WideningDigital

Participation

NHS Widening Digital Participation

Pete Nuckley

Good Things Foundation

@pic_in_clouds

What is#NHSWDP

2O pathfinders3 years

Co-designDesigning with patients, health professionals and local orgs to see what

works….. and what doesn’t

Keep up to date https://digital-health-lab.org

A couple of examples

Hastings

Seaview Centre

4am Hastings Pier

Service users chatabout theirhealth and aretaken throughthe NHS website

Trusted info means they look to change behaviour or re-engage with NHS

Better health outcomes

Service users are wounded and seen by outreach

Picture taken and shown to St Johns Ambulance

Act accordingly

?

Stoke

People with A/F (and others) join a closed Facebook group ran by nurse

They get peer support and can access nurse easier

Initial reports are it’s saving the nurse 30% of her time. Patients feeling better supported

Sheffield

Birthday review for LTCs. Goals jointly agreed. Referred to online centre

Online centre uses digital to show what’s about.

Patient activation increases and digital enables change

Digital Champion offers digital skills in the waiting room

Patients see value and then engage further with digital skills

Patient activation increases and digital enables change

How to guide• Model

• Before you start

• Step by step

• Do and don’t

• People needed

• Resources needed

• Assets list

• Case studies

Evaluation• Realistic evaluation

• In what context, what and for whom

• What worked and what didn’t… and why

Understand trust

Use the rightlanguage

digital

Understandbarriers

andcontext

Thank you@pic_in_clouds

Digital Inclusion Guide for Health & Social Care

Bob Gann

Digital Inclusion Specialist

Widening Digital Participation

NHS Digital

About the Digital Inclusion Guide

The guide provides information and support to commissioners and digital health and care teams on how to ensure that everyone (particularly excluded and vulnerable

people) can access digital services

What the Digital Inclusion Guide containsIt includes information on:

• why digital inclusion is so important

• the benefits to NHS organisations and people

• how to build digital inclusion into service and product delivery locally

• examples of best practice in action and a directory of available resources

How we developed the Guide

• Commitment to agile, iterative approach

• Stakeholder engagement

• Alpha version October 2017

• Public Beta version December 2017

• Open for comment and feedback to March 2018

• Live version May 2018

• Evaluation late 2018

Live on NHS Digital website

https://digital.nhs.uk/digital-

inclusion-guide

What’s in the Guide?

ToolsVideosCase studiesEvidenceLinks to related work

What you can do

• Promote the Guide to relevant colleagues

• Promote the importance of digital inclusion

• Review your own digital inclusion provision

• Champion user-centred approaches to design & delivery

• If you’ve used the Guide talk to us about its impact

• Let us know how we can help further

https://digital.nhs.uk/digital-inclusion-guide

@ngill10

@Bob_Gann

#nhswdp

https://digital-health-lab.org/

North Midlands Breast Screening - Facebook

Gina Newman - Health Improvement Practitioner

How and why we use Facebook• Most commonly used social media platform by those eligible for screening.

• Prevalent women not attending screening appointments and engaging with the service.

• Through use of social media and posts to wider community networks, we highlight and promote the breast awareness message and importance of early detection through screening.

• Able to engage “hard to reach” and “perpetual non-attendees” by encouraging cohorts to direct message the page - allows a certain level of anonymity.

• Established positive conversation with targeted community cohorts, enabling and empowering women to make informed choices. Breaks down a number of barriers, including organisational and misrepresentation barriers, resulting in behavioural changes.

• We identified a misconception in women over 70 being entitled for breast screening – we addressed this in each engagement post.

• Positive peer-to-peer encouragement has resulted in hard to reach women engaging as they can retain a certain level of anonymity.

• A number of health inclusion groups share our information and videos. These include :-Trans Staffordshire, Reach at Asist and the Carer’s Hub.

• On updating specific screening information we are able to encourage engagement and advice on correct pathways to the service.

Breast Screening• Women between 47 - 73 invited for regular breast screening (every three years) under

national programme.

• GP practices targeted every three years.

• All eligible women, who are registered, are invited.

• In 2016, the proportion of eligible women taking up routine breast screening invitations fell to its lowest rate in a ten year period in the UK.

• Largest decline in the prevalent cohort (first timers).

• Uptake in the Incident cohort (routine) declined slightly.

Positive outcomes from Facebook• The UK National Screening Committee set two targets for the breast screening service to

achieve; 70% minimum standard and 80% national target overall.

• Selected GP practices were targeted with a digital approach. All practices saw an increase in overall uptake and an increase in prevalent attendance, therefore reversing the national ten year decline.

Positive outcomes from Facebook• Women who have previously

not attended their appointment have contacted us via Facebook.

• Through this communication their breast screening appointments have been rebooked and attended.

Challenges of social media• Extending our engagement reach to

challenging diverse areas, which have a low uptake for screening and do not engage with the Breast Screening Facebook page.

• Health literacy levels

• Breaking down barriers

Breast screening animation• This animation of

the breast screening pathway, is understandable to all health literacy levels and is also culturally sensitive. It has currently been viewed over 30k times.

• https://vimeo.com/241078206

What our followers say• “The quick response was very encouraging and I have now made an appointment for next

week. I also discussed this with my colleagues at work and shared your link with them to make them aware. Thanks again for you help.”

• “It got myself, my family and my friends chatting about screening and checking. I think ladies are more likely to check themselves after seeing social media or tv ad's etc nowadays. I think people are becoming more body aware.”

• “Really pleased to find a contact for queries regarding breast screening. I have had great difficulties in the past accessing breast screening due to BRAC+ status and having ovarian cancer. I am more than pleased that I can message someone and not have to go through switchboard trying to find a department. Thank you.”

• “By having a quick conversation it put my mind at rest about forthcoming appointments also felt better knowing that you answered quickly and professionally.”

Thank youwww.facebook.com/NorthMidlandsBreastScreeningService