"How did I get here?

A brief history

"I once had a coaching session from a senor director in the NHS. back in 2016 I didn't really have any idea why it was me that was chosen to lead on a huge piece of work across Sussex. "How did you get here?" was the central question that she stuck to for a full 45 minutes. it was gruelling - she interrupted a few times, "no, not interested in that, how did you get here?" I kept swerving the training, the learning, the natural tendencies I had in the workplace. eventually she sighed and looked a the notes she had drawn. "you have been working on this for 20 years, why are you surprised?"

In a way that is simply what this project is all about. its about a continuing line of inquiry that gets to the heart of issues and reduces the amount of "that will do for now" mentality that is in the system.

I have worked in the nexus of the Sussex and national health and social care system for 15 years. working on large scale on the Case for Change for the Sustainability and Transformation Partnership for Mental Health in Sussex reaching into all of the workstreams specifically the suicide prevention workstream.

I have had the privilege of presenting at international and national forums and delivered the Czech Republic Mental Health system on power and relationships.

Presenting to the IHI/BMJ conferenceat Excel in London 2024

BIO - Louise R. Patmore is a systems convenor, transformation leader, and social policy practitioner specialising in trauma-informed systems, multiple disadvantage, mental health, and whole-system change. With over 15 years of experience working across the NHS, local government, and the voluntary and community sector, she has led major programmes focused on prevention, participation, organisational development, and integrated care.

Louise has worked across health, local government, voluntary sector and community partners to address complex challenges and build more preventative, compassionate and connected systems. She developed the Pressure Map Index, an innovative approach to understanding system pressures and demonstrating the impact of prevention and early intervention. and is the author of the Trauma Informed Framework for Sussex ICS and led the national Changing Futures Community of Learning for 3 years.

Louise holds a BA (Hons) in Social Policy (2:1) from the University of Brighton and an ILM Level 5 Diploma in Business Management and Leadership.

She is qualified in Adult Faciliation and teaching (PTTLS) and is a Quality Improvement (QI) Silver Practitioner, with additional training in PRINCE2 project management, coaching and comapssaionte leadership organisational development Trauma-Informed Practice, Mental Health First Aid. and systems change methodologies including Human Learning Systems, Systems Convening and Liberating Structures. a member of Q foundation for 10 years.

Substack Articles

Banyan Vision: A Blueprint for system archaeology in health and social care systemsHolding Complexity and enabling coherence.

System Wisdom: Converging Lines of Inquiry in a Fragmented System"Midway upon the journey of our life, I found myself within a dark wood, for the straight way had been lost." - Dante Alighieri.

The Cost of Forgetting: Why Health and Social Care Doesn’t Need More Innovation, It Needs Better Memory“The beginning is the most important part of the work.” — Plato… Except, in health and social care, it rarely is. One of the most frustrating phrases I hear is: “This is the start"

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