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‘A process of heightened observation, monitoring and structured interventions; implemented to reduce the risk of harm or injury to a person or individual within the clinical environment to ensure a person-centred approach to care and safety.’​

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Considered when …​

Close monitoring of physical, emotional and mental well-being is deemed necessary​

Enhanced encouragement of independence is required​

Active engagement and participation is required to ensure safe-care​

The care of this patient requires enhanced monitoring to maintain safety ​

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… but REMEMBER … this does not always require additional staffing​

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Add QR codes for Pilot Evaluations here

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Upload document here

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A support tool to enable person-centred care

'This is me'can be used to record details about a person who can't easily share information about themselves. For example, it can be used to record:

a person's cultural and family background

important events, people and places from their life

their preferences and routines.

The leaflet can be used in any setting - at home, in hospital, in respite care or in a care home.

'This is me'helps health and social care professionals better understand who the person really is, which can help them deliver care that is tailored to the person's needs.

It can therefore help to reduce distress for people with dementia and their carers. It can also help to overcome problems with communication, and prevent more serious conditions such as malnutrition and dehydration.

'It is a brilliant, simple product which I highly recommend.'

- Carer of a person living with dementia

Now in its fourth edition, 'This is me'has been endorsed by the Royal College of Nursing since 2010. The latest edition includes changes that were suggested by people living with dementia, carers and health and social care professionals.
After downloading the leaflet, you can either:

print it out and fill it in by hand

save the file to a device and add text electronically.

Photos can only be added by hand once the leaflet is printed.
You can buy a pack of 25 for £3.50 + postage and packaging from our online shop .

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'This is me'can be used to record details about a person who can't easily share information about themselves. For example, it can be used to record: a person's cultural and family background important events, people and places from their life their preferences and routines.

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Details of Johns Campaign here

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The Lister Hospital (part of East and North Hertfordshire NHS Trust) offers Carer Passports, as do many other welcoming hospitals and trusts

Find your hospital or home's pledge to support John's Campaign on our Participants page.
We know that families come in all varieties. They're not always genetically related and sometimes it is a close friend who matters most. We believe that individuals are their own best judges who is essential for their emotional or practical well-being. We think that, wherever possible, they should be asked and their wishes respected.

Legally carers are people who provide personal care, support and assistance to another individual who is in need of support due to disability, medical condition, including terminal or chronic illness, mental illness or is frail and aged.

Our campaign can apply to anyone with a special need and is therefore in line with Equality legislation as well as human-kindness and common sense.

We believe that carers should not just be 'allowed' but should be welcomed. They are the experts in the person for whom they care and best outcomes are likely when they work in partnership with the medical or social professionals. Often they have legal duties such as power of attorney or court of protections deputy. They can observe and advocate: communicate, remember, explain and reassure.

However family carers often have other responsibilities. They have a right but not a duty to continue to care.

John's Campaign applies to all hospital settings (acute, community, mental health). We have come to realise that its principles must extend to all other caring institutions where people are living away from those closest to them.

Over 1500 institutions have pledged support in the time since the campaign was founded in November 2014 by Nicci Gerrard and Julia Jones.

The current coronavirus pandemic has tested their commitment beyond anything they or we could ever have imagined. Thank you to all who still honour your Carers Welcome pledge.

John's Campaign is not a tick box exercise: it's an attitude of mind which respects the rights and choices of the person who needs care and values the essential input of the informal carer (or family member) as well as the expertise of the professional. Everyone has a part to play in this.

The campaign's name honours Dr John Gerrard, who was a doctor and a business man, and diagnosed with Alzheimers in his mid seventies. It was a slow decline, that sped up when he was ill or upset, for ten years. Then, at the start of February 2014, he went into hospital. He had infected leg ulcers which weren't responding to antibiotics. The hospital had a norovirus outbreak which meant visitors weren't allowed at all. He was there for five weeks.

John went in strong, mobile, smiling, able to tell stories about his past, to work in his garden and help with things round the house. He was able to feed himself, to keep clean, to have a good kind of daily life. He came out skeletal, immobile, incoherent, requiring 24-hour care and barely knowing those around him.

His family are sure that if he had not spent that time alone, without them, he would not have descended into such a state of deep delirium. Having someone with you - someone who you love, who you know, whose face you know (be they your carer, your family, your friend, your lover) - helps keep you tied to reality, to life, to sanity.

John died in November 2014. His story, however, is still repeated. Far too many people die cut off from the people who care for them. Far too many places have dangerously over-restrictive policies (both predating and during the present pandemic) preventing people from being with people who need them.

In the wake of his death, John's daughter, Nicci Gerrard, cofounded John's Campaign with Julia Jones, whose mother, June, also lived well with dementia (both Alzheimer's and vascular) for many years before her death in 2018. John's Campaign is June's Campaign, is Everyone's Campaign, for none of us should be blocked from our best, most special friends, family or carers.

John's Campaign tries to give people a voice - to share information, experiences or enthusiasm. Our blog page is at the heart of this though you will also find personal experience on the experiences page and plenty of information via articles and resources. We have a public Facebook page and a care home and support group for care home managers as well as relatives. Interacting on Twitter is also very important to us. Blog posts are shared via Twitter and Facebook. If you have something you'd like to write about please contact julia@johnscampaign.org.uk.

The posts include the 'Why I Love My Job' series, which celebrates working in health and social care So far this series has featured activity facilitators, carers (both family and professional), carers liaison officers, chefs, directors, managers and nurses. Use this to share your personal enthusiasm for your work, whether paid or voluntary.

My Visiting Plan, a form through which patients with dementia (with assistance of family/carers as necessary) can express their wishes regarding visitors: Who do you want to visit, who don't you want to visit, when do you want them to visit and when do you want to rest?

Along the way, we've built up a collection of resources. These are shared on this site for assistance and inspiration, and are of a number of types: banners; carer awareness training, badges, charters, definitions, handbooks, information, passports; evaluations; family rooms; recliners; support packs; welcome posters...

Everything we host here can be used by you, but please give acknowledgement where appropriate.

Over 1500 hospitals and homes (and some others, such as ambulance trusts, clinical commissioning participants, domiciliary care companies, hospices and primary care providers) have pledged to support our principles of inclusion. We believe that people, particularly those with dementia, other mental illnesses, or otherwise in need of care, should not be separated from those important to them by protocols and systems that are harmful and wrong.

Many other influental individuals and organisations have expressed their support and partnered with us, a list of some of them is shown on our Partners page.

We are unrepayably indebted to all those who have helped us and carried the torch of change, of civil liberties, of common sense, of human rights.

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Find your hospital or home's pledge to support John's Campaign on our Participants page. We know that families come in all varieties. They're not always genetically related and sometimes it is a close friend who matters most. We believe that individuals are their own best judges who is essential for their emotional or practical well-being.

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Standard Operating Procedure: Enhanced Care Framework

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Standard Operating Procedure: Enhanced Care Framework

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Standard Operating Procedure. Enhanced Care Framework V1 09092024

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Use this to perform the weekly assessment/re-assessment to identify patients requiring Enhanced care

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New Enhanced Care Framework Training PPT

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New Enhanced Care Framework Training PPT

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Please take a look at this to familiarise yourself with the Enhanced Care Framework, its application, updates and patient management

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Check out this Padlet for information on activities to introduce with your patients to enhance their engagement

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Enhanced Care Framework 7-Day Management Booklet

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Enhanced Care Framework 7-Day Management Booklet

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This booklet is the format to use when a patient is requiring Enhanced Care: containing Level Indicator cards; behaviour charts; daily review, staff rotation record and patient information leaflet

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Enhanced Care Framework 7 day Individual Management Plan  Record V5 

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Guide to framework completion and review