What have we learned and dowe have any agreed actions?Dewar 2013
IntroductionThese slides hope to capture thediscussion held in the last plenarysession of Dewar 2013 ….
The Dewar Process…Community enterprise and resilience inevidence demonstrated in the buildingThe NHS integrated into the community:participationGrass roots and community building
What is the way forward?Break down the silos?Research-led process?Funding for innovative pilots?Cross-organisational funding?How do we achieve this?
Ideas: the communitiesControl of the land – an amazingexample of success; must demonstratesuccess to inspire othersIf there are communities doing it well, weneed to spread the word to take andspread the ideasWe need to change the NHS to what wewant it to be: fundamental change
Ideas …ContextPart of the context is massive social anddemographic change: ageing population– but this is a good problem to haveContext: promotion of rural careers viasocial mediaSupport networks for practitioners viaSkype being piloted – need to embracetechnology
More Ideas …IntegrationAll medical professions are key –integration?Team approach = sustainability ofservices in R&R areasSkills sharing, competencies, portfoliocareersCare in the home
Ideas … connectionsNHS Highland could work with localdevelopment officers? A joined-upapproachWe need to record processes andoutcomes: we need to measureoutcomes tooSome of this is happening – a qualitativeapproach plus Action Learning
Ideas …Communities and patientsCommunities have to create their ownsolutions and models and then they cantake ownership of it?Must capture the patient experience – inthe planning, the executionTo work with people and make sure theyhave an element of choice in theirtreatment and care
Ideas … EducationInvolvement of the patient in the learningprocess and educationTo mitigate the demographic time-bomb– to help people look after their ownhealth betterCCPs also key in facilitating this
Community well-beingMore research needed on Highlands andIslands society?What is community well-being? Is itabout community leadership? Is it agedistribution?Are the solutions staring us in the face?They are in Dewar, and in the BirsayReport
The bigger picture?Healthcare is part of a bigger context –IT issues, education provision, socialhealth, employment opportunities, lackof affordable housingLet’s tackle the WHOLE picturePOLITICAL matters – bigger than theNHSLet’s sort the problems – we have theanswers!
Political actionThe bigger picture needs politicalpressure applied – we can do this as agroup.What about community/patientexpectations?What about the next generation ofhealthcare workers: inspire schoolchildren, medical students!
Community action?Build up relationships in schools and themedical schools: methods of gainingwork experience, writing a goodapplication, giving a good interview, riskassessment issuesTry to attract people back tocommunities in this wayCan use Dewar materials to help withthis
The Four Dewar Tests: feedbackMaybe we should take a broaderinternational perspective e.g. Gujarat,India – we can learn from other placesWe need to measure the outcomes ofwhat we do‘Everything is different but nothing haschanged in the last 100 years’
The Dewar Group – future?Continue and broaden what we do –geographically, politicallyWe need to move beyond the healthservice and build up partnershipnetworks with other service providers –chief partners: our communitiesA programme of recruitment andinformation