What have we learned and dowe have any agreed actions?Dewar 2013
IntroductionThese slides hope to capture thediscussion held in the last plenarysession of Dewar 2013 ….
The Dewar Process…Community enterprise and resilience inevidence demonstrated in the buildingThe NHS integrated into the...
What is the way forward?Break down the silos?Research-led process?Funding for innovative pilots?Cross-organisational f...
Ideas: the communitiesControl of the land – an amazingexample of success; must demonstratesuccess to inspire othersIf th...
Ideas …ContextPart of the context is massive social anddemographic change: ageing population– but this is a good problem ...
More Ideas …IntegrationAll medical professions are key –integration?Team approach = sustainability ofservices in R&R are...
Ideas … connectionsNHS Highland could work with localdevelopment officers? A joined-upapproachWe need to record processe...
Ideas …Communities and patientsCommunities have to create their ownsolutions and models and then they cantake ownership o...
Ideas … EducationInvolvement of the patient in the learningprocess and educationTo mitigate the demographic time-bomb– t...
Community well-beingMore research needed on Highlands andIslands society?What is community well-being? Is itabout commun...
The bigger picture?Healthcare is part of a bigger context –IT issues, education provision, socialhealth, employment oppor...
Political actionThe bigger picture needs politicalpressure applied – we can do this as agroup.What about community/patie...
Community action?Build up relationships in schools and themedical schools: methods of gainingwork experience, writing a g...
The Four Dewar Tests: feedbackMaybe we should take a broaderinternational perspective e.g. Gujarat,India – we can learn f...
The Dewar Group – future?Continue and broaden what we do –geographically, politicallyWe need to move beyond the healthse...
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Dewar: What have we learned

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

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Dewar: What have we learned

  1. 1. What have we learned and dowe have any agreed actions?Dewar 2013
  2. 2. IntroductionThese slides hope to capture thediscussion held in the last plenarysession of Dewar 2013 ….
  3. 3. The Dewar Process…Community enterprise and resilience inevidence demonstrated in the buildingThe NHS integrated into the community:participationGrass roots and community building
  4. 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. 5. Ideas: the communitiesControl of the land – an amazingexample of success; must demonstratesuccess to inspire othersIf there are communities doing it well, weneed to spread the word to take andspread the ideasWe need to change the NHS to what wewant it to be: fundamental change
  6. 6. Ideas …ContextPart of the context is massive social anddemographic change: ageing population– but this is a good problem to haveContext: promotion of rural careers viasocial mediaSupport networks for practitioners viaSkype being piloted – need to embracetechnology
  7. 7. More Ideas …IntegrationAll medical professions are key –integration?Team approach = sustainability ofservices in R&R areasSkills sharing, competencies, portfoliocareersCare in the home
  8. 8. Ideas … connectionsNHS Highland could work with localdevelopment officers? A joined-upapproachWe need to record processes andoutcomes: we need to measureoutcomes tooSome of this is happening – a qualitativeapproach plus Action Learning
  9. 9. Ideas …Communities and patientsCommunities have to create their ownsolutions and models and then they cantake ownership of it?Must capture the patient experience – inthe planning, the executionTo work with people and make sure theyhave an element of choice in theirtreatment and care
  10. 10. Ideas … EducationInvolvement of the patient in the learningprocess and educationTo mitigate the demographic time-bomb– to help people look after their ownhealth betterCCPs also key in facilitating this
  11. 11. Community well-beingMore 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
  12. 12. The bigger picture?Healthcare is part of a bigger context –IT issues, education provision, socialhealth, employment opportunities, lackof affordable housingLet’s tackle the WHOLE picturePOLITICAL matters – bigger than theNHSLet’s sort the problems – we have theanswers!
  13. 13. Political actionThe 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!
  14. 14. Community action?Build up relationships in schools and themedical schools: methods of gainingwork experience, writing a goodapplication, giving a good interview, riskassessment issuesTry to attract people back tocommunities in this wayCan use Dewar materials to help withthis
  15. 15. The Four Dewar Tests: feedbackMaybe we should take a broaderinternational perspective e.g. Gujarat,India – we can learn from other placesWe need to measure the outcomes ofwhat we do‘Everything is different but nothing haschanged in the last 100 years’
  16. 16. The Dewar Group – future?Continue and broaden what we do –geographically, politicallyWe need to move beyond the healthservice and build up partnershipnetworks with other service providers –chief partners: our communitiesA programme of recruitment andinformation

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