Changing social care: an inclusive approach

People who use services driving culture change: Checklist

  1. Purpose: are you clear about the purpose? why is service user and carer participation important? how will this contribute to improving services and sustaining change as part of the personalisation agenda?
  2. Change: what kinds of change might you expect service user and carer participation to make and at what levels is it expected to make a difference – individual experiences, staff attitudes, agency policies, local or national strategies?
  3. Support and supporters: what kinds of support might be needed to make participation effective? what can you put in place to ensure that planning and practical arrangements reflect the needs of those wanting to participate in change?
  4. Skills: what skills are needed in your workforce to make participation and personalisation a reality?
  5. training: what kinds of training are needed to help people become more familiar and confident about participation and personalisation and change how they traditionally work? is this training available?
  6. Resources: what resources are needed to ensure participation can take place effectively? how will you ensure that all strategic and operational decision-making reflects the need to involve people who use services? are resources such as budgets available (e.g. for payments to service users and carers involved) and, if not, how might they be found or creatively substituted?
  7. Organisational culture: how open to personalisation is the organisation or group? does the climate or culture support this way of working? do the management and leadership of the organisation encourage personalisation of services? many examples can probably be found within your organisation. perhaps a mapping exercise would be helpful in identifying existing practice.
  8. Practice: how participative is practicein the organisation or group? how are service users and carers involved?
  9. Structure: is participation a regular feature of the organisation or group? is it part of the structure? how might it become part of that structure?
  10. Power: what differences in power are there between the people involved (service users, carers, professionals, managers etc.)? what can you do to change these differences? how will you involve people who are seldom heard?
  11. Tokenism: how will you avoid tokenism? in other words, how will you know whether the participation has been real and meaningful? how will you sustain this change?
  12. Feedback: how do you measure change? how do you inform people about decisions that have been made, especially when they have been part of the consultation?
  13. Implementation: how do you implement change as a result of feedback? who will implement the recommendations?

Adapted from SCIE Guide 20: Participation: finding out what difference it makes.