Implementing Telecare
Assess resource requirements - Implementing Telecare

All projects need resources, and the effective project manager ensures that they secure those they need, and use them effectively to secure the intended outcomes. Having agreed what the project is intended to achieve, by when, the project team will also establish how to achieve that – such as re-design processes, procure technology, provide training. These will all require resources, and they need to be specified and secured for the project to achieve the outcomes. It is worth spending time assessing resource requirements and identifying potential sources of funding in order to ensure that:

  • all the resources needed to deliver a new service are identified;
  • this is done in sufficient time that they can be made available in the most cost-effective way;
  • those providing them do so willingly, as they can see it is in their interests to do so;
  • senior management gives formal commitment to release these to secure the desired outcomes.

Implementing a telecare service and then discovering (for example) that there is no budget for training or equipment maintenance is likely to lead to failure, unless other creative approaches are adopted.

Work to assess the availability of resources may lead the project team to propose a revision of the strategic outcomes – if they believe they cannot secure the resources they need, they may wish to make senior management aware of this sooner rather than later. The team should undertake an options appraisal to highlight the options for the way forward.

Steps in estimating resource requirements

Some steps in estimating resourcing include:

1. Identifying the resources required

These arise from each of the headings in the project plan, and include:

  • Finance to secure equipment, software, maintenance contracts, additional staff etc;
  • Time and expertise of, say, a training department to provide an in-house service;
  • Availability of staff – ranging from significant commitments as active members of the project team, to being willing to give occasional advice and support – always in competition with other demands on their time.

2. When will they be needed?

Resources will typically be required at different stages of the project. The sooner requirements can be established, and approaches made to secure them, the more likely it is that they will be available: or if the preferred source cannot deliver, there is more time to identify and arrange alternatives.

3. Who will provide them?

Identify whether these are coming from:

  • central government;
  • departments / services within in the local authority, or NHS Board;
  • other public agencies;
  • commercial suppliers;
  • voluntary organisations;
  • charges to service users.

It will help the project team to be as precise as possible about what is required: and also to think about alternative sources of resourcing if the first source cannot deliver.

4. How to persuade potential resource providers?

The project will probably be competing with other projects for some, if not all, of the resources required. Once the team has established who they hope will provide the resources; they need to decide how they will persuade them to meet requests for finance, staff, etc. They do not have to agree, so the team needs to plan their approach– by demonstrating how the telecare project will support the interests of the different resource providers. Remember – even if not successful initially, other opportunities may arise at a later date. Project teams need to be aware of budget setting processes and timescales and look for opportunities, for example secure underspend at the end of the financial year.

Tool 13 – Identifying resources exercise

Activity guidance

Identify the resources which the Telecare project is likely to require, in as much detail as you can.

  • Identify ways of securing them.
  • Consider other options if Plan A does not work!
  • Include the above detail in your project plan.

See an extract from an early Telecare project plan from the Highland Partnership identifying resources required below.

Area of Action Action Required By Whom Timescale Resources Required Resource Source
Administrative preparation prior to transfer to new call handling service.
  • Send letter to service users to alert to change in call handling and to request updated contact info.
  • Arrange telephone call or visit to service users who cannot respond to letter to update info.
  • Track non-returns and T/C or visit to get info.
  • Send letter to each Contact to info. changes and check their agreement to continue.
  • Check replies and collate information. For service users with 3 contacts – send info to Call Centre. For those without 3 contacts – hold back till response service is agreed with Community Care Team.
  • Letters and telephone calls - dedicated admin support, under supervision of Unit Manager.
  • Visits (only where required) – information could be gathered by home carers, if service user is known to Home Care. Otherwise, unit manager may have to undertake visits.
  • One month – to send out letters, track replies and arrange alternative means of gathering information for those service users who cannot, or do not, respond.
  • Dedicated administrative support for two months during transition period.
  • Dedicated time of Unit Manager to oversee transfer to new service.
  • Social Work Care Home staffing budget
  • Social Work Care Home staffing budget
Procurement of equipment
  • Identification of no. of units whichrequire to be replaced (10 years plus)(estimated by BIT to be 303 units)
  • Place order with supplier for new units (est 303 plus additional units to allow battery replacement during transfer) and supply of spare neck cords, wrist bands and pendants.
  • Identify no. of units which require battery replacement during transition phase and schedule engineer visits to Unit.
  • Dedicated admin support and unit manager
  • 1 day
  • 1 month (including Lead In time)
  • Dedicated time for admin support and unit manager
  • 350 units@115 = 40,250
  • Plus supply of wrist bands, neck ties, pendant types = 1,000
  • 20 engineer visits @ 380
  • 500 unit batteries@ 5.00=2500
  • 500 pendant batteries@3.00= 1500
  • Social Work Care Home staffing budget
  • TDP grant
  • TDP Grant
Transfer of service process
  • Identify and train staff who will undertake visit – in new equipment and procedure required to reprogramme units to new call centre.
  • Schedule reprogramming visits with service users.
  • Check that call centre has received updated Service User details.
  • Undertake reprogramming visit and transfer calls to call handling service.
  • Unit Manager with Home Care Cocoordinator, etc
  • Admin support
  • Admin support
  • Identified staff (e.g. home carers, support workers, etc)
  • Two weeks
  • One month
  • One month
  • One month
  • Dedicated time for unit manager
  • Dedicated admin time
  • Dedicated admin time
  • Dedicated hours and mileage to undertake visits est 583 visits @ 20 = 11,660.
  • Call handling = 583 x 57p per week = 332.31 per week / 1329.24 per month / 15,950.88 per year.
  • Care at Home staffing budget
  • Care at Home staffing budget
  • Care at Home staffing budget
  • Community Alarms / Housing Revenue budgets
Arrangement of Response service
  • For those service users without 3 Contacts, appropriate response service to be arranged prior to change over to new service. Call Centre will agree to less than 3 contacts, providing response is robust.
  • Community Care Team input
  • Three months
  • Funding for care package for response service for each service user. Could be private sector, home care, community warden, organised volunteer response.
  • Community Alarms budget

Practice examples and further information

Links to examples of related documents produced by telecare partnerships from across Scotland and the UK and further information can be found in the Telecare Resource Bank, including:-

  • Fife Telecare Installers Options Appraisal
  • Perth and Kinross Telecare Installers Options Appraisal
  • Highland Partnership – Telecare Implementation Plan

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