400 –> 00:39:17,690
could make from care home managers themselves.

621
00:39:17,700 –> 00:39:20,890
They signed up to deliver the event with us,

622
00:39:20,900 –> 00:39:22,590
which was a powerful message.

623
00:39:22,600 –> 00:39:27,690
We reinforced our expectations and opportunities going

624
00:39:27,700 –> 00:39:31,990
back to those cost-effective placement quality of one-to-one support,

625
00:39:32,000 –> 00:39:35,690
so we reminded people about what we wanted to achieve

626
00:39:35,700 –> 00:39:39,190
with them in terms of outcomes for individuals and next

627
00:39:39,200 –> 00:39:42,490
steps but we also wanted we didn’t want this to

628
00:39:42,500 –> 00:39:47,790
be just Rita bearing in mind it had been the pandemic, people

629
00:39:47,800 –> 00:39:51,090
moving into the digital space who wanted to use

630
00:39:51,100 –> 00:39:55,890
the event to engage more widespread around tech adoption and

631
00:39:55,900 –> 00:39:58,490
the opportunity to work with us. Next slide, please.

632
00:39:58,800 –> 00:40:03,790
This was part of the event

633
00:40:03,800 –> 00:40:06,590
and it was probably the understatement of the year that

634
00:40:06,600 –> 00:40:08,690
they had a particularly difficult time.

635
00:40:08,700 –> 00:40:12,090
You know we all know care staff time people’s friends

636
00:40:12,100 –> 00:40:16,290
and family and the connection to friends and family and

637
00:40:16,300 –> 00:40:20,290
all the emotions that go with that. They were also

638
00:40:20,300 –> 00:40:24,490
They had to manage the constraints within care homes and

639
00:40:24,500 –> 00:40:26,390
all that backlash no visitors.

640
00:40:26,400 –> 00:40:30,590
So you know but what we wanted to say ok.

641
00:40:30,600 –> 00:40:34,390
We understand the difficulties but come on.

642
00:40:34,400 –> 00:40:38,590
Let’s now use this as an opportunity to work together to support

643
00:40:38,600 –> 00:40:42,590
each other and see what’s possible. Next slide

644
00:40:42,600 –> 00:40:47,690
Please. So our offer was to support them and

645
00:40:47,700 –> 00:40:49,790
the team to move forward.

646
00:40:49,800 –> 00:40:53,590
I don’t think any of us think going backwards

647
00:40:53,600 –> 00:40:54,590
is an option.

648
00:40:54,600 –> 00:40:56,390
I don’t think we want to drive around our

649
00:40:56,400 –> 00:41:00,890
Boroughs and Cities in terms of attending meetings yes,

650
00:41:00,900 –> 00:41:02,590
there will be a proportion of that,

651
00:41:02,600 –> 00:41:05,390
but you know we want to be kinder to the

652
00:41:05,400 –> 00:41:08,590
environment and making best use of our time that will

653
00:41:08,600 –> 00:41:09,990
be the same within care homes.

654
00:41:10,000 –> 00:41:13,290
So we want to build on innovation to deliver services

655
00:41:13,300 –> 00:41:16,990
we want to develop new care models and care

656
00:41:17,000 –> 00:41:22,090
pathways with our providers. Next slide

657
00:41:22,100 –> 00:41:27,190
please and what comes with that innovation and

658
00:41:27,200 –> 00:41:30,690
technology and that’s what we were saying at our engagement.

659
00:41:30,700 –> 00:41:35,590
Events is investment so we saw the difference Rita could

660
00:41:35,600 –> 00:41:39,490
make to individuals and care teams and we wanted

661
00:41:39,500 –> 00:41:44,490
to invest in that Clare’s touched on you

662
00:41:44,500 –> 00:41:47,990
know in terms of this has been a priority now, in terms of care

663
00:41:48,000 –> 00:41:51,790
homes and their care records digital care records shared care

664
00:41:51,800 –> 00:41:56,790
records, NHSX, they’re looking at funding

665
00:41:56,800 –> 00:41:58,390
streams to work with us with

666
00:41:58,700 –> 00:42:04,390
care homes to explore the possibilities so

667
00:42:04,400 –> 00:42:07,790
we’ll use the event to say any interest to explore

668
00:42:07,800 –> 00:42:12,090
this space with us, talk to us and I

669
00:42:12,100 –> 00:42:15,690
think it’s what Clare’s saying that those who are interested

670
00:42:15,700 –> 00:42:17,590
harness it, see what can be achieved.

671
00:42:17,600 –> 00:42:21,990
So we’re looking at things like our provider portals

672
00:42:22,000 –> 00:42:27,790
so providers can submit invoices electronically, raise queries

673
00:42:27,800 –> 00:42:32,690
as opposed to being inundated with sort of paper

674
00:42:32,700 –> 00:42:35,890
and older and antiquated systems

675
00:42:35,900 –> 00:42:39,690
but we’re also looking at things like marketplace and brokerage.

676
00:42:39,700 –> 00:42:43,590
So you know the whole caboodle not just the tech

677
00:42:43,600 –> 00:42:45,990
that can make a difference in terms of care teams

678
00:42:46,000 –> 00:42:50,290
that simple but there whole set up really and we

679
00:42:50,300 –> 00:42:52,990
want to work with them in terms of what can

680
00:42:53,000 –> 00:42:59,590
be achieved so that’s a story up-to-date in Dudley. So can I hand over now

681
00:42:59,600 –> 00:43:04,690
to Clare and her colleagues in Telford and Wrekin. Thanks everyone.

682
00:43:04,700 –> 00:43:10,990
Thank you Marie now just to introduce ourselves from

683
00:43:11,000 –> 00:43:12,090
Telford and Wrekin now.

684
00:43:12,100 –> 00:43:16,090
I’m Clare Hall-Salter I’m a service delivery manager the service

685
00:43:16,100 –> 00:43:20,990
improvement with a particular lead for digital transformation and my

686
00:43:21,000 –> 00:43:25,890
colleagues Julie Edmonds and Helen Cottrell will put their cameras on as

687
00:43:25,900 –> 00:43:29,290
well will be joining me in talking about our journey

688
00:43:29,300 –> 00:43:32,890
in Telford and Wrekin with home care providers and the

689
00:43:32,900 –> 00:43:37,390
implementation of initiatives that we have. Next slide,

690
00:43:37,400 –> 00:43:42,490
please so little bit of context around Telford

691
00:43:42,500 –> 00:43:47,290
and Wrekin. We’re a small unitary authority – small but perfectly formed

692
00:43:47,300 –> 00:43:51,890
we like to say population around 180,000.

693
00:43:51,900 –> 00:43:56,990
This is due to rise to around 200,000 by 2030

694
00:43:57,000 –> 00:43:58,090
We’ve got

695
00:43:58,700 –> 00:44:03,690
Approximately 36000 adults age 65 plus, of which

696
00:44:03,700 –> 00:44:06,990
7500 are aged over 80.

697
00:44:07,000 –> 00:44:12,090
This is projected to rise to 55% over 80s

698
00:44:12,100 –> 00:44:14,290
by 2031,

699
00:44:14,300 –> 00:44:17,690
so where once Telford and Wrekin was seen as very young

700
00:44:17,700 –> 00:44:21,990
population we are now looking to be much older

701
00:44:22,000 –> 00:44:24,490
population in the coming years.

702
00:44:24,500 –> 00:44:32,990
We’ve got around 3700 adults who are on our

703
00:44:33,000 –> 00:44:38,090
long or short term services, 2000 of those on long term services. There’s quite

704
00:44:38,100 –> 00:44:40,690
different socioeconomic differences across the area.

705
00:44:40,700 –> 00:44:45,190
We have rural areas and urban areas and some areas are

706
00:44:45,200 –> 00:44:50,290
in the most deprived nationally so quite different

707
00:44:50,300 –> 00:44:54,890
populations and demographics across Telford and Wrekin. In terms of

708
00:44:54,900 –> 00:44:58,290
life expectancy, we are worse than the national average.

709
00:44:58,700 –> 00:45:03,790
And quite a key fact is that 86%

710
00:45:03,800 –> 00:45:07,890
of people aged 85 and over report that they suffer

711
00:45:07,900 –> 00:45:13,390
from a long-term health problem or disability, so we

712
00:45:13,400 –> 00:45:17,390
have three local NHS providers for acute, community and

713
00:45:17,400 –> 00:45:20,390
mental health and we’re a part of the Shropshire, Telford and

714
00:45:20,400 –> 00:45:25,490
Wrekin formation of the ICS. In terms of our home

715
00:45:25,500 –> 00:45:27,090
care and residential care,

716
00:45:27,100 –> 00:45:31,390
we have approximately 900 people in home care services and

717
00:45:31,400 –> 00:45:35,390
around 500 in residential. OK,

718
00:45:35,400 –> 00:45:37,790
so the pandemic. Marie talked about the pandemic.

719
00:45:37,800 –> 00:45:42,090
That’s affected us all. It really has helped with our

720
00:45:42,100 –> 00:45:47,190
digital transformation journey in Telford and Wrekin. We have

721
00:45:47,200 –> 00:45:52,790
recently gone through the use of the TSA LGA diagnostic

722
00:45:52,800 –> 00:45:57,790
tech tool to really put a robust programme around our

723
00:45:57,800 –> 00:45:58,690
digital transformation journey.

724
00:45:58,600 –> 00:46:04,090
Prior to that, we have accelerated

725
00:46:04,100 –> 00:46:09,190
I said over the pandemic in terms of our case

726
00:46:09,200 –> 00:46:12,590
management and our financial management system all linked together.

727
00:46:12,600 –> 00:46:17,690
We have Livewell Telford’s marketplace information and advice and

728
00:46:17,700 –> 00:46:23,590
directory of services links through to our case and financial management

729
00:46:23,600 –> 00:46:29,090
systems. We’ve implemented provider portals, we’ve implemented

730
00:46:29,100 –> 00:46:34,290
a brokerage. We have also started the journey to implement our citizens

731
00:46:34,300 –> 00:46:39,790
portal as well and seems journey for both residents and also

732
00:46:39,800 –> 00:46:45,090
providers. During the pandemic, we were also very proud

733
00:46:45,100 –> 00:46:49,390
to launch our independent living centre and also our virtual

734
00:46:49,400 –> 00:46:52,390
Smart House. We’ve got the link there for later for the

735
00:46:52,400 –> 00:46:56,790
slide and we are now fully up and running with

736
00:46:56,800 –> 00:46:58,390
our Shared Care Records

737
00:46:58,600 –> 00:47:02,790
with health and social care partners.

738
00:47:02,800 –> 00:47:07,790
Next slide please. So in terms of our

739
00:47:07,800 –> 00:47:11,590
Home Care Smart Hub Initiative, which we’re talking about today.

740
00:47:11,600 –> 00:47:14,290
Just to say it is early days.

741
00:47:14,300 –> 00:47:17,590
We are on a journey of discovery at the moment

742
00:47:17,600 –> 00:47:21,690
and we’ve learnt lots of lessons along the way. Our key strategic

743
00:47:21,700 –> 00:47:26,590
drivers for the initiative very much working with our home

744
00:47:26,600 –> 00:47:27,490
care providers.

745
00:47:27,500 –> 00:47:29,790
Obviously workforce pressures.

746
00:47:29,800 –> 00:47:34,390
We wanted to work together to look at the pressures

747
00:47:34,400 –> 00:47:38,690
and look at how we could alleviate some of that so really

748
00:47:38,700 –> 00:47:42,490
was very much a key driver promoting independence for our

749
00:47:42,500 –> 00:47:47,190
residence along with a vision delivering better outcomes for our residents,

750
00:47:47,400 –> 00:47:51,390
which nobody can argue this is absolutely one of

751
00:47:51,400 –> 00:47:55,890
the key drivers for our Smart Hub Initiative. We’re also on

752
00:47:55,900 –> 00:47:57,590
a journey of culture for change.

753
00:47:58,600 –> 00:48:03,590
So changing our approach of our workforce with our partners and

754
00:48:03,600 –> 00:48:08,590
the community in terms of their expectations of adult social

755
00:48:08,600 –> 00:48:13,990
care. We are a co-operative council in Telford and Wrekin,

756
00:48:14,000 –> 00:48:18,790
which means co-production is really really important to us. Everything

757
00:48:18,800 –> 00:48:21,590
that I’ve talked about already in terms of that digital

758
00:48:21,600 –> 00:48:26,690
transformation has been co-produced with our residents,

759
00:48:26,700 –> 00:48:30,190
with family members, with carers, with our experts by experience

760
00:48:30,200 –> 00:48:34,090
and our smart hub initiative is no different and Helen

761
00:48:34,100 –> 00:48:36,390
will talk a little bit more about that.

762
00:48:36,400 –> 00:48:39,890
When it comes to her slides in terms of the

763
00:48:39,900 –> 00:48:43,790
specific pilots and initiative we really wanted to look at

764
00:48:43,800 –> 00:48:48,990
what we can do to prevent hospital admissions or readmissions

765
00:48:49,000 –> 00:48:54,290
and also to aid hospital discharge again an important strategic

766
00:48:54,300 –> 00:48:57,490
driver for us and for our partners.

767
00:48:58,500 –> 00:49:03,890
So what are we trying to achieve? Particularly with the Smart Hub Initiative so

768
00:49:03,900 –> 00:49:06,190
we want to work with our residents and our home

769
00:49:06,200 –> 00:49:10,890
care providers to enable the delivery of care remotely by

770
00:49:10,900 –> 00:49:14,090
using this smart hub digital device to offer an alternative

771
00:49:14,100 –> 00:49:18,990
to or indeed to complement the physical care call by

772
00:49:19,000 –> 00:49:24,390
care or health provider or professional and as I said earlier.

773
00:49:24,400 –> 00:49:27,390
It really is early days.

774
00:49:27,400 –> 00:49:27,790
Next slide please.

775
00:49:27,800 –> 00:49:32,890
Thank you. So the project itself

776
00:49:32,900 –> 00:49:38,290
and what we’ve been learning along the way. So probably around

777
00:49:38,300 –> 00:49:39,590
6 to 8 months ago,

778
00:49:39,600 –> 00:49:44,290
I would suggest now, time moves on quickly, we had the

779
00:49:44,300 –> 00:49:50,290
initial idea of looking at the introduction of smart

780
00:49:50,300 –> 00:49:50,790
hubs,

781
00:49:50,800 –> 00:49:55,990
so Helen managed to organise a demonstration with

782
00:49:56,000 –> 00:50:00,690
many providers showing us the bright and shiny products that were

783
00:50:00,700 –> 00:50:06,090
available with no strings attached and this demonstration

784
00:50:06,100 –> 00:50:11,190
was also attended by our DAS (Director of Adult Social

785
00:50:11,200 –> 00:50:14,890
Care) and our leadership team as well and it really

786
00:50:14,900 –> 00:50:17,290
opened our eyes to what’s out there and the art

787
00:50:17,300 –> 00:50:21,490
of the possible in some respect. We also identified the

788
00:50:21,500 –> 00:50:22,190
particular co-hort

789
00:50:22,200 –> 00:50:25,290
We wanted to work with in our phase one was the

790
00:50:25,300 –> 00:50:30,490
enablement cohort and we felt this hadn’t necessarily been

791
00:50:30,500 –> 00:50:34,290
done before in terms of our research across other councils

792
00:50:34,300 –> 00:50:38,790
and potentially difficult nut to crack but we wanted really

793
00:50:38,800 –> 00:50:43,090
to work with those residents who, you know, this is

794
00:50:43,100 –> 00:50:48,390
possibly the first time that they’ve come into contact

795
00:50:48,400 –> 00:50:49,890
with adult social care.

796
00:50:49,900 –> 00:50:53,990
We wanted to aid them to regain their functional capacity

797
00:50:54,000 –> 00:50:58,090
as quickly as possible to regain independence after

798
00:50:58,500 –> 00:51:03,490
acute admission or illness and we felt that this cohort

799
00:51:03,500 –> 00:51:07,190
and the use of this device would provide

800
00:51:07,200 –> 00:51:11,490
maximum flexibility with our provider partners as well.

801
00:51:11,500 –> 00:51:12,690
But also really

802
00:51:12,700 –> 00:51:18,090
importantly, for us to manage the expectations of

803
00:51:18,100 –> 00:51:23,690
residents, family and carers and also our partners

804
00:51:23,700 –> 00:51:27,690
across the health sector in terms of their expectations of

805
00:51:27,700 –> 00:51:30,190
using adult social care in the future.

806
00:51:30,200 –> 00:51:35,190
So that was a really important part of our journey.

807
00:51:35,200 –> 00:51:40,590
With the project I talked about our senior officer our DAS who was very

808
00:51:40,600 –> 00:51:45,190
much onboard very early on. Really positive in that respect, in

809
00:51:45,200 –> 00:51:49,190
fact so keen that they wanted to see it implemented pretty

810
00:51:49,200 –> 00:51:51,590
much within a couple of weeks of seeing the bright,

811
00:51:51,600 –> 00:51:56,790
shiny products so again managing expectations, we’re very,

812
00:51:56,800 –> 00:52:01,990
very fortunate in Telford and Wrekin We’ve got a wonderful cabinet

813
00:52:02,000 –> 00:52:02,790
member support,

814
00:52:02,800 –> 00:52:05,890
so that wasn’t an issue and we have a great

815
00:52:05,900 –> 00:52:10,890
advocate in our cabinet member to really support this initiative

816
00:52:10,900 –> 00:52:15,990
and help to almost sell our initiatives

817
00:52:16,000 –> 00:52:18,190
to the rest of the cabinet and that brings me

818
00:52:18,200 –> 00:52:23,290
on nicely to the funding model and our ability to

819
00:52:23,300 –> 00:52:28,690
gain funding via cabinets

820
00:52:28,700 –> 00:52:33,490
pledges as we’ve moved forward so we have been successful

821
00:52:33,500 –> 00:52:37,790
in gaining 5 years worth of funding so that were able

822
00:52:37,800 –> 00:52:43,990
to really move forward from a pilot phase into

823
00:52:44,000 –> 00:52:49,190
business as usual and that funding model we looked

824
00:52:49,200 –> 00:52:52,890
at was to include not only the equipment in the first

825
00:52:52,900 –> 00:52:57,990
year and moving forward but also additional staffing and

826
00:52:58,000 –> 00:52:58,390
potentially

827
00:52:58,400 –> 00:53:03,790
Those pump-priming costs for our provider, so

828
00:53:03,800 –> 00:53:08,890
this was secured linked to our cabinet priorities,

829
00:53:08,900 –> 00:53:14,490
which is also really beneficial because of the communications

830
00:53:14,500 –> 00:53:19,990
that will come as part of that heading towards the

831
00:53:20,000 –> 00:53:25,290
election in 2023 for our cabinet as well

832
00:53:25,300 –> 00:53:31,090
very important that everything links back to those pledges when

833
00:53:31,100 –> 00:53:35,890
we were looking at the funding and the project resource.

834
00:53:35,900 –> 00:53:39,490
We realised very quickly that we needed to be very

835
00:53:39,500 –> 00:53:43,590
clear on our roles and responsibilities and to have robust

836
00:53:43,600 –> 00:53:48,790
governance and we are a small team and initially this was very

837
00:53:48,800 –> 00:53:52,890
much on top of the day job for everybody but

838
00:53:52,900 –> 00:53:58,090
having that initial project management support has enabled us

839
00:53:58,400 –> 00:54:03,990
to really clearly set out a a program

840
00:54:04,000 –> 00:54:05,790
management approach to this initiative.

841
00:54:05,800 –> 00:54:10,990
We have involved experts by experience right

842
00:54:11,000 –> 00:54:11,390
from the word

843
00:54:11,400 –> 00:54:13,590
Go and Helen is going to talk a little bit

844
00:54:13,600 –> 00:54:18,090
more about that and we’ve also involved our home care

845
00:54:18,100 –> 00:54:19,690
providers right from the word.

846
00:54:19,700 –> 00:54:20,490
Go as well.

847
00:54:20,500 –> 00:54:25,290
So important that they are part of the project team

848
00:54:25,300 –> 00:54:29,690
and they attend those meetings and have been very much

849
00:54:29,700 –> 00:54:33,490
part of the procurement of the devices and the training etc

850
00:54:33,500 –> 00:54:39,690
And again Julie will touch upon that as we move forward in terms of the

851
00:54:39,700 –> 00:54:44,390
procurement although we’ve seen lots of bright and shiny devices.

852
00:54:44,400 –> 00:54:49,590
It was very important that we really looked

853
00:54:49,600 –> 00:54:53,090
at pulling together the right specification.

854
00:54:53,100 –> 00:54:56,790
What was the right kit for us in Telford for

855
00:54:56,800 –> 00:54:58,390
our residents for our providers

856
00:54:58,300 –> 00:55:03,290
And that we could future proof this because this is very

857
00:55:03,300 –> 00:55:08,690
much the start of that tech journey and our procurement team

858
00:55:08,700 –> 00:55:14,590
really helped us with that alongside our corporate ICT and

859
00:55:14,600 –> 00:55:18,390
also on the project team its really important that we

860
00:55:18,400 –> 00:55:24,090
looked at our governance in terms of GDPR. Having

861
00:55:24,100 –> 00:55:29,090
the right data privacy impact assessment carried out ensuring that

862
00:55:29,100 –> 00:55:32,590
we had our operational colleagues as well as part of that

863
00:55:32,600 –> 00:55:32,990
project.

864
00:55:33,000 –> 00:55:38,190
We’re now at the stage of looking at our performance

865
00:55:38,200 –> 00:55:43,190
metrics and our evaluation and then ensuring that we have captured

866
00:55:43,200 –> 00:55:48,090
a baseline starting point before the devices actually go in then

867
00:55:48,100 –> 00:55:52,590
we want to catch a qualitative and quantitative information and

868
00:55:52,600 –> 00:55:54,990
some of that will come from the tech provider themselves

869
00:55:55,000 –> 00:55:59,590
and some of that from the residents who will be using the devices

870
00:55:59,600 –> 00:56:02,890
and also from the provider so we’re all working together

871
00:56:02,900 –> 00:56:07,890
to produce that evaluation framework as we speak and as you

872
00:56:07,900 –> 00:56:11,290
can see from the slide there we have been out to

873
00:56:11,300 –> 00:56:16,890
tender and our successful equipment provider is Ethel care and

874
00:56:16,900 –> 00:56:20,090
I’m going to hand onto Helen now. Can we go to the

875
00:56:20,100 –> 00:56:20,990
next slide,

876
00:56:21,000 –> 00:56:21,390
please.

877
00:56:21,400 –> 00:56:25,790
Sorry we’re going to Julie Edmonds thank you.

878
00:56:25,800 –> 00:56:31,490
I’ll just take

879
00:56:31,500 –> 00:56:32,090
myself off mute

880
00:56:32,100 –> 00:56:36,290
We have a dynamic purchasing system for a home care

881
00:56:36,300 –> 00:56:39,690
providers in Telford and Wrekin. This is essentially a framework

882
00:56:39,700 –> 00:56:42,990
of pre approved providers and currently we have 36 providers

883
00:56:43,000 –> 00:56:43,690
on our DPS.

884
00:56:43,700 –> 00:56:50,590
95% of these are rated good or outstanding with CQC as of

885
00:56:50,600 –> 00:56:51,490
February this year.

886
00:56:51,500 –> 00:56:55,690
We had 215 people aged between 18 and 64 receiving

887
00:56:55,700 –> 00:56:58,190
home care and 695 people

888
00:56:58,300 –> 00:57:03,690
aged over 65 receiving home car. We

889
00:57:03,700 –> 00:57:07,090
hold regular provider events and these moved to taking place

890
00:57:07,100 –> 00:57:08,490
online in the last couple of years,

891
00:57:08,500 –> 00:57:10,290
but attendance is generally good.

892
00:57:10,300 –> 00:57:14,790
We discussed upcoming projects with providers and the Smart Hub was

893
00:57:14,800 –> 00:57:17,090
an agenda item that are provided for them on the

894
00:57:17,100 –> 00:57:21,190
8th of November last year. Hands up, we didn’t have a

895
00:57:21,200 –> 00:57:23,890
100% positive response to the smart hub from all of

896
00:57:23,900 –> 00:57:24,690
our providers.

897
00:57:24,700 –> 00:57:28,090
There was some negative feedback from one or two. However,

898
00:57:28,100 –> 00:57:29,790
we did have a couple of providers

899
00:57:29,800 –> 00:57:33,990
who said they were interested in working with us. The

900
00:57:34,000 –> 00:57:36,790
provider we chose to work with is one that we’ve worked

901
00:57:36,800 –> 00:57:37,890
with for several years.

902
00:57:37,900 –> 00:57:40,290
They hold a number of different contracts with us for

903
00:57:40,300 –> 00:57:42,790
care delivery, such as enablement care.

904
00:57:42,800 –> 00:57:46,190
They deliver a planned overnight care service – a bridging service.

905
00:57:46,200 –> 00:57:49,690
This is just a demonstration that they’re already delivering a

906
00:57:49,700 –> 00:57:52,290
number of different types of services on our behalf and

907
00:57:52,300 –> 00:57:54,490
not just long-term domiciliary care.

908
00:57:54,500 –> 00:57:56,490
Now

909
00:57:56,500 –> 00:57:58,290
I need to add here also that this provider

910
00:57:58,300 –> 00:58:02,590
Established rated overall good with CQC with an outstanding rating

911
00:58:02,600 –> 00:58:06,890
for caring. They have an excellent internal infrastructure which includes

912
00:58:06,900 –> 00:58:11,090
a manager, coordinator, senior and carers and you will soon hear

913
00:58:11,100 –> 00:58:13,490
from Sue Robson, the owner of the company and why

914
00:58:13,500 –> 00:58:16,690
they chose to be involved in the project. We did

915
00:58:16,700 –> 00:58:19,790
not and would never underestimate the value of their time.

916
00:58:19,800 –> 00:58:24,490
They gave and contributed to the project from the outset.

917
00:58:24,500 –> 00:58:26,690
They were invited to the early project meetings where we

918
00:58:26,700 –> 00:58:28,990
discussed what we wanted to achieve and how we could

919
00:58:29,000 –> 00:58:32,090
do this together. Supreme helped us to understand that this

920
00:58:32,100 –> 00:58:35,090
was not going to save us money for every call made

921
00:58:35,100 –> 00:58:37,290
by the Smart Hub it would need a trained member

922
00:58:37,300 –> 00:58:39,790
of staff to make the call and have the skills

923
00:58:39,800 –> 00:58:41,990
and knowledge to pick up on any concerns during the

924
00:58:42,000 –> 00:58:47,290
call with that individual that may necessitate a physical call with them.

925
00:58:47,300 –> 00:58:52,390
The provider needed to develop their own infrastructure internally

926
00:58:52,400 –> 00:58:54,790
to enable them to participate in a way that would

927
00:58:54,800 –> 00:58:57,390
be as robust as possible. There would be a staff

928
00:58:57,400 –> 00:58:57,790
member with dedicated

929
00:58:58,200 –> 00:59:01,090
time on the project that would also need the right

930
00:59:01,100 –> 00:59:04,190
equipment, so there is initial setup costs included in their

931
00:59:04,200 –> 00:59:05,890
funding proposals to support this.

932
00:59:05,900 –> 00:59:09,890
I just wanted to add that during this time.

933
00:59:09,900 –> 00:59:13,490
We were discussing fee uplifts with our home care

934
00:59:13,500 –> 00:59:16,190
provider market as long as the same time as the

935
00:59:16,200 –> 00:59:19,290
Smart Hub Initiative was going on so we were also

936
00:59:19,300 –> 00:59:21,690
having difficult conversations with that market.

937
00:59:21,700 –> 00:59:26,690
So this is really to emphasise the need for good

938
00:59:26,700 –> 00:59:27,890
provider relationships.

939
00:59:27,900 –> 00:59:31,290
We are in the early stages of our projects but

940
00:59:31,300 –> 00:59:33,390
our next step will be able to revive all our

941
00:59:33,400 –> 00:59:34,890
other care providers in the project.

942
00:59:34,900 –> 00:59:37,290
We need to be thinking of care delivery in different ways.

943
00:59:37,600 –> 00:59:40,190
We can’t keep continuing to do the same things we

944
00:59:40,200 –> 00:59:44,290
have already done so I now want to introduce you

945
00:59:44,300 –> 00:59:46,190
to Sue Robson. We’re just going to play a short video.

946
00:59:46,200 –> 00:59:50,090
She is our provider and she’ll explain their involvement in the project.

947
01:00:09,700 –> 01:00:15,490
I’m Sue Robson I’m director of Supreme HomeCare – a home care agency

948
01:00:15,500 –> 01:00:19,290
in Telford and I’ve been asked to explain why it’s

949
01:00:19,300 –> 01:00:22,190
been important to be involved in the Ethel project from

950
01:00:22,200 –> 01:00:26,190
from the beginning we’re delighted to have been asked

951
01:00:26,200 –> 01:00:28,790
by the council to be involved in this and I

952
01:00:28,800 –> 01:00:32,790
think we see it as a way of testing how

953
01:00:32,800 –> 01:00:36,790
we can harness and using technology to improve the service

954
01:00:36,800 –> 01:00:37,990
that we provide to our clients.

955
01:00:38,000 –> 01:00:42,990
We see it as about being at the beginning

956
01:00:43,000 –> 01:00:46,090
of developing new ways of working and new ways of

957
01:00:46,100 –> 01:00:50,090
delivering care to our clients and testing that with them and

958
01:00:50,100 –> 01:00:52,390
with the council to see what works and what doesn’t

959
01:00:52,400 –> 01:00:56,690
and certainly for us I think one of the reasons why

960
01:00:56,700 –> 01:00:57,590
we want to be involved.

961
01:00:58,200 –> 01:01:03,790
Into the future and testing how things will be particularly

962
01:01:03,800 –> 01:01:07,990
with new technology and as new systems come on stream.

963
01:01:08,000 –> 01:01:14,690
In terms of the the benefits of introducing Ethel, certainly

964
01:01:14,700 –> 01:01:18,990
we’re seeing it as being perhaps a way of making

965
01:01:19,000 –> 01:01:22,090
or helping our clients to become more independent.

966
01:01:22,100 –> 01:01:24,890
They won’t be receiving as many calls.

967
01:01:24,900 –> 01:01:27,890
They won’t be receiving the calls where there is no

968
01:01:27,900 –> 01:01:29,590
personal care involved with them.

969
01:01:29,600 –> 01:01:33,790
So it’s testing the boundaries of how we go about,

970
01:01:33,800 –> 01:01:38,390
reducing those calls and bringing even further independence into clients

971
01:01:38,400 –> 01:01:42,890
lives. Ethel’s also going to give opportunities that aren’t currently

972
01:01:42,900 –> 01:01:47,990
available for example it’s a system that will allow clients

973
01:01:48,000 –> 01:01:51,490
to have virtual meetings with their families and perhaps us

974
01:01:51,500 –> 01:01:54,590
to have virtual meetings with clients and their families and

975
01:01:54,600 –> 01:01:59,590
also things like the provision of exercise programmes

976
01:01:59,600 –> 01:02:04,590
into care services and health services which currently

977
01:02:04,600 –> 01:02:08,190
aren’t easily available so we looking forward to testing all

978
01:02:08,200 –> 01:02:17,190
of these things with our clients and council.

979
01:02:17,200 –> 01:02:17,890
Thanks to Sue for that.

980
01:02:17,900 –> 01:02:20,590
can I have the next slide please.

981
01:02:20,600 –> 01:02:25,990
Thank you. As I mentioned earlier,

982
01:02:26,000 –> 01:02:28,990
we have a dynamic purchasing system for our carers support

983
01:02:29,000 –> 01:02:29,590
providers.

984
01:02:29,600 –> 01:02:33,690
We shared information on the Smart Hub projects that provide

985
01:02:33,700 –> 01:02:36,990
a forum in November 21 and Supreme were the only volunteer

986
01:02:37,000 –> 01:02:41,690
to set forward and volunteer. The following months, Supreme joined our

987
01:02:41,700 –> 01:02:45,090
project group and gave us an invaluable operational perspective that

988
01:02:45,100 –> 01:02:48,990
we just wouldn’t have done during the project ourselves at the

989
01:02:49,000 –> 01:02:50,490
beginning of 2022.

990
01:02:50,500 –> 01:02:53,490
We got our procurement team involved to advise us on

991
01:02:53,500 –> 01:02:55,590
the best route to tender for this solution.

992
01:02:55,600 –> 01:03:00,190
You do need their involvement and there’s lots of tech frameworks out

993
01:03:00,200 –> 01:03:02,690
there and knowing which one to choose when you don’t have experience in

994
01:03:02,700 –> 01:03:07,790
this area is essential. Involving that ICT team is also

995
01:03:07,800 –> 01:03:11,390
a key element  to this project especially in developing the service

996
01:03:11,400 –> 01:03:12,290
specification.

997
01:03:12,300 –> 01:03:15,690
They wrote in all of the technical stuff and ensuring

998
01:03:15,700 –> 01:03:17,990
we were buying a product that was safe and we

999
01:03:18,000 –> 01:03:21,390
weren’t putting anyone at risk for example, ensuring the bidder

1000
01:03:21,400 –> 01:03:25,590
was signed up to the 14 cloud security principles. The time

1001
01:03:25,600 –> 01:03:28,290
we took in developing the service specification was another key

1002
01:03:28,300 –> 01:03:30,290
element in getting the product right for us.

1003
01:03:30,300 –> 01:03:34,790
We used the request for quote procurement route and involved members

1004
01:03:34,800 –> 01:03:38,090
of the project team for evaluation of the bids. Some were

1005
01:03:38,100 –> 01:03:42,790
from ICT Supreme and an expert by experience. We received

1006
01:03:42,800 –> 01:03:47,790
two bids, which were exceptionally close. Ethel was

1007
01:03:47,800 –> 01:03:50,690
the successful bidder and they have been awarded a 12-month

1008
01:03:50,700 –> 01:03:54,190
contract with the option to extend and the contract management

1009
01:03:54,200 –> 01:03:57,490
element will be closely linked to our project group.

1010
01:03:58,100 –> 01:04:02,290
We’re shortly going out to tender for a block HomeCare enablement

1011
01:04:02,300 –> 01:04:05,190
contract, where a key element will be the need to

1012
01:04:05,200 –> 01:04:07,890
use a tech solution and come up with suggestions for

1013
01:04:07,900 –> 01:04:11,790
expanding on the use of tech in care delivery. I’d

1014
01:04:11,800 –> 01:04:14,190
like to stress how important it is to put the

1015
01:04:14,200 –> 01:04:16,290
ground work in to get this right at the start.

1016
01:04:16,300 –> 01:04:19,290
We did get frustrated with the governance process and the

1017
01:04:19,300 –> 01:04:21,090
time it was taking when we just wanted to go

1018
01:04:21,100 –> 01:04:21,990
out and buy this product.

1019
01:04:22,000 –> 01:04:25,190
We now have a really good foundation on which to

1020
01:04:25,200 –> 01:04:27,490
build this project and we look forward to coming back

1021
01:04:27,500 –> 01:04:30,690
and sharing our successes with you and I’d now like

1022
01:04:30,700 –> 01:04:33,790
to introduce my colleague Helen who’s going to update you

1023
01:04:33,800 –> 01:04:35,390
from an operational perspective.

1024
01:04:35,400 –> 01:04:36,190
Thank you.

1025
01:04:36,200 –> 01:04:41,190
I nearly started talking without

1026
01:04:41,200 –> 01:04:42,490
taking myself off mute.

1027
01:04:42,500 –> 01:04:45,690
Thanks Julie so yeah.

1028
01:04:45,700 –> 01:04:50,690
We’ve procured a device called Ethel. It’s a

1029
01:04:50,700 –> 01:04:55,490
large touchscreen device that has specifically been designed for people

1030
01:04:55,500 –> 01:04:58,090
who might not have much experience with using technology.

1031
01:04:58,000 –> 01:05:03,390
It’s always switched on, no passwords are needed and it links into

1032
01:05:03,400 –> 01:05:06,490
the secure portal which allows the two-way video calls that Julie spoke

1033
01:05:06,500 –> 01:05:10,890
about with those kind of those authorised users such

1034
01:05:10,900 –> 01:05:15,090
as care providers, clinicians, family and anyone who might need

1035
01:05:15,100 –> 01:05:18,490
to be involved in the support of an individual. It can also

1036
01:05:18,500 –> 01:05:23,490
provide both planned and instant prompts to help remembering

1037
01:05:23,500 –> 01:05:26,190
tasks throughout the day and for us,

1038
01:05:26,200 –> 01:05:28,590
that’s how we’re going to use it in that really

1039
01:05:28,600 –> 01:05:33,790
kind of basic format in this initial phase but

1040
01:05:33,800 –> 01:05:36,790
as time goes on we can also use other functions

1041
01:05:36,800 –> 01:05:39,890
of the device which will help to collect things like

1042
01:05:39,900 –> 01:05:44,990
data around vital signs, activity within the home.

1043
01:05:45,000 –> 01:05:47,490
It can give notifications when something is out of the ordinary.

1044
01:05:47,500 –> 01:05:53,090
What we feel is we’ve procured a device that I suppose

1045
01:05:53,100 –> 01:05:56,090
we feel confident will grow with us as an organisation

1046
01:05:56,100 –> 01:05:57,990
in order to support

1047
01:05:58,000 –> 01:06:02,990
staff and our provider staff in that shift of how we’re

1048
01:06:03,000 –> 01:06:04,590
providing services.

1049
01:06:04,600 –> 01:06:09,290
We need to start simple and then grow and develop

1050
01:06:09,300 –> 01:06:12,390
so that we can start using those kind of fuller

1051
01:06:12,400 –> 01:06:16,890
ranges of functions that the device can offer us so

1052
01:06:16,900 –> 01:06:20,390
before we even went out to tender we started to

1053
01:06:20,400 –> 01:06:24,690
attend all of the adult social care team meetings even

1054
01:06:24,700 –> 01:06:27,590
though we decided that enablement was going to be our

1055
01:06:27,600 –> 01:06:28,690
initial cohort.

1056
01:06:28,700 –> 01:06:33,290
We really needed to get as much feedback and involvement

1057
01:06:33,300 –> 01:06:37,190
as possible from all of our service areas and by

1058
01:06:37,200 –> 01:06:42,790
doing that it really helped people to engage with

1059
01:06:42,800 –> 01:06:45,290
what was going on and help us to get feedback

1060
01:06:45,300 –> 01:06:49,790
Do do you need me to go quicker Clare, is that

1061
01:06:49,800 –> 01:06:50,490
why you’ve popped up.

1062
01:06:50,500 –> 01:06:55,990
So yeah, really helped staff to embed

1063
01:06:56,000 –> 01:06:57,690
with them that we have to think differently than

1064
01:06:58,000 –> 01:07:02,690
traditional support. We’ve also got a group of experts by

1065
01:07:02,700 –> 01:07:07,090
experience their very small and very dedicated and they all

1066
01:07:07,100 –> 01:07:10,890
used technology for one reason or another so early stages

1067
01:07:10,900 –> 01:07:13,690
started talking to them about why we need to do this project

1068
01:07:13,700 –> 01:07:16,290
and how would doing it and when the time is right.

1069
01:07:16,500 –> 01:07:21,490
We had an expert by experience, Mick, who

1070
01:07:21,500 –> 01:07:23,690
became fully involved in our tender process.

1071
01:07:23,700 –> 01:07:25,690
Have you got time for a little video?

1072
01:07:25,700 –> 01:07:28,590
It’s 30 seconds of Mick if not we can move

1073
01:07:28,600 –> 01:07:34,490
on thanks.

1074
01:07:34,500 –> 01:07:39,490
Did

1075
01:07:39,500 –> 01:07:42,690
you find it beneficial being part of the tender

1076
01:07:42,700 –> 01:07:48,590
evaluation process and if so,

1077
01:07:48,600 –> 01:07:51,090
was it a very easy process to be involved with?

1078
01:07:51,400 –> 01:07:55,790
Yes, it was very beneficial because it kinda means that somebody

1079
01:07:55,800 –> 01:07:57,290
who is an end user

1080
01:07:58,000 –> 01:08:02,290
has some input at the very early stages of this

1081
01:08:02,300 –> 01:08:07,390
process. The project itself was very good and

1082
01:08:07,400 –> 01:08:12,990
very easy to be involved with. Fab and Mick’s

1083
01:08:13,000 –> 01:08:16,290
been absolutely engaged with the whole process all the

1084
01:08:16,300 –> 01:08:20,990
way through, which it has been fantastic. Operationally, we’ve developed

1085
01:08:21,000 –> 01:08:25,990
process maps. We’ve done that in line with our business

1086
01:08:26,000 –> 01:08:29,990
systems support with our Frontline Workers Free Hospital discharge team,

1087
01:08:30,000 –> 01:08:35,290
we weaved contingencies into that we know things don’t always

1088
01:08:35,300 –> 01:08:38,090
go to plan ,so hopefully we’ve kind of thought of

1089
01:08:38,100 –> 01:08:42,490
different eventualities and have backup plans in place our next

1090
01:08:42,500 –> 01:08:44,390
step over the next couple of weeks is around training

1091
01:08:44,399 –> 01:08:46,590
for all of the stuff that will be in the

1092
01:08:46,600 –> 01:08:51,490
implementation of the project at that point over the next

1093
01:08:51,500 –> 01:08:51,890
couple of weeks,

1094
01:08:51,899 –> 01:08:54,290
but also engaging with our health colleagues to support the

1095
01:08:54,300 –> 01:08:55,790
hospital discharge process.

1096
01:08:55,800 –> 01:08:57,890
We need them to be aware of how.

1097
01:08:57,899 –> 01:09:01,590
Adult Social care are developing our offer so that those conversations

1098
01:09:01,600 –> 01:09:05,189
can happen with individuals and their families as early as

1099
01:09:05,200 –> 01:09:08,590
possible again around that sort of expectations of what will

1100
01:09:08,600 –> 01:09:12,390
happen next for people and in the longer term if we

1101
01:09:12,399 –> 01:09:14,590
were hoping we’ll make a really great impact in this

1102
01:09:14,600 –> 01:09:17,590
enablement period so that we can scale up quite quickly

1103
01:09:17,600 –> 01:09:20,890
and expand both small enablement care providers,

1104
01:09:20,899 –> 01:09:25,689
but also start looking at sorry longer-term packages of care.

1105
01:09:25,700 –> 01:09:29,790
So sorry rattle through the last little bit and then

1106
01:09:29,800 –> 01:09:32,890
Clare just got one last slide if we’ve got time for

1107
01:09:32,899 –> 01:09:36,189
it

1108
01:09:36,200 –> 01:09:41,090
I come off mute

1109
01:09:41,100 –> 01:09:41,590
Thank you.

1110
01:09:41,600 –> 01:09:43,890
Just to go through and this is a summary really

1111
01:09:43,899 –> 01:09:46,590
have a few points just to note for those other authorities that

1112
01:09:46,600 –> 01:09:49,390
are embarking on such a project.

1113
01:09:49,399 –> 01:09:52,689
It will always take longer than you think. We have

1114
01:09:52,700 –> 01:09:53,990
been thinking about this for some time,

1115
01:09:54,000 –> 01:09:57,590
but to go through every stage and have a robust

1116
01:09:57,600 –> 01:09:59,990
Governance Project management approach,

1117
01:10:00,000 –> 01:10:01,190
it will take longer,

1118
01:10:01,200 –> 01:10:05,090
but it’s worth it to involve your procurement team right from

1119
01:10:05,100 –> 01:10:07,890
the start and they’re really helpful with the market engagement

1120
01:10:07,900 –> 01:10:12,890
and also maximising social value from your tender as I

1121
01:10:12,900 –> 01:10:15,790
said earlier plenty of bright and shiny things out there, so

1122
01:10:15,800 –> 01:10:18,190
really understand what it is.

1123
01:10:18,200 –> 01:10:22,290
you want to achieve and stick to that in the spec and involve your

1124
01:10:22,300 –> 01:10:25,690
experts by experience throughout as I said that is really

1125
01:10:25,700 –> 01:10:30,890
really key. Involve your providers very early and keep them on board throughout

1126
01:10:30,900 –> 01:10:36,090
the project. Get a senior manager in early, but

1127
01:10:36,100 –> 01:10:41,490
manage their expectations and that is an ongoing

1128
01:10:41,500 –> 01:10:46,590
task. Work closely with communication colleagues internal and

1129
01:10:46,600 –> 01:10:51,690
external focus. They really help with a cultural change not

1130
01:10:51,700 –> 01:10:53,290
only for our own workforce,

1131
01:10:53,300 –> 01:10:56,690
but with the providers, partners,

1132
01:10:56,700 –> 01:10:57,890
but also the community.

1133
01:10:57,900 –> 01:11:03,090
And work with health colleagues and the tech providers. What

1134
01:11:03,100 –> 01:11:07,090
we have seen is a lack of join up on

1135
01:11:07,100 –> 01:11:10,690
some of these initiatives and for the benefit of the

1136
01:11:10,700 –> 01:11:15,990
resident. We really would like to see tech providers working

1137
01:11:16,000 –> 01:11:21,790
together to provide technology equipment that

1138
01:11:21,800 –> 01:11:24,890
can be used to meet the needs of the resident

1139
01:11:24,900 –> 01:11:29,190
whether that is via a health route or via a

1140
01:11:29,200 –> 01:11:30,290
social care route,

1141
01:11:30,300 –> 01:11:33,490
but we all need to work together for that one aim.

1142
01:11:33,800 –> 01:11:34,990
Thank you.

1143
01:11:35,000 –> 01:11:40,090
I hope you enjoyed our presentation . Lovely.

1144
01:11:40,100 –> 01:11:45,290
Thanks Clare, Helen and Julie that was brilliant and to Marie as well.

1145
01:11:45,300 –> 01:11:50,390
We’ve totally blown the time but it was fascinating.

1146
01:11:57,800 –> 01:12:01,490
I’m just going to do a really quick fire two

1147
01:12:01,500 –> 01:12:06,890
or three questions and share some practical things in the chat. Clare and

1148
01:12:06,900 –> 01:12:11,490
and I have shared your email and Marie’s email on request so

1149
01:12:11,500 –> 01:12:17,190
that anyone can follow up and Sajad, just some questions about why

1150
01:12:17,200 –> 01:12:20,290
you didn’t roll it out to all homes from the

1151
01:12:20,300 –> 01:12:23,290
start and what weresome of the barriers at the

1152
01:12:23,300 –> 01:12:25,690
beginning

1153
01:12:25,700 –> 01:12:28,890
So initially we chose to actually work on the basis of a

1154
01:12:28,900 –> 01:12:36,990
pilot to capture data around Rita and to

1155
01:12:37,000 –> 01:12:44,890
use that information for further funding that is difficult to say in one go!

1156
01:12:44,900 –> 01:12:52,790
That was the reason behind it, essentially,

1157
01:12:52,800 –> 01:12:55,890
and as you mentioned earlier on, Clare and in other

1158
01:12:57,800 –> 01:13:06,190
workshops as well around actually getting buy in, who are early adopters,

1159
01:13:06,200 –> 01:13:11,290
yo utilise it. The thing about Rita and the idea was working with people

1160
01:13:11,300 –> 01:13:17,790
who have dementia diagnosis so again, in the care homes we identified,

1161
01:13:17,800 –> 01:13:21,190
specifically around provision for dementia.

1162
01:13:21,200 –> 01:13:26,290
So once that was achieving success, with an older app

1163
01:13:26,300 –> 01:13:36,590
the widest of the care market from

1164
01:13:36,600 –> 01:13:40,390
providers in a what’s the real reason you’re

1165
01:13:40,400 –> 01:13:42,790
doing this kind of thing. Having to build

1166
01:13:42,800 –> 01:13:48,190
that relationship and trust with the providers

1167
01:13:48,200 –> 01:13:51,390
and getting them take it on board. Our internal systems.

1168
01:13:51,400 –> 01:13:55,290
I think that’s another area that we are developing still, in

1169
01:13:55,300 –> 01:13:56,990
terms of how our social workers

1170
01:13:57,800 –> 01:14:02,990
utilise assessment processes and their relationships

1171
01:14:03,000 –> 01:14:07,290
with others in terms of making sure that is considered

1172
01:14:07,300 –> 01:14:13,990
as part of the package and support the individual. So they’re just the

1173
01:14:14,000 –> 01:14:14,990
competency ones really,

1174
01:14:15,000 –> 01:14:19,190
so I mean it was intentionally limited funding, limited scope,

1175
01:14:19,200 –> 01:14:25,090
limited cohort, but also, you pitched the willing definitely.

1176
01:14:25,100 –> 01:14:28,690
Sajad, Marie mentioned you just kind of re-gone out with

1177
01:14:28,700 –> 01:14:30,990
with events and trying to post-Covid.

1178
01:14:31,000 –> 01:14:36,390
How’s that going? Have you had new homes stepping forward?

1179
01:14:36,400 –> 01:14:37,090
Remembering they’ve got it and re-engaging with it?

1180
01:14:37,100 –> 01:14:41,190
Yes,

1181
01:14:41,200 –> 01:14:46,590
I think we’ve had one step forward and

1182
01:14:46,600 –> 01:14:53,490
it’s fairly [inaudible] and I’m the focal point for it and I’ve got requests

1183
01:14:53,500 –> 01:15:00,190
coming in I’m getting those on a on a regular basis and existing

1184
01:15:00,200 –> 01:15:03,790
homes actually breaking to get more systems in because they’ve

1185
01:15:03,800 –> 01:15:08,490
seen the benefit for it and I think it’s definitely

1186
01:15:08,500 –> 01:15:13,490
bearing fruit the second engagement

1187
01:15:13,500 –> 01:15:20,690
session that we’ve had and phase 2 roll out.

1188
01:15:20,700 –> 01:15:23,590
The question about the staff in the homes and

1189
01:15:23,600 –> 01:15:25,490
I know this has come up whether you were just

1190
01:15:25,500 –> 01:15:28,490
targeting activity coordinator, the rules staff or how that kind

1191
01:15:28,500 –> 01:15:38,190
of worked. Can you just say a bit about that?

1192
01:15:38,200 –> 01:15:41,790
We asked the care providers to send stuff to the

1193
01:15:41,800 –> 01:15:47,690
awareness sessions for the training and so on and they automatically sent

1194
01:15:47,700 –> 01:15:53,290
their coordinators and we recognised that as I said it’s

1195
01:15:53,300 –> 01:15:54,790
moving forward.

1196
01:15:57,800 –> 01:16:02,190
So in in phase 2, we’ve been very clear and indicating

1197
01:16:02,200 –> 01:16:07,390
that it needs to be in the management level

1198
01:16:07,400 –> 01:16:11,890
stuff coming in as well as all care staff and not

1199
01:16:11,900 –> 01:16:14,490
just activity coordinators. We want Rita to be

1200
01:16:14,500 –> 01:16:18,990
available to people 24-hours a day 7-days a week and

1201
01:16:19,000 –> 01:16:22,890
that can only be managed and achieved if everybody

1202
01:16:22,900 –> 01:16:29,790
knows how to use Rita and as we all know around the table here, spontaneity is key

1203
01:16:29,800 –> 01:16:34,990
catching the moment and it’s difficult to say to somebody, hang on a second

1204
01:16:35,000 –> 01:16:36,790
I’ll come back in half an hour with the activity

1205
01:16:36,800 –> 01:16:39,590
coordinator. You want to be able to

1206
01:16:39,600 –> 01:16:41,990
work with people at the right moment,

1207
01:16:42,000 –> 01:16:47,290
so we’ve made it very clear going forwards

1208
01:16:47,300 –> 01:16:54,390
that it will be all staff. And the other thing we’ve done with the My Improvement Network

1209
01:16:54,400 –> 01:16:57,690
is we’ve offered a training package to the care homes, so it’s ongoing

1210
01:16:57,800 –> 01:17:02,990
so if staff leave, staff come, we can send out

1211
01:17:03,000 –> 01:17:08,490
the staff from My Improvement Network to deliver training face-to-face

1212
01:17:08,500 –> 01:17:14,790
and also, My Improvement Network offers monthly workshops

1213
01:17:14,800 –> 01:17:20,390
focusing on specific areas for the

1214
01:17:20,400 –> 01:17:25,490
example life story books that are and available on Rita to give people

1215
01:17:25,500 –> 01:17:30,990
opportunities to develop refresh. They’re very active My Improvement

1216
01:17:31,000 –> 01:17:33,280
Network. It’s not just in and then they’re gone.

1217
01:17:33,280 –> 01:17:36,190
They’ve been with you for several years, haven’t they?

1218
01:17:36,200 –> 01:17:40,390
Yes, absolutely and that’s the key. I was reading one of the comments for

1219
01:17:40,400 –> 01:17:46,290
For Clare around the wraparound element, so it’s not only the technology

1220
01:17:46,300 –> 01:17:50,390
on offer, it’s what the technology provider is offering us.

1221
01:17:50,400 –> 01:17:54,790
and they’ve been very proactive listening to us, listening

1222
01:17:54,800 –> 01:17:57,790
to other organisations and they’ve adapted

1223
01:17:57,800 –> 01:18:03,390
and need to adapt to make things easier and more manageable

1224
01:18:03,400 –> 01:18:10,490
and more footfall for the care provider.

1225
01:18:10,500 –> 01:18:17,790
And Helen and Clare in the chat there’s been a few requests for things to

1226
01:18:17,800 –> 01:18:22,790
be shared. Specification for Ethel , process maps

1227
01:18:22,800 –> 01:18:23,590
and a question about your approach to evaluation.

1228
01:18:23,600 –> 01:18:26,590
I don’t know Helen or Clare if you want to say something quickly

1229
01:18:26,600 –> 01:18:31,790
about that. Absolutely happy

1230
01:18:31,800 –> 01:18:35,090
to share our journey as we go along, if people want to get in touch

1231
01:18:35,100 –> 01:18:36,890
with us. That’s not a problem at all via the

1232
01:18:36,900 –> 01:18:40,190
emails. In terms of evaluation,

1233
01:18:40,200 –> 01:18:42,790
that’s kind of the stage we’re at the moment.

1234
01:18:42,800 –> 01:18:45,590
What we want to develop is a dashboard that

1235
01:18:45,600 –> 01:18:48,190
is realistic and potentially will grow with us,

1236
01:18:48,200 –> 01:18:50,290
but we want to be able to catch ups and

1237
01:18:50,300 –> 01:18:54,990
baseline information that we can then test the model as

1238
01:18:55,000 –> 01:18:57,590
we move forward and also use to evidence

1239
01:18:57,800 –> 01:18:59,690
the successes,

1240
01:18:59,700 –> 01:19:04,790
but it’s very much an evaluation framework that will capture

1241
01:19:04,800 –> 01:19:10,290
the requirements from a provider perspective, from the

1242
01:19:10,300 –> 01:19:13,790
council’s perspective but also from the tech provider as well

1243
01:19:13,800 –> 01:19:18,490
and what they can offer us but also that qualitative

1244
01:19:18,500 –> 01:19:23,490
information from the residents but also from

1245
01:19:23,500 –> 01:19:27,690
the families and carers that are involved. So we’re at early days

1246
01:19:27,700 –> 01:19:31,990
in terms of actually having that framework finalised but it’s

1247
01:19:32,000 –> 01:19:37,190
it’s going to be a broad range of evaluation

1248
01:19:37,200 –> 01:19:42,090
measures from quantitative and qualitative measures.

1249
01:19:42,100 –> 01:19:48,490
Helen, I don’t know if you want to say something about that. Nope.

1250
01:19:48,500 –> 01:19:49,390
Thanks to both councils.

1251
01:19:49,400 –> 01:19:53,280
I’m going to move on and if people could just stay with us

1252
01:19:53,370 –> 01:19:57,690
because we want some feedback on a few things so if you could stay for the last

1253
01:19:57,700 –> 01:20:01,990
or the last 10-minutes on the call we will whip through the last bit.

1254
01:20:02,000 –> 01:20:07,790
Could you pop the slides back up please Elle so

1255
01:20:07,800 –> 01:20:12,790
from me and from Rethink thank you to those of us who have been loyal attendees

1256
01:20:12,800 –> 01:20:18,090
at these sessions and for those of you who

1257
01:20:18,100 –> 01:20:20,590
this is the only one you’ve attended just a reminder

1258
01:20:20,600 –> 01:20:25,990
that this is the fifth in a series of five masterclasses. We’ve covered such

1259
01:20:26,000 –> 01:20:30,490
a wide range of topics. Each of them is a whole

1260
01:20:30,500 –> 01:20:34,690
world of its own and I think we’ve seen that and we’ve had brilliant

1261
01:20:34,700 –> 01:20:38,990
speakers, mostly from councils actually doing this work live as

1262
01:20:39,000 –> 01:20:40,390
well as some expert speakers,

1263
01:20:40,400 –> 01:20:43,690
so if you did miss any or you want to

1264
01:20:43,700 –> 01:20:48,990
go back just a reminder there are the tools, the recordings of masterclass

1265
01:20:49,000 –> 01:20:50,290
there’s blogs,

1266
01:20:50,300 –> 01:20:53,490
there’s other content on the digital platform and the links

1267
01:20:53,500 –> 01:20:55,490
on the slides . The slides will be shared at the end.

1268
01:20:55,700 –> 01:20:57,290
But it’s been an absolute pleasure again

1269
01:20:57,290 –> 01:21:02,090
To work with lots of different people from across the

1270
01:21:02,100 –> 01:21:05,090
country to pull this work together and we really couldn’t

1271
01:21:05,100 –> 01:21:08,690
do this without are brilliant network of councils, so thank

1272
01:21:08,700 –> 01:21:13,790
you so much to all of you.

1273
01:21:13,800 –> 01:21:17,390
There are other things that were part of the programme and

1274
01:21:17,400 –> 01:21:19,590
they’re on the digital platform that haven’t been the masterclasses

1275
01:21:19,600 –> 01:21:25,990
so there’s a series of five podcasts with disruptors

1276
01:21:26,000 –> 01:21:29,090
in technology and social care, the fifth one of those

1277
01:21:29,100 –> 01:21:34,890
is coming out soon from Richard Smith from Kent.

1278
01:21:34,900 –> 01:21:40,790
We are pulling together a support resource for council commissioners

1279
01:21:40,800 –> 01:21:45,190
around digital switch. We’re working on that at the moment and I know

1280
01:21:45,200 –> 01:21:47,190
some of you are going to join us in some workshops, to trial those tools

1281
01:21:47,200 –> 01:21:52,590
so there’s lots out there for tele-care providers

1282
01:21:52,600 –> 01:21:54,990
and around that. We feel there’s a gap

1283
01:21:55,000 –> 01:22:00,090
now around councils, tech leads and commissioners when you’re trying

1284
01:22:00,100 –> 01:22:04,090
to secure investment for transformation around digital switch so watch

1285
01:22:04,090 –> 01:22:04,390
this space.

1286
01:22:04,400 –> 01:22:07,390
We will publicise that as it’s coming out, likely

1287
01:22:07,400 –> 01:22:11,190
to come out after Easter now and just to say

1288
01:22:11,200 –> 01:22:13,990
that there are other things all to do with care

1289
01:22:14,000 –> 01:22:16,690
technology on the Rethink Partners main website.

1290
01:22:16,700 –> 01:22:21,690
We are delighted to

1291
01:22:21,700 –> 01:22:24,590
do this work and as always when we do the work,

1292
01:22:24,600 –> 01:22:28,190
we find there is more to do and we would

1293
01:22:28,200 –> 01:22:31,290
really appreciate if you could just take a minute now

1294
01:22:31,300 –> 01:22:34,490
to use the Slido tool to just

1295
01:22:34,500 –> 01:22:38,590
we just want to take a temperature check on any

1296
01:22:38,600 –> 01:22:43,690
other hot topics that might feature in future work or

1297
01:22:43,700 –> 01:22:44,490
programmes. Ignore digital switchover

1298
01:22:44,500 –> 01:22:48,890
I tested it earlier

1299
01:22:48,900 –> 01:22:54,190
but if you could use your phones now to scan the

1300
01:22:54,200 –> 01:22:54,990
QR code.

1301
01:22:55,000 –> 01:22:58,990
It should take you to these questions that are now live

1302
01:22:59,000 –> 01:23:03,690
and just no no promises but really helpful for the

1303
01:23:03,700 –> 01:23:06,390
LGA and us and the NHS funders to know.

1304
01:23:06,400 –> 01:23:09,490
What are the priorities and if there are things that

1305
01:23:09,500 –> 01:23:10,990
aren’t on there,

1306
01:23:11,000 –> 01:23:13,390
please pop it in the chat,

1307
01:23:13,400 –> 01:23:16,390
It would be really helpful to know that and Jemma

1308
01:23:16,400 –> 01:23:21,590
has also helpfully posted the link in

1309
01:23:21,600 –> 01:23:23,490
the chat.

1326
01:25:29,900 –> 01:25:32,490
I’m just going to hand

1327
01:25:32,500 –> 01:25:37,190
handover to Georgia to close.

1328
01:25:37,200 –> 01:25:44,290
Thanks Clare thanks everyone for evaluation

1329
01:25:44,600 –> 01:25:48,890
You should notice that some folder just about to appear

1330
01:25:48,900 –> 01:25:50,290
in the chat.

1331
01:25:50,300 –> 01:25:53,790
So please do fill them out as I’m speaking . Questions

1332
01:25:53,800 –> 01:25:57,490
around satisfaction and whether this masterclass has helped in terms

1333
01:25:57,500 –> 01:26:02,090
of confidence. It’s always really useful to hear your experience of

1334
01:26:02,100 –> 01:26:07,190
the masterclasses. In addition to our two polls, which we’re just

1335
01:26:07,200 –> 01:26:10,590
about to post , we’ve also got a short evaluation form,

1336
01:26:10,600 –> 01:26:13,690
which would really help us improve in the future.

1337
01:26:13,700 –> 01:26:17,790
It’s only 5 minutes long so please do click on

1338
01:26:17,800 –> 01:26:18,590
the link in the chat.

1339
01:26:18,600 –> 01:26:20,890
So you have open when this meeting finishes.

1340
01:26:20,900 –> 01:26:26,190
I’m also going to send that around via email

1341
01:26:26,200 –> 01:26:28,490
so no worries if it’s getting a bit lost in

1342
01:26:28,500 –> 01:26:33,390
the chat the moment. The tool that Clare presented today

1343
01:26:33,400 –> 01:26:36,190
and all the tools from the last series are on

1344
01:26:36,200 –> 01:26:40,690
our CHIP digital resource centre alongside the accessible recording and

1345
01:26:40,700 –> 01:26:44,490
the slide deck will be up there soon if you

1346
01:26:44,500 –> 01:26:47,590
do want to continue discussions place to visit the DTASC Network

1347
01:26:49,000 –> 01:26:51,790
This is a closed group for local government colleagues where you

1348
01:26:51,800 –> 01:26:55,290
can share about all things digital. Again,

1349
01:26:55,300 –> 01:26:57,290
I will send the link to that around.

1350
01:26:57,500 –> 01:27:02,490
And just before we close – 1 minute

1351
01:27:02,500 –> 01:27:04,190
to go, a massive

1352
01:27:04,200 –> 01:27:07,290
thank you to Rethink Partners for organising this whole series

1353
01:27:07,300 –> 01:27:12,290
of masterclasses. A lot of really useful and positive feedback

1354
01:27:12,300 –> 01:27:17,690
so please continue sending that in and

1355
01:27:17,700 –> 01:27:20,390
we hope that you found all of the masterclasses

1356
01:27:20,400 –> 01:27:21,090
as useful.

1357
01:27:21,100 –> 01:27:22,390
They are still up,

1358
01:27:22,400 –> 01:27:24,790
so you can watch them all if you have missed

1359
01:27:24,800 –> 01:27:29,790
any. Thank you Elle, for taking us through the slides as

1360
01:27:29,800 –> 01:27:33,190
always and today with the extra challenge of recordings as well.

1361
01:27:33,200 –> 01:27:38,990
Thank you two are amazing guest speakers today Marie, Clare,

1362
01:27:39,000 –> 01:27:42,290
Helen and Julie – we’re so grateful to you giving up

1363
01:27:42,300 –> 01:27:46,490
your time and sharing your experiences with us and of

1364
01:27:46,500 –> 01:27:47,490
course last thing,

1365
01:27:47,500 –> 01:27:49,690
thank you to all of you for attending.

1366
01:27:49,700 –> 01:27:52,490
Please do feel free to get in touch with the

1367
01:27:52,500 –> 01:27:57,290
CHIP Digital team. We’ve got our contact details on the page

1368
01:27:57,500 –> 01:28:00,490
So we do hope to see you in the future,

1369
01:28:00,500 –> 01:28:01,690
but in the meantime.

1370
01:28:01,700 –> 01:28:03,690
Please do enjoy the rest of your day.