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Elegant tech, for good How digital is changing how we care

Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

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Page 1: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Elegant tech, for goodHow digital is changing how we care

Page 2: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

WE BELIEVE IN

Page 3: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

United Kingdom Australia#

Surrey#Staffordshire#Wakefield#Bolton#Bristol#West Sussex#Wigan York#Islington #Barnet Homes#Somerset#Tameside Dorset#Essex#Camden

Municipal Association of Victoria#Family and Community Services, New South Wales

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7

TRANSFORMATIONALExplaination

TRANSACTIONAL

TWEAKS AND IMPROVEMENTS

Designing around humans and solving problems

Page 5: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

“ We Gov ”!!

We believe in the power of people!

Page 6: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

shift from public institutions to focusing on public value

Page 7: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

shift from thinking about command and control to focusing on creating relationships

Page 8: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

HACKING THE OLD AND BRINGING IN THE NEW

Page 9: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds
Page 10: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

WHY DESIGN?

Page 11: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

DESIGNING FOR A FUTURE THAT DOESN’T YET EXIST

Page 12: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

DISCOVER DEFINE DEVELOP DELIVER

Understanding user behaviour and needs through design research.

Develop insights & get a good understanding about the problem you want to focus.

Together with service users develop ideas and visualise them.

Build a prototype to get feedback from service users.

Page 13: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Design is an iterative process

Design

Prototype

Evaluate

Page 14: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Dominic Campbell@FutureGov

BRINGING A SILICON VALLEY STATE OF MIND TO SOCIAL CARE

Page 15: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

WHY CAN’T WE HAVE BOTH?

Page 16: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

UBERTAXI

UBERX

Iconic, Knowledgeable & versatile

Everyday cars for everyday use

Page 17: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

PRINCIPLES OF UBER

rate & review cashless & convenient transparent

disruptive

Page 18: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Designing for the needs of informal carers

Reinventing the definition of care

Bridging the gap between informal and

formal care

Our work in care

Page 19: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

1"

Safe Home for Life

ICT Establishment Plan

Page 20: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

A simple, secure network of front-line workers in your area

Connect, communicate, collaborate.

Page 21: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Reveal the hidden work

“Visible” Network

“Hidden” Network

Jill Jack

SianEllen

Teacher

Speech Therapist

GP

Others

Police officer

?

Client

Health Visitor

Social Worker

Child Protection

Nurse

By allowing Agents to connect to a client, Patchwork reveals who else is working with that client - information that can often take weeks to gather.

Page 22: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

What is Patchwork

A super charged contact directory: Find and contact existing clients, agents and agencies saving time and effort connecting with other practitioners across agencies.

Connect to clients and join their team: Quickly and easily connect to new clients to join the team around that client, making it easy to contact the entire team with one easy click of a button.

Track changes in relation to who is working with your clients and improve communication with their team.

Page 23: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Reveal hidden networksThe team of agents working with a client

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Client login

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MISS

Helpline

5 weeks, 6 Districts, 2 Services, 50+ interviews, 12 versions of wireframes, 3 working prototypes

Design approach for the prototypes

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FACS Caseworkers, team leaders and managers

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NGO caseworkers and Team Leaders

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Carers Simone & Natasha, kinship carer

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Parents Tyron & Khloe

Page 33: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Children and young people Luke, in care

Page 34: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

A platform approach

A series of elegantly designed tools fit for purpose, connected through open standards

Page 35: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

OpenRapidly extensible through open standards and accessible data

Focussed user experiencesNot one size fits all

FrictionlessIntegrated with existing workflows and systems

Collaborative and personalisedGiving equal control of data to professionals and clients

PortableDevice agnostic, universally available

A platform approach: Design principles

Page 36: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

A collaborative client recordSingle View & eBook

A collaborative client record showing the key information in a single space that helps everyone understand a child’s current and future needs, and their history

Page 37: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

A single record of a child

Different views for different people

Collaborate and connect

Choose your role

Key features

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The practitioner’s viewSingle View

Page 39: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Timeline - understand the child’s

current situation

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Child’s summary - updates are logged

Page 41: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

The child’s vieweBook

Page 42: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Timeline - a central place to capture the child’s story

Page 43: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

My documents - create a ‘digital suitcase’

Page 44: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

The benefits for children

• My story, my words• All my stuff in one place• Keeping in touch with my loved ones• System adapts over time to meet child’s needs

A tool for capturing my story

Page 45: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Leaving CareSupporting children’s transition to adulthood

An interactive tool for young people in out-of-home care which supports their transition into adulthood. It allows them to create their own care plan and show a personalised view of helpful resources.

Page 46: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Key features

Helps children understand their need

Find guidance Create their ownaction plan

Question 1

Question 2

Question 3

Page 47: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Create your own care plan

Page 48: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Understand your needs

Page 49: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Receive tailored guidance

Page 50: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Create a goal-oriented to-do list

Page 51: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

A platform approach

ChildStory Platform

Single sign-on

Seamless user experience

Single View eBook Contact Leaving care plan

Field assessment

Patchwork

Practitioners Families

Integrated data

Page 52: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

How can the council better meet the needs of informal

carers in Havering?

Designing for the needs of informal carers

Page 53: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

What we did

• Research with cross-section of carers (day in life, personas, user journeys), as well as service mapping with practitioners

• Defined the struggles carers face in their daily lives and with the social care system 

• Recommendations for tweaking existing service and 6 ideas for improving their user journey 

• In progress: At the start of project to prototype one of these ideas 

Discover Define Develop Deliver

Page 54: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

What we found

The day-to-day is overwhelming

Page 55: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

“Carers’ care is 24/7. There is no let up. Even on a good day getting enough sleep can be difficult, I often go to bed thinking about the challenges of the next day.”

Page 56: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

“I won’t leave her alone. I have to lock all the cupboards as I worry about her hurting herself.”

Page 57: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

“I miss the kiss goodnight. And I miss the normal things like holidays.”

Page 58: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

“I’m scared. He can get irritable, as he doesn’t like to be told what to do. He can get argumentative.”

Page 59: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

“There is no time for one’s self.”

Page 60: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

Service provision is actually pretty good, finding them and accessing

them is the real problem

What we found

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1. Don’t initially recognise they are a carer

A carer’s journey: navigating a broken system

Page 62: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person

A carer’s journey: navigating a broken system

Page 63: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

A carer’s journey: navigating a broken system

Page 64: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds 4. Exhausted and overwhelmed, they are then expected

to pro-actively seek help. They often have to fight for it

A carer’s journey: navigating a broken system

Page 65: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds 4. Exhausted and overwhelmed, they are then expected

to pro-actively seek help. They often have to fight for it 5. They are looking for empathy and understanding but

encounter bureaucracy

A carer’s journey: navigating a broken system

Page 66: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds 4. Exhausted and overwhelmed, they are then expected

to pro-actively seek help. They often have to fight for it 5. They are looking for empathy and understanding but

encounter bureaucracy 6. The whole process of finding and accessing support is

confusing, complicated and lengthy

A carer’s journey: navigating a broken system

Page 67: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds 4. Exhausted and overwhelmed, they are then expected

to pro-actively seek help. They often have to fight for it 5. They are looking for empathy and understanding but

encounter bureaucracy 6. The whole process of finding and accessing support is

confusing, complicated and lengthy 7. Then, if they do find the right service, they might not

qualify (means-tested) or it might not be provided at convenient time, location

A carer’s journey: navigating a broken system

Page 68: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

24 25 26Who cares? Understanding the needs of Informal Carers in Havering Who cares? Understanding the needs of Informal Carers in Havering Who cares? Understanding the needs of Informal Carers in Havering

A carer’s journey through the system: Summary of insights

Becoming a carer(usually an event or diagnosis)

Become aware of rights and

entitlements

Apply for the council’s help Personal assessment and support

application

Carers need their new role to be ‘named’.

1 3 52 4

Get information and advice on support

Carers need help to be pushed towards them, instead of having to ‘fight for it’.

Carers are exhausted. They need a clear and simple process for applying for support.

Introduction to other carers Arranging service provision Ongoing use of services

6 7 8Carers need opportunities to connect to other carers.

Carers need choice to find the right support for them.

Cheaper solutions are needed.Carers need to be made aware of their own rights and entitlements.

Introduction to services

Carers want staff to be knowledgable and empathic when they are looking for help.

Dominic Campbell
Dominic Campbell
Dominic Campbell
Page 69: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

32 33 34Who cares? Understanding the needs of Informal Carers in Havering Who cares? Understanding the needs of Informal Carers in Havering Who cares? Understanding the needs of Informal Carers in Havering

Improving the carer’s journey through the system

Ideas’ areas of impact

Becoming a carer

(usually an event or diagnosis)

‘Care Expert’ accessible at every GP practice ‘New Carer’s Box’

Become aware of rights and

entitlements

Introduction to services

After the diagnosis of a loved one, the GP suggests the carer talk to the in-house ‘Care Expert’. They reassure the carer, let them know what they can expect in the future, and help them to build a ‘plan of action’ for their next steps.

21č�viÜ�`>ÞÃ��>ÌiÀ]�>�¼ iÜ�>ÀiÀ½Ã��ݽ�>ÀÀ�ÛiÃ�>�`�explains the carer’s rights and entitlements. It also contains real stories from other carers who have...

‘New Carer’s Box’ (cont.) Access to personal information Help carers connect

Apply for the council’s help

Personal assessment and support application

Get information and advice

on support

Introduction to other carers

2 3 4After completing their self-assessment, the carer can view it online, track its progress and use the transcript of their needs for their benefits application.

In the meantime, the council suggests that the carer gets in touch with other carers via ‘Connecting Carers’ service at Care Point or online. Other carers share knowledge, advice and lend a sympathetic ear.

Find provision more easily Crowdfunding services from personal budgets

Arranging service provision Ongoing use of services

5The carer searches for providers and are presented with a list of providers who meet their criteria and have availability. They simply have to ping them a message and await their callback.

6The service the carer needs does not exist. They want an evening club for carers in their area. The carer joins together with other carers who want the same service, and they pool their personal budgets to commission the new service.

...been in a similar position, as well as how they can apply for support.

Dominic Campbell
Dominic Campbell
Dominic Campbell
Page 70: Elegant tech, for good technology for...1. Don’t initially recognise they are a carer 2. The focus initially is on the cared for person 3. They don't know what their future holds

45 46Who cares? Understanding the needs of Informal Carers in Havering Who cares? Understanding the needs of Informal Carers in Havering

6. Crowdfunding new services from personal budgets

How it works How it helps

Ideas for new services can be suggested by carers via access points like Care Point or even through a Kickstarter-style website. If the idea must be supported by a critical mass of carers, they can contribute and pool money from their personal budgets in order to fund the creation of the new service.The council approaches organisations who could provide the new service, finding a quote for provision.This could be match-funded by the Council. The Council can then work with the carers and providers to help develop the new service.

�>�Þ�V>ÀiÀÃ�iÝ«ÀiÃÃi`�Ì�>Ì�ÃiÀÛ�ViÃ�aren’t always provided at times and locations that are convenient to them. They also found that sometimes a popular service would be oversubscribed; or that it was good but for some reason didn’t quite fulfil their needs.

This idea allows councils to test whether a new idea for a service has enough support and is viable. The financial contribution from carers gives them a stake in deciding how the new service is designed and developed.

This is what we want!

We can provide that for £2500

Inspiration

Kickstarter is an online crowdfunding platform which facilitates funding for everything from films, games, and music to art, design, and technology.

Project creators set a funding goal and deadline. If people like a project, they can pledge money to make it happen. Funding on Kickstarter is all-or-nothing — projects must reach their funding goals to receive any money.

http://www.kickstarter.com

Groupon’s name comes from “group coupon” and describes just that; if a certain number of people sign up for the offer, then the deal becomes available to all.

Groupon measures demand for a service based on customer sign-up; spreading the cost between many people and minimising risk for the business providing the service.

http://www.groupon.co.uk/

Dominic Campbell
Dominic Campbell
Dominic Campbell
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How do we harness the latent capacity of the wider community

to play a role in care?

Reinventing the definition of care

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Home-cooked food from neighbours to neighbours

Casserole Club

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Casserole Club helps people share extra portions of home-cooked food with others in their area who might not always be able to cook for themselves. Like a local, community-led meals on wheels service, members serve up meals to their neighbours, getting more people cooking fresh food while strengthening local neighbourhood relationships with every bite.

What is Casserole?

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The background

50%

By 2020 over half the adult population will be aged 50+

26% Age UK suggests that people over 52 years who are isolated from family and friends, have a 26% higher death risk over a seven year period

3m

It’s estimated that 3 million in the UK suffer from malnutrition

£907m

There will be a £907m funding gap in Adult Social Care in 2018

£88m

Cost of delivery of meals on wheels

347, 533

Meals delivered weekly by meals on wheels

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Designing Casserole

Idea developed in partnership with Surrey Council

1

6-month pilot in Reigate & Banstead

6-month proof of concept in Tower Hamlets

1-year proof of concept and implementation in Barnet

2

3 4

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COMMUNITY ENGAGEMENT AND CUSTOMER SERVICE

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Cook signs up and completes criminal record check and food hygiene test

Local recruiters find Diners and help to sign them up

Cooks search for Local Diners, Casserole team help match

Matchmaking team approve matches between Cooks and Diners

Cook and diner arrange a date and time for meal share

Cook delivers tasty home cooked food to their Diner

How it works

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Who’s involved

Casserole HQ www.casseroleclub.com

Lead Organisation Lead Organiser Local Matchmaking Team

Recruiters/Partners Organisations

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What we’ve achieved

200Local Authorities

3 years longest running match

1300+Meals shared

6000+Cooks sign-up

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Cook sign-ups by Council area

Barnet

Tower Hamlets

Hackney

Lambeth

Islington

Wandsworth

London Boroughs

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What we’ve achieved

Live in

Staffordshire, Surrey, Barnet, Tower Hamlets, Tameside,Scotland and Melbourne (Australia)

Coming soon

Cheshire West and Chester

Cooks in over

Meals shared

1600+

Longest running match

3 years

Cooks sign-up

6000+

200 Local Authorities

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“It’s a great way of knitting the community together through food. Cooking once a week for Nora gives her daughter a break too as she knows her mother can get a meal on a Friday from me.” - Sophie, Cook

Sophie and Nora

Sophie has shared over 40 meals with 3 different Diners. Cooking for Nora once a week gives Nora’s daughter a night off from cooking for her mother. It also shows the wider impact Casserole can have on others involved in caring for older people.

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