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Next Generation Services for Older and Disabled People  16th February 2011, Damian Radcliffe and Jane Rumble
Running Order Context Barriers Opportunities Findings from i2media research on next generation services  for older and disabled people 1
Market Context 2
3 Household PC and internet take-up, 2005-2010 Proportion of adults (%) QE1: Does your household have a PC or laptop computer? / QE2: Do you or does anyone in your household have access to the Internet/Worldwide Web at HOME (via any device, e.g. PC, mobile phone etc)? / QE6: Which of these methods does your household use to connect to the Internet at home? Source: Ofcom technology tracker, Q1 2010. Base: All adults aged 15+ (n=9013). The rise of broadband
4 Take up rising fastest amongst older consumers Age and gender profile of those who have broadband access at home Source: Ofcom communications tracking survey Base: All adults 15+ (Q2 2005, 2206) (Q2 2006, 2439) (Q2 2007, 2265) (Q2 2008, 2109) (Q2 2009, 2085) (Q2 2010,2106) QE9. Which of these methods does your household use to connect to the Internet at home?
5 Due, in part, to increased PC and laptop ownership Age and gender profile of those who own a PC or laptop computer Source: Ofcom communications tracking survey Base: All adults 15+ (Q2 2005, 2206) (Q2 2006, 2439) (Q2 2007, 2265) (Q2 2008, 2109) (Q2 2009, 2085) (Q2 2010, 2106) QE1. Does your household have a PC or laptop computer?
Barriers to Entry 6
Five potential barriers “No need”. No PC. Cost. Other fears e.g. Identity theft, Safety or unsuitable content. Service availability. 7 Barriers are often unique, but we can generalise (a little)
Reasons for not having the internet at home 8 Base: all respondent (1,841). This question was asked of all aware of the internet. Answers among those who said they did not intend to get the internet in the next six months are presented here.  Results have been rebased on all respondents. Question: Why do you not currently have the internet at home? (unprompted, then showcard) And which is the MAIN reason why you do not have the internet at home. Source: Ofcom Accessing the Internet at Home Survey, February to April 2009
9 42% were unlikely to get the internet even if it’s free Don’t know Will get the internet if it is free Willing to pay for the internet Will NOT get the internet even if it’s free Base: All respondents (1841). Q55. How likely would you be to get the internet at home if you could get a  computer and internet access for free? 9
But opportunities exist… 10
….Here’s some general trends which may help. Decreasing costs. The value of proxy. The rise of the smartphone. YouView and connected TVs. Investment in infrastructure. 11 Opportunities also unique, but…
12 Costs to consumers typically falling year on year Total
And compare favourably with other countries £ per person, 2009 USA UK GER FRA ITA JPN Source: Ofcom analysis
The value of proxy Proxy use of the internet in the past year among non-users NIN10 – In the past year, have you asked someone else to send an email for you, get information from the internet for you, or make a purchase from the internet on your behalf? (Prompted responses, single coded) Base: All adults aged 16+ who do not use the internet at home or anywhere else? (310 aged 16+, 169 aged 16-64, 141 aged 65+, 156 male, 154 female, 101 ABC1, 208 C2DE). Significance testing shows any difference between age groups, between males and females, and between socio-economic groups. 	Source: Ofcom research, fieldwork carried out by SavilleRossiter-Base in September to October 2009 14 14
The rise of the smartphone 15 Number of smartphone users and penetration of smartphones in the UK Millions Source: comScore, Mobilens, December 2007 - May 2010
Launch planned for early 2012 Billed as an easy-to-use box with:  Freeview,  Catch-up TVe.g. BBC iPlayer or 4oD High Definition Personal video recorder  (To pause, rewind and record live TV).  Pay TV service. No contract or monthly subscription. Delivered through any broadband connection. See: http://www.youview.com/ 16 YouView (aka Freeviewconnected to the web)
Lots going on including… ‘Britain’s Superfast Broadband Future’ published by DCMS in December. Proposes:  “An ambition to deliver a ‘digital hub’ in every community in the country  is at the heart of  the Government’s £830 million strategy to make  sure the UK has the best broadband network in Europe by 2015.” Mixed-technology approach: fixed, wireless and satellite all playing a role. May take NGA to 90% of population. + On-going investment from major providers e.g. BT, Virgin and others. 17 Investment in infrastructure
Some reasons to be cheerful (part three) 18 Summary
Next Generation Services for Older and Disabled People i2media research for Ofcom’s Advisory Committee on Older and Disabled People 19
20 Research objectives, method, scope ,[object Object]
new and near-future Next Generation Services that have the potential to benefit older and disabled people’s lives. This includes existing services that could be enriched as a result of faster broadband connections;
potential benefits from such services;
risks and challenges to potential benefits being realised.
The study involved :
desk research in November 2009 to March 2010.
15 interviews with experts in relevant fields in January-March 2010.
Scope of the research was:
Health and wellbeing
Work and employment
Leisure
Other day to day activities,[object Object]
Work and employment – developments Enabling older and disabled people to participate more easily in  work and education, e.g.    ,[object Object],Enable access to shared information resources Reduced social isolation, e.g.  Increased access to working and learning New tools/services to enable users to work collaboratively on documents. Improved access for study and work, e.g.  Easier searching for information via more intuitive online searches Increased distribution of digital forms of communication, e.g. Making material more accessible to people with specific access needs 22
Work and employment: potential benefits Greater financial independence; More independent living; Improved psychological wellbeing;  Improved sense of self-worth; Potential to support older and disabled people to contribute more to society and for longer 23
Example –  Increased participation Vital Assistance for Elderly project  Developing a tele-education platform  To be delivered via TV set To provide multimedia courses designed for older people, e.g. cooking, household activities To offer education for self-caring, self-learning and entertainment. 24
Leisure
Leisure: potential trends More engaging entertainment E.g. services that support higher fidelity audio-visual presentation or are more tailored to the user’s interests More life-like remote social interaction:  E.g. services could include information that makes explicit information about oneself and others  Better and easier access to leisure services: E.g. via increased personalisation Lower cost access to leisure services 26
Leisure: potential benefits Improved quality of entertainment Reduced social isolation resulting in improved psychological wellbeing 27
Example – More life like social interaction  In virtual communities individuals could create new, high quality identities through which their physical appearance can be personalised into a new ‘identity’ This could facilitate more accessible forms of communication, with particular potential benefit to people who are deaf or hard of hearing.  For instance, automated sign interpretation via avatars (though issues of acceptability)  28
Example – Reduced social isolation “I think the biggest benefit [of NGS] is allowing people who aren’t as able to do things  outside of the home to feel connected, so you feel part of a wider world environment and communication is one of the biggest elements of this.”  Simon Mycock, BT 29 “We research how you can use technology to reduce loneliness and help people meet other  people.  As you get older... how do you make meaningful relationships with new people with  common interests, and how can technology help that?  I would call that social networking,  staying well, and staying engaged; society valuing older people and their contribution.”   NiamhScannell (Intel)
Health and wellbeing

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KT Equal presentation on NGA and Digital Inclusion

  • 1. Next Generation Services for Older and Disabled People 16th February 2011, Damian Radcliffe and Jane Rumble
  • 2. Running Order Context Barriers Opportunities Findings from i2media research on next generation services for older and disabled people 1
  • 4. 3 Household PC and internet take-up, 2005-2010 Proportion of adults (%) QE1: Does your household have a PC or laptop computer? / QE2: Do you or does anyone in your household have access to the Internet/Worldwide Web at HOME (via any device, e.g. PC, mobile phone etc)? / QE6: Which of these methods does your household use to connect to the Internet at home? Source: Ofcom technology tracker, Q1 2010. Base: All adults aged 15+ (n=9013). The rise of broadband
  • 5. 4 Take up rising fastest amongst older consumers Age and gender profile of those who have broadband access at home Source: Ofcom communications tracking survey Base: All adults 15+ (Q2 2005, 2206) (Q2 2006, 2439) (Q2 2007, 2265) (Q2 2008, 2109) (Q2 2009, 2085) (Q2 2010,2106) QE9. Which of these methods does your household use to connect to the Internet at home?
  • 6. 5 Due, in part, to increased PC and laptop ownership Age and gender profile of those who own a PC or laptop computer Source: Ofcom communications tracking survey Base: All adults 15+ (Q2 2005, 2206) (Q2 2006, 2439) (Q2 2007, 2265) (Q2 2008, 2109) (Q2 2009, 2085) (Q2 2010, 2106) QE1. Does your household have a PC or laptop computer?
  • 8. Five potential barriers “No need”. No PC. Cost. Other fears e.g. Identity theft, Safety or unsuitable content. Service availability. 7 Barriers are often unique, but we can generalise (a little)
  • 9. Reasons for not having the internet at home 8 Base: all respondent (1,841). This question was asked of all aware of the internet. Answers among those who said they did not intend to get the internet in the next six months are presented here. Results have been rebased on all respondents. Question: Why do you not currently have the internet at home? (unprompted, then showcard) And which is the MAIN reason why you do not have the internet at home. Source: Ofcom Accessing the Internet at Home Survey, February to April 2009
  • 10. 9 42% were unlikely to get the internet even if it’s free Don’t know Will get the internet if it is free Willing to pay for the internet Will NOT get the internet even if it’s free Base: All respondents (1841). Q55. How likely would you be to get the internet at home if you could get a computer and internet access for free? 9
  • 12. ….Here’s some general trends which may help. Decreasing costs. The value of proxy. The rise of the smartphone. YouView and connected TVs. Investment in infrastructure. 11 Opportunities also unique, but…
  • 13. 12 Costs to consumers typically falling year on year Total
  • 14. And compare favourably with other countries £ per person, 2009 USA UK GER FRA ITA JPN Source: Ofcom analysis
  • 15. The value of proxy Proxy use of the internet in the past year among non-users NIN10 – In the past year, have you asked someone else to send an email for you, get information from the internet for you, or make a purchase from the internet on your behalf? (Prompted responses, single coded) Base: All adults aged 16+ who do not use the internet at home or anywhere else? (310 aged 16+, 169 aged 16-64, 141 aged 65+, 156 male, 154 female, 101 ABC1, 208 C2DE). Significance testing shows any difference between age groups, between males and females, and between socio-economic groups. Source: Ofcom research, fieldwork carried out by SavilleRossiter-Base in September to October 2009 14 14
  • 16. The rise of the smartphone 15 Number of smartphone users and penetration of smartphones in the UK Millions Source: comScore, Mobilens, December 2007 - May 2010
  • 17. Launch planned for early 2012 Billed as an easy-to-use box with: Freeview, Catch-up TVe.g. BBC iPlayer or 4oD High Definition Personal video recorder (To pause, rewind and record live TV). Pay TV service. No contract or monthly subscription. Delivered through any broadband connection. See: http://www.youview.com/ 16 YouView (aka Freeviewconnected to the web)
  • 18. Lots going on including… ‘Britain’s Superfast Broadband Future’ published by DCMS in December. Proposes: “An ambition to deliver a ‘digital hub’ in every community in the country is at the heart of  the Government’s £830 million strategy to make sure the UK has the best broadband network in Europe by 2015.” Mixed-technology approach: fixed, wireless and satellite all playing a role. May take NGA to 90% of population. + On-going investment from major providers e.g. BT, Virgin and others. 17 Investment in infrastructure
  • 19. Some reasons to be cheerful (part three) 18 Summary
  • 20. Next Generation Services for Older and Disabled People i2media research for Ofcom’s Advisory Committee on Older and Disabled People 19
  • 21.
  • 22. new and near-future Next Generation Services that have the potential to benefit older and disabled people’s lives. This includes existing services that could be enriched as a result of faster broadband connections;
  • 23. potential benefits from such services;
  • 24. risks and challenges to potential benefits being realised.
  • 26. desk research in November 2009 to March 2010.
  • 27. 15 interviews with experts in relevant fields in January-March 2010.
  • 28. Scope of the research was:
  • 32.
  • 33.
  • 34. Work and employment: potential benefits Greater financial independence; More independent living; Improved psychological wellbeing; Improved sense of self-worth; Potential to support older and disabled people to contribute more to society and for longer 23
  • 35. Example – Increased participation Vital Assistance for Elderly project Developing a tele-education platform To be delivered via TV set To provide multimedia courses designed for older people, e.g. cooking, household activities To offer education for self-caring, self-learning and entertainment. 24
  • 37. Leisure: potential trends More engaging entertainment E.g. services that support higher fidelity audio-visual presentation or are more tailored to the user’s interests More life-like remote social interaction: E.g. services could include information that makes explicit information about oneself and others Better and easier access to leisure services: E.g. via increased personalisation Lower cost access to leisure services 26
  • 38. Leisure: potential benefits Improved quality of entertainment Reduced social isolation resulting in improved psychological wellbeing 27
  • 39. Example – More life like social interaction In virtual communities individuals could create new, high quality identities through which their physical appearance can be personalised into a new ‘identity’ This could facilitate more accessible forms of communication, with particular potential benefit to people who are deaf or hard of hearing. For instance, automated sign interpretation via avatars (though issues of acceptability) 28
  • 40. Example – Reduced social isolation “I think the biggest benefit [of NGS] is allowing people who aren’t as able to do things outside of the home to feel connected, so you feel part of a wider world environment and communication is one of the biggest elements of this.” Simon Mycock, BT 29 “We research how you can use technology to reduce loneliness and help people meet other people. As you get older... how do you make meaningful relationships with new people with common interests, and how can technology help that? I would call that social networking, staying well, and staying engaged; society valuing older people and their contribution.” NiamhScannell (Intel)
  • 42. Health and wellbeing - trends The research identified nascent trends that could benefit from superfast broadband: Remote interaction; TV as communication interface; Activity, health and wellbeing monitoring. 31
  • 43. Health and wellbeing: potential benefits Prolonged independent living; Increased physical and psychological health and wellbeing; Improved motivation and self-management of health; Increased sense of wellbeing and security; More efficient, cost-effective, and targeted delivery of services; More accessible communication systems. 32
  • 44. Example – Vital sign monitoring Whole System Demonstrator Around 6,000 users in Cornwall, Kent and Newham. Uses two-way communication for effective feedback between health and social care monitoring centres and users. Provides reassurance that professionals are aware of their physical state and available when necessary. 33
  • 45.
  • 46. Offers a portable device that monitors people’s home environment using detectors / sensors.
  • 47. Provides added security and reassurance for users.
  • 48. Has been developed.34
  • 49. Example– Health and Wellbeing In the example below, the Cogknow device informs the user that their front door is unlocked The user then locks the door. The device detects that the door is now locked 35
  • 51. Key considerations The following issues were highlighted: Infrastructure: ensuring adequate, reliable network infrastructure and connectivity; Usability and accessibility: international co-ordination to support development of accessible products Cost: ensuring people are not excluded due to affordability Implementation: more coordinated interaction between stakeholders to minimise the logistical risks Accessibility Impact, e.g. potential for increased isolation or dependence 37
  • 53. Conclusions Next Generation Services promise the potential of numerous benefits to older or disabled people. If the challenges to their implementation are addressed appropriately, the opportunities for increased and easier access to services could: promote more independent living and participation; and help older and disabled people to lead healthier and more fulfilling lives. 39
  • 54. Thank you for listening.Any Questions?For more info and the full report please visit: http://www.ofcom.org.uk/about/how-ofcom-is-run/committees/older-and-disabled-people/research/Contact Usdamian.radcliffe@ofcom.org.ukjane.rumble@ofcom.org.uk 40

Hinweis der Redaktion

  1. Image from: http://iheartsubtitles.wordpress.com/2010/12/01/youview-tv-taking-access-seriously/
  2. http://www.culture.gov.uk/news/media_releases/7619.aspx
  3. Increased participation: the project identified multiple services in research and development, and many already out there, that have the potential to enable older and disabled people to participate more easily in the spheres of work and education. These include services that support greater remote presence (e.g., feeling involved in a work or study situation through high quality audio-visual interaction devices) and enable access to shared information resources (e.g., using the cloud).Reduced social isolation: flexible and adaptable use of new communications services and tools has the potential to increase older and disabled people’s access to working and learning, helping to overcome the potential less desirable impacts of working and studying at a distance from colleagues. New tools and services include those which enable users to share information about their current situations (for example, how they feel or what they are doing) via communications devices, and to work collaboratively on documents.Improved access: for study and work, searching for and accessing information has become easier through the internet, and the trend is likely to continue with ongoing developments in easier and more intuitive online search and information access, and NGS and applications that will rely on it. Increased distribution of digital forms of communication can render material more accessible to those with disabilities because the form of the content can be more flexibly delivered according to users’ needs (e.g., text, speech, video).
  4. One example of a service in development is from Vital Assistance for the Elderly project. VITAL is developing a tele-education platform To be delivered via the TV setIt will provide multimedia courses designed for the elderly, e.g. cooking, household activitiesIt will offer education for self-caring, self-learning and entertainment.
  5. “It’s very much being able to do more of the same thing, but doing it more efficiently, more productively and at the same time as doing other things. The ability for people to have multiple devices connected in the home running on the same piece of broadband effectively - someone watching a set-top box in the lounge, someone else downloading upstairs, somebody else instant messaging, somebody else on Facebook.”
  6. Remote interactione.g. user engagement with professionals via media;
  7. Vital sign monitoring
  8. In what is possibly the world’s largest telehealth and telecare trial, the Whole System Demonstrator (with around 6,000 users across Cornwall, Kent and Newham) uses two way communication to support effective feedback between health and social care monitoring centres and service users, providing reassurance that health care professionals are aware of their physical state and are available to communicate with them when necessary.“…we provide equipment to people in their own homes or sometimes on the move. That equipment usually has a set of peripheral devices associated with it that are specific to their health or care needs, through for example blood pressure kits, weighing scales, glucometers for somebody monitoring their diabetes, all the way through to smoke detectors, flood detectors, door alerts for monitoring a relative with an Alzheimer condition. Those peripheral devices would map to your individual need and usually would be communicated via a hub device. It’s the job of that hub device to get the data across a telecommunications network to the ‘far end’. The ‘far end’ could be a family member or a carer, or more often than not, it would be an intermediary service provider – someone who 24 hrs a day, 365 days a year, is providing remote support and reassurance. This can be for real time alerts, such as smoke detection for a fire, through to a clinical nursing environment providing triage of your vital signs that alerts to a declining condition, perhaps in your diabetes or congestive heart failure. What Tunstall provides is everything from the equipment and peripheral devices in the home to assistance with the delivery the supporting services at the ‘far end’.”
  9. The first example is called COGKNOW.This project has developed a cognitive support device. It helps people with mild dementia navigate their day-to-day activities. The device monitors people’s home environment using detectors and sensors. Overall, it provides added security and reassurance for users in their home.This device has now been developed. Details: not part of scriptThe CogKnow project “aims to develop a user-validated, cognitive prosthetic device and associated services Within this project, a Mobile Cognitive Prosthetic (or Assistant) has been developed which communicates with a ‘Home-based Hub’ device via a Wi-Fi network within the home environment, whilst it utilises GPS technology to support users if they become lost and require support to ‘take them back home’” [71]. The CogKnow project ended in August 2009.
  10. In this example, the Cogknow device informs the user that their front door is unlocked. The user then locks the door. The device detects that the door is now locked
  11. In addressing the challenges, the following issues were highlighted:Infrastructure: need to ensure adequate and reliable network infrastructure and connectivity available to enable users to access NGS;Usability and accessibility: need for internationally coordinated work to support the development of NGS and products that are accessible and easy to use for people with a wide range of abilities. Key considerations here relate to:supporting the adoption of best practice in product and service research and development (e.g., following user centred design principles);the regulatory and legislative environment: ensuring it supports the development of usable and accessible products and services;standards for interoperability: so that personalised interfaces (meeting different user needs) can be easily integrated with NGS and products;Cost: ensuring that potential beneficiaries are not excluded from the benefits of NGS on the grounds of affordability. Considerations in relation to cost may include supporting competition amongst product and service providers, making available social tariffs, and price caps;Implementation: more coordinated mobilisation of and interaction between stakeholders (government, health service, social care services, regulators, service providers) is likely to be necessary to minimise the logistical risks to the realisation of the potential benefits of NGS for older and disabled people.
  12. Thank you allFor more information including a copy of this presentation, as well as access to the full report please visit the Ofcom website on www dot ofcom dot org dot uk