Policy Context

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The pursuit of person centred care is a central theme in all current policies including:
a.     the transformation of social care and the personalisation agenda set out in Putting People First[1];
b.     ambition and competencies set out as part of World Class Commissioning;[2]
c.     High Quality Care For All - NHS Next Stage Review[3], which sets out the direction of travel for NHS services in England and endorses more personalised approaches to the delivery of support and care to individuals;
The Dignity in Care Campaign[4] - aims to stimulate a national debate around dignity in care and create a care system where there is zero tolerance of abus

a.     and disrespect of older people in particular. It is about changing the culture of care services and placing a greater emphasis on improving the quality of care and the experience of citizens using services including NHS hospitals, community services, care homes and home support services;
b.     NHS Constitution[1], which  sets out the individual's and publics rights and the pledges from the NHS in response to these rights;
c.     Living Well with dementia - A National Dementia Strategy, setting out the government's commitment to individuals with dementia and their family carers ensuring high quality care and support, based on individual need and enabling people to live well with the condition[2];
d.     ‘Everybody's Business - Integrated mental health services for older adults: a service development guide[3], which sets out what the components of a modern service should look like for older people with mental health needs;
e.     Improving services and support for older people with mental health problems[4], which is the second and final report of the UK Inquiry into Mental Health and Well-Being in Later Life. The Inquiry was launched in late 2003 as a result of concern that mental health in later life is a much neglected area. It published its first report, Promoting Mental Health and Well-Being in Later Life, in 2006. This final report sets out to answer how we can we improve services and support for older people with mental health problems;
f.      End of Life Care Strategy: Promoting high quality care for all adults at the end of life[5]
g.     the Independent Living Strategy[6] - a cross-government strategy for all disabled people;
h.     the Carers Strategy, Carers at the heart of 21st-century families and communities;[7]
i.      Aiming High for Disabled Children: transforming services for disabled children and their families;[8]
j.      The Children's Plan: building brighter futures (2007)[9]and
k.     Valuing People Now - a new three-year strategy for people with learning disabilities[10]

All of these policies focus on
·       Individual led services, based on needs and preferences
·       Putting the person in control and offering choice and
·       A trained and competent workforce
Life Story work helps to challenge ageist attitudes and assumptions. It can be used as a basis for individualised care and significantly improve assessments of need, assisting in the transitions that many individuals have to make in the course of the care journey, between different living environments (e.g. home to hospital, extra care, sheltered housing, extra care, care home or other care setting).  During these transitions, life story work can help to initiate, develop and sustain better relationships between the individual person and staff who work with them and between family carers and paid staff.


[1]The National Health Service, Constitution, Department of Health (2008)
[2] Living Well with dementia - A National Dementia Strategy Department of Health (2009)
[3] Everybody's Business - Integrated mental health services for older adults: a service development guide CSIP (2005)
[4] Improving services and support for older people with mental health problems (2007) Age Concern
[5] End of Life Care Strategy: promoting high quality care for all adults at the end of Life, Department of Health (2008)
[6] Independent Living Strategy, Office for Disability Issues (2008)
[7] Carers at the heart of 21st-century families and communities, Department of Health (2008)
[8] Aiming High for Disabled Children: Better Support for Families, HM Treasury/Department for Education and Skills (2007)
[9] The Children's Plan: building brighter futures. DCSF CM7280 (2007).
[10] Valuing People Now: a new three year strategy for people with learning disabilities

Personal Experiences and Delirium

I have really come to believe that personal experiences and stories are a key way of communicating information about delirium to health care workers, policymakers, and the public at large. I also think that these stories can be very stimulating, and can awaken that sometimes suppressed urge to care in health care workers."

Alasdair MacLullich

Professor of Geriatric Medicine, University of Edinburgh.

Secretary of the European Delirium Association  www.europeandeliriumassociation.com