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Elegant tech, for goodHow digital is changing how we care
WE BELIEVE IN
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
7
TRANSFORMATIONALExplaination
TRANSACTIONAL
TWEAKS AND IMPROVEMENTS
Designing around humans and solving problems
“ We Gov ”!!
We believe in the power of people!
shift from public institutions to focusing on public value
shift from thinking about command and control to focusing on creating relationships
HACKING THE OLD AND BRINGING IN THE NEW
WHY DESIGN?
DESIGNING FOR A FUTURE THAT DOESN’T YET EXIST
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.
Design is an iterative process
Design
Prototype
Evaluate
Dominic Campbell@FutureGov
BRINGING A SILICON VALLEY STATE OF MIND TO SOCIAL CARE
WHY CAN’T WE HAVE BOTH?
UBERTAXI
UBERX
Iconic, Knowledgeable & versatile
Everyday cars for everyday use
PRINCIPLES OF UBER
rate & review cashless & convenient transparent
disruptive
Designing for the needs of informal carers
Reinventing the definition of care
Bridging the gap between informal and
formal care
Our work in care
1"
Safe Home for Life
ICT Establishment Plan
A simple, secure network of front-line workers in your area
Connect, communicate, collaborate.
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.
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.
Reveal hidden networksThe team of agents working with a client
Client login
MISS
Helpline
5 weeks, 6 Districts, 2 Services, 50+ interviews, 12 versions of wireframes, 3 working prototypes
Design approach for the prototypes
FACS Caseworkers, team leaders and managers
NGO caseworkers and Team Leaders
Carers Simone & Natasha, kinship carer
Parents Tyron & Khloe
Children and young people Luke, in care
A platform approach
A series of elegantly designed tools fit for purpose, connected through open standards
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
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
A single record of a child
Different views for different people
Collaborate and connect
Choose your role
Key features
The practitioner’s viewSingle View
Timeline - understand the child’s
current situation
Child’s summary - updates are logged
The child’s vieweBook
Timeline - a central place to capture the child’s story
My documents - create a ‘digital suitcase’
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
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.
Key features
Helps children understand their need
Find guidance Create their ownaction plan
Question 1
Question 2
Question 3
Create your own care plan
Understand your needs
Receive tailored guidance
Create a goal-oriented to-do list
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
How can the council better meet the needs of informal
carers in Havering?
Designing for the needs of informal carers
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
What we found
The day-to-day is overwhelming
“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.”
“I won’t leave her alone. I have to lock all the cupboards as I worry about her hurting herself.”
“I miss the kiss goodnight. And I miss the normal things like holidays.”
“I’m scared. He can get irritable, as he doesn’t like to be told what to do. He can get argumentative.”
“There is no time for one’s self.”
Service provision is actually pretty good, finding them and accessing
them is the real problem
What we found
1. Don’t initially recognise they are a carer
A carer’s journey: navigating a broken system
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
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
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
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
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
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
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.
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.
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/
How do we harness the latent capacity of the wider community
to play a role in care?
Reinventing the definition of care
Home-cooked food from neighbours to neighbours
Casserole Club
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?
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
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
COMMUNITY ENGAGEMENT AND CUSTOMER SERVICE
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
Who’s involved
Casserole HQ www.casseroleclub.com
Lead Organisation Lead Organiser Local Matchmaking Team
Recruiters/Partners Organisations
What we’ve achieved
200Local Authorities
3 years longest running match
1300+Meals shared
6000+Cooks sign-up
Cook sign-ups by Council area
Barnet
Tower Hamlets
Hackney
Lambeth
Islington
Wandsworth
London Boroughs
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
“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.
THE WORLD CAN’T WAIT FOR GOVERNMENT
WEAREFUTUREGOV.COM [email protected]
Thank you