This week’s leadership message comes from Caroline Frascina, and our blog is from Angwen Vickers

Global Accessibility Awareness Day

Hello, my name is Angwen Vickers and I am a senior equality, diversity and inclusion officer for NHS West Yorkshire Integrated Care Board, working across Calderdale, Kirklees and Wakefield District.

Thursday 16 May is Global Accessibility Awareness Day (GAAD). The purpose of GAAD is to get everyone talking, thinking, and learning about digital access and inclusion and to highlight the impact that barriers to digital access can have on the estimated 1.3 billion people world-wide who have disabilities or impairments. This represents 16% of the world's population, or 1 in 6 of us.

Nationally there are 14.6 million disabled people in the UK, which is 1 in 5 people (Scope). In West Yorkshire17.6 % of us are disabled where day to day activities limited a little or a lot, with a further 6.5% having long term physical or mental health conditions but day-to-day activities are not limited (Census 2021).

What is digital accessibility?

Digital accessibility is about making sure anyone who needs to can use digital content as easily as possible. This means making sure that when we design websites, digital tools, apps, or content, they can be used by as many people as possible, including those with disabilities. It means removing barriers from digital environments, such as websites and apps, which make them much harder to use or prevent people from accessing them. The people most affected will be disabled people but making things more accessible benefits everyone.

Scope research indicates that 78% of disabled people say that having access to digital technologies is helpful or very helpful, but that disabled people are over 50% more likely to face barriers to accessing digital and online services than non-disabled people. And if you have an impairment, you are three times more likely not to have the skills to access devices and get online.

The importance of accessibility

For anyone who knows me, I talk a lot about accessibility and its importance. As a disabled person, I often find myself unable to access information or participate equally in society. Simple things like booking tickets for a train, or buying something online, or even accessing medical information can be difficult or impossible.

I dread when someone tells me to use a mobile app, knowing that most likely I am going to have issues. And, yes, nine times out of ten I can’t use the app.  Or when someone says use the QR code and there is no other way to access the information contained in it. My heart sinks when I get sent a poster via email in an image format and then have to explain that I can’t access the information on it.

I cannot explain how demoralising it is, how tiring it is, to have to share why I can’t access something or to ask for an accessible version. It is really humiliating and embarrassing to have to continually explain and justify why you can’t use something and why you need something ‘different’. The majority of the time, if it had been designed accessibly (properly), I would not need an accessible alternative nor would many other disabled people.

In my professional role in the Integrated Care Board (ICB), I champion accessibility, advising colleagues on how to make sure information and content is accessible. I have recently rewritten our guidance and minimum standards to help make sure the information and content we produce is accessible. We have made accessible content training mandatory for staff, and I will be training colleagues to become accessibility champions.  I am involved in collaborative work in Kirklees to raise awareness and share best practice about digital accessibility.

The key thing that I would ask everyone to remember is that accessible information and content are not just about making sure your websites or apps are legally compliant. It is about making sure that everyone, both staff and our communities, have equitable access to information and services.

What can I do to improve digital accessibility?

• Recognise that accessibility is everyone’s job and take an active role in making sure the information you produce is accessible.
• If you create content using Microsoft Office, make use of the inbuilt tools that will check your document, PowerPoint presentation or excel spreadsheet for access issues. These are the accessibility checker and Microsoft Editor
• Follow the basic principles of creating accessible information: Structure your content using headings , use alternative text (alt text) for images but remember if there are graphs or diagrams key information needs to be in your main body of content as well , save diagrams, graphs and charts as images using the snip and sketch tool, use good colour contrast  and do not use colour on its own to convey meaning  g. do not use colour coding on its own make sure there is an alternative like text. Use plain and inclusive language, and styling.. Format your tables so they are accessible. Use accessible hyperlinks .  Save your document accessibly from word to PDF.
• If you are aware that your content, webpage or app is not accessible, be accountable. Provide an accessibly compliant alternative, do not expect people to have to request one unless they need a specific accessible format.
• Recognise that some people will still need specific accessible formats to meet their communication or information needs. Make it easy for them to contact you to ask for this. As a minimum share a phone number and email and make it easy to access them, not hidden away somewhere at the back of a document or bottom of a webpage.
• Be aware that not all apps create accessible documents or posters, and that sharing posters as image files e.g., PNG or JPG is not accessible. There are some useful resources on the uk website on how to design accessible posters.
• Social media: Use alt text for images but remember use text image descriptions as well! Use accessible hashtags.
• Provide videos with subtitles / captions, and transcripts.
• If you design, buy, or procure software or digital tools, check if they are accessible. Get advice if you are unsure.

Thank you for reading,
Angwen

Carers resource highlighted in regional good practice showcase

For experience of care week last week, NHS England shone a spotlight on good practice around the region. This included a focus on the West Yorkshire project to support carers when those they care for are discharged from hospital.

Our NHS West Yorkshire Integrated Care Board (ICB) carers hospital discharge toolkit and resources have been developed to support NHS trusts to carry out their statutory duty to involve unpaid carers in discharge pathways and to improve unpaid carers’ experiences of discharge through increased identification, support, signposting, and referral.

The toolkit has been co-produced with NHS colleagues, voluntary sector carer organisations and people with lived experience, including those from ethnically diverse backgrounds and young carers through coproduction workshops and engagement sessions.

The toolkit and resources were launched by West Yorkshire’s VCSE carer organisations end of February 2024 and are all available on the Partnership website.

West Yorkshire Association of Acute Trusts launches its Five-Year Strategy for 2024 -2029

This week, the West Yorkshire Association of Acute Trusts (WYAAT) launched the WYAAT Five Year Strategy (2024-2029), which reflects on the successes and learnings since the partnership first formed in 2016, as well as setting their ambitions for the future. 

WYAAT was established after the Boards at each of the six trusts decided that something needed to be done to tackle variation and challenges across the region. Its vision is to create a region-wide, efficient, and sustainable healthcare system that embraces best practice to deliver the highest quality care and outcomes for patients. 

The strategy defines how the six trusts will continue to work together to achieve this vision, focusing on six priority areas – service delivery, workforce, infrastructure, productivity and efficiency, research, innovation and improvement and ways of working.

You can read the full strategy online.