Category Archives: Debate

Being part of the 12 hour Chatathon…….

On the 7th September 2020, Adam Smith hosted the Dementia Research Chatathon LIVE – to share information on the wide variety of research taking place across the world, and to raise money for Alzheimer’s Research UK.

He invited myself and my lovely playmate Chris Roberts and his equally lovely wife, Jayne Goodrick, to open the 12 hour session. You can hear what we said on the link at the bottom…..

I hate watching myself and made the mistake of watching it to remind myself  what we’d spoken about. But the continual twitching of my face and movement of my hands I find so sad. I always used to look so calm in my previous life. The aura of calmness was a trademark, people used to say, but not any more….the intense concentration can be seen on my face. Trying to keep up with the conversation, a sign of my dementia….I can be twitching away, these involuntary movements taking over, then I’ll realise and can stop….only for them to start again a few seconds later 🙈🤷‍♀️

Well, as you’ll see and hear, Adam was worried about filling the 30 minutes we had with him, but once you start us off, you can never shut us up….😂🤣

The Changing Conversations around Social Care……

When I say the words “Social Care” to you, what images, what thoughts spring to mind? Like most, you probably have said ‘vulnerable’ ‘needy’, for older people amongst others maybe? You’d be like most people in society. But what if we wanted to change the way people thought about Social Care? How would we do that? Certainly a mammoth task…….

But we all know the current system doesn’t work so something has to change. Social Care appears to be the poorer cousin of the NHS…we talk about “Our NHS”, yet Social Care is seen as happening to others, someone else’s problem…..

I wrote about my involvement with Social Care Furture with Neil Crowther and Philly after our last meeting – you can read it here if you like? They were just my initial thoughts.

https://whichmeamitoday.wordpress.com/2020/08/20/my-community-my-future/

Well we had our second meeting last week, to hear the findings of some focus groups they’d run. The aim being to find out what the public thought and then trying to change the way they think.

Normally, if I was in a room for the meeting, I’d be typing away happily throughout but on zoom it isn’t possible. My writing has gone really up the creak over the last few years but on that day I thought I’d try my faithful post it’s again but just write a few words on each – key words that might spark recognition. By the end I’d finished the post it pad and had a pile of somewhat illegible scrawl. Some I could make out some I just didn’t have a clue. I also took screen shots of all the slides to help me write this as well. So we’ll see how it goes……

At the moment the Social Care system functions around people fitting into services. But does the government know what we, as individuals need to feel enabled and supported? Of course not because they make assumptions that we all fit neatly into boxes. We’re offered services not choice. So maybe the change needs to be to offer choice and not to be told what we might or might not be eligible for as what’s available may not give us what we need in order to have a life?

Government departments work in silos at the moment instead of working together, another problem for Social Care. Philly gave the example of the Department of Works and Pension penalising you for having a spare room which maybe leads someone to not being able to have live in support to provide care. Nothing is joined up.

People need to feel ‘valued’, ‘of use’ no matter what their situation. Like people with dementia still need to feel valued yet we’re so often written off. The medical world offers us nothing positive and so often follows the line of ‘There’s nothing we can do’ so the balance of medical and social needs to be addressed.

So how do you move from a vision so entrenched in peoples minds of social care happening to someone else? We need something concrete to offer people. Social Care needs to be seen as general health and well being, not something accessed just at crisis point.

The company that had been tasked with holding a focus group  gave us a breakdown of the process. The first stage being a ‘Mixed Persuader’ group – 22 people from different backgrounds, of differing ages, sexes etc, but ‘persuadable’ simply because they were politically middle ground – neither extreme right wing or left wing.

All this took part over 5 sessions across zoom.

They were asked initially “What does a good society look like?” They all agreed with our concept of

But they were entrenched in the concept that it happened to others and therefore had nothing to do with them. As I said before,  strange how we call the NHS “Our NHS” yet social care is for ‘others’

The NHS is seen as an entitlement yet being in receipt of social care has negative associations.

The long term narrative has to change, the language used, the messages given out. The media and political climate is hard to change and influence and it’s them that often influence how people think.

Covid has provided us with a good example of coming together as one. People playing by the same rules. People respond better if they have something concrete to follow. So once masks were brought it, it gave people ‘permision’ to wear a mask and not feel stupid, so more wear masks. Obviously you’ll always have those who don’t follow the rules but these are then frowned on. A simple message clearly stated is more accepted and understood than something woolly and unclear – as we’ve seen from the government throughout Covid.

As the 5 sessions went on for these 22 ‘persuders’ they began to see our way of thinking, but were still stuck as they needed to know ‘who would be responsible, how would it work practically? Our ideas appeared too idealistic and they wanted the detail of who, when and how?

We accept we have to pay taxes for the NHS but not for social care at the mo as it still happenes’ to others’ in many peoples minds so not relevant to them and therefore not acceptable to have to pay taxes.

In my opinion, the NHS mixed a trick during the worst of Covid – people stayed away from A&E for fear of getting Covid. It was used for the right reason, for emergencies, but mishaps and people becoming unwell didn’t stop happening, so where did people go? Maybe they ventured to pharmacies for advice, Minor Injuries Units or asked family or friends. They didn’t need A&E; they went to the right place for help. But quickly the ‘norm’ has returned and people are back using A&E inappropriately.

We need to create a society of ‘interdependence’. We often talk about enabling people to live independently but really everyone is ‘interdependent’ on someone or something else in order to live their lives. Stuff happens in our lives that leads to us needing extra support. I could say I live independently but I don’t. I can’t manage to live alone, as I wish to live, unless others support me.

I loved the blob tree slide above that  they showed to demonstrate this…

Community assets aren’t seen as social care, yet my community supports me without even realising it. I support people without even realising it. I post my pictures, which make people who have been isolated, feel happier and enable them to feel part of our community and less isolated. So ‘resources’ are within all of us within our own communities. We can give as well as take support.

Often bureaucracy comes in the way of people helping one another. Covid, again, has come up with the example, whereby communities wanted to help feed one another. Normally there would be reems  of paperwork and bureaucracy  to pile through, but this was all cut and stopped and communities were allowed to cook meals for those who needed them and deliver them.

As one slide said:

So we are part of the solution – each and everyone of us. We carry a complex history re social care, how we see ourselves and one another. We need to get away from the concept of Social Care as a service that we have done to us. So who would be the ‘responsible agents’ – ie who will be responsible for delivering all this change. Well we have to get the right balance between Governement and local commissioning right.

At this point in the meeting we were split into two groups magically on zoom, very clever….

The challenge was:

to explain in straightforward terms how it is we would like social care to be organised in future to deliver our vision and who can and should do what in the immediate future to start moving us there.  We’ll be expected to imagine we’re sat at a bus stop with a minute to tell a stranger in a way that might hopefully enlist their support.”

 It was so difficult to be succinct, and once back together, time for a sneaky piccie of some of the people I’m involved with holding up their yellow cards

But basically the points made by both groups, when brought back together, was that social care is everyone’s business. We’re all affected. From the mother and toddler club that supports mums to come together with their children to someone in need of support in the home. Government needs to fund social care but allowing local governments to use the funding different, using the resources from communities to enable support and for each of us to give and take from our society in order to live our lives to the full…….

 With the news from Scotland of the potential for a National Care System along the same lines as the NHS, maybe this would make social care everyone’s concern just as the NHS is. Maybe this would stop people seeing social care as happening to ‘others’ and not them. But I’d wish they’d call it National Support service…..it’s not always care that people need but support to be able to live the life they want to lead…

Phew! That was heavy and very hard work 🤯 but I find it all so fascinating and worth while…..roll on the next meeting….

 

Housing needs for those living with Dementia”…..

All Party Parliamentary Groups still continue during these odd times and I was asked to contribute to one via zoom yesterday on housing. I was asked by Lord Best who is a British social housing leader and member of the House of Lords to speak for 8 minutes, the same time given to all, about my experience.

Katey Twyford had emailed me asking if I would be interested – she is the External Research Associate at the Centre for Loneliness Studies (University of Sheffield), and Housing LIN Associate (Co-lead for Dementia and Housing). I’ve tried to find out what the LIN stands for but have failed miserably…..

I was actually nervous, waiting for the time to come to log in. No playmates or familiar faces to greet me, just strangers on a screen, something I’ve done a million times before in person and never been nervous, so why now? I spent the half hour before sat watching the birds in my garden simply to calm down

Whenever it’s a zoom invite that I’m not familiar with, something always goes wrong. Usually I click the link and hey presto, I’m there or inside a waiting room until someone lets me in…but I knew from the link provided that this wasn’t a normal link….

Katey had asked if I wanted to meet via Zoom beforehand just to say hello and hear the format, but I knew that wouldn’t help with the on the day technology, so we exchanged txt numbers instead for when the problems arose….and they did..🙄

I couldn’t get in and it simply kept saying, ‘Internal meeting, please log in as your company”.
Luckily there were some very helpful people on hand. They told me to log into my own Zoom account and then use the details they’d sent. Easy…unless you can’t remember your password 🙈…Stress levels rising, I clicked the button saying I’d forgotten my password and sat waiting for the email reset to arrive. Time was ticking and I was speaking near the beginning….I decided to give up and send Katey my speech for her to read out on my behalf, but was very disappointed, when suddenly the email popped through and I reset my password, logged on, entered the details they’d sent and appeared in the waiting room.

Suddenly I was on screen with lots of unfamiliar faces, scrolled across to see many others, including the familiar face of Dawn Booker from Worcester University. There were architects, MP’s Researchers, Housing Trusts and many more in attendance over several screens…here’s a piccie someone posted on Twitter of 1 screen….

Messages had come on screen saying hello as well as on my phone. Suddenly Lord Bell, welcomed me and it was my turn…😳…..luckily I’d typed everything out so could simply read the words otherwise I’d have been a right numpty….

Part of what I said was:

Me and my daughters didn’t realise at the time that I wasn’t capable of choosing an appropriate house. I’d always relished moving in the past and taken on projects and done all the work myself. Suddenly I chose a house because of the big picture window that overlooked an old paddock, ignoring the 2 gardens to maintain, the steps up to the front door and at the back of the house, the 3 bedrooms I didn’t need. But we are where we are and now I adapt it as dementia throws challenges at me.”

I also mentioned our Dementia Enquirers project – ‘Living alone versus living as a couple’ as there are many difference in housing needs coming up but also mentioned how we’ve a long way to go….

It seemed to go down well and there were lots of questions afterwards. One about the cost of the adaptions I make. I said small things often cost little but make a huge difference, for example, painting a dark blue border round all my light switches so I can see where they are better…and many more..

After me was Ruth Eley from the Life Story Network, who raised some really good points from her work over in Liverpool, especially around the complications of applying for services. I added:

We don’t know what we don’t know. Services may exist that would be very good for lots of people but if we don’t know of their existence they’re pointless” so we all agreed that communication needs to be improved especially post diagnosis.

After Ruth was someone from Stirling University, but sadly her presentation went over my head and I couldn’t take it in. I’m sure some very good points were made but not for me as an audience. I picked up one interesting piece of data, which said how the house builders are building less 1/2 bedroom houses in comparison with the percentage needing them…..

The presenter showed one slide of a building, designed for people with dementia that had won awards. I was quite surprised as the first thing I noticed was floor to ceiling windows and I would have found those distressing. Whenever I’ve been in a room with floor to ceiling windows I’ve wanted to walk straight through them and felt as though I would fall off the edge. It looked aesthetically pleasing, as so often is the case, but it mustn’t replace practical safe space. You need small pockets of differences in these buildings as one design doesn’t fit all and dementia friendly design is no exception to this….

It was a really well spent 90 minutes. Some very kind, very approachable people on the call and some lovely comments and thanks. Lord Bell said how they hoped to have a paper by March next year along with recommendations, so hopefully the work will be ongoing and the outcomes useful for many.

I pot the kettle on having survived the stress and watched the birds once more….


Me think, this pigeon looks like I felt…confused and a tad lost but glad to be on the ground….🙄

Does living alone rid me of the guilt?

The guilt that comes with a diagnosis of dementia reared it’s ugly head again last week. I sat with 2 male playmates, both married, one living with dementia, one the carer for his wife.

They were talking about their situation if the carer had to go into hospital. The person living with dementia felt huge guilt as his wife was due to go in for an operation but was worried about how her husband would cope, who would care for him? She was considering cancelling the operation as they could find no support services to help. The playmate believed he could cope but knew he may forget to do things and was trying to reassure his wife but the over arching emotion was one of immense guilt at having to put his wife through that thought process when she had enough on her plate with an operation…..

The other, the carer, had never thought of the situation where he would have to go into hospital…..who would take care of his wife? She needed support and wouldn’t cope on her own for a long period. Once again, the tears welled up, the immense fear, the stress of a simple thought.

It’s often been said that carers ‘suffer’ and people with dementia try and  ‘live’. There comes a time when we (people with dementia)  become oblivious to the situation around us. It’s then that the hardest times must inevitably be for those caring. At least, before we ‘go over the edge’ into someone reliant on others, we can talk to our loved ones, comfort where we can. But when we’re no longer capable of seeing the situation in all it’s glory, the emotional stress is in the sole ownership of those who care.

So what about people like me who live alone? Well I still have guilt, the guilt of impinging on my daughters lives unnecessarily. Of having to rely on them to do some things for me when I know how busy they are. I try not to ask as I want them to live their lives.I’ve always told them, I don’t want them to be my ‘carer’, I want them to remain my daughter at all times…..should I still be around when I ‘need care’, then I’ll allow others to do that… reluctantly.

But I don’t have the guilt, of being with someone I married, someone I hoped to share my life with into old age, of them seeing me deteriorate, of becoming reliant on their existence….I see that as an advantage of living alone. I can repeat things to myself all day long and not annoy me. I can sit in silence if I want to without feeling guilty about not engaging in conversation. I can get things wrong in my own home and have no one worry about what I’ve done………I don’t have that guilt…

One story sticks in my mind. Of being sat with a couple somewhere. The husband had dementia. The wife was saying how she would never see her grandchildren again as they now lived in America. It was ‘his fault’. The guilt on the mans face as he lowered his head in shame, was tragic and still stays with me.

Sadly we have no control over dementia. We can do everything we can to slow the deterioration, as I hope I’m doing by doing all I do, but the guilt that dementia brings is the cruelest guilt as there’s nothing we can do about it.

Day 2 in London – Dementia Enquirers….

It was a night of sleep, wake, sleep, wake….my eyelids firmly closed in exhaustion from the day but my eyeballs wide awake and staring into blackness…..we’d had a lovely meal the night before, a meal of sharing wonderful stories, sadness, laughter and everything in between …can’t believe I didn’t take a piccie!

My eyelids finally secummbed to the mischievous eyeballs behind them and opened for the day. Showered, I settled down with a cuppa to go through my morning routine – solitaire, scrabble and my new found friend ‘Wordscapes’….just as an extra when my friends have yet to take their turn at scrabble…..

Philly knocked for me at 8 and we went down for breakfast before the start of another heavy day…..but at least my head felt better…even without sleep……🙄…(that’s dementia for you – just no telling from one day to the next)

Over breakfast we had a wonderfully emotional and passionate discussion about Personal Independence Payments (PIP) as I have my next onslaught starting into the system on Monday. The distress and emotional turmoil this is causing for people is beyond comprehension so we decided we need to do something…..Philly wished she taped that conversation as it was so off the cuff so filled with detail from each of us……..

Packed and ready, we met in reception and trundled to our venue for the day…the same lovely one as yesterday…….

Today it was the Pioneers meeting. We sat chatting while we waited for Mhari and Hugh…….we were in a different room today, a smaller one. It was Georges first meeting as a Pioneer and Mhari and Hugh had travelled just for the day.

I asked for a piccie while we were all relatively fresh

Philly started off telling us the plan for the day ..and then briefly spoke about yesterday and the ethics of research and what we might do differently. We will come up with a simple ethical framework to share with the next lot of grants and ask them how they’re meeting our ethical framework…..

We sat and discussed the make up of the panel and agreed we need an academic to sit and advise us but with no vote….someone with expertise in their field who would be happy and understand their role as an advisor ……

We, as pioneers, all volunteered to be on the panel and discussed which academics we trusted to work in the way we needed and who we thought might be prepared to work our way……

We’ll combine ethics and decision making for the next lot of applications for research from people with dementia at our Pioneers in our Woodbrooke meeting in June…

We decided we would call ourselves DEEP Ethics Panel…..this is the start of a much bigger piece of work which will inform the more formal ethics committees and hopefully change and question current processes…….

We stopped for a cuppa and cookie……and moved on from ethics to the 10 new projects that will get funding in June.  Groups of people with dementia from the DEEP Network, deciding what they want to research and applying for a grant.

Today we wanted to discuss the process we had last year and what might needed changing after the lessons learnt from the past year….not that we could remember, but that’s why our ‘able enablers’ are there…..😂

We had 10 decisions to make….so Philly had to keep us on track and crack her famous whip 😂🤣

We went through the list of ideas of what it means to be ‘in the driving seat’ of a research project….the guidelines we expect groups to follow when conducting research while realising that everyone’s contribution could be at different levels of ability…..

Much conversation took place around emotional decisions and factual decisions

We had a quick break then the final session before lunch. We came back and Philly asked me to read my blog about yesterday….which was as much a surprise to me as everyone else!

Philly then fed back how they’d received the numerous emails from the ally academics who attended the first day. They were all full of passion, full of enthusiasm and hope for what we were doing….we know some academics would want to be involved for the wrong reasons, but those allies seemed to get it in my opinion. We all have our different opinions….

We had offers of support from them….many academics find the ethics process difficult and someone suggested finding out from researchers themselves what they find difficult that may help us in our campaign to change the process..and highlight the changes needed.

Before lunch the final item was around an idea from Pachael and Philly about using money still available on a project on Power and Control and what barriers exist from us having control over our lives……we came up with loads of ideas…..lots of food for thought……

Which brought us nicely to lunch in the café…….and me and Rachael had a lovely Celeriac and mushroom soup and warm bread….🤗 hug in a bowl……

We were the only ones in the café….a lovely café with lovely people serving lovely food……a great find of a venue….and they had pictures on the wall, some of them depicting the music of The Beatles…

 

We made out way back for our last hour  before the end of the day…..

For the Funders, the National Lottery, we have to write an ‘engagement plan’ ….who we want to engage with and influence as the National Lottery want to help us…….we obviously want to engage with academic researchers, engage with Universities, with conferences where we can influence a change in views…..

The last idea was around an article for a journal…..Disability and Society journal….

Our final discussion was around the Event in May to celebrate the completion of the first lot of projects…..each of the 10 groups are invited to share their successes and challenges….and hopefully the funders will be there….

I said we needed to end the whole session by having everyone leave with people saying…..”WOW! What’s next??????”

Our last task was to record a sentence about how we feel Dementia Enquirers is going and I said:

The seed that was sown over a year ago, is now growing into a youngster and you can see the adult developing and gaining character. I’m leaving this last 2 days exhausted, but once again full of renewed enthusiasm for what’s still to come….”

 As Agnes said “My tired is even tired….But it’s nice to feel tired and have achieved something…..”  And off we went our different ways home………the days a blur already…..

 

 

Another trundle back down to London….

A busy week travelling this week so yesterday was another trundle down to London but this time for 2 days…..

It was going to be 2 days of full on Dementia Enquirers with the first day taken up by an Ethics discussion – the issues for people with dementia and ethics committees, the barriers we face and possible solutions…..

The second day would be a meeting of the Pioneers – agreeing a process for the next lot of grant applications…..so 2 heavy but fun packed days with playmates, and our able enablers, Rachael and Philly.

Anyway before the start I had to get there…..a silly o’clock start again as I’d decided against staying the night before due to being in York and I prefer travelling on the day and staying just one night. I’m also not keen on travelling at night, which is what I would have had to do on this occasion. I find travelling in the dark disorientating but in the morning, it eventually gets light which makes it more possible.

The taxi people had asked me the night before if I could be ready 5 minutes earlier so at 05.40 this morning I was ready and waiting with my suitcase and the taxi lights appeared. It’s often a quiet trundle at that time in a morning as neither of us are quite awake. It was all going fine until we got to the station, then I realised why they’d asked to pick me up early ….because he had another run for the same train straight after. He started to rush me and rushing me never works. I hadn’t been organised so didn’t have my money ready, so fumbled about dropping coins and getting in a pickle 🙈…I don’t really know how much I gave him and then must have dropped my glove when getting out as I realised I had one cold hand as I stood on the platform trying to get myself back to normal 🙄…..I’m fine as long as people give me time…….but, of course, when others are in a hurry, they forget that…..

The train was on time, I got my cuppa weak black tea and everything was ok in the world again……it was a very busy train though and agitated passengers trying to find seats and arguing with staff made for a stressful journey on an already discombobulated day…..I didn’t feel right, so instead I tried to disappear into my own world and look out of the window …

Soon the daytime appeared making it a much friendlier world….

I got to London in plenty of time to find this new venue….so went for an amble first …..and ended up leaving my stick somewhere 🙈….I’d had my suitcase to balance on so hadn’t noticed until I went to swap hands…so I had to retrace where I thought I’d been. Turns out I had left it in a shop but they’d taken it to lost property 😳…so then had to find Lost Property, then they wanted ID, and to fill out a form 🤯🤯🤯🤯🤯🤯 but they saw my lanyard and decided I wasn’t a risk and let me have my stick back🙏🙄

Because of the stick panic, I was then in a bit of a pickle about being late and ended up getting lost🙈 and Google took me through a housing estate🤪😱…….went the wrong way …but then I spied a sign on a building in the distance – Lumen, my destination. Playmates were there so much appreciated hugs were given all around…..I went outside into the courtyard just to settle my head…

We finallly started and Rachael and Agnes were chairing the day. We went round and introduced ourselves. Today we had many people there, including playmates and academics who had been invited to help us, from a variety of Universities…..

Rachael whizzed through quickly saying what Dementia Enquirers is – people with dementia leading reasearch from the front on subjects WE think important to research. Along the way it’s hoped that people with dementia will learn new skills, such as around ethics today…..

Dory introduced the ‘Jargon Jar’ to emphasise the need to use plain English otherwise you have to pay a fine. I said “or you can write us a cheque at the end’….🙄😂

There’s a barrier around ethics approvals for our projects – do we need ethics approval? And if we do then there are so many barriers to achieving this. But can we create a new system that’s quicker, a more urgent way.

Tom Shakespeare said the problems are that the ethical process is difficult and complex for the professionals so for those with cognitive difficulties it’s even more complex.

Publications will ask where did we get ethical approval…..or won’t publish, so that’s another barrier in having our work taken seriously.

The Pioneers then spoke about the issues ……mine was:

If we can influence ethics committees to see our ability differently – to see our un- vulnerability as they are always trying to protect us.It will dispel myths around our capabilities”

 We want to create our own system, our own ethics process….”The University of the Dementia World” as Agnes said. But as Tom said, we still have to follow certain laws.

 The academics then responded. Someone said there’s a cultural problem as even Junior Researchers have problems when needing extra support and help.

If we create our own ethics process, will it be considered as something to take seriously?

The more noise we can make about being disempowered, the better”…….said academic Lucy.

There were disagreements and voices raised in the room, but we all have respect for one another and could listen to each other’s opinions. We were hearing the frustrations in peoples voices about some of the current systems. I started to get confused as to why we were here and getting a bit discombobulated but think that was just me and my brain on the day…..

We finished off before lunch with what we need to consider to set up our own ethics committee …..working in pairs, one person with dementia, one academic. I was working with Tracey from Worcester Uni. I found this head blowing just to understand what I had to do…….the conversations going on around me made my head buzz. Took me a while to simply understand what I had to do and Philly came along to help and then Tracey tried to help and eventually I could do enough to contribute, but not to my usual standard…..just not a good day for me…Tracey drew the short straw getting me today! 🤪….

Philly went through  all the post its trying to gain a consensus….no easy task!

More discussion followed….on what this process, committee would look like, building trust between people with dementia and academics…but it was time for lunch and a head break…….

After a lovely lunch where the chatter continued……Agnes started off the afternoon to help us create an ethical approval process with people with dementia leading…..

 We had to list step by step what would need to be in place……again Tracey drew the short straw and had me….🙄……but we managed to get through it before the discussion took place.  But in between Agnes did a wonderful relaxation 5 minutes….and then we continued with the last hour….we each fed back what we’d come up with which put altogether was very comprehensive…..Dory’s group got a brownie point for suggesting a 15 minute video to play each time to help us remember what we’re doing and how.

someone said, at the end…”it would have taken others many months and many more meetings to achieve what we achieved today” but they have one thing we don’t…..time…..

There were lots of different opinions in the room and Agnes and Rachael chaired amazingly …….but as Agnes said

We rise above our differences to get an outcome” ……..a good way to finish an intense but good day…….and all I wanted was my hotel room and silence…….

 

A windy trundle to York….

So after Mondays venture to London, yesterday it was the turn of somewhere more local, York. Anna Harrison, Dementia Action Coordinator in York and able enabler at Minds and Voices, had asked if any of us would be willing to attend a meeting of the York Dementia Acton Alliance Steering group. Well normally I’ll leave this to local playmates, but numbers of those available seemed low, so I agreed to tag along. No one with dementia was on the Steering group so we had to put that right and Anna made this possible…

After yesterdays travel escapades, I wasn’t sure whether bus or train was going the be the right mode of transport. The bus over the Wolds in windy weather is a bit of a wild ride, yet the trains to York the day before had been cancelled 🙄…….so I looked at all the timings and decided to gon on the first village bus which would get me into town to see if buses were running and if not, I still had time to trundle to the railway station to see if the trains were riunning…..🤦‍♀️…things we have to do when we rely on public transport…….I knew I’d have to rely on a train back as the buses are awkward after 2pm to get back to the village…….🙈

Anyway, the village bus pulled into the bus station at the same time as the York bus was arriving, so that made my mind up…..although the bus driver asking if everyone had brought their sea sickness pills wasn’t reassuring…but very funny…😂🤣

We hadn’t been out of town long when the bus was being buffetted around in the wind…maybe it hadn’t been one of my best ideas to sit upstairs but that’s where the best views are!….but at least it was a sunny day as we passed the racecourse…..

I began to see what the driver meant about sea sickness pills…….as sitting still in your seat wasn’t an option…..we passed the usual sights of the llamas in the field, munching away at the grass with their winter coats keeping them snug, the windmills having no problem generating power today as they spun round like the clappers, the flooded farm land after all the storms of late and tractors going about their business no matter what the weather…..

90 minutes later we arrived in York, shaken built not stirred ready and noticed the rain that had started was now falling as snow 😳 with the 2 foreign tourists going wild with excitement ….hopefully just a passing shower….because I had time to spare, I stayed on the bus until the station and then trundled to the warmth of the library, the affect on river levels of the recent storms very much in evidence…..

The meeting was all about the current situation in York around services for people with dementia and the way forward so really important. Often at these meetings you find many don’t turn up, but Anna had had so much interest that we’d been moved from a small room into the main hall, which sounded really promising…..Anna had txt me in the morning to see if I needed any support but I knew this venue well in Priory Street – very dementia appropriate venue…

After warming up in the library, I trundled my way through town passing the river on the other side, with the famous riverside pub once more deluged by the Ouse ….and the whirlpool I mention in my book clearly in view….

I arrived at Priory Street to find playmates had made it!!! After hugs, a cuppa and lunch…..we started chatting while we were waiting for the last 2 to arrive. The issue cropped up of those in couples –  “What happens to the person with dementia when the partner goes into hospital…?” Something that’s often not thought of until the problem arises…………the emotion both men showed when talking about this was intense. Eddy showing the guilt he felt as someone living with dementia, and Eric from the point of view of the care partner. The emotion welling up in both these men as they spoke about the pressures of living as a couple when affected by dementia.


Playmates Eddy, Elaine and me with Elaines hubby, Eric

Anna and a few other were there. Also there was a blast from the past, Emily Abbott, who used to be our ‘able enabler’ at Minds and Voices when I first joined…….she now works at Health watch……but lovely to see her and have a hug…..Damian was also there, so just like old times …❤️…..I always remember feeling very sad when Emily left us….

Once 2pm arrived, Steven Burkeman, chair for the day, started off. We all introduced ourselves. There were people from York Hospital, Joseph Rowntree, the Council, ‘Well Being’ service, a Commisoner for Services, Dementia Forward, Solicitors, and of course, Dementia Action Alliance.

I was able to ask if people minded if I blogged and if I took photos. The formalities of the minutes from the last meeting were gone through first……

Cognitive Screening Resources was up next – the tests the medical staff have when looking at the possibility of dementia…….Sonia from the hospital asked some people present to name as many animals as possible, (something we’re often asked to do)showing the stress this can cause when timed…….I always find that hard. The average is 25, but 11 is also acceptable. Sadly mine is always less.  What is normal one day might not be somebody’s normal on another day……So imagine doing the test in hospital, a stressful environment already and you can see the problem.

She then showed the new sensible way to measure confusion – showing whether the confusion is different from their normal state. So they’re actually looking for delirium……

Some are now realising that the usual tests of knowing the date, remembering an address and the normal memory stuff is not a good way to recognise dementia….we spoke of the futile tests we have to do…..the question ‘Who is the prime minister?’ …if you’ve never been into politics, why would you suddenly start taking an interest and know……….?

Anna brought us up to date on the latest stuff from DAA. The local fire brigade are keen to promote their home assessment for people with dementia. York now has link workers who socially prescribe ….and for dementia, social prescribing is key and maybe they could promote Minds and Voices….🤔

The commissioner from the NHS was up next talking about the Strategy for Dementia in the Vale of York. York is the 7th lowest in the country for diagnosis rates…..😔….

The expected number of people with dementia in the Vale of York is around 4.5 thousand yet there’s only around 2500 people diagnosed according to the numbers. There’s a lack of understanding around the value of being diagnosed. Gp’s themselves don’t understand the benefits of diagnosing….the criticism by GPs against York is for not having a clear pathway when they diagnose so they’re now working on a Strategy but not a new strategy as the money isn’t there. So instead they’ll look at what they already have and utilise the good bits to find out what’s needed and what’s missing. We went round the table to give 1 sentence from each person on what should be a priority….

My one sentence became a few items…..Not a timely diagnosis but an accurate one, not just setting targets for diagnosis…….  not being abandoned at diagnosis…..when we get the diagnosis our family get the diagnosis too. Making it known what is out there – we don’t know what we don’t know. There can be a million good services out there but if people diagnosed don’t know where to start or where to look, then those services are wasted.

Many good sentences came out of that one bit of the meeting to inform Sheila from the NHS Commisioning body…….

Sheila then said that she was organising a gathering of 250 GPs focusing on dementia….and we all immediately came to life and said, ‘Let us at ‘em…”😂🤣

Anna and Lissa from the DAA then spoke about a mapping exercise day, where what is available is mapped, and evaluating what’s out there and where the gaps are. I suggested each service providing data on numbers and success data etc ……

Carl was the next on the agenda….firstly talking about an app called House of Memories for people with dementia. Objects or photos from the past  can initiate conversation with people with dementia. It’s currently been used in Liverpool and is coming to York in April to be made available in December …..

Carl then went onto Age Friendly York, a worldwide initiative through the World Health Organisation. Then ‘Your Time’ from a leisure persspective and how easy it is to access those activities.  What’s the experience of those moving from work to retirement and the issues……..so really ‘Age Friendly York’ should be ‘Friendly York’ as Steven said……

Anna finished off with the Blue Badge Issues in York for people with dementia…..only people with severe dementia are the ones likely to get it……so more action will be taken…..I spoke about the Post Code Lottery that exists once more as some areas interpret the guidelines more realistically than other – York being a poor area.

It was an exhausting meeting as soooo much came out of it and Sheila from the Commisioners actually said it had been the best meeting she’d attended in ages….so now lets see actions come as a result of all the good words spoken for the people of York…..as Anna said on a txt to me this morning…..

“ It feels like a turning point in changing hearts and minds..”

Let’s hope so…..the passion to change was certainly in abundance today…..

 

After Storm Ciara, a trundle to London….

The weekend had been one of 2 halves…..Saturday, getting everything done before the storm arrived in case of power cuts and Sunday watching the storm develop…..

I’d done so much brain work on Saturday, planning my week, booking future train tickets, that by Sunday all I wanted to do was snuggle….I couldn’t think what to do about Monday….how to work out a plan B, so I did just snuggle, doing nothing in particular …

Before I went to bed Sunday night I did think to set alarms to check the trains were running as I was on the first train of the day and the taxi was due at 05.45…..an alert came through from the trains saying they were all running on time……well they were at 02.30…….🙄…..maybe that’s when it all went wrong, after all, it was me travelling…….

The stood by the window looking out for the taxi lights, being entertained by the owl in the paddock across the road hooting away in the morning dark…scanning my eyes for sight of it’s eyes or flight, but it remained hidden out of view, teasing me with it’s twitterwoos …..

I suddenly realised the taxi was late, pressed my phone to ring the number ( as they recognise my number, no need for explanation) and the voice at the other end confirmed my worse fears of the driver having been held up at the previous address…🙄…he wouldn’t be there in time to get me to the station😳…so would have to take me to Brough furher down the line to pick it up there🤯….not a good start but nothing I could do….

He eventually arrived, not someone I’d seen before. He explained the woman before me, going for the same train as me, wasn’t even up when he’d arrived🤦‍♀️…..he was due to Have finished half an hour ago, the reason why I’d never seen him was because he was a night time driver…. but had been asked to take me to Brough 🙏…..

Now taxi drivers always take the country roads to Brough and my little brain immediately thought, ‘was this a wise decision after storm Ciara….🤔….but he must know what he’s doing…🤪…..well to say it was like traversing a dirt track was probably an understatement….so much debris to navigate, fallen trees to swerve around and then a huge snow storm decided to add to the complications!….I simply held on tight….🙈……when we finally got to the station, I asked for my receipt, as usual, expecting it to be 3 times as much as usual, and he said…

“The office said this one is one the house, no charge…”….bless……..

I saw the waiting room was crammed with people….now this is a little station in the middle of nowhere but because all the trains stop here, has a sense of it’s own impotance….I saw the reason why so many people, as I squeezed myself inside out of the pouring snow/rain…


Cancellations and Delays…..😳

This wasn’t a good start to my day but impossible to change my mind stuck in the middle of nowhere with no way of getting home again. I just had to sit it out with everyone else….turns out it wasn’t due to the previous days storm but to a broken down train blocking the line 🙄……thankfully ours arrived eventually whereas others were cancelled…..

So here I am typing this on the train now….

I was heading to London for meetings at Dementia UK, the people that are responsible for the wonderful Admiral Nurses, specialists in dementia. Dementia UK IS Admiral Nurses…..The 2 phrases are often thought of separate but they are very much together……They are the only dementia charity who train specialists nurses, so, to me, more knowledgeable, and much needed in every area. At the moment they are a post code lottery, just like most support for people with dementia….but they have a wonderful helpline staffed by the qualified nurses too…you can find out more here along with their helpline number at the top right hand side…

https://www.dementiauk.org/

I was due to be at the first meeting in the morning to discuss the Strategic plan for the next 5 years  and another in the afternoon, about how we could help publicise and promote the need for Admiral Nurses, but something told me to go back early …🕵️🧚⚗️…….I would see how things were looking……..

It was dark when we left but as the world started to appear the devastation caused yesterday became very apparent. The storm may have swept through but in it’s wake had left flooded landscapes all around, hard to tell where rivers end and land begins…..

It was still breezy outside. I could tell by the way the train was buffeted in the wind and the draft going through the carriage 😳😱🙈

Anyway we eventually got to London, only a few minutes late! Think we must have had a tail wind blowing us down…….but we got there. I made my way to Aldgate where Toby Williamson, the project manager for the ‘Lived experience Panel’ would meet us…..


The old alongside the new in London….

It turned out that Toby was just meeting me! as others couldn’t make it for one reason or another, so I didn’t get my hug from playmate George.

The meeting was being held at Whitechapel Art Gallery and as we walked in we had a sneak preview of the exhibition starting that day……beautiful………we went into the room to be met by Hilda Hayo, and Paul Edwards……so I did get hugs….also there was a Twitter pal who I hadn’t met before, Sarah Russell who now works for Dementia UK as a practice facilitator for the charity.

Paul, Director of Clinical Services, welcomed us to the strategic workshop. Obviously I can’t type about the discussion, but it was all about deciding how to stake their claim in the health field about the value of their services…..Me and Toby there were representing LEAP (lived experience panel)…..amongst the meeting were Trustees, Comms people, fundraising, business development, HR, and many others…..

It’s rare to have so many people from different teams together, but it was all about how all teams can work together for the next 5 years, but today we were focusing on Year 1….

Sarah Richardson, responsible for the strategy led the day…..

Charities often have to think of the social and political climate and how it might impact on their plans….no more so than now….

The uniqueness of Admiral Nurses lies in their expertise in caring for people with dementia. I’d like to think that my daughters would have access to an Admiral nurse further down the line. Someone to support them, to advise them, to simply be there. At the moment they don’t exist in my area and it’s a post code lottery from county to county, but one thing is for sure….they are a NEED not a luxury…..

We sat round our tables and had an hour to discuss the different elements for the first year.

The lovely Suzy Webster, from the LEAP group had arrived by then so we focussed mainly on embedding the LEAP group into the organisation and what the Opportunities, Risks, Challenges and Resource issues for doing this were…..

We had a wonderful discussion and wonderful feedback session and the phrase of the day went to Twitterpal Sarah Russell, who called members of LEAP, those with lived experience as having:

Practical Wisdom”…..a wonderful line to end on…….


Sarah, Toby, Suzy and me…

I decided not to stay for the afternoon workshop as the trains were all in the wrong place after yesterdays storm and liable to cancellations. I wouldn’t have got home until 9, which would have been ok if everything was normal but I’d taken a peek part way through the morning and noticed the first train of the afternoon had been cancelled so decided to call it a day.

The problem was, I was booked on the 17.33 train, so wasn’t sure if they’d accept me on an earlier one. I got to the station and found a smiley person who might be able to help and she took me to customer services. They then phoned through to someone, who came within minutes and escorted me to the next train, told the guard I could travel and found me a seat……..wonderful…..kindness really does cost nothing………AND it meant I would get home by 6……..❤️…soooo glad I made that decision to leave early as heavy snow started to fall as we ventured north…..😳..

 

An Extra blog with an Extra plea…….

Yesterday we had the terrible news that the BBC is making massive cuts and one of these cuts is the axing of BBC 2 Victoria Derbyshire programme.

It’s campaigns, it’s revelations  & commitment to the public having their say made it pretty unique in daytime TV. It was honest, real and truthful and amongst other subjects gave dementia a regular voice.

This programme is very special to me as it introduced me the the wonderful journalist Jim Reed.

Over five years ago, at the time of the release of the film Still Alice, the BBC asked me, Keith Oliver and Christopher & Veronica Devas to film our lives for a month using a camcorder. From the footage we recorded, the wonderful reporter, Jim Reed, produced this short film….how different I was then compared to now…

This was just after my diagnosis and I was still working full time. From making that film, I made 3 wonderful new friends. We’d been brought together through a diagnosis of dementia. Our paths would never have crossed if it hadn’t have been for the diagnosis and I’ve made so many more wonderful new friends since. Every cloud…….

Then 3 years later, back in 2017, we were asked to make an updated version to go alongside this one and here’s the link to that…..what a difference 3 years makes…..

https://www.bbc.co.uk/programmes/p05zqw0m

Apologies if my overseas friends can’t view the links, but fingers crossed…..

Now the BBC in their wisdom have decided to axe this wonderful programme. Victoria Derbyshire gave dementia a voice, revealed the sexual abuse going on in football – just 2 of many many important issues, raised and reported on with dignity, truthfulness and openness …..now unless we campaign, it will automatically disappear.

But Jim has asked previous participants on the programme to appeal to the BBC and I’ve written the requested email. But you can help too by signing this simple petition that will only take a minute. We’re trying to get as many signatures as possible simply to make the BBC reconsider and see the support this programme has….

https://www.change.org/p/bbc-stop-the-victoria-derbyshire-show-being-axed-victorialive?recruiter=46688801&utm_source=share_petition&utm_medium=twitter&utm_campaign=psf_combo_share_initial&recruited_by_id=3080dae0-81e6-0130-db26-3c764e049c4f

 

 

How Important is the language professionals use ?… I need your help!

I’m often involved with stuff going on at Hull Uni. Well last week Professor Esme Monica.Cook, asked if I would mind sharing a survey they’re doing around language used to describe certain behaviours. The survey is titled: “Changes in behaviour associated with dementia – what do people with dementia and carers think about the language used?”

I’ve had long held views about the language used by professionals. My pet hate is ‘Challenging behaviiour’…which makes us out to be at fault instead of others simply not understanding our distress. But I won’t go on about my views as each and everyone of you will have your own.

They’ve already asked professionals for their views, but now, quite rightly, The survey wants to hear from people with dementia AND also supporters, so pleeease complete so they have as many views as possible. The survey will be open for around 4 weeks until 14th February, but the sooner you complete the sooner you can forget about it 😂

Here’s the blurb from the University ……

Dear Sir/Madam

 We are interested in gathering the views of people with dementia and carers on the language used to describe changes in behaviour in dementia. We would be grateful if you can help us by completing this short online survey, which should take around 15- 20 minutes to complete.

There can be changes in behaviour associated with dementia that others find difficult to understand, for example aggression, agitation, wandering, verbal outbursts, delusions, hallucinations, apathy and anxiety.

There are several different terms used to describe this, with differing views on how helpful or not these might be in the context of providing and receiving care and support.

This survey seeks to find out which term people with dementia and their supporters most prefer. The most preferred term will then be used as the title for a best-practice tool-kit to assist health and social care services in providing good support to people with dementia and their carer(s).

There are no right or wrong answers – we just want your opinions. Your responses to this survey are anonymous. Please also forward this email on to others who can help i.e. other people with dementia and carers.

If you have any questions or would like further information, please do not hesitate to contact us on: r.j.dunn@hull.ac.uk

 Click on this link to take part in the survey……

https://hull.onlinesurveys.ac.uk/languagesurvey

If people don’t know what we think how can we change what they think and the terms they use…..?