10 Essentials for Embedding into Practice

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We would love to have comments, thoughts and ideas on the developing 10 Essentials that are emerging from the learning of the work in Oldham

Ten Lessons learnt for Embedding Life Story Work into Practice :
First and Foremost "embedding into practice"  is transitive- it takes time and is an ongoing process.  It is about relationships, good will, and TIME. Our process started in 2003.
1)    Link with Carer/ user champion  and listen
The starting place was listening to a carer Ken Holt and what he and his wife needed and what they had done.

2)    Establish a multiagency network across as many areas as possible
The next step was establishing a multiagency network of key people which could not only make some decisions but "get things done". A multiagency steering group was set up

Over time, different members have come and gone  but a consistent group of three to four people have held it together between the ebbs and flows

3)    Consult and listen to wider carers and stakeholders.
Consulting with carers was a crucial part. Three sessions over one year ( April, June and October 2004) were held. The feedback was resounding that staff training was a key element. It was no good people coming with life stories if staff were not using them.

4)    Publicity - get leadership buy in - sharing "good news" stories in the local press
Ken used his links with the local press and leaders to have a piece with the Director of social services coming to first event and at any other major event.

5)    Establish a joint training programme including carers in the delivery of training
 

6)    Evaluate the training programme

Evaluate the training - not just "satisfaction" but do people go on and complete life stories? Our research suggests that 50% of people go on to complete and average of 3 life stories. It is not higher as some of the people coming on the training are managers who we want there to give leadership to this. So far over 300 people have been trained - 150 go on to complete 3 = estimate of 450 life stories)

7)    Use any local "political" influence e.g. with Overview and Scrutiny.
By carers linking in to local councillors and with Dementia being a key objective - Overview and scrutiny strongly recommended this to be implemented in Oldham

8)    Feed into any strategic initiatives you can.
Different members of the group were involved in writing the PCT's older people's mental health strategy. Life Story was part of the action plan for this.

9)    Link with the "personalisation" work going on in your area
Putting the person at the centre of their care is essential part of the strategic direction of health and social care.

10)Link with National Network - who can signpost you to other resources.

We hope that by accessing some of the resources in this report/ website - you will be able to have some tools to begin or continue to embed this into your area
Learning Points
Much has been learnt and is still being learnt. Firstly, there is the importance of listening to carers. This is an ongoing process that needs the commitment of a core group of people to keep it going. Working together across statutory and voluntary sector has been a vital ingredient in creating an identity and raising the profile of the work. Rather than people working in isolation the steering group has been able to harness some resources and raise the profile of positive work with this client group in Oldham. In terms of outcomes  life story  is a key objective for the local council, is a key action in the most recent older people's mental health strategy for Oldham and is on the recommendations of the health overview and scrutiny committee. It is embedded into business plans and service development plans. Care Managers now ask for life stories to assist in care planning. It demonstrates the power of what can be achieved from bottom up ideas when people work together and remains a privilege to be a part of.

  Comments Received:

  • Ron Greenham (13th March 2010) As a volunteer I have seen some 10/12 L.H. Books also heard of several Dementia suffers having problems both in hospital and Care homes that would have been over come by a page in their Life history book that stated their personal LIKES & DISLIKES such as no sugar in tea. It is proposed that we have a recomended standard page that could be used.


Marian Moore (12th March 2010) Calling Oldham. Thank you so much. As a story teller with a life-long passion, as an older person 'doing philosophy' with the OU, and as a service user involved in Shift's national anti-stigma movement, I am entranced by this new development and your 10 helpful steps. Look out World Mental Health Day 2010. I think we've got a theme with endless possibilities - in the Life Story movement. Thank you. Marian