The best chance I can see of this succeding is to tie it into the 111 deployment. It already provides a 24/7 monitoring service in effect, so this wouldn't need to be setup as a seperate entity.
You could start by selling these to residential/nursing homes where they can be used to re-assure patients and their families and could also reduce the need for qualified nursing staff at these sites.
I Suppose this sort of thing hasn't happened yet, as there isn't really anyone who can authorise this level of expenditure yet - plus the 111 contractrs have already been signed :(
You will never replace qualified nursing staff in a nursing home. Residential homes do not need/use qualified nurses.
Qualified nurses on site do more than reassure or give advice. They give medication out, change dressings, complete basic observations etc.
Staff in the care homes manage quite well in their respective environments. Where Telehealth could fit in is if carers (and qualified nurses) had portable cameras providing a live feed to a back end support system of clinicians who could TeleTriage and provide assessments from a distance.
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Thinking more for reducing the workload for the nursing staff and for better liaison with unscheduled care/OOH services - such as incidents of breathlessness at night which usually ends up with an Acute admission.
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