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Digital skills to widen participation and increase health literacy
Bob Gann, Programme Director, Widening Digital Participation,
NHS England
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, location, age, ethnicity or any other characteristic
NHS England Mandate, 2013
NHS England commitments
Who’s online?
• 13% of population (7m
people) have never used
the internet
• And 11m people lack
basic digital skills
• Most are older and/or
have disabilities
• But older people are the
fastest growing group
getting online
ONS Internet Access Quarterly Update Q1
2014
One in six people are over 65.
People over 65 account for more than half of all NHS
spend, & are least likely to be online
One in four people have a long
term condition or disability . Long term conditions account
for 70% of all NHS spend. People with LTCs & disabilities
are three times more likely never to have used the internet
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 populations
Those who are disabled
Those living in rural and
remote areas
Digitally excluded make most
use of NHS & experience
greatest health inequality
Digital health literacy & health inequalities
• Half the population lack literacy & numeracy skills to use health
information effectively
• 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 inequalities: training citizens in basic
online skills to boost health literacy
Widening Digital Participation Programme
Contract with Tinder Foundation
Online training programme in basic digital skills for health
Digital health events & marketing campaign
Digital health information training network in 175 centres – public libraries, community centres, primary care, care homes
Performance in 2013-14
Digital health flagships
Innovative approaches working in local communities 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 communities
• Inspire in Hull – social isolation & mental health
• Heeley Trust in Sheffield – GP practices
• 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 Participation Award
Cooke e-Learning, Leicester showcased on YouTube
• Putting people in charge of their own health
• Harnessing new, transformational
technologies • Exploiting the potential of transparent data
• Maintaining & improving patient experience
• Enhancing quality of life for people with long term
conditions
• Tackling the dementia challenge
• Improving access & quality of care for less
advantaged groups
• Addressing health inequalities through
partnership working
Improving digital literacy can have a significant
impact on:
Tackling inequalities: reducing isolation &
loneliness Social isolation & loneliness is a public health challenge. Helping older people get online enables them to keep in touch with family & friends
Tackling inequalities: improving access & reducing stigma
People with some conditions & from some groups in society can face stigma 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
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 fantastic.”
Thank you
Please contact me if you would like to know more:
Email bob.gann@nhs.net
Twitter Bob_Gann
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