The Operating Framework sets the priorities for the NHS for the new financial year. This is a period of rapid change with the setting up of the NHS Commissioning Board and Clinical Commissioning Groups under the NHS and Social Care Act 2012.
The Framework indicates that some NHS funding is available to local social care authorities.
The references to telecare and telehealth link to the management of long term conditions (which use up to 70% of the NHS budget) and QIPP (Quality, Innovation, Productivity and Prevention) – the challenge to find £20bn of efficiency savings by 2014/15.
Here are the specific excerpts from the published framework.
“…The role of innovation, too often the forgotten element of QIPP, will be critical. Rapidly spreading changes that improve quality and productivity to all parts of the NHS will be crucial: a clear example is the use of telehealth to improve services for patients with long term conditions. We must also create the right conditions for rapid diffusion of good practice and the forthcoming Innovation Review will set out specific measures to achieve this”.
Page 16 Section Long Term Conditions (Section 2.22)
Telehealth and telecare offer opportunities for delivering care differently but also more efficiently. Use of both of these technologies in a transformed service can lead to significant reductions in hospital admissions and lead to better outcomes for patients. Using the emerging evidence base from the Whole System Demonstrator programme, PCT clusters working with local authorities and the emerging CCGs should spread the benefits of innovations such as telehealth and telecare as part of their ongoing transformation of NHS services. They should also take full consideration of the use of telehealth and telecare as part of any local reconfiguration plans.
Page 23 QIPP
Risk stratification, care planning, patient involvement and supported self-care can transform the care of people with long term conditions and prevent the need for some reactive, expensive acute based care. This is particularly true where there is strong integration between the NHS and Social Care and existing resources, such as specialist community based nurses, are effectively used to meet the needs of patients with multiple long term conditions. Providing services supported by telehealth and telecare delivered at scale can maximise benefits for individual patients.
Page 41 Joint working with local authorities (Section 4.36)
4.36 PCT clusters will need to work together with local authorities to agree jointly on priorities, plans and outcomes for investment of the monies allocated for re-ablement in 2012/13. This could include: current services such as telecare, community directed prevention (including falls prevention), community equipment and adaptations, and crisis response services
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