In the shoes of Gill’s Mum… | Back on the rails. Full steam ahead … ;-)

Mum is delighted to be home. Not just home, but pretty much back to normal now. It has been quite a saga, as you can imagine. I am not quite sure what she really made of my #FreeGillsMum Twitter campaign when she became a ‘delayed discharge’, bedblocker or other catchy term of endearment – other than that it was effective and she was very grateful.

My Steller story got about 50,000 views so certainly struck a chord with a lot of people. As for Mum, it certainly put a sparkle in her eye when our Twitter friends sent her flowers and other lovely little tokens of love and encouragement. Not to mention the Ukrainian and Mongolian armies, Scottish bands and even a Trojan horse – thank you everyone!

And, most importantly,  the fact that mum was beginning to decline again in hospital (especially after staff started telling her that she “didn’t need to be here”) and has positively flourished since returning home justifies the ‘guerilla tactics’ I think.

I have been in awe of Mum’s feistiness and determination as she has re-gained different skills. There is something very special indeed about that war-time generation. She has systematically dispensed with the services of the various members of the re-ablement team, a.k.a ‘the derailment team’.

It is quite funny and fascinating to compare their version of things in the ‘official’ notes and Mum’s version of things. And pretty depressing really to see so many different people write down variations of “all Mrs R wants now is help in the shower” without actually managing to provide it in a way that is acceptable.

Anyway, mum says that she really appreciates being back HERE and doesn’t even mind that the minestrone soup still has too many bits in it!

Reablement service 2 IMG_1169This is what Mum says…

There are so many different people, I don’t know who does what. But the key people since I came home seem to have been the derailment team. There have been about 30 of them all told, generally friendly and helpful, and between them they have put me back on the rails.

I have had more assessments than hot dinners and sometimes felt like a performing seal. They have watched me walking. They have watched me making a cup of tea. They have watched me in the bathroom. Not very nice really. I just want to be left alone and I’m lucky now to be able to do most things myself again. But I realised that I still needed help in the shower.

I was really cross yesterday. Two people turned up and woke me up before 8 a.m. I was having a really bad dream and then suddenly, in real life, two people were there by my bed. I found it very disconcerting. Wouldn’t you?

Shower sleeve. IMG_1180They announced that they had come to give me a shower. It was really early, I don’t normally get up until 9 a.m these days. After all, at my age what is the rush?

I don’t think I had seen either of them before. One of them was a man and I had already said very clearly that I didn’t want a man to assist me. I thought that was a bit much.

I’m frightened of the bathroom as this is where I had a fall, so I would like someone to help me in the shower – but not at 8 a.m when I am still asleep.

It is hard to know what to say in these situations. They said they would come back later in the week but if I didn’t have a shower then, I wouldn’t get offered one again. She seemed to have the authority. I am not sure what will happen.

In contrast, I have just had a lovely GP visit me for an ‘over 75 assessment’. Yes, yet another assessment. It has taken them 18 years it seems!

The over 75 assessment seems to be something that the government has suddenly thought up. But a good idea, I think, if they actually talk to people and find out what would help them before it is too late.

Anyway, this young GP was really helpful about everything and we had a very nice chat. He seemed to be able to make things happen. He said if I didn’t get my new pills soon, he would go and get them personally for me! It was really sweet of him. Who knows – perhaps it will make them even more effective?

Mum - Oliver on ipad IMG_1273And now we have a new interest in our lives. Baby Oliver. Mum is as thrilled to be a great-granny as I am to become a granny. New adventures await and the birth of this gorgeous little boy puts everything else into perspective. :)

Posted in Blogs, communication, compassion, Gill's Mum, Guest blog, health, personalisation, safeguarding, TLAP - Making It Real, well-being | Tagged , , , , , , , , , , , , , | 4 Comments

Health and care conference goers – a call for action! #NCASc15 #KFintegratedcare

Today the good and the great from the world of social care gather in Bournemouth for the first day of the three day annual Children and Adult Services conference. Meanwhile the King’s Fund Integrated care conference was held yesterday in London.

Perhaps they should all meet up ;-)

Yesterday I posted a blog that included a video poem about ‘prevention’ – a popular word in these circles … which I interpreted as preventing people falling through the gap between health and care services. It included a ‘call to action’ for conference goers.

It struck a chord as a lot of people recognised the battles far too many people face when they (we!) try to find out about any available support. There were lots of RTs and comments on Twitter but a lot of people didn’t manage to see the video. After all, it is difficult to watch videos when you are at a conference.

So now you have no excuse. Here is the poem:

Mind the Gap!

Policy wonks talk a lot about prevention
In health and social care.
But there is an underlying tension
That nobody seems to mention
Exactly what we are preventing and for whom.
The elephant in the room.

Not just data and stats and other ‘this and thats’
But enabling people to thrive.
To live their lives.
And not be prevented.

We have ‘Continuing Health Care’
Although I don’t know how they dare
Bare-faced to use this phrase. Unfazed.
As they battle for who is going to pay
With impeccable manners.
After you. No, after you. No, you go first. Pray.
Hell bent on preventing
The price tag coming their way.

Continuing Health Care
Implies something so good
All the things we would and should
Expect in old age.

But when we get towards the end of our days
(If we are lucky enough not to pop our clogs
Or otherwise kick the bucket in unforeseen ways)
Life turns the page
And inevitably, eventually we become
Vulnerable.     Yes, me and you.
Dependent on others
As we once were on our mothers.
Scared. And unprepared.

So falls prevention?
The fall I would like to prevent
Is falling through the gap
In services.

So to the leaders going to this conference,
I take you to task
And I ask
What are YOU doing
To join things up?

I’ll call your bluff.
Real action.  Words are no longer enough.

© Gill Phillips @WhoseShoes.

Posted in Blogs, co-production, communication, compassion, dementia, end of life, health, in my shoes, personalisation, poem, safeguarding, TLAP - Making It Real, well-being | Tagged , , , , , , , , , , , , , , , , | Leave a comment

Mind the Gap: the gap between health and care services.

As another big conference starts tomorrow – this time the National Children and Adult Services conference in Bournemouth – #ncasc15 – here is my challenge to the delegates:

Prevention… Integration… Mind the Gap!

And here is the story that led to the video:

In June 2015, I was invited to give a talk at the NHS Confederation conference in Liverpool alongside Dr Mark Newbold, Chair of the Commission on Improving Urgent Care for Older People. This is a subject close to my heart, both in my Whose Shoes? Work and my personal life.  I published a Steller visual story as a light-hearted way of sharing the experience.

My talk included many stories. I talked about my late father and his eight heart attacks;
I talked about my 93-year-old mum and our efforts to keep her out of hospital, not only safe but happy and as independent as possible.

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I sat and chatted to Mark after the end of the session and he invited me to join the Commission. Instead I suggested a number of ‘critical friends’ that I thought could add a much wider perspective, not least my mum herself.

Well, when I said Mum would be happy to help, I didn’t expect her to go so far beyond the call of duty. She has since provided a real live cameo of how wonderful the NHS is at fixing people…  but how much still remains to be done in terms of joining things up.

Repeated falls, trips to A&E, emergency admission, waiting on a trolley for 3 hours 59 minutes, being moved between wards, communication (or lack of), multiple assessments (Mum said she has felt like a performing seal), scans and treatment, delayed discharge… my mum has had the lot. And then accelerated discharge after my #FreeGillsMum Twitter campaign led to a Steller story which ‘went a bit viral’, not because the story was particularly unusual, more because it was an all too common experience that most people could relate to.

We then entered the world of different teams of carers, an emergency NHS home team, social services re-ablement team (Mum called them the ‘derailment team’), GPs and district nurses, ‘domiciliary phlebotomists’ (my favourite job title) and many more. We met lots of (mainly) great health and care professionals trying to do an excellent job and came across constant examples of processes that didn’t talk to each other: time-consuming and demoralising for staff and soul destroying for patients and families.

So, here is my poem again. A call to ACTION!

Posted in Blogs, co-production, communication, community engagement, end of life, Gill's Mum, health, personalisation, safeguarding, social care, TLAP - Making It Real, well-being | Tagged , , , , , , , , , , , , , , , , , , | 1 Comment

What a year! My ‘take’ on #MatExp: building a change platform – by accident!

Florence Wilcock had promised to write a blog summarising ‘a year in the life of MatExp’: the story, from her perspective, of the 12 months since we first met. She emailed it to me and I felt really emotional opening the email. #MatExp has been such a huge journey for both of us. I wondered what she would say. I published her wonderful blog  on the actual anniversary (31 July, 2014).

As I am always interested in looking at things from different perspectives, it was particularly fascinating reading a story so close to my heart and with which I have been so closely involved, but through another person’s eyes. What would it be like to revisit the year myself? Some of the events and stories are the same; much is different but complementary.  And it is fab to see others coming forward too and blogging about how we have all come together to build the #MatExp change platform, including Leigh Kendall.

Anyway, here is my story.
I have nicked Florence’s fab headings…

Setting the scene

It had been an exciting time. Whose Shoes?, which I first created in 2008 as a facilitation tool, was catching on in new ways and bringing new opportunities.  Having originally given up my job, jumped ship with a crazy notion, loads of passion, no funding or realistic plan, it had been a veritable rollercoaster. Without social media I would never have survived the long years of the recession where training budgets were slashed and everyone you built a relationship with moved on or moved out.

_DHP5895-Edit - WS DFC graphicsSocial media was proving to be a wonderful way to find like-minded people, passionate about improving people’s experience of health and social care and seeing everyone as whole people with preferences and aspirations, not just health needs. I had started working with passionate people to develop bespoke material around different topics, particularly Sandra Springett, Diane Aslett and some other forward-thinking people from Age UK in Kent. It was the dementia work with them, and experience of building #dementiachallengers as a powerful and enduring hashtag on Twitter that led directly to the maternity project with Florence.

I received an email signed by ‘Miss Florence Wilcock’. Flo and I have laughed about this since as I didn’t realise that it was standard practice for consultants to sign in this formal maiden namey way. I was expecting someone very prim and proper, but when we first spoke on the phone she sounded really animated and engaging. I laugh at the way Florence often says she is confused about things… I was confused.

I linked Flo up with Kath Evans, Patient Experience Lead at NHS England as I knew Kath was a keen Whose Shoes? champion. I was summoned for a meeting at NHS England HQ in London, with Tracy Parr and Sarah Dunsdon from the London Strategic Clinical Network (LSCN), and of course Florence.   I think other people were surprised when Flo and I had a big hug, even though we had never met in person before, but I am more used to tweet ups and for me this is normal when you know you are meeting someone special!

The introduction was very welcoming but then suddenly the atmosphere changed and felt far more formal as I was invited to ‘do my presentation’. Hmm, I hadn’t got a presentation in any formal sense of the word. I just got out the Whose Shoes? board game, and showed them briefly how it worked and what it aimed to achieve. I showed them some of the existing scenarios. The atmosphere was very much us (me!) and them at that point so it cheered me up no end when a couple of guys appeared, abseiling down the building cleaning the windows!

Luckily I had had the forethought to put together a few maternity specific scenarios. I had just printed them on coloured paper and pushed them round the table, inviting people to dive in and take a look. Tracy pounced on a particular scenario. I cannot remember what it was but a lively discussion ensued for about three minutes and I melted into the background, smiling to myself. Tracy suddenly looked a little embarrassed and apologised for ‘going off track’. Then the lightbulb moment. They had not gone off track; they had discovered and understood Whose Shoes? for themselves, something I cannot achieve through a conventional presentation. From that moment, we were all on the same page and the London pilot was born. A painless and natural birth.

August Plotting

Florence Wilcock wrote: "A very small pilot....!"

Florence Wilcock wrote:
“A very small pilot….!”

I remember leaving the meeting excited but wondering how it would all pan out. I had total confidence in Florence and was delighted that the first workshop was going to be at Kingston Hospital. For me it is all about finding the right partners. The backing from NHS England and SCN in London was going to be important but we needed to ensure that we involved women, a mix of people who had had a good and bad experience of maternity care, and avoided a top down approach!

I was aware that we didn’t have long to source the scenarios and the hard work that would be involved in making sure that they were all authentic and crowd-sourced. Although Florence was relatively new to social media, it was brilliant to find a partner who was willing to give it a go and, right from the beginning, we have bounced off each other and been able to stir up a lot of energy on Twitter!

Mum - new flat Img_5053cOn a personal front, I had my mum staying with me for several months after an accident meant she could no longer live alone in her own home;  I was helping her move, rebuild her life and eventually sell the family home and move into assisted living. The extra time together meant we had plenty of time to chat and one of Mum’s stories became Florence’s favourite scenario! August was also my eldest son’s wedding… so time for some posh shoes!

September Sourcing

Gill Phillips with Jane Pollock, a.k.a @midwife_jane who invited her along to the Open Day

Gill Phillips with Jane Pollock, a.k.a @midwife_jane who invited her along to the Open Day

Things got really busy in September and I was very lucky to get the chance to visit the maternity unit at George Eliot hospital in Nuneaton. Again, this was largely thanks to Twitter and I was given a very warm welcome by Jane Pollock and her colleagues. I got some really good insights into current maternity services and only wish that the birthing pools, low lighting and other personalised options had been around when I had my three children! Around this time I also met Carmel McCalmont for the first time, Head of Midwifery at Coventry University Hospital. I learnt a lot about their innovative postnatal work.

Laura Sinclair, a young friend of mine, had recently had her second baby and had a story to share. We were certainly not short of material for our crowd-sourced scenarios and also started to be bombarded by tweets and emails telling us what we should include! Some of the more in-depth scenarios lent themselves to Whose Shoes? poems, particularly Flo’s stream of consciousness email that she sent me in the middle of the night after a difficult ‘on call’ and Jenny Clarke gave permission for us to include a couple of her famous ‘Skin to Skin’ poems!

I started to use #MatExp as a hashtag and was thrilled when it began to gain momentum. I told Flo I had registered it on Symplur. She hadn’t got a clue what I was talking about but liked the idea!

October Lift Off

Img_8264aThe timing of the Kingston workshop was quite difficult for me as it fell immediately before a busy week in Glasgow, where I was speaking at the European Alzheimer’s conference, being interviewed for a local radio station and running two quite demanding Whose Shoes? workshops, including a large community event at Dundee United Football Club! It was interesting moving between such different subjects and yet seeing the similarities in terms of what really matters to people: dignity and respect, choice and control, good communication and being listened to are central to everything!

It was a bit nerve wracking wondering how many people we would have at the Kingston workshop – perhaps Florence’s nerves were contagious! But I knew the material that we had developed was authentic and fitted really well with the Whose Shoes? format, so felt very confident that the discussions themselves would be a success.

MatExp bakeoffI had been a bit frustrated that the NHS seemed to have an incredible eye for detail, in terms of templates and spreadsheets of attendees etc, but it was harder to pin down whether we could actually manage any refreshments! As so often, we were able to turn a potential problem into an opportunity and Florence and her team made some wonderful cakes – the start of the #MatExp bake-off, a lovely personal touch that has been continued in subsequent workshops and is now a key part of the package. My very last-minute approach to finalising slides for my presentation meant that I was able to include pictures of cakes people were baking -and tweeting – late the night before!

I travelled down from the Midlands with Anna, our fabulous graphic facilitator and Laura who was so keen to share her story that she made special arrangements to leave her young baby with her Mum – thank you Rosemary, a dear friend of mine!  I was very moved when Florence also shared her own personal birth stories – she hadn’t told me she was going to do this so I got the full impact when she announced at the end of her moving ‘tale of two births’ that the mother in question was herself. This honesty and sharing of vulnerability set the scene perfectly for the Whose Shoes? approach, emphasising that we are all people rather than fixed into boxes called ‘professional’ or ‘patient’. One of Flo’s junior doctors subsequently said it was like meeting the teacher out of school and realising that they actually have a personal life too!

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I am delighted to quote Florence here:

“The workshop was outstanding, better than in my wildest dreams and the connections and actions have been fizzing along ever since. I spent the days and weeks after the workshop bumping into people and hearing about the progress of their pledges”.

Flo set a very high standard in terms of ensuring that the workshops were action-focused. As time has gone on, this has led to a healthy competition between the participating hospitals to see who can show the biggest or most interesting improvements.

300- 2For my part, I got a real buzz when I first saw the graphic that Anna Geyer had produced ‘live’ during the Kingston workshop displayed on the stairs at Kingston Hospital – a constant reminder of the workshop and all the action that was (and still is!) flowing from it.

November Baton Passing

Kath Evans had been a fantastic catalyst in bringing the maternity work to fruition. Ever since she attended a Whose Shoes? event in Coventry in the summer of 2013, Kath had said that the approach would work brilliantly in maternity and children’s services. November saw me starting to get involved in a project Kath was doing with some fantastic partners including Great Ormond Street Hospital around improving communications between children and young people, their parents and healthcare professionals. This led to us agreeing to use Whose Shoes? as part of the whole-day ‘CYP Me First’ masterclass that was being developed.

It was good to see the cross-fertilisation of ideas between this and the maternity project. The networks were ever expanding. I love connecting people and it gives me a particular pleasure to see passionate people (my friends!) connecting across different topics, who would never normally come into contact with each other.

On the maternity front, the next workshop was Lewisham.

Booklet - MatExp WSI was impressed by the effort that went into developing the toolkit to try to capture leadership and facilitation tips to help this and subsequent workshops. We all chipped in but sometimes I am too ‘close’ to it; a combination of Flo’s clear vision and the LSCN team’s attention to detail meant that the final result was really impressive. I really enjoyed working with Helen Knower, Head of Midwifery, supported by Flo via Twitter and phone calls. It is lovely to see how different individuals put their own stamp on a session – and it was great!

A personal highlight for me happened before the Lewisham session even started. We had a very quick run through of the game for the people who were going to serve as facilitators on the day. Just as with the original ‘presentation’ at NHS England, it was easier to get them dipping into the game and exploring a couple of scenarios rather than just talking in theory. Lynda Machakaire, consultant midwife, announced at the end that I had changed her practice already. A card about language had made her think about certain aspects of how she spoke to women – a real light bulb moment and a lot of honesty. Tweeting as the @BestMidwifeEver, this was someone who was totally person-centred but recognised that there is always space to learn and improve. Florence has said the same: that learning from the discussions has influenced her day-to-day practice. Wow!

And a bit of virtual nagging from Florence kept everyone focused on action:

And the networking continued.

And the workshop is judged to be a success.

Meanwhile we were starting work on a webinar for the 6Cs series

December Momentum building 

It was wonderful to see Florence’s willingness to move outside her comfort zone and as ever our skills and personalities were mutually supportive. I loved the honesty with which Flo said she had never done things before, had a little panic and then got on and did them brilliantly! She is far more organised than me and would start planning something in really good time, whereas I am more last minute. This was just as well as the project started shooting off in all directions, with webinars, films and presentations to prepare, alongside the stuff we had already planned!

I was thrilled when we started planning a ‘train the facilitator’ event in the middle of the pilots. All the Heads of Midwifery (HOMs – I was learning a new language!) from across London were invited; this felt like a real vote of confidence in the workshops and their continuation beyond the initial pilots.

200- 2And then, just before Christmas, our third workshop took place, this time run by Flo’s fellow obstetrician Louise Page at West Middlesex.

Christmas babyI find it huge fun and very exciting to follow a Whose Shoes? event live on Twitter; I love seeing the photos and feeling the buzz. In keeping with the ‘devolved leadership’ strategy, neither Flo nor I got involved in running this event. We were like a pair of over-anxious mums at the school gates, watching with pride as our baby took its next tentative steps to independence. It was just before Christmas so it was a bit like rocking up for the school nativity play and having to watch it on the screen outside in the playground!

IMG_8235aKath Evans was brilliant and attended all the pilot workshops, participating rather than leading and so was able to observe and report on the success of each one. The LSCN team – Sarah, Daryl and Michaela – gave excellent project support and Anna Geyer similarly provided continuity and a growing collection of wonderful graphics recording the highlights and actions from each event.

I was fascinated to see how the ‘putting people in boxes’ sometimes self perpetuated. People were surprised to find out that it was an obstetrician rather than a midwife leading this rather ‘fluffy’ (a.k.a human) project. This went against the established stereotype: midwives are apparently seen as ‘fluffy’ people whereas obstetricians are branded as hard-nosed and lacking in  people skills. Similarly, someone was disappointed there were ‘no users’ on the core team… just before Michaela, a team member from LSCN, gave birth to our first #MatExp baby – but of course, working for the NHS, she was classed as a professional rather than a mum!

Florence told me one night she had quickly filled in a form and applied for #MatExp to be a campaign partner for NHSChangeday.

I was delighted. There was total trust between us with one or other of us flying off and doing  things and hopefully between us covering the key bases. ‘JFDI’ and ‘divide and conquer’ became our watchwords.

We wondered what the New Year would bring but we were pretty sure it would not be dull!

January New Year 

Things went up a gear as we entered the New Year. Due to the success of the early London pilots, there was talk about rolling out ‘Whose Shoes? -maternity’ across London and indeed nationally. While this was very exciting, it was also a bit worrying. Whose Shoes? is values-driven – it needs to engage hearts and minds. I do not want it ever to be dumped on someone’s desk from on high saying “This tool seems to work. You need to do it!” That kills anything, as I know from my own experience when, in a previous life, I was asked to “report on outcomes”, when nobody had a clue what this really meant but it was  all very fashionable!

Img_3473 Flo's pledgeFlo was wildly excited when we got the ‘green light’ from the NHS Change Day team saying that #MatExp had been chosen as a campaign partner. We both were.  I realised just how much it all meant to Flo and what I loved was that it has always been about spreading the word and improving things for women rather than any personal aggrandissement. Flo was building such a national profile but as a by-product rather than ever being a driver.

We were in constant touch, trying to keep the various plates spinning, and so it has been ever since. We discovered tips that are never mentioned in project management / leadership manuals – not least that if you have an owl (me) developing ideas late at night and a lark (Flo) adding some more and pinging them back at day-break, you get a hell of a lot done!

The NHS seem very keen on early-morning teleconferences. As you will have gathered, I am not an early morning person. We were planning the train that the facilitator session and finalising a toolkit capturing the formula in terms of how to lead a workshop – the practical elements and the more nebulous elements, such as how to create the right atmosphere.

I forgot about one completely but had been tweeting right through it (my early-morning activity of choice) so was ‘caught red handed!’. Kath Evans, who is probably the kindest and most positive person I know, found some lovely words to direct message me but was effectively saying “Gill are you going to do in this teleconference or what?” Whoops!

I was under pressure to come up with a business model. again it was a case of trying to ensure that there is real ownership in individual hospitals, and also a way to build for the future, adding on new subject areas as maternity is just one example of how the tool can be used. Serendipity is a huge part of my journey and some key people, including Kate Greenstock (@wildrubiescoach) came along at just the right time to help me think through my ideas. It has been wonderful to discover people like Kate who I hope will be able to spread the message and facilitate events on my behalf, as we have done in other areas, particularly #dementiachallengers.

The network was growing: different people using their different skills and passions. There was fantastic attention to detail by the SCN team and, jumping forward, this continues to be a strength as we head for NHS Expo where it probably feels to them like herding cats with a gang of mavericks coming up with more and more ideas and going off in different directions!

Personal actionsFlo and I attended an NHS Change Day planning day together and were probably slightly tricky for the team there as we had so much going on and it was such a rare opportunity to meet together in person. We also knew very clearly what we wanted and gave their website designers a few headaches with our long list of actions and different leaders (a fab mix of mum-leaders and professional leaders) for different bits of the #MatExp campaign! People were coming forward to lead different aspects of the campaign. Wonderful people like Jenny Clarke (Skin to Skin); Amanda Burleigh and Hannah Tizzard (Opimal Cord Clamping); Leigh Kendall (Language – teaching us all SO much via fantastic #HugosLegacy and #saytheirname); Emma Sasaru and Helen Calvert (breastfeeding); Ruth-Allen and Carolyn John (informed choice); Rosey and Dani (postnatal support). Too many to mention but you know who you are!

I have always loved the Cleveland Clinic empathy film so it was really exciting when the London SCN commissioned a similar film from Silverfish. It was fun choosing the scenarios to appear in the film, all sourced from our Whose Shoes? workshops. Again, Florence and I felt as if we were being picky, coming back with loads of suggestions and edits. These things are really difficult in terms of appealing to everyone, but I think we are all delighted with the final result and positive feedback the film has received, with over 3000 views already.

It is a great resource and is being shown at maternity conferences everywhere; I felt very emotional when I saw it for the first time on a big screen at our workshop in Guernsey.

Work was of course continuing in other areas and sometimes it is hard to juggle the different subject areas, especially as I invest so much time in supporting people on social media. I love it when things do not fit into boxes and building links across my various networks is very rewarding. We have had a few gatherings in London where the main thing people have in common is that they are part of ‘my gang’ and I love seeing them build their own friendships and alliances.


Passionate dementia care team in Basildon

Immediately after the NHS Change Day meeting with Florence, I went on to meet the fab dementia care team at Basildon & Thurrock Hospital. I was very happy to distribute NHS change day light bulbs, and spread the word of the ‘Dementia Do’ campaign which builds on our NHS change day campaign from 2014.

Img_2283c - thought diversity posterFlo and I were also pleased to take part in the NHS Thought Diversity day in London. This has gone a bit quiet recently but the key idea seemed to be that it really adds value to look at issues from lots of different perspectives. We would agree !! :)

Another new experience for me was to be a judge in the Penna awards. It is heartening to see the fantastic work that has been done across the country to improve patient experience.

Fabulous February

The first week in February was indeed mad. I managed to stay for most of the week with Theresa, my best friend from school days. She has known me since I was 11, so perhaps it is just as well she is not on social media as she might have a few beans to spill! This meant that not only did we have the ‘Train the Facilitator’ and the Queens hospital workshop in one week, but I managed to fill every moment in between with meetings, either of a ‘business’ or social nature – or in practice there is often very little to divide the two.

This week was very special. I met for the first time three of the leading lights from our campaign. Flo and I got the chance to spend time with the inimitable ‘Jenny the Midwife’ @JennytheM, famed for her wonderful campaign to make ‘Skin to Skin’ a reality for every mother at every birth. You had to be there to appreciate the ‘tale of the heated loo seats’. I had dreamed of meeting the woman who once climbed a step ladder and daubed ‘Skin to Skin’ in large letters on the operating theatre wall, because no one was listening. See what I mean about special people?

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Jenny had come down from Blackpool for our ‘Train the Facilitator’ event and similarly Helen Calvert @heartmummy, had come from Manchester. Leigh Kendall and Dr Carolyn John joined us for the event at Queens hospital and I felt very honoured that our amazing team were making such an effort to come and see what was happening in person.

The Queens Romford workshop was part of our ‘devolved leadership’ approach, so strictly speaking neither Flo nor I were meant to be there. But we both found an excuse to come anyway, and got the chance to see Wendy Matthews lead a brilliant event. It was jam packed – apparently 69 people turned up for the 40 places. Because I did not have an official role, it was an opportunity to run round with my small video camera, capturing some of the highlights of the day, as did a couple of members of their very responsive Comms team. Poor Mr #WhoseShoes was subsequently trying to help when he edited the film and cut out all the background noise; but then we had to put it back in…  after all babies are really what these events are all about!

Flo and I shot our video for NHS Change Day in the noisy corridor at the end of a long afternoon: not the best quality, time or place but we just had to… JFDI!

People often say ‘let’s meet up when you’re next in London’. It was fun hopping between meetings to progress specific projects such as #KHFTWhoseShoes and #CYPMeFirst and more general ‘tweet-up’ type meetings such as finally spending some time with Richard Humphries from the Kings Fund and meeting up with a PhD researcher from UCL, whom I first met at the ADI World Alzheimer’s conference in Puerto Rico!

If you want a break from reading this ‘War and Peace’ blog, I hope you enjoy this beautiful and indeed haunting music by the local university students – a truly memorable introduction to a conference!

I went to Preston to join ‘NHS Change Day, North’. Paul Jebb was rather rash to sit next to me that day as I was looking for early pledges to undertake the lithotomy challenge – thank you Paul ;-)

The next day I went down to Skipton House in London and got the chance of my ’15 minutes of fame’ when I was suddenly invited to speak on camera to NHS CEO, Simon Stevens. With some very helpful last minute advice “Less is more” from my friend Alison Cameron burning in my ear, I stepped forward.

As anyone following #MatExp will know, language is possibly the most consistent issue that we are picking up in our campaign. Simon Stevens seemed to be listening, really listening so I was keen to give him a real example. There was momentarily a stony silence as I asked him how he would feel if he was told that he had “failed to dilate”. Luckily, he laughed and said that for a start it would be a gynaecological miracle and the ice was broken. But it is such an important message that I hope he remembers it. In a good way, of course. ;) Interestingly, the footage seems to have disappeared without trace…

Gill and Simon Stevens and card

There is huge potential to explore the use of Whose Shoes? in more specialist areas and I’m hoping that this might be one of the outcomes of the national maternity review. For example, I had the huge privilege of taking part in a focus group of young mothers with learning disabilities. I was shocked by some of the things that I heard – but I guess if we are finding so many gaps in communication generally, it is hardly surprising to hear of more vulnerable people being left bewildered and unsupported – and worse.

Twitter NHSMeanwhile I was spending a disproportionate amount of time preparing for to give a talk about blogging at the Twitter NHS conference. I do find it hard juggling accepting we get requests and suchlike well into the future and The reality delivering them when the time comes alongside pressing work priorities. It was the day before our webinar for 6Cs. Florence has described it in her blog – chaotic, crowd sourced and huge fun! I also was delighted to publish Flo’s “first and only blog” – or so she claimed loudly at the time…

ROAR bookAnd talking of publishing things, ‘our’ book was published – Roar…compassion   It had been a huge surprise when Sheena Byrom originally invited me to write in chapter, one of the original contributors, long before I had done any work around maternity services. The publications have been delayed as more and more people were discovered and added and now it felt extremely timely! I was delighted to be included alongside about 40 international examples of good practice. It has sold 3000 copies and is now being re-printed.

March Mayhem

I had been looking forward hugely to NHS Change Day. I had promised ages ago, that whatever happened, I would come and support Florence with activities at Kingston Hospital. I knew we would do something around #MatExp but wasn’t sure what. As it happened, Kingston hospital were doing loads of good stuff, so much so that we were delighted to hear that Helen Bevan, the Edge and the NHS change day film crew had chosen ‘us’ to visit!

I thought they would perhaps pop into our drop-in session in the antenatal clinic in the afternoon. I hadn’t expected them to arrive en masse for our whose shoes taster session for the whole of the Executive team! They caught the end of the discussions, using some bespoke Whose Shoes? scenarios to explore a real complaint. I was thrilled as Helen had always said she wanted to see the game in action, but we had only managed ‘near misses’. This time she at least saw the ‘aftermath’ as the team discussed what they had experienced – an opportunity which led directly to the exciting project we are doing at the moment, using Whose Shoes? to explore areas of patient and staff experience across the hospital: #KHFTWhoseShoes.

Helen Bevan did a little interview with me in the antenatal clinic – the only clip that has been published is five seconds (at seven minutes 30) on this excellent video, about the whole day, and of course starring Florence doing her lithotomy challenge.

What a great idea! We have since had a steady stream of tweets sending photos of health care professionals, and particularly male obstetricians, experiencing the lithotomy position and suggesting ways in which issues can be avoided or at least improved.

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It was brilliant that Flo was not only willing to do the lithotomy challenge, but to be filmed and then to share the learning via a blog. Yes, that’s right, another blog. 😉 We published it on Mothers’ Day and I was able to include a photo of the lovely #MatExp necklace Florence had sent me.

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MatExp necklace cShe had bought us matching ones and we have enjoyed wearing them to events ever since, especially when we do something together! I have found a great conversation starter at non-maternity events, and I wore in Scotland when I went up there for a week, giving talks at the fabulous ‘We chose to climb’ international conference and then workshop with NHS Education for Scotland and Alzheimer Scotland.

Shoe on wall - RCOGFlorence and I were bouncing off each other more and more. It was brilliant that Flo had an excellent meeting with David Richmond, president of the RCOG. When we started writing these blogs, I asked her to remind me how this came about. Apparently I had emailed and got a lovely reply from Lesley Page, president of the RCM, so Flo had a rush of blood to the head (her words) and emailed ‘her’ president. I laughed when she tweeted a picture of one of my little clock keyrings on the wall outside the prestigious premises!

CYP Img_4680AMeanwhile the Great Ormond Street #CYPExp masterclasses, using Whose Shoes?,  had started and were coming thick and fast. I went to the final pilot workshop and it was lovely to see Kath Evans there, just as supportive and enthusiastic as ever.

It seemed slightly strange having one final pilot maternity workshop at the Whittington, as by this stage the project had  been deemed a success and we had already held the ‘train the facilitators’ event.  Flo and I behaved ourselves this time and waited patiently outside the school gates, but checked in constantly on Twitter. Once again there was very positive feedback and lots of actions – and I particularly loved seeing the black cat on Anna Geyer’s wonderful graphic.

200- 2It was great to see stronger and stronger links forming with the NCT, MSLCs and other groups around the country as people gained confidence in working collaboratively and as we all realised that we are stronger together; #WhoseShoes by definition includes everyone. I know how impressed Flo was by the presentation Helen Gray gave at the mini Whose Shoes? at the South West London Maternity study day and we were starting to get tweets mentioning #MatExp at conferences at home and abroad!


With the pilots over, we entered April without any particular plan but her created the conditions for a bit of magic to happen, as organic development is what it is all about! Florence asked me what I thought about a #MatExp alphabet. It was brilliantly simple – just the sort of thing that I love and neither of us could believe the energy it generated. People were waking early to post their daily tweets. Mr #WhoseShoes sometimes struggles with my social media presence and thought we had all lost the plot at that stage I think.

I had a really random day myself when I met up with some fab people from the Netherlands at the big Quality and Safety forum at Excel in London. As I was not actually a conference delegate, and the conference costs a fortune to attend, we met in the main entrance. We ‘kind of’ after permission to demonstrate the board game on the counter of the cloakroom. The four of us were gathered on one side as apparently it was overstepping the much to stand on the cloakroom side! I am hoping to get involved in the first Change Day, Netherlands and link them up to the work that we are doing at Kingston Hospital – we’ll see.

I bumped into a couple of people who assumed I was presenting there and it felt a bit flat to have to walk away. We are hoping to get opportunities to present at conferences like this about #MatExp but we are not sure if they are quite ready for us yet. You have to submit abstracts about nine months in advance – our whole project is only a year old now, so we cannot really get their heads around this kind of time frame! 😉

I had to rush off to Kingston Hospital to meet Florence, Sarah Dunsdon and Rupa Chilvers from Better Births. On our ‘divide and conquer’ principle, I had initially said to Flo to go ahead without me, but got the opportunity by combining this with calling into Excel and thus justifying yet another trip to London. It was just as well I did as this turned into a fantastic opportunity to make a film about the  whole #MatExp project. We had done no planning at all so simply rattled away to the camera, remembering key things as we went along, but not necessarily in the right order! Rupa was skilled enough to add some photos and other bits to bring the video alive and it is proving a useful resource.

As I say, I love it when different aspects of my work blend together. My raison d’être is around breaking down barriers, silos and generally de-labelling things, so finding ways to straddle my maternity and dementia work feels exciting. Very often this happens through serendipity. For example, Mel Pickup and I were both speakers at the Dementia Quality of Care event in Manchester; this led to me picking up (excuse the pun!) on the excellent work Mel and her colleagues were doing in Warrington, me inviting Mel to write an ‘in my shoes’ blog (featuring twiddle muffs!), and then finding out that Mel was a member of the new maternity review team! This gave an opportunity for Mel to learn more about what we had been doing around #MatExp and become interested: we are planning a workshop later in the year.

Meanwhile Flo and I were very excited to get the green light to use the Whose Shoes? approach to explore patient and staff experience in other areas of Kingston Hospital. I now spend quite a lot of time at the hospital and also interview people over the phone and use a wide range of other source material to co-produce challenging scenarios. I really enjoy new development work and Florence and her fab P.A. ‘Virtual Kate’ have done an excellent job producing a monthly newsletter Whose News? to raise awareness. #KHFTWhoseShoes is our new hashtag and another fascinating journey is underway!

It is also rewarding to be able to bring new ideas into the hospital – for example I was privileged to be invited to the two day HSJ Innovation Summit in Marlow – the networking and learning were amazing. This had the spin off benefit that I was able to meet up with  Marcia, my old line manager in an earlier life when I was employed, who became a dear friend. It was Marcia who encouraged me back to work after long-term, serious  sickness when I had lost a lot of confidence and things were difficult. It is so important to take the opportunity to tell people what a difference they have made to our lives.

May, What’s next?

MatExp logo 2 - text down side - KenWe were all enjoying the #Matexp alphabet and it was brilliant when my friend Ken Howard spontaneously designed a logo for us. It has proved hugely popular and is now being displayed on our website – look out for our jaunty T-shirts at NHS Expo!

Ken, who was diagnosed with Alzheimer’s nearly 10 years ago, has met a number of my #MatExp friends, including Leigh Kendall, when they were both included in the top 50 HSJ Patient Leaders – but that is jumping ahead because it didn’t happen until July. As you may know, I am not one for very tight structure, so we needn’t stress about it.  More importantly we were suddenly embarking upon a month of action, with people tweeting selfies of what they were pledging to do, Leigh designing our own #MatExp website and Helen Calvert, Susanne Remic and Emma Sasaru setting up a #MatExp Facebook group! Everyone was pulling together and making things happen!
I remember going for a walk in the woods and reflecting on our amazing collaborative journey:


FlamingJuneIt was ironic that Flo had chosen #FlamingJune as the theme for our month of action. Weather wise, June was anything but flaming – but the #MatExp community was on fire. We launched the JFDI website that Leigh Kendall put together in no time at all and soon it was being crowd sourced with links and blogs. It was lovely to see the colourful selfies being posted and the wide range of actions that people were taking. The Facebook group got 700 members in the first couple of weeks I think, and has hosted really in-depth discussions. This takes a lot of time welcoming new members, posting and encouraging discussions, being diplomatic and encouraging – and lots of other things I do not understand so well about Facebook ;-) Huge thanks to Emma, Susanne and Helen for building this in such an energetic and whole-hearted way. We need to find a way of feeding in the learning from these experience-based exchanges into the National Maternity Review.

I was really sorry to miss the big event in London on 10 June, with somebody speaking from each of the five London pilots and describing what had been achieved so far. It sounded like a lovely mix of collaboration and healthy competition as each person reported on all the actions that had taken place and plans to build further. The #MatExp empathy film was finally launched.

Meanwhile, I had a busy month too. I was very honoured to be asked to give a talk at the NHS Confederation in Liverpool. As you will see from my Steller story, I really love the place. I now have an interesting conversation building with maternity providers in the Merseyside area, so perhaps I will get the opportunity to go back soon.

NHS Expo 2014 give me a really good opportunity  to be able to think on my feet and run a workshop pretty much anywhere – I will never forget the fun we had trying to run a workshop in the Dementia Cafe in the middle of Expo, with wild activity going on all around, including NHS Change Day people marching up and down with banners. And so, when Flo was in a bit of a flap about changing plans around our #KHFTWhoseShoes workshop at Kingston Open Day, I was able to calm her. I quite liked the idea of a drop-in session session opposite the do-it-yourself keyhole surgery stand! I was als enjoying making Steller stories so made another one.

It was a lovely informal way of meeting a lot of people from across the hospital and we were made very welcome, not least by Kate Grimes the CEO who is incredibly supportive of the work we are doing. I’m not quite sure how Flo and I managed to sneak off for long enough to make this video with Yvonne Newbold and her lovely Dad Maurice Trimmer, talking about our session.

At the end of the month, I flew out to Guernsey and really enjoyed mixing work and play (there are no real boundaries for me!) meeting the fab maternity team and running our first maternity workshop outside London. Another Steller story! The word was spreading. We were starting to receive enquiries to run workshops at other Trusts up and down the country.

Just Do it July

I had planned my trip to Guernsey in time to get back for the wonderful ‘Caring for the carers’ event organised by Jane Pollock @midwife_jane at George Eliot hospital. I couldn’t believe that it was my first ever maternity conference and was excited to be meeting many #MatExp stars, but particularly (at last!) Sheena Byrom. There were excellent presentations including one by Jacque Gerard where I learnt about the ‘undermining toolkit’, produced jointly by the RCM and RCOG and sadly very relevant to our work in #MatExp, #KHFTWhoseShoes and beyond. It was only a small (and for me local) event, but with a lineup worthy of a major conference – a tribute to the power of Twitter to bring movers and shakers together for positive change. It felt like a #MatExp tweet up!

It had been about a year since I first met Jane when I visited the maternity open day at George Eliot hospital and won a trip to Twycross Zoo for naming the kangaroo mascot! I enjoyed my subsequent visit to the zoo and I think five-year-old Charlie enjoyed it even more!

Name badges - STOPI was so busy meeting the #MatExp crowd in person that I missed my SHCR ‘certificated radical’ virtual graduation – but luckily my youngest son was to have a real graduation ceremony later in the month! The next day I was ‘back at the school gates’ following the fantastic tweets coming from the workshop at Saint Thomas’s hospital in London. They were using the leadership toolkit produced by the London SCN, but putting their own little touches to it. I particularly loved the sign they put outside telling people to leave their NHS badges at the door. The principle of having inclusive badges – names rather than roles – has always been a feature of Whose Shoes? but we have never had a ‘Stop’ sign before!

And so we were coming to the end of our first #MatExp year and, remembering the origins of this incredible project, it seemed fitting to re-visit amazing places making a real difference to people living with dementia – and so I ran a workshop with Simona Florio and the Healthy Living club in Lambeth and then with Sandra Springett, Age UK, Tunbridge Wells – work in Kent had directly led to the maternity project.

Our second topic for #KHFTWhoseShoes is around life in theatres. Developing this new material has been fascinating . I got to wear scrubs for the first time, touring the Kingston operating theatres with Flo as we involve more areas of the Hospital.

We had been waiting to see how our rather maverick #MatExp campaign would fit alongside, or preferably working closely with, the more formal National Maternity Review. We were therefore delighted when members of our core team were invited to the National Birth Tank listening event in London. It was a really informative and enjoyable day, with so many fantastic passionate people in one room. It felt as if we made an impact – I was interviewed about #MatExp for a video they are making. Meanwhile Florence was incredibly proactive (posh word for JFDI because it was a posh event) setting up the Whose Shoes? board game in an alcove and showing anyone who was interested! I returned from my interview to find her demonstrating it briefly to Baroness Cumberlege…

And now the Maternity Review team are using Whose Shoes? in their listening events across the country! It was a mad rush to get everything ready for the first ‘listening event’ in Preston and rumour has it that the Review team were playing the board game on the train to get their heads around it ;-)

What next?

It has taken me a month longer than Flo to write this blog and August has continued to be busy. Luckily one of the first ‘listening events’ was in Birmingham so I got the chance to show the Maternity Review Team the tool in action and Baroness Cumberlege even joined us! I met lovely Emma for the first time and one or two other #MatExp stars. We were very honoured indeed to be featured in Baroness Cumberlege’s blog.

But the big #MatExp tweet up comes on Wednesday as ‘#MatExp goes to Expo!’ Flo and I will travel up together from London to Manchester, after the launch of #KHFTWhoseShoes ‘Theatres’ tomorrow! We might be a bit hyper.

Bazaar - Helen BevanWe had some very ambitious ideas for a #MatExp bazaar at Expo (symbolic of a chaotic but energetic change platform, A powerful analogy coined by Helen Bevan.). We are very honoured to be invited and have the chance to spread the word although the format is a lot more ‘conventional’ then we had hoped. It will be a bit of a bizarre bazaar with everyone sitting in rows. We are also in the early stages of planning our very own conference, with a venue already offered… and Twitter running through it like a stick of rock ;-) Watch this space!

Heart values#MatExp ideas come thick and fast. A reverse ABC. A #MatExp Colouring book. Heat values. Room 101 for out of date practice we want to get rid off. Possibly a variation on the “purpose obfuscation ‘ometer” we spotted on Twitter??

And more workshops in North Cumbria, Warringon, Chelsea & Westminster, South East London maternity Network, Kent and more. We are talking about writing a book; I think I have written half of it here!

#MatExp is truly crowd-sourced and the momentum is building. Look out for the evaluation that has been commissioned by the NHS Change Day team and should be available in the next couple of months. We are so grateful to all the wonderful people who have stepped forward to make #MatExp happen, driven only by a real desire to improve maternity experience for women everywhere. Flo summed it up perfectly. We are “indebted to anyone who has participated, shaped, taken action or had a conversation however big or small. You are all the reason this has been such a successful year and with your ongoing input and action we can make a difference, make a change and make others believe that it’s possible too. THANK YOU”.

There are SO many people doing fantastic work, I know I haven’t mentioned everyone. It has turned into a bit of a personal reflection – something for my ‘memory bank’ :)
Please let me know any key omissions and I will add them in.

AND it would be brilliant if others wish to come forward and write a blog:

When did you become aware of #MatExp, how have you been involved and what difference has it made?

Meanwhile, we hope to see lots of you at NHS Expo!

Posted in Blogs, community engagement, maternity, personalisation, social media, well-being | Tagged , , , , , , , , , , , , , , , | Leave a comment

In the shoes of Gill’s Mum… | Being abducted at night…

I love it when I turn up at my mum’s place and she has a glint in her eye  and announces “I’ve written a blog”. She then waves her handwritten piece at me and we read it together. I don’t always get round to publishing them – the ones that she wants to publish, that is (!). But I thought I ought to publish this one as lots of people ask how Mum is getting on in her new life, as she adjusts to her new ‘assisted living apartment’, and it has had its ups and downs.

As always, there is more than one side to a story but I won’t spoil Mum’s thunder. I won’t tell you how she insisted on being taken on her own, not contacting me, enabling me to swan off the next day carefree looking at wedding dresses with my daughter. I would like to aspire to be as independent and selfless a 93-year-old as my mum, but it is a tall order…

Mum blog - accident2Things are not quite as usual HERE. I had an accident – not my fault – and landed on the bathroom floor. Very hard! Paramedics came in the ambulance and carted me off to Warwick Hospital. Had cut my leg badly! And less so my elbow. Bumped head. Enough!
Paramedics lovely and helped a lot. Doctors lovely and sent me home at 9pm (about five hours there).

Sent me with a nutty cab driver who took me to the wrong place! I got him onto the Warwick road and then guided him HERE! I had given him the right postcode. I know my own postcode. The people at the hospital didn’t give me a chance to order my own taxi – I have one or two regulars.

Aches and pains all over from bruises sustained and have to use a three wheeler trolley everywhere (to lean on) but improving daily. Went to Practice Nurse who said it was better than she expected and doing well! Can’t be bad?

HERE same as usual. Nice lunches (usually). Didn’t go to Scrabble. Missed it, but it involves a long walk. Something wrong with my hearing aid, must get it sorted.
Film HERE tonight but preferred to watch TV (Endeavour).

Peter tells me to take more water with it! I wish!!

Very surprised and delighted to see Gilly. Very late. She was just back from the ‘maternity review listening event’, via crazy floodlit cricket match. My grandson Alex scored 174. Must tell Brian!

I will tell them that I have written a blog too. They don’t seem to know what blogs are. Over and out.

Posted in Gill's Mum, Guest blog, health, housing, personalisation, safeguarding, well-being | Tagged , , , , , , , , , , , | 2 Comments

In the Running Shoes of Jacque Gerrard… | RCM Director, England

I first met Jacque Gerrard in real life, as opposed to Twitter, at the ‘Caring for the Carers’ (in this context, carers = professional staff) maternity conference at George Eliot hospital, Nuneaton. It was an amazing event.

Jacque was a keynote speaker and I found her talk fascinating and compelling, particularly talking about the culture of undermining that can exist and the combined work that the RCM/RCOG have been doing to address this.

Jacque’s powerful presentation chimed with the #KHFTWhoseShoes work that I am currently doing at Kingston Hospital with Florence Wilcock, building on the #MatExp work that bought us together. Jacque and I had a long and energising conversation discussing synergy between the work we are all doing.

I loved Jacque’s honesty around a very difficult subject (bullying, harassment, undermining) and how hard it can be to maintain momentum for positive change.
It didn’t surprise me to learn that she is a runner – her energy shone through.

We have since met at the Birth Tank event where Jacque got the chance to see Whose Shoes? briefly for the first time.  She wasted no time in introducing Florence and me to Lesley Page. :)

When I realised that Jacque was doing the official opening of the new Birth Centre at Greenwich hospital, one of the five Trusts involved in our Whose Shoes? #MatExp pilots, it seemed a great opportunity for a guest blog. I was delighted when Jacque agreed to write her story to coincide with the official opening today – thank you, and I hope it all goes brilliantly…

In my Running Shoes …busy with a touch of cake and “call the midwife” – Jacque Gerrard RCM Director England

Its August already and where has the year gone? Perhaps all this running around England has something to do with my time flying by. Running was a big part of my life for several years fund raising for charity and keeping fit etc. but within this role there is not much time to run. Nonetheless my trainers are usually nearby even though I may not have time for a long run. Even if it’s a gentle jog round Regents Park which is close to RCM HQ then, I will try to squeeze in a quick run.

The last year has been very up and down for the midwifery profession as there has been both bad and good news regarding maternity care. Whilst acknowledging the negative issues it’s equally important to focus on the positives in an effort to improve maternity care. I am of the view that the midwifery profession are now moving forward and we are seriously taking the learning from our past mistakes with us as we race forward. I believe that for the sake of safer care and better outcomes for women and their families the profession and its leaders are determined to get maternity care absolutely right.

My evidence for this belief is based on what I witness as I visit maternity units, meet the women and meet the maternity teams. I also visit universities where the future midwives are being prepared and educated in readiness for registration. I am very encouraged when I meet students as part of my contribution is to give guest lectures to the student midwives.

So where have I been running to on professional visits?

I visited Worcester with RCM President Lesley Page for the official opening of the Meadow Birth Centre in April. Lesley opened the Birth Centre but the maternity team also had an additional royal visitor: Princess Anne, Patron of the Royal College of Midwives. The Princess Royal unveiled a plaque to commemorate the day and the team were delighted. I was impressed by the efforts the team had gone to for the opening which was wonderful. Attention to detail as rooms, mood lamps and cake baking were all on show. But the most impressive thing for me was the women who had been involved in the Birth Centre development. They told me how they had been invited to choose colour schemes and bring their ideas from user perspective for the birthing rooms.

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Meeting our fantastic student midwives

There`s no doubt in my mind that midwives, students and support workers are facing some of the toughest challenges this profession has ever faced. The change in women’s expectations, the choice agenda, the emphasis on strong governance to support safe care, rising costs in healthcare v the NHS £22billion of productivity improvements as per the five year forward plan. Midwives really care about women and want to provide high quality safe care leaving women with a birth story they want to share with everyone in the present and in the longer term future.

Speaking of student midwives, I meet many and speak at the midwifery society events and at the universities but some students really do go that extra mile. I am often left feeling humbled but reassured that the future profession is in safe hands when I reflect on who I have met and what I have heard and seen. A few examples below.

  • Nicolette Peel 2nd year student MW and chair of Mummy`s Star charity.
  • Abbey Milne, Kate Mortimer and Gemma Sykes Bradford University Midwifery society, RCM runner up award winners and a VC Outstanding achievement award from the University of Bradford.
  • Paulina Sporek 2nd year student MW and RCM award winner for her Deaf Nest initiative.
  • Anne- Marie Thomas chair of the RCM student MW forum.
  • Jonathan Cliffe from Bangor University British Journal of Midwifery runner up award winner.  He shares great practice via social media.
  • Hannah Tizzard first year student MW Optimal Cord clamping campaigner

Jacque 6- collageAnd there are many, many more.

Born to Safe Hands 2 Conference in Bolton

Conference Organiser Jo Carnac Midwife (back row yellow cardigan) With Sheena Byrom, Carmel  McCalmont and other delegates

Conference Organiser Jo Carnac Midwife (back row yellow cardigan)
With Sheena Byrom, Carmel McCalmont and other delegates

I have chaired and spoken at many conferences all well organised and well evaluated but most have a degree of investment and resource which all helps towards a good event. However the one that always amazes me is the conference in March 2015 at Bolton, delivered by two clinical, passionate and caring midwives, Annabel Nicholas and Jo Carnac. They have delivered this conference twice now but on a shoestring budget and with no sponsorship. The high profile speakers, including Denis Walsh, Cathy Warwick, Sheena Byrom and Professor Soo Down and more always amaze me. How do these busy midwives deliver a fantastic conference whilst still managing to deliver quality maternity care in Bolton?

Birth Tank Event

Another important event which I attended as I run around the country was the recent Birth Tank event in London hosted by the NHSE Maternity services review team. The chair is Baroness Cumberlege and there are a lot of prestigious stakeholders involved including the RCM’s CEO, Professor Cathy Warwick. See link for further information.

Professor Cathy Warwick at the Birth Tank Event, Kings College London

Professor Cathy Warwick at the Birth Tank Event, Kings College London

There was a lot of discussion about the need for continuing investment in maternity care whilst balancing this with the reality of the financial challenges within the NHS. Many stakeholders have concerns regarding the future model of maternity care as we realise the need to consider working differently, smarter and more efficiently whilst improving outcomes and ensuring women and their families have a positive birth experience. That’s a huge challenge: I came away feeling positive but at the same time a little anxious. Will postnatal care still be part of the women’s journey or is this something that will not be prioritised in the future as difficult financial decisions are made. I sincerely hope that postnatal care remains a priority for the NHS Review team.

Positive Midwifery

As I travel and run across the four corners of England, I am feeling positive and this is due to seeing for myself many outstanding and committed midwives, teachers, leaders, students, support workers and medical staff across the country providing wonderful maternity care.

From the North of England, to the Midlands and the South, the determination to provide safe and high quality care is driving improvements in maternity care forward. The commitment to get care right for women whilst balancing the ‘Choice and safe care’ agenda is obvious as I meet maternity teams and hear for myself about their commitment.

The maternity triathlon challenge:

Jacque 9 - TriathlonThe agenda for maternity care almost feels like it is stepping up from a marathon to a triathlon and our challenge is, are we ready for this?

The antenatal swim – Sometimes swimming against the current (barriers of rising costs) to achieve the standards and quality of antenatal care women deserve.

The birthing cycle and the three stages of labour – Midwives want to support women to have a safe birth with continuity and quality care where mother and baby remain healthy at every stage of labour. (More midwives required)

The run towards the finish line –Where a healthy baby is born and the close relationship of parenting between mum, her baby and partner begins. Giving the infant the best possible start in life supported by quality postnatal care. (Good postnatal care).

Can I see the finish line?

Jacque 10- Jenny Clarke

Jacque, Sally and Jenny

What I can see is that across England there is a commitment and serious determination to get maternity care absolutely ‘spot on right’. The leaders of the services within my profession the Heads of Midwifery (HOMS) are committed to improving care and working towards the ultimate finish line: Where every woman has a positive experience and a healthy outcome. But also a commitment from the profession itself. Midwives care about women and their birth experiences. Midwives like Sally Goodwin, Jenny Clarke, Jude Jones and many other fantastic midwives I meet. There are barriers and challenges to be overcome but the ‘will’ to get it right is definitely there.

Where am I running to next?

Laura Main- Call the midwife actress

Laura Main- Call the midwife actress

Jacque 14- Call the midwifeToday my running shoes are taking me to the opening of the Greenwich Birth Centre at the Queen Elizabeth Hospital in London.

We are joined by fabulous “Call the Midwife” actress Laura Main who will be opening the birth centre and I will be joining her.

300- 2

I am really looking forward to meeting the team again. I have visited a few times and watched this team grow and develop as they have come through some challenges that merging Trusts and reconfigured services bring.

This is a maternity service with strong leadership and commitment to the women. The new Birth Centre is beautiful and has been thought through carefully. The team have worked multi-professionally to get the Birth Centre absolutely right and involved local women in its development.

Jacque 12- Helen Knower

Lewisham and Greenwich Leadership team Giuseppe Gabriola, Jackie Moulla, Linda Machakaire, Helen Knower (HOM), Jacque Gerrard

When there is a Birth Centre opening there are always mums, midwives and cake and Greenwich is no different. The cup cakes have been made by Head of Midwifery,  Helen Knower and I am definitely looking forward to tasting these little tasty delights made with love, compassion and a willingness to get the maternity service “spot on right” for women and their families. Jackie Moulla, Consultant Midwife, has made some amazing little croc shoe cakes, reflecting the fact Lewisham and Greenwich were one of the Whose Shoes? pilots.

Thanks Gill Phillips @WhoseShoes for the opportunity to guest blog.

Thanks to Cathy Warwick and all RCM colleagues, particularly Louise Silverton and the wonderful Midwifery Directorate and the Country Directors at the RCM, for their continued help and support.

Louise and the RCM Midwifery  Directorate team

Louise and the RCM Midwifery Directorate team

So, who is getting involved in the National Maternity Review? The third listening event is this Thursday (13 August) in Birmingham. I’m going (p.m)! Hope to meet as many of you as possible there! – Gill :)

Posted in Blogs, co-production, community engagement, compassion, Guest blog, health, leadership, maternity, personalisation, social media, well-being | Tagged , , , , , , , , , , , , , , , | Leave a comment

Birthday bonanza – #MatExp was born one year ago today! :) Florence Wilcock gets nostalgic…

MatExp bakeoffVery excited about this blog! Flo and I have been plotting it for a while as today marks our first year anniversary or perhaps ‘birthday’. We should have planned a virtual party but we have been *too busy* – so you will just have to make do with these cakes.

Whatever you want to call it, it is exactly a year since we first met; Miss Florence Wilcock had arranged for me to come to do a ‘presentation’ (of sorts) in the hallowed offices of NHS England HQ in London. What a year it has been – given that time seems to race by, it is really weird that it feels so much more than a year since we became#MatExp partners in crime’… Here are Flo’s recollections. Who knows, I might get inspired to write mine too…

Flo's MatExp yearA year in the life of #MatExp OR How to build a Change Platform (accidentally)!

Florence Wilcock wrote:

Florence Wilcock wrote:
“A very small pilot….!”

A year ago on 31st July 2014 I set out to attend a meeting to consider if  Whose Shoes? might be a suitable approach to help improve maternity experience. It was the first time I had met Gill and yet I couldn’t help myself, greeting her arrival with an enthusiastic hug like a long lost friend. We had spoken once on the phone and considered a very small pilot maybe one hospital using the Whose Shoes? approach in Maternity. Kath Evans had given us her backing and London Maternity SCN had arranged a meeting. By the end of the meeting with Sarah Dunsdon & Tracey Parr, we had agreed a pilot in 5 Trusts across London and the #MatExp project was born. To mark this anniversary I thought I would try and write a small reflection on our #MatExp year from my perspective so here goes:

August Plotting

I remember leaving the meeting absolutely buzzing about what we were about to do & delighted that Kingston was going to host the first workshop. I phoned @DawnKerslake and chatted to her as I walked home from the train station I just couldn’t help myself. We quickly set a date for October & I started to think through who needed to be there, how best to persuade the right mix of people to attend, and plan what key steps I needed to take before departing on my summer holiday.

September Sourcing

Poem by Gill Phillips written directly from a 'brainstorm' email Flo sent when we were compiling scenarios, after a middle of the night emergency

Poem by Gill Phillips written directly from a ‘brainstorm’ email Flo sent when we were compiling scenarios, after a middle of the night emergency

We were very busy sourcing scenario ideas…

I was emailing Gill middle of the night brainstorms about being an obstetrician on call

We were getting colleagues from our 5 sites to gather information from women at debriefs and on the postnatal wards, we went through our recent complaints, and we gathered ideas from Twitter.

Different perspectivesI started to look at things from all angles and think of more and more that I would like to change. We had discussions on Twitter on diverse subjects such as the purpose of ward rounds, and the analogy of a wedding reception line for #hellomynameis in theatres. Ideas bubbled up from all directions. 

October Lift Off

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The day of our Kingston workshop dawned, I was hugely nervous, what on earth was I doing, what if it was a massive flop, what if the Kingston workshop wasn’t a success? I remember swapping slides with Gill late at night the evening before , typically as often before an important day I was on call so I woke up tired, anxious but raring to go. In many ways this workshop was a defining moment for me. In the run up I had discussed with my husband if it would be professionally appropriate for me to share my own personal birth stories. I was hesitant, it would put me in a vulnerable position as a professional, I was taking a massive risk as to how my colleagues would view this but I felt it was an important part of why I was so motivated to make this project work. I stood up and spoke and as I did I felt unexpectedly emotional but also that I had set the attendees on a journey and that it had not only been the right thing to share but in many ways essential so that they saw me not just as an obstetrician or Divisional director but as a woman.

The workshop was outstanding better than in my wildest dreams and the connections and actions have been fizzing along ever since. I spent the days and weeks after the workshop bumping into people and hearing about progress of their pledges.

November Baton Passing

I had an invitation to the House of Commons on 5th November (of all days) at an NCT event, I still have no clue how this came about. I went alone and thought I knew no one but for the first time in my life I found people knew me before I had been introduced & there were people who had already heard of our project and wanted to be able to observe a workshop it was brilliant but somewhat strange.

I was asked our aim and I realised this was in our heads rather than clearly articulated so we wrote an aim that we could use in future workshops and conversations.

‘The aim is to use the workshop as an ‘ignition tool’ to build connections and relationships across the broad maternity community. We want to enable true collaboration, co-design and ongoing conversations to improve maternity user experience.

Lewisham were up next and we started to develop the SCN toolkit by thinking what we had learnt at Kingston what worked and what didn’t. I wrote a crib sheet for workshop leaders and telephoned Helen Knower who was leading theirs to brief her. Gill supported this workshop I peeped in via Twitter once again it seemed superb.

We were by now starting to look ahead to a webinar and plan a train the facilitator event. A Cleveland style film was also being suggested in the background by Kath and the SCN team Sarah, Daryl and Michaela were diligently grafting away in the background to make these come to life.

December Momentum building

200- 2The baton passed this time to my fellow obstetrician Louise Page at West Middlesex again a phone call of tips on leading. This workshop was like leaving ‘MatExp’ at the school gates neither Gill or I were there as we wanted to see how it would work in our absence as we wanted a sustainable locally led model ‘devolved leadership’. Again a resounding success even though it was held just before Christmas.

Michaela who had worked tirelessly on the SCN team went on maternity leave and had the very first #MatExp baby.

Flo's NHS Change Day shoesOn call one night I saw a tweet asking for campaign partners for NHSChangeday so without hesitation I filled in the form pinged it in with a few blank spaces and then almost immediately realised I hadn’t consulted anyone else or maximised our chances of success I had got carried away!

January New Year

I remember exchanging tweets at New Year with Gill wondering what #MatExp could achieve in 2015. Shortly afterwards I got an exciting message from NHSChangeday saying we had been chosen to be a campaign partner. I was ecstatic I thought what an amazing opportunity to spread the word more broadly. In all this time the SCN team were fantastic with meetings conference calls and planning going on furiously in the background whilst Gill and I pinged ideas back and forth with an ever increasing number of folks on Twitter.

Gill and I attended a Changeday away day together and realised we hadn’t met since the Kingston workshop in October despite it feeling like we were with one another all the time.

The SCN team were scoping film companies and settled on Silverfish for our Cleveland clinic style film so that we were then meeting their teams and script ideas were flowing back and forth. At some point I did a voice over recording over several hours resulting in approximately 3 secs in the film but I can’t even remember which month that was!

Fabulous February

This month kicked off with a flurry of activity. Train the facilitators a chance to describe our work and how to lead a workshop and also an opportunity for a fantastic tweet up with so many of our virtual friends who had contributed.

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A highlight for me was meeting @JennytheM in person despite my children’s misgivings (Mummy you should never meet someone you only know from social media BE CAREFUL).

Gill Flo and JennyJenny was as wonderful as expected and we exchanged all sorts of funny stories and ideas. The other highlight was meeting Helen Calvert @HeartMummy and her telling me that I had blown away her assumptions about obstetricians, I was so touched by this comment as it also illustrated to me how much #MatExp is needed.

P1090636Gill and I shot the video for Changeday in the corridor at the end of the afternoon not the best quality time or place but we just had to get on and go for it!

Wendy Matthews and baby Img_2805c Part of Queen's Hosp graphic Matthew Hopkins We have funFlo and baby EIn the same week the Queens Romford workshop was held, looking back I have no idea how we ever thought holding two major events in the same week was a good idea. It was exhilarating but exhausting. Gill & I went to observe as Wendy Matthews led her team, the workshop was packed, animated and Gill had the bright idea of taking a short video which captured absolutely the energy and buzz of the day. Leigh Kendall and Carolyn Johnston both made the trip to attend which was wonderful as they had both been involved in early discussions and ideas on Twitter.

6Cs webinarFollowing this frantic week we did a crowd sourced webinar for 6Cs which was chaotic, with different people presenting different slides but totally captured the essence of #MatExp. We put a few people on the spot at the last minute for which I apologise but to me it was the best way to present just how collaborative our work truly is. Oh and to end February because it hadn’t been busy enough Gill published my first and only blog 😉.

March Mayhem

NHSchangeday was upon us. I had planned some events at Kingston and Gill offered to come & join me. Suddenly we were hosting Helen Bevan, The Edge and a film crew much to my surprise 👀. I think my colleagues at Kingston thought by now that I had totally lost the plot, there were posters on the wall announcing my lithotomy challenge and people looked at me with a slightly perplexed confused look. The day was as usual unbelievably hectic as Gill and I were also demonstrating ‘whose shoes’ to the hospital executive team as well as running an event in the antenatal clinic and doing the lithotomy challenge.

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I learnt far more doing my lithotomy challenge than I had imagined so immediately had to write a blog for Mother’s Day (blog no 2).

Shoe on wall - RCOGWith a rush of blood to the head one day I had emailed David Richmond president of the RCOG sometime previously to invite him to a workshop. As he had been unable to attend he invited me to come and see him, so the week after Changeday I found myself in the office of the President of the RCOG laying out a board game on his table and talking nineteen to the dozen. All credit to David he listened patiently and whilst internally I was thinking ‘oh boy I’ve blown this opportunity’ we then had a very valuable discussion as he could absolutely see the value of what we were doing and said he would talk to his team about how RCOG could get involved in spreading the word and supporting us.

200- 2The Whittington workshop our final pilot went ahead once again with me spying on Twitter and once again some very positive feedback and a whole multitude of actions. I co-led a mini Whose Shoes? at the South West London Maternity study day with the help of Helen Gray who did a fabulous presentation on #MatExp and MSLC and how the two link together really effectively. Poor Sarah Dunsdun came to the event but spent half her time in and out of the room phoning Silverfish with our many editorial comments on the #MatExp film.


Our pilot was over. Despite many people along the way expressing an interest in the workshops no one had actually committed. I was a little disappointed, I so didn’t want our project to be a flash in the pan. I wanted it to live on and energise change.
I remember talking to my husband and telling him if just one workshop were to go ahead elsewhere I would feel it had been worthwhile. I pondered how to keep the momentum going. Sometimes when one of us can’t sleep at home we do an alphabet on a particular theme in our minds. So one night I hit upon the idea of a #MatExp Alphabet. I imagined I could tweet a letter a day to share some of the key themes from the workshops, simple! I wrote myself a brief list to check I had ideas for all 26 letters and I kicked off on my return from holiday after all it would only take a few seconds a day….The alphabet rapidly became a phenomenon ideas poured in, new people jumped on board, it was so enjoyable.

Gill , Sarah and I met Rupa Chivers RCM #BetterBirths and made a #MatExp video this time very professionally done.

May, What’s next?

The alphabet was still racing along expanding by the day but we were getting one or two comments about being ‘all talk’ and what difference does it make? I was worried that people would start to think talking shop not action. The alphabet finished with a bang, an amazing logo spontaneously designed for us by Ken Howard, a demonstration of our roots in Gills dementia work and showing how we had captured people’s imagination.

People were tweeting me asking what next and saying they would miss our daily tweets. We started to toss around a few ideas and I thought of a month of action, Helen hit on the brilliant idea of a template & selfies. A few of us were also thinking about a website and Leigh grasped the mettle JFDI and set one up in a couple of days an incredible achievement & Helen, Emma and Suzanne and others jumped in to help. At some point I forget exactly when they also set up a facebook group with an incredible response.

In the meantime Gill and I were planning #Khftwhoseshoes looking at how we might use ‘Whose shoes’ in other areas of Kingston Hospital. Oh and by the way ‘Do you fancy a trip to Guernsey?’ our first workshop after the pilots was being firmly planned!


We launched our very own crowd sourced website on the 1st June and our month of action encouraging people to put words into action and make a change. Once again I was thrilled to see new people getting involved and new actions taken. We were tweeting selfies and writing blogs (not even sure how many I wrote).

June 10th was a fantastic day we launched the ‘In their shoes’ #MatExp film  at the London Maternity SCN event.

Then a lead from each pilot site presented: the wealth of action that had followed the five pilots and the enthusiasm with which the teams spoke about the impact their events had had overwhelmed me (Hoping Sarah Dunsdon can provide the presentation here – sorry, we forgot to ask!). This was the first time I had seen all the actions gathered together and experienced the energy and emotion they had generated. Outstanding is the only way I can describe it and I felt unbelievably proud. It was also a very special day because Leigh and I actually managed to sit down and have a drink and a proper face to face chat after the event which was the first opportunity we had ever had to do so.

IMG_0195Fab Sheena Byrom had an amazing action for #Flaming June – asking people to blog about what they wanted to tell the maternity review team and providing a conduit. Such a great way of pulling together key stories and learning points.

In amongst the other events of June there were too many to write about in detail ; Gill and I ran a workshop at the Kingston open day a tremendous success (Steller story here), our #Betterbirth film went live, I met Ian Currie from RCOG and Gill flew off to Guernsey and ran a stupendous workshop – here is the Steller story. We also started to receive enquiries to run workshops at a number of Trusts up and down the country.

Just Do it July

The month kicked off with a workshop at Guy’s & Thomas’s with new ideas and actions again locally led with us tweeting in support. I got a text from an O&G colleague of old saying ‘I’m at this whose shoes workshop & I swear I just heard your voice on a film’ which made me laugh.

Gill and Leigh & I have just been to the excellent ‘Birth Tank’ stakeholder meeting for the National maternity review where we were able to demonstrate some of the many themes and ideas we have seen over the year to those leading the thinking about the future shape of maternity services. Leigh wrote an excellent blog and Gill compiled a very popular Steller story – in pictures! I think we ignited a few sparks and are now talking to the project team who are keen to use our collective passion and very varied expertise!

What next?

Well we know we are going to NHSExpo in Manchester 2nd September hoping this is another opportunity to spread the word and also the most almighty tweet up!

We have ideas just being developed for holding our very own conference

We had an idea for a #MatExp Colouring book

Oh and of course more workshops North Cumbria, Chelsea & Westminster, South East London maternity Network and more.

It is impossible for me to properly acknowledge each and every person who has been involved over the year. #MatExp is a truly crowd sourced collaborative project and I am indebted to anyone who has participated, shaped, taken action or had a conversation however big or small. You are all the reason this has been such a successful year and with your ongoing input and action we can make a difference, make a change and make others believe that it’s possible too. THANK YOU

It has been an exciting year. And things feel exciting moving forward, linking up with the national maternity review team as they start their series of ‘listening events’ across the country. Find the one nearest you here!
Hoping #MatExp #WhoseShoes can be a big part of this. Post a comment. Join us! :)

Posted in Blogs, co-production, communication, community engagement, Guest blog, leadership, maternity, mental health, personalisation, well-being | Tagged , , , , , , , , , , , | 5 Comments

In the shoes of Elizabeth Meatyard… | Founder of Dining Companions at Kingston Hospital

I first heard about ‘Dining Companions’ through the work I am currently doing with Florence Wilcock and colleagues at Kingston Hospital, building on our #MatExp project and starting to use Whose Shoes? to explore and improve other areas of patient experience. I love simple things that play to people’s strengths and encourage community involvement – so needless to say I thought helping people in hospital enjoy (and actually eat!) their meals was a great idea.

I was hoping to be able to see the volunteers in action on NHS Change Day when Helen Bevan and the team from the Edge managed to visit them but I was too busy abandoning Florence in her lithotomy challenge to go off to run a drop-in session in ante-natal!

I had ‘met’ Elizabeth Meatyard, the founder of the scheme, on Twitter where she is both positive and disruptive – a great combination.

I did finally get the chance to meet her in person when she came along and joined our Whose Shoes? session at Kingston Hospital’s Open Day. Here is the popular Steller story about the day – a story told in pictures!

I know that the best ideas very often come about as a result of personal experience of something that needs to improve. I asked Elizabeth if she would like to write a blog to tell us the story behind the ‘Dining Companions’ initiative; I had no idea that it would be quite so powerful…

A Little Thing to have Great Impact

Elizabeth Meatyard

Elizabeth Meatyard

As an ex Nurse, I am on the outside looking in although I have a sister, a most wonderful ITU nurse, who returned to nursing following a 10 year holiday!! ( bringing up the kids, ha ha)

We get together far too infrequently but when we do the talk, much to the irritation of the rest of the family, it is always about the NHS. What she would do ,what I would do, if only….

Two years ago, ‘if only’ became a reality, in that I grasped an opportunity to do something about a ‘little’ bit of the NHS which I was unhappy about. Very unhappy about.

The story…

A very dear family friend aged just 55 years had spent nearly 8 weeks in hospital , with a final week in ITU before he lost his battle with life.

He was a very popular guy, a funny man. Nearly 300 came to his memorial service to pay their respects   He had been a central pin in many friendship groups; I could go on and on…

It was a very painful time and so his memorial, a wonderful two hours on an October afternoon was so uplifting, as we ventured beyond the image of the person we had just lost to the ravages of alcoholism and a long fought battle with mental health, and found the person he had been .

So this is a little of the background…

Mental health problems are challenging for the individual , but also for all who know and love that person. Add to that the label of ‘Alcoholic’ and life becomes very lonely, no matter how many of your friends and family are trying their very best to help support and protect you.

Our friend was no different; we supported him through private rehabilitation clinics and tried to continue to do this as he, time after time, tried to pick up the pieces and start afresh. Family life in tatters, job also hanging by a thread we had drawn on every bit of expertise we had within our friendship circle to find a way.

It didn’t work and the final 8 weeks of his life were spent in hospital where in spite of the very best efforts, his cause was lost.

During this long hospital stay we had set up a visiting rota so that someone would spend time each day just being with our friend coaxing, cajoling, trying to find a glimmer of hope.

During the many visits I noticed too often that his meals were left untouched, clingfilm in situ. Salad that he usually ordered but then didn’t manage to eat. Fluids: same thing. The ability to do anything for himself had gone; he was dependent.

This became a focus for me. I could see that mealtimes were problematic on the ward, as there were always quite a few patients requiring help with their meals, and many more who just needed a little encouragement, or simply packets opening (those tomato ketchup sachets are a nightmare). Added to this, staff of course needed to begin their lunch-time breaks.

Should I complain?
NO. My sister was emphatic. Don’t complain, do something about it. Absolutely, what would I achieve by complaining, and what could I achieve if I came up with a solution?

Dining Companions was the solution

Volunteer help on wards at mealtimes specifically to help patients with their meal was the answer. From opening those wretched ketchup sachets to assisting the patient to eat their meal, even a little sing song if it could help!

The plan: to recruit volunteers from the community, but also to recruit volunteers from within the non-clinical departments of the hospital. Seek a commitment to volunteer for at least 1 mealtime session (1hr) every 3 weeks. I wanted to be able to attract volunteers from all age groups and felt that 1 session every 3 weeks was very ‘doable’.

Although this is a little unorthodox, in that most hospitals run volunteer programmes which ask you to give a few hours per week, it works and we have many people who are still working, giving of their time.

The benefits to the patients I hope are obvious, but the additional benefits I would like to just spell out.

Much of the rhetoric around the way forward within the NHS is about the need for a more collaborative approach across the piste. Better decisions will be made if there is connection from the Executive Leadership through to the front line, and it is embedded. This would allow bottom-up decision making to meet with top-down in a much more harmonious way.

So ‘Dining Companions’ at my local Hospital, Kingston Upon Thames Foundation Trust has been welcomed, supported and embraced by the Executive Leadership Team. The Chief Executive Kate Grimes is a regular volunteer on the wards, as is the Chairman Sian Bates, the Director of Communications Lisa Ward, many of the Non Executive Directors , a few Governors , staff within the finance department…. shall I go on?!

If you know Kate, ask her what the benefits are. I hope she would say that ‘Dining Companions’ affords an opportunity to help as part of the ward team, to deliver a better mealtime service to patients. This is so much more useful than set piece observations, because now you are doing it, seeing it, and, understanding it. Taking a different perspective which may give you some very different answers to all manner of issues you have discussed in the meeting room.

Recruiting volunteers from the community is also hugely beneficial as they have a role as a patient advocate. Dining Companions are encouraged to ‘notice’ things that perhaps could be done better. They have an opportunity to voice their thoughts at regular review meetings and of course contact the hospital at any time if there is a pressing need

My own group of Dining Companions is a group of friends many of whom still work, but could offer 1 hour every 3 weeks to help. We have called ourselves the ‘Hardy Perennials’, as this is the ward we have adopted. It is the ward our friend was on, and so it seemed the right thing to do.

We manage our own google calendar so that flexibility is assured. The calendar is online of course and fed through to the Hospital so that they can monitor. It is important to make the point that all volunteers undergo specifically tailored training and of course all the required security checks before being allowed to take part in the scheme.

I have spoken at the Kings Fund about Collaborative Leadership and I am convinced that this is the only way forward. You cannot achieve integrated services unless a collaborative approach is first in place. Hands-on collective Collaborative Leadership will ultimately bring about the changes we need to see in a Modern 21st Century NHS. We must welcome the objections, and embrace those that can help to find a way to resolve the challenges.

Accept that we must take small steps and embed the resultant changes with close monitoring. Never tick a box because there is always more to do.

Elizabeth Meatyard – Vision into Practice. Trying to offer simple solutions to workplace challenges within the NHS.
emeatyard@btinternet  07723 034645 @emeatyard1

Have you got a scheme like this at your local hospital.
How about setting one up? ;-)

Posted in Blogs, co-production, community engagement, compassion, dementia, education, end of life, Guest blog, health, leadership, mental health, personalisation, safeguarding, well-being | Tagged , , , , , , , , , , , , , , , , , , | 1 Comment

In the (cricket) shoes of Alison Cameron… | As she is bowled over…

Alison chained to the railings

Alison chained to the railings. As you do.

If the technology works, this blog should go live at a very important moment. I am delighted, but not at all surprised, that Alison Cameron has been included in the first ever list of HSJ Patient Leaders. And I will be there with her, as her guest in Birmingham, chatting to her lovely dad and enjoying every minute.

I was delighted to nominate Alison and also one or two others who have been successful, including my good friend Ken Howard and inspirational #MatExp leader Leigh Kendall. What a triumph for #HugosLegacy. It will be nice that Alison already knows Ken and Leigh has used the logo that Ken designed for our #MatExp campaign. All the different strands coming together and interweaving; people rather than labels,  just what I love.

But this is about Alison and I was delighted that Alison uses a cricket analogy. This is a lovely combined tribute to her dad and to me, as you will see in her blog. We often have a bit of banter on Twitter about cricket.

So I would like to  take the opportunity to give Alison a little team talk…

You have played a tremendous innings, Alison. And as so often happens in cricket, some of the early overs have been really hard and you have had to stand your ground and dig in. You have watched the ball fly past your stumps, perilously at times, but never quite taking you out. Now, you are looking far more at ease and showing your true class. You are coming up (not immediately!) for your 50 and everyone knows that the going gets easier after that, if you just keep going, don’t get complacent … and look to smash the odd bad ball out of the ground. ;-)

Alison has already written her story in three parts on my blog. Parts one and two described the trauma that led to her illness, and her long-term experience of disjointed care, causing her to fall through the cracks (chasms?) in the system. Part three was triumphant last year when we were both delighted to be listed as HSJ Inspirational Women. This is part four.

Mark my words, there WILL be a part five, and I am so looking forward to publishing it in due course. Alison’s story is very special and I am absolutely chuffed to have played a very small part in it …

Bowled over

When this fourth blog for Whose Shoes? goes live, Gill and I will be up to mischief again as Gill teams up with my Dad as my guests at the first HSJ Patient Leader awards in Birmingham. The down side of course is that I will have to listen to a lot of cricket talk. I was brought up around cricket with abiding memories of Mum trying to get grass stains out of whites, me cutting crusts off endless rounds of salmon paste sandwiches and Dad regularly damaging an appendage or two all in the name of the game. Dad is still involved with his old club in Buckie and coaching primary schools kids at 70 something. Gill too is from a cricketing family with her son being an up and coming cricketing star.

Am stumped to come up with enough cricketing metaphors but suffice to say I am truly bowled over. It is a very special thing to be recognised for my work putting my experiences of using health, social care and housing services to good use. I am hopefully planting seeds in the minds of professionals who will go on to make changes in the way they work, and in patients who might through hearing me realise that a long term health condition can be a start not an end point.

Occasions like these give me a chance to reflect on how far I have come which I can forget to take time to do. Nine months ago I finally felt confident enough to start working for myself. After seventeen years since illness forced me to give up my international relations career which caused a downward spiral into homelessness and hopelessness I finally took the plunge into working for myself. This took a real leap of faith. I was dependent on Benefits and subject to the constant round of form filling and assessments not to mention the relentless barrage of judgement from the likes of the Daily Mail. It is hard to have self-belief after such an extended period of dependency.

Being on Benefits is not easy nor pleasant but it became safe through familiarity. By making the decision to come off Benefits I was making a declaration that I felt I had worth, that I had something that people might consider worth paying for. I had struggled for a long time to see myself as anything other than a bundle of symptoms and problems to be solved so this involved redefining my entire identity. It was a very scary thing yet it was exhilarating and exciting at the same time.

I could not have done it without support from people like my Dad who has always stood by me, Gill and Gill’s Mum whose encouragement of my writing was a real turning point, from Mark Doughty who coached me through a lot of the dark woods in which I often failed to see the trees until I bashed right into them, and from Helen Bevan who saw something in me early on that I just was not ready to see myself. Thanks to all of them and many many more and I am now being paid to do work that I love. I work with Helen’s fantastic team at NHS IQ Horizons Group writing and curating for The Edge online change leadership hub. I am now at the Kings Fund as an Associate contributing to Leadership programmes and other work across the Fund. I get particular pleasure though from working with people at the start of their careers. This September for example will be the second year running I have talked to the new cohort of the NHS Graduate Scheme and I have also had the privilege of working with nursing students at Southampton University.

I thought my diagnosis represented the end of my useful life but in fact in turned out to be the beginning of something more important and more real than what I did before.

We patient leaders or however we choose to define ourselves, are in fact a very useful, very active lot. We turn up over and over again to give all we can with often little return to help make things better for our NHS and other services that we use often across seemingly insurmountable barriers. We can get drained, negated, used, at times abused, misunderstood but also at other times appreciated respected, valued and at times like this even celebrated. We come in all guises, a motley crew if ever there was one, beavering away in whatever roles we have ended up in – as activists, community champions, peer supporters, researchers, quality improvers, critical friends, teachers, trainers, coaches, designers, innovators, representatives – unusual suspects if ever there was such a thing. We even have our first Patient Director in the shape of David Gilbert.

What unites is not the specifics of role but the way we work. The NHS Leadership Model describes a leader thus “the most important element comes from a combination of emotional expressiveness, self-confidence, self-determination and freedom from internal conflict” and is more about how we manage ourselves than manage others.

These are the qualities of a “patient leader” too rather than someone merely called upon to recount their patient story. It is about a mindset, how we collaborate, know how to ask the right questions, and understand when to use our personal experiences and when to leave them at the door. Yes, we might demand that professionals walk in our shoes but we are prepared to walk in theirs too. We have learned to manage our own health conditions, and made the choice to move from self-management to self-leadership then on however we choose to do so, to leading change in the wider system. Combining our leadership qualities and personal insight with professional expertise is not forcing professionals to lose power, it is creating a stronger power base so there is more of it to go round. This is a source of new power that the NHS and social services cannot afford to waste.

I love what I do even though it can frustrate and drain me. For a long time my motivation to push for change was based on a combination of anger and survivor guilt. Over time this has changed and I realised that my work gives as much to me as it does to the people with whom I am working. There is something really special about seeing the spark of ideas light up in people who are hopefully going to go on and use this way of thinking and working in their future careers. I am regularly moved to tears when I see my experiences and how I relate them lead to a lightbulb moment for a student or healthcare professional.

A real milestone this year was being asked to be a keynote speaker on the final day of the NHS Confederation conference.

The response was overwhelming and amazingly I ended up being ranked Top Influencer of the conference with someone called Jeremy Hunt coming in at number two. More important though was the fact that Dad watched it up in Scotland live on the internet and told me it made him emotional. It is not easy for my family to hear the darker side of my story so the fact he felt proud of what I did meant a huge deal to me. Also after my speech a patient approached me who had had a stroke and through his carer told me that what I had said had given him hope for something he could achieve in his own life. These are the things that really matter.

My speech that day was about my journey from disembodied, disempowered patient “voice” to patient “leadership”. How can “patients” – a term I used deliberately for its connotations of passivity – possibly be “leaders”? It depends on how we define Leadership. We can judge it by place in the hierarchy, by salary levels, by the material indicators of “success” but in my view it is not about those things. To return to cricket it brings to mind a quote from former Scotland and Indian cricket player Rahul Dravid (whom my Dad has met in Fochabers he tells me).

“I think we judge talent wrong. What do we see as talent? I think I have made the same mistake myself. We judge talent by people’s ability to strike a cricket ball. The sweetness, the timing. That’s the only thing we see as talent. Things like determination, courage, discipline, temperament, these are also talent.”

These are the very qualities that we celebrate at the HSJ Patient Leader awards.

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What does it take to build a change platform? A year ago I had no idea. #MatExp

What does it take to build a change platform?
If you had asked me this question a year ago, I would probably have said that I had no idea. And yet a year later, it seems that that is what we have done. On Friday we were absolutely delighted when Helen Bevan and team included #MatExp as one of the top change platforms in a global webinar.
MatExp - change platform

I was sitting last night contemplating this. Then serendipity struck when Jodi Brown, who had co-hosted the webinar with Helen, posted this tweet:

Jenny's bottle of matexp wineI think a big part of my philosophy is not to try to ‘bottle’ something that is a bit magic – other than in this wonderful #MatExp bottle distilled by Jenny Clarke. ;-) People want to feel part of growing something themselves rather than just taking on a formula dreamt up by others, however successful it may be. It always felt like a let-down on Blue Peter when they said “Here’s one I made earlier” and all the fun of discovery was removed.

Similarly, whilst it felt exciting to read a tweet the other day saying that our Whose Shoes? workshops should be ‘mandatory training’ for all, this goes directly against what I am desperate to achieve, which is to help people, users and healthcare professionals, devise and own their own solutions, working together as equals. It can never be a top-down approach.

Florence Wilcock wrote:

Florence Wilcock wrote:
“A very small pilot….!”

The #MatExp journey has been and continues to be extraordinary. Starting as a planned ‘very small pilot’, it has combined the energy of vibrant workshops with the speed and connectivity of intensive social media.

I started using the #MatExp hashtag back in about September 2014 and registered it with Symplur as a way of monitoring its reach. I had previously done this with #dementiachallengers, so knew this would be be important.

I am somewhat blown away by the fact that #MatExp now has over 144 million Twitter impressions.

It has created a virtuous circle. People tweet photos of the workshops, make positive comments about the experience and take real action. As other people see this and pick up the energy, they too want to get involved; as more people get involved, the workshops get even better. In the jargon ( I am not a fan of jargon) we ‘pull’ people in rather than telling them what they should do.

Bazaar - Helen BevanSome of the slides that Helen Bevan included really struck a chord with me.
I absolutely love the idea of comparing building a change platform to running a bazaar. You cannot see anyone in charge but no doubt someone somewhere has thought to get it started in the first place … and then perhaps would be in a lot of trouble if they tried to stop it!

A bazaar is such a colourful, vibrant and slightly chaotic image – it describes #MatExp perfectly.

As you may know, I am not one for a lot of rules. So here, in an unusual ‘tip of the hat’ to a popular formula, I decided to write a kind of ‘List of 10 things’ – the first 10 things came into my head rather than anything more scientific. The whole thing has been a fantastic team effort – the ‘core’ team from the project as originally envisaged made so much stronger by all the fabulous people who have stepped forward as leaders as the campaign has progressed. I have missed loads of things out, for which apologies, but there is masses of #MatExp stuff on the internet so it is pretty much all available to someone wanting to do their own research…

TEN (or perhaps a few more) THINGS…

Toolkit pic

  • We produced a toolkit to support the use of the board games – practical help with running future events.


  • We ensure that everyone has a voice – all perspectives are equally valued.

  • We were invited to be one of the supported NHS change day campaigns. They came to film us talking about #MatExp and what we are all trying to achieve.
  • We gave the team a few headaches as we wanted to include so many actions. We had a team of people – about 50/50 health care professionals and ‘users’ leading the different actions. These ranged from Skin to Skin and optimal cord clamping at the time of birth, to good practice around communication, supporting mums and families post-natally (including depression) and many other topics.

Click here for the visual story of the Guernsey workshop – including some photos of the beautiful island!

Not sure if that was 10 things. ;-)

We have a lot of fun. Online friendships have become real friendships. Collaboration is strong. We encourage each other – and egg each other on. We are impatient for change.

I am not sure how the whole #Matexp change platform can really be evaluated. I think the NHS London Strategic Clinical Network are evaluating the project that they originally commissioned. I think the NHS Change Day people are evaluating the impact of the change day campaigns but hopefully can include the whole project in some way. We will find out more shortly, I think. I find it impossible to separate out different elements – and I think this is the nature of a change platform. I am really hoping that someone can get their head around the whole totality and evaluate accordingly.

Oh and I think I may have graduated from the School for Health Care Radicals last week, in which case I am very honoured. I didn’t get round to buying my gown and high heel shoes in time and unfortunately missed it when I was away at my first maternity conference. It was a JFDI conference pulled together from nowhere by Jane Pollock, @midwife_jane, a fantastic midwife.

And again some of the Twitter friendships became real life friendships.

Including me FINALLY meeting Sheena Byrom! :)

I hope you are inspired to join #MatExp – or to build your own change platform. Post a comment to encourage us – and there are plenty of people here ready to encourage you too!

Posted in Blogs, co-production, communication, community engagement, health, maternity, personalisation, well-being | Tagged , , , , , , , , , , , , , | 6 Comments