Reflections on the (first) Digital Flu Clinic


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.

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Digital Flu Clinic

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?

Connected Christmas 2017

It’s that time of year. The time to think about making sure no one need be lonely at Christmas (or at any other time).

This year I want to do a number of things, principally, help bring a digital element to older people’s Christmas Parties, as I did here. I need partners and funding to make this happen. Please get in touch  if you can help.

But beyond that, I also want to develop a central hub for people who are offering food and companionship to those who would otherwise spend their Christmas alone. Here’s a great example of that http://www.independent.co.uk/news/uk/home-news/kebab-shop-feeding-homeless-elderly-turkey-christmas-day-birmingham-classic-fish-a7487946.html. Can we collect examples and pledges like this, and put them all in one place?

Come on, please get on board. This year, we can end loneliness at Christmas (yes, I know we can’t but that shouldn’t stop us trying).

 

 

 

Housing Vote 2017

This is the start of the Campaign to get Social Housing tenants in the UK to register to vote and to be enabled to make informed choices at the General Election on June 8th 2017.

Social Housing providers are prone to complain that Government doesn’t understand them, despite the resources they invest in lobbying. And yet, large proportions of their 4 million tenants don’t vote. Let’s change this. Tenants voting and making informed decisions has to be the way forward.

Please see my video below launching the Campaign, there will be more to follow on this. In the meantime, please contribute your ideas for the Campaign in the comments below to add to these ideas already raised:

  • Social Housing providers to close their offices on Election Day and to deploy staff in helping tenants to get to the Polling Stations;
  • Organising Housing Hustings in venues accessible to tenants (and live-streaming them for those who cannot attend);
  • Displaying information on how to register to vote in Housing Offices and on Housing Websites;
  • Displaying information on where Polling Stations are in Housing Offices and on Housing Websites:

Please share this post and the YouTube video below to get the Campaign going, and use the hashtag #housingvote17 on social media. I have also started a Patreon page at https://www.patreon.com/johnpopham to raise money for the Campaign and other things I do in the future.

Friendships not Transactions

I need to get this off my chest.

I couldn’t possibly count the number of times people have given me the excuse for not pursuing digital transformation that recipients of services would miss the personal touch. Indeed I am repeatedly told that, for many the regular interaction with their care worker / housing officer / other professional is their only human contact.

I have 2 responses to this argument.

The first is, why are we not making more use of technology to reduce isolation and increase human contact? First priority in this for me is to assist people to use social networking to make new friends who they can subsequently meet in person. Second priority is to connect people together online, whether it be via social media sites, or via video conferencing.

My second response is this. What has our society come to if the only personal contact people have is with those who are paid to deliver a service to them? This is not right and it should not be used as an excuse for holding back progress. I refer you back to my first response for how we should be dealing with this. Let’s help people make and maintain real friendships, not rely on perfunctory transactions for a semblance of human warmth.

Here’s Paro the robot seal which has proven really good at connecting with older people.

Connected Christmas… and Every Day

Loneliness and isolation are killers. There is increasing evidence of this. Indeed, research suggests that loneliness is more deadly than smoking 15 cigarettes a day or obesity. For the past 4 years, I have been working to address the situation by ensuring that older people can be introduced to new technologies in ways which are engaging and which demonstrate to them their usefulness to their lives, particularly how they can enable them to communicate with friends, family, professionals and support networks. And yes, I know that digital contact can be no substitute for face-to-face interaction, but, for people who have no interactions at all, it can certainly help them to build and maintain contacts that would not otherwise be available to them.

In an era when millions of us are keeping touch with our professional and personal networks online all the time, most of the people in greatest need of regular interaction are excluded from these benefits by their own lack of knowledge, unfounded fears, and the technophobia of the professionals who work with them. The work I have done over recent years with older people has clearly demonstrated that, if approached in the right way, their interest can be sparked, their fears can be overcome, and they can be guided on the path to regular online communication.

Every year at Christmas the media picks up on stories about people’s loneliness and isolation. Well, it’s quite a long time till Christmas 2017, but I am starting early on the road to making sure that by the time Christmas comes around, major inroads can be made to changing the situation of many lonely older people.

I am looking for partners to work with me on this strategy, and funders and sponsors able to help me make it happen. Much of what follows is recycled from an earlier post, which is still relevant, and which still forms the framework for my programme to end loneliness by digital means. This year it is going to happen. Contact me if you can contribute.

Digital Tea Parties

During the past four years I have run Digital Tea Parties in Leeds, TraffordWhitby, Calderdale, and London, and there are a number of others in the planning stage. Digital Tea Parties are a great way of introducing older people to new technologies in a non-threatening environment. They allow the focus to be put on human communications and individual and community interests, rather than shiny tech. They are a familiar environment, in trusted locations, and they offer opportunities for those with a degree of interest to take the lead in introducing their peers to new gadgets. It is important in my view not to try to force people to use technologies they are uncomfortable with at the outset. Seeing others like them having a go can overcome that “tech is not for people like me” prejudice that often acts as a barrier.

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Providing Connectivity

I have worked with partners to connect up a number of sheltered housing complexes, provide free wifi throughout and run a number of digital tea party-type sessions to kickstart residents’ use of new technologies.

Relevant Content

I am convinced that one of the barriers to new technology adoption is that older people struggle to find content that is of interest to them. And, in addition to this, I believe that activities such as slumping in front of the television actually contribute to older people’s social isolation by disengaging them from the world around them. Work at Digital Tea Parties, particularly the reaction to the pub crawl video at Urmston, convinced me that people need content to engage with that is directly relevant to them, as I expanded on here.

I am also seeking funding to run this Seaside Recollections project in which I would tour seaside locations guided in real-time by older people in pursuit of their memories of childhood holidays.

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Reminsences and recordings

I have conducted a number of video and audio interviews with older people. I believe this is an important thing to do for a number of reasons, namely;

  • it stimulates the older person’s memory
  • it breaks down some of the barriers to new technology adoption
  • it creates more content of interest to older people
  • it can change perceptions of older people by allowing them to present themselves as they were in their younger days
  • it contributes to project evaluation

Staff Digital Confidence

I am working on a number of initiatives to promote digital skills, confidence and fluency amongst staff working with older people. Funding has been very elusive for these, which is extremely disappointing, because I firmly believe that often staff act as gatekeepers, seeking to keep the older people away from technology because they are frightened of the consequences of letting them loose on it.

All of these are activities which can turn the tide in the battle to promote technology adoption among older people, and achieve the ultimate goal of breaking down loneliness and isolation. We need to roll these things out more widely and scale them up. If you can help, please let me know.

 

My vision for local, interactive, engaging TV

Merry Christmas. Just in case I don’t see you here again before the big day.

This is a vision. It won’t be popular with a lot of people. And even more will see it as impractical. But, nothing ventured, nothing gained…

I was an early adopter of Cable TV. In the early days of Cable TV in the UK we were promised community-oriented, local programming. It never materialised.

When Jeremy Hunt was Culture Secretary he proposed and funded local TV stations in a number of cities around the country. This would have been a great idea 15 years earlier when Cable TV was in its infancy in the UK. By the time it was introduced the internet, YouTube and cheap live streaming had happened. Jeremy Hunt’s local TV stations still exist, in large part, but they are hidebound by being tied to traditional production methods and expensive studio operations. This makes no sense at all in the second decade of the 21st Century. And those “local” TV stations cover the footprint of TV transmitters, which bear no relation to actual communities. They are far too big. Nobody relates to them.

In this decade there are a large number of people who make a living, some a very good living indeed, out of making YouTube videos. These tend to be “lifestyle”-oriented videos, largely aimed at young people.

My vision is of local, and I mean really local, internet-based “TV” operations using a mix of live and recorded video to keep people in touch with, and active in, their local communities. And these operations will be on the internet, using smartphones and cheap cameras to make their videos. As far as possible, they will encourage and train community members to produce and disseminate their own video content.

Legbourne Annual Fete 2012

I firmly believe that TV is one of the scourges of our age; encouraging people to be inactive, passive consumers of content, products, ideas and world views. For those who have fully embraced the world wide web it is truly an antidote to this, encouraging us to be more proactive, questioning, seeking out information, and creating content. And yes, I still believe this, despite the publicity about whether we all live in our own self-reinforcing social media bubble and about fake news. Making the video content people watch online, engaging, interactive, and relevant to their everyday lives could be transformative. I saw how people’s attention can be grabbed by material which is direct interest to them and their communities when I ran a Digital Christmas Party in Urmston.

This is a big ambition. But all good ideas start from a small base. Who wants to help me make it happen? Please get in touch.

Digital Inclusion – it’s about confidence and capacity; not training

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I’m just back from two great days in East Suffolk delivering digital inclusion sessions in Lowestoft and Felixstowe. These sessions were a pilot for East Suffolk Councils to find out what works before they roll out a wider digital inclusion programme for residents in the districts. I met some lovely people, and, as always I was learning perhaps as much as they were.

As you probably know now, I have a particular approach to digital inclusion which is based on the following principles:

  • Go to where people are, don’t wait for them to come to you;
  • Reasons for using the internet are different. Some can be harder to find than others;
  • No one voluntarily begins using the internet because they want to access Government services;
  • Most people use the internet for fun. The newcomer’s introduction should also be fun;
  • Show people what others do with the internet. They might want to join in;
  • Demonstrate that internet use is a part of “normal”, everyday life.

One thing of particular note which came out of this for me was that a number of people present at the sessions reported that they had had their introduction to new technologies soured by classroom training approaches that tried to teach them content irrelevant to their lives at a pace that left them behind. They found this experience intimidating, confusing, and boring. And it had taken them some time to re-find their interest. The feedback I had from my sessions suggested that they had now turned that corner and were on the road to making digital part of their lives. I think all of us who believe that digital inclusion is vital to people’s health and wellbeing need to raise our voices against all the wasted resources that go into classroom approaches. I am seeing increasing evidence not only that they don’t work, but that they are actually counter-productive.

My time in Suffolk further confirmed to me that the individual nature of each person’s reasons for digital exclusion means that individualised approaches are necessary, and that these approaches need to be patient and long-term. There is no quick fix. We have to remember that digital inclusion work of one kind or another has been going on for 15 years or more. Those who are still not on board are the most resistant, and probably have the most complex issues around why they are not online. These factors have to be unpacked and addressed, sometimes one-at-a-time. And one of the key components of this approach is that people have to be encouraged to love digital enough to want to keep at it, using digital devices and getting fluent with them. I have seen that it is very easy for people to slip back into exclusion if they don’t keep practicing. And they won’t keep practicing if they don’t like what they are doing.

Some of the other interesting issues which emerged from these sessions included:

  • the lady who refused to believe that the product we found on eBay was genuine because it was less than half the price she was used to paying for it in the shops. I think she was eventually convinced by my efforts to show her how to use buyers’ feedback to check whether the seller had a history of offering genuine products (they had almost 99% positive feedback). It is apparent that people who don’t use the internet don’t have a clue about how much money they could be saving if they researched products online;
  • numerous participants who had been subject to scam telephone calls claiming to be from Microsoft or “Windows” and offering to solve computing problems. One participant had actually gone through with the process, but fortunately his daughter had intervened and cancelled his debit card and wiped his laptop before he could lose any money. But even those who had not succumbed said things like “they were so convincing”, “what he said rang true because I had just been given a new computer”, and “but how did he get my number?”. There is a shocking lack of knowledge among digitally excluded people about how randomised computerised systems work. They don’t realise that it is perfectly possible for them to be chosen at complete random by a system that dials millions of numbers a day. They think there has to be a reason why they were chosen for the call. And they don’t understand that a stranger on the end of a phone line cannot possibly have any idea of the state of their computer;
  • quite a few of the participants didn’t have any close relatives alive. This meant that they hadn’t felt the need to learn to use the internet to communicate, they didn’t have family to show them the ropes, and they didn’t have anyone putting pressure on them to join in online conversations;
  • One of the characteristics that many digitally excluded seem to share is a lack of curiosity about life. This is a real barrier to overcome. It means both that they don’t welcome opportunities to learn new things, like how to use the internet, and it is hard to get them excited about the potential for access to the online world to open up new vistas and opportunities for them;
  • The pressures to use online services are getting to the point where some can no longer resist. This was certainly a factor for a number of participants. The trick, from my point of view, is to prevent these pressures from making internet use seem a chore, rather than a pleasure.

All these issues means that we have to stop trying to push people through systems designed around numbers of outputs, listen to their needs, wants and fears, and address them patiently and sympathetically.

Please get in touch if I can help you work with your clients to address similar issues

Dementia-Friendly Group Video-Conferencing?

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Last week I was working at the 2nd North Wales Dementia Meetup (#DementiaNWales). I will blog more about that when I get a chance, and there will be a lot of video content to catch up with soon. But, in the mean time…

I ran a couple of sessions about using technology to make life easier for people with Dementia. In one of the sessions there was an appeal to find a Dementia-friendly group video conferencing app so people can keep in touch with each other.

Personally, I think it must be the case that something suitable already exists. A few months ago I would have confidently said that I think Blab is the one. But then Blab was closed down.

So, is there one that exists, or do we need to invent it? Google Hangouts has been significantly simplified in recent months, but still, when I tried to use it with a group with low levels of digital skills, the majority struggled to access it. Another candidate is HouseParty, an app recently launched by the founders of the demised live streaming app, Meerkat.  Would either of these do the job? Or, of course, there is always Skype, tried and trusted to many now, and offering group video chat as a relatively recent development.

I’d be very interested in people’s views (please leave a comment below) on what the issues are for people with Dementia in accessing group video chat, and whether any of the apps I have suggested might do the job, or does the perfect tool need to be created?