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'Digital Nursing' technology rolled out across Liverpool Care Homes to help reduce strain on local health services

IMMEDICARE, an innovative telemedicine service connecting medical specialists with Care Home patients via video link, has now been rolled out across 55 of the City's Care Homes. Digital Nurses system aims to reduce resource pressure on the healthcare frontline as the NHS prepares for its 'worst ever winter.'

Immedicare, a pioneering telemedicine service connecting medical professionals to Care Home residents via video link, has been rolled out to Care Homes across Liverpool. The Citywide initiative comes as the NHS is gearing up for a:- "collision course for the worst ever winter." according to the British Medical Association (BMA).

The Immedicare service is already proving successful in other City Regions across the UK, and new findings show how telemedicine can dramatically reduce local healthcare costs and frontline resource pressures. The service was 1st trialled in the City in 2017 following a ground-breaking collaboration with Liverpool's Clinical Commissioning Group (CCG). It is now being expanded for use in 55 Care Homes across the City.

3 purpose built Intermediate Care Units, including 2 hubs newly built ahead of Winter 2019, will also use the technology.

Immedicare's clinical care team is based at a hub within NHS Airedale Trust in Yorkshire, and 60% of all consultations into its 24/7 digital hub do not require any onward referral to a local health care professional with 90% of patients remaining in their place of residence after their video consultations. Immedicare's Nurses can also request prescriptions to ensure the quick delivery of medicine to Care Homes.

David Butler, Commissioning and Development Lead for Immedicare, added:- "Our pioneering approach to healthcare is helping improve the lives of Care Home residents across Liverpool, so we're delighted to have been able to expand to service more widely across the City. Through Immedicare, we have a team of medical experts on hand to serve patients 24 hours a day, 7 days a week, preventing delays in care and allowing less time for conditions to deteriorate. We believe telemedicine solutions like this truly have the power to transform the help received in Care Homes, while delivering the help that the NHS is crying out for. We know it isn't the single solution to the NHS's challenges, but Immedicare's results show how telemedicine yields positive results, generating significant savings and helping to reduce the strains that exist on the frontline of healthcare delivery."

Dr Fiona Ogden Forde, Governing Body Member and Clinical Lead for Healthy Ageing at Liverpool CCG commented:- "The Immedicare service is an important part of our Care Home offering in Liverpool and has contributed to our ultimate goal of delivering the best possible experience for residents, families and Care Home staff."

The service has been deployed as part of the wider Liverpool Care Home Improvement Strategy, which is a joint strategy between Liverpool CCG, Liverpool City Council and the Care Home community. This will be enhanced by the implementation of the Enhanced Health in Care Home Framework implementation across the City in a phased approach over the 2020.

Groups calling for radical basic income experiments spread across the UK

GROUPS across the UK are calling for pilots of a radical alternative to the current welfare system. A Universal Basic Income (UBI) would see all citizens given a guaranteed income regardless of their eligibility for benefits or their employment status. Finland, Kenya, India and cities across the United States have recently piloted the revolutionary idea.

Supporters of a basic income, such as the University of London's Professor Guy Standing, believe that it would guarantee minimum living standards and basic economic security across the UK. The movement started in South Yorkshire with the founding of UBI Lab Sheffield in 2017. This is a grassroots group formed of researchers and activists exploring the potential impact of a basic income through calling for pilots in local areas.

In recent months, UBI Labs have launched in Liverpool, Leeds, Kirklees and the North East. UBI Lab Liverpool was founded by Councillor Patrick Hurley, who introduced a motion supporting a UBI pilot at Liverpool City Council. Artist Toby P Lloyd, whose work explores the liberating potential of a basic income, is leading UBI Lab Newcastle. There are also ongoing discussions with groups interested in launching UBI Labs in Belfast, Hull, Birmingham, Derry/Londonderry, Exeter, Lancaster, Portsmouth, Manchester, Norwich and West Sussex.

The UBI Lab network allows groups to share resources, promotional materials, advice and experience.

In May, Shadow Chancellor John McDonnell announced that a Labour Government would pilot basic income in:0 Sheffield, Liverpool and the Midlands. Pilots in Canada, Namibia and Finland have shown significant health benefits. Researchers found that a basic income reduced stresses associated with economic insecurity.

The pilot proposal produced by UBI Lab Sheffield is designed to measure the impacts on health and wellbeing as a key outcome of any basic income trial. Members of the UBI Lab network have started conversations about basic income with Council Leaders, Councillors and directly Elected Mayors across the country.

The network wants to encourage more local Authorities to lobby Westminster for a basic income pilot in their area. A recent Gallup poll found that 77% of UK adults favour the introduction of a basic income as a way to support workers who lose their jobs to automation. In Spring 2020, the UBI Lab Network will host the second edition of UBI North in Sheffield. This will be the biggest conference on basic income in the UK. The UBI Lab network are now looking for people interested in setting up new groups across the UK.

Tchiyiwe Chihana of UBI Lab Sheffield said:- "Piloting a Universal Basic Income is an essential aspect of exploring potentially viable responses to the urgency of ever expanding social and economic disparities. Consultative in approach, UBI Lab Sheffield ensures that multiple options reflecting the needs and experiences of people at micro and macro levels can be factored in to a pilot while being adaptable. This also means that as many people as possible also have insight into the development of a potential UBI pilot in the City. Collectively, the raw data being developed has added to the resources of our City and has contributed to a sustainable knowledge pot for future use. The networking and the spin off discussions that have developed out of UBI Lab Sheffield cannot be overstated."

Cllr Erin Hill of UBI Lab Kirklees said:- "At a time when society seems very divided, the 1 thing most of us can agree on is that the current system isn't working for anyone. Universal Basic Income; a regular payment made to everyone regardless of income or behaviour - isn't a magic solution to all our problems, but it is a vital part of creating the better society we so clearly need. UBI doesn't leave anyone behind. It provides basic security and opportunity for all citizens; protection for working people; a lifeline for those with caring responsibilities; better health and life chances for our children and grandchildren; support for marginalised groups, and so much more. Right now, we have local people doing 6 or 7 0 hour contract jobs and still having to claim benefits; Nurses and teaching assistants relying on food banks; people caring for relatives and being financially punished for it; and most people in poverty also being in work. Something has got to change. Across the world we have seen UBI transform lives and communities; I want us to be part of that transformation too. Here in Kirklees we have a rich history of ordinary people standing up and demanding change for themselves, their families, and their communities; from women's fight for the vote to the recent campaign to save our local Hospital. I'm really proud that UBI Lab Kirklees has made a commitment to engage with local people, to make your voices central to the debate about what kind of society we want to be."

Cllr Patrick Hurley of UBI Lab Liverpool said:- "The Basic Income is an idea whose time has come. Paying a wealth dividend to each citizen in order to help them make the best of their lives could be transformational for our country. People who want to take a chance on a change of career, or want to care for family members, or need a helping hand to smooth out life's rough edges, would all benefit massively from something like this. At UBI Lab Liverpool, we think a series of demonstrations and pilots across the country could show the benefits to the wider population with limited downsides. That's why we're working with colleagues from across the City and across the country to promote Basic Income, and see how best to implement it at a national level."

Toby P Lloyd of UBI Lab Newcastle said:- "Critics of Basic Income say that it would make people lazy and they would all stop working. This argument has a very narrow view of 'work,' defining it only as paid employment. Society relies on a huge amount of unpaid 'work' for it to function, most of this is done by women. Basic Income would not solve this, but it would be a 1st step in rewarding this unpaid labour and recognising its value. Basic Income would also be a way of investing in people, giving them more control over their lives and how they use their time, enabling them to reach their full potential. This is not possible for many people under the current system, because they are trapped in exploitative jobs which leave them with no time or energy to do anything else."