Co-production | Include.org

Breaking Down Barriers – there’s an app for that!

When healthcare information is accessible and understandable for all, it can literally save lives.

Alix Lewer, Founder and CEO of Include and The Include Champions helped to develop an accessible version of the CardMedic app…a tool that breaks down barriers to good communication in healthcare.

It’s a partnership that we are really honoured to be part of. We wanted to know a bit more about what the people at CardMedic thought, so we asked!

Rachael Grimaldi – Co-Founder and CEO of CardMedic

What is CardMedic’s mission?

At the point of care, the inability to communicate is the largest single contributor to health inequalities, and patients with additional communication needs make up nearly 50% of the population.

CardMedic’s mission is to break down communication barriers between healthcare staff and patients by making healthcare information accessible and understandable for all.

We’re committed to inclusive communication and believe in acknowledging and accommodating everybody, regardless of their communication needs. Our aim is to provide intuitive and cost-effective technology that empowers clinicians and patients to communicate quickly and efficiently across any barrier, enabling more effective delivery of care, reducing health inequalities, and improving patient outcomes.

Why did CardMedic want to work with Include?

We were really keen to work with Include because we share their mission to break down barriers and create a more inclusive world. At CardMedic, we recognise that accessible information is vital for ensuring equitable care delivery, so we couldn’t imagine a better partner.

Alix Lewer’s expertise as a Speech and Language Therapist, as well as Founder and CEO of Include, made it a no-brainer. She and her amazing team have been invaluable in helping us improve communication in healthcare and increase our understanding of the challenges people can face.

Together, we’ve been able to develop innovative solutions and resources that empower us to think differently about how we communicate. Particularly in a healthcare setting, we’ve learnt how to effectively communicate with patients with diverse communication needs and improve health outcomes for underserved populations.

Our shared vision of inclusivity and accessibility made us confident that partnering with Include would help us work towards a more equitable healthcare system for all.

How did the partnership help your project?

Alix is incredibly knowledgeable in the accessible information space and about the Mental Capacity Act (2005). She understands that inclusive communication means recognising and respecting all forms of communication–not just the written and spoken word.

Drawing on her knowledge of inclusive practice in health and social care, having worked as a Speech and Language Therapist in the NHS, Alix contributed to the initial development of an accessible version of the CardMedic app. Include’s lived experience Champions Group also continues to work with us to review our content regularly and provide feedback about accessibility.

Our partnership with Include has helped us refine our content to ensure that it’s as accessible as possible to individuals with diverse needs, including those with learning differences, visual and hearing impairments, and language barriers.

Alix’s expertise has helped us convert our library of scripts covering a vast array of clinical specialties and sub-specialties into Easy Read, at a reading age of 6 or under. This essentially means it is accessible to many more people than traditional information would be, both children and adults.

What would you say to others thinking of partnering with Include?

For anyone working in the accessibility, language, and communication space, they would be remiss not to reach out to Include! Include promotes inclusion and wellbeing, empowers people with additional communication needs, and ensures that they have equal access to services, facilities, and opportunities. They do a fantastic job of collaborating with businesses, educational institutions, and other organisations to help raise awareness of accessibility and provide practical solutions for inclusivity.

Include also offers brilliant training and consultancy services to help organisations improve their practices by making them more accessible. By partnering with Include, you’ll gain valuable insights, guidance, and resources to enable you to create a more inclusive environment.

The team are so friendly, and their expertise will help you address communication barriers and send out a powerful message about your commitment to inclusivity. All in all, we’d highly recommend partnering with Include!

Get in touch with Include, please email : info@include.org

More information : https://www.cardmedic.com/

(She won’t tell you herself, but while we are here and talking about healthcare…Alix won a Royal College of Speech & Language Therapists’ Giving Voice Award for voluntary work with The Mental Capacity Act Clinical Excellence Network – Raising Awareness of Supported Decision Making at End of Life.)

Penny Sims
Communications and Partnerships Manager

Adjusting for Sensory Needs

Free Easy Read

This week is National Inclusion Week which celebrates inclusion and encourages taking action to create inclusive workplaces.

One of the ways that employers can be more inclusive is to think about the sensory experiences of their employees. We found an interesting article on LinkedIn which talks about things like lighting adjustments, sensory break spaces and noise control.

Of course, sensory considerations are not unique to the office environment. People who experience their senses such as smell, noise, or textures in heightened or muted ways may need reasonable adjustments to be made wherever they are.

Many theatres are now good at taking sensory needs into account. For example, The Lyceum has a scene-by-scene Sensory Synopsis of The Lion King available on its website. In addition, during relaxed performances the theatre turns off noisy hand-dryers in the toilets and provides alternative ways to dry hands.

Being in a healthcare setting can lead to heightened experiences – so it’s important that healthcare staff and those designing healthcare settings take sensory needs into consideration and act on requests for reasonable adjustments.

We had the founder of The Sensory Projects www.thesensoryprojects.co.uk Joanna Grace as a special guest at one of our Champions sessions. She talked with us about the reasonable adjustments that autistic people may need to help communication in a healthcare setting.

Many thanks to Jo for kindly sharing her own personal insights of how her autism affected her experience of healthcare during pregnancy and birth.

The NHS’s Sensory Friendly Resource Pack (Free here: NHS England » Sensory-friendly resource pack) describes 3 types of sensory experiences that people with autism may experience:

hyper-sensitivity:
- extreme over-reactivity to sensory input
hypo-sensitivity:
- extreme under-reactivity to sensory input
sensory-seeking:
- unusual interest in aspects of the sensory environment.

The Include Champions have produced a new FREE Easy Read document to share about reasonable adjustments for sensory needs.

Download it free here:

Sensory Needs Reasonable Adjustments FREE EASY READ Download

Listen to it on SoundCloud

Penny Sims
Communications and Partnerships Manager

Vote like a Champion!

Ahead of the local elections on Thursday 4^th May, The Include Champions Group has created a FREE Easy Read guide to voting for people with communication difficulties.

Voting Easy Read Guide from Include.org:Download

Here is the audio to listen to the guide: https://soundcloud.com/include-org/voting-like-a-champion?

The My Vote, My Voice group have accessible information about voting on their website too.

Our Champions have been sharing their experiences:

Hannah’s experience

During Covid times, Hannah, one of our Champions voted by post. But gradually she has decided to go to a Polling Station.

She knows she can ask for help from the people working there but Hannah has become more confident over time about being independent when voting in person.

First, she talks about it with her family and thinks really carefully about who she wants to vote for. She now votes independently.

Planning Ahead

The Include Champions pointed out that if you live in supported accommodation, or a block of flats you might not get someone knocking on your door or putting a flyer through your door about their party. So, it’s not always easy to get information to be able to make a choice about who you want to vote for.

Despite that, our Champions did know about The Conservative Party, SDP (Social Democratic Party), Liberal Democrats, Labour Party, Green Party, Heritage Party and The New Forest Party. There are lots of options and you can talk to your friends and family and get ideas to help you make a choice about who to vote for.

Ellie voted by post – you need to register to do this before the election. Ellie’s Mum helped her do this online.

Voting in person

Some people prefer to vote in person. David said that it is too far to walk to the polling station, so he needs to ask for help / transport to get there.

Remember your Photo ID to vote in person.

If you are voting on your own and don’t know what to do, you can always go into the polling station and say “I am here to vote, please can you tell me which desk to go to.”

The helpers can’t actually tell you which party to vote for – that has to be your choice.

Apparently, all the polling station staff have been trained to look out for sunflower lanyards – so they know that people may want to be offered extra help. So, you can wear one if you have one.

More participation

Changes (set out in The Elections Act 2022) are designed to boost the political participation of people with disabilities in voting and standing as political candidates. The Local Government Association provides support to disabled councillors and those considering standing for election to their local council.

You can read more about it here: https://commonslibrary.parliament.uk/research-briefings/cbp-9718/

Penny Sims
Communications and Partnerships Manager

Meet Sarah…

Sarah joined Include in 2017. In the time between then and now Sarah has moved home a few times, navigated Covid and had hospital stays. Throughout all the changes and challenges Sarah has remained loyal to Include.

She is very thoughtful and brings so much to the charity – we are delighted to share what she has to say about Include and her role:

How Include Makes Me Feel

” Being part of Include helps me to be myself.

And it makes me feel proud and relaxes me.

When I come to The Include Choir, I feel listened to. There are people with and without disabilities and we all help each other. Together we raise awareness of communication needs. I am proud when my Support Worker joins in with the singing and Makaton signing.

The volunteers are great too – they set up and make it all run smoothly – they are non-stop like Alix – our Director! Alix is so good.

Singing makes me happy – even if I can’t get to choir one week I will join-in on Zoom.

Getting The Community Involved

The Mayor of Reigate & Banstead knows us – he likes our charity. He helps us get more empowerment and open it up to more people. At the Banstead Christmas lights switch-on he wouldn’t let The Include Choir leave! He just felt we were popular with the crowds.

At concerts and performances people in the audience ask questions and I like explaining about Include and telling them how I feel about it. I also like when the people watching join-in. When we performed in The Belfry shopping centre there was a kid who was blind dancing along with us.

I am Choir Rep for our new Epsom Include Choir. I would say to anyone; “come along – there is cake, it is fun and everyone is helpful.”

Part of the Decision-Making

My favourite song is the MCA (Mental Capacity Act) song. Choir members help to write the songs. I helped to write one about Covid too. Our songs are our own versions – with the words expressing our feelings and what’s best for us from our point of view.

I use Zoom to be part of the Include.org Steering Group and the Include Champions Group. It is really, really good to be involved with Include – when I’m part of these meetings I feel more involved. I am part of the decision-making and that makes me feel included.”

Penny Sims
Communications and Partnerships Manager

How do you run an Inclusive Quiz?

Last month we ran our first ever in person fundraising quiz!

In lockdown we hosted one on Zoom but this time it was in a lovely setting – The Old Council Chamber in Reigate.

Being Include.org this was not a standard quiz. It was an inclusive one.

What helps to make a quiz inclusive you may ask? Well…here are a few things we did…

Role Model Hosting by Ciara

Although the Mayor of Reigate and Banstead was ‘host’ in that he invited us to use the Town Hall venue, he took a seat with one of the quiz teams on the night, and the quiz was presented by our Patron Ciara Lawrence.

Ciara recently spoke on our first ever Podcast and made it clear that as a person with a disability she is on a mission to ensure more of the world sees people like her for who they are and what they can do.

Well, we now know for sure…Ciara can brilliantly host a quiz evening, engaging a whole room of people with authority, style and warmth!

Something for everyone

People played in teams and we had a real mix of rounds and formats which all played to different people’s sensory strengths:

Hearing – Name the song
Signing – What does the Makaton gesture mean
Taste and smell – Guess the crisp flavour
Touch – Identify the household item hidden inside the sock
Sight – Work out what the items are that we photographed very close up / micro
General Knowledge – Answer audio / video questions from supporters like TV’s Dan Walker, Marcus Ramtohul (also in our first Podcast) DJ SUAT and Cllr Jonathan Essex
TV knowledge – Easy Read questions from The Include Champions

We’re delighted to share the TV Quiz questions as the next FREE Easy Read resource in our series. Download Here (audio version to follow very soon):

Include’s Easy Read TV Quiz Q+ADownload

Inclusion Wins!

There is always more to be done in terms of inclusion. But we did our best with limited resources and we were delighted that the team that won The Include Quiz was a mixed group of people – some of whom only met each other that night. Meeting new people is not always easy for people with communication needs, so that in itself was a big win.

This team, called “The Team That Shall Not Be Named”, included volunteers, choir members and parents. There were people with autism and visual impairment, playing alongside people without additional needs. There were volunteers who have literally just joined Include working alongside members who have been around for years.

We know that there was a team with regular quiz winners in it who were defeated on this night. But this was not a regular quiz!

So that’s a win in our book.

Want to make your own event inclusive?

If you want to host an inclusive event why not speak to The Include Champions Group to get their ideas and tips based on their lived experience of being a person with a communication need and/or disability? Enquiries to info@include.org

Penny Sims
Communications and Partnerships Manager

What is Co-production, and is it important?

The Include Champions Group is a lived experience consultancy team, generating ideas, feedback and free accessible resources on important topics. Between us, group members have real world experience in of learning disabilities, autism and other communication needs.

Our latest FREE Easy Read resource is about Co-production. It helps to explain what Co-production is and why Include puts it at the heart of everything the charity does.

What-is-Co-production-FREE-Easy-Read Download

An audio version is on SoundCloud

Working together

Our dedicated Champions Group members meet every week via Zoom, and there is always something important to discuss, analyse and provide feedback on.

Last week we had an invite from Lloyds Bank seeking the input of people with additional needs. This is so the bank can try to design their services with everyone in mind.

We had a special guest on the Champions Group Zoom session last week – Cathy Wood who has joined Include’s Board of Trustees. She said:

“I was delighted to hear that Lloyds Bank are inviting Include members to provide feedback as experts by experience of what it is like to use their services with a communication need.”
Cathy W – Trustee of Include.org

Philip from the Include Champions Group said this;

“It makes us feel happy that they want our help. I’ll feel like I’ve achieved something and the bank is being helpful by asking us.”
Philip – Include Champion

We can help others

The Champions can teach services about their experiences and what helps them to communicate well.

For example, the Champions Group help design training for health professionals, to help them understand how to support people with communication needs in hospital.

The Champions can also help to check documents to make sure they are accessible. For example, the Champions worked with The Samaritans to make sure their flyer was easy to understand.

Trustee Cathy sums up:
“It was great to get more insight into the important work that The Include Champions Group does. Ensuring everyone has a clear idea of what Co-production is, and why it is important is such a valuable piece of work. We hope many organisations and individuals will make use of this Easy Read explainer.”

Please email us on info@include.org if you think you might like some help from The Include Champions Group.

Penny Sims
Communications and Partnerships Manager