Parallel Session 2.5.3 Focusing on the Workforce


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  • Remote and Isolated: Social isolation, people to talk too. Traditional ministry not for everyone, in fact disincentive to many-hardline. GP takes on a ministry
  • Psychological Services Ggow, Local Psych and CPN: GP range of options limited
  • Had to think when asked: part of usual service: 50mins structured listening: non judgemental: no faith link: self refer and discharge when ready
  • Pt: known 15+yrs, anxiety mood coping. Medication++, time++ but always fractured time, off island ref, CLL, limited sessions, her pace, reduced meds reduced refs, reduced doc time, increased input into community
  • First qualituy ambition in italics: Three of the six areas to focus on
  • Scotlsnd beautiful whether urban or remote, efficienciesrisk driving out time to listen and compassion but cost effective and transmits its effect beyond the individual
  • Parallel Session 2.5.3 Focusing on the Workforce

    1. 1. COMMUNITY CHAPLAINCY LISTENING Dave Rigby Western Isles 21st June 2012
    2. 2. Beautiful Isolation
    3. 3. Local Service Provision?
    4. 4. • 33 referrals in the pilot phase (March 10- March 11) • Patients overwhelmingly reported having a positive experience with the CCL service • 41 clients in the second phase to date • Only 5 DNA’s Full report on thenational Scottish action research project • Age range 20-89 First cycle: March 2010 – March 2011 • Multiple issues • Work related stress • Relationship difficultiespared by Dr Harriet Mowat of Mowat Research Ltd and Dr Suzanne • Bereavement Bunniss of Firecloud • Loss of confidence, meaning and purpose With • Chronic disease and pain acceptanceGillian Munro, Keith Saunders, TK•Shadakshari, Gordon Warwick Cancer and coping •Personal experience For
    5. 5. Mutually beneficial partnerships between patients, their families and thosedelivering healthcare services which respect individual needs and valuesand which demonstrate compassion, continuity, clear communication andshared decision making• Caring and Compassionate staff and services• Effective Collaboration and explanation between clinicians, patients and others• Continuity of care
    6. 6. Shifting the Balance of CareShifting the Balance of Care (SBC) describes changes at different levels across he alth and care systems– all of which are intend ed to bring about better health outcomes for people, provide services whichreduce health inequalities; promote independence and are quicker, more personal an d closer to home.This means we need to develop clinical and care pathways that may involve shifting location, shiftingresponsibility; and identifying individuals earlier who might benefit from support that might sustain theirindependence and avoid adverse events or illn ess. This means we are shifting: copyright to Tony Marsh Photography towards prevention who delivers care location of servicesby increasing the rate of health by providing more care and by improving access to careimprovement particularly in treatment in the commun ity and treatment through changesdeprived communities by requiring professionals and staff to in the location of services;anticipating and addressing the develop their skills, expertise and providing a wider range ofneed for care at an earlier stage; roles. This requires real diagnostics and specialistchanging the emphasis from partnership working between services in communities andservices focused on acute organisations and professionals, maximising the use of newShifting towards systematicofconditions the Balance Careagreement on outcomes and and technologies. Here we expectand personalised support for care pathways delivered by to see some changes in clinicalpeople with long term conditions; community based multi agency and hospital based activity asdeveloping continuous, teams. It means shifting our view we develop the community
    7. 7. Community Chaplaincy Listening in the Western Isles