When the CSP first shared Indeg Jameson's story in 2024, it highlighted how she had successfully influenced the development of an innovative Home First model in Carmarthenshire.
But the story began several years earlier, when Indeg attended the CSP's Influencer training.
Equipped with the practical skills, confidence and tools to influence decision-makers, she has continued to apply those techniques throughout her career, helping to shape rehabilitation services locally and, increasingly, across Wales.
Two years on, the impact of that influencing continues to grow. Using evidence of patient outcomes and service demand, Indeg has continued to build relationships with leaders across health, social care and local government, successfully making the case for investment in rehabilitation.
Through funding secured from different sources, the service has created six new rehabilitation roles: three Band 6 physiotherapists, one Band 5 physiotherapist and two therapy assistant practitioner posts.
Funding for a further Band 6 and Band 5 physiotherapist is also pending, while additional hours have been secured for occupational therapy and dietetic posts.
This investment demonstrates the value of building relationships beyond physiotherapy, using evidence to make the case for change and showing decision-makers how investment in rehabilitation can help address wider health and care priorities.
In this video from 2024, Indeg explains how she influenced for a new intermediate care service:
The Home First principles have also expanded beyond home-based rehabilitation into community hospitals, creating a single intermediate care team that supports patients across both bed-based and home-based services.
This has improved continuity of care, enabling the same multidisciplinary team to support people throughout their rehabilitation journey and helping patients receive the right rehabilitation in the right place.
The service has also become an example of good practice beyond Carmarthenshire. Teams from across Wales have visited to learn from the model, while Indeg is now contributing to national work to develop rehabilitation pathways that focus on people's rehabilitation needs rather than organisational boundaries.
This includes helping to develop a shared language for rehabilitation and supporting a more joined-up approach across hospital, community, third sector and leisure services.
Reflecting on the journey, Indeg believes one of the biggest lessons is that influencing extends far beyond the physiotherapy profession. She said:
It's not only our job to influence within the physiotherapy structure. It's about influencing the value of physiotherapy with other key stakeholders and understanding what their challenges are, then demonstrating how physiotherapy can help solve them.
She also encourages other CSP members to recognise that they already have the knowledge and credibility to influence change.
Be really clear about what you're trying to influence. Practise your message until you can explain it simply, and don't be afraid to ask for support. You don't have to do this alone.
Indeg's story demonstrates how local influencing can create lasting change. What began as a vision for a Home First service has grown into a wider programme of rehabilitation transformation, strengthening the physiotherapy workforce, improving patient care and helping shape rehabilitation services across Wales.
It is a powerful reminder that by combining evidence, relationships and persistence, physiotherapists can influence decisions that benefit both patients and the profession.
Could your story inspire other members?
Are you working to improve access to physiotherapy or rehabilitation—or have you successfully influenced change in your workplace or local area?
We'd love to hear from you. Your experience could help inspire other members and demonstrate the impact physiotherapists are making across the UK.
Contact: cre@csp.org.uk
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