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How technology can improve advice services

By Patrick Nash

We all want access to help and advice, and we all want it in the simplest and easiest form. Providing the right advice in the right place, at the right time, is a challenge for many organisations, especially when it comes to legal advice. The law is complicated and explaining legal jargon in plain English can be time-consuming and costly for organisations if repeated enquiries are being handled by employees.

Smart use of technology can help make advice services more accessible while reducing costs for the organisations providing it.

It’s worth stating that I’m not talking about a complete transition to exclusively digital advice services. Digital channels should complement traditional channels rather than replacing them completely. Providing digital-only services can be as negative as no digital at all in many situations.

However, there are many examples that demonstrate how the use of technology can engage with and advise more users, while allowing human operatives to focus on the most complex enquiries.

So how does it all work?

Using technology to boost your advice provision is about using a variety of platforms to connect with your service users in the right place, at the right time, when they most need your help.

Below, I’ve identified some cases in which organisations have incorporated technology as part of their advice provision, and how it has benefited them.

Sussex Police Force

Along with most other forces across the UK, Sussex Police Force has been subjected to cuts and therefore had to review its financial structures and identify ways in which it can reduce costs.

It had identified that the ‘101’ non-emergency call centre – designed to take calls for minor incidents such as reporting small traffic collisions – was taking an increasing amount of calls.

Further, those calls were often found to be from members of the public requesting general information and advice, rather than using the phone line for its primary purpose.

As a result, the force invested in a digital information response service to lighten the load on those answering calls to the ‘101’ line and free up time to focus on those callers that require most assistance.

The resulting website, powered by Connect Assist, now offers users an online Help Centre which includes answers to common questions. The site is simple and easy to use, and contains a cutting edge knowledge base.

The new service – along with an instant messaging service where users can discuss enquiries with operators – increased the amount of visitors to the website and also allowed police officers to focus on calls that require their unique skills.

Health for Work

The Health for Work Adviceline is a Department of Work and Pensions funded service, providing small businesses with the expert advice and support they need to help employees experiencing ill health and other occupational health issues.

It had a requirement to cut costs and develop a sustainable funding model, while delivering a high quality service to those who often feel unable to access professional occupational health advice due to the small size of their business.

To meet these expectations, Connect Assist put in place a digital advice service with a range of options available, from web self-service through to telephone enquiries.  Call handlers manage a tiered process and handle enquiries across web-chat, ‘ask a question’ – an online Q&A form – phone and email. This tiered solution enables the rapid identification of the user’s needs, ensuring that more serious incidents are escalated to a second-tier service provided by occupational health nurses.

Interestingly, the occupational health nurses, while initially sceptical, were very quickly delighted that the vast majority of the calls require their level of skill and experience (which had not been the case previously).

In a year Health for Work saw a 20-fold increase in enquiries which were handled at 30% of the cost of the previous service – a staggering result which secured funding going forward.

To summarise, for organisations that offer advice services there are clear benefits to incorporating digital services into your delivery model.  While often success is about being able to help more people at a lower overall cost, there are a number of other benefits as well.  Our experience is that many people prefer to contact a digital advice service, as they feel more in control and benefit from a clearer sense of empowerment.  Furthermore, advice staff report preferring a high proportion of calls or cases being of a more complex nature, rather than routinely answering basic enquiries.

 

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How can the NHS improve its digital service delivery?

By Patrick Nash

Following the NHS’ critical report into its own digital service delivery, I suggest the ways in which it could improve services, while keeping costs down.   

An NHS commissioned report has found that investment in digital services could release funds of up to £3billion, while improving the standard of services offered to patients.

The Digital First report suggests that there is a compelling business case for an update of the online services offered by the NHS as:

-    92 per cent of the British population have a mobile phone

-    79 per cent of the British population are online

-    25 million people visit over 500 different websites offering advice on health and wellbeing.

The report proposes that by fully implementing ten initiatives – which I have scaled down to five bite-sized suggestions – the NHS can enhance their service delivery, while saving a considerable sum of money that could be invested elsewhere to plug the reported £20billion service gap.

Online

Visitors to the NHS’ website can already self-assess minor ailments using the Symptom Checker service. However there is currently no ‘webchat’ facility and patients cannot book appointments with their GP online or log on to collect test results – all of which could be implemented fairly simply.

Using webchat, an advisor can manage multiple enquiries at once via an instant messenger type system. This approach is used in some areas of healthcare – for instance NHS Direct provides a webchat facility for a part of its online assessment service – but it could be used far widely.

Mobile

For smartphone users, apps could be developed to help patients identify symptoms and access personal medical records – although variations would be necessary due to the differences in specifications of phone models.

For all other users, simply automated texts could be sent out to confirm a patient’s appointment and to remind them shortly before an appointment. This could help to avoid ‘did not attends’, an issue that costs the NHS huge sums of money every year.

Partner syndication

This would involve placing NHS content on digital channels outside the NHS central hub and allowing people to access services wherever they choose, rather than just where they want to provide them. This benefits users by extending reach and providing them with high value contact with an organisation that is able to support them on their query.

Telephone

The telephone is still the most popular method of communication in the UK, with a landline for one in every two people in the country. However, after face- to-face contact, phone-based services can be some of the most expensive and time-consuming channels for support.

Yet, with 30 per cent of over 65 year olds without a mobile phone, and with older people representing a large portion of the NHS’ patients, traditional methods of service delivery must still be acknowledged.

Therefore, with services such as Interactive Voice Response (IVR), callers can be directed to the correct department without the need for operator action. IVR presents a caller with a menu of options, responding either to voice commands or button presses.

Social media

Social media, such as Facebook and Twitter, is rapidly becoming one of the main ways that people communicate, with two fifths of people’s time on a computer spent doing just that.

One in three people are now using social networking sites for health-related issues, however they are opting to obtain medical information from community or patient sites instead of those set up by healthcare organisations. Over 70 per cent of people want more assistance from the healthcare providers via social media, a demand that could be addressed fairly simply.

Next Steps

By putting these digital initiatives into place the NHS could save billions of pounds by focussing its operatives on those who need help most. It could reduce the money lost on people failing to attend their appointments with cheap reminder messages, and allow more people to self-prescribe minor aliments with assistance online – saving GPs’ time to focus on those more in need.

Having assisted a number of public sector organisations in their digital service delivery – such as Sussex Police and the NHS Plus’ Health for Work – we know there are a number of benefits to investing in your online service delivery such as reduced overall costs, and increased user-satisfaction.

However, these improvements must be seen in the context of a wider service delivery that still boasts first-class service overall.

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How digital technology can engage hard-to-reach groups

By Patrick Nash

‘Hard-to-reach’ is a term that describes those sections of the community that are difficult to involve in public participation and to engage with services.

It can include people with a mental ill health diagnosis, such as low mood and depression or anxiety, those who misuse substances and people for whom English is not their first language.

When it comes to delivering services to hard-to-reach individuals, common barriers include intimidating environments or staff, access and transport difficulties, and inflexible service hours or appointment systems.

Charities need to concentrate on removing these barriers where possible, as it is generally those hardest to reach that require the most support. However, the overall demand for charity services is increasing, against a backdrop of falling income.

So how can digital technology help engage the hard-to-reach when cashflow is at its tightest?

Our top tips are designed to help charities focus their attention on hard-to-reach groups, while maintaining high performance levels and keeping costs low.

Be accessible

Providing people with different platforms where they can seek and gain help is essential. Not everybody is willing, or feels comfortable enough, to pick up the phone and talk to another human being. Therefore, charities and social enterprises should offer information and support though other avenues such as websites, social media and live chat. Wherever possible, this also includes being available for as many hours of the day as possible, as peoples need for support is not limited from 9am to 5pm on weekdays. Allowing users to self-serve through your website, perhaps even on their mobiles is one way of extending hours of service to deliver around the clock without any increase in cost.

Be proactive

As a result of constraints such a lack of funding or staff, many charities are focused on delivering services reactively. However, one fairly cost-effective method of being more proactive is monitoring online activity, including social media platforms such as Twitter and Facebook, and seeking out those looking for help, and offering them tailored support. Simply setting up a search for a hashtag or key word could be the start of changing somebody’s life.

Keep it simple

Currently, according to 21st Century Challenges, 10 million people in the UK have never used the internet, and of those people, 4 million are the most socially and economically disadvantaged in the country. The Government Digital Service is currently tackling this issue, and charities need to ensure their websites are ready, when these groups of people get online.

By building a web presence that is both informative, but simplistic in design, charities can accommodate all users no matter how web savvy. It can be easy to fall into the trap of producing expensive, flashy ‘over designed’ webpages that do not actually offer the support services they were created for. Beware of that, and keep your website clean and easy to navigate, and remember to conduct regular user testing.

Digital service delivery can be part of a charity’s portfolio of how it delivers services to people. It won’t suit every service user – but where it is used by those that prefer digital channels, it takes the pressure off other channels such as face to face and telephone servicesand allows staff to focus their attention on the people that need it most.

Be prepared to invest

Using digital technology to target hard-to-reach groups requires upfront investment. Systems such as RightNow offer social media monitoring, data collection, data feedback and marketing. Though there is always an outlay involved in implementing systems of this sort, if it is done well it can easily be eclipsed by the gains. This can help charities ensure that their staff spend more time supporting service users who need it most. We have helped many of our clients improve service delivery while driving down costs using this sophisticated contact management software. Crucially, it opens up many new ways of reaching and supporting potential users.

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British Red Cross Uses Facebook As Part Of Its First- Aid Campaign

To mark the launch of the Life. Live It campaign which focuses on issues such as alcohol, drugs, self-harm and traffic accidents, the British Red Cross last week encouraged young people to view a house party live on their Facebook page. Inviting 150 young people to attend the real life party which was being filmed and streamed online, the event takes a turn when an actor collapses and another actor puts the young girl in the recover position. Paramedics, who were in fact actors, appear and takes the girl to hospital.

The purpose of this event was to show the first-aid skills that are necessary when faced with this kind of situation and to convey this in a way that is relatable for teenagers. To gain the maximum number of viewers, in the weeks leading up to the event the charity used Facebook advertising which appeared 6,368,854 times on the profiles of 13-18 year olds. This campaign was incredibly successful with almost 17,000 people discussing it on Facebook during the event. As a result of the success of this campaign, the footage will be part of a teaching resource that will be sent to every secondary school in the UK.

 Fiona Smith of the British Red Cross said:

“This is a truly innovative way of communicating first aid to a youth audience. We asked young people what they wanted to know and what was relevant to their lives, and responded to that. By communicating directly with teenagers and working with schools, we want to build a generation of young people who have the confidence to act to save lives.”

http://www.thirdsector.co.uk/Communications/article/1142002/british-red-cross/

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Social Media Sounded Out For Advice

Monday 18th June 2012 Press Association

Young people are using Facebook and Twitter to help them deal with financial, social and emotional problems.

People aged between 18 and 24 will also use YouTube and other social media networks to find solutions to problems because they appreciate its availability and speed of answers, according to research by social enterprise Connect Assist.

In total, 80% of 18 to 24 year-olds use sites such as Facebook, Twitter and YouTube on a regular basis, while 2% are unfamiliar with social media.

The research shows 63% use social media to communicate with friends; 43% use it to keep up-to-date with news and current affairs, and 26% use it to follow celebrities.

But the research also found that 17% use social media when looking for support and advice to deal with emotional, social or financial problems, and would use such online networks rather than use a telephone helpline, refer to a paper-based directory or contact a social worker, Citizens Advice Bureau or other public service.

Patrick Nash, chief executive at Connect Assist, said: “Social media is fantastic because it puts control in the hands of the young person and offers them channels of support they might never otherwise have accessed.

“Traditionally this younger demographic has been seen by service providers such as charities and welfare organisations as difficult to engage with, but our research shows that, for many, social media provides the answer.”

The survey found that 57% chose to use social media due to its 24/7 availability and 50% like the speed at which information can be accessed.

But they expressed concerns about putting their personal details in the public domain as their primary concern and questioned the quality of information available.

http://www.communitychannel.org/local360/community-newswire/2012/06/18/social-media-sounded-out-for-advice/

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