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.



Minister Simon Coveney TD of the Irish Government has welcomed and has published The Telehealth Quality Group (TQG) Review of the Seniors Alert (SAS) scheme. Crucially he has made clear his intent to follow our recommendation to develop a ‘whole of government’ approach that would bring together social alarms, telecare and telehealth in Ireland to address the needs of older people more holistically. The Irish Government recognises these needs as not just relating to older people’s health and security, but also to wider well-being issues around isolation and loneliness.


The Review has taken place in a context of opportunity. That opportunity, our Review points out, relates to the increasing use of new (often portable) technologies; and to more enlightened ways of thinking that brings older people into focus as equal and important contributors to the economic and social life of our communities. Consideration by the Irish Government of our Review is timely. It builds on the 2012 Older People’s Strategy for Ireland and will support the Government’s evolving framework for ‘Delivering Social Change’.

In the meantime adjustments are planned in the SAS that are due to be ‘rolled out’ in September. These will help ensure that the value of and the community context of such services is maintained. The full TQG Review can be accessed online at




Chubb Community Care is the first of a new tranche of members that will help the TQG towards its target of 40 members by the end of the year. Their membership is important because of the international significance of Chubb and their role as service providers as well as manufacturers and suppliers of telehealth (including telecare) technologies.

By becoming members, Chubb Community Care gives the TQG a further stimulus to pursue its manifesto commitments that include ‘influencing the way that governments, strategic and regulatory bodies configure frameworks for telehealth services and technologies’. Thae TQG influence has, of course, been increasing – in, for instance, its support work for NHS Shared Business Services (with regard to their TECS Procurement Framework); its work with Pobal, the Irish Government agency that focuses on disadvantaged populations; and its work as full partners within the €960,000 European Commission funded PROGRESSIVE project – concerned with ‘Standards around ICT for Active and Healthy Ageing’.

The TQG, in other words, is very much ‘in the mix’. And we’ll shortly be announcing other new members and reporting on further activities and actions! Join us if you dare!


The Telehealth Quality Group, as well as being active in work for Pobal, the Irish Government agency and the European Commission funded PROGRESSIVE project, is working on plans for different events during 2017. At this early stage we can’t be specific about the events for later in the year – but note the events in Oslo, London and Luxembourg!



In Oslo, the TQG (with Standards Norway) the ‘Standards Morning’ on March 14th examines the challenges that must be faced because of ongoing changes in technologies and the ways that people access telecare and telehealth services. Presentations include Lars Dahle, CEO of Dignio, a leading Norwegian service provider and TQG member. See http://www.standard.no/kurs-og-arrangementer/arrangement-standard-norge-og-nek/standard-morgen1/standards-morning-telecare-and-telehealth/



In London, the TQG is partnered with the British Journal of Cardiology for their Digital Healthcare Forum on April 28th. The event carries the crucial question in its title ‘Can Digital Technology Rescue the NHS?’ and the presentations are ‘kicked-off’ by Dr Malcolm Fisk who appraises digital technologies in the context of the 5 Year Forward View. See https://bjcardio.co.uk/digitalhealth/



In Luxembourg, the TQG is a key partner within Medetel 2017 between 5th and 7th April. As well as having a stand, the TQG is running a session on ‘User Perspectives and Awareness’. Presentations include Robert and Donna Floyd of the Crag Business Group on the ‘coalescing perspectives of health professionals’. There is also, of course, much in the mix that is concerned with quality standards and a rich wider programme to enjoy! See https://www.medetel.eu/?rub=educational_program&page=program
Other events are planned later in the year on the topics of

• The Telehealth Challenge for Mental Health
• Telehealth and Telecare Market Changes
• Procuring and Commissioning Telehealth Services and Products

Watch this space!


The TQG has been active in numerous events, a sample of which is given below. These are in addition to the organisation’s ongoing work for the European Commission through the PROGRESSIVE Project on ‘Standards for ICT and Active and Healthy Ageing’ (see www.progressivestandards.org) and for the Pobal, Irish Government agency (see www.pobal.ie). Notable also is the work that TQG has undertaken and continues to undertake in promoting new visions and approaches for telehealth – including those embedded within the International Code of Practice for Telehealth Services (downloadable from this website). A feature on this website points to the consumer perspective taken by the International Code, key elements of which are ‘captured’ in the pointers to strengthened content in three areas (for the 2018/19 Edition) viz.

The Push for Interoperability:

“Greater interoperability means greater choice.”

Openness for Performance Measures:

“Openness with performance measures means greater accountability.”

More Attention to Cybersecurity:

“More attention to cybersecurity means the greater trust.”    

The TQG has worked (and continues to work) with or present to organisations such as NHS Shared Business Services; the Scottish Local Government Digital Office; and CEN, the European standards body. There is an ongoing dialogue with Standards Australia and TQG Directors have presented, with a focus on standards, at key events from Sydney and Brisbane to Bristol and Brussels.


The TQG partnered with Standards Norway in Oslo for a 2017 workshop to examine the challenges to standards arising from ongoing changes in technologies and the ways that people access telecare and telehealth services. Presentations include Lars Dahle, CEO of Dignio, a leading Norwegian service provider and TQG member. See http://www.standard.no/kurs-og-arrangementer/arrangement-standard-norge-og-nek/standard-morgen1/standards-morning-telecare-and-telehealth/


TQG was a key partner and had a stand at Medetel 2017 in Luxembourg. Frederic Lievens was focal to the event’s organisation. The TQG ran a session on ‘User Perspectives and Awareness’. Dr Malcolm Fisk explored standards for telehealth and featured the TQG International Code. Other presentations included Robert and Donna Floyd (Crag Business Group) addressing the perspectives of health professionals. See  https://www.medetel.eu/?rub=educational_program&page=program


In Ashton-under-Lyne (November 2016) the TQG partnered with Contour Homes and UK Telehealthcare for a ‘North-West’ Telecare Forum. Presentations by Dr Kevin Doughty and Dr Malcolm Fisk respectively set out the technological changes that are impacting on telecare services; and the way that the TQG International Code of Practice for Telehealth Services enabled such change to be accommodated.


In Manchester (June 2016) the TQG held its first major conference on ‘New Routes to Integrated Care: The Challenge of Assistive Technologies, Telehealth and Telecare’. Over 100 participants were treated to challenging presentations relating to innovative developments and practice initiatives in different parts of the UK (notably Scotland) and Canada! Details and slides are available on this website. See http://www.telehealth.global/events/431/


In Luxembourg (April 2016) the TQG were key exhibitors and participants at Medetel. Frederic Lievens was key to the event’s organisation. Dr Drago Rudel and Dr Malcolm Fisk respectively explored an intervention for people with chronic heart failure and set out some of the emerging evidence base supporting telehealth. Other presentations, workshops and panel discussions related to a fully international perspective stretching from Brazil to Bratislava! See    https://www.medetel.eu/?rub=knowledge_resources&page=evidence




The 2017 version of the TQG’s acclaimed International Code of Practice for Telehealth Services has been released. It continues to set the pace for flexible and innovative service standards.

Since its conception as a European Code in 2014, the International Code has set out to help transform digital health and care services – so that they are more and more responsive to service users … whether the user is a 26 year old self-managing her diabetes or an 86 year old being supported with his dementia.

The International Code has rejected any rigid ‘this is how you must do it’ approach. Instead it has recognised from the ‘get go’ that service users must be empowered and even liberated by the technologies that they use. They must not be thought of or treated as the victims of narrow ‘old style’ health and care regimes.

The context is clear. The emergence of telehealth, assisted by the array of technologies that are increasingly accessible to all, is an opportunity to transform the way we think about our health and wellbeing. It is no longer so much about health ‘interventions’ – but it is about how people access services to help them maintain appropriate lifestyles and manage any health conditions. Telehealth services … from telecare to mHealth must see themselves, therefore, within a new landscape. The International Code of Practice for Telehealth Services points the way.


Some Telehealth Service Domains

Health and motivational coaching and advice

Activity and lifestyle monitoring

Safeguarding and monitoring in care settings

Gait, seizure and falls prediction / management

Vital signs monitoring

Telecare and social alarms (PRS)

Mobile health technology systems (e.g. apps)

Medication or therapy adherence

Rehabilitation and (re)ablement

Tele-consultation and virtual presence

Key facets of the International Code include:

Incorporation of ISO/TS 13131 Health Informatics – Quality Planning Guidelines for Telehealth Services

Download a copy from this website and consider what it means for you … whether a

  • Strategist or Planner

Build the International Code into your planning.

  • Commissioner or Procurer

Make the International Code a requirement when procuring services.

  • Service Provider

The International Code is your benchmark. Become certified to it.

  • User

Expect your service to know about and use the International Code.