Assisted Living UK Capabilities
Opportunity Report

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Yorkshire and the Humber

Yorkshire and the Humber - full text version

1.0 Introduction

This case study provides an overview of the assisted living sector in Yorkshire and Humber and is part of a wider UK Capability Map commissioned under the KT4i Project[1]. The case study looks at the Demographics, Health Profile, Provision of Care and the Industrial and Research base within Yorkshire and Humber. The mapping exercise is intended to illustrate areas for potential investment, either in service or product development.

2.0 Regional Overview

The map illustrated in Figure 1 shows the 6 sub regions covering 20 Council areas.

  • North Yorkshire: Craven District Council, Hambleton District Council, Harrogate Borough Council, North Yorkshire County Council, Richmondshire District Council, Ryedale District Council, Scarborough Borough Council and Selby District Council
  • South Yorkshire: Barnsley Metropolitan Borough Council, Doncaster Metropolitan Borough Council, Rotherham Metropolitan Borough Council and Sheffield City Council
  • West Yorkshire: Calderdale Metropolitan Borough Council, City of Bradford Metropolitan District Council, City of Wakefield Metropolitan District Council, Kirklees Council and Leeds City Council
  • York: York City Council
  • East Riding: East Riding of Yorkshire Council and Kingston upon Hull City Council
  • North Lincolnshire

Figure 1: Regions Map 

The Yorkshire and Humber region covers 5,953 square miles and represents approximately 6% of the landmass of the UK. The region contains the major cities of Leeds with a population of 798,769, Sheffield (555,507), Kingston upon Hull (263,890) and York (202,447).

2.1 Demographics

The following section describes the demographics of the Yorkshire and Humber region including the population density, urban and rural population characteristics, population age, life expectancy and population projections.

2.1.1 Population

Figure 2 below ranks Yorkshire and Humber 6th in relation to population size across the other UK regions.

Figure 2: UK Population by Region 2010[2]


Figure 3 illustrates the population of Yorkshire and Humber by Female / Male age ranges. The chart shows the greatest proportion of the population sits in the 20 – 39 age range indicating a slightly younger population in comparison with other regions of England. The age profile is very similar to that of Northern Ireland which has the youngest population in the UK.

Figure 3: Population by Age Range[3]


2.1.2 Urban and Rural Population and Population Density

Yorkshire and Humber has a population of 5,301,252 people representing 9% of the total population of the UK. North Yorkshire at 180 and East Riding of Yorkshire at 220 people per square mile are the areas of lowest population density. These areas are also the largest counties with North Yorkshire covering 3,341 square miles and East Riding of Yorkshire covering 1,540. South Yorkshire is the second highest populated area at 599 square miles with a population of 2,218 people per square mile despite containing part of the rural Peak District. The highest density area is West Yorkshire at 783 people per square mile. Approximately 4% of the population live in rural areas, while the remaining 96% live in built up urban areas.

2.1.3 Population Over 65 Years

Figures 4 and 5 illustrate the distribution of the 65+ population over the Yorkshire and Humber region.

Figure 4: Population by Region

Figure 5: Age Profile Map


The map shows the rural county of North Yorkshire as having the highest over 65 population at 24% of the total county population. West Yorkshire has the lowest 65+ population at 14%. At local authority level the urban area of Bradford has the lowest 65+ population at 13%. The city of Kingston upon Hull in East Riding also has a 65+ population of just 13%.

2.1.4 Life Expectancy

The average life expectancy at birth for Females in the Yorkshire and Humber region is 81.2[4] years and 77.1 years for Males. North Yorkshire and York has the highest life expectancy for both Females (83.1) and Males (79.4) years. Barnsley has the lowest life expectancy for both Females (80.1) and Males (76.4) years. This is lower than the UK average which is 82.0 years for Females and 77.7 years for Males.

2.1.5 Population Projections

The overall population is projected to grow by 18.7%[5] (994,700) by 2030. Figure 6 illustrates the projected population for the 65+ age group. The chart suggests that the greatest growth in the 65+ population will be in Females post 2020 with a rapid increase in the over 75 age group. This profile is fairly typical to other areas of England.

Figure 6 illustrates the population growth of the 65+ age group over 5 year intervals from 2010 to 2030. Figure 6 illustrates how Yorkshire and Humber compares with other areas of the UK between 2008 and 2033.

Figure 6: Population Projections (000’s) of Older People in Yorkshire and Humber by Sex (2010 to 2030)[6]


Figure 7: Estimated and Projected % of the Population Aged 65 and Over by Region[7]


2.1.6 Old Age Support Ratio

The old age support ratio compares the number of people of working age (20-64) against the retired population (65+) of a given area. Areas with a lower ratio of working age people indicates fewer people able to support the over 65 population.

Figure 8: Old Age Support Ratios[8]


Figure 8 illustrates North Yorkshire as the county with the lowest ratio of working age people against the retired population (65+).

2.1.7 Internet Usage

The following diagrams illustrate the internet usage of the over 55 age group. The diagrams are based on data collected by the Office for National Statistics and provide a general over view of usage across Great Britain.

Figure 9: Internet Purchases 2008 to 2011 by Age Group 2008 - 2011[9]


Figure 10: Internet Purchases by Type 2008 to 2011 (Adults Aged 55+)

Figure 9 shows a gradual year on year growth of internet purchases made by people aged over 55. The largest growth is in the 55-64 and 65+ age groups.

Figure 10 illustrates the types of products and services being bought by this age group. The highest percentages of purchases related to travel arrangements (68%), books, magazines, newspapers (66%) and clothes, sports goods (63%). This indicates the 55+ age group are using the internet primarily to make leisure purchases rather than buying essential goods and services. The diagram indicates E-Learning (5%) at the lowest percentage; again this may be indicating that this age group is using the internet for leisure and entertainment purposes.

Figure 11 illustrates the uptake of mobile internet connections by age group between 2009 and 2011. The chart shows a steady increase in connections by the 55+ age group, however this is insignificant in comparison with the 16 – 34 age groups. The lower uptake may be due to fewer people in the 55+ age group using mobile devices for work based activities. The usability of mobile devices can also be prohibitive as age related physical (dexterity) and sensory (sight and hearing) degeneration can make using such devices difficult.

Figure 11: Mobile Phone Internet Connections by Age Group 2009 to 2011


3.0 Regional Economy

The following section describes some of the key facts of the Yorkshire and Humber regional economy. The section focuses on the assisted living industry base and regional economic structure.

3.1 Economic Overview

The Yorkshire and Humber region has a GVA[10] of approximately £16,569[11] per head. London has the highest GVA at £34,200 followed by the South East at £20,923. The lowest level of GVA can be found in the North East at £15,621 followed by Northern Ireland at £15,795.

Coal mining formed the mainstay of the region’s economy up until the mid 1990's when many pits closed due to decline in the industry. However coal mining still plays an important role supporting the power generation industry in the region. Heavy manufacturing and the steel industry are key sectors along with food production and financial services. Yorkshire has one of the largest concentrations of medical device companies anywhere in the UK, with more than 160 companies involved in the manufacture of medical and surgical equipment. Major medical manufacturing companies including B-Braun, Intersurgical and Johnson & Johnson are located in the region.

3.2 Supplier of Products and Services

Figure 12 illustrates private companies selling products and services into the Assisted Living market. The chart includes companies whose primary area of business is manufacturing and / or selling the following products and services:

  1. Telecare: Telecare products and services only, includes devices and managed services
  2. Telehealth: Telehealth products and services only, includes devices and managed services
  3. Telecare & Telehealth: Combined Telecare & Telehealth products and services, includes devices and managed services
  4. Environmental Control: Home Automation and Environmental Control solutions
  5. Communication Aids: Including Video Conferencing solutions and products and services for people with Dementia, Learning Disabilities and Sensory loss
  6. Care Technology: Devices and services to support care workers delivering assisted living services in the community

Statutory Telecare and Telehealth providers are excluded from these figures unless they provide a privately managed service option.

Figure 12: Type and Number of Companies by Region[12]


The region is ranked 8th in terms of the number of companies categorised above, however it houses Tunstall Healthcare, the UK’s largest Telecare company. Attendo Systems, another major Telecare company is also located in the region.

The chart suggests that these companies tend to locate in the English regions of the South East, North West and Midlands regions. This may be due to a number of factors including access to technical knowhow and skills and the availability of academic institutions supporting research and development.

More information on UK companies can be found by accessing the KT4i Assisted Living Directory see

3.3 Regional Economic Infrastructure

In 2010, the UK Government developed a National Infrastructure Strategy[13] as a first step towards providing a more integrated approach to infrastructure development across the five sectors and networks that directly contribute to economic growth (energy, transport, water, waste and communications). This strategy has distilled into a National Infrastructure Plan, first issued in 2010[14], revised to include more regional detail in 2011[15], and updated in 2012[16] to report progress against the plan.
A region’s economic infrastructure can have a significant impact upon the ease with which technology innovations can be deployed to meet social objectives such as healthcare. The sectors and networks that are of most relevance to AL are energy, transport, and digital communications and surrounding them all is the region’s ability to generate intellectual capital. Given the recent nature of the strategy and plan, there are few statistics at the moment to support the development of the economic infrastructure at regional level. Instead, regional initiatives and projects have been used to illustrate activities in the relevant areas.
Based on the framework in the National Infrastructure Plan[17], Figure 13 shows the interrelationships and interdependencies between the care network and the regional economic infrastructure. For example, a poor transport infrastructure can offer opportunities for AL services, whereas a poor digital communications network would be a constraint.
All the elements within this infrastructure depend on utilising the Intellectual Capital within a region, and it in turn depends on these networks to facilitate the take-up of science and technology innovations. The 2011 Infrastructure Plan recognised the importance of good transport and digital communication links in facilitating the development of innovation hubs, science parks and clusters, which will all benefit from investment in world class research facilities. Co-location of these innovation clusters with universities will also foster knowledge transfer and expertise exchange.

Figure 13: Regional Infrastructure Interrelationships and Interdependencies


3.3.1 Transport

Access to health care provision can depend upon the ease with which people can move around the region. If roads are congested, people may find it difficult to reach care services, and once there, they may find parking is either not available, full, or presents a costly challenge. Remote delivery of care via AL services, could be a potential solution to transport and travel issues.
The Communications Infrastructure 2012 update reports[18] the following progress on infrastructure delivery programmes and Autumn Statement 2012 capital announcements relevant to the Yorkshire and Humber region:
Completed: East Coast Mainline York Holgate Junction Scheme – work completed, and planning approvals obtained for North Doncaster Chord
Starting soon: Beverley Integrated Transport Scheme – work starts in 2013
New funding announced: A160/180 Immingham dualling scheme
Under construction: M62 J25-30 – due to complete in 2013
Under construction: A6182 White Rose Way Improvement
Works – due to complete 2013 and new funding announced: A1 Leeming to Barton – converting dual carriageway into 3 lanes (£314 million)

 3.2.2 Digital Communications

Ofcom, the independent regulator and competition authority for the UK communications industries has reported[19] that during the last 10 years, the UK’s communications market has been totally transformed. Digital technology has developed extremely quickly, and has changed the way that communications services work for consumers. It has also had a major impact on businesses and networks. For AL to take advantage of these rapid developments, a region must have an adequate digital communications infrastructure. Ofcom is now tasked with reporting on broadband take-up, speeds and availability, using data provided by communications providers.
The connectivity of a region has a direct impact upon the implementation and take-up of AL products and services. The UK Government aims to have the best superfast broadband network in Europe by 2015 by providing all homes and businesses in the UK with access to at least 2Mbit/s broadband and that superfast broadband should be available to 90 per cent of people in each local authority area. There will be a particular focus on making sure that people in remote, as well as urban areas, get good online access.
The most recent information on broadband in the UK has been compiled by Ofcom. The Digital Economy Act 2010 requires Ofcom to report on the state of the UK’s communications infrastructure every three years. The Communications Infrastructure 2012 report[20] has been published and highlights the availability and take-up of superfast broadband, the increasing use of mobile Internet services and the completion of the digital TV switchover. The report also provides regional information useful not only for local authorities developing broadband plans, but also for businesses wanting to develop and deliver services – see Figures 14, 15 and 16.
In addition to its UK Communications Infrastructure Report, Ofcom has produced the UK's first interactive map[21] showing accurate information on broadband take-up, speeds and availability, using data provided by communications providers.
Figure 14 shows the availability of broadband across the region based on:

  • the percentage of homes with broadband currently not achieving 2Mbit/s speeds
  • the percentage of addresses which are within the coverage area of superfast (over 24Mbit/s) broadband networks
  • the percentage take-up of superfast broadband
  • the total take-up (including superfast broadband)

Figure 14: Broadband availability and take-up by Local Authority (Source Ofcom)


Ofcom has also collected data on the average maximum speeds of existing broadband connections, although notes that speeds achieved in the home will be slower. Figure 15 shows the Average modem speed (Mbit/s) by Local Authority.

Figure 15: Average modem speed (Mbit/s) by Local Authority (Source Ofcom)



Ofcom[22] has ranked each area on a scale of 1 to 5, with 1 the highest or fastest, and 5 the lowest or slowest on how they score on four broadband metrics to provide an overall view of broadband in each region:
• Average modem sync speed (Mbit/s): The average maximum speeds of existing broadband connections. Speeds achieved in the home will be slower.
• Percentage receiving less than 2Mbit/s: The percentage of homes with broadband currently not achieving 2Mbit/s speeds.
• Superfast availability: The percentage of addresses, which are within the coverage area of superfast (over 24Mbit/s) broadband networks.
• Average take-up:The number of existing broadband connections as a proportion of premises, excluding superfast broadband connections.

Figure 16 shows the ranking (1 = highest /fastest, 5 = lowest/slowest) within the region by local authority. The majority of local authorities within the region have good broadband performance with 11 out of 15 local authority areas with a ranking of 1 or 2. The remaining 4 areas (Kingston-upon-Hull, East Riding of Yorkshire, North Lincolnshire and North Yorkshire) have a ranking of 3.
The Communications Infrastructure 2012 update reports[23] that the Government has ‘established a framework agreement for Local Authorities to use to deliver rural broadband projects and secured state aid clearance to enable investment to proceed.’ North Yorkshire is one of these rural areas that is through procurement and into delivery. York is one of the first ten ‘super-connected’ cities that has been successful in its bid for funding to deliver ultrafast broadband and public wireless connectivity.

Figure 16: Overall Broadband Quality by Local Authority (Source Ofcom)


3.2.3 Energy

With smart meters being considered as a potential important opportunity for the delivery of AL, the roll-out of smart meters represents a significant milestone. As part of its National Infrastructure plan, the UK Government aims to make every home and every business an intelligent part of an electricity network, to help moderate demand at peak times and to preserve supply and demand balance despite increased amounts of intermittent, renewable electricity generation. The aim is also to ensure greater energy interconnection with continental Europe and Ireland.
Currently, there is no regional data available, but by 2019, the Government will ‘complete the rollout of smart meters, so that electricity customers can participate actively in helping reduce carbon intensity (by consuming less energy) and maintain security of supply (by smoothing their consumption over time). Development of the communications and data infrastructure required to support smart meters is expected to commence by 2014.’[24]
According to the Government’s National Infrastructure Plan, 2011 ‘widespread use of smart meters can be accommodated within the current digital communication network infrastructure, but potential future developments of smart energy grids might require further innovation and investment in communications infrastructure.’

3.2.4 Intellectual Capital

Intellectual capital is vital for attracting inward investment, stimulating innovation and allowing the UK and its regions to be competitive in the global knowledge economy. In its Infrastructure Plan 2010, the Government recognised the important role that Intellectual Capital plays in the UK’s economic infrastructure and is committed to providing funding to develop the UK’s Intellectual Capital, for example:

  • enabling investment in science, research and innovation through provision of research facilities and equipment in universities.
  • supporting (including by way of capital investment) the work of the Research Councils and investing in innovative technologies in and for infrastructure.
  • supporting the Technology Strategy Board to incentivise business led technology innovation.
  • establishing a network of Technology and Innovation Centres.

See Section 6.1.1 for information about regional Centres of Expertise and Innovation.

4.0 Health and Social Care

The new health and care system for England became fully operational from 1 April 2013 when NHS England, Public Health England, the NHS Trust Development Authority and Health Education England took on their full range of responsibilities (1).
Nationally, NHS England commissions specialised services, primary care, offender healthcare and some services for the armed forces (4). It has 27 area teams but is one single organisation operating to a common model with one board.
Locally, clinical commissioning groups (CCGs) will buy services for patients (2). These are groups of general practices which have come together in each area to commission the best services for their patients and population. Most of the NHS commissioning budget is now managed by 211 clinical commissioning groups commissioning care for an average of 226,000 people each.
The CCGs are supported by commissioning support units (CSUs). As at June 2013 there were 19 CSUs and they will be hosted by NHS England until the end of 2016 (3). They will support clinical commissioning groups by providing business intelligence, health and clinical procurement services, as well as back-office administrative functions, including contract management.
Commissioning of public health services is undertaken by Public Health England (PHE) (6) and local authorities, although NHS England commissions, on behalf of PHE, many of the public health services delivered by the NHS.

Each top tier and unitary authority has its own health and wellbeing board promoting public health (5). Board members will collaborate to understand their local community’s needs, agree priorities and encourage commissioners to work in a more joined up way. As a result, patients and the public should experience more joined-up services from the NHS and local councils.

Healthwatch will provide a powerful voice for patients and local communities.


The following section describes the health and social care landscape of the Yorkshire and Humber Region. The section looks at the health of the population and the levels of provision available from statutory and private providers.

4.1 Health Overview by Long Term Conditions

Figure 17 illustrates the percentage of people suffering from the following long term conditions, Diabetes, Coronary Heart Disease, Heart Failure, COPD, Hypertension, Epilepsy, Dementia and Stroke. The figures are based on data published by NHS Information Centre.

Figure 17: Long Term Conditions Profile for the Yorkshire and Humber region[25]


The incidence of LTC’s based on the NHS Information Centre data suggests that 28% of the total population suffer from an LTC. Hypertension represents the single highest condition at 704,220 both Diabetes (239,069) and Coronary Heart Disease (211,256) come in close second and third. The prevalence of Hypertension (48%) is relatively high and can have major long term implications. Hypertension increases the risk of stroke, heart attack, heart failure, aortic aneurysm and is a major cause of chronic kidney disease. Therefore closer management of patients is required to reduce the risk of further health complications.

5.0 Existing Care Provision

The following section outlines the existing care provision in Yorkshire and Humber and looks at the levels of support to enable older and disabled people to live at home. The section also examines the availability of residential care and NHS beds by county area. This information provides an insight into where there may be lower levels of provision.

5.1 Elderly Living at Home

A total of 1100 households within the region are receiving intensive home care services to support elderly (65+) residents. Intensive Homecare is defined as the number of households receiving more than 10 contact hours and 6 or more visits during the week. Households receiving home care purchased with a direct payment are excluded. This is less than half of the level of provision in comparison with London where the number is much higher at 2518 households. Figure 18 shows the number of households receiving intensive home care across England. For figures covering Scotland, Northern Ireland and Wales please refer to the separate reports. Figure 19 shows the proportion of elderly households receiving intensive home care as a percentage of the total number of elderly households receiving intensive home care.

Figure 18: Households Receiving Intensive Home Care Aged 65+[26]


Figure 19: Households Receiving Intensive Home Care Aged 65+[27]


5.2 Residential and Domiciliary Care

Yorkshire and Humber has a total of 994 registered Care Homes, 457 Nursing Homes and 547 Domiciliary Care Providers. Figure 20 illustrates the number of care providers and available residential beds for the region. Figure 21 shows the population over 65 for each county set against available Care and Nursing Home beds and the percentage over 65 receiving Domiciliary Care.

Figure 20: Care Homes and Domiciliary Care Agencies in Yorkshire and Humber


Figure 21: Population Over 65 Compared to Care Home Beds


Figure 21 illustrates the percentage of Care and Nursing home beds available and the percentage of people receiving domiciliary home care by county. This is set against the percentage population over 65.

Figure 21 suggests that care provision doesn’t necessarily follow the general population needs. The provision of Care and Nursing home beds appears static across counties with marginal increases in North Yorkshire and Lincolnshire. North Yorkshire (22%) and Lincolnshire (30%) also have a significant over supply of domiciliary care provision whereby provision in West Yorkshire is significantly lower at 5%.

Figure 22 illustrates the percentage of the population over 65 compared with NHS bed provision across the regions PCT’s and Acute Trusts. The diagram describes the number of acute beds including Intensive Care, Palliative Care, General Acute and Elderly Acute. The diagram also shows residential beds including Elderly and Learning Disability short and long stay beds. Many of these residential beds are within mental health wards. These bed types have a direct relationship to users of assisted living technology.

Figure 22: Population Over 65 Compared to NHS Bed Provision[28]


Figure 22 shows the level provision of residential care beds across all counties. Provision of acute beds is slightly higher with the highest provision in South Yorkshire.

6.0 Current Assisted Living Activity

The following section details some of the key assisted living activity in Yorkshire and Humber ranging from research activity, projects and centres of excellence.

6.1 Regional Projects in Health and Social Care

Yorkshire and Humber have been at the forefront of the development of Telecare and Telehealth services. Over recent years several pilots and initiatives have been deployed.

Barnsley Council & Barnsley Hospital. There is commitment across Barnsley to redesign pathways and transform services to better respond to the needs of local people. Barnsley is providing both Telecare and Telehealth to their population, with around 7,000 users of Telecare and working with colleagues in the NHS to deliver Telehealth for Heart Failure, COPD and Diabetes. Barnsley Council are currently working with Barnsley Hospital on a virtual ward initiative and supported discharges and are also working with Enable Barnsley to provide a standalone Assistive Technologies Point for practical equipment such as magi-plugs and memo reminders. This can compliment electronic Assistive Technologies such as Telecare and Telehealth or just provide a standalone practical solution ensuring they have solutions at all need levels.

South West Yorkshire NHS. Barnsley's Care Navigation and Telehealth service is for people with long term health conditions. Through self-awareness and self-management they can help Barnsley people take control of their ongoing illness or long term condition. The service is led by a dedicated team of nurses. It's totally free and it's quick, easy and convenient to use as help is provided by the telephone. For more information visit their website

Airedale Hospital has a Telehealth Hub which connects to over 1,000 patients in 33 residential and nursing homes and their own homes via secure video links and allows them to have face-to-face consultations with nurses and doctors 24 hours a day, seven days a week. Patients can view consultants on either their own TV with a set top box or a mobile video system. The Trust has worked with technical partners Involve-Visual and Red Embedded to make the project a success. Manorlands Hospice for seriously ill patients is linked up along with six GP surgeries. Airedale provides 20 prisons throughout the country with clinical opinion and diagnosis using telemedicine. This covers a range of health problems including serious situations from skilled A&E consultants and second opinions on other medical conditions via scheduled appointments with consultants. For more information please visit

NHS Calerdale Clinical Commissioning Group and Calerdale & Huddersfield NHS Foundation Trust are working in partnership with telehealthcare provider Tunstall Healthcare, to provide advanced telehealth solutions that will help to support people with long-term conditions. Telehealth will initially be offered to 24 COPD patients in their own home at any one time, with the initiative expected to develop and to benefit many more patients in the region. Each patient will receive Tunstall's mymedic solution, which will enable clinicians to remotely monitor vital signs including blood pressure, pulse rate, and blood oxygen levels on a daily basis. The objectives are to support early discharge and prevent hospital admissions, improve self-management, prevent future complications for those with COPD who haven't yet started to access extensive healthcare, and support the COPD specialist nurses' workload. NHS Calerdale serves a population of 213,000 people, with 18% of people in Calderdale recorded as having a long-term condition. Those people with long-term conditions who are frequently admitted to hospital also account for 36.5% of overall bed day usage. This new initiative is in the early stages of delivery, providing a service into people's homes under the supervision and with the dedicated assistance of Calderdale and Huddersfield NHS Trust COPD specialist nurses. This new approach will help to avoid hospitalisation through early intervention, management of risks and improved medicine compliance.

NHS Calderdale CCG is also working alongside service providers to develop a new model of care as part of its "Quest for Quality in Care Homes" initiative, which will increase the level of support in care homes and improve outcomes for up to 1000 residents. The new model of care includes the development of a multi-disciplinary team, who will be available to support and advise staff in care homes on the preventation and proactive management of the needs of older people, including fall prevention and medication management. A crucial part of the model focuses on the development of telehealth and telecare in 25 care homes, and will include the UK's largest deployment into care homes. By supporting the analysis and treatment of people with care needs, this will improve their quality of life, and offer additional support to carers and family members. This part of the programme is rolling out in two phases. Phase one is focussing on providing telecare solutions to 25 nursing and residential homes across the region. Phase two will enable a further 500 residents in care homes to benefit from telehealth solutions by early 2014.

East Riding of Yorkshire Council is currently running a pilot for Just Checking. This is a shared initiative between the East Riding of Yorkshire Council, NHS East Riding and Yorkshire and the Humber Foundation Trust, with other partners including Tunstall Healthcare and Hull University, with the final evaluation due late 2013. The objective of the pilot is to trial the use of Just Checking telecare systems as part of the assessment process for Assessment Officers, Occupational Therapists and CPN's and will support the delivery of strategic goals including care closer to home, self-care and avoiding inappropriate admissions to residential care, reducing service user, carer and family stress by establishing daily living patterns, routines, abilities and support their choices as well as enhancing integration of health and social care telecare services through development of joint pathways of care and integration with other care pathways such as NCT and Re-ablement. The pilot objective is to demonstrate the cost savings which can be realised through the utilisation of the Just Checking System.

6.1.1 Regional Universities and Centres of Excellence

Yorkshire and Humber is home to 13 Universities of which Hull and York are the most prominent centres of excellence in the field of assisted living.

The University of Hull houses the prominent Centre for Telehealth. The centre provides a range of services to both healthcare professionals and industry. The centre specialises in supporting the implementation of Telehealth services within the NHS, it also operates a live Telehealth service which has supported over 300 patient’s in the community. The centre provides services to industry including clinical expertise, technology research and device testing. For more information see

York University’s Centre for Useable Home Technology (CUHTec) conducts interdisciplinary research to understand what people want from the technology in their homes. The centre has particular expertise in Telecare and Telehealth and has an onsite technology demonstrator. For more information see

6.1.2 Support Organisations

The Yorkshire and Humber Health Innovation Education Cluster (HIEC) includes all regional NHS organisations and Universities with a mission to drive innovation and improvements in patient care. There are 16 other HIECs in England, operating either at regional or sub-regional level. The Yorkshire and Humber HIEC also aims to raise the quality of healthcare education and training. The Yorkshire and Humber HIEC plays a vital role in the development of new innovative assistive technology services across the region. The HIEC recently published a comprehensive toolkit providing case studies, service models, support for business case development and supporting evidence for the implementation of Telehealth services.

For more information on the toolkit see for more information on Yorkshire and Humber HIEC see

Medilink Yorkshire and Humber is part of Medilink UK a national health technology business support organisation, working across all sectors of the life sciences sector.
Medilink UK helps companies take new concepts through to commercialisation and supports collaborations between academics, clinicians and industry. Medilink UK is made up from the following organisations MediWales, BioBusiness Northern Ireland, Medilink North West, Medilink West Midlands, Medilink East Midlands and the South East Health Technology Alliance. For more information please see

Advanced Digital Institute (ADL) provides specialist support to bring new digital products to market. ADI have expertise in relation to research and development into Smart Energy and Telehealth. ADI also led on a project entitled “TV-based video telephony platform for assisted living and Telehealth” funded under the Technology Strategy Boards Assisted Living Innovation Platform. The project developed an innovative video conferencing technology which utilises the patient’s TV to deliver services and support. The project was a collaboration between ADI, Airedale Hospital Trust and the technology provider Red Embedded. The technology developed by this consortium has now been deployed in the new Airedale Hospital Telehealth Hub, see 6.1.1 for more information. For more information on ADI see

7.0 Summary: Regional Opportunities for Assisted Living

The ageing population will be the key driver for the development of the assisted living sector in Yorkshire and Humber. The region has a slightly younger population than the UK average with a similar profile to that of Northern Ireland with the highest percentage of people in the 20 to 39 age group. However the 65+ population is projected to grow by 63% by 2030 with the steepest growth in the Female population post 2020. The health profile indicates that 28% of the total population currently suffer from one or more long term conditions (LTC’s) with 48% of those registered suffering from Hypertension. Hypertension increases the risk of stroke, heart attack, heart failure, aortic aneurysm and is a major cause of chronic kidney disease. Therefore closer management of patients is required to reduce the risk of further health complications.

The prevalence of LTC’s will grow in line with the ageing population and put increasing pressures on services. Currently the provision of Care and Nursing home beds appears static across counties with marginal increases in North Yorkshire and Lincolnshire. North Yorkshire (22%) and Lincolnshire (30%) also have a significant over supply of domiciliary care provision whereby provision in West Yorkshire is significantly lower at 5%. NHS bed provision is highest in South Yorkshire and lowest in North Yorkshire. This suggests that North Yorkshire has a significant gap in provision in both Care and NHS services.

Yorkshire and Humber, like the rest of the UK is in the grip of major reforms within health and social care. These reforms have been put in place to reduce the costs of health and social care in order to meet the demands of the ageing population. The changes are creating a climate for private providers to enter the sector and deliver services on behalf of Social Care and the NHS through “Any Willing Provider” contracts. Section 6.0 of this report illustrates some of the development work the region has been undertaking in Telecare and Telehealth. Despite the strong evidence produced by these initiatives the move to mainstream Telecare and Telehealth to all who require them has been slow. This is in part due to the need for organisational change to enable these initiatives to embed within services and operate at scale. However the current redesign of health and social care provides an ideal opportunity to put in place the required organisational changes.

At the time of writing 2 major initiatives are looking to support and underpin the mainstreaming of Telecare and Telehealth.


dallas is an initiative backed by the Technology Strategy Board, The UK’s innovation agency; it kicked off in 2012 and currently is supporting four delivery partner organisations around the UK.

living it up logo

Living it Up (LiU), a digitally-enabled community that supports better health, wellbeing and active lifestyles in Scotland. LiU provides personalised experiences to keep people connected with one another and with their health and wellbeing.

ifocus logo

i-focus collaborates with health organisations on interoperability and best practice to transform health and care by providing better service delivery through digital comms and technology. Part of i-focus, Warm Neighbourhoods helps families stay connected by using simple sensor technology. It provides support and reassurance for families with vulnerable members who live alone.

mi logo

Mi (More Independent), a Liverpool-based scheme designed to enable people to take charge of their health, wellbeing and lifestyle through technology. Mi allows people to live more independently in their own homes, offering peace of mind both to them and their family, whilst reducing the amount of time spent on appointments by supporting people to manage better at home.


Year Zero is creating a suite of innovative digital products based on personal health records (PHRs) to allow people to take greater control of their own health and wellbeing, while transforming the relationship between patients and health care professionals. Products developed to date include the online personal care planning tool A Better Plan, digital care and support network Good Neighbours, a diabetes goal-tracking app uMotifand a digital version of the Personal Child Health Record (also known as the Redbook) eRedbook.

With an investment of £37.3million dallas aims is to improve health, wellness and quality of life through innovation, technology and digital services.

For more information see:

TECS Technology Enabled Care Services (3 Million Lives)

NHS England Integrated Care for 3millionlives :
(Delivering Improved Heath and Wellbeing through Technology Enabled Care Services (TECS))

Launched in December 2011 3millionlives is underpinned by the idea of service integration to improve patient care and outcomes. When different services and sectors work together, towards shared goals, patients get far more flexible, better, and more appropriate care. To achieve true service integration, NHS England recognise that 3millionlives needs to be delivered through a genuine partnership across NHS England facilitating collaboration between clinicians, and empowering patients to better self manage their conditions, with the use of technology. They also recognise this cannot be achieved through technology alone the key will be to deliver service transformation through realising the potential of that technology to support clinicians, patients and carers.

It is known that there is a growing elderly population, a growing number of people with Long Term Conditions (LTCs), and growing numbers of people with multiple LTCs. This is putting an increasing strain on already stretched NHS resources. One in three people are living with at least one chronic condition, such as asthma, heart and lung disease, arthritis, hypertension and diabetes and half of people over the age of 60 have one. One in three of the population in England amounts to just over 15 million people with an LTC and its estimated that by 2025 this will rise to 18 million. People with LTCs are the biggest users of the NHS, accounting for around 50 per cent of GP appointments, 64 per cent of inpatient appointments and 70 per cent of inpatient hospital beds meaning 30 per cent of the population accounts for 70 per cent of the spend. If care is continue to be managed in the same way as it is now then NHS can expect to see an estimated of additional cost in five years. In the new NHS and social care landscape, we need to find new approaches and service delivery models that will deliver more efficient and effective care. There is a need for better health outcomes and innovations that support people to live more independently, and the NHS know that technology enabled care services can transform peoples lives. The challenge now faced is integrating these technologies into the NHS and wider health and social care services, so they become a mainstream service, not a side-line proposition. And this is where the 3millionlives programme, delivered in the right way, can really make a significant difference

NHS England took action on implementing the delivery programme from April 1st 2013, a rapid review of 3millionlives implementation to date was conducted, as there was a significant risk the programme as previously delivered would not hit the interim ambition of 100,000 new users in 2013. The review resulted in a need for a significant shift in strategic direction for the 3millionlives programme, including a redefined vision, mission and objectives for delivery, and bringing on board strong clinical and technological advocacy and a reframed partnership with Industry.

An early outcome from the review was an agreed change in governance arrangements, so that 3millionlives will be delivered going forward through a matrix approach of clinical advocacy, service improvement and technology strategy making it a true partnership and synergy within NHS England.

There is now tri-partite accountability for the successful delivery of the programme at Director level, with co-ordination for delivery and implementation of the programme residing with the Collaboration for Excellence Team.

Under a redefined vision for the programme, the Collaboration for Excellence Team intend to engage with, work with, and enable the 3millionlives brand to be associated with a much broader range of technology solutions and organisations. Its therefore essential to ensure that industry is working with NHS England as a true strategic partner in the delivery of 3millionlives. NHS England has now convened a much wider 'Integrated Care for 3millionlives Stakeholder Forum', bringing together Industry including all of the original members of the Industry Group commissioners, providers, colleagues from Social Care, the Third sector, and Local Government and housing, to form a collaborative group to collectively debate and resolve key system-wide issues around the delivery and implementation of the programme.

Now all of the different stakeholder groups with an interest in delivery of 3millionlives have been brought together to look at issues collaboratively and The Forum met for the first time in October 2013. The programme will also now look much more widely across the system, to harness where the energy lies locally for delivery of 3millionlives.

The programme is closely aligned with both the integrated care and technology strategy agendas, and has been repositioned as Integrated Care for 3millionlives It will be delivered as a unique collaboration between the NHS, Social Care and Industry to support integrated care, management of Long Term Conditions, and the enablement of 7 day services.

The team established four rapid Task and Finish Groups, one to progress each priority area and the findings and recommendations of these Task and Finish Groups informed the publication of a 3millionlives NHS England Delivery Plan for 2014-17.

Innovation is recognised as an essential part of the future of the NHS. The development of Academic Health Science Networks (AHSNs) across England resulted from the 2011 report Innovation Health and Wealth: accelerating adoption and diffusion in the NHS.

Academic Health Science Networks

NHS England has confirmed the designation of 15 new Academic Health Science Networks (AHSNs).

AHSNs have the potential to transform health and healthcare by putting innovation at the heart of the NHS. This will improve patient outcomes as well as contributing to economic growth.

AHSNs present a unique opportunity to pull together the adoption and innovation with clinical research and trials, informatics, education and healthcare delivery. They will develop solutions to healthcare problems and get existing solutions spread more quickly by building strong relationships with their regional scientific and academic communities and industry.

The AHSNs provide an important mechanism for achieving step-change in the way the NHS translates research, innovation and best practice in to effective and cost-effective treatments and services for patients. They will help to develop better technology and make better use of the skills of NHS staff.

The designated AHSNs are:

  • East Midlands
  • Eastern
  • Greater Manchester
  • North East and North Cumbria
  • North West Coastal
  • Imperial College Health Partners
  • Oxford
  • South London
  • South West Peninsula
  • Kent, Surrey and Sussex
  • UCL Partners
  • Wessex
  • West Midlands
  • West of England
  • Yorkshire and Humber


 [1] Knowledge Transfer for Implementation - KT4i is a knowledge transfer programme underpinning the dissemination of outcomes from the Technology Strategy Board's Assisted Living Innovation Programme. KT4i is managed by the HealthTech and Medicines KTN. For more information please go to

[2] Office for National Statistics (2010) Population estimates: United Kingdom estimated residential population for constituent countries and regions

[3] UK National Statistics (2011) Population Estimates for UK, England and Wales, Scotland and Northern Ireland - Mid-2010 Population Estimates

[4] Office for National Statistics (2011) Life expectancy at birth and at age 65 for health areas in the United Kingdom 2007-09

[5] Office for National Statistics, (2008) 2008-based sub national population projections by broad age groups for Regions and Local Authorities in England & Office for National Statistics (2011)

[6] Office for National Statistics, (2008) 2008-based sub national population projections by broad age groups for Regions and Local Authorities in England

[7] Office for National Statistics, (2008) 2008-based sub national population projections by broad age groups for Regions and Local Authorities in England & Office for National Statistics (2011), Principal projection - Wales population in age groups (2010-based) & Office for National Statistics (2011), Principal projection - Scotland population in age groups (2010-based) & Office for National Statistics (2011), Principal projection - Northern Ireland population in age groups (2010-based)

[8] UK National Statistics (2011) Population Estimates for UK, England and Wales, Scotland and Northern Ireland - Mid-2010 Population Estimates

[9] Office for National Statistics (2011), Internet access, households and individuals

[10] Gross Value Added (GVA) is used to measure the economic output per head of population for a given area

[11] Office For National Statistics (2010) Regional Trends - Directory of Online Tables

[12] Medilink West Midlands source data on UK healthcare companies

[13] HM Treasury, "Strategy for National Infrastructure," 2010 1-March,

[14] HM Treasury, "," 2010 1-March

[15] HM Treasury, "," 2011 1-November

[16] HM Treasury, "" 2012 5 December

[17] HM Treasury, "," 1 March 2010

[18] Ofcom, "Communications-infrastructure-report 2012 update," 20 December 2012,

[19] Ofcom, The Communications Market 2011, 4 August 2011,

[20] Ofcom, "Communications-infrastructure-report 2012 update," 20 December 2012,

[21] Ofcom Broadband Speeds Map,

[22] Ofcom, "Communications-infrastructure-report 2011," 6 July 2011,

[23] Ofcom, "Communications-infrastructure-report 2012 update," 20 December 2012,

[24] HM Treasury, "," 2011 1-November,

[25] The NHS Information Centre (2011) Compendium of Population Health Indicators

[26] NHSIC Community Care Statistics (2008), Home Care Services for adults, England 26 March 2009

[27] NHSIC Community Care Statistics (2008), Home Care Services for adults, England 26 March 2009

[28] Department of Health (2009) Average daily number of available beds by ward classification, NHS organisations in England, 2008-09


end faq

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