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PODCAST - THE DRDOCTOR WILL SEE YOU NOW

From Letters to Lifelines: A Conversation with Oxleas NHS Trust, Episode 2

In the second of a three-part series with Oxleas, Tom WhicherJames Woollard and Alison Furzer explore why digital change in mental health and community services is less a tech problem and more a people-and-process one.

What was covered?

  • Culture > tech: Some of the biggest blockers are actually behavioural, like assumptions about patient preferences and worries about getting things “wrong”

  • Patient agency shift: Let patients choose if they want to move to digital, instead of staff deciding who is "appropriate"
  • Clinical leadership matters: Successful uptake correlates with senior clinical champions who tolerate a period of double-running and drive new ways of working
  • Boots-on-the-ground enablement: Admin teams guiding patients through first-time logins during calls builds “muscle memory” and cuts future phone traffic
  • Friction is fatal: Even small hurdles push staff to “least-worst” paper choices; embed access and simplify IG flows
  • IG as an enabler: Modern information governance is collaborative, shifting from blocking to pragmatically enabling safe, high-ROI use
  • Integration vs surfacing: Technical integration has improved, but the win is where and how information is surfaced for staff and patients 
  • From read-only to transactional: Shared care records need to evolve from viewing data to acting on it  

Keen to explore how we deliver change across mental health services?