This is a piece of work I did a little while ago working with Locorum, a West Yorkshire-based social enterprise which exists to help health and care services adapt to the needs of under-represented groups. Locorum were commissioned by Calderdale Clinical Commissioning Group to undertake a survey of care needs among older Asian people and then to take the results of the survey and interview people about its findings.
Comments we received about this confirmed my views about the importance of this kind of storytelling. There were a couple of interesting points that came out in discussion about it.
Firstly, the video brought out a number of nuanced views that could not have been gained from a survey. Surveys are OK for capturing statistics, but they don’t get to the “yes, but” views. The issues we were canvassing people’s views on were often complex and the way the interviewees addressed them help very much in shaping responses.
Secondly, I believe it is important to capture people saying what might be quite difficult things to say in public. There is a received wisdom that South Asian communities are highly resistant to letting professional carers into their family relationships, and, if we had just relied on the results of the survey, that is probably the message that would have come through. But the interviews revealed that, because of changes in society, that view is changing. Families are struggling to provide the necessary care in some cases, and they are reluctantly coming to accept that outside help is necessary. But it is acceptable only on certain terms, which include the need for cultural sensitivity, and that it needs to accept that the family is the principal means of care and thus professional care is there to fill in the gaps and must step back when asked to do so.
I’d love to help as many people as possible to use this kind of storytelling in their work. If I can help you, please get in touch.
So, yesterday was the Digital Flu clinic at Seascale Health Centre, in West Cumbria. 392 people came through the centre during the day to get their annual flu jabs. 40 of these signed up to access their health records online for the first time, and 20 or so of them came to see me to get advice on their digital lives.
And there is the rub, and it’s why we were doing this really. Getting nearly 400 people in one place on one day is a rare opportunity in such a sparsely populated part of the country. The fact that such a small proportion of them wanted advice on digital issues shows the scale of the challenge. And it was not because they were sorted for that kind of thing. I engaged a lot of people in conversation about use of the internet. The vast majority of them said things like “I don’t do the internet”, or “I am not interested in that kind of thing”. They were mainly older people, and most of them live in areas where both landline and mobile signals are poor. This is a combination of factors which combines to produce a lack of awareness of the benefits of being online. And, in the cases where connectivity is poor, even if they are willing, they probably won’t be able to pursue their interest.
But, we always knew this was not going to be easy. This event is the start of a process. The surgery wants to interact with people online, to help people manage their health through apps and online processes, and to cut down social isolation by connecting people together. I also met with Councillor Keith Hitchen who talked about the frustrations of carers having to travel long distances to meet and attend events. The traveling cuts into the respite time they have, and they often have to miss large parts of events because of the time it takes to get to and from the venue. Online events and other interactions would be so valuable in these instances.
So, there are a number of strands we will be pursuing in the coming weeks, including looking at ways of tackling connectivity issues, working out the most cost-effective ways of ensuring that people can get independent advice on their digital needs, and working with local organisations to upskill them in areas such as video-conferencing and streaming meetings.
I’ll leave the last word to the couple I talked to about their use of FaceTime. “Do you use it to talk to family abroad?” I asked them. “Yes, only last night we used it to see our newly-born 6th grandchild in Toronto” they said. Don’t you dare try to tell me (or them) that new technologies are de-humanising.
This Saturday (7th October) I will be undertaking what I think is another first, a Digital Flu Clinic. What’s that, I hear you ask?
Well, I’ll be working with Seascale Health Centre in Cumbria to provide digital advice to the people who come to the Flu Clinic there this weekend. Like most parts of the health infrastructure, the Health Centre is keen to encourage its patients to take up online health services and use health apps. Many of its patients are older, and that applies particularly to those who are eligible for annual flu jabs. These patients are less likely to be using online services, particularly as broadband and mobile connectivity are poor in the area.
Seascale Health Centre covers an area of some 350 square miles which has a population only of around 5,500. 450 people are booked into the Flu Clinic, so this is a rare opportunity in such a sparsely populated area to get such a large group of people together in one place. And it is an added bonus that most of the 450 will be older people.
I am really looking forward to helping people to get to grips with the issues holding back their digital lives. Solving those issues will have much wider benefits in their lives than simply interacting with health services. I also think we have hit upon a concept that could be replicated elsewhere. Who else is up for a Digital Flu Clinic?