1. What difference do we make? Dr Beth Greenhill, Mersey Care NHS Trust Alice Donald, Senior Research Fellow, London Metropolitan University Human Rights in Healthcare launch, 21 November 2012

2. What do we want to change?

3. Different types of change Knowledge – what people know about human rights Understanding – how they ascribe relevance or importance to human rights Skills – how they apply that knowledge and understanding in day-to-day decision-making Behaviour – how they treat and relate to others Perspective – how they sees themselves in relation to others and the values they hold Experience - how they experience others' treatment of/behaviour towards them and how it makes them feel IMPACT – what changes? Human rights better protected?

4. Different types of change: examples Using human rights as a practical tool to… improve hydration and nutrition on wards assess and manage risk among adults with learning disabilities assess and improve the quality of life of people with dementia on wards transform the organisational culture of a high security mental health hospital.

5. Known benefits: ‘co-producing’ services “We are the magic... The group could not happen without us!” “I don’t feel as invisible now.” Service users from the ‘Standing up for my rights’ group, Mersey Care NHS Trust

6. Known benefits: the ‘business case’ “This innovative way of working and more positive construction of the service user, improves the quality of care today and has the potential to reduce the likelihood of intervention tomorrow. The human rights-based approach provides an elegant, unifying … framework drawing together disparate strands of current best practice and making these real in the lives of the people who use our service.” Evaluation at Mersey Care NHS Trust

7. Known benefits: organisational renewal “The adoption of a human rights- based approach was successful in supporting a cultural change from an institution where rights were largely ‘left at the door’, and with a ‘them and us’ culture, towards an organisation with a more positive and constructive atmosphere …”. Evaluation at The State Hospital, Scotland

9. Your mission… On your tables… In the next 10 minutes …  Write down one idea which has caught your imagination today and that you’d like to take back to your organisation.  How would you know if anything had changed in practice? What evidence would you look for to show that people’s rights were being better respected?