TEC programme data review and evaluation: options study

8

Outputs only (not outcomes) (2).

Included outcomes (5)

People with dementia (1), [remainder 'people in receipt of telecare' with no further information)]

Reduced avoidable/unplanned admissions to hospital [14] reduced number of delayed discharges [23], reduced care home admissions [14], avoided sleepovers [23], avoided respite care [23]. [One incidence of increased bed days following installation of telecare, but this may have been because telecare was installed following a hospital stay. When compared with matched controls this group showed no significant change in bed days]. Cost savings at national level

Falkirk (1) Renfrewshire (1), remainder unclear or national

3

Activities (3), outcomes (3)

People with dementia (1), Carers (1), [remainder 'people in receipt of telecare' with no further information)]

Range of outcomes for service users, including increased independence [14, 23], reduced stress and/or anxiety [14, 23], and being able to stay in own home for longer [14, 23]. Significant benefits also reported for families and carers [11], including being able to care for their family member for longer, reduced stress and/or anxiety, being able to maintain some paid work and having respite from caring responsibilities.

Renfrewshire (1), Scotland-wide (2)

5

Outputs only (not outcomes) (2)

Includes outcomes (3)

Older clients in receipt of psychiatric care, stroke patients, care home residents

Better pharmaceutical management [8], improved access [8], reduced hospital admissions [8], and reduced length of stay [4]. Cost, time and travel savings were also reported by both clinicians and clients [47]

11 of 14 health boards (3), Highlands (1), Western Isles (1)

4

Activities (3) Outputs (3) Outcomes (3)

Stroke patients, care home residents, recipients of psychiatric care in care homes, urban GPs and related staff

Increased confidence of staff, family members and patients in the quality of care [4, 8]; increased frequency of specialist input [4, 8]; improved care provision for stroke patients [4].

Highlands (1), Western Isles (1), South Lanarkshire (1), Lothian (1)

1

Includes outcomes (1)

Clients aged 50+, with long term health condition ( COPD, diabetes, arthritis etc.), and their carers

Increased self-management, improved social cohesion, and increased self-care in carers [10]

Forth Valley, Highland, Argyll and Bute, Lothian, Moray, and the Western Isles

6

Activities (4); Outcomes (3)

Clients with long term health condition ( COPD, diabetes, arthritis etc.), and their carers; hospice clients.

Increased connectedness and reduced social isolation [10]; increased self-management [10, 16]; improved health outcomes [10, 16]; increased health and self-care knowledge [10, 16]; increase in client sense of responsibility [10, 16].

Forth Valley, Highland, Argyll and Bute, Lothian, Moray, the Western Isles, Ayrshire, Arran and Clyde Valley; Scotland-wide.

11 (plus two contribution stories which may duplicate some findings)

Outcomes (10)

COPD, diabetes, Chronic Heart Failure, hypertension, asthma, BP

Increased awareness of self-management [1], small increase in condition control [1, 21, 30], reduced blood sugar levels in diabetes patients [19], increased clinical team skill in responding to HMHM data [32], clinicians adopting alerts to inform decision making [32], improved access to services [19], avoided hospital admissions [20, 30, 39], optimised face-to-face contacts [1]. Plus, some evidence of longer-term outcomes (people look after their own health and well-being, people have positive experiences of services. [32, 1, 21]

Arran and Ayrshire (4), Lanarkshire (1), Scotland-wide or not specified (5)

11

Activities (5) Outcomes (11)

Primarily focused on patients receiving HMHM due to diabetes, COPD, CHF, asthma; BP, staff delivering HMHM; health care staff

Feeling of connectedness and reassurance for patients [17, 28, 41, 54]; more responsive care [17, 49, 54]; improved health outcomes [1, 17, 29, 49]; some evidence of increased motivation to self-manage condition [1, 13, 17, 28, 41, 49]; convenience of undertaking monitoring at home [17, 29]; in some cases, reduced health visits/hospital admissions [17, 29].

Scotland-wide; Ayrshire and Arran; Lanarkshire;