Annie Tindley sums up discussions that took place during the Dewar Conference 2013 breakout sessions.

1. Thoughts from the breakout
sessions
A short history ….

2. History master class
 What can we take from the past?
 Consensus – on the problems, but what
about the solutions?
 How do we get the best qualified
practitioners to work in R&R areas?
 The importance of nurses, midwives,
paramedics
 Community advocacy role of practitioners?

3. Social, Capital and community
enterprise
 Q1. Why can’t every community have a
social enterprise company?
 Q2. Where it exists, how can the NHS plug
into that capital?

4. Health professional education
 1. Communication – we need to do it better!
Investment in internet linkage needed – not
just for education, but for practice too. E-
learning would then be possible.
 2. Phone signals too: invest nationally to get
a good roaming service across all networks –
for safe delivery of care

5. Emergency services in remote
communities
 Emergency service integration?
 Team work! Not reliant on one person
 Partnership working and integration e.g.
buildings/estates
 Assess skills and risks in every community –
then train for multi-skilling (appetite for this)
 Communications – VHS accessibility
 Role of CPPs: cooperation, empowerment

6. Emergency services in remote
communities
 Emergency responders over first
responders?
 Role of Community Councils?
 Flexible models of care
 ‘We need to be brave’ in risk assessment
 WE NEED TO TRUST PEOPLE

7. Scottish Government
 R&R skills and expertise need to inform
national thinking
 National vision for health and social care
makes sense in R&R places
 How do we organise our collective assets
(people, public services, places)?
 How build capacity in communities?

8. First Responder Schemes
 People in communities – skills and
resources: how to keep them skilled
 The role of technology in training and
executing their training
 Evidence is key – to create measurable
improvements – large scale studies and
evidence collection

9. Technology, Recruitment and
Retention – what works?
 If you want a rural practice you need everything else!
 Transport – cooperative working, research & pilots,
cross-organisational funding
 Sustainable employment, schools – for retention
 Develop rural GP identity
 Recognise and value training practises
 Subsidise small group learning in GP

10. Technology, Recruitment and
Retention – what works?
 If you want a rural practice you need everything else!
 Transport – cooperative working, research & pilots,
cross-organisational funding
 Sustainable employment, schools – for retention
 Develop rural GP identity
 Recognise and value training practises
 Subsidise small group learning in GP