Actions speak louder than words: being a digital practitioner

Reblogged from Clear message:

Lately, there’s been lots of discussion in the office about new guidance for civil servants using social media.

You can read it here. No big surprises; all very practical, positive stuff.

The question raised among our team was what this guidance meant for people who blogged, filmed or pinned, in a personal capacity. The interpretation was that all online activity by civil servants should be attributable, regardless of whether it was professional or personal.

Read more… 253 more words

#Digitalday - an excellent Race Online 2012 esq idea from Tim. How could you open up your comms team's digital skills to your colleagues? Lunchtime masterclass? Informal network of bloggers comfortable to share content? Staff Twitter lists?

Thoughts from a social media chat

T’other day I went down to the South West of England to have a chat with comms leads from the regions hospitals about social media.

First and foremost, despite growing up round there the journey down there was a happily recieved reminder of the beauty of that part of the world. The pace of life is also different to London. Better than London in my eyes and more friendly of course. I digress….

All-round I felt the meeting was a success. People in the room were open and honest with their level of experience on social media and some great lessons and case studies came out of that.

For my part I was really motivated to hear how far down the road most people were with social media. 18 months ago it was all about getting executive sign off to use social media, or IT clearance for comms teams. Now I was hearing about how people have been building online communities and integrating social media into their media relations work for a few months or more.

Below are a few Q&As I picked up from the chat. Pardon the strange style it is copied and pasted from an email. I also apologise for breaking *all the blog post length rules*; bare with it I think there is some useful stuff hidden away in there for you all.

Questions and answers from a social media chat in the South West

Writing for the different platforms. This only comes with practise! I would take some time to look around at how people you follow/are friends with are writing. What writing styles make you happy/sad/annoyed, click on a link, RT a tweet, like a post? How can you use those styles in your work? Using active verbs and plain English are obviously a must.

Making your organisation’s news more topical. The key here is to join in with region-wide and national topics. For example, the PiP implant scandal – what could your hospital say to its followers about it? Could you RT the DH info? Remember it needn’t be original content all the time with social media.

Increasing Twitter followers is an odd game. There is little use in using follower number as a marker of quality. You could have 2,000 followers but no real influence or interaction. On the other hand you could have 10 local bloggers follow you who subsequently blog about your organisation news and help you get your messages out to the local population. Don’t fret about follower numbers. Here are a few tips to increase the number over time:

  1. Tweet regularly. The nature of Twitter means the more active you are the more chance people have of coming across you.
  2. Network with your local public sector organisations and get them to RT your tweets, RT theirs in return.
  3. RT local people and organisation tweets (you may want to think about a Twitter policy which makes it clear a RT doesn’t equal support)
  4. Join in on local hashtags. Is there a local tweetup (online or offline meet up of people on Twitter) you could join?

Increasing conversations online. Activity and topicality is key here. People won’t talk to a silent account much and it’s difficult to get people to talk about something they aren’t interested in. What issues and concerns are in your area? Perhaps maternity service redesign… in which case can you tweet/update Facebook with news of the proposals, consultation, key dates and facts? Your organisation will of course cop some flack but that is the role of comms. If we’re doing it right we can then feedback the concerns of online followers to the appropriate clinicians and managers in inform the decision making process. Finally, don’t try and lead the conversation all the time, go looking for others’ active conversations about health and join in.

Capacity issues with a 1.5 WTE team. The key here is to remember the broadcast-reactive stages of my ‘sliding scale of [online] conversation’ diagram (below). Don’t try and do it all online. Just maintain a presence. This can be done easily using scheduling functions on Twitter (TweetDeck (software) and Twuffer.com (website) offer scheduling functionality). Perhaps you can plan the weekend and next weeks content on Twitter on Friday and schedule it in. Facebook updates should follow your press releases at this stage, just remember to personalise the content a little for Facebook’s very personal life culture. A friend of mine checks Twitter and Facebook for notifications each hour, it takes him two minutes (roughly 15 mins a day). He only uses more time when someone has interacted with the organisation’s profiles.

You won’t get left behind. Use your networks around the NHS to get updates on future social media ideas etc.

The colleague with the control of social media, you with little understanding of what goes on there. I’ll be honest, this scared me a little. If the comms lead hasn’t got an understanding of what is going out under the organisation’s name and brand there is a risk of issues arising. A weekly check-in of what is planned to go out and a daily 5 min update on any interactions on Twitter/Facebook would be useful to make sure you know what is ongoing and help you understand how the platforms work. No need to be an expert, just know enough so you can explain it to a director if something does go well or badly online.

Video quality. My personal opinion on this is that it is not worth us spending money on high-end broadcast quality video. News outlets around the world are now regularly screening mobile footage and Skype interviews. The public are used to slightly lower quality video. It is the content that counts. You can have perfect HD head and shoulder shots of a CEO banging on about what’s important but it is still boring to most people! This excellent urology robot example proves that. Save the money and spend it on training your staff in how to use a basic flipcam/digital camera and buy a cheap piece of editing software.

Social media turning into too much of a customer service channel. This is a tough one. There is the balance between reputational risk and wasting capacity. If I were to be cynical I would say treat the people with large and or influential online followings like customers and people with 10 followers less so. Shocking but one school of thought. This question also brings into focus the issue of teaching PALS teams to use social media and perhaps providing a suggestions and complaints specific Twitter account for people to contact.

Finally on this, remember the invention of emails allowing people to directly email the CEO? Twitter may follow the same grain, a busy start, slowing as people (who are more reasonable than we sometimes recall) realise Twitter isn’t the right channel to complain on. #waitandsee.

Apps. This most definitely should be done at a national level. If you are to look at it remember apps shouldn’t be costing £10,000+. They are quick and easy to produce for people with programming knowledge. Is there anyone in the NHS system in your region who could help you? Could your team provide the service to other acutes for a fee and start to satisfy the need for more income generation? Philosophically a strange argument but something to think about.

A few general issues were raised too…

EU Cookie Law – read these things and don’t worry to much for now.

Econsultancy’s Q&A with ICO’s Group Manager for Business & Industry http://econsultancy.com/uk/blog/9610-q-a-the-ico-s-dave-evans-on-eu-cookie-law-compliance
Government Digital Service’s theory http://econsultancy.com/uk/blog/9416-eu-cookie-law-uk-government-crumbles
Government Digital Service’s approach http://digital.cabinetoffice.gov.uk/2012/03/19/its-not-about-cookies-its-about-privacy/ andhttp://alphagov.files.wordpress.com/2012/03/gds-cookies-implementer-guide.pdf

IT issues – these often depend on local relationships. There may be some ground to be made in educating your IT colleagues as to the approach by other trusts in the South West.

Telling difficult stories online – In short – plan, plan, plan. Just the same at traditional comms and pr.

Twitter is now often the source of stories that get printed – how could you use Twitter as the hook for a boring story. #NHSXmas is a great example – we got a boring “don’t go to A&E when you aren’t dying/really ill or injured over Christmas” message into the London Evening Standard on the back of using Twitter.

The digital divide – SOCIAL MEDIA IS NOT REPLACING TRADITIONAL COMMS!! One day I will get a t-shirt printed with this on. It is merely being added to the toolbox. It is not the silver bullet to end all our comms problems. The traditional comms rules apply, particularly the go where the audience is one. You’re not going to communicate with me or the many people younger than me through quarterly magazines and leaflets.

Getting to know Storify…

Storify is a recent addition to my channel toolbox. I think it is an ideal place to create a hub of multimedia content around an event, topic or story.

It’s interface is simple to use and it allows embedding of content from across the most popular online platforms. It’s URL embedding feature is really useful as it allows you to embed presentations from Slideshare of Scribd. Furthermore it is easy to embed onto your blog, or so it should be…

I’ve popped an example of an embedded Storify on the #nhssm blog but for some reason this blog won’t except the ‘<script src=”http://storify.com/a_double_tt/nhsconfed-nails-it.js”></script><noscript>’ code which renders the Storify with a pretty boarder. Perhaps this is because it is a WordPress.com hosted blog? I’m sure @colinwren will know!

Here’s the link to my Storify about some Twitter chat with @NHSConfed – view the story “@NHSConfed nails it” on Storify.

#reformten 73 essay challenge: Jeremy Browne

Today’s Reform Ten essay is from Jeremy Browne: Lib Dem, Taunton MP, Somerset Cricket Club supporter (good man) and Minister in the Foreign and Commonwealth Office responsible for:

• Far East and South East Asia
• India, Nepal
• Latin America
• Australasia and Pacific
• Caribbean
• Emerging Powers Co-ordination
• Olympics
• Human Rights
• Consular Policy
• Migration
• Public Diplomacy
• Drugs and International Crime.

His essay, entitled ‘Britain needs a wake-up call’, highlights what such a ministerial position requires – a wide, wide angle view of the world. A view of specific generalisations that help individuals as single nodes in the humongous worldwide system of business, economics, politics, workforces education and health understand what is going on.

There will always be friction between people who naturally look at change on an individual basis and people who naturally look at change as Jeremy has to everyday, on a big picture basis.

Take for example the withholding of expensive cancer drugs from individuals. One angle shows it to be a great injustice deigning someone a longer life, the other an injustice of spending limited money on an individual’s illness instead of many individuals illnesses or preventative measures. Extremely difficult indeed. I shall leave the rest of that point to the philosophers amongst you.

A few facts and more thoughts the essay sent my way

• Currently the British government is currently borrowing £400 million a day
• The British people are getting very close to spending £1 billion (£1,000 million) every single week on paying the interest on our debt <<< Wow!
• Schemes like ERASMUS and travel abroad will be key in the future to ensure the British workforce stays at the top of the tree through knowledge of the world’s different cultures and traditions
• Foreign languages will be very important in the future. The British’s general ambivalence towards foreign language at schools will come back to haunt us if we’re not careful
• Jeremy relabelled Western values as universal values – those of free speech, free trade and free societies. A good and clever linguistic trick perhaps?
• There is a change of mindset needed in UK society. A change to understand how globalised the world is and an acceptance that we are competing in a global workforce
• The logical conclusion of globalisation of the workforce (to me) is the commoditisation of professions. Doctors and engineers will not be able to hold onto the high regard of their profession once there are thousands of graduates from across the world with the same and better skills as British graduate, they just be another x or y. Commercial bodies will be able to salary off positions as they draw down from a global pool of highly educated talent. How can that fit with our societal views and values?
• And finally, how does the need for a better global understanding and position from Britain affect the potential devolution of Scotland and then Wales? Would these countries truly be able to compete in a global world?

Mind dump over! Please do place any comments below.

The start of a challenge: 73 essays and 73 blogs

Today with a simple tweet I set myself (and a few of you if you want to join in) a challenge to read 73 essays and write a short blog about each one.

 

 

 

The thinktank Reform have collated 73 essays by  all under the broad topic of the next 10 years in the UK. The essays cover:

  • Education
  • Government
  • Growth
  • Health
  • Public services
  • Politics
  • Law and order

I’m not sure of the best way of writing about these essays so I’m going to start with a few bullet points. I’m sure it’ll evolve over the next 72!

Today’s essay was Stephen Dorrell’s entitled ‘Reengineering the care model’. Here are a few things it made me think about…

  1. It is good to remember and celebrate successes be they in work or our personal lives. How can the NHS remind itself of the great improvements it has already achieved and how can individual staff find the time to remember these things?
  2. Every sector has it’s own set of scales but healthcare’s life/death scales are incredibly complex. Here’s a schematic:

The more life that is on the scales, the less death. Good. But more life means more healthcare spending as elderly patients get increasing numbers of co-morbidities. But spending on healthcare can’t increase forever. Complex.

3. Hospitals will close as healthcare moves into specialised centres (see London’s stroke care set up mentioned in the essay). How can the NHS help show the public this will lead to better care and outcomes instead of worse? How would you tell your Mum or Dad that travelling an extra 20 miles to hospital is better for them?

4. I’m very lucky to understand how only some of the NHS works, but only because I work in it. How can we all help people understand the basics better? Like what they can expect when seeking a GP appointment or NHS dentist, what health checks are available and how to feed in comments to the service to improve the system.

One essay down, 72 to go…!

ATTdigital’s weekly read-round-up #5: GPs are private contractors, a national patient experience challenge for engagement staff, making videos is easy and national service

“I honestly don’t think it matters whether that [NHS care] care is delivered in a state hospital or a privately operated GP surgery.”

This quote came from a Guardian Healthcare Network interview with Stephen Dorrell, chair of the Commons health committee.

I highlight it not because it is a very insightful article but because this is the first time I have seen a GP surgery being classed as private by a politician.

To often for my liking GPs are seen as the guardians of the NHS despite being private contractors. They are not part of the NHS but an extremely key partner, just like the private sector already is through contracts to help the NHS get through its elective waiting lists.

Politicians would do well to help the public understand that GPs don’t necessarily always hold the NHS’ best interests at heart. After all they too are running a business, a business that has to make a profit.

Why we need a national framework for patient experience

Jocelyn Cornwell from The King’s Fund has blogged on the new DH framework for patient experience.

This framework is designed to ‘to apply a single generic framework for patient experience to a wide range of health conditions and settings’. Jocelyn sets out well the challenges that stand in the way of getting the framework adopted across the NHS.

One she doesn’t explore fully is the engagement staff who may well own patient experience questionnaires as part of their work. In my experience NHS engagement professionals are often extremely wary of change preferring to stay within the comfortable boundaries of face-to-face meetings (during work hours) or presentations in town halls to audiences of older people and the usual community champion suspects.

Implementing the framework without a top-down dictat will require a huge amount of engagement work with NHS engagement professionals to teach them that their local population isn’t that different from others and that the same questions across the nation apply to them too. After all a knee op is a knee op in Newcastle or Bristol.

The framework is a great step towards pushing patient experience up the agenda and I hope comms and engagement staff across the NHS embrace it and become experts in it alongside their clinical colleagues.

Ruth Carnall give us her views on Health and Wellbeing Boards in London

This video was taken after Ruth had given a Greater London context at the first of four London health and wellbeing challenge events that bring together the people and organisations that will make up Health and Wellbeing Boards (HWBs).

While the context may not be of interest to many (even though HWBs offer a lot to think about and act upon, especially integrated care) the point of me showing you this is to break down how easy it is:

  1. Film Ruth answering 3-4 questions with a Flipcam
  2. Download the films to my laptop
  3. Use basic Windows Movie Maker to cut them together
  4. Insert a couple of fade outs and fade ins
  5. Publish (wait a while as your processor works hard)
  6. Upload to YouTube
  7. Promote: Tweet, embed and share with staff and colleagues.

Total time taken to get all this done? About 2 hours. Easy!

Hint: Make sure the interviewer asks the interviewee to repeat the question in their answer and tell the interviewee not to jump straight in after the answer has finished so editing is made easier.

NB: Windows Movie Maker is included on most, if not all, Windows laptop and desktop packages, but is nowehere near as good as Final Cut or Final Cut Pro on a Mac

National Citizen Service (NCS)

This government initiative is an opportunity for 16 year olds to explore their skills, likes and dislikes through outdoor pursuits, helping their communities and creative endeavours such as making short films.

A lot of thinking is currently going into how to make the most of the talent, energy and enthusiasm that British youth have and I like the sound of NCS as part of the answer.

It doesn’t  prescribe a right and wrong Q&A style education like exams, it enables participants to learn through making mistakes (e.g. do taking the right gear when hiking) and gives them the freedom to be creative and explore what makes them tick, something the school system doesn’t do very often. Additionally, as the programme looks to add value to their CV, helping them show the breadth of experience required these days on job and university applications.

If you know any 16 year olds looking to use their long post GCSE summer well this year send them to: http://nationalcitizenservice.direct.gov.uk/

ATTDigital’s weekly read-round-up #4

Seeing visions: Science’s annual visual challenge – in pictures

The Guardian science section did its bit last Friday to promote the highly technical and specialised skill of microscopy and visualising science, publishing a nice little ‘best of’ gallery of the winners of Science magazine’s 2011 International Science & Engineering Visual Challenge.

Covering the categories of photography, illustration, informational posters and graphics, interactive games and videos the competition winners just goes to show how important visualising science and not just writing about it is. The pictures even got a raise of interest from a few non-science colleagues.

Also, it’s great to see that software is helping make science more interactive and ‘real’ to an audience of non-scientists and enthusiasts.

A glass half-full: how an asset approach can improve community health and well-being

One for the reading list this but it sneaks into the read round-up as I’ve read the first few pages with great interest.

As I understand it an asset approach is effectively a look at how partnerships between individuals, public sector organisation and private sector organisations can look for the existing positives in communities and seek to maximise them in time and space (positive things happening more often over wider areas).

As the publications says: ‘The asset approach values the capacity, skills, knowledge, connections and potential in a community. It doesn’t only see the problems that need fixing and the gaps that need filling. In an asset approach, the glass is half-full rather than half empty.’

On first look the asset based approach looks to complement the growth of thinking around complexity and how people and organisations interact with each other. So I reckon it is worth a read and a mull over.

Social media explained using donuts

Simple.

Be Better at Twitter: The Definitive, Data-Driven Guide

While 43,000 tweets is a small sample the subjective feedback makes the summary of this study a worthwhile read.

Read it. Try out the findings. Make Twitter an even more interesting place.

Alzheimer’s brain plaques ‘rapidly cleared’ in mice

Good reporting of research into human disease models in mice from the BBC; very conservative, no false hope, just rational reporting of an idea that might work.

The Alzheimer’s Society predicts the number of people with dementia will reach a million by 2021 in the UK so it is very comforting to know this research is ongoing and has promise.

And finally…

You may have seen a tweet from me in the week about this article from Mark Steel in The Independent on Wednesday:

I hope to expand on this tweet over the next week. But I urge you to read the original article and the measured opinion piece that was opposite it and tell me what you think.

 

My piece in three sentences (for now) is:

  • Mark Spencer has stuck his head over a political and clinical parapet no politician has publicly dared to yet, full marks to him.
  • The is limited, if not no understanding in the wider English public of how the NHS works and how it could work better in the future.
  • The NHS must reform, now (that does not say I agree or disagree with the current plans) and it is key that the public are spoken to and with by people in positions of knowledge so that the public can make an informed democratic decision.

ATTDigital’s weekly read-round-up #2

Roman Numerals Chart

Having spotted a CNN piece on the Super bowl which included the roman numerals XLVI I wondered what it stands for, this website helpfully told me: Roman numerals decoded.

When will the NHS start using email to contact patients?

Dick Vinegar, the Patient from Hell, deplores that little or nothing has happened over the last three years to make the NHS less of an email-free zone.

This article got LOADS* of comments. Too many to go over them all so do go and have a look.

In the meantime can anyone tell me whether email secure? Is a closed secure network the only way to go?

Another query I have is can email to clinical staff work in isolated local areas (like those told of in the article) or does there need to be a national standard in place?

Finally, how much damage has the utter failure (only in a pr sense, if not totally) of the National Programme for IT done to the future of NHS IT use including emails, telecare and online engagement & consultation tools? I fear quite a lot.

*LOADS = 98 at last look

Report highlights benefits of genomic innovation

I love a bit (a lot) of science in my life. I listen to Radio 4 science podcasts every week as I commute into work and one area which has always interested and excited me is genomics, that’s the study and application of knowledge about the whole genome of an organism. The power this relatively new field is giving us in understanding and fighting disease is immense.

What worries me often is that advances in the lab aren’t being taken advantage of at the bedside or within primary care. Genomics can help us tell which drug and at what dose patients will respond to best and help in clinical decision making when treating major diseases such as cancer. While costs of such tests are decreasing I get the feeling clinicians knowledge of their existence and potential use isn’t increasing (I have no evidence of this).

That is why I spent my Thursday evening reading the DH commissioned report into the use of genomics in the NHS. Placing the responsibility of nurturing this field for the NHS at the National Commissioning Boards door the 83 pages set out how the NHS can take best advantage of this nascent field and help the UK economy at the same time.

My highlights from the report are:

  1. The clear steer that collaboration between multiple organisations from the public and private sector and not an overbearing behemoth is what is needed to make the most of advances.
  2. An acute understanding that clinical training in genomics is absolutely key, not only for tomorrow’s experts but across the board so overall knowledge increases. After all patients can get a lot of their understanding from healthcare staff.
  3. The multiple and repetitious statement that the public must be brought with the health and bioscience sectors in understanding and taking up these technologies – see Chapter 9 of the report.

You can read the DH release and the full report here: http://www.dh.gov.uk/health/2012/01/genomics/. And if you want to find out how genomics and personalised medicine could begin to change your world I’d recommend reading Francis Collins’ book: The Language of Life: DNA and the Revolution in Personalized Medicine. An easy read with plenty of real life characters, pictures and a great glossary to guide you through the science and wonder!

Web economy in G20 set to double by 2016, Google says

This report by Boston Consulting Group and commissioned by Google looked at how far and fast the growth of the internet may go in the coming years. It puts a figure of £1.5tn on the current web economy and predicts a rapid rise in mobile internet access will see this grow to £2.7tn.

As the report states it is difficult to measure the web economy but I welcome any attempt to put a financial figure on all this ‘soft’ social media stuff, even if at present that is a weak casual link between a growth in use of social media and a growth in the web economy.

Interestingly within the BBC article there is also this snippet:

“Technology giant IBM estimates that by 2015, one trillion devices will be internet-connected”

That is pretty amazing! An interconnected web of things all talking to each other, monitoring themselves and auto adjusting. Imagine heating systems checking the weather and setting the temperature for your home based on the best balance between economic, comfort and green factors, your phone being a hub from which you can control your TV and cooker and check on the status of your front door lock. No more running home to check you turned the iron off or closed the windows!

The article also eludes to the growing internet ecosystems like Facebook and Amazon. Perhaps one day we’ll have an NHS internet ecosystem in which you can sort appointments, see your medical records and compare services. Maybe.

ATTDigital’s weekly read-round-up

Here’s the first of something I thought I’d try over the next few months…

Hanging Out with 100 others: 5 tips for Bringing Health Professionals Together with Google Hangouts

A nice little post from the 21st December 2011 on healthworkscollective.com describing how groups of Paediatricians across New York State (53,000 sq miles in area, over 300 miles from north to south) have started using Google+ Hangout to enable them to have bigger and better meetings. Taking the focus away from just those Paediatricians in Manhattan and giving those across the state a chance to share ideas and knowledge. The post includes a top 5 tips for using Google+ Hangout.

Do any UK clinicians use this at the moment? Do you think it could be a valuable addition to your Continuous Professional Development training and networking?
As a non-clinician I certainly think a Google+ hangout with a few of my peers would be useful, but only if there was a good chair and a solid agenda.

Spam Volume Falls to 2007 Levels
I got this little beauty from the Harvard Business Review updates that you can sign up for daily stats, blog updates and news.

‘Spam volume dropped from more than 379 billion messages daily to about 124 billion messages daily between August 2010 and November 2011—levels not seen since 2007 —as law enforcement and security agencies shut down major spam-sending botnets, according to Cisco. In September 2011, India was generating the highest percentage of spam volume (13.9%). Vietnam was second with 8% and the Russian Federation was third with 7.8%.’
Source: Cisco Connected World Technology Report

Spam is not an area of computing I understand at all but the numbers in the above are incredible, almost fantastical, so I thought I’d share nonetheless.

100 things we didn’t know last year
A great lunchtime read from the BBC website’s Magazine section with a good sprinkling of left field facts. Some of my favourites include:
1. Aristotle is thought to have been the last individual to know everything that was known at the time. More details
2. More than 90% of UK schoolchildren study Of Mice and Men by John Steinbeck. More details
3. The Queen’s swans get flu jabs. More details (Daily Telegraph)

Lucifer’s Boob
A 32 year-old friend of a colleague was recently diagnosed with breast cancer and has decided to write a blog about her experiences. Whilst the subject matter is fairly grim she manages to make the blog funny and it’s full of pathos without being overly emotional. She is also very honest about the NHS and has pretty much nothing but praise for all concerned.
Give it a look and I hope it helps to show the power of the written (digital word).
http://lucifersboob.blogspot.com/
P.s. Read it from the bottom, as it’s in chronological order.

Mapping the social media landscape for 2011: infographic
I shared this earlier on in the week but it is interesting so you’re getting it again.

Stand outs for me are:
• Parents of 10 year olds (Facebook don’t allow children under 13 to sign up) are signing their children up for them
• 55% of active Twitter users access the service from their mobile (it’d be interesting to know if they also use desktop and laptops and which is most popular by minutes spent on Twitter/Tweetdeck/Other management software/webpage)
• 56% of college students said that if they were offered a job by a company that banned social media use, they’d turn it down  how is the NHS going to ensure that it gets and retains the top digital talent needed to provide world class digital healthcare services and informations?

I hope you enjoyed the first ATT read-round-up of 2012. I hope to get a few more published over the coming months. Happy New Year to you all let 2012 be a happy one!