This presentation was a project update given by Alison Marshall of the University of Cumbria, on The Cumbria Rural Health Forum. It was delivered at an Academic Health Science Network for the North East and North Cumbria (AHSN NENC) event: Telehealth: project updates. The Cumbria Rural Health Forum is a project receiving funding from the Academic Health Science Network for North East and North Cumbria (AHSN NENC) and the North West Coast Academic Health Science Network (NWC AHSN), managed by the University of Cumbria, with input from the Cumbria Partnership NHS Foundation Trust, Cumbria Clinical Commissioning Group, Action for Communities in Cumbria and Cumbria County Council

Bell, Tom

Ditchburn, Jae-Llane

Jackson, Keith

Knock, Peter

Marshall, Alison

Peck, Frank

Smyth, Lorraine

Insight - University of Cumbria 

Marshall,  Alison,  Ditchburn,   Jae­Llane,  Bell,  Tom,  Smyth,  Lorraine,   Jackson, Keith,  Peck, Frank and Knock, Peter (2015) Cumbria Rural Health Forum. In: Telehealth: project updates, 11 September 2015, Durham County Cricket Club, Chester­le­Street, UK. (Unpublished) Downloaded from: http://insight.cumbria.ac.uk/id/eprint/4883/Usage of any items from the University of  Cumbria’s  institutional repository ‘Insight’  must conform to the  following fair usage guidelines.Any item and its associated metadata held in the University of Cumbria’s  institutional  repository  Insight  (unless stated otherwise on the metadata record) may be copied, displayed or performed, and stored in line with the JISC fair dealing guidelines (available here) for educational and not­for­profit activitiesprovided that• the authors, title and full bibliographic details of the item are cited clearly when any partof the work is referred to verbally or in the written form • a hyperlink/URL to the original Insight record of that item is included in any citations of the work• the content is not changed in any way• all files required for usage of the item are kept together with the main item file.You may not• sell any part of an item• refer to any part of an item without citation• amend any item or contextualise it in a way that will impugn the creator’s reputation• remove or alter the copyright statement on an item.The full policy can be found here. Alternatively contact the University of Cumbria Repository Editor by emailing insight@cumbria.ac.uk.Cumbria Rural Health Forum Telehealth: Project Updates 11th September 2015 Chester-le-Street What is Cumbria Rural Health Forum? • A network of professionals from organisations public, private and voluntary/third sectors. • Desire to find out what good rural health and social care looks like?  • 149 individual members, 58 organisations (26 public sector, 32 private or third sector). • Can digital help as part of the solution? • Funded by Academic Health Science Networks from 1st April 2014 for 2 years. • Open, sharing, facilitative, co-ordinating, information rich and best practice sharing… Digital technologies in Cumbria – strategy and roadmapping project • Funded by AHSN North East North Cumbria  • From April 2014 to June 2015 – Mapping use of digital technologies in Cumbria – Reviewing best practice and evidence world-wide for digital technologies in rural areas – Networking and information exchange – Roadmapping workshops to agree priority areas for Cumbria, leading to implementation phase II in  2015-16  Cumbria Strategy for Digital Technologies in Health and Social Care HOME PAGE What do we mean by digital technologies in care? What is already being done in Cumbria or elsewhere? What are the specific issues for care in rural communities Two key questions:  1. What do we mean by good health and social care in a rural setting? 2. How can digital technologies address some of the issues? Identified needs and opportunities for digital technologies in care within Cumbria A Roadmap for Implementation of Digital Health and Social Care in Cumbria Authors and acknowledgements What do we mean by digital technologies in care? In this document, the term ‘digital health’ is defined broadly to include the use of information and communications technologies to replace, augment or complement conventional face to face health and social care delivery.  We include telehealth, telemedicine, telecoaching, telecare, assistive technologies, e-health, mobile apps and wearable telemonitoring. The focus of the discussion has always been on mature, commercially available products and services, seeking to share best practice and understand the benefits and barriers to adoption.   The project excluded services that are used primarily in administrative functions, such as  the use of email or SMS messaging for appointment reminders, to focus on those that affect health and care professionals in the delivery of care.   Further reading: Briefing on Digital Technologies  NHS England TECS Resource for Commissioners     Scope and exclusions Excluded: technologies not yet commercially available; basic reminders for appointments, admin functions such as prescription re-ordering already widely adopted.  What are the specific issues for care in rural communities Note on terminology: Whilst much of Cumbria does not meet the approved DEFRA definition of rural (outside of a settlement of 10,000 or more residents), it was agreed that the whole of Cumbria is affected by rural issues because of the distances of travel between the larger settlements and the fact that there is no large conurbation within the county. A more correct term may be ‘dispersed’ or ‘hard to reach’ populations, but comparison with use of terminology elsewhere suggests that ‘rural’ is widely acceptable.  Identified issues for rural health and social care in Cumbria Dispersed communities meaning that people have limited access to services and have to travel further to access basic healthcare Smaller GP practices and other health centres, meaning that staff may feel professionally isolated and removed from opportunities for professional development A greater reliance on volunteer services Population demographics that include relatively more older people than in urban centres Poor quality broadband and mobile infrastructure Further reading: Brief on connectivity Report on learning from international projects using digital health in rural areas Resources available on website  A joined up approach to recruitment in Cumbria: public, private and third sector   What is already being done in Cumbria or elsewhere?    We carried out a mapping project to find out what existing digital health and care projects were happening in or adjacent to Cumbria, between July 2014 and May 2015. Forum members were asked to advise us of projects that are either being piloted, ready for roll out or had been piloted and not adopted. In total 27 projects were identified. / Two successful projects that are in service use are described below.    • Out of hours stroke assessment and consultation • NCUHT with NW Shared Infrastructure Services • Since July 2012 – over 400 patients have used the service www.patientmemoirs.com  • A platform for patients, carers and others to maintain video logs of their reflections, learn from their experiences, share tips and ideas. Further reading: Report on Digital Activities in Cumbria Mapping of current projects at http://www.ruralhealthlink.co.uk/activities Report on Telecare and Assistive Technologies in the UK    Identify needs and opportunities for digital technologies in care within Cumbria Two separate qualitative studies were undertaken with a) long term conditions patients b) rural GPs  • How could you use technology in managing your/your patients’ healthcare? • What is possible now? What would you like to be possible? • What are the barriers?   The Cumbria Joint Strategic Needs Assessment  highlights the issue of accessibility. The document states that the average minimum travel time to reach key local services (including GPs and hospitals) across Cumbria was 16 minutes by public transport / walking, 14 minutes by cycle and 7 minutes by car; these times were all longer than the national averages of 12, 9 and 6 minutes respectively.   A Round Table discussion with representatives of key providers, commissioners, representatives of third sector services was held in June 2015. Work to share and combine strategies for digital health in Cumbria is being undertaken.  Further reading: Brief on GP Perceptions of Technology Study Brief on Long Term Conditions Patients’ Perceptions of Technology Study  Brief on Working with the Third Sector Video of Rheged Technology Enabled Care in Cumbria Event (June 2015) Impact of the Cumbria Rural Health Forum  Economic impact of health and social care • We are in dialogue with Cumbria Local Enterprise Partnership (LEP) – Health and social care (NHS and CCC) are collectively the largest employer in Cumbria (15-20,000 strong workforce) – The impact on productivity of days lost through health appointments (for patients or their carers) is significant. – The skills agenda is recognised as being a driver for economic change We have influenced the SEP and will participate in a skills audit over coming months  Cumbria-wide co-ordinated implementation of digital health and care, for specific services Information exchange, portal for what good rural health looks like, sharing experiences and equipment, conferences and events, influencing and advocacy for Cumbria Training and professional development to support  health professionals to use digital health and enhance the ‘Cumbrian offer’ for recruitment and retention Objective Activity Who involved Next steps Training and networking events with CPD groups Materials and programmes NHS England Code4Health community Extend, enhance maintain website Networking events Conferences  Briefing papers and ‘how to’ guidance Influencing policy in partner organisations  ‘Digital  think tanks’ workshops with services, departments, GP practices CLIC UoC Solution providers – private sector Third sector All partners and associates CCG GPs NHS Trusts CCC Third sector Private sector Improve health outcomes for those with long term conditions. Support more to self manage. Explain, clarify, share good (and bad) practice,  assess impact and value  Develop a digital-health- ready workforce A Roadmap for Implementation of Digital Health and Social Care in Cumbria Implementation Plan (to end of March 2016) Cumbria-wide co-ordinated implementation of digital health and care, for specific services ‘Digital  think tanks’ workshops with services, departments, GP practices CCG GPs NHS Trusts CCC Third sector Private sector Improve health outcomes for those with long term conditions. Support more to self manage. We will hold 4 digital think tanks (still finalising list): • End of life care (2nd October 2015) • Assistive technologies for independent living (9th November 2015) • Rehabilitation? • Mental health? • Place based – Millom?   Each will be a half day workshop session around these themes. Relevant people by invitation – get spectrum of organisations across pathway. Could be with or without technology suppliers – or we can bring them in later.  Agree actions, support and monitor outcomes, report successes.  Contribute to the NHS England requirement for every area to have their own Local Digital Roadmap by 2016 (led by CCG)  Roadmap home Information exchange, portal for what good rural health looks like, sharing experiences and equipment, conferences and events, influencing and advocacy for Cumbria Extend, enhance maintain website Networking events Conferences  Briefing papers and ‘how to’ guidance Influencing policy in partner organisations  All partners and associates Explain, clarify, share good (and bad) practice,  assess impact and value  5 Briefing papers – see Further Reading Maintain and update website Networking – 1 Forum meeting per quarter (1st October 2015, 25th November 2015, tba Jan/Feb 2016). Conferences  - WHIS (12-13th March 2016) and House of Lords with Rural Services Network (29th January 2016)  Influencing and advocacy Discussions are developing with the Cumbria LEP, as the LEP itself develops. Continued contribution in other strategic groups –raising and developing the issues.   Developing a structure for CRHF to continue beyond March 2016 Agree any processes for continued networking  Levering income for implementation Implementation Plan (to end of March 2016) Roadmap home Training and professional development to support  health professionals to use digital health and enhance the ‘Cumbrian offer’ for recruitment and retention Training and networking events with CPD groups Materials and programmes NHS England Code4Health community CLIC UoC Solution providers – private sector Third sector Develop a digital-health- ready workforce UoC and CLIC – review provision and provide a catalogue of existing courses that are relevant to rural and digital Workshops and consultations with 2 CPD networks (GPs, AHPs, nurses, managers)  CCH implementation of Florence – associated training and development planning  NHS England Code4Health community – app-in-a-day training with Kendal College and others  Continued involvement in the Work in Cumbria recruitment and retention project. Implementation Plan (to end of March 2016) Roadmap home The Cumbria Rural Health Forum has received funding from the Academic Health Science Network for North East and North Cumbria (AHSN NENC) and the North West Coast Academic Health Science Network (NWC AHSN).  The project is managed by the University of Cumbria. The website is hosted by the Cumbria Partnership NHS Foundation Trust. The project steering group are: • Alison Marshall (University of Cumbria) • Tom Bell (Cumbria Partnership NHS Foundation Trust) • John Roebuck (Cumbria Clinical Commissioning Group) • Lorraine Smyth (Action for Communities in Cumbria) • Peter Knock (Cumbria County Council).   In kind support from these organisations and from all the partner organisations has included provision of meeting rooms, catering, printing, management time. A full list of Forum partners is available at http://www.ruralhealthlink.co.uk/about-us/partners/   This report includes contributions from Jae-Llane Ditchburn, Tom Bell, Lorraine Smyth, Keith Jackson, Frank Peck,  Peter Knock. The report was edited by Alison Marshall to whom any comments or feedback should be addressed at alison.marshall@cumbria.ac.uk     ©University of Cumbria 2015  Authors and acknowledgements Dates for your diary  • See our events page for Forum events in Cumbria http://www.ruralhealthlink.co.uk/about-us/forum-events-and-meetings/  • National Rural Health Conference at the House of Lords – details to be announced soon (organised by the Rural Services Network) – 29th January 2016.  • 11th-12th March 2016: Health Innovation Carlisle International Conference – @HIC2016 #whis2016    Alison Marshall alison.marshall@cumbria.ac.uk www.ruralhealthlink.co.uk  

Cumbria Rural Health Forum

http://insight.cumbria.ac.uk/id/eprint/4883/1/Alison-Marshall-presentation.pdf

Cumbria Rural Health Forum

Abstract

Similar works

Full text

Available Versions

Insight - University of Cumbria