The promises and the reality of smart, digital telecare in England

Stirling, Phoebe; Burgess, Gemma

doi:10.1108/hcs-03-2021-0010

Cited by 9 publications

(5 citation statements)

References 44 publications

(76 reference statements)

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“…We then contrasted these frameworks to explore points of convergence and divergence in responses. As we explore below, the data indicated broad agreement across a number of areas related to the research questions, particularly among stakeholders from local authorities and the technology and care sectors (findings that echoed other studies of technology and care in England [45,60]). There were, however, some key areas of disagreement and tension, which we detail in the next section.…”

Section: Methodssupporting

confidence: 57%

“…However, there is a risk that underestimating the importance of wraparound services will waste resources, as some users will either abandon technologies or be unable to take full advantage of any benefits. As Stirling and Burgess [60] noted in a recent paper exploring smart digital TEC devices, "[t]he technology won't work on its own" (p. 52). If there is no provision of wraparound support, there is also a risk that unpaid carers will be burdened by additional tasks, as has been highlighted in research exploring telecare [69].…”

Section: Discussionmentioning

confidence: 99%

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Sustainable Social Care: The Potential of Mainstream “Smart” Technologies

Hamblin¹

2022

Sustainability

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Recent proposals for reform in England have presented widely available “smart” mainstream digital devices as a means to address some of the challenges facing adult social care and as alternatives to unsustainable analogue “telecare” systems. Drawing on 40 interviews with experts from local authorities, the care and technology sectors, and people with lived experience of social care services, we explored how mainstream technologies are being used in practice in England and critically examined their potential to contribute to policy priorities of wellbeing and sustainability. Across all expert groups interviewed, examples were cited in which the use of mainstream devices supported the economic sustainability of adult social care and/or enhanced aspects of wellbeing, moving the role of technology in care beyond monitoring and managing risks. However, when viewed through a three-dimensional conceptual lens that includes material, relational and subjective wellbeing, the use of smart devices in practice also created tensions and trade-offs between the dimensions, with implications for sustainability. The various ways mainstream devices are being used in adult social care also raised complexities related to risks, responsibilities, and inequalities and required “wraparound services”, tempering their ability to deliver cost savings. To address these issues, we suggest a person-centred approach to technology across local authorities, with investment in wraparound services and to mediate inequalities associated with the “digital divide”.

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Section: Methodssupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Sustainable Social Care: The Potential of Mainstream “Smart” Technologies

Hamblin¹

2022

Sustainability

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“…Just as recent research found unpaid carers are treated as ‘resources’ whose involvement is taken for granted when they provide the response for telecare services (ibid. ), paid responders too are underappreciated within the design of telecare services and products (Stirling & Burgess, 2020 ). Even as telecare services become increasingly predictive, highlighting issues before crisis is reached, technology alone cannot act on data generated by monitoring devices—a human response will instead be required before the moment of an emergency (ibid.).…”

Section: Resultsmentioning

confidence: 99%

Technology in care systems: Displacing, reshaping, reinstating or degrading roles?

Hamblin

2022

New Technol Work Employ

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In the United Kingdom and further afield, policy discourse has focused on the efficiencies technology will afford the care sector by increasing workforce capacity at a time when there are recruitment and retention issues. Previous research has explored the impact of telecare and other technologies on roles within the care sector, but issues related to job quality and the consequences of newer digital technologies that are increasingly being deployed in care settings are under researched. Through an exploration of the literature on robotics and empirical studies of telecare and mainstream ‘smart’ digital technology use in UK adult social care, this paper examines how these technologies are generating new forms of work and their implications for job quality, arguing the tendency to prioritise technology results in the creation ‘machine babysitters’ and ‘fauxtomatons’.

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“…Furthermore, despite generalised inclusion recommendations in UK housing policy, at a local level it is not clear what typologies are needed for new housing developments for older people (Stirling and Burgess 2021). There is a lack of knowledge in relation to older people's experience of space both outside and inside their home, and a lack of clear process and principles towards designing inclusive buildings.…”

Section: Introductionmentioning

confidence: 99%

Engagement Towards Creating New Models for Later Life Living

Zecca

McGinley

Griffiths³

2023

Design for Sustainable Inclusion

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This paper presents initial findings and principles attained from an ongoing knowledge transfer project between academia and industry partners aiming to develop more inclusive later-living housing models against the background of current UK market stagnation and lack of suitability of existing stock.Housing for later-living in the UK lacks meaningful community engagement and hence frequently fails to embody genuine needs beyond basic accessibility principles. Potential residents are frequently reduced to simplified statistics or uncomplicated representations of 'third age'. The lack of engagement has contributed to unsuitable UK housing stock, inconsistent language use, and limited understanding of older people's actual experiences and desires for their homes and communities. The UK faces the challenge of creating more human-centric, socially and economically sustainable spaces within homes and in the urban environment, whilst avoiding age segregation. In recent years this has been acknowledged, yet developments proclaiming to be designed for older cohorts continue to be poorly executed, through fragmented planning policies failed designs; persistently institutionalised features; and lack of inclusive understanding. This paper will discuss the prevalence of limited inclusive intentions and outcomes particularly in terms of older populations in architecture, and the consequences of neglected community engagement within the architecture design process, pointing out uncodified methodologies and fragmented literature. The paper will present a successful example of a housing project for later living in Europe, and conclude by proposing a more human-centric approach and a set of initial inclusive design approaches and principles for housing.

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The promises and the reality of smart, digital telecare in England

Cited by 9 publications

References 44 publications

Sustainable Social Care: The Potential of Mainstream “Smart” Technologies

Sustainable Social Care: The Potential of Mainstream “Smart” Technologies

Technology in care systems: Displacing, reshaping, reinstating or degrading roles?

Engagement Towards Creating New Models for Later Life Living

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