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In December 2012, the Scottish government in collaboration with CoSlA and NHS Scotland fabricated a joint national delivery plan. In essence, it sets out the vision and direction of a Scotland in which the use of technology, playing an increasing role in our everyday lives, will be integrated into service development and delivery. Their view is that this plan will essentially transform and improve access to and availability of service in our homes and communities and more acute settings (<ref>The Scottish Government. National Telehealth and Telecare Delivery Plan for Scotland to 2016. http://www.gov.scot/Publications/2012/12/7791 (accessed 25 November 2015).</ref>).
In December 2012, the Scottish government in collaboration with CoSlA and NHS Scotland fabricated a joint national delivery plan. In essence, it sets out the vision and direction of a Scotland in which the use of technology, playing an increasing role in our everyday lives, will be integrated into service development and delivery. Their view is that this plan will essentially transform and improve access to and availability of service in our homes and communities and more acute settings (<ref>The Scottish Government. National Telehealth and Telecare Delivery Plan for Scotland to 2016. http://www.gov.scot/Publications/2012/12/7791 (accessed 25 November 2015).</ref>).
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<br>Scotland - The Dimensional Change
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Scotland - The Dimensional Change
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The track has deviated to an integrated direction of revolution due to the fact that in less than a generation there have been rapid changes in two very particular and fundamental elements within Scottish society.
The track has deviated to an integrated direction of revolution due to the fact that in less than a generation there have been rapid changes in two very particular and fundamental elements within Scottish society.
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The first is the shift to an ageing population (as has been previously documented) and secondly, there is the development of mobile phone technology and its use. It is reported that in less than a decade the use of mobiles by adults has gone from less than 50% to over 90% (<ref>The Scottish Government. A National Telehealth and Telecare Delivery Plan for Scotland to 2015 – Driving Improvement, Integration and Innovation. http://www.gov.scot/resource/0041/00411586.pdf (accessed 25 November 2015).</ref>). Therefore, with increase demand for healthcare due to an ageing population with multiple comorbidities, it is viewed that with the use of technology, and specifically mobile technology, some of the healthcare burden can be lifted to manage long term conditions (<ref>The Scottish Government. A National Telehealth and Telecare Delivery Plan for Scotland to 2015 – Driving Improvement, Integration and Innovation. http://www.gov.scot/resource/0041/00411586.pdf (accessed 25 November 2015).</ref>).
The first is the shift to an ageing population (as has been previously documented) and secondly, there is the development of mobile phone technology and its use. It is reported that in less than a decade the use of mobiles by adults has gone from less than 50% to over 90% (<ref>The Scottish Government. A National Telehealth and Telecare Delivery Plan for Scotland to 2015 – Driving Improvement, Integration and Innovation. http://www.gov.scot/resource/0041/00411586.pdf (accessed 25 November 2015).</ref>). Therefore, with increase demand for healthcare due to an ageing population with multiple comorbidities, it is viewed that with the use of technology, and specifically mobile technology, some of the healthcare burden can be lifted to manage long term conditions (<ref>The Scottish Government. A National Telehealth and Telecare Delivery Plan for Scotland to 2015 – Driving Improvement, Integration and Innovation. http://www.gov.scot/resource/0041/00411586.pdf (accessed 25 November 2015).</ref>).
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<br>The Way Forward - The Plan
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The Way Forward - The Plan
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The National Telehealth and Telecare Delivery Plan for Scotland focuses on the period up to 2016, and has been rooted within and seamlessly entwined with the long term forecasted ambitions of the 2020 Vision for achieving sustainable quality in the delivery of healthcare services across Scotland (<ref>The Scottish Government. A National Telehealth and Telecare Delivery for Scotland to 2016: Driving Improvement, Integration and Innovation. http://www.gov.scot/Publications/2012/12/7791/5 (accessed 25 November 2015).</ref>). Through the use of technology explored throughout this wiki, it is apparent that each plan coincides on the basis of everyone able being to live longer healthier lives at home, in a “homely” setting. (<ref>The Scottish Government. A National Telehealth and Telecare Delivery for Scotland to 2016: Driving Improvement, Integration and Innovation. http://www.gov.scot/Publications/2012/12/7791/5 (accessed 25 November 2015).</ref>).<br>In order to provide the reader with the essentials within the National Telehealth and Telecare Delivery Plan, the author has provided the “Six Workstreams” documented (see figure 3), that are the specific actions embedded to integrate and sustain technology in healthcare going forward:<br>
The National Telehealth and Telecare Delivery Plan for Scotland focuses on the period up to 2016, and has been rooted within and seamlessly entwined with the long term forecasted ambitions of the 2020 Vision for achieving sustainable quality in the delivery of healthcare services across Scotland (<ref>The Scottish Government. A National Telehealth and Telecare Delivery for Scotland to 2016: Driving Improvement, Integration and Innovation. http://www.gov.scot/Publications/2012/12/7791/5 (accessed 25 November 2015).</ref>). Through the use of technology explored throughout this wiki, it is apparent that each plan coincides on the basis of everyone able being to live longer healthier lives at home, in a “homely” setting. (<ref>The Scottish Government. A National Telehealth and Telecare Delivery for Scotland to 2016: Driving Improvement, Integration and Innovation. http://www.gov.scot/Publications/2012/12/7791/5 (accessed 25 November 2015).</ref>).<br>In order to provide the reader with the essentials within the National Telehealth and Telecare Delivery Plan, the author has provided the “Six Workstreams” documented (see figure 3), that are the specific actions embedded to integrate and sustain technology in healthcare going forward:<br>
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<br>Supporting Improvement, Integration & Innovation
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Supporting Improvement, Integration & Innovation
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In response to the National Telehealth and Telecare Delivery Plan, the Scottish Centre for Telehealth and Telecare (SCTT), part of NHS 24, act as an advisor, facilitator and promoter of Telehealth and Telecare, supporting NHS boards to develop telehealth. They provide support to the National Telehealth & Telecare Advisory Board and essentially attempt to put the theory into practice i.e. at any one time there is an array of programs and projects, trials and pilots in place in Scotland, taking steps to move into mainstream service provision (<ref>Scottish Centre for Telehealth & Telecare. Supporting Improvement, Integration and Innovation - Business Plan 2012-2015. http://sctt.org.uk/programmes/ (accessed 25 November 2015).</ref>). The organization is the key driver supporting the key stakeholders to achieve their objectives and activities, born from the National Delivery Plan. The SCTT’s business plan identifies their 6 Key Roles, outlined in Figure 4, which allow them move forward in their priorities of integration:<br><br>
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In response to the National Telehealth and Telecare Delivery Plan, the Scottish Centre for Telehealth and Telecare (SCTT), part of NHS 24, act as an advisor, facilitator and promoter of Telehealth and Telecare, supporting NHS boards to develop telehealth. They provide support to the National Telehealth & Telecare Advisory Board and essentially attempt to put the theory into practice i.e. at any one time there is an array of programs and projects, trials and pilots in place in Scotland, taking steps to move into mainstream service provision (<ref>Scottish Centre for Telehealth &
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amp;amp; Telecare. Supporting Improvement, Integration and Innovation - Business Plan 2012-2015. http://sctt.org.uk/programmes/ (accessed 25 November 2015).</ref>). The organization is the key driver supporting the key stakeholders to achieve their objectives and activities, born from the National Delivery Plan. The SCTT’s business plan identifies their 6 Key Roles, outlined in Figure 4, which allow them move forward in their priorities of integration:<br><br>
[[Image:SCTT 6 Roles.jpg]]
[[Image:SCTT 6 Roles.jpg]]
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'''Figure 4: SCTT’s 6 Roles (<ref>Scottish Centre for Telehealth & Telecare. Supporting Improvement, Integration and Innovation - Business Plan 2012-2015. http://sctt.org.uk/programmes/ (accessed 25 November 2015).</ref>)'''
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'''Figure 4: SCTT’s 6 Roles (<ref>Scottish Centre for Telehealth &
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amp;amp; Telecare. Supporting Improvement, Integration and Innovation - Business Plan 2012-2015. http://sctt.org.uk/programmes/ (accessed 25 November 2015).</ref>)'''
<br> For an indepth look at the SCTT’s Supporting Improvement Integration & Innovation Business Plan, follow this link http://www.sctt.scot.nhs.uk/wp-content/uploads/SCTT-business-plan.pdf
<br> For an indepth look at the SCTT’s Supporting Improvement Integration & Innovation Business Plan, follow this link http://www.sctt.scot.nhs.uk/wp-content/uploads/SCTT-business-plan.pdf
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<br>NHS 24 continues to work with NHS boards to develop the use of telehealth across its four priority areas (stroke, mental health, COPD and paediatrics). These are prevalent long term conditions that have considerable health costs to the NHS where using integration and innovation of telehealth measures would enable not only cost efficiency but also those all important factors of access to healthcare, contact frequency and potentially improving the physician - patient partnership (<ref>Audit Scotland. A Review of Telehealth Impact Report. A Review o Telehealth 2013; (): . http://www.audit-scotland.gov.uk/docs/health/2013/ir_130613_telehealth.pdf (accessed 25 November 2015).</ref>). The inclusion of the SCTT as part of NHS 24 therefore, provides a much stronger focus to drive the development of telehealth nationally and for Scotland, altering the mode of service delivery.<br>
The SCTT’s business plan is available for further reading from the following link http://www.sctt.scot.nhs.uk/wp-content/uploads/SCTT-business-plan.pdf
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<br>NHS 24 continues to work with NHS boards to develop the use of telehealth across its four priority areas (stroke, mental health, COPD and paediatrics). These are prevalent long term conditions that have considerable health costs to the NHS where using integration and innovation of telehealth measures would enable not only cost efficiency but also those all important factors of access to healthcare, contact frequency and potentially improving the physician - patient partnership (<ref>Audit Scotland. A Review of Telehealth Impact Report. A Review o Telehealth 2013; (): . http://www.audit-scotland.gov.uk/docs/health/2013/ir_130613_telehealth.pdf (accessed 25 November 2015).</ref>). The inclusion of the SCTT as part of NHS 24 therefore, provides a much stronger focus to drive the development of telehealth nationally and for Scotland, altering the mode of service delivery.<br>
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<br>Resulting Resource use and Milestones <br>As we now know technology facilitated healthcare is an ongoing phenomenon through the various bodies and channels aforementioned. Although there is substantial advances to be made, it is worth looking at the notable local and national resources and milestones gained and reached thus far in NHS. Figure 5 shows the resources put in and milestones gained:
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Resulting Resource use and Milestones
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<br>As we now know technology facilitated healthcare is an ongoing phenomenon through the various bodies and channels aforementioned. Although there is substantial advances to be made, it is worth looking at the notable local and national resources and milestones gained and reached thus far in NHS. Figure 5 shows the resources put in and milestones gained:
[[Image:Resources and Milestones.jpg]]<br>
[[Image:Resources and Milestones.jpg]]<br>
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'''Figure 4: Resources & Milestones (<ref>The Scottish Government. A National Telehealth and Telecare Delivery Plan for Scotland to 2015 – Driving Improvement, Integration and Innovation. http://www.gov.scot/resource/0041/00411586.pdf (accessed 25 November 2015).</ref>)''' <br>For a detailed account of the Resources and Milestones in the National Delivery Plan for Telehealth and Telecare, follow this link http://www.gov.scot/resource/0041/00411586.pdf
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'''Figure 4: Resources & Milestones (<ref>The Scottish Government. A National Telehealth and Telecare Delivery Plan for Scotland to 2015 – Driving Improvement, Integration and Innovation. http://www.gov.scot/resource/0041/00411586.pdf (accessed 25 November 2015).</ref>)''' <br>For a detailed account of the Resources and Milestones in the National Delivery Plan for Telehealth and Telecare, follow this link http://www.gov.scot/resource/0041/00411586.pdf
===== The patient perspective on telerehabilitation =====
===== The patient perspective on telerehabilitation =====