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Care Technology


The Question Nobody Is Asking About the National Care Service
Somewhere in Britain this morning, a woman in her eighties got up four times in the night. Her kitchen kettle has not boiled since yesterday lunchtime. Her movement around the house has been slowing for three weeks. In a month she will be in A&E after a fall, and a hospital discharge team will begin an assessment that captures none of it. That gap, between what is happening in someone's life and what any professional can see, is where the social care crisis actually lives. An
Harry MacLean
2 days ago5 min read


Let The Data Speak: Why The Fifth Step In Any TEC Pathway Is Where The Value Actually Lives
Part 5 of 10 in our TEC Pathways series, following the journey from first plan to proven outcomes. The plumbing was never the point Four steps in, the pathway has a plan, a map, a person and a connection. The organisation knows what success is worth, the place has shown where the need and the strengths are, a household has told the service what a good day looks like, and the invisible plumbing now carries every signal reliably out of the house. Which means the service is now
Harry MacLean
6 days ago5 min read


The Invisible Plumbing: Why The Fourth Step In Any TEC Pathway Is The One Nobody Should Ever Notice
Part 4 of 10 in our TEC Pathways series, following the journey from first plan to proven outcomes. The promise has to travel Three steps in, and something important has happened. The organisation knows why it is doing this and what success will be worth, the place has been mapped street by street, and a person at a kitchen table has told the service what a good day looks like for them. Promises have been made, to a board, to a community and to a household, and every one of th
Harry MacLean
Jul 176 min read


A Life, Not A Device: Why The Third Step In Any TEC Pathway Starts At The Kitchen Table
Part 3 of 10 in our TEC Pathways series, following the journey from first plan to proven outcomes. The front door at last Two articles in, and we have finally arrived at the front door. That is deliberate, because the order matters. The organisation decided why it was doing any of this and set its baseline at step one, the place told us where at step two, and only now does the pathway reach the person who will actually live with the technology. Most programmes start here, or
Harry MacLean
Jul 155 min read


The Place Before The Person: Why The Second Step In Any TEC Pathway Is A Map, Not A Device
Part 2 of 10 in our TEC Pathways series, following the journey from first plan to proven outcomes. The step most programmes skip Last time we made the case for strategy before shopping, where the organisation decides why it is doing any of this, takes its baseline, and agrees what success will be worth before a penny is spent. The natural instinct once that work is done is to head straight for the front door of the first person on the list, because that is where the need feel
Harry MacLean
Jul 135 min read


Strategy before shopping: the question every TEC programme should be able to answer
Part 1 of 10 in our TEC Pathways series, following the journey from first plan to proven outcomes. A year or so after any technology enabled care service goes live, somebody senior leans across a meeting table and asks whether it actually worked. It is a fair question, usually asked by the person who signed off the budget, and in far too many organisations it is followed by a silence that everyone in the room recognises. Not because the service is obviously failing, and not b
Harry MacLean
Jul 95 min read


From Sensor Data to Professional Response: This Is Not New And That Is a Good Thing.
I have been reading articles recently about sensor technology being presented as having finally solved a problem our sector has apparently been waiting a long time to address. The problem, as it is framed, is this: when a sensor detects something, who decides what happens next? I t is a good question. But I want to be straightforward about something. The answer to that question is not new. The capability being described, routing alerts to a qualified professional who rev
Harry MacLean
Apr 166 min read


Where Care Tech Meets Reality: The Rules of Engagement with Local Government
At conferences, on calls, and across LinkedIn, you hear the same message from care technology companies. Move faster. Be bold. Disrupt. Scale. That energy has driven real progress across health, social care and housing. It has a place. But on its own, it does not deliver in the real world of public services. Because while care tech companies are pushing forward, local authorities are holding the line. And they are right to do so. Two very different worlds Care tech comp

Harry MacLean
Mar 193 min read


Return on Investment in Care Technology: Why One Measure Does Not Fit All
The discussion around return on investment (ROI) in care technology has often been framed too narrowly. Financial savings are frequently presented as the primary justification for adopting digital solutions in health, housing and social care environments. However, this approach fails to reflect the complexity of modern care systems and the diverse stakeholders involved in delivering and receiving care. This paper argues that ROI in care technology must be understood through m

Harry MacLean
Feb 115 min read
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