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Pilot Descriptions

Ireland

The INDEPENDENT project in Ireland is built around the collaboration of two separate entities, Emergency Response LTD (ERL), and the Alzheimer Society of Ireland (ASI). The latter is a voluntary (non-profit) organisation providing frontline services as well as information, support and advice services to people with dementia and their carers across the country. Emergency Response provides telecare services to older people with dementia and their carers.

The INDEPENDENT service supports collaboration between both parties by providing a case management tool that enables ERL operators to collate all the information and actions related to an incoming call. Care coordinators at ASI will benefit from close-to-real time information about the condition of users and an improved reporting tool to support the reassessment process. Care teams in ASI can see exactly where and when the client is using the telecare, allowing advanced care planning as changing care needs are evident, safety issues are highlighted and therefore care planning is adapted accordingly.

Geldrop, the Netherlands

In Geldrop, the INDEPENDENT pilot involves the collaboration of four different parties in the support of older people suffering from COPD, namely physiotherapists at TopSupport, pulmonology specialists at St. Anna hospital, social carers and family carers.

With a view to enabling COPD patients to better live with their condition, the various parties involved in the overall care process utilise the INDEPENDENT digital infrastructure to coordinate their activities in a more timely and accurate manner than has hitherto been possible. Amongst other things, this involves the utilisation of an Electronic Health Record System, as well as COPD patients carrying out exercises in their own homes whilst being remotely supervised by a physiotherapist. A video system enables direct communication between them and a wearable device enables remote monitoring of physical activity.

Hull, United Kingdom

The INDEPENDENT pilot in Hull is for older people living in sheltered or private homes. The sheltered homes have a version of Tunstall’s “MyClinic” Multi-User Device. This is a touch-screen computer linked to blood pressure monitors, pulse oximeters and weighing scales. It also has an ‘interview’ facility where people answer questions about their health and wellbeing and a link to a site providing information about locally available services. The data is stored on the MUD but is also accessed by social and healthcare providers.

For private home dwellers the Hull telemonitoring service has been enhanced, a social function has been added to the health related Philips Motiva system. Relatives of participating patients and voluntary workers can be linked to it so they can better support the user. This provides the opportunity of measuring whether all visits made by healthcare staff are necessary or if some could be made by carers.

Milton Keynes, United Kingdom

The Milton Keynes INDEPENDENT service draws on collaborative work from four parties, CarersMK, ConnectMK, Milton Keynes Council and Adepteq.

Using a Carers support network maintained by CarersMK, it provides “informal care” for older people. The service provides refurbished PCs or laptops with web cams and renders access to a purpose built system “Connecti” via a web browser, developed by Adepteq. Informal carers and people in need of care can track, monitor and request support or simply have video supported conversations with CarersMK, friends, family and others to reduce their isolation.

The service also highlights where earlier interventions and support may be required.

The INDEPENDENT digital infrastructure widens the scope for information advice and guidance from informal care organisations, introduces service efficiencies and allows carers to better manage their caring responsibilities. ConnectMK provides the refurbished PC’s (ex-Council equipment) and technical support. Milton Keynes Council hosts the service in its data centres.

Andalucia, Spain

In Andalucia, the INDEPENDENT service revolves around the closer integration of the services provided by ASSDA with the services provided by Salud Responde. ASSDA is a public organisation responsible for the provision of social care and independent living services, and operates one of the largest telecare service centres in Europe. Salud Responde is a public organisation which provides several health services throughout the province of Andalusia.

Current social support services provided by ASSDA are improved through better integration of and coordination with existing services provided by the health authorities (Salud Responde).

To this end, the INDEPENDENT digital support infrastructure enables sharing of client data and joint call handling in case of requests by clients and informal carers concerning both social care and healthcare needs.

Trikala, Greece

The INDEPENDENT pilot in Trikala responds to the need for closer collaboration of the municipality’s care delivery organisations DEKA and KAPI in supporting informal carers and those for whom they care.

In particular, the digital infrastructure is utilised for supporting formalised cooperation of community services and family carers of older people with mild cognitive impairment or mild depression. Joint access to extended electronic care records supports easier coordination of service delivery rendering them more integrated, productive and cost-effective.

In addition, the digital infrastructure enables specialist psychological counselling to be remotely delivered to informal carers, helping them to better care for their relatives and cope with any problems that may occur in this context. Prior to INDEPENDENT no formal interfacing existed between community care services and informal carers.