Could recent backlash crash the not-so-smart city?

In May 2020, Google-affiliated Sidewalk Labs abruptly cancelled its smart city vision for Toronto’s waterfront, citing that “unprecedented economic uncertainty” created by the pandemic had made the project unachievable.

Named ‘Quayside’, the venture proposed a 12-acre development of sleek apartments and neighbourhood amenities that heavily incorporated data and technology into urban design and residents’ daily living.

Including an underground delivery system and ice-melting heated roads, the futuristic plan aimed to turn Toronto into the world’s first truly ‘smart city’.

Yet, the Quayside development faced fierce criticism before it could even get underway.

Planned for the heart of the development was the harvesting of an extensive flow of data, amassed by studying millions of residents’ daily movements through sensor-laden streets and buildings.

However, critics saw a darker side to Sidewalk Labs, fearing that residents’ data would be stored and used by Google. Such fears only intensified after a series of publicised data breaches at Big Tech companies.

US businessman Roger McNamee described the project as “the most highly evolved version to date of surveillance capitalism”, warning that Google would use “algorithms to nudge human behaviour” for corporate interests.

Despite Sidewalk’s assurances that the data collected wouldn’t be shared with third parties, Toronto city council members began to voice official concerns. A National Research Council report stated that Canada was in danger of becoming a “data cow” for foreign tech companies.

After years of a controversial public debacle that played out in court rooms and street protests, the proposals were eventually abandoned altogether.

An industry slowing down

The story of Quayside’s defeat perhaps has greater implications for the future of smart city culture. Toronto has coincided with numerous high-profile examples of downscaling in grand smart city projects across the world, such as Songdo in South Korea and the ill-famed Masdar City in Abu Dhabi.

In fact, the overall trend of the smart city sector is declining, as the regions with the most smart-city deployments have seen large drop-offs in new developments. For instance, the number of new projects in Europe increased year-on-year to a peak of 43 in 2016- yet fell to just 17 in 2020.

Likewise, data suggests that the major suppliers to government smart city projects have considerably weakened their influence on the sector. Since 2016, companies such as Cisco Systems, Vodafone and Telensa have greatly reduced the number of new developments that they are undertaking, whilst there are numerous examples of backtracking throughout the industry.

In late 2020, Cisco Systems announced that the company was scrapping its flagship smart-city software altogether. Such instances suggest at least a slowing down in production ventures or perhaps even a full-on shift in company priorities.

So, why is the smart city bandwagon beginning to falter?

Not ‘smart’ enough post-pandemic?

Whilst the privacy backlash movement that finished off Quayside is exemplary of existing privacy concerns before Covid-19, the pandemic may have further compounded the barriers faced by the smart city.

The hard-hitting financial implications and uncertainties created by the pandemic have presumably put ambitious smart city projects on the back burner, as city governments re-align their priorities towards economic recovery.

They’ve [smart city technology providers] all seen the challenges and the opportunities in this pandemic moment, says Nigel Jacob, co-chair of the Mayor’s Office of New Urban Mechanics, a civic-innovation research lab in Boston. “I think they are still struggling and looking at their product portfolio and looking to see what value they can add. I do think the field has shifted.“

Jacob suggests that the pre-Covid landscape of smart city promotion has ultimately shifted, a viewpoint that is echoed throughout the industry. Many believe that the pandemic has forced city governments and citizens to re-evaluate their priorities of what needs to be achieved through urban areas.

David Bicknell, principal thematic analyst for GlobalData, arguesSmart cities had their time. They are no longer about glossy, sensor-driven metropolises.“  He adds, “The impact of the pandemic and climate change now means smart cities cannot just be ‘smart’ – they must be resilient and sustainable, too.”

It could be argued that there is now a greater focus for citizens in creating tangible outcomes in their communities on the key issues of climate change, health and social equity.

Whilst the potential for technology to contribute to driving change in these areas is undoubted, the idea that a smart city business model should just be about the city getting smarter is difficult to uphold in the landscape of post-pandemic finances.

With the exception of climate change issues, the traditional smart city does not look to tackle the big issues that have really been reinforced by the pandemic, Jacob argues.

Privacy concerns here to stay

The pandemic also introduced a new array of concerns surrounding data collection. Contact tracing apps, biometric vaccine passports and temperature scanning as a condition to entering premises have added fuel to the fire of privacy issues that people are now encountering.

Added to this, some academics worry that whilst these technologies have been accepted into day-to-day life under unprecedented measures, it leaves open the possibility of such platforms being manipulated for more sinister purposes in the future.

And, with the numerous high profile legal cases surrounding Facebook, Amazon and Google’s privacy policies now regular features in the media, the public is certainly more aware in its understanding of privacy issues since the Quayside story.

Final Thoughts

Despite how strongly opposed many residents were to the Toronto Quayside development, it is clear that the integration of sensors, scanners and cameras into city living is here to stay. And there are undoubted benefits of smart technologies that are already evident in cities throughout the world- from intelligent LED street lighting to data-driven traffic control systems.

However, for the potential of smart technologies to be truly realised and accepted by the public, the smart city must be re-aligned to fit the privacy conscious post-pandemic world.


Further reading: more about smart cities on The Knowledge Exchange Blog

Regaining momentum: can Mobility-as-a-Service get back on the road?

When we last wrote about it in 2019, Mobility-as-a-Service (MaaS) appeared to be on the threshold of transforming the way we get around. An innovative MaaS project had already taken off in Finland, and pilot projects in Sweden and the UK were trialling the advantages of bundling together different transport modes into a single service.

But more recently, some of the high hopes behind MaaS appear to have faded, with some questioning whether the concept needs a reboot.

The benefits of MaaS

The big idea behind MaaS is that anyone can use their mobile device to plan, manage and pay for a journey, selecting from a menu of transport options – such as buses, trains, ride-hailing and bike sharing services.

For passengers, MaaS promises greater freedom of choice. In addition, MaaS has the potential to help support government policy objectives, such as promoting active lifestyles, reducing traffic congestion and improving the air quality of our cities. For transport providers, MaaS could generate new business and cost savings. Research published in 2020 found that transport-related energy consumption can be reduced by up to 25% by allowing travellers unbiased choice of mode of transport for each trip.

Putting the brakes on MaaS

In spite of its appealing possibilities, the momentum driving MaaS seems to have stalled. Reluctance by drivers to give up their cars, the contractual and technical complexity of combining multiple transport modes into one service, and the challenge of getting private companies and public services to work together have all hindered the development of MaaS.

In Finland, once the shining example of MaaS in practice, the operation of the platform has been overshadowed by a conflict over ticketing apps between the country’s leading MaaS provider and Helsinki’s local transport authority. Elsewhere, private sector-led MaaS initiatives have run into financial difficulties.

Debunking the myths about MaaS

Despite these setbacks, MaaS still has its champions. Last month, in a webinar hosted by Intelligent Transport, Sohejl Wanjani and Ulrich Lange from German technology firm Siemens responded to some of the arguments that are often put forward against public transport authorities developing MaaS solutions.

A new platform requires a new app
While it’s possible to build a new app solely for MaaS functions, existing apps can be expanded, meaning users don’t have to have multiple accounts and payment methods.

Building a new MaaS project is too big for us
Two options are open to providers: start with one service provider, offering a fully integrated service (planning, booking and paying for trips within the MaaS app) and later add additional service providers; alternatively, start with several service providers, and offer only planning and booking, but not payment.

Most users rely on Google Maps. We can’t do better than that
The key to a successful MaaS system is data, and transport authorities are rich in data about usage of their services. MaaS systems can use real time data that Google does not have, and can integrate ticketing and booking for all modes of transport. In addition, transport authorities can generate income from their own datasets, adapted to local circumstances. Once passengers are assured of the integrity and quality of the data, they are more likely to use the service.

A good example of this is Denmark’s Rejseplanen. This nationwide mobility platform was launched in 2007, and has since achieved more than 5 million downloads. In Denmark, this app is used more frequently than Google Maps, and its extensive data set continues to drive its popularity. Today, Rejseplanen includes information not only for rail, bus and metro services, but also cycle hire and even domestic air services.

Upgrading to a MaaS platform is not financially viable
As cities introduce measures to reduce traffic congestion, it should now be clear that the need to tackle climate change is driving a shift away from private vehicle use to shared modes of transport that are healthier for people and for the planet. MaaS can contribute to climate-friendly travel, while helping transport providers achieve their strategic goals – generating additional revenue streams, increasing passenger usage and creating new mobility services.

Last year, Renfe, the national railway company of Spain, signed a contract with Siemens to develop a nationwide MaaS platform that will allow users to plan, book and pay for trips in a single application. The system will integrate different modes of shared and public transport, such as train, bicycle, metro, bus, car sharing, and scooter services. Renfe clearly sees MaaS as a viable concern; it expects the new service to generate a 4% increase in train travel, 650,000 new customers, and €156m in additional revenue.

MaaS on the move

MaaS is by no means a lost cause. Last month, a research study estimated that the worldwide market for MaaS would grow at a compound annual growth rate (CAGR) of 36.8% over the next five years.

Meanwhile, Berlin’s Jelbi service is currently the world’s largest MaaS solution, bringing together public transport, bike sharing, e-scooter, taxis and ridesharing services, as well as offering 12 “Jelbi Stations” where users can rent, return and recharge a range of different vehicles.

Last year, Pittsburgh’s mayor unveiled its own MaaS programme. Move PGH is a partnership between the city’s public transport authority and an assortment of carpooling, car rental, e-scooter and bike sharing enterprises.

Final thoughts

MaaS is still in its infancy, and it’s too early to be sure of its future direction. While its proponents present a seductive vision of car-free cities, cleaner air, clearer streets and almost unlimited choices for passengers, the reality may be very different.

A 2020 study questioned the assumptions surrounding MaaS, and argued that, while MaaS has strong potential for increased mobility, there are also “…unanticipated societal implications that could arise from a wholesale adoption of MaaS in relation to key issues such as wellbeing, emissions and social inclusion.”

With MaaS at a crossroads, it will be worth revisiting this issue to assess its progress.

Further reading: more on travel and transport from The Knowledge Exchange blog

Transport – Idox

Idox’s transport solutions support traffic management and the delivery of real-time passenger information across all modes of transport. Through the use of new digital technology, we help traffic managers and local transport authorities to harness data and inform the design of smart transport systems that ease congestion on existing networks. Further information here

Digitalisation and decarbonisation: a 2-D approach to building back greener

Across the world, two disruptive and powerful trends are taking hold: digitalisation and decarbonisation. At times, it seems as if these two forces are acting against each other, with digital technologies accelerating economic growth, but also consuming huge quantities of energy and emitting high amounts of CO2.

But it’s becoming clear that rather than competing, digitalisation and decarbonisation can work together in ways that achieve sustainable economic growth without destroying our home planet.

The net zero imperative

We’re now familiar with the evidence that global warming will do irreparable damage to the world unless we can reduce the greenhouse gases that cause it. Getting to net zero means achieving the right balance between the amount of greenhouse gas produced and the amount removed from the atmosphere.

The challenge is one not just for national governments. Businesses are facing growing regulatory, reputational and market-driven pressures to transform their business models and embrace the shift to a low-carbon, sustainable future. It’s here that digitalisation can support us on the path to net zero.

The digital possibilities

In 2020, a Green Alliance study reported that  digital technologies could have significant positive environmental impacts, including: accelerating the deployment of clean technologies and helping businesses to stop wasting energy and resources.

But the report also found that many UK businesses are still not making use of digital solutions: only 42% of UK businesses have purchased cloud computing services, compared to 65% in Finland and 56% in Denmark. The authors highlighted a number of factors explaining slower digital adoption, including lack of digital skills, concerns about cybersecurity and privacy, and underinvestment in infrastructure.

AI as an ally in the battle against climate change

Another report, published last year by PwC and Microsoft explored the potential of artificial intelligence (AI) in tackling the climate crisis. Focusing on agriculture, water, energy and transport, the report revealed numerous ways in which AI can have positive environmental and economic impacts.

  • In agriculture, AI can better monitor environmental conditions and crop yields;
  • AI-driven monitoring tools can track domestic and industrial water use, and enable suppliers to pre-empt water demand, reducing both wastage and shortages;
  • AI’s deep learning, predictive capabilities can help manage the supply and demand of renewable energy.

The report stressed that AI cannot act on its own, but will rely on multiple complementary technologies working together, including robotics, the internet of things, electric vehicles and more.

While the challenges of putting AI to work in tackling the climate crisis are great, the prizes of doing so are equally significant. The PwC/Microsoft report estimated that across the four sectors studied AI could:

  • contribute up to $5.2 trillion to the global economy in 2030;
  • reduce worldwide greenhouse gas emissions by up to 4.0% in 2030, (an amount equivalent to the 2030 annual emissions of Australia, Canada and Japan combined);
  • create up to 38.2 million net new jobs across the global economy.

Put simply, AI can enable our future systems to be more productive for the economy and for nature.

The downsides of digitalisation

As we’ve previously reported, the infrastructure that supports the digital world comes with significant energy costs and environmental impacts. From internet browsing, video and audio streaming, as well as manufacturing, shipping, and powering digital devices, digital has its own substantial carbon footprint.

The PwC/Microsoft report acknowledges that there will be trade-offs and challenges:

“For example, AI with its focus on efficiency through automation might potentially lead to ‘over exploitation’ of natural resources if not carefully guided and managed. AI, especially deep learning and quantum deep learning, could also lead to increased demand for energy, which could be counter-productive for sustainability goals, unless that energy is renewable and that electricity generation is developed hand-in-hand with application deployment.”

In addition, there is a need to ensure that all parts of the world are able to capture the benefits of digital technologies – not just the more advanced economies.

Final thoughts

Decoupling economic growth from greenhouse gas emissions is one of the biggest challenges of our lifetime. Digital technologies have enormous potential not only to achieve decarbonisation, but to improve economic performance.

As both the Green Alliance and PwC/Microsoft reports have underlined, this can be achieved by taking a joined-up approach to digitalisation and green growth. This means thinking beyond the technology to consider issues such as investing in education and training to develop the skills needed to support the growth of clean industries and digitalisation, addressing privacy concerns and supporting businesses in their drive to shrink their carbon footprints.

As we emerge from a pandemic which has inflicted great damage to economies, but which has also demonstrated the possibilities of changing longstanding habits, digitalisation is presenting us with opportunities to ensure that building back greener is more than just a slogan.


Further reading: more on climate change and technology from The Knowledge Exchange blog:

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‘Breaking the bias’ – gender equality and the gig economy

Yesterday marked the 111th International Women’s Day, a global day of celebration for the social, economic, cultural and political achievements of women. But it is also an opportunity to reflect on and further the push towards gender equality.

While there has been much to celebrate, it has been suggested that the pandemic threatens to reverse decades of progress made towards gender equality as women have been hit harder both socially and economically than men. However, the shift in working practices during the pandemic may help to transform the future of work to the benefit of women.

There has been continued growth in the digital platform or gig economy workforce, with many women entering this type of work because of the pandemic. The gig economy has been shown to have the potential to improve gender equality in the economy, but it is not without its challenges when it comes to gender parity, as recent research has highlighted.

A platform for gender equality?

The report from the European Institute for Gender Equality (EIGE) highlights that the growth of artificial intelligence (AI) technology and platform or gig work has the potential to create new opportunities for gender equality, but at the same time can reinforce gender stereotypes, sexism and discrimination in the labour market. It found that some of the key attractions of gig work such as its flexibility, are often disadvantageous to women.

The EIGE surveyed almost 5000 workers in the platform economy across 10 countries to understand who they are, why they do platform work, and what challenges they face.  It found that:

  • a higher share of women (45%) than men (40%) among regular platform workers indicated that they worked on digital labour platforms because they were a good way to earn (additional) income;
  • flexibility, expressed as the ability to choose working hours and location, motivated about 43% of women and 35% of men;
  • a higher share of women (36%) than men (28%) said they do platform work because they can combine it with household chores and family commitments;
  • 36% of women started or restarted platform work because of the pandemic, compared to 35% of men.

The flexibility of platform work has consistently been referred to as the main motivating factor for engaging in such work. And this flexibility has been found to be more important for women, particularly in relation to family commitments. In practice, however, the research shows that flexibility is limited, with as many as 36% of women and 40% of men working at night or at the weekend, and many working hours they cannot choose.

On the plus side of the gender equality debate, it seems the gig economy is slightly less gender-segregated than the traditional labour market, with a higher share of men doing jobs usually done by women. For example, traditionally female-dominated sectors such as housekeeping and childcare are more gender-diverse in the gig economy:

  • housework (women: 54%, men: 46%)
  • childcare (women: 61%, men: 39%)
  • data entry (women: 47%, men: 53%)

But the EIGE’s survey also suggests a degree of skills mismatch and overqualification in platform work that affects women in particular. It suggests that highly educated women are more likely to do jobs that do not match their level of education, putting them at greater risk of losing their skills.

Gender bias in AI

The report also shines a light on the issue of gender bias in AI which can be a particular issue in the gig economy where such systems are frequently used.

It argues that gender bias can be embedded in AI by design, reflecting societal norms or the personal biases of those who design the systems. For example, the use of algorithms that are trained with biased data sets perpetuate historically discriminatory hiring practices which can lead to female candidates being discarded.

Platform workers can also be monitored using time-tracking software, which deducts ‘low productivity time’ from pay, increasing ‘digital wage theft’, to which women are more vulnerable.

Considering just 16% of AI professionals in the EU and UK are women – a percentage which decreases with career progression – this is something that needs to be addressed if gender parity in the gig economy, and indeed the entire modern economy, is to be achieved.

Way forward

The EIGE report welcomes new proposed EU legislation to improve the working conditions of platform workers and the EU’s proposed ‘Artificial Intelligence Act’, suggesting this shows promise when it comes to minimising the risk of bias and discrimination in AI. Also highlighted as a positive sign, is the EU’s commitment to train more specialists in AI, especially women and people from diverse backgrounds.

Nevertheless, one of the conclusions of the report is that regulations and policy discussions on platform work are largely gender blind and that action is required on multiple levels to address gender inequalities and discrimination in the gig economy.

To this end, the report recommends that the EU needs to do the following:

  • mainstream gender into the policy framework on AI-related transformation of the labour market;
  • increase the number of women in, and the diversity of, the AI workforce;
  • address the legal uncertainty in the employment status of platform workers to combat disguised employment;
  • address gender inequalities in platform work;
  • ensure that women and men platform workers can access social protection.

There are lessons here for the UK too. Perhaps the fulfilling of these actions will go some way to improving the situation by the time we get to the next International Women’s Day.


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Could arts and culture hold the key to the digital divide?

The rapid shift to digital content creation, distribution, audience engagement and participation since the start of the pandemic has enabled the continued experience of arts and culture, despite cultural institutions having to shut their doors. But a significant proportion of the population still face barriers to digital engagement – 7 million people have no internet access at home, 9 million people struggle to use the internet independently and 17 million people only use the internet for limited purposes.

Previous research has shown that engagement with cultural institutions such as museums and galleries, both on-and off-line, “remains deeply unequal”. Perhaps more worrying was the finding that “the gaps between the haves and the have nots are even wider online than in the case of physical visits.”

During a recent webinar by the Digital Culture Network, presented in partnership with Google Arts & Culture and their Connected to Culture playbook, the scale of the digital divide was highlighted, as was the important role arts and culture can play in addressing it.

The discussion focused on three areas:

  • Digital inequalities, barriers and exclusion
  • Knowing your audience
  • Projects that have successfully increased inclusivity

Digital divide

Kicking off the discussion on the digital divide, Jane Mackey, Senior Research & Evaluation Manager at the Good Things Foundation highlighted three key areas when we think about the digital divide:

  • digital access (7million people in the UK are excluded on this basis)
  • digital skills (11.7million people in the UK don’t have digital skills needed to engage online)
  • motivation and confidence (people might have access and some skills but lack the motivation or confidence to use it)

The latest data from the Office for National Statistics shows that a perceived lack of need, followed by a lack of digital skills are the main reasons given for not having household internet access.  The focus has mainly been on engaging and upskilling those who already have access to digital technology. But, as the discussion highlighted, the excluded 20% would be likely to benefit more from targeted action.

Jane noted that the digital divide is not static, but is more of a spectrum that people can move along throughout their lives. Based on its current research, the Good Things Foundation recommends that the arts and culture sector commits to be digitally inclusive by default. This will help to overcome barriers to digital by engaging directly with the digitally excluded and partnering with other organisations.

Zak Mensah, Co-CEO at the Birmingham Museums Trust, similarly highlighted barriers to digital, such as the infrastructural barriers depending on people’s location. Some rural areas, for example, do not have the digital infrastructure needed for access. Even in cities, which tend to have faster broadband, much of it is focused on the centre and businesses rather than individual households.

Zak also highlighted the importance of motivation, and giving people a reason to use technology.

Role of arts and culture

While some think the key is to get everyone to have the internet at home, Zak suggested that arts and cultural organisations can help people’s access by using their physical spaces better and also by taking the technology to the excluded.

Libraries have been successful over a number of years in providing space for people to access technology with free internet and support in using it. Similarly, arts and cultural organisations are in a position to do the same through their digital tools.

One suggestion was not switching off the Wi-Fi at close of business; another was potentially reducing restrictions on what people can access using their Wi-Fi (while obviously maintaining some control) so people can use it for wider purposes.

One project Birmingham Museums managed recently involved taking digital kit out to care homes for digital arts sessions. This was not only great for wellbeing; it also showed how digital technologies can be adapted to connect with people within communities. As Zac said “ultimately we have to go out more, we can’t always get people to come to you.”

Zak also explained that collaboration is key – sharing resources, ideas and skills – to reach as many people as possible.

Inclusive practice

Jenny Williams, Project Director at Revoluton Arts in Luton, also highlighted the importance of new partnerships.

She noted that when lockdown first started the staff wanted to keep engaging, so moved online with the help of Zoom. Because they didn’t really know about how it worked Revoluton called upon people within the community to help teach others.

They now have a suite of materials online that can help artists and others.

Revoluton has also worked with Marsh Farm Outreach who ran lounge sessions every night with live music, working with local artists and reaching huge audiences. One session titled The Creative History of Marsh Farm was about reminiscence, memory, sharing stories of place, and engaged 6000 people. While acknowledging that such online communication is great for international reach, Jenny noted that it can also make a big difference locally.

They have also used digital tech to create safe spaces online to attract members of the community that might not have otherwise engaged. One of their residency programmes, Touch Commission, was co-commissioned with Wellcome Collection which explored the theme of touch through arts and creativity. The project was centred on Bury Park, a predominantly Asian community in Luton. The dialogue and understanding that was shown helped to engage with those most excluded.

Another project highlighted by Jane was the Power Up initiative, a collaboration between the Good Things Foundation and JP Morgan Chase Foundation, which aims to drive economic inclusion through digital in communities.

Other partnerships showcasing inclusive practice include:

  • Engaging older audiences – Birmingham Museums Trust & Arts Council Collection partnership programme aimed at reaching the over 75s in care homes.
  • Dance and Time with the Museum – Presented in a partnership between University of Cambridge Museums and local sheltered housing and assisted living services; this blog outlines how the project was safely moved online.
  • Bussy – Prompted by Revoluton’s experiences of creating safe spaces for everyone online; this is an example of a creative organisation doing the same.

Way forward

There were a number of key takeaways from the discussion for arts and culture organisations. These include:

  • it’s about knowing your audience, knowing what their barriers to access are and planning an approach to these from the start;
  • empathy and understanding that happens as a result can be important; and
  • it’s about understanding the resources you have and how they can be used, particularly through partnerships.

There’s no quick fix for breaking down the barriers to digital engagement: as Zak eloquently put it, “it’s a marathon not a sprint”. But, as the many practices highlighted during this webinar demonstrate, the arts and culture sector has the tools to make a difference on the digital divide.


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An app a day … how m-health could revolutionise our engagement with the NHS

It seems like almost every day now we see in the news and read in newspapers about the increasing pressures on our NHS, strains on resources and the daily challenges facing already overworked GP staff.

Mobile health applications (m-health apps) are increasingly being integrated into practice and are now being used to perform some tasks which would have traditionally been performed by general practitioners (GPs), such as those involved in promoting health, preventing disease, diagnosis, treatment, monitoring, and signposting to other health and support services.

How m-health is transforming patient interactions with the NHS

In 2015 International Longevity Centre research found some distinct demographic divides on health information seeking behaviour. While 50% of those aged 25-34 preferred to receive health information online, only 15% of those aged 65 and over preferred the internet. The internet remained the favourite source of health information for all age groups younger than 55. And while not specifically referring to apps, the fact that many people in this research expressed a preference to seek health information online indicates that there is potential for wider use of effective, and NHS approved health apps.

A report published in 2019 by Reform highlighted the unique opportunity that m-health offered in the treatment and management of mental health conditions. The report found that in the short to medium-term, much of the potential of apps and m-health lies in relieving the pressure on frontline mental health services by giving practitioners more time to spend on direct patient care and providing new ways to deliver low-intensity, ongoing support. In the long-term, the report suggests, data-driven technologies could lead to more preventative and precise care by allowing for new types of data-collection and analysis to enhance understandings of mental health.

M-health, e-health and telecare are also potentially important tools in the delivery of rural care, particularly to those who are elderly or who live in remote parts of the UK. This enables them to submit relevant readings to a GP or hospital consultant without having to travel to see them in person and allowing them to receive updates, information and advice on their condition without having to travel to consult a doctor or nurse face-to-face. However, some have highlighted that this removal of personal contact could leave some patients feeling isolated, unable to ask questions and impact on the likelihood of carrying out treatment, particularly among older people, if they feel it has been prescribed by a “machine” and not a doctor.

Supporting people to take ownership of their own health

Research has suggested that wearable technologies, not just m-health apps, but across-the-board, including devices like “fitbits”, are acting as incentives to help people self-regulate and promote healthier activities such as more walking or drinking more water. One study found that different tracking and monitoring tools that collect and analyse health and wellness data over time can inform consumers of their baseline activity level, encourage personal engagement in health and wellbeing, and ultimately lead to positive behavioural change. Another report from the International Longevity Centre also highlights the potential impact of apps on preventative healthcare; promoting behaviour change and encouraging people to make healthier choices such as stopping smoking or reducing alcohol intake.

Home testing kits for conditions such as bowel cancer and remote sensors to monitor blood sugar levels in type 1 diabetics are also becoming more commonplace as methods to help people take control of monitoring their own health. Roll-outs of blood pressure and heart rhythm monitors enable doctors to see results through an integrated tablet, monitor a patient’s condition remotely, make suggestions on changes to medication or pass comments on to patients directly through an email or integrated chat system, without the patient having to attend a clinic in person.

Individual test kits from private sector firms, including “Monitor My Health” are now also increasingly available for people to purchase. People purchase and complete the kits, which usually include instructions on home blood testing for conditions like diabetes, high cholesterol and vitamin D deficiency. The collected samples are then returned via post, analysed in a laboratory and the results communicated to the patient via an app, with no information about the test stored on their personal medical records. While the app results will recommend if a trip to see a GP is necessary, there is no obligation on the part of the company involved or the patient to act on the results if they choose not to. The kits are aimed at “time-poor” people over the age of 16, who want to “take control of their own healthcare”, according to the kit’s creator, but some have suggested that instead of improving the patient journey by making testing more convenient, lack of regulation could dilute the quality of testing Removing the “human element”, they warn, particularly from initial diagnosis consultations, could lead to errors.

But what about privacy?

Patient-driven healthcare which is supported and facilitated by the use of e-health technologies and m-health apps is designed to support an increased level of information flow, transparency, customisation, collaboration and patient choice and responsibility-taking, as well as quantitative, predictive and preventive aspects for each user. However, it’s not all positive, and concerns are already being raised about the collection and storage of data, its use and the security of potentially very sensitive personal data.

Data theft or loss is one of the major security concerns when it comes to using m-health apps. However, another challenge is the unwitting sharing of data by users, which despite GDPR requirements can happen when people accept terms and conditions or cookie notices without fully reading or understanding the consequences for their data. Some apps, for example, collect and anonymise data to feed into further research or analytics about the use of the app or sell it on to third parties for use in advertising.

Final thoughts

The integration of mobile technologies and the internet into medical diagnosis and treatment has significant potential to improve the delivery of health and care across the UK, easing pressure on frontline staff and services and providing more efficient care, particularly for those people who are living with long-term conditions which require monitoring and management.

However, clinicians and researchers have been quick to emphasise that while there are significant benefits to both the doctor and the patient, care must be taken to ensure that the integrity and trust within the doctor-patient relationship is maintained, and that people are not forced into m-health approaches without feeling supported to use the technology properly and manage their conditions effectively. If training, support and confidence of users in the apps is not there, there is the potential for the roll-out of apps to have the opposite effect, and lead to more staff answering questions on using the technology than providing frontline care.


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Smart cities aim to make urban life more efficient – but for citizens’ sake they need to slow down

Sometimes you want to take it slow. Fabrizio Verrecchia/Unsplash. , FAL

Guest post by Lakshmi Priya Rajendran, Anglia Ruskin University

All over the world, governments, institutions and businesses are combining technologies for gathering data, enhancing communications and sharing information, with urban infrastructure, to create smart cities. One of the main goals of these efforts is to make city living more efficient and productive – in other words, to speed things up.

Yet for citizens, this growing addiction to speed can be confounding. Unlike businesses or services, citizens don’t always need to be fast to be productive. Several research initiatives show that cities have to be “liveable” to foster well-being and productivity. So, quality of life in smart cities should not be associated with speed and efficiency alone.

The pace of city life is determined by many factors, such as people’s emotions or memories, the built environment, the speed of movement and by the technologies that connect people to – or detach them from – any given place. As cities around the world become increasingly “smart”, I argue that – amid the optimised encounters and experiences – there also need to be slow moments, when people can mindfully engage with and enjoy the city.

Cities provide an environment for people to move, encounter, communicate and explore spaces. Research shows how these experiences can differ, depending on the pace of the activity and the urban environment: whether fast or slow, restless or calm, spontaneous or considered.

“Slow” approaches have been introduced as an antidote to many unhealthy or superficial aspects of modern life. For example, the slow reading movement encourages readers to take time to concentrate, contemplate and immerse themselves in what they’re reading – rather than skim reading and scrolling rapidly through short texts.

Similarly, the international slow food movement started in Italy as a protest against the opening of a McDonald’s restaurant on the Spanish Steps in Rome, back in 1986. Then, in 1999, came the “cittaslow movement” (translated as “slow city”) – inspired by the slow food movement – which emphasises the importance of maintaining local character while developing an economy which can sustain communities into the future.

Orvieto, Italy – home of the cittaslow movement. Shutterstock. 
Slow cities arise from grassroots efforts to improve quality of life for citizens, by reducing pollution, traffic and crowds and promoting better social interaction within communities. They must follow a detailed set of policy guidelines, which focus on providing green space, accessible infrastructure and internet connectivity, promoting renewable energy and sustainable transport, and being welcoming and friendly to all. Slow cities can create opportunities for healthier behavioural patterns – including pausing or slowing down – which allow for more meaningful engagement in cities.

These guidelines present a clear road map for city governments, but there are also ways that local people can promote a slow city ethos in fast-paced cities throughout the world. For example, in London, artists and activists have organised slow walks to encourage the general public to meaningfully engage with urban spaces, and show them how diverse their experiences of the city can be, depending on the speed of movement.

Slow and smart

Trying to put people’s concerns at the heart of smart city policies has always been challenging, due to the lack of creative grassroots approaches, which enable citizens to participate and engage with planning. And while technology has been able to give citizens instant access to a wide range of data about a place, it is rarely used to improve their actual experience of that place.

Getting smart cities to slow down could give citizens the means to explore the urban environment at a range of different paces, each offering a distinctive experience. To do this, architects, artists and urban planners need to look beyond the ways that technology can give instant access to information, services and entertainment – whether that’s video game lounges, or recharging and navigation pods in airports and stations.

Instead, they must recognise that technology can create platforms for citizens to immerse themselves and engage meaningfully in different experiences within the urban environment. For example, technology-based installations or projections can tell stories about people and places from other times, which enrich people’s experience of the city. Artificial Intelligence and machine learning can offer new ways to understand cities, and the way people function within them, which could help give human behaviour and experience a significant place in smart city planning.

Slow and smart cities could take the best of both approaches, helping citizens to connect with the history, present and future of a place, emphasising local character and building a sense of community, while also making use of the latest technology to give people greater choice about whether they want to speed up or slow down.

This would not only enhance efficiency and productivity, but also ensure that technology actively helps to improve people’s quality of life and make cities better places to live. It may sound idealistic, but with the range of advanced technology already being developed, ensuring cities are slow as well as smart could help people live better, more meaningful lives long into the future.The Conversation


Guest post by Lakshmi Priya Rajendran, Senior Research Fellow in Future Cities, Anglia Ruskin University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Why not read some of our other articles on smart cities:

Digital Leaders Week: Digital transformation in local government

Image: Digital Leaders

Today is the start of Digital Leaders Week, a celebration of the opportunities and challenges for the digital transformation of Britain’s businesses, public services and society.

Here at the Knowledge Exchange blog, we’ve been taking a keen interest in digital developments in both the public and private sector. To celebrate Digital Leaders Week, we’re revisiting some of our digital-themed blog posts from the past, and bringing you up to date on current developments.

Several articles on our blog have highlighted the potential of digital technologies as drivers of internal transformation and improved service delivery in local government.

In May 2016, we looked at the benefits of digital for local authorities, noting that research by Nesta and the Public Service Transformation Network had suggested local councils could save £14.7 billion by moving all transactional services online and digitising back office functions. This echoed the findings of Policy Exchange, which reported that £10 billion could be saved by councils making smarter use of data and technology.

But another article on our blog also pointed to some of the reasons why local government was struggling to develop digital strategies, including limited infrastructure, red tape and funding issues:

“In theory, providing technical solutions to local government services should provide long term efficiencies. Yet, in an era of constrained budgets, finding the initial capital for digital projects can be challenging. Leaders in councils trying to fund social care services and schools may not view digital as a priority.”

Further blog posts have indicated that some councils are overcoming the barriers to digital change:

“For example, Cambridge City Council have launched Cambridgeshire Insight, a shared research knowledge base which allows over 20 public and third sector organisations to publish their data and make it freely available. We have also seen 18 councils coming together to collaborate on a project which aims to keep electoral registers up-to-date, potentially saving £20 million a year.”

Today, more councils are embracing the challenges and opportunities of digital. A good example comes from Adur & Worthing Councils, which believes that digital inclusion can greatly improve the lives of local people. Among the digital services now offered by Adur & Worthing is an online payments facility. In addition, online access points enable residents to get up-to-date information on important issues such as council tax, recycling, public transport and cultural events.

Another example is Nottingham City Council’s workflow management app, introduced to replace an inefficient paper-based system:

“The new app allows staff from customer services, highway inspectors and response teams to enter faults, such as potholes or damaged street lights, directly into the system. It then automatically allocates the fault to the relevant inspector and, once the work is completed, digitally signs it off. The council has reported that the app has created £100,000 in savings in less than one year.”

However, we’ve also underlined that there’s more to digital transformation than getting the technical aspects right:

“With digital transformation, technology is less important than the vision and leadership provided by senior officials. Encouraging data sharing across organisations, empowering employees, and importantly, investing in digital services, are just some of the key ingredients.”

It’s clear that digital transformation is a journey, not a final destination, and we’ll continue to report on the ways in which local government is embracing digital technologies for the benefit of councils and citizens.

Our next Digital Leaders Week blog post, on Wednesday, looks at digital developments in Singapore and Estonia.


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Engaging the ‘silent majority’ in planning: is digital the answer?

It has long been a concern that traditional planning consultation methods do not adequately capture the views of the majority.

Instead, they tend to be dominated by individuals with certain characteristics – typically older people or retirees, with high disposable income and social capital, and the time and means to attend in person.

This is partially because traditional planning consultation methods, such as public exhibitions, mainly involve individuals physically attending events at pre-specified places and times.

Younger people, students, people with disabilities, and working families with or without children, may find it difficult to attend and engage with such consultation methods.

In addition to this – people are also more likely to engage with the planning system when they are opposed to something.  Research by Shelter found that people opposed to local housebuilding were three times more likely to actively oppose an application than supporters were to actively support it (21% compared to 7%).

However, the majority of people surveyed were actually supportive or neutral regarding local house building.  This means that in many cases, there is a ‘silent majority’ – people whose voices are not being heard by the planning system.

This ‘silent majority’ often includes young people and others who may have the most to gain from new housing, employment and other benefits created by local developments.

In the rest of this blog, we consider the potential of social media and digital apps to make the planning system more accessible, inclusive and representative.

The potential of social media

Social media is everywhere – and as such it has a huge potential to reach and engage people from all walks of life.

Through adverts or posts in relevant groups, information about developments can be shared, with likes and comments providing feedback.  Short questionnaires or polls can also be administered to help gauge public opinion on a range of matters, such as locations, layouts and designs.

At present, social media is not a widely used planning consultation method – however, there is support for it to become so.

In 2016, a YouGov survey explored local councillors’ attitudes towards the use of social media during public consultation.  It found that:

  • 75% of councillors felt that social media was an important or very important engagement tool
  • 74% believed that social media would add value when reviewing planning applications
  • 60% felt that developers should be doing more to engage with local communities through social media
  • 60% believed social media will increase in importance as a public engagement tool over the next three years

It has been argued that social media is a much more relevant way to share information and consult on development proposals, particularly for young people.

It also has the potential to help overcome many of the time and accessibility barriers that prevent people from attending traditional ‘time and place’ consultation events.  And it has an incredible potential reach too – with Facebook having a total of 44 million active users and Twitter 14 million.

There are, however, some concerns – particularly regarding the verification of an individuals’ locality and the public management of negative comments, particularly as users can remain anonymous.  The potential for cyberactivism against a development and the spread of ‘fake news’ are also concerns.  Social media training would no doubt be required for those using social media to consult on developments.

Innovative apps

In addition to social media, digital apps offer an exciting new way for people to engage with the planning system.

Hailed as ‘Tinder’ for urban planning, CitySwipe is a new digital tool being used in Santa Monica’s downtown area to learn citizens’ preferences and concerns about the city’s urban core.  It enables local residents to swipe left or right to indicate their preferences regarding various different urban development scenarios.  For example, users may be asked to choose between different types of outdoor seating.  The app also covers attitudes towards things such as walking, bike lanes, housing and other such areas of interest to urban planners.

If CitySwipe is Tinder, then TrueViewVisuals can be likened to the Augmented Reality (AR) mobile gaming app ‘Pokémon Go’.  AG is a technology that superimposes a computer-generated image on a user’s view of the real world, thus providing a composite view of both.  TrueViewVisuals makes use of this to enable users to use their mobile device to view proposed developments in existing locations and is thus particularly useful in assessing their potential visual impact.

Bootlegger is a mobile app originally designed to film live music, which is now also being applied to the urban planning context.  It enables users to collaborate and share their footage with others, and edit them into a single video.   In Berwick-upon-Tweed, Bootlegger has been used to enable members of the public to make their own ­films regarding planning proposals and the neighbourhood area and share them with others.

ChangeExplorer uses location data to provide users with ‘push notifications’ when they enter a geographic location that is subject to redevelopment plans.  Users can then view and comment on the plans, making it much easier for local residents and visitors to have their say on planning decisions.  It has been used successfully by North Tyneside Council, where it was found to be “an effective tool in encouraging participants to think about what they would like to change and for them to feel empowered in raising relevant issues”.

Enhance and evolve

These are just a handful of the ways in which technology can be used to engage young people and others within the ‘silent majority’.  It is an area which is developing all of the time – as recent reports by the Scottish Government, Future City Catapult and the RTPI show.

It also comes at a time where there is wider discussion of the need to make planning more inclusive.  In order to do this, it is essential that the views captured by planning consultations truly represent the needs and preferences of all local residents.

Of course, online engagement cannot replace the need for traditional consultation approaches and techniques entirely.  Instead, they should complement one another, offering both an enhancement and an evolution of the current planning system.  And in doing so, the planning system can meet both the needs and expectations of an increasingly digital world.


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New year, new high street: it’s time to reshape our town centres (part one)

Wigtown town centre © Copyright Jim Barton

One thing is certain. The high street landscape has now irrevocably changed and there is no point clinging on to a sentimental vision of the past. We have to start planning for a bold new world.”

This was the conclusion of the Grimsey Review in 2013.  Five years on and the challenges facing the high street remain – now with the added economic complexities presented by Brexit.

Yet there remains optimism.  In the last year, a number of reviews have been published, illustrating how we can bring town centres and high streets back to life.

In summer last year, an update to the Grimsey Review was published. Its title – ‘It’s time to reshape our town centres’ – is something of a call to arms.

It sets out 25 recommendations to help support the high street to transform “into a complete community hub incorporating health, housing, arts, education, entertainment, leisure, business/office space, as well as some shops, while developing a unique selling proposition (USP)”.

In November, Lichfields also published a number of recommendations for high streets, based on their own research.  Their conclusions echo that of Grimsey: “Town centres and operators within them should embrace online, promote themselves better and develop their own unique selling point(s). They must broaden their offer and attract new anchors and other uses, which make them more family friendly, and improve the overall ‘experience’ for visitors”.  It also highlights a number of examples of innovative practice.

In addition to these, at the end of December, the Ministry of Housing, Communities and Local Government published the findings and recommendations of the High Streets Expert Panel, and a related report by the Institute of Place Management (IPM) – ‘High Streets 2030’.

The IPM report gathered the opinions of local people, including young people, about their town centre, what they would like to see developed, and the related challenges that they perceive.

Over the next two blog posts, we will look at some of these reports’ key recommendations, and highlight some innovative examples of good practice.

A diverse high street

A recent tweet by Fountain Bookstore in the U.S. highlighted the difficulties presented by ‘showrooming’ – where people visit high street stores to view items which they subsequently purchase online, often only for a marginally cheaper price.  The tweet went viral and sparked much debate.

However, realistically, online shopping is not going away – and in recognition of this, it has been widely recommended that high streets should diversify their offer, placing greater focus on services and experiences that cannot be replicated online – including food and drink uses, and leisure facilities, such as cinemas and gyms.

There does appear to be some evidence of this happening in practice – barbershops and beauty salons were ranked first and second respectively in terms of their number of net retail openings in 2017.  And Fountain Bookstore may be pleased to learn that there has been a small increase in the numbers of indepedent booksellers in towns across the UK.

A unique high street

Another key recommendation is for town centres to identify their own unique selling points (USPs).

Wigtown, in Dumfries and Galloway, is a fantastic example of a town that has developed a USP in order to regenerate the community.  In 1998, Wigtown was designated Scotland’s national book town, and it has since become home to a wide range of book-related businesses, including both new and used booksellers, and an annual book festival that attracts many people to the town.

Other towns have sought to capitalise on their heritage to bring people back to the town centre – such as through the relatively new Heritage Action Zones programme and the £55 million fund announced in the 2018 budgetfor heritage-based regeneration, restoring historic high streets to boost retail and bring properties back into use as homes, offices and cultural venues”.

A digital high street

While the ubiquitous growth of technology has presented high streets with some of its key challenges – in the form of online shopping and showrooming – it also presents a number of opportunities.

As well as making the most of click and collect services, many town centres may also be able to capitalise on the ‘clicks to bricks’ phenomenon – where online retailers open physical stores in order to provide their customers with an enhanced experience, such as being able to trial goods before purchasing.

Grimsey 2 also outlines a number of other ways in which high streets can capitalise on technology – from providing free wifi and spaces for freelancers to work/come together, to becoming involved in digital marketing campaigns and gathering/using local datasets.

In Scotland, a number of ‘Digital Town’ pilots have been set up with a view to improving the high street’s digital infrastructure and skills, and supporting high streets to take advantage of these in order to boost tourism and local economies. Related guidance on the development of ‘Digital Towns’ has also been produced.

A well-supported high street

There is also a range of innovative supports for high streets – some more traditional, like business improvement districts, and others more unconventional – such as the growth of popup shops and other supports for local entrepreneurs.  We have discussed the many benefits of markets for town centres in a previous blog post. There have also been various awards and awareness-raising campaigns, such as Love Your Local Market, and the Great British High Street.

Another approach is to use the planning system.  One particularly innovative example of is that of the Renfrew Town Centre SPZ – Scotland’s first Simplifed Planning Zone (SPZ) focusing on town centres.  It was set up in 2015 and built on the success of Glasgow’s award-winning Hillington Park SPZ.

The SPZ aims to support existing businesses, encourage new businesses, and increase the number of people living within the town centre by supporting the re-use of vacant property on upper floors.

The scheme has been hailed as an excellent example of the Town Centre First principle. According to Scottish Planner: “The scheme has been well received and offers simplicity to businesses who can invest in the town centre knowing that they can change the use of premises and upgrade the shop front without having to apply for planning permission”.

Renfrewshire Council have published a ‘how to’ guide detailing their experience.

To be continued…

These are but a few of the many innovative ideas and experiences that have helped town centres across the country.

In our next post, we will continue this theme and outline some additional ways that town centres can help to address their challenges and increase footfall – through community involvement, good quality, inclusive urban design, the promotion of healthy environments and the creation of homes on the high street.


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