Occupational Therapists (OT) are interested in how a person interacts with their environment, and the impact that this has on their daily life. The Royal College of Occupational Therapy (RCOT) defines occupation as “the practical and purposeful activities that allow people to live independently and have a sense of identity”. This could be anything from essential day to day activities such as self-care, all the way through to work commitments or leisure activities. OTs consider how these occupations are: • Motivated: what are the person’s values, interests and motivations? • Patterned: how behaviour is organised, such as daily tasks and…

Partners4Change have been asked several times how The Three Conversations® works within a provider setting. Susan Ripton from ECL Sensory Service stepped forward to share the organisation’s experience of taking The Three Conversations® forward as part of Essex County Council Good Lives programme as a Trusted Assessor. The Good Lives model creates a new relationship between professionals and the people they are working with. So, when ECC asked for volunteers to become an innovation site, ECL Sensory Service stepped forward. The innovation site focussed on a cohort of people who were newly certified with sight impairments by a hospital consultant…

It is an exciting time in Essex. They have just completed the full implementation of Good Lives – their programme name for implementation of The Three Conversations® across Adult Social Care, including implementing within Transitions, Hospital and Prison Settings. So how was it achieved? Approach: It was agreed – with support from the Executive Team and the Adult Leadership Team – that Essex wanted to achieve a sustainable approach to change. The usual approach of another organisational change in staff and ‘Big Bang’ approach was disregarded in favour of an incremental approach. All staff were invited to join in the…

On 6 October, I received an unexpected call from a colleague.  They had an opportunity for me, “did I want to work for a company that really listens to what people need?” Of course I did! During October to December, I spent time getting to know a little more about The Three Conversations®, helped to design and create some tools to support the work, and met the team for a karaoke session and a few Christmas drinks in London. On the 4 January, I started my first change partnership with Medway Council in Chatham. What a welcoming team! Sam Newman…

In these hope-sapping days of austerity in social care and health there are some who say that the system is starved of money and just needs some more to be ok, lots more, and that the system contains the ‘experts’ who are needed to use a variety of assessment and expert led techniques to decide who gets what from the dwindling pots of health and social care resources and services. What I am interested in is whether we can live up to a much more optimistic viewpoint and prove that if we engage people much more fully in their own…

Reading Council began thinking about a new approach to adult social care in the summer of 2015 – and were ready to start with two innovation sites in the autumn – based on people who had heard about the new ideas and wanted to try them out. One site was in Reading’s ‘front door’ function and all its work was ‘new’ contacts. The other was focused on one post code area and accepted all contacts – both ‘new’ and from people with existing support. Reading followed Partners4Change approach to the letter, knew they were ‘learning as they went’, collected data…

East Cambs Learning Disability team have been using The Three Conversations® to rethink completely how they do their work. Instead of intake assessments, referrals, allocations and waiting lists they are learning how to have appropriate conversations with people and families, focussed on helping them to get on with their lives in their families and communities. Charlotte Kirin, the East Cambs team manager, talks about how they are taking a different approach to how they work, which except for Conversation 2, challenges the notion that key working is a good thing. She said: “East Cambs Learning Disability Partnership have been working…