#leadersforleeds- Civic leadership for our City


As many of my readers will know, I’m terrifically interested in what goes on in my City of Leeds. The event held at the Civic Hall to encourage civic leadership across the City was a great chance to meet with people doing interesting things- from small social enterprises and community groups to the CEOs of our major institutions.

Integrating Health and Social Care

I work constantly to attempt to influence health and social care organisations to work more innovatively and to offer a more integrated experience for people using the services. After all, who cares about whether a service they receive is delivered by a local Trust, by the Council, by the Voluntary sector or if it’s delivered within community groups or social enterprises? When experiencing services, what matters is the quality of the experience, not the organisational structure behind it. So I was pleased to be able to meet with so many others who were representing large and small organisations who work for social impact in the City.

Health Inequality=Social Inequality

Rob Webster, who is CEO of one of our Trusts and a great Twitter follow to boot described the situation perfectly;

“For every mile you walk from North West Leeds heading South, the life expectancy of the residents drops by a year. Residents in South Leeds live 10 fewer years than residents in North West Leeds.”

One of the challenges for people interested in healthcare is that so much about health outcomes doesn’t depend on health intervention AT ALL. I know this sounds a bit strange, but we know that social inequality, access to green space, whether or not a parent reads to you as a child, an countless other factors are really important for health (and life) outcomes. So actually, people who care about health care have a responsibility to act on social inequality and to improve health outcomes in this way. This is great because it means that the creative possibilities for collaboration are extended across sectors- whether it’s a youth project, a local church, a small business offering employment, or any number of other possibilities, we can collaborate to drive up health outcomes and reduce social inequality.

Digital Health Centre of Excellence

My goal is to ensure Leeds is seen as a centre of excellence in the development and delivery of digital health and digitally-enabled social care. Many people I met agreed that this forms part of our civic future, because the people of Leeds need to have efficient and effective services despite a financial environment that ensures we have to think radically different. Because people recognise that we have to work together to make an impact on this. Because it’s a great way to develop the City’s economic outlook and provide jobs. Because we have some of the best hospitals and health services in the country. Because we have all the structural advantage of the NHS Information Centre and the NHS Commissioning Board. Because it’s the right thing to do.

Recently, the local Shadow Health and Wellbeing Board have crowd-sourced information about how digital products and social media can support people in the city who  use health and social care services- expect to see more of this as we move forward.

We have a vibrant digital sector, both within health care and in other digital fields (did you know that Grand Theft Auto was written in Leeds?) We already have great initiatives such as GoOn Leeds, Leeds Social Media Surgeries (TONIGHT at the Civic Hall from 6pm, by the way!), and the fabulous Leeds Digital Festival. Let’s make it even better.

Digital Conference and Hack v2

I’m already working towards the Digital Centre of Excellence, as are many other people all over the city. This year, we held the first Digital Health Conference and Hack, and we’re planning another one for next April. This time, we’re going to look at open source solutions in healthcare, described today by Dick Vinegar as “the future of Health IT”. We already have the excellent open source portal developed at Leeds Teaching Hospital Trust by Tony Shannon- there’s a lot more we can do with this agenda.

We also have several totally original digitally enabled health innovations going on locally- and I can’t wait to share more details with you. We’re hoping you’ll join us.

How To Twitter


I’m sometimes asked if I can advise people how to use social networking tools, so I thought it was about time I wrote up some “how to” blogposts to make it easy to find all the information needed to start using social networks.

This guide is useful for people with no previous knowledge of Twitter.

What is Twitter?

Twitter is a microblogging tool that can be used to discuss anything, so long as each “Tweet” (message) is 140 characters or less.

Because the nature of the network means that messages have to be very concise, a system of abbreviations is in general use. These may be off-putting when you first join Twitter, but please, don’t be put off, they are easily understandable with some simple explanations (please see the glossary of terms below).

Each message has to be 140 characters or less, and can be about anything. many people use Twitter to talk about their daily lives, but you can use it as a professional development tool, to advertise your business, to find out news stories before they are on the news, to follow protest movements, or indeed any other sphere of human activity.

To sign up, simply enter your name and email address, and choose a password to access your Twitter account. Then click the “Sign up for Twitter” button, and follow the prompts.

How do I use Twitter?

Once you sign up to the Twitter social network, you will be prompted to choose some people to follow, and you will slowly start to build up people who follow you, as they start to find out a bit about you by what you choose to talk about. If you already know some people on Twitter, then you could search for them (see using the Search function below) and follow them. You could follow your favourite TV star, or a leading expert in your field, or your favourite charities, it’s up to you to decide whose thoughts you would be interested to hear.

Follows and Followers

When you find content that interests you, or when you someone you respect recommends another Tweeter (or “Tweep”), you may wish to “Follow” them. The news stream holds the “Tweets” from people you’re following, displayed in realtime in chronological order.

Your profile page will show the number of people following you, and the number of people you follow, see the example below.

Please don’t worry too much about this, it takes some time to build up a network of people to follow, and you might want to follow about 80 people before you have enough activity in your News Stream to make it seem worthwhile.

If you follow someone, it is not seen as an endorsement. Many politicians will follow their opposite numbers, for instance. And it is not a permanent decision. If you have chosen to follow someone and you decide you’re not interested in what they’re saying, or their language offends you, please just unfollow them.

It’s not worth being around people who upset you in real life- don’t put up with it online, either!

When people see what you Tweet they may want to find out more about you or hear from you regularly, so they will “Follow” you. In the same way, this doesn’t mean they agree with you, or like you, or want to get to know you offline. Please don’t imagine that numbers of followers is a popularity contest- it’s not. There are some famously unpopular politicians with lots of followers. It is simply that they want to hear more from you.

Re-Tweeting RT

You may read someone’s message, and it might strike you as amusing, or useful, or outrageous, but if you found it interesting you may think that your followers will, too. You may do this by “Re-Tweeting” (or RT) the message. The convention to re-share the message through a RT does not depend on whether or not you agreed with it. By your decision to RT, you are sharing the message with your followers, who may also find it interesting. Some people choose to write on their profile that a RT is not an endorsement, others don’t. It’s up to you to decide if you are going to share a range of opinions or only ones you agree with.

Modified Tweets MT

You may find that you wish to RT something but you are reluctant because it takes you over the 140 character limit, or because you wish to change some of the language in the Tweet. This is where the “MT” is your friend! When you use an MT instead of a RT, it means the essence of the message is being repeated, but you have modified the original Tweet in some way. As in offline life, attribution is key when delivering great content, so this distinction is important. You could also use brackets around the parts of the Tweet you have modified, for the benefit of your followers.

Mentions @

If you want to talk to another Tweep, or if you are replying to a Tweet, use the @ or mention facility. This means the reader can track back to find out the Tweet you are asking the question about. It is also useful because there should be clear attribution of ideas online, as with offline. All your Tweets which mention someone are visible to that person, whether or not they follow you. If you start a Tweet with an @, then it is only visible to the followers you have that also follow that person, so many people use .@ in order to ensure all their followers can read the Tweet.

Direct Messaging DM

You might wish to have a semi-private conversation on Twitter. This might be because you are only interested in one person’s view about something and you don’t want to encourage people to join in. It may be because you want to share information slightly less publicly. Please be aware that although this is supposed to be a private message, there are no guarantees that the message will remain private. Tweets are the property of Twitter.com, and therefore I would caution you to not DM anything that is subject to Data Protection Law, or Information Governance within Health and Social Care- or indeed any information that ‘belongs’ to someone else. We simply don’t know what happens to the information and therefore can’t guarantee its security. But I am happy to DM my phone number to someone who requests it, because that’s a decision I’m making about my own information.

Hashtags #

You will soon notice strange symbols on Twitter, often a # followed by a word or some initials. These are called “hashtags” and they allow people to curate Tweets about a certain topic of interest. In healthcare, you may wish to tag your Tweet with #OTalk (talking about occupational therapy), #Nurchat (chatting about Nursing), or #nhssm (NHS social media). Hashtags are great to use in order to be able to search for Tweets, and to have your Tweets found by people who share your interests. They are also important when you wish to join in a Tweetchat.

Search or Discover

By entering a word or hashtag into the search or discover box, you will see the recent Tweets that contain that word or hashtag. You may also identify people who regularly use that word or that hashtag, so both these techniques can be useful to find people to follow. They could also be used to see what is being said about your business, or your town, for example.

See this example of the Tweets that appeared when I searched for Tweets containing OTalk:

Follow Friday #ff

Another Twitter convention is the #ff. This ia a recommendation to your followers of another Tweeter. Traditionally, Friday is the day of the week when people do their #ff, but if someone strikes you as worth following and you wish to share that with your followers, there’s not reason to wait until a Friday- if you want to give an #ff then do so!

Glossary of Twitter Terms

@: (v) to mention someone in a Tweet, which ensures they will be able to read it whether or not they follow you. To make sure all your followers can read a Tweet where you mention someone, start with a full stop, before the @, please see the examples below.

e.g. @stephenfry you were funny on QI this week!

e.g. .@stephenfry you were funny on QI this week!

#: (n) Hashtag (or tag), a way of identifying Tweets around a topic of interest for curation purposes

e.g.: if your Tweet is about Social Media in the NHS, #nhssm is the tag to use!

#ff: (v) Follow Friday, a recommendation to your followers to follow someone who is delivering great content, or for any reason you choose

#ff @stephenfry because he is so funny!

DM: (n) an abbreviation of “Direct Message”, a private message sent between two people on twitter and not viewable by other people on the network

DM: (v) the action of sending a direct message on Twitter

e.g. why don’t you DM me your phone number and I’ll call you

*n.b. do not send confidential or secret information on Twitter even in a DM- as security of the message is not guaranteed.

MT: (n) Modified Tweet, a message that you are Re-Tweeting with small changes (e.g. cutting out some words), often because this is necessary to stick to the 140 character limit.

MT: (v) the action of relaying a Modified Tweet

e.g. MT@claireot: @stephenfry is funny!

RT: (n) Re-Tweet, a message you have received and choose to share with your followers without altering it in any way.

RT: (v): to Re-Tweet or re-share a message without alteration

e.g. @stephenfry said something so funny I had to RT!

Tweet: (n) the name of each individual message.

e.g. I sent a Tweet with that reference in, did you get it?

Tweet: (v) the action of sending an individual Tweet

e.g. did you Tweet about that new recipe for biscuits we found?

Tweeter: (n), Tweep: (n), Twit: (n) all three are terms for a person who Tweets or is signed up to the Twitter social network

e.g. Stephen Fry is @stephenfry, and he is probably the most famous Tweep

Twitter: (n) the name of the network

e.g. are you on Twitter?

Summary

A final tip. Please treat everything you Tweet as if it is public, and traceable to you. This will help you decide what is and is not suitable to Tweet if you are a health professional bound by Codes of Conduct and Ethics. And please, be nice- as my mother in law would say

“you’ll get further with sugar than with salt”

Phew! That’s enough to take in at one time, but I will follow up this post with another, so if you have any questions you would like me to cover, why not Tweet me, or leave a comment below and ask them?

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