Implementation advice: health inequalities in type 2 diabetes
Digital exclusion
Technology increasingly supports diabetes care. But digital‑only systems can create barriers for people who have limited access to devices, connectivity or support. This can include some older people, people living in areas with low digital access, and people living with disabilities. When alternatives are not available, people may find it harder to book appointments, access monitoring or participate in education.
Why this matters
When care processes rely on digital tools, some people may be unintentionally excluded from parts of their care. This can lead to delays in treatment.
What you can do
Actions for providers and healthcare professionals
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Provide non-digital options for accessing care by ensuring people can access services in-person or by telephone.
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Identify people at risk of digital exclusion by using records and population-health data to help identify people who might benefit from additional support or alternative routes.
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Ensure digital systems are optional by making sure they enhance, not replace, non-digital care.
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Monitor the uptake of digital pathways by regularly reviewing them across groups and adjusting services accordingly.
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Enable the confident use of digital tools by offering support to address practical barriers (for example, access to equipment) for people who want digital options. Develop your own digital skills so you can also use systems consistently and safely.
Actions for commissioners
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Identify people at risk of digital exclusion by supporting activities to help identify people who may benefit from additional support or alternative routes.
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Ensure digital systems are optional by making sure these tools are provided alongside non-digital care.
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Monitor the uptake of digital pathways by regularly reviewing them across groups and adjusting services accordingly.
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