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Widening Digital Participation
Jonathan Berry NHS England
Bob Gann NHS Digital
What’s the problem we need to solve?
• 12.6m adults (23%) in UK lack basic digital skills & 5.3m
(11%) have never used the internet
• Those who lack digital skills or access are likely to be
older, have disabilities, lower income & education
• There is a strong correlation between digital exclusion,
wider social disadvantage & health inequalities
• Health & care services, information, & opportunities for
participation are increasingly delivered digitally
• We need to take positive steps to ensure that those who
most need health & care services are not left behind in
the digital revolution
What’s the problem we need to
solve?
• 43% English working age adults do not understand
health information - 61% when numeracy is a factor
• strong correlation between digital exclusion, wider social
disadvantage & health inequalities
• Same people?
• Need to ensure we don’t widen health inequalities by
leaving those “furthest away” behind
What have we done already?
• Widening Digital Participation (WDP): three year NHS
England programme 2013-16
• Worked with social enterprise Tinder Foundation to
provide national digital skills training programme
• Digitally excluded people engaged through local UK
Online Centres in deprived communities
How successful have we been?
• Evaluation over the three year programme using
quantitative & qualitative methods
• This has demonstrated good evidence of benefits
realised for individuals & the health & care system
• Positive outcomes include increased confidence, more
self care & greater use of online health services
What will continue – & what will change?
• Although good progress has been made, the digital
inclusion challenge remains
• There is a continuing commitment to Widening Digital
Participation as a programme within Paperless 2020
Domain A: Self Care & Prevention
• From 2016 responsibility for Widening Digital Participation
moves from NHS England to NHS Digital
• The first phase of WDP 2013-16 primarily focused on
developing digital skills for patients & citizens
• There is still a need to embed digital inclusion in the
mainstream of the NHS. Developing support for digital
inclusion which is sustainable & meaningful to local health
organisations will be the key focus of phase two
How will we deliver the next phase?
Key objectives for the new programme will be to:
• Develop models for effective local partnerships for
tackling digital exclusion through supporting local
pathfinders (16 areas – 4 per Region)
• Work with digital delivery teams to ensure that digital
health services are inclusive and health literate
• Create and communicate evidence on how best to
support groups which are currently digitally excluded
• Build partnerships with other digital engagement
initiatives in government, industry & voluntary sector
• Embed digital inclusion in NHS systems & processes eg.
planning, performance management & incentives
How will we prioritise our work?
• We will adopt an evidence based approach to prioritising
and focusing activity in phase two
• Data-driven analysis will help us understand much better the
cross over between digital exclusion and health inequality
• This will include mapping digital exclusion heatmaps against
indicators of local health inequalities
• The needs of the most digitally excluded will be prioritised –
reaching the furthest first
When will we do it?
• The next phase of Widening Digital Participation is a five
year programme running from April 2016 to March 2019
• During Year 1 2016-17 we will:
- Establish programme resourcing & governance
- Approve business case
- Procure delivery partner
- Identify & fund pathfinders
- Engage stakeholders
How much will it cost?
• Programme budget is £1m a year
What will success look like?
The outcomes of the programme will include:
• Number of citizens engaged
• Digital skills improved (using GDS digital inclusion scale)
• Health & care organisations engaged
• Activation of individuals (including decision making & self
care)
• Impact on frontline services (including increased use of
digital services & reduced use of primary or urgent care)
• Sustainability of digital inclusion activity at local level
(embedding in health & social care commissioning &
provision)
Further Questions
• jonathan.berry2@nhs.net
• bob.gann@nhs.net
Group discussions
A. Sharing of good practice
• Opportunity to share
practical tools and
strategies that can be used
to promote digital health
literacy
• ‘Bring and buy’ format
B. Policy and strategy
• Discuss current state of
affairs of incorporating
digital inclusion in strategy
and policy
• What are the barriers and
opportunities to
implementing policy
• Next steps?
Designate a ‘feedback spokesperson’ to share discussions to the group (14:20-14:50)

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Widening Digital Participation

  • 1. Widening Digital Participation Jonathan Berry NHS England Bob Gann NHS Digital
  • 2. What’s the problem we need to solve? • 12.6m adults (23%) in UK lack basic digital skills & 5.3m (11%) have never used the internet • Those who lack digital skills or access are likely to be older, have disabilities, lower income & education • There is a strong correlation between digital exclusion, wider social disadvantage & health inequalities • Health & care services, information, & opportunities for participation are increasingly delivered digitally • We need to take positive steps to ensure that those who most need health & care services are not left behind in the digital revolution
  • 3. What’s the problem we need to solve? • 43% English working age adults do not understand health information - 61% when numeracy is a factor • strong correlation between digital exclusion, wider social disadvantage & health inequalities • Same people? • Need to ensure we don’t widen health inequalities by leaving those “furthest away” behind
  • 4. What have we done already? • Widening Digital Participation (WDP): three year NHS England programme 2013-16 • Worked with social enterprise Tinder Foundation to provide national digital skills training programme • Digitally excluded people engaged through local UK Online Centres in deprived communities
  • 5. How successful have we been? • Evaluation over the three year programme using quantitative & qualitative methods • This has demonstrated good evidence of benefits realised for individuals & the health & care system • Positive outcomes include increased confidence, more self care & greater use of online health services
  • 6. What will continue – & what will change? • Although good progress has been made, the digital inclusion challenge remains • There is a continuing commitment to Widening Digital Participation as a programme within Paperless 2020 Domain A: Self Care & Prevention • From 2016 responsibility for Widening Digital Participation moves from NHS England to NHS Digital • The first phase of WDP 2013-16 primarily focused on developing digital skills for patients & citizens • There is still a need to embed digital inclusion in the mainstream of the NHS. Developing support for digital inclusion which is sustainable & meaningful to local health organisations will be the key focus of phase two
  • 7. How will we deliver the next phase? Key objectives for the new programme will be to: • Develop models for effective local partnerships for tackling digital exclusion through supporting local pathfinders (16 areas – 4 per Region) • Work with digital delivery teams to ensure that digital health services are inclusive and health literate • Create and communicate evidence on how best to support groups which are currently digitally excluded • Build partnerships with other digital engagement initiatives in government, industry & voluntary sector • Embed digital inclusion in NHS systems & processes eg. planning, performance management & incentives
  • 8. How will we prioritise our work? • We will adopt an evidence based approach to prioritising and focusing activity in phase two • Data-driven analysis will help us understand much better the cross over between digital exclusion and health inequality • This will include mapping digital exclusion heatmaps against indicators of local health inequalities • The needs of the most digitally excluded will be prioritised – reaching the furthest first
  • 9. When will we do it? • The next phase of Widening Digital Participation is a five year programme running from April 2016 to March 2019 • During Year 1 2016-17 we will: - Establish programme resourcing & governance - Approve business case - Procure delivery partner - Identify & fund pathfinders - Engage stakeholders How much will it cost? • Programme budget is £1m a year
  • 10. What will success look like? The outcomes of the programme will include: • Number of citizens engaged • Digital skills improved (using GDS digital inclusion scale) • Health & care organisations engaged • Activation of individuals (including decision making & self care) • Impact on frontline services (including increased use of digital services & reduced use of primary or urgent care) • Sustainability of digital inclusion activity at local level (embedding in health & social care commissioning & provision)
  • 12. Group discussions A. Sharing of good practice • Opportunity to share practical tools and strategies that can be used to promote digital health literacy • ‘Bring and buy’ format B. Policy and strategy • Discuss current state of affairs of incorporating digital inclusion in strategy and policy • What are the barriers and opportunities to implementing policy • Next steps? Designate a ‘feedback spokesperson’ to share discussions to the group (14:20-14:50)