Embed Size (px)
Citation preview
Widening Digital Participation
Jonathan Berry NHS EnglandBob 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
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)
