Conversation starter: Ian Smithies (City of York Council)

Ian wanted to know our thoughts on smart technology – what do we define it as and how do we see it fitting into our lives? 

What is smart technology? Is it the data we use, is it our transition into a digital world, is it AI?

We spoke about those users who aren’t ready to embrace smart technology. How do we reach the generation who aren’t confident going online? How do we support them from a digital perspective? 

We looked at the example of LiveWellYork, who used a human support system to help users engage with their website. They also used partners who had regular face-to-face contact with this section of their audience to help integrate their offering and encourage access. 

We talked about data and making the most of it. We looked at the data gathered by LiveWellYork and how it can be used in multiple ways. It’s a waste of effort to gather research for one purpose and then discard it – data needs to work hard. We could use it to find out where the city is rich and where it is poor. Who needs more arts and crafts groups? Which areas need better access to care?  

The gathering of data like this relies on trusted relationships, like those with the partners mentioned above. These sources need to be nurtured and built upon. 

Later, the discussion turned to the application of new technology in health and care settings. New tech can be appealing (the allure of the shiny new gadget!) sometimes we want it but only use it once. We need to understand its application better. What can it do for us? How can we get the best out of it? How should we use it to improve our work and lives – and those of our patients and service users?

The group also discussed the growing awareness of aesthetically pleasing wearable tech for patients. We are leaving behind the days of clunky clinical aids. We want tech that looks as sleek as the rest of our lives. 

Conversation starter: Nicholas Dugdale (Hapnin)

Nicholas wanted to discuss ways to bring people together to improve their quality of life. He is keen to draw together a community that wants to put on their own activities and support them to do it. His fledgling social enterprise, based in York, is called Hapnin. 

Denise shared her own experiences working with people on the edges of society, the challenges they face and how little support there is. We talked about initiatives already running that support these people, e.g the carers Christmas Dinners, started by Lemn Sissay MBE. Wouldn’t it be great to have one in York too? 

Denise shared her experience of fundraising and running a large event for care leavers in Liverpool and how well received it was by the participants.  

We need to facilitate the building of networks and communities for those who have little support of their own. If only society could be like a big family for everyone, especially those who are vulnerable and need it most. 

Conversation starter: Mike Richardson (City of York Council)

This discussion was borne out of the concern that patients and service users are treated as their presenting condition rather than as individuals with complex needs.  

Shoehorning patients/service users into services that do not properly fit their requirements is an inefficient way of dealing with people’s problems. It costs money and leads to individuals failing to receive the care they require. Could we flip it around so that we treat the human first, instead of the condition? Take a more holistic approach? 

Perhaps there isn’t a pre-existing service or piece of technology that can solve their issue, but then we can think constructively about a solution that really works, instead of simply passing the buck. 

Mike gave the example of an individual with multiple, layered issues such as a homeless person who may also be dealing with addiction and mental health problems. All these issues are interconnected. It is difficult to treat any one in isolation. Consequently, this individual is likely to end up trapped in a cycle where nobody is really helping them, so they never get any better. 

Another example was given of an elderly woman whose initial complaint is that she can’t get out of her chair. Our current model will identify a frailty issue, possibly send a carer round who will help her in and out. However, if we look at the desired outcome – the woman wants to get out of her chair to do what? Can we help her achieve that final aim? This will help more with her quality of life, retain her social connections, as well as keeping her more mobile.

If we treat people as individuals rather than conditions, we give ourselves permission to think more broadly about the solutions they may require. 

Conversation starter: Chris Bailey (Guild of Media Arts)

Chris opened by saying the results of research on life expectancy in various wards of York had been particularly shocking. What can be done to make use of public space to bring communities together and begin to close the gap? 

We discussed holding events in public space that deliver education but under the umbrella of an activity. For example, you could hold a football tournament, and use it to deliver information around nutrition and exercise. The events become a hub for the community, but also a means of communicating with hard-to-reach groups.  

The group agreed that people attending these events often have as much to give as they receive, so we need to be aware of that and harness it. Empower people to be a part of the events they are attending. It should not be simply a passive experience. 

Denise commented that she sees a lot of community events where the majority of attendees are middle class. How do we engage working class people? Can we be more creative about the type of events we put on, get input from different backgrounds about what they would like to see? Could we then use that information to shape events around the needs of working class people, or support them to create their own? 

Conversation starter: Griselda Goldsborough (York Teaching Hospital)

Griselda’s experience of working with teams who work in end of life care,  made her wonder if there was any way virtual reality (VR) could be used to revisit old favourite places or memories. Are there any other ways we can use VR creatively in health and care settings? 

The answer seemed to be a resounding “yes!” particularly from two members of the group who work in UX for Health Education England.  They have experience of commissioning VR projects in healthcare settings. 

Their first example was working with a trust in Torbay to rehabilitate a patient who was partially paralysed. He was a keen cyclist, so the team created a film of one of his routes, then using VR and a specially adapted bike, the patient could ‘cycle’ along his normal route using just his hands. The project was a success. 

With regards to practitioners, Nick Perez was mentioned, a former cameraman doing great work in VR. However it should be noted that his availability is currently limited to one day a week due to other projects. 

Griselda asked how long these projects usually take to complete? We learned that it really depends what the scope is. Complex projects can take some time. For example, a VR experience that allows you to approach a road traffic accident as various different emergency services, respond, have conversations etc requires the creation of multiple perspectives and timelines. It would take much longer than Griselda’s proposed trip to the seaside, for example. 

Discussion turned to other ways we might use VR for training staff. We learned about VR experiences that allow users to go into the homes of elderly people, play out a normal interaction with the patient whilst looking for areas of concern (e.g. empty fridge, lightbulb not replaced). It’s a great way to help people learn how to spot signposts in a more visual, realistic way. 

There is a huge uptake of VR technology and demand is increasing. It’s very tempting to embark on a VR project as it’s such exciting tech. However, we need to assess the value carefully. What are the learning outcomes? Could they be achieved just as well in other ways? Or will the VR technology enable you to achieve even better results?