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Good Things Foundation Digital Health Inclusion 2 March 2020


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Widening Digital Participation - The story and our impact

Published in: Government & Nonprofit
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Good Things Foundation Digital Health Inclusion 2 March 2020

  1. 1. Widening Digital Participation The story and our impact
  2. 2. 11.9 million people in the UK do not have essential digital skills needed to use online health information and tools. These people are most likely to be socially excluded, hard to reach, and suffer from poorer health and/or health inequalities. We have been working to address the barriers to health for those who are most excluded and have the most to gain through digital health inclusion.
  3. 3. 11.9 million people lack the Essential Digital Skills for life 4.1 million people are non- users 7.3 million people are limited users Demographic Of non-users (%) Of limited users (%) Social class DE 49.5% 38% Under 65 36% 62.5% Over 65 64% 37.5% Left school age 16 or under 78.3% 62% Annual income under £17,500 Annual income under £11,500 62.3% 44.5% 41.7% 26.2% Long standing illness/disability 47.7% 47.2% Do not currently use the internet Do very little with the internet or use infrequently
  4. 4. There are large regional variations for non and limited users
  5. 5. 2013 WDP1 (2013-2016) 2016 WDP2 (2017-2020) 2017 2020 The timeline of Widening Digital Participation
  6. 6. 221,941 people trained 8,138 volunteers 140,892 year 1 and 2 81,049 year 3 2013 - 2016 Widening Digital Participation - Phase 1 In July 2013 Good Things Foundation and NHS England began the three-year Widening Digital Participation programme. We worked with hyperlocal community partners and provide them with tools and resources to help local people to gain digital health literacy. These resources included new online learning modules on Learn My Way, a web- page that signposted local people to specific NHS online services or resources, and engagement materials to promote the benefits of managing your health online. £3.7m in GP appointments £2.3m in A&E attendances £6m saving for the NHS In one year 2015-16 £ ROI £6.40 157,391 engaged either through supported signposting or through events
  7. 7. 221,941 people trained 8,138 volunteers 140,892 year 1 and 2 81,049 year 3 2017 - 2020 Widening Digital Participation - Phase 2 In 2017 Good Things Foundation and NHS Digital co-designed Phase 2 to work both with health practitioners (CCGs, GPs, etc) and community networks. Models: - Hyperlocal health, delivering digital health literacy through online resources and community partners, - Deep dive pathfinders to understand how best to help specific groups. Impact: Confidence, health prevention, online management of long term conditions, engagement of community and health professionals £3.7m in GP appointments £2.3m in A&E attendances £6m saving for the NHS In one year 2015-16 £ ROI £6.40 157,391 engaged either through supported signposting or in events
  8. 8. Widening Digital Participation 2: Some Example Pathfinders Sheffield Social Prescribing digital skills ● Marked patient activation increases for LTC’s ● Delivering health in the community where people feel most comfortable “Don’t say digital” Islington Young people and mental health ● Commissioned new counselling service on the back of WDP. ● Improved journey through CAMHS. “The person who knows me doesn’t have the knowledge, the person who has the knowledge doesn’t know me” Stoke Social Media and Long Term Conditions ● 13% increase in Breast Cancer Screening appointments ● 25% reduction in GP appointments for LTC’s “I wouldn’t have done it without facebook” Hastings Digital Inclusion for the homeless ● Improved lifestyle activity ● Increase in engaging with health system ● Decrease in poor medicinal behaviour “I think I’m going to get back in touch with my Doctor” Nailsea Digital Health hub on the High Street ● Increasing well-being ● Reducing social isolation through digital and connecting local assets “Dementia patient using Skype so that family can read his facial cues” Wakefield Digital inclusion for the sensory impaired ● Improved customer service ● Reduction in anxiety over visiting GP “I didn’t do it straight away but I wish I had. I can’t tell you how much easier it is now I can make my own appointments. I can also order repeat prescriptions online”
  9. 9. Themes across the Pathfinders Older people ● Isolated older people in partnership with Age UK in Sunderland ● Dementia support in partnership with Leeds City Council Disadvantaged groups ● The homeless community in partnership with Hastings CCG and The Seaview Project ● Disadvantaged young people from the Bangladeshi community in partnership with Healthwatch Tower Hamlets Health and care professionals ● Nurses in partnership with Redmoor Health in Lancashire and South Cumbria ● A&E in partnership with Blackpool Hospital Long term conditions ● Breast Cancer Screening and Facebook in partnership with Stoke CCG ● Diabetes and Social Prescribing in partnership with Sheffield CCG. 13% increase in Breast Cancer Screening attendance 25% reduction in GP appointments for LTCs 62% elderly isolated people more informed about health Behaviour change for 122 homeless people
  10. 10. Our Design Principles Design with people, not for them Go where the people are Relationships not transactions Work in the open Understand underlying behaviour Do it now Synthesising and understanding the conditions needed for successful digital health inclusion for the most excluded groups Needs: Users and NHS Timely Support is needed when it is needed. Not at a future appointment Relevant Support and information needs to be relevant to users at that specific point of their health journey. Trusted Trusted information from NHS and peers. Holistic view of me A person isn’t just their condition. Their priorities may differ from a GP’s. Considerations to work within Trust What health practitioners trust is different to what people trust. Barrier & Context Understand local infrastructure to access and circumstance when people need health support. Behaviour Isn’t fixed. Engagement varies both in activation and digital readiness.
  11. 11. Digital Health Hubs Improving digital health outcomes by taking health to people, not people to health
  12. 12. The common elements for a pilot digital health hub: ● Hyperlocal & informal: In a place where you feel comfortable ● Whole person approach: Not just about transactional online health services. What’s important to you is important to us ● Not rushed: Spending the time to achieve goals together ● Supported by someone ‘like me’: Recognising yourself in the person helping you, ‘not lanyards’ ● All about partnerships: Good care based on the bridging and bonding of the community and the NHS
  13. 13. Original pathfinders gave us the inspiration, especially in Nailsea, Sheffield, and West Yorkshire We then reduced the investment to create 5 digital health hubs in Blackburn, NW London, Saltburn, Wirral and Staffordshire based on the common elements we had synthesised from the pathfinders. We then reduced the investment further to test if we could scale the model in ‘mini’ digital health hubs in 22 more communities Digital Health Hubs . .. Digital Health Hubs Mini Health Hubs.
  14. 14. Patient Activation 57% feel more confident about using online tools to manage their health 51% feel more informed about their health Digital Health Hubs help people to be use online tools and information, so they feel more in control and informed Supporting greater self management of health is beneficial to both people and services. Health Hubs help people to search for and access a range of online health information safely, and build skills to understand what are useful and trustworthy resources. This means people can play a more active role in understanding day to day health and health related issues, be resilient, cope better with diagnosis and be empowered in their management of long term health conditions.
  15. 15. Wider Social Benefits 50%feel less lonely 57% feel happier Digital Health Hub impact reaches beyond improved digital skills and health transactions These longer term benefits underpin the value of Digital Health Hubs as a social resource for communities building strength and capacity from within.
  16. 16. 22 ‘mini’ health hubs* ● 7 in 10 attendances spent time accessing some kind of health information ● 6 in 10 attendances included finding information about a wellbeing activity ● 5 in 10 attendances included finding information about local support ● 4 in 10 attendances arrived via social prescribing 5 ‘main’ health hubs: Getting help with developing digital skills (219) Being introduced to national NHS website/app (168) Being introduced to local GP online system (88) Getting online information on medical conditions incl mental health (62) Volunteering to get involved/become digital champion (46) Getting online information on wellbeing activities (25) Getting online information about local health service, pharmacy, dentist (13) Getting online information on healthy activities (10) Other (66) 27 pilot Digital Health Hubs: what people attended for
  17. 17. Finding Local support includes ● Using digital champion knowledge of activities and groups ● Searching for local support or activities on line ● Referring to groups / scheduling in Well being activity including ● Using the internet for what interests you ● Social media to keep in contact with family and friends ● finding out local information for activities Other ● Other related Digital Health Activity ● Supporting registering on to NHS App Digital skills training - Any Courses in ‘Improve your health’ section of Learn My Way ● GP services online a how to guide ● NHS website a how to guide Finding health information and tools includes ● Using NHS.UK ● Finding Trusted Apps (NHS Apps Library) ● Searching condition specific websites ● Forums of support (condition specific forums or groups) Transactions Online - Practical Application, doing it live ● GP appointment online ● Repeat prescription online Health Hub funded activities
  18. 18. Digital isn’t working for everyone “It’s the new Universal Credit. Marginalised people are being marginalised further because they don’t have the basic digital skills to get an appointment with their GP.” Looking for what happens next “Some of the doctor's practices (St Martin's Practice in particular) were asking if the course will run again, as they would like more of their patients to get online and access the health services. They really enjoyed the courses and some registered while doing the GP services course. The doctors were saying it's so much easier and quicker for their patients to register and encourage them to do so.” Quotes from Digital Health Hubs
  19. 19. Thank you! Helen Milner Twitter: @helenmilner Pete Nuckley Twitter: @Pics_in_clouds Email: