NHS App engagement with Healthwatch Bromley

NHS App engagement with Healthwatch Bromley

A pleasure to contribute at the recent Healthwatch Bromley engagement about the NHS App and MyChart. Joined by colleagues from SEL ICB, King’s College Hospital, and Bromley Trading Standards at the Penge East Community Centre, it was an opportunity to bring different strands together to understand how to manage your health online.

For too long, I’ve raised the issue of the focus being so much on the NHS App, as opposed to supporting people to manage their health and health information online more broadly.

This makes it harder for people to differentiate between managing primary and hospital care, and to understand why there are multiple apps to do so. Every challenge gets compounded into an issue with the NHS App, rather than a data-sharing or system integration issue.

While this distinction is broadly irrelevant to someone who just wants to get things done, it’s crucial to bear in mind — whether troubleshooting a technical issue or encouraging people to use the features that will actually be useful to them, rather than focusing on what can’t be done.

Many of the issues people face are more about how they interact with technology, how their accounts were set up, or being rushed into doing something without the time to explore it for themselves. This includes things like swapping between apps to get a 2FA code, the fact that many households share a single email address, or being locked out of accounts — all the stuff that happens before they even get to use the app.

It’s a good reminder to the digital inclusion sector that the support we provide is often about these foundational skills, and that we need to work on encouraging people and being easy on simple mistakes. This is best illustrated by showing that this stuff goes wrong for all of us — it certainly does for me.

Community-based support is integral to the adoption of systems like the NHS App. These “bits between the bits” aren’t observed or necessarily covered by the NHS App, MyChart, or any other support desk — so truly supporting the VCS, and understanding what they do, is a must.

Kudos to Orla and the rest of the team at Healthwatch Bromley for shining a light on some of this, and for namechecking us in their recent report.

Deepening our understanding of Tech Facilitated Abuse

Deepening our understanding of Tech Facilitated Abuse

As part of our Community Resilience and Online Safety programme we recently facilitated a training and awareness event at Croydon Central Library exploring how technology is increasingly used to control, harass or intimidate people.

Whether this is tracking partners via mobile phones, surveillance through webcams and other devices, coercive behaviours and cyber bullying; it’s an increasingly prevalent subject.

The statistics are stark with 13% of women experiencing online abuse see it progress to the real world and a staggering 46% of people under the age of 30 report being tracked by a partner without their consent.

Knowing what to do to be safer online and be aware of where there are risks is crucial.

We were joined by the MET Cyber Protect Team and Bromley & Croydon Women’s Aid as part of our VCS training programme to understand the extent of the problem and what technical measures we can put in place,

We also explored tools from the Cyber Helpline as well as the fantastic Kulpa app to support the gathering of evidence and submitting.

In parallel we had a programme if micro-workshops lead by our Digital Ambassadors Jody Micallef and Joshua Russell who took us through how to secure Facebook privacy settings and the rise of AI and Image based Sexual Abuse (IBSA).

We have been supporting people who have been hacked or scammed for some time now and there is huge challenge in re-building (or building from scratch) the confidence to re-engage with the web and services we need to access to ‘be included’.

We feel very strongly about this working full time with the digital inclusion space and where we have seen this intersect is a reality that those without the confidence of ability seek the right technical help or be able to manage privacy settings will not only be more at risk but will experience exponentially worsening outcomes.

Our next two training session will take place in Brixton later this month at WeAre336

Places still available here

 

Presenting our volunteer model at the Get Online London Meet Up

Presenting our volunteer model at the Get Online London Meet Up

We were invited to the recent Get Online London Meet Up hosted by the Good Things Foundation to discuss our approach to Digital Champion and training.

We focused on our three keys areas that include:

Supporting Peer Volunteers:

The notion that those needing digital support will often respond better to someone who knows a little bit more and has lived their experience. ‘Experts’ can also be intimidating and tend to ‘take over’. A peer volunteer is on their own digital inclusion journey and supporting  others with challenges they have just overcome is hugely empowering and develops troubleshooting skills.

Building work placed skills and community resilience:

Supporting others hones keys skills around active listening, giving clear instructions and translating new concepts. These are exactly the type of skills required in thr working place and cannot always be taught – you need  space to practice this!

Creating opportunities for Digital Ambassadors

We’ve aways thought that digital support could be enhanced though intergenerational work and but providing work experience and placement opportunities we have finally found a format where there is genuine exchange of experience between generations that can also lead to unexpected positive outcomes

We grown from 3 to 32 volunteers in the last 4 years and have reached and similar amount through our volunteer training whilst supporting other organizations.

This is just the beginning!

Bridging the Digital Divide: Reflections from Our Creative Collaboration with Upper Norwood Library Hub

Bridging the Digital Divide: Reflections from Our Creative Collaboration with Upper Norwood Library Hub

We’ve always felt deeply connected to our local community, and our work with the Upper Norwood Library Hub has been a cornerstone of that connection right from the start. As a local employer, we see ourselves as an integral part of the vibrant “business community” here. So, when the Library Hub invited us to participate in their Creative Communities project – an initiative designed to encourage local residents to express their thoughts and feelings about their community through art – we were immediately intrigued.

Initially, we pondered our approach. We aren’t a traditional community group, but we firmly believe in our role as connectors, providing access to the vital services and support that people need. It was from this perspective that we landed on the powerful concept of “Equity in Digital Inclusion.”

Over three engaging sessions, facilitated brilliantly by Tony Cealy and the talented @asmaeatsart, participants delved into some crucial questions about what it truly means to be digitally included in 2025:

  • What does digital inclusion look like in today’s world?
  • How does it impact you and our wider community?
  • What does it really mean to be ‘connected’ in this digital age?
  • How do you envision technology influencing the world around us?

The results of these explorations were nothing short of amazing. The artistic expressions that emerged were thought-provoking and deeply insightful. The subjects tackled ranged from the pervasive influence of Artificial Intelligence in our lives to the often-felt isolation between different generations navigating technology. Participants eloquently explored where “we” fit within this rapidly evolving digital landscape.

This collaboration with the Upper Norwood Library Hub has not only been a fantastic opportunity to engage with our community in a new and creative way, but it has also reinforced the critical importance of addressing digital equity. It’s a conversation that needs to continue, and we’re proud to have played a part in sparking these vital reflections.

 

Draw upon the specialism of the voluntary sector to deepen digital inclusion

Draw upon the specialism of the voluntary sector to deepen digital inclusion

Schemes such as #GetOnlineLondon are a great resource to draw on if they can make access to devices easier and keep awareness in the public eye. However. it decorates a mere wall within the House of Digital Inclusion.

The work of the VCS on the ground, brokering the relationships, building trust and delivering when other projects come to an end (and the shiny tinsel falls from the tree) must both be recognised for the tireless energy piecing things together and, importantly, for the insight gained during and post lockdown.

The rich pool of specialism they provide should be informing the next phase of any London-wide (if not nation-wide) resource or asset. Our experience of working with ‘Big Name’ organizations during lockdown was often one of incomplete delivery and difficult processes.

The stories of donations were great but often the cost of these (in terms of the operation, the setting up and the sending back of items) was higher than if we can funded the data and devices ourselves.

Lessons had to be learned and continue so.

For me it’s a missed opportunity that the VCS leaders throughout COVID in London are not instrumental in the set up, and distribution side of Get Online London. The insights gained by organizations such as Community Tech Aid, CatBytes and Power2Connect could and should be harnessed to make the acquisition, set up and distribution of devices effective and hyper-locally relevant.

These are the types of organization that will fulfil referrals or set up an inappropriate device when the larger schemes can deliver on the ground.

Speak to organizations such as Millennium about how to ignite hordes of younger people hungry to learn coding and inspire the generations moving forward and to learn from hyper specialists such as Paul Clayton and Alex Barker about assistive technology, appropriate device set up and independence for disabled residents.

This is not a grumble, but just a reminder to everyone that there isn’t an end point here, we must and can learn, share and develop from each other – but to do so we must do so!

Digital inclusion can be about a transition or a step up in a supportive way

Digital inclusion can be about a transition or a step up in a supportive way

Following a recent podcast with Emma Weston, CEO of Digital Unite, I was inspired to craft the following words about where I think the true work is within the digital inclusion space and challenges in the workspace but not having assumed digital skills.

Digital Inclusion may feel like an impossible stairway to climb and difficult to make THAT ‘dent’ if you are trying to fix, bridge or solve it. And there is the flaw!

If we embrace that ‘digital’ is entwined and integrated we have a good starting point to choose the area for our work and what makes the most difference to the people needing support.

Our area is working with what is commonly known as the MOST EXCLUDED, a terrible term for people that often haven’t had the right environment, may have ‘missed a step’, given the wrong or no resources, have never been taught, never been shown whilst interacting in an environment that is only ever 80% complete, constantly changes, poor interface design, doesn’t actually link up, buffers and then stops or there is an error 404 page. None of this is actually a failing with the person and more a failure of delivery and environment, yet the impact is huge especially if we are looking to improve work opportunities for long term unemployed, homebound residents and the disabled.

Clearly, I’m simplifying and amplifying, and maybe ruffling a few feathers, but sometimes if feels as if we are asking someone who doesn’t drive to get into a car, with no dashboard, half a cup of fuel, no map and expecting them to get to Timbuktoo and then if they to not achieve this within an allocated time, penalise them. (Anyone who has spent even 10 minutes trying to assist a person with no smart phone and no email to apply for a rebate or regain access to Universal Credit may recognise this scenario)

It does feel sometimes that by looking at the big picture skims over the real needs of people and we may then miss the smaller opportunities and interventions which actually provide a ‘win’ for the person and can create a change. If people ‘succeed’ they are more likely to try again. The environment and method of support is equal to the ‘tech’ here or the hard learning.

In the workplace there is an extra dynamic; we become ‘business users’ whilst overlooking the fact that we are all ‘end users’ as well and we may not applying the same attention and support to our colleagues as we may the people we are working with.

Many skills we now have to adopt within the workplace are assumed and not trained in. If you have been out of work for the last 5 years for whatever reason and you come back into the office the jump from using say an old desktop version of Office 2007 to having to use web-based word is huge.

This jump can be enough to make someone feel really anxious and you may internalise a feeling of inadequacy, losing confidence which in turn will affect your ability to do your job. If someone has other support needs this may be amplified further.

Not having the assumed digital skills in the workplace can impact you directly in the pocket as well.

True story, take the zero hour contract delivery driver we supported trying to get some hours in the weeks before Christmas. Beyond the odd day here and there, hadn’t worked for 10 years due to caring duties and had to borrow a smartphone in order to log in and bid for jobs, reply and respond to other drivers so he could cover shifts (the best way to build up hours for a new driver). He had to learn how to use both google maps as well as their proprietary system whilst driving on the job.

At the end of the week, he had to log hours and submit invoices through this mobile phone, whether he had worked or not

In trying to support his person, I estimated that he was spending an average of 3 hours per week on digital admin just to do the job, yet this wasn’t classified as paid time. The only support he had was via a chat bot in the app that he wasn’t shown how to use or even told of its existence. By the time he came to us he was already at his wits end and was a final push.

With time, practice and patience he should have been able to reduce this to a minimal overhead of effort yet didn’t survive the probation. The pressure he felt by constantly doing it wrong or being late had its toll on his overall confidence and mental health.

The lack of digital support by this company is arguably discriminatory, but what if some peer support had been available? What if he had been able to sit with a cup of tea and go over the features of the app and practice using it with another driver – not a volunteer but someone recognised for their time. Surely a better investment than the HR costs of recruiting and letting someone go.

Digital inclusion isn’t simply about being able to or not, being included or excluded. In many cases it is about a transition or a step up in a supportive way.

This may not fix the digital divide but it may certainly help someone out of a fix!