Digital skills to widen participation Bob Gann Health Promoting Hospitals Conference 2014

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This document discusses a NHS England program aimed at increasing digital skills and health literacy to reduce health inequalities. It notes that those with low digital skills and health literacy have poorer health outcomes. The program trains 100,000 citizens annually in basic digital skills through online and community-based courses. Early evaluations found these courses increased participants' confidence in managing their health online and reduced dependence on health services. The program highlights several community organizations successfully helping vulnerable groups improve digital and health literacy.

Health & Medicine Business

Digital
skills
to
widen
par1cipa1on
and

increase
health
literacy

Bob
Gann,
Programme
Director,
Widening
Digital
Par1cipa1on,

NHS
England

22nd International Conference on Health Promoting Hospitals & Health Services
Barcelona, Spain 25 April 2014

A
signiﬁcant
increase
in
the
use
of
technology
to
help
people
to
manage

their
own
health
and
care

An
NHS
for
everyone
regardless
of
income,
gender,
loca<on,
age,

ethnicity
or
any
other
characteris<c

NHS
England
Mandate,
2013

National Health Service commitments
Those
in
old

age

Those
out
of

work

Those
who

are
physically

and
socially

isolated

Those
who

don’t
have

English
as
1st

language

Travellers

and
transient

popula1ons

Those
who

are
disabled

Those
living

in
rural
and

remote
areas

Digital literacy & health inequalities
•  Those who are least likely to
be online are those who most
need health services
•  Information & services are
increasingly digital - digital
skills are increasingly
essential to health literacy
•  Low health literacy closely
linked to poorer health
outcomes & mortality
Bostock,s & Steptoe, Association between low
functional health literacy & mortality in older
adults. British Medical Journal 2012; 344

Reducing
inequali<es:
training
100,000
ci<zens
a

year
in
basic
online
skills
to
boost
health
literacy

Widening
Digital
Par1cipa1on
Programme

Online
training

programme
in
basic

digital
skills
for

health

Digital
health
events

&
marke1ng

campaign

Digital
health

informa1on
training

network
in
175

centres
–
public

libraries,

community
centres,

primary
care,
care

homes

Digital health flagships
Innova1ve
approaches
working
in
local
communi1es
including:

•  Bromley-‐by-‐Bow
Healthy
Living
Centre
–
social
prescribing

•  Southampton
Libraries
–
working
with
cancer
support
groups

•  e-‐Learning
in
Leicester
–
digital
skills
for
Asian
community

•  Mayfair
Centre
in
Shropshire
–
rural
communi1es

•  Inspire
in
Hull
–
social
isola1on
&
poor
mental
health

•  Heeley
Trust
in
Sheﬃeld
–
digital
skills
surgeries
in
GP
prac1ce

•  Breezie
–
easy
to
use
tablet
for
older
people

•  68
York
Street,
Leeds
–
working
with
homeless

Celebrating community achievement
Mayfair
Centre,
Shropshire
won
GSK/
Kings
Fund

Impact
Award

68
York
Street,
Leeds
won
NHS
Excellence
in

Par1cipa1on
Award

Cooke
e-‐Learning,
Leicester
showcased
on
YouTube

Tackling inequalities: reducing isolation &
loneliness
Social
isola1on
&

loneliness
is
a
public
health

challenge.
Helping
older

people
get
online
enables

them
to
keep
in
touch
with

family
&
friends

Tackling
inequali1es:
improving
access
&

reducing
s1gma

!
People
with
some

condi1ons
&
from
some

groups
in
society
can
face

s1gma
when
accessing

services.
Online
access

can
be
more
anonymous

and
less
embarrassing

Tackling inequalities: improving self reliance &
reducing dependency
Developing
digital
skills,
including

through
social
prescribing,
can

increase
health
literacy
&

empowerment,
and
reduce

dependence
on
health
professionals

Early evaluation findings
•  76%
of
people
trained
now
feel
more
conﬁdent
managing
their

health
using
online
tools

•  18%
of
people
trained
now
feel
more
self
reliant
and
have

reduced
their
use
of
the
NHS

“Doing
the
digital
skills
health
course
has
given
me
the
conﬁdence

to
register
online
with
my
local
GP
surgery,
to
make
appointments

online,
to
check
what
medicine
I'm
on
and
when
it’s
due
for

renewal...
Before
this,
I’d
have
needed
to
travel
to
the
doctors
and

stood
in
a
queue
just
to
make
an
appointment.
With
this
it’s
just

‘click’
and
it’s
done.
It’s
fantas<c.”

Thank
you

Please
contact
me
if
you
would
like
to
know
more:

Email
bob.gann@nhs.net

Twi`er
Bob_Gann

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Digital skills to widen participation Bob Gann Health Promoting Hospitals Conference 2014

1. Digital skills to widen par1cipa1on and increase health literacy Bob Gann, Programme Director, Widening Digital Par1cipa1on, NHS England 22nd International Conference on Health Promoting Hospitals & Health Services Barcelona, Spain 25 April 2014

2. A signiﬁcant increase in the use of technology to help people to manage their own health and care An NHS for everyone regardless of income, gender, loca<on, age, ethnicity or any other characteris<c NHS England Mandate, 2013 National Health Service commitments Those in old age Those out of work Those who are physically and socially isolated Those who don’t have English as 1st language Travellers and transient popula1ons Those who are disabled Those living in rural and remote areas

3. Digital literacy & health inequalities •  Those who are least likely to be online are those who most need health services •  Information & services are increasingly digital - digital skills are increasingly essential to health literacy •  Low health literacy closely linked to poorer health outcomes & mortality Bostock,s & Steptoe, Association between low functional health literacy & mortality in older adults. British Medical Journal 2012; 344

4. Reducing inequali<es: training 100,000 ci<zens a year in basic online skills to boost health literacy Widening Digital Par1cipa1on Programme Online training programme in basic digital skills for health Digital health events & marke1ng campaign Digital health informa1on training network in 175 centres – public libraries, community centres, primary care, care homes

5. Digital health flagships Innova1ve approaches working in local communi1es including: •  Bromley-‐by-‐Bow Healthy Living Centre – social prescribing •  Southampton Libraries – working with cancer support groups •  e-‐Learning in Leicester – digital skills for Asian community •  Mayfair Centre in Shropshire – rural communi1es •  Inspire in Hull – social isola1on & poor mental health •  Heeley Trust in Sheﬃeld – digital skills surgeries in GP prac1ce •  Breezie – easy to use tablet for older people •  68 York Street, Leeds – working with homeless

6. Celebrating community achievement Mayfair Centre, Shropshire won GSK/ Kings Fund Impact Award 68 York Street, Leeds won NHS Excellence in Par1cipa1on Award Cooke e-‐Learning, Leicester showcased on YouTube

7. Tackling inequalities: reducing isolation & loneliness Social isola1on & loneliness is a public health challenge. Helping older people get online enables them to keep in touch with family & friends

8. Tackling inequali1es: improving access & reducing s1gma ! People with some condi1ons & from some groups in society can face s1gma when accessing services. Online access can be more anonymous and less embarrassing

9. Tackling inequalities: improving self reliance & reducing dependency Developing digital skills, including through social prescribing, can increase health literacy & empowerment, and reduce dependence on health professionals

10. Early evaluation findings •  76% of people trained now feel more conﬁdent managing their health using online tools •  18% of people trained now feel more self reliant and have reduced their use of the NHS “Doing the digital skills health course has given me the conﬁdence to register online with my local GP surgery, to make appointments online, to check what medicine I'm on and when it’s due for renewal... Before this, I’d have needed to travel to the doctors and stood in a queue just to make an appointment. With this it’s just ‘click’ and it’s done. It’s fantas<c.”

11. Thank you Please contact me if you would like to know more: Email bob.gann@nhs.net Twi`er Bob_Gann

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