Independent Living Havering

With demographic changes, limited resources, and increasing levels of dependency in Havering, it is imperative to strive for more effective and efficient care options that provide residents with the right outcome, giving local people the opportunity to remain independent in their own homes.

The Adult Services team is working in partnership with Havering Clinical Commissioning Group and Tunstall to deliver better integrated care for the older population, and part of this work has focused on increasing the use of telecare in order to maximise benefits realisation.

Model

  • The benefits analysis has revealed that the telecare service achieves significant cost savings, as well as delivering improved quality of life outcomes for users and carers.
  • A basic telecare package consisting of a Lifeline home unit with pendant and 24 hour monitoring and response is being provided to over 1,500 Fair Access to Care Services eligible individuals
  • A further 2,500 or more FACS eligible clients are under consideration for telecare as part of their care package

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Clinical outcomes

Quality of Life greatly improved - survey indicated:

  • 97% of users agree or strongly agree that they are more secure knowing that someone would respond in an emergency
  • 95% of users agreed “I feel safer in my own home”
  • 93% of carers agreed “The person being cared for feels safer in their own home”

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Economic outcomes

Robust, independent, longitudinal analysis shows impact of AT and homecare (cohort A) compared with homecare only (cohort B) on 

  • General hospital admissions – cohort A less likely to be admitted after 18 months by 25%
  • Hospital admissions due to falls - reduction of 44% in 2013 compared to 2011 converting to estimated annual savings of £2.24m
  • Residential/nursing care admissions – cohort A less likely to be admitted by 6% than cohort B which would equate to an annual net saving of £937,500

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