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ELiJAH’S 
H PE CIC 
Support today, 
hope for the future... 
ELIJAH’S NEWS 
Welcome to Elijah’s Hope 
We are delighted to have officially 
launched Elijah’s Hope, a community 
interest company (CIC), which will 
help and support families facing acute 
challenges due to child illness. 
Established in honour of eight-year-old Elijah 
Hodges, who has a rare genetic disorder, our 
organisation will help children, young people 
and their families in a number of different 
ways. 
Our regular newsletters will include the 
full details of our upcoming workshops and 
luncheon clubs and will outline where and 
how you can get supported. 
In addition, each issue will be packed full 
of useful information to help you get access 
to the correct support therapy respite and 
funding and mobility aids, to which you 
are entitled. 
In this first issue you will discover why 
Elijah’s Hope was established and learn 
the importance of postural care, which 
is highlighted through our Postural Care 
Positive Deviance Initiative launching in May. 
Overall, we want to help take the stress out of 
your challenging situation and help make life 
easier. 
Kaddy with Ali 
Vowles and Doctor 
Phil Hammond at 
Radio Bristol in 
February this year. 
Life can be a rollercoaster and can 
easily get out of control when facing life 
changing situations, but through Elijah’s 
Hope we can offer the help needed to steer 
you back on track. 
Founder, Kaddy Thomas. 
“ 
May 2014 - First Edition
Elijah’s Hope, Founder Kaddy Thomas, 
explains how her son became her 
inspiration to help others. Here is her 
touching story. 
Both Kaddy and Elijah suffer from Apert 
Syndrome, a rare genetic condition, which 
although Kaddy is able to lead a fairly normal 
life, Elijah requires full time care. 
Kaddy’s life was a rollercoaster from birth 
having been labelled mentally retarded, 
which at the age of one resulted in her 
Mother placing her in care. She spent eight 
years of her life in a residential children’s 
home for the severely disabled and two of 
those years she was placed in a hospital 
for the mentally handicapped. It was a 
matron who soon realised Kaddy had been 
misdiagnosed and she was released aged nine 
into a mainstream children’s home with a 
view to be being adopted. Sadly, her fate for 
a better life was quashed after being sexually 
abused by a foster carer and she ran away 
before being placed into emergency care. At 
17-years she was placed in a council flat to 
live independently and life finally took a turn 
for the better when her son Elijah was born. 
“Being rejected at birth by my mother stayed 
with me until Jesus healed me, so when I 
became pregnant with my son he became 
my primary focus - my child is very much 
wanted and loved. I knew my condition was 
hereditary but to me Elijah is one of the best 
things that ever happened to me, so I was 
having him no matter what. He used to be 
able to sit up, talk and play independently 
but his life changed for the worse when he 
developed severe brain damaged at the age of 
18 months. 
“I spent months of my life on an emotional 
rollercoaster, with so many unanswered 
questions trying to come to terms with 
what had happened. Elijah used to sit up 
and natter but now he is unable to move 
or respond. We spent just over a year at the 
Children’s Trust in Tadworth undergoing 
rehabilitation before moving to North 
Somerset in 2009. 
I became involved with the North Somerset 
Parents Forum for a while and then set up a 
parents luncheon club in Weston-super-Mare 
in 2011, but I could not self-fund it long term. 
“Elijah’s health has deteriorated further 
with several months of 2013 spent between 
Frenchay and Bristol Children’s Hospital, as 
he developed Clostridium Difficile infection 
- a type of bacterial infection that can affect 
the digestive system. He later developed a 
chest infection and at one point was admitted 
to intensive care. 
“Despite 2013 being the most horrendous 
year I decided to use my experiences to help 
others. Even after everything Elijah has been 
through he’s happy, content and no matter 
what is thrown at him he bounces back. He 
is my inspiration and the reason I want to 
help people. There are others out there who 
are going through the same ordeal or worse 
situation than me. I want to support and 
empower parents, children and young people 
with disability and or ill health. 
“I’m Elijah’s mum and I’ve set this company 
up because I’m sick to death of the injustices 
in the disability world. When facing a serious 
health problem parents may feel lost in a 
world where they have lost the will to live, 
and so I want to ensure families are well 
supported. I am offering tangible, practical 
support to families including helping them to 
discover what they are entitled to.” 
Who are we? 
Even after everything Elijah has been 
through he’s happy, content and no matter 
what is thrown at him he bounces back. 
He is my inspiration and the reason I want 
to help people. “ 
Postural Care - 
Positive Deviance Initiative 
Elijah’s Hope is keen to promote the 
importance of Postural Care. 
People with limited movement are 
most at risk of developing body shape 
distortion because they often sit and 
lie in limited positions. Postural care 
is about using the right equipment and 
positioning techniques to help protect 
and restore body shape. 
We provide a platform to celebrate and learn 
from improved outcomes in protecting 
and restoring body shape by launching the 
Positive Deviance (PD) Initiative. 
The PD approach is a problem solving, asset-based 
approach grounded in the fact that 
communities have assets or resources they 
haven’t tapped. The PD approach brings 
about sustainable behavioural and social 
change by identifying solutions already 
existing in the system. 
All Children, Young People and Adults, who 
either have little or no movement, need 
people who are fully trained in effective 
therapeutic night-time positioning. Elijah’s 
Hope can help with arranging quality 
assured, accredited training in therapeutic 
positioning and non-invasive measurement 
of body symmetry. 
Our first workshops are Postural Care 
Awareness Days on Thursday 22nd May & 
Tuesday 10th June. If you would like to attend 
please contact Kaddy 07577 451 931. 
This will include details on: 
• Measure Clinics 
• Report writing 
• Purchase of Sleep equipment 
• Identifying suitable mobility aids 
• Training for Parents, Carers, Nurses, 
Therapists 
• Follow up and review 
• Training up Postural Care Practitioners
Our Postural Care Initiative 
Postural Care – we’ve a mountain to 
climb and we’ve only just got our boots on! 
My name is Sarah Clayton and I am 
a married mum with four wonderful 
children. 
I grew up in a house in which Postural Care 
and protection of body shape dominated 
many things, the working day for both my 
parents, conversations around the dinner 
table and I’m pretty sure I was the only person 
in school whose friends had all had their body 
symmetry measured. I began working with 
families supporting children who use Postural 
Care in the late 1990s and I have been addicted 
ever since. At that time the concepts of 
coproduction, positive deviance and outcome 
focussed service provision, which I will go on 
to discuss, simply did not feature. In 2007 my 
world fell apart when my eldest daughter Abi 
was diagnosed with a malignant brain tumour 
at just 6 years old, by the time we knew what 
was happening it had spread throughout the 
ventricles of her brain and down her spinal 
cord. It has been a devastating journey for Abi 
but she, like her mother, is a stubborn little 
madam and continues to face every day with 
courage and humour. 
The Postural Care mountain – 
where are we now? 
Postural Care is a gentle way of protecting a 
person’s body shape. Any person who finds 
it difficult to move or to change position 
effectively may benefit from Postural Care. 
Changes in body shape happen silently, 
mostly when we are asleep in our beds, at 
a time we would imagine we and those we 
love were safe from harm. The danger comes 
from gravity and so no matter what age the 
person is we must never lower our guard[i]. 
Ultimately body shape distortion is a killer, it 
is an enemy we must treat with the reverence 
and respect it deserves. 
The Confidential Inquiry into Premature 
Death of People with Learning Disabilities[ii] 
was published in March 2013 and is a 
harrowing read. The team recommended 
that adults with learning disabilities are “to 
be considered a high-risk group for deaths 
from respiratory problems”. They went on to 
recommend that alongside access to seasonal 
flu and pneumonia vaccinations “…CCGs must 
ensure they are commissioning sufficient, 
and sufficiently expert, preventative services 
for people with learning disabilities regarding 
their high risk of respiratory illness. This 
would include expert, proactive postural 
care support, aggressive treatment of gastro-oesophageal 
reflux, the ready availability 
of speech and language therapists or other 
suitably qualified nurses able to undertake 
swallowing assessments, the development 
of clear clinical pathways for gastrostomy 
insertion, and the frequent review of patients 
waiting for a gastrostomy procedure to protect 
them from risk of aspirating.” 
I would like to introduce an analogy at this 
point as we start to think about Postural Care 
provision in the UK. I have always imagined 
the ultimate goal, eradication of body shape 
distortion, as being the summit of a huge 
mountain. 
Just take a moment to imagine this goal, 
think about a world in which hip dislocation 
in young children is seen as the glaring 
exception and not an accepted norm, a world 
in which young people rarely undergo radical 
spinal surgery because they just don’t need 
to, a world in which people can get on and 
live their lives with minimal chronic pain 
and discomfort. The view would be amazing 
wouldn’t it? 
If we go back 25 years we can safely say that 
the vast majority of people did not even 
know this mountain existed but thanks to 
awareness raising work such as the wonderful 
2010 Mencap campaign[iii] I hope that we 
have now acknowledged its existence and 
recognised its sheer enormity. 
There is a sense now however that some 
service providers, despite their best efforts 
have become stuck in the foothills. I am 
privileged to work both in the UK and 
overseas and I am struck by the common 
difficulties faced by practitioners who are 
working hard to improve outcomes. There 
is frustration at the misconception by some 
commissioners that provision a piece of 
specialist equipment must mean an improved 
outcome. 
It is as though practitioners have some of the 
tools they need “we provide sleep systems in 
this area” and they might be in possession 
of a map “we have a care pathway in place” 
but are they really striking out towards the 
summit and if they are what are their local 
commissioners doing to support them? 
What do sufficient, and sufficiently expert, 
preventative services look like? 
What are the key outcomes that they 
should aspire to achieve and, if a service is 
to describe itself as expert and proactive, 
where is the transparency and sharing of 
comparable outcomes with other service 
providers? 
We will only ever reach the 
top together. 
Postural Care is about making sure that 
people who are at risk of developing changes 
in their body shape are supported as 
symmetrically as possible, as comfortably 
as possible, 24 hours a day. It involves 
equipment such as wheelchairs, walking 
aids, standers, alternative seating, orthotics 
and night time positioning equipment, it is 
helped by active therapy and encouraging 
movement and it is directed by measurement 
of body symmetry. Most importantly 
Postural Care involves individuals, their 
families and personal assistants working 
alongside health and social care practitioners 
to coproduce effective, person centred 
solutions to often complex challenges. Over 
the past 25 years we have come to understand 
how and why the body changes shape, we 
have developed incredible equipment and 
technology, we know that people need 
timely access to this equipment and have 
the Community Equipment Code of Practice 
Scheme[iv] but we have only just begun to 
grapple with the concept of coproduction. 
Henry Ford is quoted as saying that “Quality 
means doing it right when no-one is looking” 
and this couldn’t be more true of Postural 
Care provision. We don’t see amazing results 
because a therapist has a Masters level 
qualification or a Doctorate, we see amazing 
results when we enable, inspire, motivate and 
trust families and personal assistants. 
Working in partnership with families, 
personal assistants and practitioners is for 
me the most exciting part of this journey. The 
biomechanics, the equipment, the technology 
– they are all very interesting and helpful but 
there is nothing that compares to the buzz 
of seeing people succeed, of supporting a 
parent to fashion a solution that best suits 
their circumstances, of seeing a family 
whose happiness, health and wellbeing are 
inextricably linked to one another doing well. 
It is this passion, this drive and this sheer 
determination that exists within families 
that practitioners need somehow to capture, 
to embrace and to nurture if we are to ensure 
that at 2am the pillow, towel or teddy bear is 
in exactly the right place.
Clair Lewis’s poem ‘Mother – Care’ gives a 
sense of this commitment and drive, here is 
an extract: 
I am her MOTHER 
her full time adorer 
who explodes when she smiles 
whose heart breaks when she cries 
who worries constantly 
and continually sheds 
the tears which cushion her 
ride through this mess 
I’m here because I love her 
how about you? 
don’t compare my contribution 
to what you do. 
Clair Lewis http://www.johnnypops.demon. 
co.uk/poetry/poetry/mothercare.htm 
Positive Deviance and Outcome 
Focussed Postural Care 
The concept of Positive Deviance is one 
that we as an organisation have embraced 
wholeheartedly[v]. There is a wealth of 
information about Positive Deviance 
available and this is not the place to go in 
to too much detail however, put simply, it 
is about looking for the people who achieve 
a better outcome than the majority when 
faced with the same problem. In the UK 
we are actively searching for the services, 
families and organisations that achieve great 
results in relation to Postural Care and we 
are asking them two simple questions, what 
have you done and how have you done it? 
My experience as a parent of a child that 
has undergone treatment for cancer has 
taught me what it is like to be supported by 
an outward looking team. What do I mean 
by this? I mean that the world of paediatric 
oncology is one in which a collaborative 
approach, a sharing and acknowledgement 
of better results, leads to improved services 
for children like mine. The team supporting 
us as a family are constantly talking to, 
working with and supporting other teams 
from around the world to improve treatment 
outcomes. It is a model that we as an 
organisation aspire to and hope we can 
support by sharing results from around the 
world. A wonderful example of Positive 
Deviance can be found in Wakefield. 
GMFCS 
Gross Motor 
Function 
Classification 
Scale 
1 
Children 
who can walk, 
run, jump 
and climb 
stairs but who 
have some 
impairment 
of speed, 
balance 
and/or 
coordination 
2 
Children 
who can 
walk in and 
outdoors and 
climb stairs 
but have some 
difficulties 
with such 
things as 
uneven 
ground or 
crowds 
3 
Children 
who use 
walking 
aids but use 
wheelchairs 
for long 
distances 
4 
Children 
who use 
walking aids 
for short 
distances 
but use 
wheelchairs 
most of the 
time 
5 
Children 
who use 
wheelchairs 
for all 
mobility and 
need postural 
support in 
order to be 
able to sit 
comfortably 
Total 
number of 
children and 
young people 
aged 0-18 
supported by 
the service 
Hips 
dislocated 
75% Migration 
over 75% of 
femoral head 
uncovered by 
acetabulum 
Wakefield 122 106 46 274 0 
Table 1: Outcome data for physiotherapy services in Wakefield district 
There are a total of 274 children and young 
people aged between 0 and 18 who access 
the physiotherapy service in Wakefield led 
by Suzanne Carter, of these 122 have a Gross 
Motor Function Classification Scale (GMFCS) 
of 1, 106 have a GMFCS of 2 or 3 and 46 have 
a GMFCS of 4 or 5. In answer to the question 
‘What have you done?’ they have reached the 
summit. Not a single child or young person 
accessing this service has a dislocated hip and 
in the past 12 months only 4 have undergone 
preventative soft tissue surgery. 
The response to the second question is more 
complicated and can be found here 
www.posturalcareskills.com/living-university 
but in essence they are wholly outcome 
focussed. Over the past 25 years a culture 
of impunity has developed in which basic, 
person-centred outcomes are not being 
recorded, collated or shared. If you want to 
know how successful a school is in teaching 
maths you don’t ask how many maths lessons 
each child receives – you look at the results 
and compare them with similar schools. 
The work in Wakefield gives individuals and 
their families, commissioners and service 
providers a benchmark, surely if we are to 
see improvements in services we have to be 
asking each and every area what are their 
outcomes and how do they compare? 
In Suzanne’s own words 
“This service hasn’t happened overnight, 
it has developed over the last 9 years to 
give us the successful outcomes of today. 
The important points to stress are that it 
is by giving the families some control and 
positive expectations for their children 
that go more than halfway to bringing 
them success. Also, this has been a result 
of long term, dedicated staff who are 
happy to work alongside each other to 
develop a service giving our children the 
right to expect these positive outcomes.” 
Whilst Suzanne and her team have achieved 
a great deal working in partnership with 
families they are also very aware that their 
service is vulnerable to change, she continues 
to work closely with the local commissioning 
team to ensure everyone understands the 
outcomes they are being paid to deliver. 
I come back to the idea of our mountain, of 
how far we have to go and of the summit. 25 
years into the future we will live in a world 
in which hip dislocation in young children 
is seen as the glaring exception and not an 
accepted norm, a world in which young 
people rarely undergo radical spinal surgery 
because they just don’t need to, a world in 
which people can get on and live their lives 
with minimal chronic pain and discomfort. 
They are already having a cup of tea and 
looking out at the view in Wakefield so if your 
initial reaction to this vision was scepticism 
this is an opportunity to reflect, a chance to 
reconsider what might be possible if only we 
were brave enough to look up. 
[i] Hill, S. and Goldsmith, J., ‘Biomechanics 
and Prevention of Body Shape Distortion’, 
The Tizard Learning Disability Review, Vol. 
15, Issue 2, pgs. 15 – 29, 2010 
[ii] Heslop et al: “Confidential Inquiry into 
the Premature Death of People with Learning 
Disabilities: Final Report.” Norah Fry 
Research Centre, March 2013 
[iii] Postural Care Action Group www. 
mencap.org.uk/posturalcare 
[iv] Community Equipment Code of Practice 
Scheme (CECOPS) www.cecops.org.uk 
[v] The Postural Care Living University www. 
posturalcareskills.com/living-university 
PMLD Link Article December 2013 
Posted on January 5, 2014 by Sarah Clayton 
This article was published in PMLD Link in December 2013. This journal is dedicated to promoting best practice 
and information to improve the lives of individuals with complex physical and learning disabilities. You can 
subscribe to PMLD Link at http://www.pmldlink.org.uk/
Postural Care Awareness Day 
Protection of body shape – a better 
quality of life for individuals with 
complex physical needs. 
What is a Postural Care Awareness Day? 
Recommendation 9 of CIPOLD states 
that people with Learning Disabilities be 
considered at high risk of respiratory illness 
and should have access to proactive, expert, 
preventative postural care services – but what 
does this mean and how do we know we are 
providing it? An Awareness Day provides 
people with an opportunity to learn about 
the general principles of postural care, to 
discuss their role in supporting postural care 
provision and to consider some of the lessons 
that have been learned by others. 
What will we cover during the day? 
We are able to cover a range of topics from 
our accredited course programmes and so 
we can be flexible with our Awareness Day 
content. Usually people ask us to cover the 
following topics: how and why does the body 
change shape; protection of the hips and 
pelvis; protection of the chest and spine; 
safety planning; thermal comfort; how to 
demonstrate objective outcomes. 
We usually offer a practical session during 
which we demonstrate how to position an 
individual in lying. 
Who might benefit from attending? 
Anyone with an interest in supporting 
individuals to access 24 hour postural care or 
those with a responsibility to demonstrating 
outcomes in relation to service provision. 
We want to invite both practitioners and 
family carers, is that OK? Absolutely. We are 
passionate about supporting everyone to 
learn together, in 2010 we were shortlisted 
for an Accolade Award for most effective 
practice in workforce development for doing 
just that! 
How long will the day last and how many 
people can come along? 
We can offer a range of times to suit your 
organisation including evening sessions. 
We find that a maximum number of 30 
people allows for constructive discussion 
without overwhelming those who wish to ask 
questions. 
Protection of body shape – a better quality of life 
for individuals with complex physical needs 
Protection of body shape – a better quality of life 
for individuals with complex physical needs 
Sample Awareness Day Programme 
9.30am Welcome and Introductions 
10.00am Presentation and Discussion 
What is a Postural Care Awareness Day? Recommendation 9 of CIPOLD states 
that people with Learning Disabilities be considered at high risk of respiratory 
illness and should have access to proactive, expert, preventative postural care 
services – but what does this mean and how do we know we are providing it? An 
Awareness Day provides people with an opportunity to learn about the general 
principles of postural care, to discuss their role in supporting postural care provision 
and to consider some of the lessons that have been learned by others. 
What will we cover during the day? We are able to cover a range of topics from our 
accredited course programmes and so we can be flexible with our Awareness Day 
content. Usually people ask us to cover the following topics: how and why does the 
body change shape; protection of the hips and pelvis; protection of the chest and 
spine; safety planning; thermal comfort; how to demonstrate objective outcomes. 
We usually offer a practical session during which we demonstrate how to position 
an individual in lying. 
Who might benefit from attending? Anyone with an interest in supporting 
individuals to access 24 hour postural care or those with a responsibility to 
demonstrating outcomes in relation to service provision. 
We want to invite both practitioners and family carers, is that OK? Absolutely. We 
are passionate about supporting everyone to learn together, in 2010 we were 
shortlisted for an Accolade Award for most effective practice in workforce 
What is a Postural Care Awareness Day? Recommendation 9 of CIPOLD states 
that people with Learning Disabilities be considered at high risk of respiratory 
illness and should have access to proactive, expert, preventative postural care 
services – but what does this mean and how do we know we are providing it? An 
Awareness Day provides people with an opportunity to learn about the general 
principles of postural care, to discuss their role in supporting postural care provision 
and to consider some of the lessons that have been learned by others. 
What will we cover during the day? We are able to cover a range of topics from our 
accredited course programmes and so we can be flexible with our Awareness Day 
content. Usually people ask us to cover the following topics: how and why does the 
body change shape; protection of the hips and pelvis; protection of the chest and 
spine; safety planning; thermal comfort; how to demonstrate objective outcomes. 
We usually offer a practical session during which we demonstrate how to position 
an individual in lying. 
Who might benefit from attending? Anyone with an interest in supporting 
individuals to access 24 hour postural care or those with a responsibility to 
demonstrating outcomes in relation to service provision. 
We want to invite both practitioners and family carers, is that OK? Absolutely. We 
‘How and why does the body change shape – protecting the hips, pelvis, 
chest and spine’ 
11.30am Coffee Break 
11.45am Presentation - The Family Project, what can we learn from people that 
have done this before? 
1.00pm Lunch 
1.45pm Practical Activities – predicting body shape distortion 
2.15pm Safety Planning 
3.00pm Plans for the future 
4.00pm Close 
Postural Care CIC are a social enterprise 
specialising in the development and 
delivery of accredited postural care training. 
We are able to offer: 
Nationally recognised training in the use of 
postural care and measurement of body symmetry 
in partnership with OCNWMR 
Support for both families and therapists who are 
looking to provide postural care for individuals 
with complex body shape 
Train the trainer courses for therapists and other 
health or social care professionals who wish to 
deliver accredited training 
Please visit our website: 
www.posturalcareskills.com 
or contact Sarah@posturalcareskills.com who will 
be more than happy to discuss how we might be 
able to help. 
University of Bristol - CIPOLD 
is the Confidential Inquiry into 
premature deaths of people 
with learning disabilities. 
CIPOLD is funded by the 
Department of Health. 
We aim to improve the health and 
well-being of people with learning 
disabilities by carrying out an 
inquiry into their death. 
For general enquiries contact the 
CIPOLD office: 
Email: ci-team@bristol.ac.uk 
Tel: 0117 331 0980 
Norah Fry Research Centre 
8 Priory Road 
Bristol 
BS8 1TZ 
Social Media 
If you would like to keep up to date with what we 
are doing here at Elijah’s Hope then you can: 
Follow us on Twitter: 
@ElijahsHopeCIC 
Like our Facebook page: 
www.facebook.com/ElijahsHope 
Connect with us on LinkedIn: 
www.linkedin.com/in/elijahshope 
Add us on Google+: 
Kaddy Thomas
Supported by 
Postural Care 
Protecting and restoring 
body shape 
Do you support someone with multiple disabilities or 
responsible for commissioning services for them? 
If the answer is yes, you need to know about postural care. 
Supported by 
Postural Care 
Protecting and restoring 
body shape 
support someone with multiple disabilities or 
are you responsible for commissioning services for them? 
If the answer is yes, you need to know about postural care. 
For more information visit: www.mencap.org.uk 
The importance 
of protecting 
body shape 
Mencap and a number of 
organisations, including Postural Care 
Skills, PAMIS, the Chartered Society of 
Physiotherapy and the Royal College of 
Nursing came together in 2008 to form 
the Postural Care Action group. 
Together we wanted to raise awareness about 
the importance of postural care. Postural 
care is about protecting body shape for 
people with complex healthcare needs and 
movement difficulties, such as those with 
profound and multiple learning disabilities. 
People who find it hard to move are most at 
risk of developing body shape distortions. 
This is because they often sit and lie in 
limited positions. Postural care is about 
using the right equipment and positioning 
techniques to help protect and restore body 
shape. The earlier the intervention, the better 
- but it is never too late to start protecting 
someone’s body shape. 
Failure to protect body shape can have 
serious consequences for a person’s health 
and quality of life. It can even cause 
premature death. 
Over the last couple of years we have been 
running an awareness-raising campaign to 
tell more people about this important issue. 
The campaign is aimed at all those who 
support people with multiple disabilities or 
who commission services for them. 
We want to challenge the assumption that 
distortion of body shape is inevitable for 
people with multiple disabilities. We want 
all people with multiple disabilities to get 
the support they need to protect their body 
shape, 24 hours a day. 
“ 
The booklet, film clips and presentation can 
be viewed at: 
www.mencap.org.uk/posturalcare 
Please use these materials to help spread the 
word. We want as many people as possible to 
understand the importance of postural care. 
11 pathway 
There needs to be a clear postural care pathway in place, 
which involves professionals and families working together 
to support someone’s posture. 
We have produced a booklet and some short 
filmclips explaining why postural care is 
important and what you can do to take 
action to ensure that appropriate postural 
care services are developed in your local 
area. We have also developed a powerpoint 
presentation, which you could use to tell 
other people about the importance of 
postural care.
Workshops & Events 
As part of our on-going commitment to 
helping people in need, Elijah’s Hope 
stages regular workshops and monthly 
luncheons. 
We will be launching the Postural Care 
- Positive Deviance Initiative in May 
starting in Bristol and we will cover the 
whole of the South West. 
The aim of our events will be able to 
bring likeminded people together to 
share their experiences and offer one to 
one peer support. 
Please find details below of our upcoming events: 
*Workshops: 
Postural Care Awareness Day 
• Thursday 22nd May - Bristol 
• Tuesday 10th June - Bristol 
Also, in May, we will be running the first 
of our Swimathon’s at Kings Fitness & 
Leisure Centre in Cheddar (booking form 
below). 
We are hoping to put on a whole series of 
these in each county in the South West so 
visit our new website at 
www.elijahs-hope.org, download a form 
and get fundraising!! You can also use 
our form below, just complete and return. 
By raising cash you will be changing 
children’s lives for the better. All money 
raised will be split between Elijah’s Hope 
and also CDKL5 (www.cdkluk.org). 
* The Parent Cafe 
Parents weekly evening support group 
meet on Tuesday’s every week at The 
Barn, Clevedon 19:30 until 21:00 
ELIJAH’S HOPE SWIMATHON BOOKING FORM 
Name ......................................................................................................................................................................................... 
Address ..................................................................................................................................................................................... 
...................................................................................................................................................................................................... 
Telephone / Mobile ................................................................................................................................................................ 
Email ......................................................................................................................................................................................... 
Team entry Yes  No  
Names of team members ..................................................................................................................................................... 
...................................................................................................................................................................................................... 
Individual entry Yes  No  
Payment required on booking 
Group = £ ___________ 
Individual = £ ___________ 
Return the completed booking form and entry fee to: 
Kaddy Thomas, Elijah’s Hope CIC, 41 Churchill Avenue, 
Clevedon, North Somerset BS21 6QN 
Cheques made payable to Elijah’s Hope CIC 
✂ 
CAN YOU 
SWIM THE CHANNEL? 
W THE FUN! 
Saturday 
17th May 2014 
12:00 to 5:00pm 
Kings Fitness 
& Leisure 
Cheddar 
POOLING CASH FOR ELIJAH’S HOPE AND CDKL5 
JOIN US TAKE THE PLUNGE AND SIGN UP 
FOR A SWIM THE ENGLISH CHANNEL EVENT 
You won’t actually swim the channel of course, we 
are looking for teams or individuals to swim in total 
21 miles for 2 worthy causes - Elijah’s Hope & CDKL5 
By raising cash for Elijah’s Hope and CDKL5 UK you’ll be helping to 
change children’s lives for the better because the money raised will be 
ploughed back into the company, which helps ill or disabled children 
and their families. 
CDKL5 UK is a UK based charity that has been set up to raise awareness 
and vital funds for the global research effort. The trustees of CDKL5 UK 
are made up of parents living with a child with CDKL5 as well as family 
and friends who all share the same goal. CDKL5 is classed as a orphan 
disease, as it affects a small percentage of the population. 
CIC 
Support today, 
hope for the future... 
Entries 
Teams (max 5) £25.00 
Adults £10.00 
Children & 
Young People £6.00 
Sponsorship forms can be 
downloaded via our website. 
www.elijahs-hope.org 
Please take part and help to 
make a difference. 
Minimum sponsorship is 
£100.00 for Single entries 
and £350.00 for Teams 
Kings Fitness & Leisure | Station Road | Cheddar | Somerset | BS27 3AH
Parent Forums 
The Bournemouth Parent and Carer Forum 
are involved with consultations regarding all 
kinds of changes that are going to impact on 
families with children/adults ages from 0 – 25 
years old with may have Special Educational 
Needs, Complex Medical, Social, Emotional, 
Behavioural and other disabilities. 
We offer a specialist consultation and participation 
service that gives parents and carers a voice about 
the services and support their children and families 
receive. So by listening we can clearly identify what 
is commonly working well, what needs improving 
and what is missing – also referred to as “gaps in 
provision”. The feedback we gather is fed back via 
meetings with Bournemouth Borough Council, NHS, 
Social Services and other agencies. 
We hold regular events such as workshops, training, 
coffee mornings, advice, peer to peer support. 
Email: bournemouthparentcarerforum@gmail.com 
Web: www.parentcarerforum.co.uk 
Registered Charity Number 1151503 
CAKE 
Care, Advice, Knowledge, 
Empathy 
Are you a parent of a child or young person 
with a disability and/or additional needs? 
Are you concerned about your child’s 
behaviour or social skills? 
Do you sometimes wish you had someone 
to talk to? 
Come along to the Parent Cafe. 
We are a group of parents with children and young 
people with additional needs. We are here to 
support, listen, chat to and get information from. 
You do not need to have a diagnosis for your child 
to come along! 
Every Tuesday at The Barn, Clevedon 
From 7.30pm – 9pm 
Just come along, there is no charge and 
refreshments are available. Please contact us if you 
would like to come along as the venue may change. 
Contact Angie or Lorna 
angie.pass@hotmail.co.uk 
lornarob18@gmail.com 
or phone 07910 265513 
BOURNEMOUTH PARENT 
CARER 
FORUM 
THE PARENT CAFE 
PARENT CARER COUNCIL FOR CORNWALL 
Our aim is to gather information from Parent Carers and using 
these unique shared experiences, we take part in consultations and 
participation work which helps us to shape the development and 
delivery of services to our children. 
We also pass on information to families via a newsletter enabling parent carers to 
gain greater knowledge and understanding of the services available from health, 
education, local authority and the voluntary sector. 
Contact Details: Kay Henry 07973 763332 • k.henry61@btinternet.co.uk 
http://www.parentcarercouncilcornwall.org.uk 
Founded in 2008, the Wiltshire Parent Carer Council (WPCC), is an 
independent voluntary organization, which is managed and run by 
parent carers, for parent carers. 
We provide a consultation and participation service which enables 
parent carers to have a voice services and support their children 
and families use. This service offers real opportunities to influence 
and shape provision. 
We also provide the Special Educational Needs and Disabilities 
Information Service, which offers a wealth of information as well 
as signposting to specialist services. 
Our bespoke website aims to give visitors an enjoyable experience 
in accessing the information they require, or finding out things 
they never knew about! 
Contact one of the team to support you through the website, or to 
access information. We are open from 10am-5pm Monday-Friday. 
(Moving 13/3/14)!!!! – but email is the same 
Wiltshire 
Parent 
Carer 
Council, 
Freepost 
RSXC-­‐YTUB-­‐KTBL, 
Fordbrook 
Business 
Centre, 
Unit 
3, 
Marlborough 
Road, 
Pewsey, 
Wiltshire, 
SN9 
5NU 
admin@wiltspcc.co.uk 
01672 
569300 
Improving Services for 
Disabled Children 
WILTSHIRE 
PARENT CARER 
COUNCIL 
Founded in 2008, the Wiltshire 
Parent Carer Council 
(WPCC), is an independent 
voluntary organization, which 
is managed and run by parent 
carers, for parent carers. 
We provide a consultation and 
participation service which enables 
parent carers to have a voice 
services and support their children 
and families use. This service offers 
real opportunities to influence and 
shape provision. 
We also provide the Special 
Educational Needs and Disabilities 
Information Service, which offers 
a wealth of information as well as 
signposting to specialist services. 
Our bespoke website aims to give 
visitors an enjoyable experience 
in accessing the information they 
require, or finding out things they 
never knew about! 
Contact one of the team to 
support you through the website, 
or to access information. 
We are open from 10am-5pm 
Monday-Friday. 
(Moving 13/3/14) 
Wiltshire Parent Carer Council, 
Freepost RSXC-YTUB-KTBL, 
Fordbrook Business Centre, 
Unit 3, Marlborough Road, Pewsey, 
Wiltshire, SN9 5NU 
admin@wiltspcc.co.uk 
01672 569300 
Contact a Family is the only national charity that 
exists to support the families of disabled children 
whatever their condition or disability. 
With over 30 years of experience, our vision is that families with 
disabled children are empowered to live the lives they want and 
achieve their full potential, for themselves, for the communities 
they live in, and for society. It’s why we offer support, information 
and advice to over 340,000 families each year and campaign 
for families to receive a better deal. 
Contact a Family offers a range of ways for parent carers to get 
the support, advice and information they need. This includes: 
• Our free national helpline – 0808 808 3555 – 
where you can speak to one of our expert advisors for 
information, advice and help on any aspect of caring for 
a disabled child. Our parent advisers are available on our 
helpline Monday to Friday, 9.30am to 5.00pm. 
Alternatively you can email: helpline@cafamily.org.uk, 
post an enquiry on Facebook or Twitter. 
• Our benefits and welfare experts are also on hand via our 
helpline to provide you with the practical advice and support 
to help you find the best way through the benefits and tax 
credit maze. 
“I am so glad I got the opportunity to have the help and support 
from Contact a Family. I can’t begin to explain how they helped 
me and my family through a very difficult time.” Helen, mum. 
• We work across the UK to offer local support, advice and 
information in your area. 
• Our education service is aimed at parents with, or who 
suspect their child may have, special educational needs (SEN). 
• Contact a Family publishes a range of guides available online 
and in print covering all aspects of raising a disabled child. 
• Relevant, up to date and validated information on hundreds 
of disabilities and conditions is available via our online 
medical directory. Find out more about the causes, symptoms, 
treatment and the support available. 
• makingcontact.org is our special linking website which 
connects families going through similar experiences. 
• Supported by Contact a Family, our parent support groups are 
an ideal way to meet other parents and carers for friendship, 
for opportunities to socialise and to share information. 
For more information about all of Contact a Family’s information, 
advice and support services please visit www.cafamily.org.uk
3rd Floor, Royal Oak House, Royal Oak 
Avenue, Bristol BS1 4GB 
Information & Support: 0117 989 7725 
10 am – 2 pm 
Mon, Wed & Fri during term time 
Answer phone at all other times 
Parent Enquiries 
Email: support@supportiveparents.org.uk 
www.supportiveparents.org.uk 
Admin: 0117 9897724 
Email: mail@supportiveparents.org.uk 
Parent Partnership Services (PPS) offer 
free, confidential advice, information 
and support to parents and carers 
about special educational needs and 
disability (SEND). 
In North Somerset this service is provided by 
Supportive Parents. 
We are one of the most established independent 
Parent Partnership Services in the country offering 
effective partnership working with families and 
statutory services for the last 24 years! 
Supportive Parents is a charity providing 
information and support to families of children 
with any type of special educational needs (SEN) 
from 0-19 years in North Somerset. 
We are an independent organisation offering a 
free, confidential and impartial service to any 
parent who has a concern about their child’s 
Special Educational Needs and/or disability. 
We encourage parents and professional to work 
more closely together in the interests of the 
children, to voice the views of parents and raise 
awareness of SEN. 
Our service consists of: 
• Information and Support Line 
Open 10am-2pm, Monday, Wednesday and 
Friday during term time only - 0117 9897725 
(answerphone at all other times) 
• Help with paperwork and preparation 
for meetings. 
• We run a monthly support group alternating 
between The Firs in Weston Super Mare and 
The Firs, St Barnabas, Portishead. 
• The local coordinator works to support the 
local Parent Carer Forum, Our Voice Counts and 
has facilitated the SEN parent/carer workshops 
since the forum was established in 2008. 
• Free parent courses designed to give an 
overview of relevant Education policies 
and specific information relating to special 
educational provision. 
• Courses aimed at SENCO’s, school governors 
and trainee Educational Psychologists. 
• Regular E bulletins, to keep you up to date with 
information and SEND developments. 
• Termly newsletter available on our website or 
hard copy if required. 
Feedback from Service users; 
“Over the past 7 years Supportive Parents have 
helped with just about every aspect of our needs. 
Always very friendly, understanding and incredibly 
useful.” 
Comment from North Somerset Parent 
“Big thank you for a lovely, helpful and friendly 
support group last week.” 
Telephone call from a North Somerset Parent 
“Thank you Supportive Parents, for your support in 
the weeks running up to and at the school meeting. 
You’re amazing!!” 
Facebook comment from a North Somerset parent 
“I wanted to say a massive thank you for all your 
help, both before and during the meeting. It was 
fantastic to have the support and it gave us much 
more confidence going into the meeting” 
Email from a North Somerset Parent 
For further information please visit our website 
www.supportiveparents.org.uk 
Or visit our Facebook and Twitter pages. 
educational 
partnerships 
professionals. 
Registered Charity No: 1079761 Registered in England 
and Wales as Supportive Parents for Special Children 
Company limited by Guarantee No. 3905996 
Partnership with: 
languages, please contact us. 
Providing the Parent Partnership 
Service for Bristol, North Somerset 
and South Gloucestershire 
FOR PARENTS AND CARERS OF CHILDREN WITH SPECIAL 
EDUCATIONAL NEEDS AND DISABILITY (SEND) 
THIS SPACE 
COULD BE YOURS!! 
Call Kaddy 
NOW 
to advertise. 
07577 451931
WE NEED 
YOU! 
For our next Newsletter we would like you to......... 
draw a picture, write a song, poem and or a story to 
be featured on our Youth Page. 
Please send your work to: kaddy@elijahs-hope.org
www.elijahs-hope.org 
ELiJAH’S 
H PE CIC 
Support today, 
hope for the future... 
41 Churchill Avenue, Clevedon, North Somerset BS21 6QN Tel: 01275 269359 Mob: 07577 451931 
Email: kaddy@elijahs-hope.org Web: www.elijahs-hope.org 
Twitter: @ElijahsHopeCIC • Facebook: www.facebook.com/ElijahsHope • LinkedIn: www.linkedin.com/in/elijahshope 
Registered Office: Elijah’s Hope CIC, Hollingdale Pooley, Bromford House, 23 Westfield Park, Clifton, BS6 6LT Tel: 0117 973 3377 Fax: 0117 973 3371 Company No: 8661632 
Members of Voluntary Action North Somerset

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Supporting Families Facing Child Illness Through Elijah’s Hope CIC

  • 1. ELiJAH’S H PE CIC Support today, hope for the future... ELIJAH’S NEWS Welcome to Elijah’s Hope We are delighted to have officially launched Elijah’s Hope, a community interest company (CIC), which will help and support families facing acute challenges due to child illness. Established in honour of eight-year-old Elijah Hodges, who has a rare genetic disorder, our organisation will help children, young people and their families in a number of different ways. Our regular newsletters will include the full details of our upcoming workshops and luncheon clubs and will outline where and how you can get supported. In addition, each issue will be packed full of useful information to help you get access to the correct support therapy respite and funding and mobility aids, to which you are entitled. In this first issue you will discover why Elijah’s Hope was established and learn the importance of postural care, which is highlighted through our Postural Care Positive Deviance Initiative launching in May. Overall, we want to help take the stress out of your challenging situation and help make life easier. Kaddy with Ali Vowles and Doctor Phil Hammond at Radio Bristol in February this year. Life can be a rollercoaster and can easily get out of control when facing life changing situations, but through Elijah’s Hope we can offer the help needed to steer you back on track. Founder, Kaddy Thomas. “ May 2014 - First Edition
  • 2. Elijah’s Hope, Founder Kaddy Thomas, explains how her son became her inspiration to help others. Here is her touching story. Both Kaddy and Elijah suffer from Apert Syndrome, a rare genetic condition, which although Kaddy is able to lead a fairly normal life, Elijah requires full time care. Kaddy’s life was a rollercoaster from birth having been labelled mentally retarded, which at the age of one resulted in her Mother placing her in care. She spent eight years of her life in a residential children’s home for the severely disabled and two of those years she was placed in a hospital for the mentally handicapped. It was a matron who soon realised Kaddy had been misdiagnosed and she was released aged nine into a mainstream children’s home with a view to be being adopted. Sadly, her fate for a better life was quashed after being sexually abused by a foster carer and she ran away before being placed into emergency care. At 17-years she was placed in a council flat to live independently and life finally took a turn for the better when her son Elijah was born. “Being rejected at birth by my mother stayed with me until Jesus healed me, so when I became pregnant with my son he became my primary focus - my child is very much wanted and loved. I knew my condition was hereditary but to me Elijah is one of the best things that ever happened to me, so I was having him no matter what. He used to be able to sit up, talk and play independently but his life changed for the worse when he developed severe brain damaged at the age of 18 months. “I spent months of my life on an emotional rollercoaster, with so many unanswered questions trying to come to terms with what had happened. Elijah used to sit up and natter but now he is unable to move or respond. We spent just over a year at the Children’s Trust in Tadworth undergoing rehabilitation before moving to North Somerset in 2009. I became involved with the North Somerset Parents Forum for a while and then set up a parents luncheon club in Weston-super-Mare in 2011, but I could not self-fund it long term. “Elijah’s health has deteriorated further with several months of 2013 spent between Frenchay and Bristol Children’s Hospital, as he developed Clostridium Difficile infection - a type of bacterial infection that can affect the digestive system. He later developed a chest infection and at one point was admitted to intensive care. “Despite 2013 being the most horrendous year I decided to use my experiences to help others. Even after everything Elijah has been through he’s happy, content and no matter what is thrown at him he bounces back. He is my inspiration and the reason I want to help people. There are others out there who are going through the same ordeal or worse situation than me. I want to support and empower parents, children and young people with disability and or ill health. “I’m Elijah’s mum and I’ve set this company up because I’m sick to death of the injustices in the disability world. When facing a serious health problem parents may feel lost in a world where they have lost the will to live, and so I want to ensure families are well supported. I am offering tangible, practical support to families including helping them to discover what they are entitled to.” Who are we? Even after everything Elijah has been through he’s happy, content and no matter what is thrown at him he bounces back. He is my inspiration and the reason I want to help people. “ Postural Care - Positive Deviance Initiative Elijah’s Hope is keen to promote the importance of Postural Care. People with limited movement are most at risk of developing body shape distortion because they often sit and lie in limited positions. Postural care is about using the right equipment and positioning techniques to help protect and restore body shape. We provide a platform to celebrate and learn from improved outcomes in protecting and restoring body shape by launching the Positive Deviance (PD) Initiative. The PD approach is a problem solving, asset-based approach grounded in the fact that communities have assets or resources they haven’t tapped. The PD approach brings about sustainable behavioural and social change by identifying solutions already existing in the system. All Children, Young People and Adults, who either have little or no movement, need people who are fully trained in effective therapeutic night-time positioning. Elijah’s Hope can help with arranging quality assured, accredited training in therapeutic positioning and non-invasive measurement of body symmetry. Our first workshops are Postural Care Awareness Days on Thursday 22nd May & Tuesday 10th June. If you would like to attend please contact Kaddy 07577 451 931. This will include details on: • Measure Clinics • Report writing • Purchase of Sleep equipment • Identifying suitable mobility aids • Training for Parents, Carers, Nurses, Therapists • Follow up and review • Training up Postural Care Practitioners
  • 3. Our Postural Care Initiative Postural Care – we’ve a mountain to climb and we’ve only just got our boots on! My name is Sarah Clayton and I am a married mum with four wonderful children. I grew up in a house in which Postural Care and protection of body shape dominated many things, the working day for both my parents, conversations around the dinner table and I’m pretty sure I was the only person in school whose friends had all had their body symmetry measured. I began working with families supporting children who use Postural Care in the late 1990s and I have been addicted ever since. At that time the concepts of coproduction, positive deviance and outcome focussed service provision, which I will go on to discuss, simply did not feature. In 2007 my world fell apart when my eldest daughter Abi was diagnosed with a malignant brain tumour at just 6 years old, by the time we knew what was happening it had spread throughout the ventricles of her brain and down her spinal cord. It has been a devastating journey for Abi but she, like her mother, is a stubborn little madam and continues to face every day with courage and humour. The Postural Care mountain – where are we now? Postural Care is a gentle way of protecting a person’s body shape. Any person who finds it difficult to move or to change position effectively may benefit from Postural Care. Changes in body shape happen silently, mostly when we are asleep in our beds, at a time we would imagine we and those we love were safe from harm. The danger comes from gravity and so no matter what age the person is we must never lower our guard[i]. Ultimately body shape distortion is a killer, it is an enemy we must treat with the reverence and respect it deserves. The Confidential Inquiry into Premature Death of People with Learning Disabilities[ii] was published in March 2013 and is a harrowing read. The team recommended that adults with learning disabilities are “to be considered a high-risk group for deaths from respiratory problems”. They went on to recommend that alongside access to seasonal flu and pneumonia vaccinations “…CCGs must ensure they are commissioning sufficient, and sufficiently expert, preventative services for people with learning disabilities regarding their high risk of respiratory illness. This would include expert, proactive postural care support, aggressive treatment of gastro-oesophageal reflux, the ready availability of speech and language therapists or other suitably qualified nurses able to undertake swallowing assessments, the development of clear clinical pathways for gastrostomy insertion, and the frequent review of patients waiting for a gastrostomy procedure to protect them from risk of aspirating.” I would like to introduce an analogy at this point as we start to think about Postural Care provision in the UK. I have always imagined the ultimate goal, eradication of body shape distortion, as being the summit of a huge mountain. Just take a moment to imagine this goal, think about a world in which hip dislocation in young children is seen as the glaring exception and not an accepted norm, a world in which young people rarely undergo radical spinal surgery because they just don’t need to, a world in which people can get on and live their lives with minimal chronic pain and discomfort. The view would be amazing wouldn’t it? If we go back 25 years we can safely say that the vast majority of people did not even know this mountain existed but thanks to awareness raising work such as the wonderful 2010 Mencap campaign[iii] I hope that we have now acknowledged its existence and recognised its sheer enormity. There is a sense now however that some service providers, despite their best efforts have become stuck in the foothills. I am privileged to work both in the UK and overseas and I am struck by the common difficulties faced by practitioners who are working hard to improve outcomes. There is frustration at the misconception by some commissioners that provision a piece of specialist equipment must mean an improved outcome. It is as though practitioners have some of the tools they need “we provide sleep systems in this area” and they might be in possession of a map “we have a care pathway in place” but are they really striking out towards the summit and if they are what are their local commissioners doing to support them? What do sufficient, and sufficiently expert, preventative services look like? What are the key outcomes that they should aspire to achieve and, if a service is to describe itself as expert and proactive, where is the transparency and sharing of comparable outcomes with other service providers? We will only ever reach the top together. Postural Care is about making sure that people who are at risk of developing changes in their body shape are supported as symmetrically as possible, as comfortably as possible, 24 hours a day. It involves equipment such as wheelchairs, walking aids, standers, alternative seating, orthotics and night time positioning equipment, it is helped by active therapy and encouraging movement and it is directed by measurement of body symmetry. Most importantly Postural Care involves individuals, their families and personal assistants working alongside health and social care practitioners to coproduce effective, person centred solutions to often complex challenges. Over the past 25 years we have come to understand how and why the body changes shape, we have developed incredible equipment and technology, we know that people need timely access to this equipment and have the Community Equipment Code of Practice Scheme[iv] but we have only just begun to grapple with the concept of coproduction. Henry Ford is quoted as saying that “Quality means doing it right when no-one is looking” and this couldn’t be more true of Postural Care provision. We don’t see amazing results because a therapist has a Masters level qualification or a Doctorate, we see amazing results when we enable, inspire, motivate and trust families and personal assistants. Working in partnership with families, personal assistants and practitioners is for me the most exciting part of this journey. The biomechanics, the equipment, the technology – they are all very interesting and helpful but there is nothing that compares to the buzz of seeing people succeed, of supporting a parent to fashion a solution that best suits their circumstances, of seeing a family whose happiness, health and wellbeing are inextricably linked to one another doing well. It is this passion, this drive and this sheer determination that exists within families that practitioners need somehow to capture, to embrace and to nurture if we are to ensure that at 2am the pillow, towel or teddy bear is in exactly the right place.
  • 4. Clair Lewis’s poem ‘Mother – Care’ gives a sense of this commitment and drive, here is an extract: I am her MOTHER her full time adorer who explodes when she smiles whose heart breaks when she cries who worries constantly and continually sheds the tears which cushion her ride through this mess I’m here because I love her how about you? don’t compare my contribution to what you do. Clair Lewis http://www.johnnypops.demon. co.uk/poetry/poetry/mothercare.htm Positive Deviance and Outcome Focussed Postural Care The concept of Positive Deviance is one that we as an organisation have embraced wholeheartedly[v]. There is a wealth of information about Positive Deviance available and this is not the place to go in to too much detail however, put simply, it is about looking for the people who achieve a better outcome than the majority when faced with the same problem. In the UK we are actively searching for the services, families and organisations that achieve great results in relation to Postural Care and we are asking them two simple questions, what have you done and how have you done it? My experience as a parent of a child that has undergone treatment for cancer has taught me what it is like to be supported by an outward looking team. What do I mean by this? I mean that the world of paediatric oncology is one in which a collaborative approach, a sharing and acknowledgement of better results, leads to improved services for children like mine. The team supporting us as a family are constantly talking to, working with and supporting other teams from around the world to improve treatment outcomes. It is a model that we as an organisation aspire to and hope we can support by sharing results from around the world. A wonderful example of Positive Deviance can be found in Wakefield. GMFCS Gross Motor Function Classification Scale 1 Children who can walk, run, jump and climb stairs but who have some impairment of speed, balance and/or coordination 2 Children who can walk in and outdoors and climb stairs but have some difficulties with such things as uneven ground or crowds 3 Children who use walking aids but use wheelchairs for long distances 4 Children who use walking aids for short distances but use wheelchairs most of the time 5 Children who use wheelchairs for all mobility and need postural support in order to be able to sit comfortably Total number of children and young people aged 0-18 supported by the service Hips dislocated 75% Migration over 75% of femoral head uncovered by acetabulum Wakefield 122 106 46 274 0 Table 1: Outcome data for physiotherapy services in Wakefield district There are a total of 274 children and young people aged between 0 and 18 who access the physiotherapy service in Wakefield led by Suzanne Carter, of these 122 have a Gross Motor Function Classification Scale (GMFCS) of 1, 106 have a GMFCS of 2 or 3 and 46 have a GMFCS of 4 or 5. In answer to the question ‘What have you done?’ they have reached the summit. Not a single child or young person accessing this service has a dislocated hip and in the past 12 months only 4 have undergone preventative soft tissue surgery. The response to the second question is more complicated and can be found here www.posturalcareskills.com/living-university but in essence they are wholly outcome focussed. Over the past 25 years a culture of impunity has developed in which basic, person-centred outcomes are not being recorded, collated or shared. If you want to know how successful a school is in teaching maths you don’t ask how many maths lessons each child receives – you look at the results and compare them with similar schools. The work in Wakefield gives individuals and their families, commissioners and service providers a benchmark, surely if we are to see improvements in services we have to be asking each and every area what are their outcomes and how do they compare? In Suzanne’s own words “This service hasn’t happened overnight, it has developed over the last 9 years to give us the successful outcomes of today. The important points to stress are that it is by giving the families some control and positive expectations for their children that go more than halfway to bringing them success. Also, this has been a result of long term, dedicated staff who are happy to work alongside each other to develop a service giving our children the right to expect these positive outcomes.” Whilst Suzanne and her team have achieved a great deal working in partnership with families they are also very aware that their service is vulnerable to change, she continues to work closely with the local commissioning team to ensure everyone understands the outcomes they are being paid to deliver. I come back to the idea of our mountain, of how far we have to go and of the summit. 25 years into the future we will live in a world in which hip dislocation in young children is seen as the glaring exception and not an accepted norm, a world in which young people rarely undergo radical spinal surgery because they just don’t need to, a world in which people can get on and live their lives with minimal chronic pain and discomfort. They are already having a cup of tea and looking out at the view in Wakefield so if your initial reaction to this vision was scepticism this is an opportunity to reflect, a chance to reconsider what might be possible if only we were brave enough to look up. [i] Hill, S. and Goldsmith, J., ‘Biomechanics and Prevention of Body Shape Distortion’, The Tizard Learning Disability Review, Vol. 15, Issue 2, pgs. 15 – 29, 2010 [ii] Heslop et al: “Confidential Inquiry into the Premature Death of People with Learning Disabilities: Final Report.” Norah Fry Research Centre, March 2013 [iii] Postural Care Action Group www. mencap.org.uk/posturalcare [iv] Community Equipment Code of Practice Scheme (CECOPS) www.cecops.org.uk [v] The Postural Care Living University www. posturalcareskills.com/living-university PMLD Link Article December 2013 Posted on January 5, 2014 by Sarah Clayton This article was published in PMLD Link in December 2013. This journal is dedicated to promoting best practice and information to improve the lives of individuals with complex physical and learning disabilities. You can subscribe to PMLD Link at http://www.pmldlink.org.uk/
  • 5. Postural Care Awareness Day Protection of body shape – a better quality of life for individuals with complex physical needs. What is a Postural Care Awareness Day? Recommendation 9 of CIPOLD states that people with Learning Disabilities be considered at high risk of respiratory illness and should have access to proactive, expert, preventative postural care services – but what does this mean and how do we know we are providing it? An Awareness Day provides people with an opportunity to learn about the general principles of postural care, to discuss their role in supporting postural care provision and to consider some of the lessons that have been learned by others. What will we cover during the day? We are able to cover a range of topics from our accredited course programmes and so we can be flexible with our Awareness Day content. Usually people ask us to cover the following topics: how and why does the body change shape; protection of the hips and pelvis; protection of the chest and spine; safety planning; thermal comfort; how to demonstrate objective outcomes. We usually offer a practical session during which we demonstrate how to position an individual in lying. Who might benefit from attending? Anyone with an interest in supporting individuals to access 24 hour postural care or those with a responsibility to demonstrating outcomes in relation to service provision. We want to invite both practitioners and family carers, is that OK? Absolutely. We are passionate about supporting everyone to learn together, in 2010 we were shortlisted for an Accolade Award for most effective practice in workforce development for doing just that! How long will the day last and how many people can come along? We can offer a range of times to suit your organisation including evening sessions. We find that a maximum number of 30 people allows for constructive discussion without overwhelming those who wish to ask questions. Protection of body shape – a better quality of life for individuals with complex physical needs Protection of body shape – a better quality of life for individuals with complex physical needs Sample Awareness Day Programme 9.30am Welcome and Introductions 10.00am Presentation and Discussion What is a Postural Care Awareness Day? Recommendation 9 of CIPOLD states that people with Learning Disabilities be considered at high risk of respiratory illness and should have access to proactive, expert, preventative postural care services – but what does this mean and how do we know we are providing it? An Awareness Day provides people with an opportunity to learn about the general principles of postural care, to discuss their role in supporting postural care provision and to consider some of the lessons that have been learned by others. What will we cover during the day? We are able to cover a range of topics from our accredited course programmes and so we can be flexible with our Awareness Day content. Usually people ask us to cover the following topics: how and why does the body change shape; protection of the hips and pelvis; protection of the chest and spine; safety planning; thermal comfort; how to demonstrate objective outcomes. We usually offer a practical session during which we demonstrate how to position an individual in lying. Who might benefit from attending? Anyone with an interest in supporting individuals to access 24 hour postural care or those with a responsibility to demonstrating outcomes in relation to service provision. We want to invite both practitioners and family carers, is that OK? Absolutely. We are passionate about supporting everyone to learn together, in 2010 we were shortlisted for an Accolade Award for most effective practice in workforce What is a Postural Care Awareness Day? Recommendation 9 of CIPOLD states that people with Learning Disabilities be considered at high risk of respiratory illness and should have access to proactive, expert, preventative postural care services – but what does this mean and how do we know we are providing it? An Awareness Day provides people with an opportunity to learn about the general principles of postural care, to discuss their role in supporting postural care provision and to consider some of the lessons that have been learned by others. What will we cover during the day? We are able to cover a range of topics from our accredited course programmes and so we can be flexible with our Awareness Day content. Usually people ask us to cover the following topics: how and why does the body change shape; protection of the hips and pelvis; protection of the chest and spine; safety planning; thermal comfort; how to demonstrate objective outcomes. We usually offer a practical session during which we demonstrate how to position an individual in lying. Who might benefit from attending? Anyone with an interest in supporting individuals to access 24 hour postural care or those with a responsibility to demonstrating outcomes in relation to service provision. We want to invite both practitioners and family carers, is that OK? Absolutely. We ‘How and why does the body change shape – protecting the hips, pelvis, chest and spine’ 11.30am Coffee Break 11.45am Presentation - The Family Project, what can we learn from people that have done this before? 1.00pm Lunch 1.45pm Practical Activities – predicting body shape distortion 2.15pm Safety Planning 3.00pm Plans for the future 4.00pm Close Postural Care CIC are a social enterprise specialising in the development and delivery of accredited postural care training. We are able to offer: Nationally recognised training in the use of postural care and measurement of body symmetry in partnership with OCNWMR Support for both families and therapists who are looking to provide postural care for individuals with complex body shape Train the trainer courses for therapists and other health or social care professionals who wish to deliver accredited training Please visit our website: www.posturalcareskills.com or contact Sarah@posturalcareskills.com who will be more than happy to discuss how we might be able to help. University of Bristol - CIPOLD is the Confidential Inquiry into premature deaths of people with learning disabilities. CIPOLD is funded by the Department of Health. We aim to improve the health and well-being of people with learning disabilities by carrying out an inquiry into their death. For general enquiries contact the CIPOLD office: Email: ci-team@bristol.ac.uk Tel: 0117 331 0980 Norah Fry Research Centre 8 Priory Road Bristol BS8 1TZ Social Media If you would like to keep up to date with what we are doing here at Elijah’s Hope then you can: Follow us on Twitter: @ElijahsHopeCIC Like our Facebook page: www.facebook.com/ElijahsHope Connect with us on LinkedIn: www.linkedin.com/in/elijahshope Add us on Google+: Kaddy Thomas
  • 6. Supported by Postural Care Protecting and restoring body shape Do you support someone with multiple disabilities or responsible for commissioning services for them? If the answer is yes, you need to know about postural care. Supported by Postural Care Protecting and restoring body shape support someone with multiple disabilities or are you responsible for commissioning services for them? If the answer is yes, you need to know about postural care. For more information visit: www.mencap.org.uk The importance of protecting body shape Mencap and a number of organisations, including Postural Care Skills, PAMIS, the Chartered Society of Physiotherapy and the Royal College of Nursing came together in 2008 to form the Postural Care Action group. Together we wanted to raise awareness about the importance of postural care. Postural care is about protecting body shape for people with complex healthcare needs and movement difficulties, such as those with profound and multiple learning disabilities. People who find it hard to move are most at risk of developing body shape distortions. This is because they often sit and lie in limited positions. Postural care is about using the right equipment and positioning techniques to help protect and restore body shape. The earlier the intervention, the better - but it is never too late to start protecting someone’s body shape. Failure to protect body shape can have serious consequences for a person’s health and quality of life. It can even cause premature death. Over the last couple of years we have been running an awareness-raising campaign to tell more people about this important issue. The campaign is aimed at all those who support people with multiple disabilities or who commission services for them. We want to challenge the assumption that distortion of body shape is inevitable for people with multiple disabilities. We want all people with multiple disabilities to get the support they need to protect their body shape, 24 hours a day. “ The booklet, film clips and presentation can be viewed at: www.mencap.org.uk/posturalcare Please use these materials to help spread the word. We want as many people as possible to understand the importance of postural care. 11 pathway There needs to be a clear postural care pathway in place, which involves professionals and families working together to support someone’s posture. We have produced a booklet and some short filmclips explaining why postural care is important and what you can do to take action to ensure that appropriate postural care services are developed in your local area. We have also developed a powerpoint presentation, which you could use to tell other people about the importance of postural care.
  • 7. Workshops & Events As part of our on-going commitment to helping people in need, Elijah’s Hope stages regular workshops and monthly luncheons. We will be launching the Postural Care - Positive Deviance Initiative in May starting in Bristol and we will cover the whole of the South West. The aim of our events will be able to bring likeminded people together to share their experiences and offer one to one peer support. Please find details below of our upcoming events: *Workshops: Postural Care Awareness Day • Thursday 22nd May - Bristol • Tuesday 10th June - Bristol Also, in May, we will be running the first of our Swimathon’s at Kings Fitness & Leisure Centre in Cheddar (booking form below). We are hoping to put on a whole series of these in each county in the South West so visit our new website at www.elijahs-hope.org, download a form and get fundraising!! You can also use our form below, just complete and return. By raising cash you will be changing children’s lives for the better. All money raised will be split between Elijah’s Hope and also CDKL5 (www.cdkluk.org). * The Parent Cafe Parents weekly evening support group meet on Tuesday’s every week at The Barn, Clevedon 19:30 until 21:00 ELIJAH’S HOPE SWIMATHON BOOKING FORM Name ......................................................................................................................................................................................... Address ..................................................................................................................................................................................... ...................................................................................................................................................................................................... Telephone / Mobile ................................................................................................................................................................ Email ......................................................................................................................................................................................... Team entry Yes  No  Names of team members ..................................................................................................................................................... ...................................................................................................................................................................................................... Individual entry Yes  No  Payment required on booking Group = £ ___________ Individual = £ ___________ Return the completed booking form and entry fee to: Kaddy Thomas, Elijah’s Hope CIC, 41 Churchill Avenue, Clevedon, North Somerset BS21 6QN Cheques made payable to Elijah’s Hope CIC ✂ CAN YOU SWIM THE CHANNEL? W THE FUN! Saturday 17th May 2014 12:00 to 5:00pm Kings Fitness & Leisure Cheddar POOLING CASH FOR ELIJAH’S HOPE AND CDKL5 JOIN US TAKE THE PLUNGE AND SIGN UP FOR A SWIM THE ENGLISH CHANNEL EVENT You won’t actually swim the channel of course, we are looking for teams or individuals to swim in total 21 miles for 2 worthy causes - Elijah’s Hope & CDKL5 By raising cash for Elijah’s Hope and CDKL5 UK you’ll be helping to change children’s lives for the better because the money raised will be ploughed back into the company, which helps ill or disabled children and their families. CDKL5 UK is a UK based charity that has been set up to raise awareness and vital funds for the global research effort. The trustees of CDKL5 UK are made up of parents living with a child with CDKL5 as well as family and friends who all share the same goal. CDKL5 is classed as a orphan disease, as it affects a small percentage of the population. CIC Support today, hope for the future... Entries Teams (max 5) £25.00 Adults £10.00 Children & Young People £6.00 Sponsorship forms can be downloaded via our website. www.elijahs-hope.org Please take part and help to make a difference. Minimum sponsorship is £100.00 for Single entries and £350.00 for Teams Kings Fitness & Leisure | Station Road | Cheddar | Somerset | BS27 3AH
  • 8. Parent Forums The Bournemouth Parent and Carer Forum are involved with consultations regarding all kinds of changes that are going to impact on families with children/adults ages from 0 – 25 years old with may have Special Educational Needs, Complex Medical, Social, Emotional, Behavioural and other disabilities. We offer a specialist consultation and participation service that gives parents and carers a voice about the services and support their children and families receive. So by listening we can clearly identify what is commonly working well, what needs improving and what is missing – also referred to as “gaps in provision”. The feedback we gather is fed back via meetings with Bournemouth Borough Council, NHS, Social Services and other agencies. We hold regular events such as workshops, training, coffee mornings, advice, peer to peer support. Email: bournemouthparentcarerforum@gmail.com Web: www.parentcarerforum.co.uk Registered Charity Number 1151503 CAKE Care, Advice, Knowledge, Empathy Are you a parent of a child or young person with a disability and/or additional needs? Are you concerned about your child’s behaviour or social skills? Do you sometimes wish you had someone to talk to? Come along to the Parent Cafe. We are a group of parents with children and young people with additional needs. We are here to support, listen, chat to and get information from. You do not need to have a diagnosis for your child to come along! Every Tuesday at The Barn, Clevedon From 7.30pm – 9pm Just come along, there is no charge and refreshments are available. Please contact us if you would like to come along as the venue may change. Contact Angie or Lorna angie.pass@hotmail.co.uk lornarob18@gmail.com or phone 07910 265513 BOURNEMOUTH PARENT CARER FORUM THE PARENT CAFE PARENT CARER COUNCIL FOR CORNWALL Our aim is to gather information from Parent Carers and using these unique shared experiences, we take part in consultations and participation work which helps us to shape the development and delivery of services to our children. We also pass on information to families via a newsletter enabling parent carers to gain greater knowledge and understanding of the services available from health, education, local authority and the voluntary sector. Contact Details: Kay Henry 07973 763332 • k.henry61@btinternet.co.uk http://www.parentcarercouncilcornwall.org.uk Founded in 2008, the Wiltshire Parent Carer Council (WPCC), is an independent voluntary organization, which is managed and run by parent carers, for parent carers. We provide a consultation and participation service which enables parent carers to have a voice services and support their children and families use. This service offers real opportunities to influence and shape provision. We also provide the Special Educational Needs and Disabilities Information Service, which offers a wealth of information as well as signposting to specialist services. Our bespoke website aims to give visitors an enjoyable experience in accessing the information they require, or finding out things they never knew about! Contact one of the team to support you through the website, or to access information. We are open from 10am-5pm Monday-Friday. (Moving 13/3/14)!!!! – but email is the same Wiltshire Parent Carer Council, Freepost RSXC-­‐YTUB-­‐KTBL, Fordbrook Business Centre, Unit 3, Marlborough Road, Pewsey, Wiltshire, SN9 5NU admin@wiltspcc.co.uk 01672 569300 Improving Services for Disabled Children WILTSHIRE PARENT CARER COUNCIL Founded in 2008, the Wiltshire Parent Carer Council (WPCC), is an independent voluntary organization, which is managed and run by parent carers, for parent carers. We provide a consultation and participation service which enables parent carers to have a voice services and support their children and families use. This service offers real opportunities to influence and shape provision. We also provide the Special Educational Needs and Disabilities Information Service, which offers a wealth of information as well as signposting to specialist services. Our bespoke website aims to give visitors an enjoyable experience in accessing the information they require, or finding out things they never knew about! Contact one of the team to support you through the website, or to access information. We are open from 10am-5pm Monday-Friday. (Moving 13/3/14) Wiltshire Parent Carer Council, Freepost RSXC-YTUB-KTBL, Fordbrook Business Centre, Unit 3, Marlborough Road, Pewsey, Wiltshire, SN9 5NU admin@wiltspcc.co.uk 01672 569300 Contact a Family is the only national charity that exists to support the families of disabled children whatever their condition or disability. With over 30 years of experience, our vision is that families with disabled children are empowered to live the lives they want and achieve their full potential, for themselves, for the communities they live in, and for society. It’s why we offer support, information and advice to over 340,000 families each year and campaign for families to receive a better deal. Contact a Family offers a range of ways for parent carers to get the support, advice and information they need. This includes: • Our free national helpline – 0808 808 3555 – where you can speak to one of our expert advisors for information, advice and help on any aspect of caring for a disabled child. Our parent advisers are available on our helpline Monday to Friday, 9.30am to 5.00pm. Alternatively you can email: helpline@cafamily.org.uk, post an enquiry on Facebook or Twitter. • Our benefits and welfare experts are also on hand via our helpline to provide you with the practical advice and support to help you find the best way through the benefits and tax credit maze. “I am so glad I got the opportunity to have the help and support from Contact a Family. I can’t begin to explain how they helped me and my family through a very difficult time.” Helen, mum. • We work across the UK to offer local support, advice and information in your area. • Our education service is aimed at parents with, or who suspect their child may have, special educational needs (SEN). • Contact a Family publishes a range of guides available online and in print covering all aspects of raising a disabled child. • Relevant, up to date and validated information on hundreds of disabilities and conditions is available via our online medical directory. Find out more about the causes, symptoms, treatment and the support available. • makingcontact.org is our special linking website which connects families going through similar experiences. • Supported by Contact a Family, our parent support groups are an ideal way to meet other parents and carers for friendship, for opportunities to socialise and to share information. For more information about all of Contact a Family’s information, advice and support services please visit www.cafamily.org.uk
  • 9. 3rd Floor, Royal Oak House, Royal Oak Avenue, Bristol BS1 4GB Information & Support: 0117 989 7725 10 am – 2 pm Mon, Wed & Fri during term time Answer phone at all other times Parent Enquiries Email: support@supportiveparents.org.uk www.supportiveparents.org.uk Admin: 0117 9897724 Email: mail@supportiveparents.org.uk Parent Partnership Services (PPS) offer free, confidential advice, information and support to parents and carers about special educational needs and disability (SEND). In North Somerset this service is provided by Supportive Parents. We are one of the most established independent Parent Partnership Services in the country offering effective partnership working with families and statutory services for the last 24 years! Supportive Parents is a charity providing information and support to families of children with any type of special educational needs (SEN) from 0-19 years in North Somerset. We are an independent organisation offering a free, confidential and impartial service to any parent who has a concern about their child’s Special Educational Needs and/or disability. We encourage parents and professional to work more closely together in the interests of the children, to voice the views of parents and raise awareness of SEN. Our service consists of: • Information and Support Line Open 10am-2pm, Monday, Wednesday and Friday during term time only - 0117 9897725 (answerphone at all other times) • Help with paperwork and preparation for meetings. • We run a monthly support group alternating between The Firs in Weston Super Mare and The Firs, St Barnabas, Portishead. • The local coordinator works to support the local Parent Carer Forum, Our Voice Counts and has facilitated the SEN parent/carer workshops since the forum was established in 2008. • Free parent courses designed to give an overview of relevant Education policies and specific information relating to special educational provision. • Courses aimed at SENCO’s, school governors and trainee Educational Psychologists. • Regular E bulletins, to keep you up to date with information and SEND developments. • Termly newsletter available on our website or hard copy if required. Feedback from Service users; “Over the past 7 years Supportive Parents have helped with just about every aspect of our needs. Always very friendly, understanding and incredibly useful.” Comment from North Somerset Parent “Big thank you for a lovely, helpful and friendly support group last week.” Telephone call from a North Somerset Parent “Thank you Supportive Parents, for your support in the weeks running up to and at the school meeting. You’re amazing!!” Facebook comment from a North Somerset parent “I wanted to say a massive thank you for all your help, both before and during the meeting. It was fantastic to have the support and it gave us much more confidence going into the meeting” Email from a North Somerset Parent For further information please visit our website www.supportiveparents.org.uk Or visit our Facebook and Twitter pages. educational partnerships professionals. Registered Charity No: 1079761 Registered in England and Wales as Supportive Parents for Special Children Company limited by Guarantee No. 3905996 Partnership with: languages, please contact us. Providing the Parent Partnership Service for Bristol, North Somerset and South Gloucestershire FOR PARENTS AND CARERS OF CHILDREN WITH SPECIAL EDUCATIONAL NEEDS AND DISABILITY (SEND) THIS SPACE COULD BE YOURS!! Call Kaddy NOW to advertise. 07577 451931
  • 10. WE NEED YOU! For our next Newsletter we would like you to......... draw a picture, write a song, poem and or a story to be featured on our Youth Page. Please send your work to: kaddy@elijahs-hope.org
  • 11. www.elijahs-hope.org ELiJAH’S H PE CIC Support today, hope for the future... 41 Churchill Avenue, Clevedon, North Somerset BS21 6QN Tel: 01275 269359 Mob: 07577 451931 Email: kaddy@elijahs-hope.org Web: www.elijahs-hope.org Twitter: @ElijahsHopeCIC • Facebook: www.facebook.com/ElijahsHope • LinkedIn: www.linkedin.com/in/elijahshope Registered Office: Elijah’s Hope CIC, Hollingdale Pooley, Bromford House, 23 Westfield Park, Clifton, BS6 6LT Tel: 0117 973 3377 Fax: 0117 973 3371 Company No: 8661632 Members of Voluntary Action North Somerset