Here’s a Hand was a Scottish on-line service publicly funded by City of Edinburgh Council, Edinburgh's Change Fund, the Open Innovation Project (European Regional Development Funding INTERREG IV B) and Scotland UnLtd' s Millennium Awards. Here’s a Hand was terminated in July 2013, but can be recreated by anyone through its open source computer code.
The service targeted formal and informal carers and used mobile phone texts, email, and online messaging to communicate across the group instantly and simultaneously, creating a real time, dynamic network of support for carers. It was designed to facilitate communication between informal and formal carers.
The professional workforce belonged to private care providers (Social Innovation Camp and Scotland Unlimited), charitable organisations (The Institute for Research and Innovation in Social Services IRISS) and private companies (The Melting pot).
The service probably had a positive effect on the quality of care delivered, leading to a decrease in the number of hospital admissions and on the quality of life of carers, by helping them reconcile work and care. Nevertheless, the service was closed due to difficulties in attracting participants.
Here’s a Hand aimed to be an innovative on-line service by using phone texts and email to allow older or disabled people to communicate with informal carers (family, friends or neighbours), but in a second time it was used also by formal carers.
The main driver was that some older or disabled people did not have an informal carer to assist them, but relied on paid carers.
Care Recipients
Informal carers
Paid assistants
Formal carers
Not available
Independent Living
Information and learning for carers
Personal Support and Social Integration for carer
Care coordination
Here's a Hand made it easier for informal carers to help by setting up a group to send messages by mobile phone text and email. Each person could decide what to offer and when and how to be contacted. Users’ emails were sent to every member of the group. These latter could then comment on the website or reply via email. Here’s a Hand users could request help, which the group then attempted to satisfy.
A mobile phone, internet and email
Public service funding: Local Authorities
Public research funding: European and international funds for research, development and implementation of innovative initiatives
Not applicable
Not applicable
The service was terminated in 2013 so there aren’t any future sustainability plans. The initiative’s organisers asked the Leith Agency for marketing advice, which is listed below.
28,806 EUR (Edinburgh City Council, 2012) for the start up.
Authorities
Private Care Sector
Health and Social Care Systems
Third Sector
Private Companies
Not available
Informal Carers
Health Professionals
Social Care Professionals
Privately-Hired Care Assistants (inc. Migrant Care Workers)
Volunteers
By means of promotional “get to know us” events Here’s a hand professionals had the opportunity to meet people from different organisations from the city, to collect information from informal carers and to give the latter advice on how to use the service. Health and social care professionals could use Here’s a Hand not just to communicate with/on behalf of someone, but with each other if they assisted the same care recipient.
The professionals involved in Here’s a Hand belonged to the following organisations.
Some carers, who provided the service were volunteers.
The exact number of users is 1.540.
The Leith Agency was hired to develop its promotional strategy. The promotional strategy was based on information days, emails, newsletters and “get to know us” events. In the latter, anyone, including informal carers, could try Here’s a Hand for free.
The service improved the quality of life of:
- Informal carers by allowing them to could reconcile care and work.
- Paid assistants by improving their skills.
- Older people by improving their health as a consequence.
(IRISS, 2011)
- Companies and the labour market, by helping informal carers reconcile work and caring tasks (IRISS, 2011)
It helped public authorities, the National Health System and social care services to save the costs of home caring and hospitalisation by effectively training informal carers (IRISS, 2011).
Strengths:
The service had a f user friendly blog
Any friend or family member could set up a group on the care recipient’s behalf.
Registration was simple.
An ordinary mobile phone was sufficient to send and receive requests.
The number of users increased (1540 visitors, 1219 new visits, with 20,84% of returning visitors in 2011 (IRISS, 2011))
The service was built using an inclusive approach. For example, carers were consulted for the blog name (IRISS,2011)
The service was a helpful tool to coordinate care.
Levels of commitment, by informal carers, were flexible.
The service could have helped prevent the risk of burn out among informal carers.
Messages sent among group members were private and secure.
Users decided which group members could invite people to join and who could send out requests.
Weaknesses:
Opportunities:
Even though Here’s A Hand shut down, in July 2013, anyone could recreate the service using its open source computer code (https://github.com/Heres-A-Hand/Heres-A-Hand-Web). The accessibility of users with different needs was guaranteed by the user friendly website and the possibility to send an email at heresahand.org.uk with any questions. These characteristics would have made the service easily transferable.
References:
Edinburgh City Council, Change Fund progress Report, 2012, available at http://www.edinburgh.gov.uk/site/scripts/google_results.php?q=here%27s+a+hand+evaluation
IRISS, Here’s a Hand presentation (2011), available at http://forum.iriss.org.uk/2011/speaker/heres-hand (last access: October 2013)
Resources:
Here’s a Hand website, available at http://blog.heresahand.org.uk/ (last access: October 2013)
Here’s a hand open sources at https://github.com/Heres-A-Hand/Heres-A-Hand-Web
website: http://blog.heresahand.org.uk
Email: catherine@heresahand.org.uk,
Phone: 0044 (0)7407 617177
Contact Form: https://heresahand.org.uk/contact.php