ITTS Final

Conference

Drumossie Hotel, Inverness

11-12 March 2014

www.transnational-telemedicine.eu

Welcome everyone to the final ITTS

conference! We have guests here

from Finland, Sweden, Norway,

Northern Ireland, the Republic of

Ireland, and the Netherlands, as well

as from Scotland.

It is hard to believe that this project is

drawing to a close, but we hope

that you will see over the next two

days that we have achieved much –

in total we have implemented or

extended 25 services across 40 sites

within the project. It has been a real

pleasure and privilege working on

this project. We would like to thank

our funders, the Northern Periphery

Programme. In our case funding was

supplemented by NHS Highland and

NHS Orkney and we would like to

thank them for their contribution to

the project. We would like to also

thank the clinicians and patients

across the participating countries who

took part in the demonstrator projects.

In the audience you will find clinicians,

patients, and a range of others

including health service planners,

technologists, academics and civil

servants. We hope you will find the

time to meet with many of these

people – knowledge exchange is a

vital ingredient. We have set the

conference up so that we won’t be

talking at you too much; there will be

plenty of opportunities for debate. This

begins with a showcase this morning,

and you are encouraged to visit the

ITTS project stands. We have also

asked other projects and organisations

to provide information, which we

hope you find relevant and useful, so

please visit during the allocated time,

or at some point later in the

proceedings.

We hope our international guests

enjoy their stay in the Highlands and

Islands. We will endeavour to give you

all a flavour of life here, and we hope

you will see a vibrant health sciences

community in spectacular

surroundings, no matter what the

weather may bring!

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Schedule of Events

Speakers About ITTS

ITTS Services ITTS Impact Delegate List

Contents

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Welcome | ITTS Final Conference

Dr David Heaney, ITTS Project Director

2

4

6

7

16

14

10:45-11:00 Registration | Tea &Coffee

11:00-11:20 Welcome & Introduction| ITTS Briefing Alasdair Munro | David Heaney

11:20-12:30 ITTS Showcase Exhibition

13:30-15:00 ITTS Project Overviews | Questions

15:00-15:15 Break | Tea & Coffee

15:15-15:45 Project Evaluation Leila Eadie, ITTS Scotland

12:30-13:30 Lunch

15:45-16:30 eHealth: Scotland in Europe George Crooks, Scottish Centre for Telehealth and Telecare (SCTT) / NHS24

John Matheson, Scottish Government

Jim Millard, Scottish Government

16:30-17:00 Panel Discussion | Issues arising from Day 1

19:00-22:00 Conference Dinner | Ceilidh

17:00 Close of Day 1

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Schedule of Events | Day 1

Day 1: Tuesday 11 March

Notes

08:45-09:00 Registration | Tea &Coffee

09:00-09:15 Introduction to Day 2 David Heaney

09:15-10:30 Perspectives | Patient, clinician, health service, industry

11:00-11:15 Break | Tea & Coffee

11:15-11:45 Perspectives | International Telemedicine Advisory Service (ITAS)

11:45-12:45 Panel Discussion | The Future of Telemedicine: A European Perspective

10:30-11:00 Implications of ITTS David Heaney

12:45-13:45 Lunch | Conference Close*

13:45-14:45 Parallel Sessions:

ITAS Meeting | Citizen Panel Meeting

15:45-16:00 Break | Tea & Coffee

14:45-15:45 ISG Meeting

16:00 Conference Close

19:30-22:00 Partner Dinner

Day 2: Wednesday 12 March

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*The conference programme will continue after lunch for project team only. Other delegates are free to depart after the morning

sessions. Lunch provided. Programme subject to change.

Schedule of Events | Day 2

Notes

Speakers

Prof. George Crooks

OBE, MBChB, FRCP, FRCGP

Medical Director NHS 24 (UK)

Professor George Crooks is

Medical Director for NHS 24 and

Director for the Scottish Centre

for Telehealth and Telecare

(SCTT).

George has a particular interest

in the field of unscheduled care,

including the development of

common assessment and triage

processes across the NHS and

the use of technology to

support the delivery of high

quality patient care to the

population of Scotland.

In 2011 George was elected

President of the European

Health Telematics Association

(EHTEL) and is also Chair of the

Scottish Assisted Living

Programme Board, leading on

the at scale delivery of

telehealth services.

John Matheson

Director of Health Finance, eHealth

and Pharmaceuticals, Scottish

Government

John has over 35 years' experience in

the public sector, including 25 as

Finance Director both at Health Board

level and, for the past 5 years, within

Central Government as Director of

Health Finance. His responsibilities also

include eHealth and Pharmacy.

Part of John's role is to oversee the

Scottish Government's eHealth

Programme with the strategic

objective to support improvements in

patient care and service

performance in line with Ministerial

objectives. The eHealth Programme

aims to improve patient care through

advances in technology, resulting in

better access to health information,

quicker test results for clinicians and

joined-up GP and hospital services.

The scope of eHealth includes all IT

systems, information and records

management, process change and

skills development required for

healthcare delivery, including

supporting infrastructure and business

systems.

Speakers

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Line Helen Linstad

Dept. Manager: Prevention & Self

Management, Norwegian Centre for

Integrated Care and Telemedicine

Line Linstad is the Manager of the

Advisory Department at the

Nowegian Centre for Integrated

Care and Telemedicine (NST).

Line is a political scientist from the

University of Oslo and has been with

NST since January 2002. At NST, Line

has extensive and long-standing

experience as an adviser to hospitals

on how to use telemedicine on a

strategic level, and as a project

manager of several eHealth and

telemedicine projects in Norway. She

has also been involved in numerous

European and international eHealth

and telemedicine projects.

Line is the National Lead for ITTS

Norway.

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Speakers

Liam Glynn

Clinical Director of the Western

Research and Education Network

(WestREN) and Chairman of the

North Clare Primary Care Team,

Ireland.

Liam is the National Lead for ITTS

Ireland.

Thomas Molén

Strategist at Strategic Development

Office, Västerbotten County

Council

Thomas represents Sweden as a

member of the ITTS International

Telemedicine Advisory Service

(ITAS).

Eddie Ritson

Director, Centre for Connected

Health and Social Care (CCHSC),

Northern Ireland Public Health

Agency

Eddie is the National Lead for ITTS

Northern Ireland.

James Cameron

Head of Life Sciences,

Highlands and Islands Enterprise

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Jim Millard

Branch head / Senior Policy

Advisor, Scottish Government

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Seppo Heikkilä

Senior Consultant / EU Expert,

Deveplan Development Ltd

Seppo represents Finland as a

member of the ITTS International

Telemedicine Advisory Service

(ITAS).

A total of 25 new services have now

been implemented at more than 40

sites across the programme area.

Delivering healthcare to remote

and rural populations is a

significant challenge, requiring

innovative strategies to overcome

infrastructure deficits, travel

difficulties and staffing problems.

There is an urgent need to reduce

transport costs and carbon

footprint, plus a growing

acknowledgement that models of

long-term care will have to evolve

to cope with demographic

changes and the economic

downturn. Telemedicine may help

to provide equity of health service

regardless of distance from major

centres of care. Yet telemedicine is

not in common use; while there

have been numerous pilot studies,

on completion technology is often

withdrawn and the services have

not been sustained. The

disconnected nature of

developments has meant similar

problems are often encountered

during each new implementation

and knowledge is not shared

between sites. Implementing

Transnational Telemedicine

Solutions (ITTS) proposed

transnational knowledge

exchange about services already

proven to work in one country,

using this knowledge to implement

services in new settings.

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Background | About

ITTS has shown that

transnational knowledge

sharing can facilitate the

implementation of sustainable

telemedicine solutions.

Background | Telemedicine

The disconnected nature of

developments has meant similar

problems are often encountered

during each new implementation

and knowledge is not shared

between sites. Implementing

Transnational Telemedicine

Solutions (ITTS) proposed

transnational knowledge

exchange about services already

proven to work in one country,

using this knowledge to implement

services in new settings.

Delivering healthcare to remote

and rural populations is a

significant challenge, requiring

innovative strategies to overcome

infrastructure deficits, travel

difficulties and staffing problems.

There is an urgent need to reduce

transport costs and carbon

footprint, plus a growing

acknowledgement that models of

long-term care will have to evolve

to cope with demographic

changes and the economic

downturn. Telemedicine may help

to provide equity of health service

regardless of distance from major

centres of care. Yet telemedicine is

not in common use; while there

have been numerous pilot studies,

on completion technology is often

withdrawn and the services have

not been sustained.

About ITTS

ITTS was a project part-funded by the EU Northern Periphery

Programme (NPP), which aimed to implement transnational

telemedicine solutions at scale across Europe’s Northern

Periphery Programme area, introducing new telemedicine

applications to remote and rural areas in order to improve

healthcare delivery for rural communities. ITTS began in

September 2011 and built on previous work which mapped

telemedicine services available in remote and rural areas of

Northern Europe.

Six NPP area countries were actively involved and ten

demonstrator telemedicine projects were implemented.

The project teams were:

Scotland (Lead Partner): Centre for Rural Health,

University of Aberdeen

Finland: Oulu Arc Subregion

Ireland: National University of Ireland, Galway

Northern Ireland: Centre for Connected Health & Social

Care

Norway: Norwegian Centre for Integrated Care and

Telemedicine (NST)

Sweden: County Council of Västerbotten

[Teleconsultation] has led us to examine the

possibility of home VC for selected patients and

consider use by a wider range of health care

professionals in our discipline.

Prof Sandra MacRury, Consultant Diabetologist

Caption describing picture or graphic.

Follow us on twitter

@itts_telemed

#ITTSfinal

The ten demonstrator projects were classified into three themes:

ITTS Services

The major benefit of videoconferencing (VC) is to save travel time and costs, either for

the patient who can contact their doctor at a site nearer their home, or for the

healthcare staff, who need not travel large distances to visit patients. It also allows the

introduction of services to areas that have been previously deemed too remote to

allow cost-effective access. Because VC can use readily available, relatively

inexpensive technology with which many people and institutions now have

experience, it is a simple and economic introduction to telemedicine for clinics.

Video-consultation

Mobile self-management

Home-based health services

Smartphones are becoming increasingly popular and can provide reminders, symptom

or activity tracking facilities, and of course, communication with health services, among

many other features, allowing an inexpensive method of interaction with large numbers

of patients. Similarly to websites, they can support self-management programmes,

providing an exchange of information for various health areas and the potential for

patients to participate in their health care more pro-actively, thereby reducing the

burden on existing services.

Finally, home-based care is of particular interest to people living in remote and rural areas,

especially those who suffer from multiple or complex health and social care needs, and

those who are restricted in their ability to travel by illness or mobility issues. Telemedicine

can reduce hospital visits and help keep patients in their own communities, bringing care

into their homes that they would otherwise not be able to, or have the opportunity to

access.

The ten demonstrator projects are detailed in the following pages.

Note: While most of the technology used in the demonstrator projects is in existence, the implementation

occurred in new sites, and in a co-ordinated fashion to promote sustainability.

www.transnational-telemedicine.eu | @itts_telemed | #ITTSfinal | Page 7

Scotland | Norway | Sweden | Northern Ireland

Scotland | Sweden | Ireland | Northern Ireland

Scotland (NHS Highland) and Norway (University Hospital of North Norway,

Tromsø) have developed significant expertise in the use of videoconferencing

(VC) within their renal services. Through ITTS, these services have been expanded

to incorporate more sites, and extended to include outpatients and home dialysis

patients.

Renal services in Sweden and Northern Ireland have built on the success of this

VC link and have successfully integrated the technology into clinical practice.

The implementation sites have benefited from the new service which has resulted

in greater flexibility and more timely support for renal patients, both in local health

centres and in their own homes.

A now established transnational network of renal staff will continue to be

extended across the Northern Periphery.

ITTS has focused on 3 areas of

implementation:

- Patient review appointments via VC

- Outpatient clinics at remote sites

delivered via VC

- VC in homes of home dialysis

patients

We have used [VC] with quite a variety of

patients and I think it’s enabled us to

provide a better service – either because it

meant that I didn’t have to travel, or

somebody else didn’t have to travel. One

patient has been using VC to access a

very specialist speech therapy service.

Now that just wouldn’t have been possible

without the VC.

Speech therapist, Scotland

Video-consultation (VC) Links for Remote and Rural Health Services Speech Therapy Services | Renal Services | Emergency Psychiatry Services | Diabetes Services

Speech Therapy Services

Renal Services

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An existing transnational network of speech therapists has been

expanded across the Northern Periphery to deliver improved

care and reduce unnecessary travel.

Remote speech and language therapy (SLT) services are

established in Sweden, and have been demonstrated to work in

Scotland. Through ITTS, these services have been extended to

new clinical areas, such as head and neck cancer patients and

people with Parkinson’s, linking directly into patients' homes

where possible.

The aim is to maximise the use of existing VC units and promote

the clinical use of VC in other disciplines to develop an

economically viable multi-professional clinical network of VC

facilities.

Speech therapists are connecting not only with patients but also

with national centres of excellence for specialist advice and

creating professional networks for education and support.

VC facilitates shorter, more frequent

therapy sessions which are less tiring for

patients

Children in particular work well with

remote VC therapy

Benefits

Increased number of consultations

Reduced travel for both patients and

clinicians

Specialist support and improved

handover of care to remote clinics

Benefits

Home dialysis, Norway

Norway | Scotland

Videoconferencing (VC) is used

to deliver teleconsultations as

part of diabetes services where

there is considerable distance

between the consultant and

patient. Patients attending short

notice appointments, 6-monthly

or annual reviews can attend

clinics at a local site, remote

from the diabetes consultant

who is based in a central

location, saving either their travel

time and costs, or the

consultant’s. The patient is

escorted by a specialist diabetes

nurse at the remote site who

sends blood glucose data from

the patient’s meter via the

internet to the consultant. A

consultation can then take

place via VC in a similar way to

The pathway for the patient is shorter

because you are able to do the job more

efficiently and have more frequent

meetings with the patient.

Psychiatry nurse, Norway

Video-consultation (VC) Links for Remote and Rural Health Services Speech Therapy Services | Renal Services | Emergency Psychiatry Services | Diabetes Services

Emergency Psychiatry Services

Remote Diabetes Services

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A videoconferencing (VC) solution provides patients in an acute

psychiatric state with access to specialist evaluation as close to

their home as possible. In addition, VC can enable a 24-hour

system where psychiatrists are available for patients who visit

emergency departments at district centres.

The rationale behind a VC solution includes difficulties in recruiting

specialists, minimising travel for patients and carers and the

provision of specialist services to remote locations. Studies in

Norway have shown that there are no differences between

telemedicine and conventional face-to-face methods with

regard to quality and satisfaction among patients and

professionals. Telepsychiatry has also proved to be cost effective.

It is important to develop a VC system where it is easy to involve a

specialist directly in a consultation, both when the patient is

admitted to 24-hour departments and when the patient is

consulted by an ambulatory team. In such a system the

specialists can be located in different local sites.

Locates patient assessment within

communities, preventing an automatic

transport for admission process

Provides local emergency care, saving

costs incurred in transporting patients

Prevents additional patient distress as a

result of relocation

Benefits

Scotland |Finland | Northern Ireland

a face-to-face consultation. After the

consultation, the doctor uses digital

dictation to make information

immediately available to the GP.

Incorporation of the specialities of

podiatry, dietetics and other relevant

specialties will also ensure a

comprehensive service is offered to

patients at remote sites.

ITTS has expanded the previous service

across the Scottish Highlands and into

the Orkney Islands, and started a new

service in Northern Ireland.

VC for diabetes services

allows local access to

specialists without the

patients having to travel

as far, or as often for

several different

appointments. Readings

from blood glucose

meters can also be

transmitted

electronically.

Consultants spend less time travelling to

remote clinic sites which frees up their

time to see more patients via VC or face-

to-face consultations with newly

diagnosed patients

Benefits

There are numerous technological

options available to help support

and streamline diabetes care, but

information about optimum

clinical solutions is often scarce.

Many institutions resort to creating

their own tools and would benefit

from a forum for knowledge and

expertise sharing.

Self-help tools on a mobile

platform enable diabetic patients

(and other patient groups) to self-

monitor their disease. Functionality

can cover food intake, physical

activity and blood glucose

measures as well as a personal

goal-setting module for following

up on own achievements.

ITTS partners have experience in a

variety of self-care platforms and

the challenges connected to the

ITTS has created an international

network of expertise to advise on

how to improve diabetes care

using technology to support

patients and clinicians and also

integrate care systems.

We believe knowledge sharing can

provide answers to common

questions and solutions to

upcoming challenges to assist

everyone involved or interested in

diabetes care.

Ireland | Scotland | Norway | Sweden

Northern Ireland | Ireland | Scotland | Norway

Through the ITTS project we have learnt

the benefits of transnational knowledge

exchange and we hope to produce

tangible results from the investment of

bringing these people together.

David Heaney, ITTS Project Director

Smartphones and Internet Support for Remote and Rural Health Services Tracking & Promoting Physical Activity | Diabetes Services | Inflammatory Bowel Disease (IBD) Support

Tracking & Promoting Physical Activity

Diabetes Services

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An increase in obesity, COPD and

diabetes, to name a few health

concerns, has prompted

governments to endorse regular

physical activity as an essential tool in

promoting an individual's health. The

aim of this project was to harness

smartphone software technology to

monitor and promote physical

activity and improve associated

health outcomes.

Using smartphones to monitor

physical activity was run as a pilot

project in Ireland and revealed

impressive results: over the course of

the pilot, the average daily step

count in a control group had

decreased by 156 steps per day with

the step count in the intervention

group increasing by 2,359 steps per

day.

Following the success of this pilot,

the app was ‘prescribed’ by GPs in

Ireland, and Scotland; a diabetes

consultant in Northern Ireland; and

weight loss groups in Norway.

Weekly step counts are

sent to the practice nurses

who then monitor the

data and set new targets,

gradually increasing

patients' activity levels.

Patients who own smartphones

generally tend to carry these with

them all the time and so no

additional equipment is required.

All that’s needed is the will to walk!

Benefits

implementation of such tools

and services. ITTS enables the

partner countries to engage in

knowledge exchange, to learn

from each other and to better

understand the barriers to

implementation and how these

can be avoided.

Key points

Ireland | Scotland | Norway | Sweden

Smartphones and Internet Support for Remote and Rural Health Services Tracking & Promoting Physical Activity | Diabetes Services | Inflammatory Bowel Disease (IBD) Support

Support for Patients with Inflammatory Bowel Disease (IBD)

There’s a sense we’re at the crest

of a wave of how smartphone

technology will be used in the

future to improve people’s

health, but also to capacity build

around them managing their own

health which I think is the goal of

all primary healthcare systems

around the world. Prevention is

better than cure…

General Practitioner, Ireland

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There is a wide spectrum of disease

among patients with Crohn’s and

ulcerative colitis, including patients

whose disease is well controlled

and those who need more

intensive management. In addition

to the geographic challenge of

delivering high quality health in

rural areas, there is a professional

challenge to general practitioners

who may only have one patient

with Crohn’s or colitis in his/her

practice.

This project was launched to help

patients manage their own disease

through the use of smartphones,

whilst giving them access to the

best specialist advice. A

smartphone application (app) was

designed to enable patients to

record their symptoms; this

information is then monitored by a

specialist IBD nurse who calls the

patient for a consultation should

any symptoms deviate from

normal. The IBD nurse can then

direct the patient’s care

appropriately.

Since September 2013, following

successful implementation

in Scotland, ITTS Ireland have

trialled a service with Galway

University Hospital, clinical research

facility and IBD patients in the

associated referral area.

The app facilitates close

monitoring and a prompt response

which should help reduce

admissions and catch problems

before they worsen, or alternatively

reassure patients that all is well and

they can avoid unnecessary

outpatient appointments.

Each patient has a range of symptoms

that can be displayed graphically, and if

any of the symptoms deviate from a

normal level, this will alert both the

patient (via the smartphone) and the IBD

nurse.

The app was developed and trialled in a

collaboration between Angus Watson, a

surgeon at Raigmore Hospital, Inverness,

and OpenBrolly, a Scottish technology

developer company, to help monitor

inflammatory bowel disease.

Scotland | Ireland | Sweden | Finland

Scotland | Northern Ireland | Finland

Home-based Support for Remote and Rural Health Services Medical & Social Care Emergencies | Exercise Classes for Rehabilitation | Patients with Multimorbidity

Medical & Social Care Emergencies

Exercise Classes for Rehabilitation

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I think the service definitely needs to be

sustained. Our population is getting

much older so they’re going to be less

likely to be able to come into the

surgery; if we can reach out to them

with the technology it could be

beneficial for the future.

Physiotherapist, Ireland

Remote support in medical and social

care emergencies is facilitated through

the use of telecare. Telecare employs

the use of a range of monitoring and

alarm-based technologies in the home

setting. It is used primarily to support

individuals with a range of health

and/or social needs to live more

independently and remain at home

safely.

A basic telecare technology package

includes a base unit, body transmitter

and other sensors such as smoke

detectors. An enhanced telecare

package includes a wide range of

peripheral sensors, including epilepsy

sensors and DDA (Disability

Discrimination Act) pagers for people

with sensory impairments. These alarms

and devices trigger a response from

a call centre, alerting them to

problems and arranging to provide

any help required.

One of the key challenges in

dealing with medical and

social care emergencies is

the high incidence of false

and unnecessary alerts; this is

especially problematic given

the rural nature of northern

periphery areas of Europe.

Many patients who would benefit from

rehabilitation classes are not well

enough to travel; for these patients to

participate from home helps their

recovery and can allow them to get

well enough to potentially join

standard classes.

The use of VC widens access to these

classes, which are often

oversubscribed, with long waiting lists.

Key points

Remote exercise classes can be used in the rehabilitation of a

number of long-term conditions such as COPD, stroke and pain

conditions. Patients who live far from clinics or have travel difficulties

may be unable to attend rehabilitation groups.

A home-based solution, or one available closer to home (e.g. in a

local healthcare centre), offers these patients the opportunity to take

part in classes, ensuring they are offered the same clinical, social and

educational benefits as those living closer to larger clinics.

A technology solution using internet-based VC enables patients to

view their physiotherapist and other class members at the same time

from the comfort and convenience of their home.

The exercise programmes are designed in a similar format to those

run in regular exercise classes, but using equipment readily available

in or near the home. The physiotherapist is able to monitor the

patients by seeing and speaking to them and also by remote

monitoring using equipment appropriate to the particular condition.

The alarm system allows both

patients and staff to call for help

It also warns staff when patients

unexpectedly leave the building

Benefits

Patients have peace of mind

that their condition is being

monitored

Patients gain greater

understanding of their condition

and how to manage it

Less risk of unplanned admissions

to hospital

Reduced anxiety for carers and

family

Scotland | Northern Ireland | Sweden | Finland

Home-based Support for Remote and Rural Health Services Medical & Social Care Emergencies | Exercise Classes for Rehabilitation | Patients with Multimorbidity

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Patients with Multimorbidity

Based on previous experience of

home-based services for patients

with complex care requirements,

this project takes different forms in

different countries:

In Ireland, a self-monitoring station

is based within a GP clinic where

patients can check their blood

pressure and weight and use

exercise equipment.

In Sweden, clinic-based blood

pressure self-monitoring services

were implemented, in addition to a

second service: a “check-up bag”

that nurses use on home visits to

evaluate blood pressure and

calculate the INR blood clotting

measure.

In Finland’s Oulu Arc Subregion,

patients use a web portal to

access laboratory results, monitor

their health and contact

healthcare staff with any questions,

plus housebound patients with

social and health care needs were

offered a VC care option.

In northern Sweden, a drop-in service

for self-measuring of blood pressure

and INR values is now available at

healthcare centres in Malå (since

November 2012), Sorsele (since

January 2013) and Storuman. To date,

over 500 patients have used this new

service.

Benefits

Options for self-care can help patients learn more

about their health and take responsibility, with support and encouragement from clinicians.

ITTS Impact | Looking to the Future

ITTS Demonstrator Project Reach

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25 new services at over 40 sites across the programme area!

The Future of ITTS: potential for ongoing work

Continuing evaluation to assess efficacy and sustainability after 12 months of implementation

and beyond

Pushing implementation further, for example: targeting the home setting in Scotland for

haemodialysis patients

Widening participation: expanding projects across all the partner countries, where appropriate

Facilitating the roll-out of the implemented projects to more patients in participating and

neighbouring regions

Assessment will provide evidence as

to whether these services are

effective and sustainable, but the

achievement of implementing this

number of telemedicine applications

to the stage where they are in use

with patients should not be

underestimated.

ITTS has used transnational knowledge exchange to facilitate

implementation, encouraging success and sustainability.

Patients are now using these services as a direct result of the

project. We have implemented 25 new telemedicine

services in more than 40 sites, across the six

partner countries, in nine of the ten

demonstrator projects. These services are

offering benefits to patients and clinical staff

and showcasing what the available

technology can achieve.

Below are some examples of what could happen next:

On the back of your family’s newsletter, you

may want to add a simple greeting, poem, or

an example of your children’s artwork. This is

the first part of the newsletter that your loved

ones will see, so make sure that it is festive and

eye-catching.

You can add your own artwork to the back of

a family newsletter by scanning in a drawing

or a photograph.

Hats off to all those who helped us

make ITTS such a great project. We

think we have made a difference

to people living in the Northern

Periphery.

We also think we have unleashed

the potential for future

developments, as technology

advances, and as clinicians,

patients and service planners get

used to telemedicine being part of

everyday practice.

www.transnational-telemedicine.eu | @itts_telemed | #ITTSfinal | Page 15

Follow us on Twitter | @ITTS_telemed

Like us on Facebook | ITTSProject

Find out more…

For further information about the work of ITTS

please visit our website:

www.transnational-telemedicine.eu

You can also keep up to date with all our latest

activity via social media:

Learning from the project will be used to inform the

following publications:

A Case for Telemedicine

Telemedicine into Everyday Practice

Background and contextual information: a portfolio

of the ten individual business cases, the business case

for the sustainability of ITAS, the collective, and the

international evaluation plan.

A guide with an interactive checklist for use by

policymakers and service planners.

These publications will be available to

download from the ITTS website in the

coming months, together with a number of

other project materials including

newsletters, promotional films and peer

reviewed papers.

David Heaney (ITTS) Centre for Rural Health, University of Aberdeen d.heaney@abdn.ac.uk

Lee Dowie (ITTS) Centre for Rural Health, University of Aberdeen l.a.dowie@abdn.ac.uk

Leila Eadie (ITTS) Centre for Rural Health, University of Aberdeen l.eadie@abdn.ac.uk

Gerry King (ITTS) Centre for Rural Health, University of Aberdeen gerry.king@abdn.ac.uk

Emma Coats (ITTS) Centre for Rural Health, University of Aberdeen e.coats@abdn.ac.uk

Steph Kelly (ITTS) Centre for Rural Health, University of Aberdeen steph.kelly@abdn.ac.uk

Frances Mair (ITAS) University of Glasgow frances.mair@glasgow.ac.uk

George Crooks SCTT | NHS24 george.crooks@nhs.net

Donna Henderson SCTT | NHS24 donna.henderson1@nhs.net

Cathy Dorrian SCTT | NHS24 cathy.dorrian@nhs.net

Linda Kirkland NHS Highland linda.kirkland@nhs.net

Angus Watson NHS Highland angus.watson@nhs.net

Grace Fergusson NHS Highland grace.fergusson@nhs.net

Lesley Patience NHS Highland lesley.mann1@nhs.net

Margaret Moss NHS Highland margaret.moss@nhs.net

Michael Flavell NHS Highland mike.flavell@nhs.net

Rob Peel NHS Highland robertpeel@nhs.net

Sandra MacRury NHS Highland s.macrury@nhs.net

Beatrice Wood NHS Highland beatrice.wood@nhs.net

Andrew Evennett NHS Highland aevennett@nhs.net

Maimie Thompson NHS Highland maimie.thompson@nhs.net

Robert Scully NHS Lothian r.scully@nhs.net

Jim Millard Scottish Government jim.millard@scotland.gsi.gov.uk

Frances Elliot Scottish Government frances.elliot@scotland.gsi.gov.uk

John Matheson Scottish Government john.matheson@scotland.gsi.gov.uk

Caroline Coleman Scotland Europa caroline.coleman@scotent.co.uk

Jeff Foot Highlands and Islands Enterprise (HIE) jeff.foot@hient.co.uk

Denise Pirie Highlands and Islands Enterprise (HIE) denise.pirie@hient.co.uk

James Cameron Highlands and Islands Enterprise (HIE) james.cameron@hient.co.uk

Stephanie Andrew Highlands and Islands Enterprise (HIE) stephanie.andrew@hient.co.uk

Graham Scott Highlands and Islands Enterprise (HIE) graham.scott@hient.co.uk

Jacqueline McGuigan Highlands and Islands Enterprise (HIE) jacqueline.mcguigan@hient.co.uk

Sue Scotland Digital Health Institute (DHI) sue.scotland@dhi-scotland.com

Elizabeth Brooks Digital Health Institute (DHI) elizabeth.brooks@dhi-scotland.com

Alasdair Munro Centre for Health Science Company alasdair.munro@uhi.ac.uk

Lindsey Moodie Centre for Health Science Company lindsey.moodie@uhi.ac.uk

Barbara Isaacs Centre for Rural Health, University of Aberdeen b.isaacs@abdn.ac.uk

Phil Wilson Centre for Rural Health, University of Aberdeen p.wilson@abdn.ac.uk

Alasdair Mort Centre for Rural Health, University of Aberdeen a.mort@abdn.ac.uk

Pam Sherriff Centre for Rural Health, University of Aberdeen p.sherriff@abdn.ac.uk

Steve Dodsworth D Health steve@dhealth.co.uk

David Sim OpenBrolly david.sim@openbrolly.com

Geoff Wilcock OpenBrolly geoff.wilcock@openbrolly.com

Tara French Glasgow School of Art t.french@gsa.ac.uk

John Bruce John Bruce Associates finlarig@gmail.com

Paul McNamee Health Economics Research Unit, University of Aberdeen

p.mcnamee@abdn.ac.uk

Nelson Norman Institute of Remote Healthcare jnorman.nelson@gmail.com

Graham Page Institute of Remote Healthcare j.graham.page@talktalk.net

Pam Nicol NHS Education for Scotland

pam.nicoll@nes.scot.nhs.uk

William McKerrow NHS Education for Scotland william.mckerrow@nhs.net

Chris Robinson General Practitioner: Glen Mor Surgery, Fort William

Joe Tangney General Practitioner: Glen Mor Surgery, Fort William joetangney@btinternet.com

Chris Evans Citizen Panel, ITTS Scotland

Margaret MacKechnie Citizen Panel, ITTS Scotland Val Moffat Citizen Panel, ITTS Scotland Joanne McCoy Citizen Panel, ITTS Scotland

Line Linstad (ITTS) Norwegian Centre for Integrated Care and Telemedicine

(NST) line.linstad@telemed.no

Siri Bjørvig (ITTS) Norwegian Centre for Integrated Care and Telemedicine

(NST) siri.bjorvig@telemed.no

Undine Knarvik (ITTS) Norwegian Centre for Integrated Care and Telemedicine

(NST) undine.knarvik@telemed.no

Delegate List

Page 16 | www.transnational-telemedicine.eu | @itts_telemed | #ITTSfinal

Frank Larsen (ITTS) Norwegian Centre for Integrated Care and Telemedicine

(NST) frank.larsen@telemed.no

Trine Bergmo (ITAS) Norwegian Centre for Integrated Care and Telemedicine

(NST) trine.bergmo@telemed.no

Eli Arild Norwegian Centre for Integrated Care and Telemedicine eli.arild@telemed.no

Merja. H. Mourujarvi University Hospital of North Norway (UNN) merja.mourujarvi@unn.no

Rita I. Johansen University Hospital of North Norway (UNN) rita.irene.johansen@unn.no

Morten Borgen University Hospital of North Norway (UNN) morten.borgen@unn.no

Didrik Klivær University Hospital of North Norway (UNN) didrik.kilvaer@unn.no

Käte Alrutz (ITTS) Västerbotten County Council kate.alrutz@vll.se

Brith Granström (ITTS) Västerbotten County Council brith.granstrom@vll.se

Annika Olsson (ITTS) Västerbotten County Council annika.olsson@vll.se

Thomas Molen (ITAS) Västerbotten County Council thomas.molen@vll.se

Maria Jermolin Västerbotten County Council maj118snabb@gmail.com

Erik Nordhall Västerbotten County Council erik.nordhall@vll.se

Seija Dahlgren Citizen Panel, ITTS Sweden

Karin Sandtröm

Karin Sandström Citizen Panel, ITTS Sweden Sören Sandström Citizen Panel, ITTS Sweden

Matti Matero (ITTS) Oulu Arc

matti.matero@oulunkaari.com

Tiina Vuononvirta (ITTS) Oulu Arc tiina.vuononvirta@oulunkaari.com

Seppo Heikkila (ITAS) Deveplan Management Consulting seppo.heikkila@deveplan.fi

H. Tapio Hanhela Oulu Arc h.tapio.hanhela@oulunkaari.com

Liam Glynn (ITTS) National University of Ireland, Galway liam.glynn@nuigalway.ie

Pat Hayes (ITTS) National University of Ireland, Galway patrick.hayes@nuigalway.ie

Monica Casey (ITTS) National University of Ireland, Galway monica.casey@nuigalway.ie

Breda Kelleher (ITTS) National University of Ireland, Galway breda.kelleher@nuigalway.ie

Fergus Glynn (ITAS) General Practitioner: Corofin Medical Centre, Co. Clare gusglynn@gmail.com

Stephen Bradish Health Service Executive stephen.bradish@hse.ie

Idé Ni Chonghaile Health Service Executive ide.nichonghaile@hse.ie

Lorraine Dillane Health Service Executive lorraine.dillane@hse.ie

Eddie Ritson (ITTS) Centre for Connected Health & Social Care (CCHSC) eddie.ritson@hscni.net

Soo Hun (ITTS) Centre for Connected Health & Social Care (CCHSC) soo.hun@hscni.net

Roy Harper South Eastern Health and Social Care Trust roy.harper@setrust.hscni.net

Fionae Paterson Southern Health and Social Care Trust fionae.patterson@southerntrust.hscni.net

Shane McNamee Western Health and Social Care Trust shane.mcnamee@westerntrust.hscni.net

Sean Donaghy Health and Social Care Board sean.donaghy@hscni.net

Dawn Braden Northern Health and Social Care Trust dawn.braden@northerntrust.hscni.net

Julie-Ann Augusto South Eastern Health and Social Care Trust julie-ann.augusto@setrust.hscni.net

Jonathan Wallace University of Ulster jg.wallace@ulster.ac.uk

Gloria Mills Belfast Health and Social Care Trust gloria.mills@belfast.hscni.net

John Farrell Department of Health, Social Services and Public Safety john.farrell@dhsspsni.gov.uk

Bronagh Mooney Northern Health and Social Care Trust bronagh.mooney@northerntrust.hscni.net

Patrick Black Northern Health and Social Care Trust pat.black@northerntrust.hscni.net

Pamela Armstrong Northern Health and Social Care Trust pamela.armstrong@northerntrust.hscni.net

Christine Breen Health and Social Care Board christine.breen@hscni.net

Brian Dunn Health and Social Care Board briandunn@btinternet.com Paraig O’Brien Northern Ireland Housing Executive / DHSSPS paraig.obrien@nihe.gov.uk

Christopher Parker Northern Periphery Programme (NPP) christopher.parker@northernperiphery.eu

Arend Roos NV Economische Impuls Zeeland arendroos@impulszeeland.nl

Wim Renders Brainport Development NV w.renders@brainportdevelopment.nl

Tom Daly Cooperation and Working Together (CAWT) tom.daly@hse.ie

Bernie McCrory Cooperation and Working Together (CAWT) bernie.mccrory@westhealth.n-i.nhs.uk

Wesley Henderson Cooperation and Working Together (CAWT) wesley.henderson@westerntrust.hscni.net

Aigars Miezitis National Health Service, Latvia aigars.miezitis@vmnvd.gov.lv

www.transnational-telemedicine.eu | @itts_telemed | #ITTSfinal | Page 17

Delegate List

Notes…

www.transnational-telemedicine.eu | @itts_telemed | #ITTSfinal

Notes…

www.transnational-telemedicine.eu | @itts_telemed | #ITTSfinal

Notes…

www.transnational-telemedicine.eu | @itts_telemed | #ITTSfinal

Project Partnership

SCOTLAND | LEAD PARTNER

NORWAY

SWEDEN

FINLAND

IRELAND

NORTHERN IRELAND

This project was part-funded by the

Northern Periphery Programme (NPP) 2007-2013

Centre for Rural Health (CRH),

University of Aberdeen

Norwegian Centre for Integrated

Care and Telemedicine (NST)

County Council of Västerbotten

Oulu Arc Subregion

National University of Ireland,

Galway (NUIG)

Centre for Connected Health

and Social Care (CCHSC)

www.transnational-telemedicine.eu