Converting policy into animated films means reaching “65% of the population who are visual learners who absorb and recall information best by seeing”.
A great example being NHS England’s national Continuing Healthcare (CHC) film, the framework is complex and a sensitive area of the NHS, CHC is sometimes known as end of life care. NHS England found that time poor clinicians struggled to impart complexities to patients (who themselves being very unwell) so commissioned Enabled City to create an animated film, these films were viewed over 10,000 times within 12 months.
Healthwatch Gateshead took the initiative to test effectiveness of the animated films and kindly shared the below results.
Healthwatch Gateshead became aware of national information on CHC commissioned by NHS England in the form of short films to help explain the national policy framework better to people and families. https://www.live22malaysia.com
We held a workshop with 8 Healthwatch Champions to try to gauge the quality of the information and asked them to rate their knowledge of CHC from 1 to 5. The combined points before watching the film were 16 out of a possible 40. After the film we repeated the question and those numbers rose to 31 out of 40 which was a significant rise.
Feedback from Healthwatch Champions
“Simple language. Difficult subject but made much easier to understand. The repetitive language gives a consistent message.”
“Would probably like to see the video again to increase knowledge of CHC even more”
“Film really helpful in understanding CHC”
“Some aspects of CHC would need to have more than a second look to understand more fully”
“ I think the video needs to be advertised and localised . This would be really useful for the community”
“Most of the BAME community access information online as we can use translation services, the video maybe able to be translated “
We shared the findings of the Healthwatch champion sessions and worked with NGCCG to have this information included on their website which now also includes a link to further information about CHC on the NHS choices website.
Great work Healthwatch Gateshead and Newcastle Gateshead CCG!
Inclusive by design
Information should inclusive by default and fun to access – creating better services for those with communication support needs and you’ll also be including the needs of time poor professionals too.
It all starts by creating a great script and followed principles learnt from working with people with learning disabilities when creating HERO docs (Healthcare Easy Read Online) content and Word-Bank definitions.
Graphics have big part to play but they need to be used meaningfully to support each concept (and be within brand), we added subtitles and voice over then gave viewers choice by publishing a full length version of the whole framework and another version with chapters.
Don’t hide great content
If you create great content such as a script for a film then publish it alongside the film to be inclusive of those using screen readers or preferring to read, and publishing the script as a normal webpage (as opposed to PDF or Word doc attachment) it will be easier for people using screen readers to find, it will reformat to fit mobile screens and web based access and translation tools such Word-Bank can be automatically added to jargon bust industry specific language.
The films were then made available for other CCGs to personalise with their own intro’s and outros which they could fund locally (the core animated element of the film is not changeable with NHS England’s approval).
Learn how to localise and embed the national CHC film or see Greenwich CCGs version with films script.
Allegations of child abuse in the media is sickening – we need to share our knowledge of basic Human Rights with children by delivering policy in formats accessible to them.
Knowledge is power
Policy documents are often written by highly educated professionals in highly educated professional-speak, and generally not in the language used by the people they are designed to protect.
The delivery of policy documents needs to change to be part of mainstream information provision. How often do people actually read policy documents, from start to finish? We have so many formats available to us, that appeal to young people, those with English as a second language, people with cognitive difficulties, in short, any vulnerable groups, those who really need protecting. Policy documents should literally ‘speak’ to them, they should be memorable, how else can people be protected by them?
Tools to help
1. Convert policy documents into an easy read format
This means having meaningful use of images to support sentence structure and using a common language (without loosing legal context).
Use tools like HERO docs (Healthcare Easy Read Online) to convert policy into easy read
Do you read PDF’s on your phone, personally I’ve lost interest after scrolling across the first paragraph.
Publish policies as a normal web page – don’t hide them in PDF or Word Doc attachments.
3. Add Word-Bank to your site
Word-Bank definitions add comprehension to your website content (can also be added to individual policy pages). Word-Bank won a BBC innovation lab award for aiding those that could fall through the information gaps and our technological approach.Live example visit www.hrch.nhs.uk/about-us/
Or Word-Bank FAQs for more information.
4. Creating an animated (easy read) film
This is a great way to make complex subjects accessible. An example being NHS Englands national Continuing Healthcare film (created with Greenwich CCG).
Continuing Healthcare is sometimes known as end of life care, it’s when our health needs change when having illnesses such as cancer and being able to access addition budgets that are fairly much unlimited.
The policy has a legal context, it was published then copied and pasted across NHS websites but the policy was too complex for time poor health professionals to understand and then be able to impart to patients and families.
We worked with the policy writers to create an easier-to-read script of the policy and create an animated film.
For improved accessibility we:
published the script of the film in website text for those preferring to read (such as those using screen readers) and have the additional benefit of Word-Bank definitions.
theres nothing spoken in the film thats not displayed graphically and vice verse
Animation is very effective and also worth considering how widely it can be used – NHS England’s national version is freely available and it can be localised with own staff intro’s and outros
Animated example of Transforming Care programme
5. Review your contact us page
Its also worth reviewing your contact us section of your website, can the copy be improved? Would using transport symbols and a map help people with low literacy report abuse in person – such is best practice for Patient Advice Liaison Service in NHS (NHS complaints service). Use PhotoRoute to remove barriers to independent travel.
Enabled City has worked with Local Government Association to create 7 films about the Transforming Care Programme. The films show how Transforming Care improves peoples lives.
For background information follow this link to or how to add films to to your website.
Empowerment films – what empowerment means to me
Transforming Care is all about improving the lives of people with learning disability and/or autism who display behaviours that are described as challenging. We know that when people are empowered to live the way they chose and are involved in planning their support and care they have better lives.
The Local Government Association leads the empowerment workstream for the Transforming Care Programme. To support the workstream the LGA has set up an empowerment steering group to oversee the work.
Members of the empowerment steering group are all experts by experience. They all have experience of long stays in hospital, or have family members with experience.
Members of the group are now living good lives in the community and have worked together to develop a film about what being empowered means to them.
2. Transforming care summary film
You can watch the group’s empowerment film here.
3. Phill & Josh’s’s story
Phill gives his perspective of Josh’s move home to Cornwall. In the film Phill describes how the whole family has been empowered as a result of the good support that Josh is getting in the community.
4. Lucy’s story
Lucy and her Mum describe how Lucy has been empowered to live the life she wants, including through choosing her own home and her own staff team, and learning to travel independently.
5. Peter’s story
Peter talks about being empowered to live the life he wants, including through choosing his own home and décor, looking after his pets and being able to get out and about when he wants to.
6. Jason’s story
Jason talks about his role as a self-advocate and the importance of people with a learning disability being empowered to have a voice. He talks about being able to do the things that he likes to do and feels proud of his achievements.
7. Derek’s story
Derek talks about the importance of having the right support around him so that he can live independently and stay safe and well. He is empowered to live the life he wants and has a job that he enjoys and opportunities to learn new skills.
Enabled City has been chosen to create 7 films about Transforming Care for the Local Government Association (LGA).
The film will be led by the Transforming Care Empowerment Steering Group. This group recognises the expertise that people with a learning disability and families have, and has been set up to ensure that the Transforming Care work is shaped by this.
The aims of the film are to:
Highlight how people with learning disabilities, autism, and behaviour that challenges are supported in the community and the importance and benefits of this.
Highlight the need for transformation of services to ensure care in the right place at the right time – ensuring the impact of the wrong care is understood to motivate change.
Share good practice, including how achievements were made and how people can be involved in the right way.
Realistically explain some of the challenges associated with transforming care.
Share Key points.
Provide opportunity for a number of viewpoints and experiences to be shared, including people with mild, moderate and severe learning disabilities and autism with recognition that families can be important advocates for people, particularly those with more complex needs.
Provide a catalyst for the development of future resources to help empower people and their families.
Include the need to invest in engagement, with people with learning disabilities and families, and its importance. Making clear that this should be ongoing and at many levels.
Include information about good care including staffing and care plans.
The film will be launched in November 2016 at the annual conference of adult and child social service professionals, in total there will be:
1 animated introduction to set the scene of Transforming Care
“After Winterbourne View, the Transforming Care programme came together with one big aim: to improve the way care and support is provided for children, young people and adults with:
A learning disability
Both a learning disability and autism
Who display behaviour that challenges, including those with a mental health condition.
The focus of the work is making sure that people are able to lead good lives in the community. People should have the same opportunities as everyone else and get the support they need to live healthy, safe and fulfilling lives. If we get this right, less people will be admitted to learning disability hospitals and more people will get the support and treatment they need in the community. It will also mean that when people do need care and treatment in hospital, it will be good quality care and people won’t stay there longer than they need to.
To make this change happen and get a better quality of life for people, we need to empower people and families. Real change is only possible if we do things differently and move the power from ‘service-land’ to people. This means giving back the power to those people who may have previously experienced being disempowered.
People should be enabled to be at the very centre of their own care and support. We must listen to family, friends and others who care about the person and value the expertise and knowledge that the person has about what works for them in their life and act on this. In empowering people, we can help each person to have a good life.
In this film we will hear from experts by experience who are now living in the community, or have a family member living in the community, but have experienced long stays in hospital. They will tell us about what being empowered means to them”.
NHS England has worked with Greenwich CCG and Enabled City to create a national CHC film, to help explain the national policy framework better to people and families. You can embed either version (full length and/or playlist) into your website at no cost.
CHC full version (no menu)
Playlist version ( with menu )
Localising the film for your CCG
The CHC film can be localised for your own CCG, either by adding a local intro and close, and/or by adding interviews with your local CHC team staff, for which we would be pleased to provide further information on costs.
The below examples show Greenwich CCGs version for local use, with a Greenwich intro and close, and Greenwich CHC staff interviews.
Enabled City will manage the complete process from scripting your introductions and staff outros, onsite filming, brand requirements and publishing your films. All you need to do is embed your films into your website and tell people they’re there!
CCGs or NHS Trusts wanting to add local branding such as introductions and staff interviews should contact us or for other projects visit our film page.
Enabled City has worked with Greenwich CCG and NHS England to create a motion graphics film about NHS Continuing Healthcare (NHS CHC). The film aims to explain better to people and families how the NHS decides if someone is eligible for NHS CHC.
Greenwich CCG has customised a version for its own local use, with a Greenwich intro and close, and Greenwich CHC staff interviews (see version below). Other CCGs or NHS Trusts wanting to add local branding such as introductions and staff interviews should visit the ‘How to embed NHS England’s CHC‘ page or for other projects visit our film page.
CHC full version (no menu)
Playlist version ( with menu )
How to leave feedback or share the film
Click on the YouTube button to view the film on YouTube
Click on the like buttons
Or add a comment to the text area provided
Click on the share buttonto find embed code or to share on social media.
This film is a guide for people who may need ongoing care and support because of complicated, intense or unpredictable healthcare needs from a disability, accident or illness. It will explain how the NHS decides if someone’s care should be paid for entirely by the NHS. Care that is paid for entirely by the NHS is called NHS Continuing Healthcare. How NHS Continuing Healthcare works is described in the National Framework for NHS Continuing Healthcare, which is written by the Department of Health.
Because NHS Continuing Healthcare is such a long name, we will call it CHC.
If you want to move between sections, please use the menu.
Some important facts about CHC
CHC is available only for people who:
are 18 or older,
live somewhere like a care home or their own home, but not in a hospital setting,
and who have a ‘primary health need’.
It’s difficult to explain in a simple way what we mean by a ‘primary health need’, as it’s very complicated, with lots of different parts. One part is about your main need for care. Your main need for care should be because you have complicated, intense or unpredictable health needs from a disability, accident or illness. So if you have difficulty with things like breathing, eating and drinking, taking medicines, moving about, memory and thinking, or other difficulties, you may be eligible for CHC.
To find out if you are eligible for CHC, you need to go through a process with two different stages. Stage 1 – the Checklist – will be used to decide if you need to move on to Stage 2. Some people will not move on to Stage 2. Stage 2 is a full assessment, which should not take longer than 28 days, but sometimes there may be delays.
Before the process starts…
To start with, the person – or you – needs to give informed consent for the CHC process to happen, and for information about you to be shared between the health and social care workers involved. Informed consent means agreeing to something when you have full understanding of what could happen, and know all the possible risks and benefits. Your consent may be checked again, or you may be asked for your consent again, later in the CHC process.
It’s important that you understand as much as you can about CHC before deciding if you want to consent. For example, you need to know that if you are eligible for CHC, the NHS will become responsible for and will pay for all your care and support, but you might lose some welfare benefits.
If there are worries that you can’t give informed consent for any reasons, the Mental Capacity Act has to be used to prove you are not able to give consent.
If you can consent, then you decide whether you want the CHC process to happen.
If you can’t consent, a health or social care worker will normally be the decision-maker.
The decision-maker should talk with all the people who have real interest in you, like family, friends and care staff. The decision-maker listens to everyone and then decides if asking for CHC funding is the best thing for you. This is called a ‘best interests’ decision. Asking for CHC funding is usually the best thing to do, as if you are eligible, you do not pay anything towards the costs of your care.
The ‘best interests’ decision must be written down. The CHC process can only begin if the ‘best interests’ decision is that the process should start.
Step 1 – the checklist
Step 1 in the CHC process is to complete the checklist.
This has to be completed by a social care worker or a health worker, like a nurse. They will meet with you to discuss your needs.
You can have an advocate with you, and friends or family, whoever is important.
The worker will ask about your health and the help you need.
If you have a person-centred plan or another plan, you can use this to help explain your needs.
The worker will need to talk to other people about your care needs, like your family or others who support you, and other health or social care workers who work with you.
The worker will use all the information to fill in the checklist. You should get a copy of this.
The results of the checklist show if you can go on to the next stage or not.
The checklist should be sent to the Clinical Commissioning Group, even if you are not eligible to go on to the next stage. We call the Clinical Commissioning Group the CCG.
If the checklist results show you are not eligible to move on to the full assessment, you can ask the CCG to think again about their decision.
Step 2 – the full assessment
The CCG will choose someone to co-ordinate the full assessment, so that you have a named person to check things with.
The full assessment has two parts – an assessment of your care needs, and the Decision Support Tool.
The care needs assessment must give accurate and up-to-date information about your health and social care needs. This information should come from you and your family, and a multi-disciplinary team involved in your care. (A multi-disciplinary team is a group of 2 or more professionals, who are different types of health and social care workers, like psychiatrists, nurses, social workers, care managers, occupational therapists, and so on, who work together.)
The multi-disciplinary team uses all of the information from your care needs assessment to complete the Decision Support Tool.
The finished Decision Support Tool helps the CCG decide if you should get CHC or not.
The Decision Support Tool has 12 sections, called Domains. Each domain helps you think about a different care need, and consider the sort of support and how much support is needed to manage it. The domains are:
Behaviour – This is about the way you behave, like being aggressive or noisy, or being frustrated because you have difficulty communicating with others. Some behaviour is difficult for others to cope with, which is called ‘challenging’ behaviour, or some behaviours could be a risk to you, or other people, or things, and will need special support and care.
Cognition – This is to do with brain skills, like memory, understanding risks, decision-making, understanding where you are, and road safety. This affects the type of support you need to manage your day-to-day life and stay safe from harm.
Psychological and emotional needs – This is about your mental and emotional health, including things like mood disturbances, hallucinations, or anxiety. It’s also about the effects of these, like when people have depression they may get very withdrawn and refuse to accept help from others, which makes it harder for them to get better.
Communication – This is about whether you can express your needs and understand others, in ways like talking or signing, use of pictures or Braille, hearing aids or other communication technology.
Mobility – This is to do with how well you can move and control your body, and if you can stand or walk. It’s important to think about your safety, and if you are at risk of falling and need support.
Nutrition – This is about whether you can eat and drink, and if you need help with this, like feeding by PEG, or if you have problems swallowing, like dysphagia.
Continence – This is about your needs with using the loo, like whether you can control this, or if you need help with things like managing constipation, catheters, urinary tract infections, and so on.
Skin – This is about looking after your skin. Some people are more at risk because they have a skin condition, which can break their skin down, or they may have pressure damage or wounds that take a long time to heal.
Breathing – This is about your needs with any breathing difficulties you may have, like breathlessness, asthma, or Chronic Obstructive Pulmonary Disease.
Drug therapies and medication – This is about your experience of your symptoms and the medication you need. This could mean things like coping with pain, insulin injections, any side effects, or if you need prompting and supervision with medication.
Altered states of consciousness – This is about the conditions that affect consciousness, like having epilepsy or Transient Ischaemic Attacks (TIAs) which are like mini strokes.
Section 12 is for ‘other significant care needs’ that are not described in the other domains, if the care needs are really important for you.
The order in which you think about the domains doesn’t matter, as long as you think about ‘other significant care needs’ last.
Workers from the multi-disciplinary team write about your care needs for each domain. They also measure your needs with these weightings: ‘No needs’, ‘Low’, ‘Moderate’, ‘High’ and – for some domains – ‘Severe’, or ‘Priority’.
The domains and weightings are shown in a chart, called a matrix. This can give a good picture of all your needs together.
If all your care needs are measured as ‘No need’ or ‘Low need’, this shows that you are not eligible for CHC.
However, if your care needs include one ‘Priority’, or two or more ‘Severe’ weightings, then you are very likely to be eligible for CHC.
If your matrix shows a mix of different weightings, you may still be eligible for CHC because we also consider the Nature, Intensity, Complexity and Unpredictability of your needs.
Nature: This describes what your needs are like, and the effect they have on you, including the type of support or treatment that works best to manage those needs.
Intensity: This describes how much (like how often) and how severe your needs are. It also describes the support needed to help you, including the need for ongoing care.
Complexity: This is about how your needs affect each other, like if one of your needs makes another need change or get worse, and become difficult to manage. It also describes the level of skill needed to check your symptoms, treat the condition and/or manage your care.
Unpredictability: This is about how much and how often your needs can change, and what the challenges are for the people who give you care and support. It should also explain the risk to your health if the right care is not given at the right time. Someone with an unpredictable healthcare need is likely to have a changeable and unstable condition, or a quickly deteriorating condition.
The Decision Support Tool helps health and social care workers identify and describe your needs. With this knowledge and their skills and professional judgement, they work out if you have a primary health need, and if they think you are eligible for CHC. This is called their recommendation.
When the care needs assessment and Decision Support Tool are complete, you need to check if you agree with what has been written about you.
The multi-disciplinary team can give you a copy of all the forms and documents that have been written.
The documents and the recommendation are also shared with the CCG, and the CCG decides if they agree with the recommendation. The CCG usually agree with the recommendation from the multi-disciplinary team, unless there are very strong reasons why they can’t. You will then get a letter from the CCG saying whether you are eligible for CHC. If you are not eligible, the CCG should explain why.
If the CCG decides you should not have CHC, you can ask them to think again about their decision. And if you’re still unhappy with the CCG decision, you can then ask for an independent review from NHS England.
If you aren’t eligible for CHC, the NHS may still have a responsibility to provide you with care and support to help you manage your health needs, like by commissioning services, or paying for some of your help and support.
Care that is commissioned or paid for by a local authority and a CCG is called ‘joint-funding’ or a ‘joint package’.
If your care is paid for by the CCG and the local authority together, you may have to pay a contribution (or part of the cost) for your social care. The CCG will not charge you for the NHS care you need.
If you’re not eligible for joint funding, you may be eligible for support from your local authority.
Planning your support
If you are eligible for CHC, the next step is to agree on your health and wellbeing goals, and the care you will get. This is called ‘planning your support’. A CHC nurse will work with you to make your Support Plan. They will talk with you about:
the health and wellbeing goals you want to achieve
the care and support you need in your day-to-day life
how your needs and care will be managed
where your care will be given, like, in your own home or in a care home, and
which organisation/s will be responsible for meeting your needs
Your wishes should be an important part of the decisions that you both make together.
It is possible to use CHC funding to continue with any care or support you were already getting. You would only do this if the care you had was good quality, and met your needs.
It’s also important that any support or care is what you would choose for yourself, as long as it doesn’t cost more than the NHS can afford to pay. For this reason, anyone eligible for CHC has the right to have their CHC funding as a personal health budget.
Personal health budgets give people real choice and control over how to meet their health and care needs.
Personal health budgets work in a similar way to personal budgets from social care services. They work in 3 ways (or a mix of these), which are:
The money can be held by the NHS
The money can be held by an organisation that you choose or agree to
The money can be held by you as a Direct Payment for healthcare, so you buy and manage your own care.
A personal health budget is not new money. It just allows you to use NHS funding to plan your care in different ways, ways that work better for you.
If you are eligible for CHC and your care package is started, the CCG will check things with you after 3 months. They will check to see if the care you get is meeting your needs and goals, and if CHC is still needed. This is called a review.
After that, the CCG will meet with you every year for a review. Each review will check to see:
if your needs and goals are being met
if your care package still fits your needs, and
if you are still eligible for CHC.
NHS Continuing Healthcare Fast-Track Pathway
If you have a health condition that is getting much worse quickly, and you are near the end of your life, you may be eligible for the CHC fast-track pathway. This is when things are done very quickly, so you can get treatment and support as urgently as possible.
To get your care fast-tracked, a doctor or other health professional has to complete one referral form called the Fast-Track Pathway Tool. This form is used to explain that you have a quickly deteriorating health condition, and that you may be near the end of your life. This form goes to the CCG.
Fast-track referrals from health professionals are usually accepted straightaway, but the CCG may need to check some information, if they have any questions.
The Checklist, Health Needs Assessment and Decision Support Tool are not used if you need fast-track care. But if your health improves or stabilises while you’re on the fast-track pathway, a full CHC assessment will be completed. This helps the CCG check if you still need CHC.
To find out more about NHS CHC in Greenwich, email or phone the CHC team at Greenwich Clinical Commissioning Group.
Email is email@example.com
Phone number is 020 3049 9000
NHS Greenwich CCG would like to thank the following people from or for Enabled City, Greenwich Association of Disabled People, NHS England, NHS Greenwich CCG, The Royal Borough of Greenwich and Symbi Consulting for their help and advice in making this film.
Alan Colhoun, Aissa Damree, Mary Donkor, Alan Kerr, Jim Ledwidge, Alick Mackenzie, Lisa Mackenzie, Jason McCulloch, Gary McKenzie, Colette Meehan, Elaine Newman, Trish O’Gorman, Buki Omopariola, Rosie Robinson, Karen Scarsbrook, Vee Scott, Simon Shenton-Tan, Smriti Singh and Jason Yates.
We’re casting for people with learning disabilities to feature in SeeAbility’s next film, here’s the brief…
SeeAbility’s purpose is to encourage people who are blind or partially sighted and have other multiple disabilities to achieve their full potential and enhance their quality of life.
We’ve been working with SeeAbility to produce short films concerning eye health and eye care for people with learning disabilities.
Enabled City helped find people with learning disabilities who featured in the films, all people are paid for their time to attended interviews and those featured in films. You can see the 10 Times More Likely at the top of this post.
We are now working on 2 larger films with SeeAbility and looking for 2 new people with learning disabilities to feature in these films.
Candidates having acting or drama experience would be beneficial not crucial, being able to take direction is most important.
People with learning disabilities are 10 times more likely to have eye health issues, again having experience of eye health is beneficial but not crucial.
Candidates would need to:
email a simple 1 page cv with picture to us, from the cv’s received we’ll invite people to an interview
be available for a 10 minute interview where we’ll ask candidates to be filmed to act a scene.
people will be paid £20 for their time to come to auditions.
be available for filming this summer (June/July) and consent for SeeAbility to use all footage to promote the work of their charity.
The 2 roles are for people able to look between 40 and 50 years old:
a person preferably from Caribbean background (but not essential), filming to last for approximately 2 or 3 days.
a person either having or able to act having more complex needs, its a non-verbal role, they are not required to speak in film, having a visual impairment would be advantageous. Filming will last for approximately 1 day (or 2 half days).
“SeeAbility commissioned Enabled City to work with us to produce two short films concerning eye health and eye care for people with learning disabilities.
We found Enabled City to be extremely professional and committed to providing a quality product. Core to Enabled City’s ability you provide quality work is the skill to work with sensitivity and respect with people with a range of disabilities and vulnerabilities. This is a rare quality indeed amongst many less specialist agencies and ensured that the ‘finished product’ portrayed SeeAbility’s message in a positive and powerful manner.
Enabled City was able to source actors and models with Learning disabilities at very short notice and by doing were able to help SeeAbility to present its message in a person centred and dignified manner. They were also able to source other professionals, such as additional film makers and technicians, whom they worked well with in a really coordinated and industrious manner.
The work they produced for SeeAbility was to a very high standard and was delivered to a tight schedule in a timely manner. SeeAbility warmly recommends Enabled City to other agencies.”
Martin Thomas Manager – Look Up Information Services.
Thanks to the team at Leonard Cheshire Disability for a great night at the Ability Media International (AMI) Awards, developed by leading figures in the media industries to promote the vision, mission and values of Leonard Cheshire Disability.
An outstanding evening and creative projects to encourage a more inclusive world.
Winners are chosen for their creative excellence and social relevance. Successful work has clearly demonstrated how people facing major physical, mental, emotional or social challenges, or who come from under-represented groups in society, have positively been represented by, or assisted with their work.