The Telehealth Quality Group (TQG) is pleased to announce that its work, from April 2019, is being taken forward within the frame of the International Society for Telemedicine and eHealth (ISfTeH www.isfteh.org).

The change is a natural move to make in view of the clear and shared objectives of the two bodies – around the promotion of appropriate and often innovative technologies and the support for quality standards around health service provision. It is prompted, in addition, by changed legal requirements for UK-registered European Economic Interest Groups (EEIGs) like the TQG. 

In the five years since its foundation, TQG has had a number of successes. Notable are

  • Platforms and presentations at events as widely spread as Edinburgh, London, Brussels, Luxembourg, Oslo, Brisbane and Sydney;
  • The major conference at Manchester University on ‘New Routes to Integrated Care: The Challenge of Assistive Technologies, Telehealth and Telecare’;
  • Establishing mutually supportive working relationships with DNVGL providing certification services and Global Community Resourcing  (Australia) promoting innovation in community health and care;
  • Developing and supporting a membership base of sixteen service provider, technology and research organisations;
  • Undertaking the review and helping to shape policy and practice for social alarms and telecare in the Republic of Ireland;
  • Being a key partner for the European Commission funded PROGRESSIVE project on standards around active and healthy ageing; and, crucially
  • Developing and maintaining the International Code of Practice for Telehealth Services (now the 2018/19 issue) that increasingly guides service provision.   

Under the umbrella of the ISfTeH the work of the TQG, including the International Code, will continue. Linked with this, the TQG Special Interest Group (SIG) that is developing protocols for on-line consultations will move ahead with new timescales for completion. Such work will be helped by ISfTeH’s knowledge-base and worldwide reach – with over 100 members in six continents. TQG members will be invited to transfer their membership to the ISfTeH and can look forward, therefore, to involvement in their working groups, conferences, webinars and more.

The TQG Directors, Malcolm Fisk, Frederic Lievens, Drago Rudel and Kevin Doughty would like to thank all those who have supported the TQG and its work. Given our global challenges, that work will, of course, carry on!


What an Adventure!

The TQG is delighted to have been part of the partnership, led by Dr Malcolm Fisk (De Montfort University), that secured European Commission funding in order to undertake research and to advocate around ‘Standards for ICT and Active and Healthy Ageing (AHA)’. The PROGRESSIVE project outputs, which will carry on through 2019, reflect the shared aspiration of partners (including four standards bodies) for progressive standards around ICT that, in the future, will give greater recognition to and be more and more inclusive of older people.  

Are Older People Overlooked?

There is no doubt about the importance of the work of PROGRESSIVE. Partners have boldly addressed what might be described as a ‘settled world’ – where formal standards are seen as offering frameworks to support commerce. In the context of the ‘Silver Economy’ this means that older people may often be treated as a ‘market’ – either for care services or as an asset rich group ripe for exploitation. The project asked, is the position of most older people, with the same rights as other adults (as workers, entrepreneurs, community activists and innovators) being overlooked by standards developers? Are older people being sidelined despite being 20% of Europe’s population?   

The answer is, at least in part, ‘yes!’ And a STAIR-AHA platform (a Standards, Innovation and Research body supported by CEN CENELEC) has been set up to take the work of PROGRESIVE forward! Indeed, at a joint PROGRESSIVE & STAIR meeting in Brussels on 31st January 2019 (see picture) a statement was agreed with over 60 participants, that standards bodies should, wherever relevant, revise their procedures and processes to ‘enable the participation of older people’s representatives as a relevant group of stakeholders’.

The world of standards will not, of course, change in a hurry. But the PROGRESSIVE project has been making waves. Take a look at the full statement, the PROGRESSIVE database of standards, the Newsletters and more (!)  on the PROGRESSIVE website at www.progressivestandards.org


An Introduction to a Future!

This is the most important book that you will read in 2019. It informs and challenges. It sets new benchmarks for telecare and telehealth and will whet your appetite for more! Kevin Doughty, the author, casts it as ‘an introduction to a future’ – with that future, harnessing the benefits of digital transformation, to be set out in Part 2 (expected in the autumn).

About Kevin Doughty

Kevin Doughty has a long and distinguished record with regard to telecare –within industry and academia. He is a Director of the Telehealth Quality Group and a Visiting Professor in Digital Transformation of Care Services at the University of Cumbria. His innovations and enterprises range from early work at Bangor University and his spinout company ‘Technology in Healthcare’, to Tunstall Telecom and, more recently, T-Cubed (the Telecare Think Tank www.t-cubed.co.uk).   

What’s in the book?

The author positions the book as a ‘resource manual for everyone from front-line care and support staff through to managers, commissioners and families’ adding that ‘different groups can use it in different ways’. The families, of course, include the users – who stand to be the biggest beneficiaries – subject to the technologies being configured in ways that wherever appropriate help them to become more equal partners in their own care.

The scope of the book is truly immense. In its 250 pages it explores issues for health and care service providers (from frailty to sight loss); the technologies themselves (from fall detectors to robotic pets); and, of course, the choices and options available to both providers and users.   

The book has a value hugely in excess of £13.75  It is available at Amazon: https://www.amazon.co.uk/dp/1790189659


videoDoc joins the TQG

This is more than a trend. videoDoc is part of the vanguard of services that is giving people easier access to healthcare services online. The company is collaborating with health and care services, notably in the UK and Ireland – but with great ambitions to further develop its services internationally. More details of videoDoc are to be found in the ‘Membership’ section of this website. They join a raft of forward-thinking TQG members, including Self Help, Dignio and Svensk Telepsykiatri – where ‘online’ is at the core of their businesses.

It’s in the Code!

The fact that ‘online’ services are joining the TQG comes as no surprise. The TQG’s well respected International Code of Practice for Telehealth Services (now in its 2018/19 issue) has always been at the cutting edge – with its strong ethical foundation that addresses the needs of mHealth service providers (including a comprehensive clause on video-consultation) and puts the needs of service users (including the security of their personal data) at the forefront.

The Time is Right

videoDoc join just as the TQG has decided to establish a Special Interest Group that will be developing protocols for video communications in health and care services. At the moment there are no agreed codes or standards – in a context where both service providers and the people that use them need safeguards to be in place. News of the SIG will be posted in the next few weeks!




In its current issue, Australian Ageing Agenda features an article by Dr Malcolm Fisk that focuses on the modernisation of social alarms and telecare. His attention is first given to the issue of cybersecurity (important in anyone’s book). But the key message is not so much about how social alarms and telecare technologies are ‘out of date’ and vulnerable to cyber attacks; rather it is about our opportunity to develop new service frameworks, based on digital networks, that enable people to access health and support services in new ways.

Central to the new service frameworks is the way that people can be empowered through access wider opportunities for education and work, entertainment, social networking and public engagement. Linked with this is the extent to which we can all increase our health knowledge and play a greater part in the management of our health.

But as we approach necessary (and inevitable) changes in service frameworks, Malcolm argues (for the UK and Australia) that there is a ‘conspiracy of whispers’ for fear of upsetting that minority of service providers, manufacturers and suppliers that do not see the opportunity.

Key messages focus on the need for the further improvement of our broadband networks – and, of course, to be cyber-aware as we harness the linked potential. For inspiration, he suggests, we should look to Scotland … to which we should add the Scandinavian countries who are several steps further ahead. More than this, he notes, the new service frameworks are supported through the Telehealth Quality Group’s 2018/19 International Code of Practice for Telehealth Services.

The full article is accessible here 



The UTOPIA study was undertaken in late 2016 and early 2017. It engaged with over 150 Adult Social Care authorities in England. The research, led by Dr John Woolham at King’s College London, aimed to examine the role of and momentum behind telecare services after the uncertainties that had arisen from the outcomes of the Whole System Demonstrator programme. The full research team comprised:

Dr John Woolham, King’s College, London

Dr Nicole Steils, King’s College, London

Dr Malcolm Fisk, De Montfort University, Leicester

Professor Kirsty Forsyth, Queen Margaret University College, Edinburgh

Jeremy Porteus, Housing Learning and Improvement Network

Headline Findings and Crucial Questions

Headline findings from the research include the fact that local authorities continue to invest in telecare despite (and partly because of) public sector austerity. But there was great variation between authorities both regarding the extent of investment and regarding many facets of service design and management. In this context, questions arise about how variation might (or should) be addressed and as to what role telecare might play in the future.

These questions loom especially large as attention is given to the necessity for services to transfer from old analogue to newer digital networks – a matter that could (if services were rethought from a more user oriented perspective) lead to realisation of the promise of those digital networks to empower users in new ways. That empowerment, only touched on lightly in the research, could include the building (for users) of health literacy, greater self management of health conditions and the adoption of healthier lifestyles – matters of great concern, of course, to the Telehealth Quality Group.

It follows that there are crucial questions to be asked about the place of telecare at the social care and health ‘interface’. At the moment telecare is, to a large extent, trapped in social care. That will change – and the outcomes of this research will help us to build the foundations for changes that are necessary.

The research report is to be found here:




New International Code Released!

The 2018/19 version of the Telehealth Quality Group’s well respected International Code of Practice for Telehealth Services has now been released!

Partnership with Global Community Resourcing (Australia)

Headline news associated with the Code is the partnership that is being built between the TQG and Global Community Resourcing (CR). CR is supporting the ‘roll-out’ of the Code in Australia. This follows successive visits to Australia by TQG Directors (Dr Kevin Doughty and Dr Malcolm Fisk, below) and study visits made by CR (led by Anne Livingstone, below) to different countries of the EU. The work in Australia will complement that of the TQG in Europe which has stimulated a steady growth in the organisation’s membership.

What’s new in the 2018/19 Edition?

  • Big Push for Interoperability: A big push is made towards ‘fitness for purpose’ of services taking account of the interoperability of the technologies – not just from hubs to remote centres but also around devices for the person or the home.

“Greater interoperability means greater choice.”

  • Openness for Performance Measures: Performance measures will now be required to be ‘honestly and openly’ displayed on service websites.

“Openness with performance indicators means greater accountability.”

  • More Attention to Cybersecurity: The absolute need for cybersecurity measures to be in place is reaffirmed and strengthened.

“More attention to cybersecurity means the greater trust.”    

Each of these reflects the consumer and service user perspective that has been taken by the TQG itself and the International Code since its inception.



The TQG, as workpackage leaders and partners in the European Commission funded PROGRESSIVE project played a key part in presenting to and leading a major Brussels workshop with over 80 participants. The Workshop took place at the CEN CENELEC Management Centre on October 19th 2017 and addressed the challenge of

Making ICT Standards ‘Fit’ for Active and Healthy Ageing

The event focused on a number of areas including telehealth, telecare and assistive technologies. These featured strongly in two of the presentations – from Diane Whitehouse (Principal eHealth Policy Analyst of EHTEL, the European Health Telematics Association) and Ester Sarquella Casellas (Business Development Director for Digital Health of Tunstall Healthcare, Spain).

Other ‘standout’ presentations included those of Christoph Klein and Inmaculada Placencia (both from the European Commission), Marlou Bijlsma (NEN, the Dutch standards body) and Viviane von Döllen from Stëftung Hëllef Doheem (who manage telecare and home care services in Luxembourg). And Robert Turpin (BSI) reported on the initiative through ISO to start a Technical Committee on ‘Ageing Societies’.

The presentations were supplemented by workshops that help plan the forward view for standards development.









The presentations together with a report of the event, are accessible via the PROGRESSIVE website at www.progressivestandards.org .

  • Co-Production: Involving and Engaging Older People
  • Age-Friendly ICT Products and Services
  • Smart Homes
  • Telehealth, Telecare and Assistive Technologies
  • Interoperability

The event marked the launching of the project’s interactive database that gives access to information on standards from robotics to retirement; and from telecare to transport. It has helped in very important ways to set the project ‘on course’ for its final year of work – throughout which it will continue to change mindsets about ageing in the world of ICT.


The Telehealth Quality Group (TQG) has been very pleased to support NHS Shared Business Services in developing its Framework Agreement for TECS (Technology Enabled Care Services). The TQG was a key proponent of the division of ‘lots’ as follows:

Lot 1: Electronic Assistive Technologies

Lot 2: Alarm Technologies and Services

Lot 3: Continuous Monitoring Services

Lot 4: Scheduled Remote and On Demand Services

We congratulate all the successful manufacturers or service providers. These include the following that were successful in two or more of the ‘lots’:

Broomwell Healthwatch (www.broomwellhealthwatch.com)

Philips Electronics (www.philips.co.uk)

Safe Patient Systems (www.safepatientsystems.com)

Tunstall Healthcare UK (www.tunstall.co.uk)

Welbeing (www.welbeing.org.uk)

Others companies ‘in the mix’ can be found at https://www.sbs.nhs.uk/ica-technology-enabled-care-services. All have had to navigate their way through a tough qualifying process and deserve their place on the Framework. Providers of telecare and telehealth services are encouraged to use it!

Of note is the fact that the new Framework meets outcome requirements for both the NHS and Adult Social Care. It embraces a wide range of telehealth domains (including telecare and social alarms) and it supports personalised approaches to care. Significantly, the Framework cites the TQG’s International Code of Practice for Telehealth Services as representing an important quality benchmark for that range of services. The International code can be downloaded from this website.

Note: The TQG has also been very pleased to work with Pobal (Republic of Ireland) on matters that relate to the procurement of telehealth (including telecare) technologies and services. Information regarding this work is provided in an earlier ‘News Item’ – this also giving access to the full report.


ANEC: the European Consumer Voice in Standardisation (anec.eu) is researching how people use healthcare services when they are abroad in European (and other) countries. You are invited to complete a short on-line survey that asks about your views and experience – whether the healthcare services you used were planned or unplanned. The link takes you to the first question – http://which.focusvision.com/survey/selfserve/53b/170805# Please respond before the deadline of 10th September 2017.


The work is being led by Julie Hunter (www.juliehunter.co.uk) and supervised, on behalf of ANEC, by Dr Malcolm Fisk (Telehealth Quality Group). It will fill a gap in our knowledge about such services and the health sectors that they operate in. Outcomes (published by ANEC) will include an appraisal of existing regulations around ‘medical tourism’ and ‘emergency medical care’ and will offer pointers to inform the development of future standards for the EU.