Annie Tindley sums up the lessons learned during the Dewar 2013 Conference

1. What have we learned and do
we have any agreed actions?
Dewar 2013

2. Introduction
These slides hope to capture the
discussion held in the last plenary
session of Dewar 2013 ….

3. The Dewar Process…
Community enterprise and resilience in
evidence demonstrated in the building
The NHS integrated into the community:
participation
Grass roots and community building

4. What is the way forward?
Break down the silos?
Research-led process?
Funding for innovative pilots?
Cross-organisational funding?
How do we achieve this?

5. Ideas: the communities
Control of the land – an amazing
example of success; must demonstrate
success to inspire others
If there are communities doing it well, we
need to spread the word to take and
spread the ideas
We need to change the NHS to what we
want it to be: fundamental change

6. Ideas …Context
Part of the context is massive social and
demographic change: ageing population
– but this is a good problem to have
Context: promotion of rural careers via
social media
Support networks for practitioners via
Skype being piloted – need to embrace
technology

7. More Ideas …Integration
All medical professions are key –
integration?
Team approach = sustainability of
services in R&R areas
Skills sharing, competencies, portfolio
careers
Care in the home

8. Ideas … connections
NHS Highland could work with local
development officers? A joined-up
approach
We need to record processes and
outcomes: we need to measure
outcomes too
Some of this is happening – a qualitative
approach plus Action Learning

9. Ideas …Communities and patients
Communities have to create their own
solutions and models and then they can
take ownership of it?
Must capture the patient experience – in
the planning, the execution
To work with people and make sure they
have an element of choice in their
treatment and care

10. Ideas … Education
Involvement of the patient in the learning
process and education
To mitigate the demographic time-bomb
– to help people look after their own
health better
CCPs also key in facilitating this

11. Community well-being
More research needed on Highlands and
Islands society?
What is community well-being? Is it
about community leadership? Is it age
distribution?
Are the solutions staring us in the face?
They are in Dewar, and in the Birsay
Report

12. The bigger picture?
Healthcare is part of a bigger context –
IT issues, education provision, social
health, employment opportunities, lack
of affordable housing
Let’s tackle the WHOLE picture
POLITICAL matters – bigger than the
NHS
Let’s sort the problems – we have the
answers!

13. Political action
The bigger picture needs political
pressure applied – we can do this as a
group.
What about community/patient
expectations?
What about the next generation of
healthcare workers: inspire school
children, medical students!

14. Community action?
Build up relationships in schools and the
medical schools: methods of gaining
work experience, writing a good
application, giving a good interview, risk
assessment issues
Try to attract people back to
communities in this way
Can use Dewar materials to help with
this

15. The Four Dewar Tests: feedback
Maybe we should take a broader
international perspective e.g. Gujarat,
India – we can learn from other places
We need to measure the outcomes of
what we do
‘Everything is different but nothing has
changed in the last 100 years’

16. The Dewar Group – future?
Continue and broaden what we do –
geographically, politically
We need to move beyond the health
service and build up partnership
networks with other service providers –
chief partners: our communities
A programme of recruitment and
information