Accessible Covid Testing; Working from Home
The government promised to improve the accessibility of rapid Covid tests, but charities claim not enough has been done. We weigh up the pros and cons of working from home
Rapid lateral flow tests for Covid-19 were criticised earlier in the year for not being accessible to people who are blind or visually impaired. The government promised to do better, but did it happen? Spectators are making a welcome return to some of the big sporting events of the summer, including Test matches and the European Football Championship, but they are only allowed into stadiums if they can show proof of a negative lateral flow test or double vaccination.
Are you itching to get back to water-cooler chat in the office? Or does the thought of commuting again fill you with dread? We discuss the merits of continuing to work from home versus returning to the office.
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In Touch transcript: 15/06/21
Downloaded from www.bbc.co.uk/radio4
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THE ATTACHED TRANSCRIPT WAS TYPED FROM A RECORDING AND NOT COPIED FROM AN ORIGINAL SCRIPT.听 BECAUSE OF THE RISK OF MISHEARING AND THE DIFFICULTY IN SOME CASES OF IDENTIFYING INDIVIDUAL SPEAKERS, THE 麻豆社 CANNOT VOUCH FOR ITS COMPLETE ACCURACY.
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IN TOUCH 鈥� Accessible Covid Testing; Working from Home
TX:听 15.06.2021听 2040-2100
PRESENTER:听 听听听听听听听 PETER WHITE
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PRODUCER:听 听听听听听听听听听 SIMON HOBAN
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White
Good evening.听
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Music
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Well, should you stay or should you go?听 We鈥檒l hear the pros and cons of continuing to work from home versus going back into the workplace, if you鈥檙e visually impaired.听 Well, it鈥檚 something many of us are going to have to make a decision about some time soon, if you haven鈥檛 already.听 We鈥檙e really keen to hear your thoughts on this, so do email intouch@bbc.co.uk.
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And as if you needed encouragement to get in touch with us, proof, this week, that it can reap rewards.听 After contacting us about a problem with the Milk and More website Marianne emailed us back to say: 鈥楾hanks to the magic influence of In Touch, I can now use my Milk and More site in landscape mode.鈥�
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Well, glad it worked Marianne and thanks to Milk and More for taking notice.
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Now, the return of fans to sports events, even though in reduced numbers, has brought back some much-needed atmosphere to stadia.听 But it鈥檚 also highlighted the importance of testing, because to get in at either the Test Match at Edgbaston last week or England鈥檚 group game at Wembley in the football at the weekend, fans had to show that they鈥檇 either been fully vaccinated or had proof of a negative lateral flow test.听 Well, the government made twice weekly lateral flow tests available to everyone to order but, despite campaigns to improve accessibility, organisations say not enough has been done to enable blind and partially sighted people to use them independently.听 We鈥檒l hear from the RNIB in a moment but first, Sean Randall joins us from Worcester.
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Now Sean, you鈥檙e someone who鈥檚 doing testing a lot, just tell us your situation.
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Randall
Hello Peter, thank you.听 Yes, well I work at a college so I have to be tested twice a week before I go into work.听 And I do now have a responsible 鈥� if that鈥檚 the right word 鈥� enough sighted help at home, my daughter is now old enough to read the tests if I need her to.听 But that really wasn鈥檛 the point, I wanted to be someone who could this on my own.听 And I was just quite shocked at the lack of any enthusiasm for making this more accessible really.听 My process now is that I do the test of a morning, by the time I come out of the shower and gotten ready the result鈥檚 ready to be read and I use my phone to take a picture of the test and I will send that to a sighted person, be it on an app, designed for voluntary help, or be it sighted colleagues or friends to get the result read.听 But it鈥檚 really not a perfect solution by any means because it means I can鈥檛 do it completely on my own, that鈥檚 as far as I can get at the moment鈥�
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White
And I understand your workplace has offered to help but that created problems as well.
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Randall
Yeah, I mean they were brilliant, they did all they could, they said you can come in and get tested, if you want to, we鈥檒l help you with that.听 But that would mean changing my whole lifestyle around.听 My daughter has to go to school, my transport times would have had to change.听 Why should my disability cause that upheaval really, when technology is there to step in.
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White
Well effectively it would mean that you had to go into work to find out if you could go into work, wouldn鈥檛 it?
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Randall
Absolutely.
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White
And the bottom line is if there was no sighted person to send that photo via your phone, you wouldn鈥檛 know the test result?
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Randall
No, I鈥檇 have had to go into work on a different schedule and I would have found that quite discriminating.
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White
Well, the government was asked a written question about this on the 12th April.听 The Health Minister, Helen Whately鈥檚 reply is read by a member of our team:
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Statement 鈥� Helen Whately
New tools are being introduced for those ordering home test kits who are visually impaired, including improved boxes, which are easy to assemble for the returning of tests.听 Instructions in braille, audio and large print and an RNIB information line to hear a recorded version of the instructions.听 On 1st April we launched the Be My Eyes app which offers live video assistance from trained NHS Test and Trace staff.听 To support those who are unable to administer the test themselves, there are now more 50 static regional test sites across the United Kingdom which offer assisted testing.
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Well, the RNIB have been campaigning on this issue and we can speak to their Campaigns and Policy Manager, Mike Wordingham.听 Did those improvements happen and did they make things easier?
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Wordingham
Well, we have been 鈥� RNIB have been working with NHS Test and Trace since May last year on two user trials with blind and partially sighted people to improve the accessibility of home testing kits but so far, those improvements have been put in place for the PCR tests, so far they haven鈥檛 been put in place for the lateral flow device tests but we understand that is happening now, it鈥檚 just not as quick as we would have liked.
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White
Sean described the technique of actually making a phone call and getting a sighted person on the phone, as it were, with a photograph to give you the result.听 Is that not an answer?
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Wordingham
It鈥檚 certainly a step in the right direction. 听What we asked for is that the improvements that Helen Whatley mentioned, particularly the live video assistance through Be My Eyes be moved over to the lateral flow device tests, so then you can go to the specialist advisors through Be My Eyes and they can support you to take the test and read the result and I understand that is a process that鈥檚 underway.
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White
This is a whole new set of circumstances, what more could the government still be doing better when it comes to accessibility?
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Wordingham
So, I think all the public health information and public health interventions that have been put in place since coronavirus have shown really clearly that something has to change in the way these things work, particularly that accessibility needs to be built in from the very beginning of government projects and policies, so that we鈥檙e not a few steps behind.
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White
Let me just quickly go back to Sean Randall.听 I mean what would you like to see, what more could they do actually in this situation, given that it was, in the first place, a completely new situation that they were confronted with?
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Randall
The thing that caught my eye, if you like, is that I was being offered accessible or more accessible boxes for my PCR tests a week after I鈥檇 had to start lateral flow testing.听 You know things just moved so slowly, there was no sense of urgency.听 And I鈥檓 quite surprised that people like the RNIB didn鈥檛 invest more in things like apps.听 We鈥檝e had apps that can read pregnancy tests being researched and designed, the technology that shows you whether you鈥檝e got a positive or negative result on a flow test is something that visually a computer program with the right coding could identify quite reasonably.听 If you鈥檙e making people use technology to get some live person on the screen, who鈥檚 then got to wait half an hour after you鈥檝e done the test to read your result to you, could there not have been a parallel research strand in place to use technology to read that result?
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White
Let me just go back to Mike Wordingham.听 You say the government have been off the mark, have you been a bit slow off the mark yourselves?
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Wordingham
So, we had discussions with Test and Trace to take some of the innovations that have been put in place, particularly around the pregnancy test, and how they could be used for future testing.听 So, that鈥檚 definitely something we鈥檙e working on.
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White
Okay.听 Mike Wordingham, thank you very much indeed.听 Sean Randall, thank you, and do stay with us because we want you to chip in on our next item about working from home too.
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Well, we did ask the government for an interview but no one could be made available.听 However, in a statement, they said: 鈥榃e keep the accessibility of lateral flow testing under constant review and are working with partners to explore how this could be further improved.鈥�
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Well, do let us know your experiences of accessibility when it comes to testing.听 It feels like it鈥檚 only going to become more important as things start to reopen fully, whenever that might be.
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Now, getting back to some of your emails.听 And last week we talked about the importance of lighting in the home but one solution I was aware that we didn鈥檛 touch on in that item was how the choice of colours in a room can make a difference.听 Dr Kevin Mansfield emailed to make the point that it鈥檚 not just the lighting that鈥檚 important, the use of contrast in colour is a useful technique.听 A doorframe in a contrasting colour to the surrounding wall, a dark coloured edging strip, perhaps, to a work service compared to the top.听 Kevin says, this can work with the lighting to reveal shape and form and assist navigation in the home.
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And we鈥檝e continued to get some fascinating responses from you about our discussion on the role of genetics in visual impairment and, in particular, the decisions some of you have taken around undergoing some form of genetic testing.听 This from Sarah Caffrey.
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Caffrey - email
I had my genome tested and like your speaker it took three years to get my result.听 My main reason for doing it was to find out for my parents if my condition was inherited or not.听 I wasn鈥檛 bothered either way and it hadn鈥檛 changed much in my life.听 But my parents were not expecting the result and were a little taken aback by it as they thought it had a different cause.听 I would be interested in hearing more on the potential consequences of genome testing from the perspective of finding out additional disabilities, conditions or diseases and any implications these might have for things like life insurance or mortgages.听 Also, the potential for future pre-natal testing and the impact this could have for parents being encouraged not to have the child with visual impairment.
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White
Well, Sarah鈥檚 thoughts there illustrate just how deep this issue can go.听 And it鈥檚 one, I鈥檓 sure, we鈥檒l come back to.
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Now a new phrase has entered the lexicon, I don鈥檛 know if you鈥檝e come across it yet 鈥� hybrid worker.听 It describes the new way in which many of us are being asked to work, including, for that matter, here at the 麻豆社.听 It means working from home will continue to some extent, so you can still walk the dog or do whatever you want to do between those endless Zoom meetings, with office attendance likely to be cut down to something like two, maybe three, days a week.听 So, how do you feel about that as someone who is blind or partially sighted?
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Well, we鈥檝e still got Sean Randall with us from earlier to talk about it but let鈥檚 introduce two new guests, both work for local charities in their area 鈥� Gary Eadie is an IT specialist with Sight for Surrey and Georgina Hollingshead works at Cam Sight, that鈥檚 a Cambridgeshire charity supporting people with low vision and blindness.
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Gary, if I can start with you, just give us a flavour of your average day and how working from home has worked for you.
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Eadie
Well, my average day, Peter, used to consist of getting up sort of like 6.40 in the morning, having breakfast 鈥� the usual sort of stuff 鈥� and then going off on my daily commute to the office.听 It would take about an hour and a half out of my day just to get there.听 Spend about seven hours in the office and then another hour and a half on the way back.听 But now, in this working from home arrangement, which I鈥檓 currently in, I get up a bit later, I start work about 9.30, I don鈥檛 get much interruption actually all day through and it鈥檚 a more relaxed environment for me.
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White
Is it just the time thing, the saving time or are there elements of hassle to do with your visual impairment that you鈥檙e glad to be rid of?
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Eadie
It鈥檚 most definitely both.听 The journey itself is three trains and a taxi and then on foot for quite a distance, so there鈥檚 a lot of stress involved in that and my sight鈥檚 not very good at all.听 So, I鈥檓 really glad to be without that hassle and I鈥檓 less stressed when I get to work.
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White
Okay, let me bring in Georgina.听 How about you because I think you鈥檝e got a slightly different take on it?
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Hollingshead
Yeah, so, my usual day would be getting up and coming into the office for nine o鈥檆lock, doing a bit of paperwork, then maybe going out on a visit to somebody鈥檚 home or perhaps a rural group that we put on.听 So, it鈥檚 a bit of travel in and out.听 And then at five o鈥檆lock I鈥檇 get the train back.听 And for me I like the mix, I like the mix of a couple of days going into the office but not being everyday because the travel can be a bit problematic.听 But also, I really enjoy that as a 鈥� as being independent, I鈥檓 walking to the train station, I鈥檓 getting the train, I鈥檓 walking to the office and now I鈥檓 in the right mindset to be in the office.
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White
You see, that鈥檚 interesting because I think a lot of people perhaps would think 鈥� why would a blind or partially sighted person want to impose that kind of potential stress on themselves when they now would have, what might sound like, a perfectly good excuse for not doing it.
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Hollingshead
I would say that in terms of busy-ness of trains and stuff there鈥檚 never been a better time because I used to have to get the train home and I鈥檇 have to stand up, but now there鈥檚 seats for me to sit down.
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White
I鈥檝e noticed that I must say, that suddenly you can travel.听 But, of course, it doesn鈥檛 alter the fact that there are still roads to cross, there are things to crash into, there are all the things that go with blindness and travel.
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Hollingshead
Yes, yeah, definitely but I like to talk to my clients about this and say, you know, you鈥檙e doing it for yourself, I鈥檓 doing it for myself, it鈥檚 for me, even though it鈥檚 a little 鈥� you might walk into something every now and again but, you know鈥�
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White
So, it鈥檚 part of independence basically?
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Hollingshead
Yes, definitely, yeah, and I can control when I go in, when I come out, what days I work in the office, what days I don鈥檛.听 And just the interactions with people, if they may be in the office at the same time, you know having lunch in the same building as someone is really important.
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White
What about that Gary, because although I understand what you say about having perhaps more control over your environment, you鈥檙e not having that face-to-face contact with people are you?
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Eadie
No and, to be fair, I do think it鈥檚 important to go into the office.听 I鈥檓 on Georgina鈥檚 side a little bit there.听 I think working from home all the time isn鈥檛 necessarily a good thing.听 But certainly, some of the advantages of working from home is 鈥� what I found was if you go on the trains and there鈥檚 a train delay that would often put me behind in my day; I鈥檝e got appointments at certain times of the day.听 Whereas at home, I can just arrange those appointments via Zoom or WhatsApp video call or whatever it might be and I can be bang on time with the clients.听 The client, themselves, they don鈥檛 have to have the hassle of coming in to see me in my workplace because that鈥檚 what normally happens.听 So, it鈥檚 much easier for both me and the client.
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White
And I think you鈥檝e also made the point that you thought that perhaps in sort of some situations where you have both visually impaired and non-visually impaired people on a call, for example, you feel slightly more at equal terms in this situation?
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Eadie
Well, most definitely.听 Using Zoom as an example, I can take part in a Zoom meeting, I can know who鈥檚 in that Zoom meeting just by looking at the participants鈥� list, using my screen reader of course.听 But if I was to attend a meeting, I wouldn鈥檛 really know who was in it.
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White
Expand on that point about meetings Gary, what do you mean?
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Eadie
Well in terms of 鈥� the main difference is just getting physically to the meeting and once I get to the meeting, finding the room, finding a seat within the room and then knowing who鈥檚 in the room.听 Whereas on Zoom, I just enter using the invitation link, I can then browse the list of participants to find out who鈥檚 in the meeting and I feel on an equal platform to anybody else in that meeting.
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White
Georgina, I just wonder whether one thing that occurred to me has occurred to you, given your attitude to saying you quite like going in, did you fear the loss of confidence if you weren鈥檛 using your mobility skills?
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Hollingshead
Yes, definitely, yeah, I found that even for myself the first time I went in I was like 鈥� oh, I thought I would be better.听 So, it took me a little bit longer and it took me 鈥� just finding everything in the office again, I kind of forgot where everything was.
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White
So, you mean when you were going back, you were less confident than you would have expected to be?
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Hollingshead
Yes but I also think that I鈥檓 more confident now than I would have been if maybe I鈥檇 put it off any longer.
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White
Let me bring back Sean Randall, who we talked to earlier about testing, what about you because I understand you鈥檝e had a bit of a change of heart on this one?
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Randall
I started off loving it, I thought ooh the commute gone, you know that whole hanging around and being late and everything.听 And as the time went on and I realised I couldn鈥檛 go anywhere at all, I began to think 鈥� mm, this is a bit claustrophobic.听 I began to appreciate the commute more as a headspace time, to get my brain in gear and to switch off and leave things behind at the end of the day, I鈥檇 lost that 鈥� I鈥檇 gone from being able to get ready and then go in and prepare myself to just getting up and being there, without any sort of transition period.听 Can I just also come to the point that Gary made about Zoom meetings versus live in-person meetings?听 I thought it was going to be a good thing for blind people and visually impaired people as well but obviously my job involves teaching young people and if they鈥檝e not mastered those e-meeting skills to see who is in the room, to see who is speaking, to know when something鈥檚 being shared with them, that can be even more disadvantage to them, if they鈥檙e in a physical meeting.听 So, there are swings and roundabouts.听 It was a good learning experience for the young people, to learn how to do this sort of thing, it鈥檚 not something that people tend to or tended to before the pandemic.听 But, yeah, it鈥檚 been a very mixed bag, absolutely.
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White
Well, it sounds as if we are perhaps going to have to acquire a whole new load of skills for both ways of doing things.听 Gary Eadie, Georgina Hollingshead and Sean Randall thank you very much indeed.
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Well, I鈥檓 sure you鈥檒l have things to say about all the things we鈥檝e discussed in the programme, so keep the emails coming intouch@bbc.co.uk.听 And you can get more information from our website bbc.co.uk/intouch from where you can also download tonight鈥檚 and previous editions of the programme.
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From me, Peter White, producer Simon Hoban and studio managers John Cole and Philip Halliwell, goodbye.
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Broadcast
- Tue 15 Jun 2021 20:40麻豆社 Radio 4
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In Touch
News, views and information for people who are blind or partially sighted