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Insights
Thinking written down. On running businesses, on technology in care, and on the bits where the two meet.


Not Every Alarm Needs An Ambulance
The last article in this series ended inside the Alarm Receiving Centre, with a call answered, a person spoken to and a situation assessed against a care plan that the operator actually had in front of them. This one is about what happens in the minutes that follow, because choosing the response is where a technology enabled care service either proves its worth or quietly squanders it. The task sounds simple enough, send help. The discipline lies in sending the right help, an
Aug 145 min read


Someone Is Always Listening: Why The Sixth Step In Any TEC Pathway Is An Answer, Not An Alarm
Part 6 of 10 in our TEC Pathways series, following the journey from first plan to proven outcomes. The moment the whole pathway was built for Five steps in, and everything so far has been preparation. The organisation planned and set its baseline, the place was mapped, the person was listened to at the kitchen table, the connections were built, and the data began to speak in alerts, trends and reports. All of it, every workshop and wiring diagram and procurement decision, has
Aug 45 min read


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
Jul 245 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
Jul 205 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
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
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
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
Jul 95 min read


Welcoming UK Telehealthcare, Our Newest Trusted Partner
There's a second name on our Trusted Partners page, and the timing is not an accident. UK Telehealthcare has just changed hands. For most organisations, a change of ownership is the moment outsiders watch closely, and partners quietly hold their breath. We're doing the opposite, and not just because the timing works. This one has me genuinely excited, given the scale of what it could mean if it goes the way I think it can. UK Telehealthcare touches almost every corner of this
Jun 173 min read


Welcoming Colligo Labs, Our First Trusted Partner
Our new Trusted Partners page goes live today, and there is only one name on it. That is deliberate. First, what we mean by "trusted partner" A word on the label before we get to the welcome, because it matters. We are building Creating Better to be different. We only want to work with technology that works and people we believe in, and we recommend both for one reason alone. They are right for the organisation in front of us. So, a trusted partner, for us, is not a s
Jun 123 min read
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