Teleshopping Set For Major Community Care Role
By James Barlow and Mary Breeze.
As age and frailty increase, a visit to the shops for essential supplies can become a major burden or an impossible task. Home grocery shopping services using information and communications technology (ICT) – generally called teleshopping – have been developed over the last twenty to thirty years. Several early schemes in the UK involved collaboration between local social services and retailers in order to address the problems of people accessing grocery stores. Most of these schemes failed to progress, largely because the technologies used were not robust.
In recent years the growth in internet use has given renewed impetus to local authority teleshopping schemes. Several models are in use on a small scale. These generally involve either the internet or telephone, with assistance from social services, the voluntary sector and grocery retailers.
Online shopping has not proved popular amongst the clients of local authority home shopping services. This is partly because of the lack of ownership of bank cards or wariness about using them online, and partly due to low levels of computer literacy. However, there is evidence that cost, productivity, and value for money benefits can be achieved through services based on the telephone and the internet.
Bristol’s existing home shopping service
In Bristol, local home care team leaders have some discretion over the way they operate the home shopping service. The normal model is for home care assistants to visit the client at home to collect their list and money, shop at the supermarket and deliver the groceries with the change. The case study district was representative of group shopping schemes, where the shopping for several clients is batched and carried out weekly. The area contains approximately sixty clients, served by five home care assistants.
There are many benefits to the existing system and clients are very supportive of the service. As well as doing the shopping, home care assistants provide valuable social contact and support and are trained to report changes in service users’ health or behaviour. There are, however, a number of problems with the current approach.
For the individual client, there is little choice over the supermarket, and the shopping can only be carried out on a specific day. Because they do not visit the supermarket, many clients are unable to update their shopping list and may have a limited diet because they do not have current knowledge of goods that are available. Given that the average cost of a weekly shop is about ? the service charge of ?0 is very high.
There are also problems relating to the home shopping process because of complications in carrying out transactions for groups of clients and dealing with special offers and loyalty points. The physical volume and weight of shopping carried by home care assistants can also be a problem and there is a security risk in collecting cash from clients.
For Bristol as a whole, the total cost of the home shopping service is high. At between ?m and ?m per annum, it represents about a fifth of the total home care budget. There is also a chronic shortage of home care assistants, and shopping represents a significant drain on their time.
Bristol’s teleshopping trials
With support from the Dolphin Society, the researchers designed and tested four different approaches for teleshopping in the case study area. As well as trialling these models with service users, a digital interactive TV shopping service run by one of the major supermarkets was used on three occasions to shop for a standardised shopping list. The trials were evaluated by comparing them with data obtained on the current shopping system. This included the service users’ perception of the quality of the service and cost effectiveness.
In time, use of the internet will rise and the difficulties caused by low use of bank cards amongst disadvantaged groups will probably cease to be the problems they are today. There is, however, a need to develop intermediate teleshopping models to cover the period before there is widespread computer access and experience, and before digital interactive TV ownership becomes mainstream. The Bristol trials suggest that a simplified ICT-supported system is needed. This should be based on intermediaries who handle the transaction, but without the need for individual service users to have access to the internet or use a bank card.
One such model involves council-run telephone ordering. Here, an intermediary such as the home care assistant telephones the client to ask for their shopping list and to check their welfare before placing the order online and paying with a centrally held credit card or account. Selection of the goods and delivery is carried out by the supermarket. Clients are invoiced monthly for their goods and can pay in the same way as they do for home care charges. This approach needs appropriate software to relate the cost of a service user’s transaction to the entry on their invoice to be developed. Other than this, the service would simply require access to the internet and a telephone line.
Another approach would be to develop a system which allowed people to order groceries directly from the supermarket, without the need for an intermediary. This could involve the use of a bar-code reader to scan items in a catalogue and send a shopping list to a chosen supermarket using the home telephone line.
The costs to local authorities
The annual cost of the various teleshopping models is estimated to range from about ?million for council-run telephone ordering to ? million for assisted online shopping. The local authority would not, of course, incur costs if individuals paid the delivery and phone charges associated with standard supermarket telephone ordering.
While the council-run telephone ordering model might therefore allow a local authority to make significant savings on its home care budget, this is to take a narrow perspective on the costs and benefits of home shopping. Visits by home care assistants represent a significant opportunity for social contact for older and disabled people, with benefits and resource implications for other parts of the care system.
The need for clients to use a credit or debit card for payment was a major problem during the trials. There are difficulties in using a local authority credit card, partly because of the problems in tracking individual payments when a single card is used for multiple orders. This could be resolved if supermarkets issued two receipts for each transaction – one for the client and the other for the local authority. An alternative solution would be either for clients or the local authority to hold an account with a particular supermarket, so that, in effect, the supermarket was giving credit for the goods.
The longer term
In the longer term, problems relating to internet access and computer literacy will be eroded. There are several government strategies for reducing the digital divide, including initiatives to develop public internet access points and projects to ‘wire up’ disadvantaged communities. Other platforms, notably digital interactive TV, may overtake the personal computer as the principal means of accessing the internet from home in the next few years. Developments in database and interface technologies may radically change the home shopping experience for older and disabled people. The complexity of website use and navigation, and the difficulty of delivering a personalised service electronically, may be overcome through the development of the ‘electronic personal sales assistant’.
Whichever approaches to teleshopping emerge over the next decade, they will need to take into account the specific requirements of older people and alternative payment methods. This will need co-operation from supermarkets, as well as social care policy decisions about subsidy and access.
About the project
The project was carried out in collaboration with Bristol City Council and the Dolphin Society, a local charity which provided the funding for the trials and Mary Breeze’s post. The project focused on Bristol as a typical larger urban area faced with an ageing population and competing pressures on its social services. The models for home shopping will, to some extent, need to reflect the social, economic and geographical characteristics of the areas they serve – what is financially viable in a large urban area will not necessarily be so in a lower density, rural community or a small country town.
For more information about the project, contact James Barlow, Innovation Studies Centre, Tanaka Business School, Imperial College London, South Kensington Campus, London, SW7 2AZ, Tel: 0207 594 5928, Fax: 0207 594 5915, email: firstname.lastname@example.org.
The full report, Teleshopping for older and disabled people: An evaluation of two pilot trials by James Barlow and Mary Breeze, is published by the Joseph Rowntree Foundation (ISBN 1 85935 278 2, price ?95) as part of the Digital Age series.