ADASS Spring Seminar 2024 Channel 3 Workshop Slides

From ambition to deliveryunlocking the power of DIGITAL in Nottinghamshire

Presenting today’s workshop

Melanie Williams – Corporate Director of Adult Social Care and Public Health Nottinghamshire

Sue Batty – Service Director, Ageing Well Community Services at Nottinghamshire County Council

Nyasha Fumhanda – Consultant and Registered Social Worker, Channel 3

Stuart Lindsay – Managing Consultant, Channel 3

Ralph Cook – Partner, Channel 3

In the next 45 minutes

Take a deep dive into Nottinghamshire County Council’s journey to deliver ‘digitally enabled lives’

Explore new insights from our recent NCASC survey informing our Adult Social Care Digital Maturity Report 2024

Introduce Channel 3’s blueprint for digital transformation at scale and the opportunities that exist

Share your reflections, ambitions and challenges in delivering digital transformation at scale

Digitally enabled lives – what do we mean for the people we support?

“We all want to live in the place we call home, with the people and things we love, in communities where we look out for each other, doing the things that matter to us.” #SocialCareFuture

“I have 1 or 2 carers with me all the time – I barely have a life although I do want to get a job. That makes me anxious”.

“I have more control over when my carers help me. I communicate with my carers through an app that enables me to manage my care calls”.

“I don’t get help until I become sick or have a fall and go into hospital. When I do go into hospital, it is very stressful trying to get help when I am discharged”.

“My friend recommended services in the community to help with my loneliness, but I’ve struggled to find them or book them on the website. So I gave up”.

“I have to tell my story multiple times – it’s very tiring and I can’t remember everything. They asked me questions for 1 hour. My family tell me off for not remembering who I told what to. I feel like a burden”.

“My social worker always knows when I start to feel unwell or unsteady through sensors on my walls and technology monitoring my vital signs - they ring up or visit and help to resolve the issues. I rarely go into hospital now”.

“I can easily access services within my community through the website. I talked to a chatbot about what I was looking for and they provided options of different services. I was able to book onto those through the website”.

“I have a conversation with my social worker about my life once – the information is shared with others. My family input into my care plan through an app”.

“My wife does a lot for me. I worry that she spends all her time looking after me and not herself. She says it is fine, but I know it isn’t. I wish someone would help”.

“Technology that monitors me enables my wife to leave me alone to go out and visit friends without worrying. She also talks to other carers through an app which helps her cope. She seems much happier”.

Digitally enabled lives – what do we mean

for our staff?

We must help our staff reclaim their pride in social work. As a sector, if we don’t embrace digital quickly and at scale, we are in danger of becoming less competitive in attracting a generation that is digitally savvy

“I feel like most of my day is spent on helping somebody who is in crisis and needs urgent help or is being discharged from hospital. I have little information to help understand the problem until it is too late”.

“I have access to live data from sensor-based TEC that enables me to interpret a person’s daily living behaviours, triggers a notification when this changes and enables me to intervene to prevent crises”.

“We have access to lots of technology solutions in providing care. I don’t know enough about them or examples of impact to be confident that they will help”.

“I spend a lot of my time completing paperwork and follow endless processes. I enjoy my time helping people, I just don’t do it enough”.

“I have limited access to other services information to help me take a view on the persons health and care needs. It takes me a long time and multiple messages to get information. Everyone is busy”.

“Our provider offer is very traditional. There is limited opportunity to offer more innovative solutions in the community to support independence. Our services have not embraced the digital era”.

“I have access to a range of TEC solutions to help people live independently. I understand how they can help and can create support plans that help the person and their carer to live”.

“The systems and processes are less burdensome and configured to enable me to spend less time on form filling and more time helping people”.

“I can access information from a range of systems that enables me to understand a person’s history. I now make better quicker decisions”

“Our providers embrace digital solutions –TEC solutions and virtual care supplement face to face care as needed. They are more flexible in how they schedule care, less rigid time and task. We work more closely with them and people with lived experience in shaping services through digital options.”

Our digital journey so far in Nottinghamshire

❖Worked with Channel 3 to undertake a digital discovery and identify priority opportunities for a digital transformation programme

❖Initial focus on effective use of our finances through enabling better lives and managing demand at the front door

❖Within the programme we have identified several priority projects that will improve outcomes for people and help manage finances

❖Today we’re going to shine a light on the work we’ve done so far and what we have learnt, focused on TEC at scale.

What do we mean by TEC at scale in Nottinghamshire?

Achieve a cultural shift in the use of TEC Build on the current TEC offer

Evidence to support package of care Use data to prevent crisis

7

❖ Phase 1 implementation of Nottinghamshire County Councils new TEC strategy

❖ Worked with Lilli (TEC supplier) in initially running a proof of concept, develop an investment case and develop a delivery plan to scale

❖ Sensor-based TEC, intuitive platform that uses AI to learn patterns of behaviour and monitors these behaviours identifying and notifying practitioners when behaviours change.

❖ Developing new ways of working to respond to intelligence being provided in supporting people and reducing crises.

❖ Worked with hospital team and Broxtowe community team in winter over Christmas

❖ Supporting a cultural shift in using TEC to digitally enable lives through a proactive, preventative model and help the financial position

Supporting independence – the story in Nottinghamshire

• Meet Mr F, an 84-year-old who has been in and out of hospital with concerns over mobility issues. He receives 4 calls a day to help with basic daily living activities.

• Mr F’s social worker installs sensor-based activity monitoring to understand how he is managing at home. This demonstrates his independence at bedtime, but he does not access his kitchen.

• His package reduces from 4 to 3 calls per day and adjusted to help confidence in the kitchen.

• Monitors will remain in his home to support further intervention to prevent crises.

• Miss W lives alone in sheltered accommodation. She has early stages of dementia.

• Neighbours are complaining she keeps knocking on their doors and has petitioned for her to be removed. Miss W and her family are very anxious this will exacerbate her dementia and are considering residential care.

• Monitoring is installed and demonstrated that she is opening the door but not leaving her flat. This provides the evidence to the housing company and the neighbours that someone else is creating the disturbance.

• Miss W remains at home, where her condition improves as her anxiety is reduced.

• Mr G, an 88-year old, lived independently at home. His family were concerned he is not managing as he is consistently ill.

• Installed activity sensors which indicated the temperature of the house was consistently cold. On further investigation, Mr G was turning the radiators as worried about cost. He was also very inactive.

• The family replaced the radiators and programmed his heating to maintain a consistent temperature.

• His package of care was also adjusted to support mobility issues, including referral to reablement to improve his activity during the day.

Prevent crisis & avoid hospital admission

Avoid residential care

Reduced care package

We’ve had positive feedback from staff

Staff Feedback

Adrian Shaw, Team Manager, Broxtowe Aging Well Team

We’ve had positive feedback from staff

“Even though it was only in a few days the data we got especially around movement was great. It showed that even though there was overnight movement, she was managing.” – D2A

“The temperature reading has been great for him because it’s proof that the person was messing with it, and we could call out an engineer.” – Broxtowe

“Found it easy to use the platform and the installation was also easy. I was nervous at first, but got some great support” - START

“It was like having another piece of the jigsaw. It was surprisingly simple to access and understand which is great because I’m a massive technophobe” – D2A

“I’m just doing my ASYE and it helped me to be more inquisitive and guide conversations.” – D2A

Proof-of-concept lessons learned

LEADERSHIP & RESOURCES

❖ Have a clear strategy

❖ Clarify the enablers you need for your strategies

❖ Don’t underestimate the resources to deliver and sustain culture change.

❖ Know your data and diagnose the problem you need to solve.

❖ Understand and schedule a procurement plan

❖ Take time to win hearts and minds

❖ Engage and co-produce

❖ Keep it simple

What next for Nottinghamshire?

➢ Scale TEC across all teams as phase 1 of delivering TEC strategy – TEC, new ways of working, culture change.

➢ Expand into other areas of crisis prevention, working with the ICB – diagnostic on working age adults, risk stratification (phase 1 – falls), carers digital offer, system-wide capacity oversight of reablement / community health

➢ Deliver digital front door effectively – digital solutions, new ways of working, culture change.

➢ Discovery, investment case, implementation in other areas – culture change / workforce, operational commissioning, market management, reablement,

➢ Data analytics / PHM – to inform and support wider prevention

Where are the digital opportunities to transform adult social care?

Operating model

TEC at scale

Digital front door

Hospital discharge and reablement

Supporting independence for working age adults and transitions

Enablers

Provision

Digitising provider market

Digital community offer

Digital commissioning and market management

Digital care records

Workforce

Digital culture change

Digitise administration processes

Shared care records

Scaling virtual care and consultations

Data and analytics

Risk stratification and analytics

Population health management / predictive analytics

Operational performance grip

Digital MDTs

Command centres

Digital foundations: Improved systems, hardware, software, security, data

Artificial / assistive intelligence (AI)

Discussion

❖ Reflections on what you’ve heard today?

❖ Key takeaways?

❖ Key challenges you might face?

❖ What are you going to do differently?

Making digital health and care happen Better lives. Better care. Better digital.