Since 1986, Equinoxe, a NGO, has provided telecare services to older people with cognitive and physical impairments, who live alone, but need constant supervision. It aims to support older people to live independently and safely. Its drivers are listening, supervision and geo-location to respond to its users’ needs. A social motivation was to offer a personalised service to respect each subscriber’s individuality.
There are three main services: helpline, geo-location and telecare. The helpline is free of charge, publicly and privately funded; the services of telecare and geo-location are paid by users out of pocket. The sustainability of the initiative is due to its different partners such as institutions (such as Assurances and Confederations), third sector organisations (associations and NGOs) and private companies who provide the technology (all details and a list of partners can be found at http://www.equinoxe-france.com/fr/partenaires-associatif ).
The service was not evaluated in terms of impact on end users, labour market and National Health System (NHS).
The main aim is supporting disabled and old people live independently.
The main driver driving the association activities is the will of listening, based on the French association law number 1901, which legislates listening to users and respecting their desires, supervise and geo-locate older people. Another driver is to fulfill the needs of its customers.
Equinox’ specificities are:
The quality and the close relationship between the subscribers, volunteers and professional home maintenance;
The professional and personalized listening teams;
The solidarity committee for the study of specific situations;
The committees environment (family, neighbors).
Care Recipients
Informal carers
Paid assistants
Formal carers
The main beneficiaries of the service are older people with cognitive and physical impairments, who live alone, but need constant supervision.
Independent Living
Information and learning for carers
Personal Support and Social Integration for carer
Care coordination
Equinoxe France provides three types of services:
1)Helpline, which is a monitor for home support. This is the core business since the association’s foundation.
2) Geo-location, which is a service that ensures freedom and safety for people who get lost.
3) Service Equinox Téléassitance Internal (SETI), which is a hotline to support the daily living of residents in the host institutions.
One main device is needed for geo-location service: a bracelet with GPS technology for the geo-location of older people suffering from dementia, who get lost. The GPS Bluegard strap is capable of transmitting its position only when it is outside. The transmission depends on GSM and GPRS networks (over the network is good and the positioning will be accurate). The strap is fitted with a protected closure. The security key is given to the caregiver during installation.
Three main devices are needed for the telecare service:
A telephone line is required to be reached by the helpline.
Supplemental Retirement Benefit Plan
Mutual Insurance
Personal Autonomy Allowance ( APA)
Disability compensation
Regional Health Insurance Fund (CRAM)
French Alzheimer’s Association (according to previous agreement with Equinox)
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Geo-location service:
-Cost of subscription for: €69/month
-Setup fee: 150 €
-Additional option (battery or additional base): € 8 / month
Telecare service:
-Cost of subscription: €25/month
- Installation costs: supported by Equinoxe or its partners.
-Deposit: 50 € (cashed and returned at the end of the subscription).
-Supplements:
The 2nd transmitter: 5 € / month
Sensors: 8 € / month
The housing shielded key: 5 € / month
The GPRS transmitter: 8 € / month
Adaptation handicap cost using the necessary equipment
The initiative appears sustainable due to the collaborations and conventions, such as allowances, assurances, that the partners created with the third sector to gather resources and share their experiences. The availability of private and public funding is another support for sustainability.
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Authorities
Private Care Sector
Health and Social Care Systems
Third Sector
Private Companies
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Informal Carers
Health Professionals
Social Care Professionals
Privately-Hired Care Assistants (inc. Migrant Care Workers)
Volunteers
Teams comprised of volunteers, employees and directors, ensure better responses to customer requests.
The Equinoxe Association has a solidarity Commission that meets monthly to:
The Equinox teams share all values of the association and work in complicity and standing nearby.
The phone support operators contact new subscribers a few days after installation. They reassurance and remind them to use the Helpline. A call is automatically made each quarter to subscribers.
Volunteers are part of the solidarity commission: 20 volunteers mainly provide phone support, but are also responsible for administrative tasks and help with daily update committees. These volunteers underwent 120 hours of training by Equinoxe, followed by continuous training with stakeholder emergency services. The website dedicates a large space to display the experience and skills of volunteers.
630 users are reached by the service.
The main promotional tool is the website and brochures that can be downloaded. However information about the service is also provided by partners through their communication channels. Furthermore, Equinoxe sends a letter to its customers, 2 times per year, that describes the activities of the association, the latest news, information and the testimony of a selected subscriber. These letters are collected and published in the journal “Les Nouvelles” (http://www.equinoxe-france.com/fr/lettre-les-nouvelles). The website has a page with subscribers’ testimonies http://www.equinoxe-france.com/fr/temoignages
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Strengths
Service provider staff members are highly trained and skilful and there is a close relationship among subscribers, volunteers and professionals and this reflects on the quality of the delivered help.
The professional and personalised phone support teams.
The solidarity committee that addresses difficult situations.
Weaknesses
The lack of an impact assessment.
The webpage is only in French. This should be solved for the transfer to other countries or to address non-French speaking users.
A confused person who gets lost, could potentially rip the geolocating bracelet off.
Opportunities
Equinoxe’s competitive advantage, differentiating it from other providers, is its social and human dimension in addition to the emergency response. This advantage could to potentially help it find more users and gain additional finance support.
Equinoxe is fully integrated in the social care system with 8 offices across France covering all regions (for a map see http://www.equinoxe-france.com/fr/implantation-equinoxe). Due to its user friendliness and flexibility, the service could be transferred to other countries if public authorities finance it, private companies provide technology and volunteers participate. However, the website should be made translated into other languages.
Publications:
Equinoxe France, Les Nouvelles, available at http://www.equinoxe-france.com/fr/lettre-les-nouvelles
Free Number: 0800 9411 10
Equinoxe Association
Address: 163, de Charenton street, 75012 Paris
Telephone.: 0033 01 44 73 87 77
Fax : 0033 01 43 43 06 94
E-mail : contact@equinoxe-france.com
Each Region has its contacts available at http://www.equinoxe-france.com/fr/contact