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Predicting the future – A vision of Digital Community Living, Health and Care

A New Looming Crisis for Telecare Services in the UK - A Call for Digital Innovation

A Call for Digital Innovation

The negative impact of the impending deactivation of Virgin Media O2’s 3G network during 2025 is going to be significantly increased for users of telecare devices that use this band by the additional confirmation that VMO2 is also going to restrict “Inbound Roaming” on their 2G Network (CLICK HERE).   

In short, telecare devices that are built to utilise “Roaming SIM’s” from 3rd party providers that operate on either the 2G/3G Networks will suddenly find their services become unavailable if they are in an area where using the VMO2 Network is their only option.  In fact, VMO2’s advice on the issue is, “Businesses should contact their connectivity provider to ensure any machines and applications that may use roaming to connect to our network, even occasionally, are upgraded to 4G / 5G or to find alternate ways to connect before October 2025.” 

Coupled with the overall effect of the general 3G switch off, this represents a sudden milestone in the UK’s digital evolution but also a looming crisis for telecare services that rely on this legacy technology.  

For example, we have been reliably informed that there are c50,000 connected telecare devices in Scotland alone that were bought in the last 2/3yrs that rely solely on this connectivity. According to the TSA, there are an estimated 700,000 digital TEC devices in the UK, of which c500,000 are reliant entirely on 2G networks! 

The fact is that the impact of this decision will similarly be felt across the whole of Great Britain. Telecare providers, especially in the public sector, already face daunting financial and logistical challenges to ensure continuity of these vital services. Now, they are going to be faced with the massive challenge of replacing/upgrading equipment that has only recently been purchased. 

With this in mind, it would be fair to ask the question why manufacturers continue to sell this type of equipment and industry “advisors” nor “advise” against it when they were all fully aware of the potential risks, especially with the Government first announcing that they had reached agreement on the upcoming 2G/3G Switch off back in December 2021 (CLICK HERE)?  However, these are questions for those impacted most to ask and discuss and on another day. 

What is most important now is that we look at how best to solve the issue. 

Firstly, it is especially important that the industry uses what influence it has to lobby hard to have this decision revoked or delayed.  

However, given that VMO2 have stated that the closure of its 3G network and its knock-on impact on “smart-metering” as the main reason for restricting access to 2G networks suggests clearly that something is going to have to suffer.  

Considering their huge commercial UK Contract to supply smart-metering connectivity, you must wonder where exactly that “suffering” is going to occur, so how successful will that lobbying be? 

Regardless of any lobbying, which cannot and must not be relied upon, manufacturers have a responsibility to stop selling this type of equipment IMMEDIATELY and buyers MUST stop buying it. 

Finally, manufacturers of traditional “button and box” type solutions must make the investments necessary to ensure their equipment is as “future proof” as possible, ensuring testing and roll-out of new, digital technologies such as VoLTE, SIP, and other connectivity options such as ethernet broadband, Wi-Fi etc. are all completed ASAP. 

There is clearly a great deal to do and very little time to do it in. Especially with the “double whammy” of the Analogue to Digital switch only 2 years away – Imagine if that had not been delayed!!! 

However, they say, “Every cloud has a silver lining” and with that in mind, I believe this crisis could catalyze a much-needed transformation to fully digital solutions like Yorbl, which offer not just compatibility with modern networks but a host of other benefits. 

Why the Stakes Are So High 

Telecare devices provide a lifeline for vulnerable individuals, enabling them to live independently while ensuring their safety. These devices rely on uninterrupted connectivity to function. A disruption in service could put lives at risk and undermine trust in public care systems.  The phased removal of 2G/3G by all UK mobile operators creates an urgent need for providers to act decisively NOW. 

The Scale of the Problem 

Virgin Media O2’s announcement states that less than 1% of its customers use 2G-only devices and these account for a negligible portion of its data traffic. Yet, the removal of this network is seismic for telecare providers.  

Transitioning away from 2G/3G (and Analogue) means not just the significant cost of replacing unsuitable hardware but also incurring the costs of installing the new equipment, integration, and staff training. With c1.8 million connected devices in the UK and c80% of which are still analogue, the size of the problem is already huge.  

Add to that the fact that all public sector providers are already operating on an extremely tight budget, these unavoidable costs (which will run into tens of millions of pounds) will have a devastating impact on public services that are already under massive strain? 

A New Approach: Digital Solutions 

But what if there was a genuine way to significantly reduce these costs? A viable, alternative approach that could save millions and position telecare for a genuinely digitally driven future? 

We believe there already is. 

By transitioning to a genuinely digital, app-based solution such as Yorbl’s, ALL these hugely significant benefits can be achieved. For example: – 

  • Remove the cost of replacement equipment  

With between c78%-85%  of people aged 55+ in the UK already owning a Smartphone and close to 100% of those aged 16-54 (CLICK HERE), the opportunity for the end user to simply install a Telecare App directly onto their own device has never been greater and it is only going to grow year on year.  For those few who do not currently own a device, you can guarantee that a relative or a friend will have an old one they can use. 

Why spend money on new “button and box” devices when you can deploy an App such as Yorbl Vita for c80-90% less? 

  • Facilitate Easy, Rapid, Low-Cost Deployment  

Imagine a Telecare solution being provided at the point of purchase or the point of being prescribed, without the need for a physical alarm device to be ordered and installed?  

Yorbl’s app-based model facilitates this through installation directly onto users’ own smartphones or tablets, negating the need for costly hardware upgrades. This can be accomplished quickly and easily by a visiting Occupational Therapist, a family member or even by the end user themselves. 

Just how much money could be saved by providers who will have to pay for this to happen? Many £millions?  

  • Position for the Future  

The problem with most traditional telecare offerings is not just the hardware and deployment costs, it is equally about the ability to scale such a solution and to be able to dynamically adapt it to the changing needs and circumstances of the end user.  

With many of these solutions offering only their own, proprietary peripherals etc., customers are quickly locked into and held back by both what is available to them now and a significant lack of pace when it comes to innovation and adaptability.  

The simple fact is that a truly digital, software-based solution like Yorbl is hugely more capable of adapting and developing to changing needs and circumstances and can do so exponentially quicker than any traditional solution. 

 With an inbuilt openness and interoperability that connects to any Alarm Receiving Centre (ARC) Platform and allows integration with a massive and still growing range of peripherals from innovative third parties all over the world (including medically certified devices), we are already halfway there. 

 

Add a massively scalable cloud infrastructure that offers everything from the ability to view and analyse a User’s “Activities of Daily Living” to remote health monitoring and even the use of machine learning/AI to automatically predict problems and trigger actions to prevent them, what situation could not be adapted to? 

 

With this type of solution, providers can be absolutely sure that they both solve the problems directly in front of them and continue to do so well into the future. 

 These are just a few of the benefits that a solution such as Yorbl’s can bring, and you can be sure there are and will be many more. 

A Call to Action 

As we approach the 2025 deadline, public sector bodies must consider not just compliance with network changes but how to future-proof their operations. Even if lobbying creates a small delay, the changes to our mobile and fixed communications networks are inevitable and the clock is ticking inexorably. 

Investing in a robust digital solution like Yorbl addresses the immediate need for network compatibility while unlocking opportunities for enhanced care delivery and doing so in a way that can save providers £millions in unnecessary cost. 

The benefits, however, extend far beyond financial savings. They include better health outcomes, more personalised care, efficiency gains and a more sustainable model for combined Telecare and Telehealth provision. 

Virgin Media O2’s decision highlights the urgency of modernising critical services. It is an opportunity for telecare providers to embrace innovation and deliver better care for all. The question is not whether we can afford to transition to digital solutions but whether we can afford not to. 

Peter Reed-Forrester – CEO, Yorbl.

 

Written by Katherine Robbins

10/10/2022

By Peter Reed-Forrester, CEO & Founder of Yorbl

Getting older can come with all sorts of challenges. There are minor annoyances, such as the various daily aches and pains, and moderate ones, like getting up in the night to visit the bathroom (I know, I am already there!).

Care Homes & Independent Living Schemes provide an invaluable service to those who are suffering most from these issues.

But there’s something much worse than any of these irritations and that’s the loss of independence that people suffer as they become older and frailer. Living an independent life that is steadily being taken away from you by age and ill health can be a massive blow, leading to depression and anxiety.

Thank goodness, then, for our Health and Social Services and the Care Homes and Independent Living schemes that provide such an invaluable service to those who are suffering most from these issues.

It’s far from easy to provide the round-the-clock care that is needed, especially when demand is steadily increasing. With running costs dramatically escalating and available resources reducing, things appear to be getting more difficult by the day.

However, it’s not all doom and gloom.

Advances in technology are reducing the burden considerably. Many care homes and carers are already realising the benefits of using digital technology to improve both business operations and, most importantly, the lives of those they care for.

The problem is, most Community Living/Care Home operators traditionally use a variety of suppliers to provide the (often analogue) technology they need (i.e., Warden Call, Door Entry, Wi-Fi, Telecare, CCTV, Telephony, etc.).

In doing so, they are not only making their environments over complicated and “fractured” in terms of both the use and support of critical systems but, most importantly, they are entirely missing out on the biggest benefit that true digital can bring – The Data that provides a huge level of Business/Operational Intelligence that will help reduce costs, increase efficiency and significantly improve outcomes.

In fact, the solutions that were supposed to make life easier mostly end up complicating matters and generating unnecessary expense. Wouldn’t it be easier if all your community living solutions were all part of one, connected solution that combines every aspect to support and improve?

That’s where the unique Yorbl “Digital Ecosystem” comes in.

Using our many years of experience providing technology-based solutions in Community Living and Care environments, together with ground-breaking research and collaboration with a range of Technology and R&D partners, Yorbl is doing just that.

We are bringing together and fully integrating a range of Technologies that will produce a uniquely “connected” solution that will give providers not only the means to efficiently and cost-effectively operate these environments, but also the ability to collect and analyse data from around the environment to inform and advise on everything from Residents “Activities of Daily Living” (ADL) and health to facilities usage, environmental control, communications and more. However, we believe that this is not where Digital Technology should stop and through our continuing research with the Surrey Heartlands Health Tech Accelerator, the Surrey Heartlands Health and Care Partnership, Surrey University, SetSquared and the Surrey and Borders Partnership NHS Foundation Trust, we intend to make sure that it doesn’t.

Collaborating with experts in fields such as Data Analysis Artificial Intelligence (AI), Machine Learning and Sensor Technology, coupled with the knowledge of the real world provided by stakeholders in Health and Social Care, we are working on the Research & Development of solutions that will not only dramatically improve the delivery of these services but actually predict where and when they are going to be needed in the future.

According to the Government’s Office for Health Improvement & Disparities for England, in 2020/21 in the 65 and over age group, there were 216,075 Hospital Admissions due to falls, 56,590 Hip Fractures and 52,133 Care Home Admissions in the same age group in that period.

According to Government research, unaddressed fall hazards in the home are estimated to cost the NHS in England £435 million and the total annual cost of fragility fractures to the UK has been estimated at £4.4 billion which includes £1.1 billion for social care; hip fractures account for around £2 billion of this sum.

Most importantly, and according to the same Government research, short and long-term outlooks for patients are generally poor following a hip fracture, with an increased one-year mortality of between 18% and 33% and negative effects on daily living activities such as shopping and walking. Also, a review of long-term disability found that around 20% of hip fracture patients entered long-term care in the first year after fracture.

And…. We need to remember that this is NOT just a UK problem.

Driven by the global “Ageing Population” issue, this and many other age-related problems are going to dramatically increase in number over the coming years, placing a huge level of pressure on Health and Care services across the globe.

Now, imagine being able to use Data Analysis, AI, etc. to predict that an elderly person/resident is going to have a potentially life-altering fall weeks or even months before they actually do.

With “Digital Intelligence” facilitating proactive intervention BEFORE the fall happens, their lives could remain healthy, active and independent for so much longer. A huge win on its own.

However, add to that the literally £Billions if not £Trillions that could be saved by Health and Care Operators across the globe – and this is only one example of what could be achieved.

Through the use of SMART Wearables and sensors placed around apartments/rooms etc. gathering and feeding data into Analytics and Machine Learning systems in the Cloud, we can analyse and monitor the patterns of everyday activity. This information can then be used to trigger alarms, interventions and more when it changes, massively reducing the constant need for humans to manually monitor it all. The list just goes on.

To me, it is abundantly clear that real digital innovation, coupled with population education around its real benefits, simply must be at the heart of the transformation of these services.

This is why “Predictive Analytics” and other digital technologies that facilitate proactive and preventative care very much are and always will be, at the heart of the ongoing development of the Yorbl Health and Care Digital Ecosystem.

To drive this endeavour forward, we are now actively looking for “Community Living” and Care Providers, operators, etc., to join Yorbl and our R&D partners on this quest. We passionately believe that involving Stakeholders in the “Co-Production” of our products and services will always be key to the success of our R&D process and it brings benefits to them too.

Collaborating with us will not only enable Stakeholders to give valuable input to help and accelerate the R&D process, but they will also have access to some of the finest minds available in this area and invaluable early trial/test any of the innovative solutions that we are developing.

To register your interest for this program or to find out more about Yorbl’s unique range of Digital Health and Care solutions, contact us on 0330 120 1520 or email us at info@yorbl.com and we will get straight back to you.

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