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