Digital Innovation is for Everyone – supporting digital inclusion across healthcare
- Winning idea
What is the challenge your project is going to address and how does it connect to the theme?
The Digital Exclusion Risk Index shows that both City and Hackney have pockets of very high risk for digital exclusion. In a recent Council it was found that:
· Half of Hackney residents aged 65 and over do not have internet access (53%)
· 34% of Hackney residents with a long-term illness or disability do not use the internet
· A third of Hackney residents in receipt of benefits do not have access to the internet (34%)
Homerton community and acute services are embracing digital innovations and clinicians report that digital innovations can have multiple benefits for patients but we cannot continue to develop and innovate new ways of working without addressing digital exclusion. Bringing a QI approach to this complex problem will enable us to define and test change ideas that are practical and inequality-focused, alongside the use of data and measurement so that no one is left behind as digital improvements are instigated and sustained.
What does your project aim to achieve?
The appointment of a project manager to lead this work will enable us to define the complex digital inequality issue for our patients, and identify some key change ideas that will make a practical difference.
Some of the changes we anticipate include:
- Staff supported with knowledge and information about digital exclusion
- General communications and engagement to raise the profile of this issue
- Regular training for all staff on this issue (including at induction)
- Digital exclusion champions: taking responsibility to speak up for issues
- Digital literacy of patients included in case history / initial assessment
- Increased knowledge of, and referral to digital support programmes for patients
- Patient voice listened to directly about these issues
- Data available re. health inequalities and digital improvements
- Possible partnership projects or grant applications with charitable organisation
- Participate in system-wide network
- Use knowledge and information to advocate for our patients in the system
How will the project be delivered?
This project will use QI methodology, alongside the Kings Fund Framework for tackling health inequalities. The framework outlines the necessity to tackle awareness, action and advocacy at different levels: self, patients, clinical teams, pathways and service groups, community and networks, and within systems.
Beginning with stakeholder and asset mapping, the project will move on to testing a series of change ideas using PDSA cycles.
The barriers to digital inclusion are well documented and researched.
They can be summarised in the following ways – all of which we will tackl with this project:
· Access – the ability to actually go online and connect to the internet
· Skills – to be able to use the internet
· Motivation – knowing the reasons why using the internet is a good thing
· Trust – a fear of crime or data sharing
The NHS QI sustainability model will be used to ensure any changes are sustainable.
How is your project going to share learning?
The issue of digital inequality has resonance for clinicians working across the health and care system. We hope that we will be able to share learning about our process and approach, our use of data and measurement for improvement, and our practical solutions to address the issues.
We will share learning across our organisation through Quality Improvement forums, our Digital Programme Board and service level clinical networks.
We will share learning at a local level across our Integrated Care Partnership City and Hackney through membership of the Health Inequalities Steering Group, Digital Inclusion Network and other local forums.
We will also share learning more widely through social media, presentations and conferences across Quality Improvement and Clinical Networks.
How you can contribute
- Shared learning from similar projects
- Networking and awareness of other charities / organisations / groups
- Connecting with other Q Community members
- Sharing useful resources
- Supporting us to promote our work and encourage others to support
|14 Jun 2022||Funding announced - starts|
|1 Sep 2022||Recruitment complete and project manager in post|
|31 Oct 2022||Scoping and baseline measurement / stakeholder initial engagement complete|
|1 Nov 2022||PDSA cycles and tests of change|
|1 Feb 2023||Reflection and analysis|
|31 Mar 2023||Project complete with recommendations for future work and sustainability|