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Although standard telecare services have quickly become very successful in many areas, their extension to other groups, including people with learning disabilities, has been delayed by issues such as ethics, and a need for a wider range of technologies. A series of pilot studies have demonstrated over £400,000 of savings in a year, and have enabled improved processes for assessment and prescription to be developed. Four case studies are described and their successful outcomes establish a way forward for Cheshire East Council Community Services to roll out improved provision to support many more service users in the future.

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