Quality of Life, a big topic, can mean different things to many. Policy and academic debate tend to fall away when one grapples with a personal situation involving a loved one, as does the noisy clutter of everyday life.

Fragility of life is faced, accepted ways of being questioned. Those ‘small things’ keep one going when tomorrow is unknown. Such experiences are obviously highly individualistic and yet so many of us travel these roads.

Annie Stevenson, director of consultancy Integration in Care, raises these thought-provoking points:

“Quality of Life is about empowerment and sharing power equally, ‘doing with’. Quality care is about the power staying with the professionals and policy-makers and ‘doing unto’.

“Not everything is measurable. The way society is organised with so much focus on task-centred care and our history of institutionalisation going back to the Poor Law and the Victorians. Our social policy is based on this and the sense of ‘othering’ instead of staying with ‘us’.

“We’re having to crank back on the way our health and care is organised and shift deep institutionalised thinking, behaviours and power.”