2. Connect with the DMA…
• The #tag for this event is: #dmavulnerable
• LinkedIn: DMA: Direct Marketing Association (UK)
Limited
• Twitter: @DMA_UK/ @DMANorth
• DMA Website: http://www.dma.org.uk
• Email: dma@dma.org.uk or events@dma.org.uk
• Phone: 020 7291 3300 or 0161 918 6780
3. Today‟s agenda
• 16.00 – 16.30 Registration and Coffee
• 16.30 – 16.35 Welcome and Introduction
Jacqui Crawley, Managing Director, KMB Telemarketing Ltd
• 16.35 – 16.50 The story so far…
Elaine Lee, Director, ReynoldsBusbyLee Ltd
• 16.50 – 17.20 The Guidelines
Jacqui Crawley, Managing Director, KMB Telemarketing Ltd
• 17.20 – 17.30 DMA Contact Centre Council: Next steps
Elaine Lee, Director, ReynoldsBusbyLee Ltd
• 17.30– 18.00 Rethink Mental Illness
Jane Harris, Associate Director of Communications, Rethink
Mental Illness
• 18.00 – 18.30 Business Disability Forum
Catherine Grinyer, Director of Communications, Business
Disability Forum
• 18.30 – 19.00 Alzheimer‟s Society
Elaine Lee, ReynoldsBusbyLee Ltd on behalf of Karishma
Chandaria, Alzheimer‟s Society
• 19.00 – 19.30 Q&A and networking to follow
5. A bit about us
Elaine Lee
• Chair of the DMA Contact Centre
Council
• Working in contact centres since 1994
• Consultant specialising in customer
engagement and customer experience
• Chaired the working party for this
initiative
6. A bit about us
Jacqui Crawley
• Member of the DMA Contact Centre
Council
• Managing Director of KMB
Telemarketing since 2009
• Working within the telecoms
industry for the past 20 years
• Member of the working party for this
initiative
7. Agenda
• The „Care‟ initiative – the journey so far
• The guidelines
• Next steps
9. Background
• The DMA‟s contact centre council is an
elected body of practioners
• Volunteers
• Produce best practice guidelines for all
aspects of contact centre work
• Identified contact centre staff need guidance
on dealing with vulnerable consumers
10. Who was involved in the work
• Started as a council initiative
• Framework document prepared with
BT, Alzheimer's Society & Rethink
• BSI and Business Disability Forum
11. Who are the vulnerable?
People with;
• Dementia
• Serious or chronic illness
• Recently bereaved
• Non-English speakers
• Bi-polar
• Transitory mental health issue
• PTSD (Armed forces)
• Real people with real lives
12. What is the Care initiative?
• Our industry is on the frontline of consumer
contact
• Our members want to treat their customers
appropriately
• A starting point for organisations to
implement and develop
• Practical, actionable guidelines
14. Who are we talking about?
• Dementia
• Intellectual, psychiatric, physical, senso
ry, neurological or learning disability
• Serious or chronic illness
• Recently bereaved
• etc
Key issue is that the consumer is not at that time
able to make an informed decision
15. The problem
Vulnerable consumers :-
• May not understand the options that
you are giving them
• May be lonely and welcome the
opportunity to chat to someone
• May believe that a sales representative
is acting in their best interests
• May cave in to a persistent sales pitch
• May be unaware of identity theft risks
16. The problem
“My mother of 87 years suffers from severe dementia and
nuisance telephone calls have been a nightmare over the last
five years. Because her loss of memory is so acute, she will
agree to any product offered by a telephone salesperson.
At one stage, she had five suppliers for her gas and
electricity, two holiday medical insurers and as a result of her
saying yes on the telephone, umpteen people were calling at
the house for new windows, double glazing etc.
I don't know if you can begin to imagine the dreadful muddles I
had to disentangle. I spent hours on the telephone to premium
numbers, and as fast as I had sorted it all out, the supplier
would ring my mother to confirm the cancellation whereupon
she would have it re-instated. So I have been going round in
vicious circles for the last few years. The frustration, time and
anxiety that this has caused me is acute.”
Anne (Surrey)
17. Three levels of call
1. Legitimate product / legitimate sales
pitch
2. Legitimate product / high pressure
sales pitch
3. Scams
18. All the pieces are in place …
• Most companies want to do this
right
• Most advisors have the skills
But
• Training and procedures are not in
place to support this
19. Practical tips for advisors
Train call handling staff :-
– Identification
– Improving communication
– Double check before making the sale
20. Identification
• Appear not to understand even when
you have explained something
• Ask unrelated questions or wander off
topic
• Repeat themselves
• Say „yes‟ before you have explained
something
21. Improving communication
• Speak clearly
• Be patient
• Don‟t rush them
• Guide the call to keep it „on topic‟
• Clarify understanding at every point
22. Double check before making
the sale
• Sometime „Oh yes‟ means „I‟m listening‟
not „I agree to that‟
• If in doubt ask them to explain back to
you what they think the deal is
• Ask yourself honestly – is their „yes‟ real
agreement or just submission?
• Ask them whether there is someone
else they would like you to speak to
about this – a family member perhaps
23. Call centre management
• Train and support staff
• Consider setting up a special team to
deal with these customers
• Give recognition to staff who have
performed well – don‟t penalise them
for taking longer on these calls
• Be on the look-out for multiple
subscriptions
24. Training ideas
• Young call centre staff may not
have the life experiences
• Colouring training with real
people scenarios
25. Databases
• Assessing and logging the quality
of communication
• Allow customers to make a
personal declaration
26. Assessing and logging the
quality of communication
• Allow the advisor to score each
call to indicate the quality of
communication they achieved on
the call
• If the quality of communication was
poor, then warn call centre agents
when they speak to that customer
again
28. Personal declaration
• Allow customers to leave a free
text comment on their customer
record
“I, John Smith, wish anyone working in this
organisation to be aware that I currently have
mental health problems which might affect
my ability to make decisions. Please give me
some time to think about the decision and
call me back at a later date before continuing
with any sale.”
29. Personal declaration
• Allow customers to leave a free
text comment on their customer
record
“I am Joan, I am in the early stages of
dementia. On some days I will understand
what you are saying, but on other days I
won’t understand and may repeat myself.
Please will you take this into account and call
me back another day. I will also find it difficult
to understand you if you speak quickly or
rush me.”
30. Sharing information with third
parties
• Understanding when to share and
when not to share information
• Allowing carers access
• Taking a pragmatic approach
• Build this into procedures
31. More than „Do no evil‟
• Used well the telephone is a great
channel for vulnerable people to
do business
• Often have mobility problems
• Often are not web aware
32. Who wants unhappy
customers?
• Not expensive to implement
• You will get enthusiastic support
from your staff
• Reduce confusion, complaints and
escalations
• Makes good business sense
35. Getting started on change
• Senior management sponsorship
• Dedicated „desk‟
• Positive acknowledgement of good
outcomes
• Share learning from difficult situations
• Good service has its merits
• Welcome candid feedback
36. Business process stuff in
your organisation
• Don‟t expect perfection from the outset
• Make it easy to complain
• Human beings can care, machines can‟t
37. Next Steps
• Promote guidelines to industry
• Get clients build this into their tenders
• Develop tools such as training modules
• Focus groups with Carers
• Evolve guidelines with feedback from
industry and consumers groups
• Roll out to other channels via DMA
councils – direct mail
40. Today
• A bit about us
• Why is this an issue?
• What is mental illness anyway?
• Impact on tele-marketing
• What you can do
• What we‟re doing
www.rethink.org
41. About us
40 years ago
Started with a letter
Today:
100,000 people helped each year
1300 staff
250 services
150 support groups
1 national advice line
1 million people‟s attitudes changed
www.rethink.org
43. What is mental illness?
Something that:
1 in 4 of your customers
are experiencing now
Half of your customers have dealt with in
their families/friendship groups
www.rethink.org
44. Being honest about it
Don‟t know:
• precise causes
• nature / nurture
• precise impact – individual
Do know:
• treatment:
• psychological therapy (for most)
• medication (for some)
• hope, compassion and understanding (for all)
www.rethink.org
45. Main types of mental illness
„Psychotic‟ conditions: „Neurotic‟ conditions:
• Schizophrenia • Depression
• Bipolar disorder • Anxiety
• Personality Disorder
Lose touch with reality Lose sense of self
• hear voices • hopelessness
• delusions • guilt/self-hatred
• constant worry
• spend wildly • concentration problems
• drink/take drugs to excess
• not sleeping • self-harm
• suicidal feelings
2 in 100 1 in 4
www.rethink.org
46. What it’s really like
“I was in my first year of „Someone sent me an email at
University. I made lots of work just over three years ago
friends, had joined the football to rearrange a meeting and I
team and was settling into started crying and crying, and I
student life. couldn‟t stop. I found that the
But my situation began to only way to stop crying in
deteriorate. I stopped going to public, and the one thing that
lectures and began to shun helped, was self-harming. It
other people‟s company. I was like magic.”
loved football but couldn‟t face
going to training. I became
isolated and began to hear
Both these people recovered
voices when there were no
well.
others around.”
www.rethink.org
47. Impact on tele-marketing
Because of symptoms, of mental illness, people might:
• find it hard to understand what you‟re offering
• depression and concentration symptoms
• lack decision-making capacity
• bipolar and manic symptoms
• find it impossible to talk on the phone
• schizophrenia and hearing voices
www.rethink.org
48. Why does this matter?
• If you get this right...
you will delight your customers
• Most people fluctuate
• They remember who treated them well when
vulnerable
• People with mental health problems (and families and
friends) are delighted when companies deal with this
well
• More openness about mental health
• No longer a niche issue
www.rethink.org
49. Why does this matter?
• If you get this wrong...
you could face a legal case
• Capacity and decision-making
• Must assume people have capacity
• But need to be able to pick up on clues that they
don‟t and cancel contracts
• Equality and reasonable adjustments
• Need to offer adjustments to people with
disabilities
• Many mental illnesses are legally recognised as
disabilities
www.rethink.org
50. What can you do?
Implement the DMA guidelines:
• Ask customers to explain back what they‟re
purchasing
• Offer information in different formats
• „Do you want to discuss with anyone else?‟
• Offering a personal disclosure
www.rethink.org
51. What can you do?
Make sure staff understand mental health as well as they
understand cancer or diabetes
• Sign the Time to Change pledge
• Conduct a simple workplace campaign
• BT
• Premier League
• Channel 4
• Circle Housing
• Luton and Calderdale Councils
www.rethink.org
52. What we’re doing
Committed to working with our suppliers to
get these guidelines implemented
Letting our 30,000 members and supporters
know about them
Educating people about mental health in
Leeds this month
Order a guide – it‟s free
Changing attitudes nationwide
www.rethink.org
54. Business Disability Forum
• Not-for-profit membership organisation
set up over 20 years ago to help
businesses become disability-smart.
• Around 400 members from across the
private and public sectors.
• We support our members and advise on
disability best-practice.
• Our Disability Standard helps
organisations measure and improve their
progress towards becoming disability-
smart.
55. Disability, why bother?
• Good news – you‟re either disabled now or
you‟re going to live long enough to acquire
a disability.
• More than three quarters of disabled
people acquire their disability as adults.
• 1/3 of people 50- 64 years have a
disability; 1/3 of all employees are disabled
or are close to a disabled person.
• Disability affects every part of your
business -
employees, customers, markets, suppliers
and stakeholders.
56. Business benefits
• Disability-smart companies understand
the needs and expectations of a diverse
consumer base and maximise the
productivity and creativity of all their
employees; disabled and non-disabled.
• Research by Microsoft revealed that even
people who do not consider themselves
disabled can benefit from accessible and
assistive technology..
• Spending power of disabled consumers
is estimated to be £80bn in the UK and
growing.
57. Catalyst for change
• Disabled customers should be able to expect
the same level of customer service as non-
disabled customers.
• We‟ve worked with our members and Ofcom
to produce guidance on accessible contact
centres, „Your call is important to us‟.
• Our best practice guide helps organisations
to improve their call routing systems, contact
centres and the customer experience of their
disabled and older customers.
• We‟re keen to support the DMA‟s guidelines
on dealing with vulnerable customers, we
believe they are complementary.
58. Thanks for your time
Catherine Grinyer
Director of Communications
Business Disability Forum
Nutmeg House
60 Gainsford Street
London SE1 2NY
w: businessdisabilityforum.org.uk
t: @DisabilitySmart or @cgrinyer
e: catherineg@businessdisabilityforum.org.uk
59. Understanding the needs of
people with dementia
Elaine Lee, ReynoldsBusbyLee Ltd on behalf of
Karishma Chandaria, Alzheimers Society
______________________________________________________________________________________________
alzheimers.org.uk
60. Introduction
• The Alzheimer’s Society
• What is dementia
• The size of the challenge
• The Prime Ministers Challenge on Dementia
• Vulnerability of these customers and the risks
to businesses.
• What businesses can do to remove the
barriers for some of these individuals
______________________________________________________________________________________________
alzheimers.org.uk
61. The Alzheimer’s Society
• The Alzheimer's Society is the leading support and research
charity for people with dementia, their families and carers
• The Society's fight for a better world for people with all types
of stakeholders takes a wide range of forms.
• Through our network of local services, we touch the lives of
over 30,000 people every week, providing practical services
and support
• Through campaigning and lobbying we strive to influence
government policies and raise awareness of the challenges
faced by people with dementia and the people who care for
them.
______________________________________________________________________________________________
alzheimers.org.uk
62.
63. The number of people with dementia will double in the next 40 years
______________________________________________________________________________________________
alzheimers.org.uk
66. Dementia and vulnerability
• The declining ability to process information, which
results in forgetting PINs and passwords, and leaving
bills unpaid
• The trusting nature of many people with dementia,
which can leave them vulnerable and open to
exploitation from strangers
• If someone lives alone, with little support from family
or friends, their social isolation and loneliness may
lead them to let anyone answer the phone to anyone
67. •People with dementia may lose the ability to judge risk
and the value of money – common scenarios include
making huge purchases over the phone large cash
withdrawals, and/or keeping it in the house
______________________________
alzheimers.org.uk
68. Common problems
• People with dementia who live alone repeatedly receiving
unwelcome or nuisance telephone calls commonly reported
by carers.
• Carers of people with dementia having to deal with telephone
cold callers who routinely target the person
• Being repeatedly called to change utility supplier
• High pressure sales tactics where people are repeatedly sold
multiple memberships and subscriptions
• Complex ‘boiler room scams’, involving false impersonation of
a company or organisation
______________________________
alzheimers.org.uk
69. Risks to your business
• Organisations can have little understanding of how to pick
up signs of a consumer with dementia, or how best to
handle such situations with care and respect
• Staff may not be equipped to deal with the situation
involving a person with dementia, and there is often no
policy for addressing any problems that may arise
• Despite their best intentions, organisations may not give
consistent quality service to a person with dementia.
• People with dementia can be trusting and believe that a
sales representative (whose motivation is to sell) is acting in
their best interests in an advisory capacitythis leaves them
at risk of being manipulated by unscrupulous operators.
70. What can your business do?
• Ensure that your staff are ‘dementia aware’
• Frontline staff need to be alert to the signs that the
person they are talking to may not have the
capacity, at that moment in time, to make an
informed decision
• Practical tips for staff for communicating with
people with dementia
• Using other methods of communication e.g. mail
• Use industry best practice guidelines and adapt
them to your business
71. Thank you
Karishma.Chandaria@alzheimers.org.uk
________________________________________________________________________________________
alzheimers.org.uk
72. Thank you…
Presentations will be emailed to you tomorrow
A final thank you to all of today’s speakers:
Jacqui Crawley, KMB Telemarketing Ltd
Elaine Lee, ReynoldsBusbyLee Ltd
Catherine Grinyer, Business Disability Forum
Jane Harris, Rethink Mental Illness
73. Please return your completed evaluation forms and
badges to the registration desk we look forward to
seeing you again!
Notas del editor
Looking at contact centre work – what are the core challenges facing our industry ahead and how might we best support those in contact centres to allow them to provide the best possible service to customers and contactsWorking against a backdrop ofAgeing populationIncreases in numbers with diagnosed Alzheimer's / DementiaIncrease in diagnoses of mental health issues (both transitory and long-term), huge work being done to remove the stigma of mental healthe.g. bi-polar armed forces returning from combat with PTSD
Started as a council initiative – set up a working party to look for materials to best support contact centresConclusion – guidelines were difficult to findWhat was out there focused on what to do when things go wrongOur emphasis more on how to prevent things going wrong in the first placeInitially shaped our thoughts,CLICKReached out to organisations we knew would deal with vulnerable consumersCLICKContinued our research – found documentation from BSI and BDF
SLOW CLICK THROUGH – LAST POINT EMPHASISE
The world in which we now transact and engage with companies has changed enormouslyMove at a faster paceWant things nowWant to be able to pick up the phone or go online and buy now or have my question answered nowIndustry at the forefront – Customer supportNew offersAll industries but importantly financial services, utilities, media, home shopping/ecommerce, giftsWe noted the change in society and wanted to ensure that as service providers we are best supporting societyLooked for guidelines on how best to handle contacts with vulnerable customers at a distance – nothing easy and quickly available
Because of the Prime Ministers challenge on dementia it is easy to think of this as just being an issue about dementia – it isn’t …Btw – PM’s challenge – Jeremy Hunt
Vulnerable to scams, but also vulnerable to legitimate S & M -
As if it wasn’t difficult enough being a carer …Chris Combomile chied exec of the DMA had a similar experience with his Mother who had multiple subscriptions to the same magazine
Vulnerable to scams, but also vulnerable to legitimate S & M -
… they just need to be joined togetherVast majority of Companies really want to do this rightMost Advisors want to do it right – after all one of the key skills in their job is listening to people to understand what it is that they want.Few have procedures in place to guide and support advisorsAdvisors left to themselves to make their own decisions without the confidence that they will be supportedBT & NPower have both made this step – if all call centres took the same amount of care then we’d be very happy
Listening skills are not enough – call centre staff need to be trained do identify when they are talking to a vulnerable consumerWhen they have determined this they need to use other techniques to make sure that they understand the customer and the customer understands themTerminology – customer / prospect / donor / supporterFinally staff have a few additional checks to make before they make the sale
Asking you to speak more slowlySaying ‘yes’ when it’s clear that they don’t understandAsk unrelated questionsKeep repeating themselves
PatienceDon’t assume you know what they needListenThey may need to put the phone down to find some papers – and this could take a while
Do you need to discuss this with anyone else?Would you like me to explain any part of this again?Do you want to think about this before you make a decision
A special team- yes – but all staff have to be trained to recognise needs
But many call centre staff are young and haven’t come across this situation themselves so need to be trained – this is more than just common sense
Call centre must’t have a goldfish memory & have to re-asses needs on every call.Some needs are clear – language needs, if customer prefers to be communicated to by email or mail, if the customer is deaf.
Call centre must’t have a goldfish memory & have to re-asses needs on every call.“I’m in the early stages of dementia – some days I will be fine, but other days I won’t understand what you are saying”
Riour e calls to a special team?
How many minutes left on mum mobileMum’s got dementia – please don’t call her again
The telephone is the perfect medium for vulnerable people to transact business
Needs senior management buy in and leadership to drive the changeDedicated desk – train a team of super agents to be your first lineWe welcome candid feedback - this will be an ever evolving document and needs inputSharing the challenges you have faced with difficult situations is as important as sharing the successGood service will benefit your business – your customers will stay loyal and will become advocates
[add TTC ad] Say help families and friends as well as people with
So if you’re doing at least 4 phone calls a day, likely to speak to someone who has a mental health condition of some sort. Means it’s probably a good idea for you to know something about it. But before I tell you a bit about it, wanted to be honest about what we don’t know
Don’t know – precise cause (think it’s a bit of nurture and a bit of nature – twin studies show 50% chance of schiz, for example. Know that some life events like losing a job, divorce, moving house increase chances. And unfortunately those kinds of Do know about what works in terms of treatment.V different from 50 years ago.Psychological therapy is a must for most people with mental health problems – everyone should be offered it, but there is no point forcing someone to do it. Takes commitment and energy. Waste if someone’s not at a stage where they can commit.For people with some more serious mental health problems – severe depression rather than mild or schizophrenia or bipolar disorder – medication is needed, sometimes for short periods, sometimes for the long-term.And what everyone needs – as everyone with any health problem needs – is hope, compassion and understanding. Doesn’t help people if feel isolated or neglected. Doesn’t help people if feel no chance of getting better. I don’t think you can help with the first two – I think you have got a role to play in the latter.
Quickly out line the two main categories of mental illness and then come on to the implications as I see them for youMain distinction is between roughly what are ‘psychotic’ conditions and ‘neurotic’ conditions. Psychiatrist might not quite divide things like this but I want to do so for you because I think this is the easiest way to start to think through implications for you. Psychosis – want to be really clear here schizophrenia is not about having 2 different personalities. Not Jekyll/Hyde. Never has been. That is multiple personality disorder and that is much, much more rare. Voices – want to be really Delusions – anything from thinking the KGB is following you to the TV is talking to you to your phone line is being bugged. Need to recognise that people can and do recover from both. Most people who have these symptoms don’t have them long-term.
Hope that gives you a little taste of what people are going through.People don’t choose to have a mental health problem any more than choose to have a physical disability or cancer or diabetes.As socially responsible companies and as trusted providers, need to be sensitive to people’s circumstances
Some people's decision-making won't be particularly affected, but for other people they could lack the decision-making capacity they need to legally enter into a contract. - Others may find it hard to understand what is being offered or find it hard to communicate. Someone who is hearing voices at the same time as talking on the phone may very much find it difficult to understand what is happening, may need to have the same thing repeated a lot. Someone who has depression may not process information as they would usually. Someone with bipolar, in a manic stage, may make all kinds of commitments because they aren't able at that point to keep track or remember what they've agreed to. What can companies do? Ensure that staff understand as much about mental health problems as they do about physical health problems. You could invest in some very basic mental health awareness training. If as a society we knew as much about schizophrenia or bipolar disorder as we do about cancer or diabetes,this might not be necessary. But we don't have that basic level of understanding throughout society. If a customer said 'Sorry, I really can't talk - I'm having cancer treatment at the moment', presumably people would politely say how sorry they were to hear this and end the call. What would happen if someone said 'The voices are really getting to me' or 'I just can't seem to get out of bed today'? Would someone say 'I'm really sorry to hear that, I'll call back another time'. Or would they go silent? Or laugh? What if someone started talking very very quickly and couldn't seem to stop, as they might do if they were in a manic phase of bipolar disorder. Your business is all about creating trusting relationships with clients. You don't need to go on psychiatric training in order to do your jobs, but you do need to treat people undergoing symptoms of mental illness with the same care, compassion and respect as you would do people with physical illnesses. We all make sure our staff are trained in physical first aid - what about mental health first aid? We've been working recently with companies such as Ernst and Young, Shell and BT to make sure that their employees understand mental health just as well a physical health. They see the business case for understanding their customers and employees better. The Direct Marketing Association writing these guidelines is a great step towards this industry doing the same.
[add A Campbell photo?]Openness – came out with a story on schiz last year and it was top item on BBC Breakfast. Wouldn’t have happened a decade ago.More and more celebs talking about this openly – Frank Bruno, Stephen Fry, Ruby Wax. Public is more sympathetic and more demanding.
Really practical. Few things I’d highlightAsk people to explain things back – always good as a mgmt tool. Really good test of whether someone has capacity. Offer info in diff formats – if someone is hearing voices, need to see things written down or emailed Do you want to discuss with anyone else? – can be embarrassing to admit you can’t make a decision yourself. If people are vulnerable, can feel infantalised. Helpful to have this offered rather than have to say it yourself. If a customer said 'Sorry, I really can't talk - I'm having cancer treatment at the moment', presumably people would politely say how sorry they were to hear this and end the call. What would happen if someone said 'The voices are really getting to me' or 'I just can't seem to get out of bed today'? Would someone say 'I'm really sorry to hear that, I'll call back another time'. Or would they go silent? Or laugh? What if someone started talking very very quickly and couldn't seem to stop, as they might do if they were in a manic phase of bipolar disorder.
We’re running a campaign at the moment to get people very basic information about mental health – it’s not rocket science, but it really helps. Got a flyer in your packs about our guide. Order one – it’s free. Really struck me during development of these guidelines that one of the companies round the table said that their older staff were much, much better at dealing with these situations. Most of us do have relatives or friends with MH probs at some stage in our lives. Question is how to shortcut this and give people this experience when they’re younger. Time to Change campaign – target audience is 25-40 year-olds. Messaging and materials are tested.